Podcasts about Jama

Editor's Summary by Preeti Malani, MD, MSJ, and Christopher C. Muth, MD, Deputy Editors of JAMA, the Journal of the American Medical Association, for articles published from July 5-11, 2025.

It's 2 a.m. The on-call resident's voice is shaky. The CT shows an 18cm abdominal aortic aneurysm with a Type 1B endoleak. There's gas in the sac, fluid in the belly, and the patient has a defibrillator on both sides of his chest. Is it a rupture? A graft infection? An aortoenteric fistula? All of the above? You're the vascular surgeon, what do you do?  This episode dives deep into decision-making when EVAR fails, when infection strikes, and when the patient might not survive a definitive repair. Let's talk about what happens when clinical textbooks meet real-world chaos. Hosts: ·      Christian Hadeed -PGY 4 General Surgery, Brookdale Hospital Medical Center ·      Paul Haser -Division chief, Vascular Surgery, Brookdale Hospital Medical Center ·      Andrew Harrington, Vascular surgery, Brookdale Hospital Medical Center ·      Lucio Flores, Vascular surgery, Brookdale Hospital Medical Center Learning objectives: · Understand the clinical implications and management of late EVAR complications, including Type 1B endoleak and aortoenteric fistula. · Explore the decision-making process in critically ill patients with multiple comorbidities and infected aortic grafts. · Compare endovascular vs open surgical approaches in the setting of infected AAA, and when each is appropriate. · Recognize the role of multidisciplinary collaboration in complex vascular cases. · Discuss the ethical considerations and goals-of-care planning in high-risk, potentially terminal vascular patients. · Highlight the importance of long-term surveillance after EVAR and the consequences of noncompliance. References ·       Karl Sörelius et al.Nationwide Study of the Treatment of Mycotic Abdominal Aortic Aneurysms Comparing Open and Endovascular Repair.Circulation. 2016;134(22):1822–1832. PubMed: https://pubmed.ncbi.nlm.nih.gov/27799273/ pubmed.ncbi.nlm.nih.gov+15pubmed.ncbi.nlm.nih.gov+15researchgate.net+15 ·       PARTNERS Trial (OVER Trial).Outcomes Following Endovascular vs Open Repair of Abdominal Aortic Aneurysm: A Randomized Trial.JAMA. 2009;302(14):1535–1542. PubMed: https://pubmed.ncbi.nlm.nih.gov/19826022/ pubmed.ncbi.nlm.nih.gov+6pubmed.ncbi.nlm.nih.gov+6jamanetwork.com+6 ·       B.T. Müller et al.Mycotic Aneurysms of the Thoracic and Abdominal Aorta and Iliac Arteries: Experience with Anatomic and Extra-anatomic Repair in 33 Cases.J Vasc Surg. 2001;33(1):106–113. PubMed: https://pubmed.ncbi.nlm.nih.gov/11137930/ sciencedirect.com+5pubmed.ncbi.nlm.nih.gov+5periodicos.capes.gov.br+5 ·       Chung‑Dann Kan et al.Outcome after Endovascular Stent Graft Treatment for Mycotic Aortic Aneurysm: A Systematic Review.J Vasc Surg. 2007 Nov;46(5):906–912. PubMed: https://pubmed.ncbi.nlm.nih.gov/17905558/ researchgate.net+15pubmed.ncbi.nlm.nih.gov+15pubmed.ncbi.nlm.nih.gov+15 ·       Hamid Gavali et al.Outcome of Radical Surgical Treatment of Abdominal Aortic Graft and Endograft Infections Comparing Extra‑anatomic Bypass with In Situ Reconstruction: A Nationwide Multicentre Study.Eur J Vasc Endovasc Surg. 2021;62(6):918–926. PubMed: https://pubmed.ncbi.nlm.nih.gov/34782231/ pubmed.ncbi.nlm.nih.gov+6pubmed.ncbi.nlm.nih.gov+6diva-portal.org+6  Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Dr. Hoffman continues his conversation with Jonathan Rubin, CEO of the Seed Oil Free Alliance.

The Seed Oil Controversy: Unpacking Health Risks and Alternatives with Jonathan Rubin, CEO of the Seed Oil Free Alliance. The discussion focuses on the potential health hazards posed by seed oils, which have become ubiquitous in the American diet. They explore how these oils may be linked to chronic disease and obesity and compare this with the mainstream view that considers them harmless. Jonathan shares insights from his personal health journey and explains the mission and methodology of the Seed Oil Free Alliance, which aims to provide consumers with reliable information and certification for seed oil-free products. The episode also covers the historical context of seed oil consumption, the science behind omega-6 fatty acids, and practical alternatives for a healthier diet.

In this episode, Dr. Sergio Zanotti discusses clinical guidelines for the transfusion of platelets and fresh frozen plasma (FFP) in critically ill patients. He is joined by Dr. Angel Coz Yataco, a practicing pulmonary critical care physician. Dr Coz Yataco is on the faculty of the Cleaveland Clinic Main Campus. He is also the lead author of the recently published American College of Chest Physicians Clinical Practice Guidelines on “Transfusion of Fresh Frozen Plasma and Platelets in Critically Ill Adults.” Additional resources: American College of Chest Physicians Clinical Practice Guidelines on Transfusion of Fresh Frozen Plasma and Platelets in Critically Ill Adults. Coz Yataco a, et al. CHEST 2025: https://pubmed.ncbi.nlm.nih.gov/40074060/ Platelet Transfusion 2025 AAB and ICTMG International Clinical Practice Guidelines. JAMA 2025: https://pubmed.ncbi.nlm.nih.gov/40440268/ Platelet Transfusion before CVC Placement in Patients with Thrombocytopenia. Van Baarle LF, et al. New Eng J of Med 2023: https://www.nejm.org/doi/full/10.1056/NEJMoa2214322 Books mentioned in this episode: Think Again: The Power of Knowing What You Don't Know. By Adam Grant: https://bit.ly/404783f

Ultra-processed foods are everywhere—and now they're fueling a national health crisis. In this episode of The Carolina Justice Report, Justin Lovely, Amy Lawrence, Sarah Austin and Sharde Crawford discuss the rising litigation against food industry giants whose chemically engineered products have led to type 2 diabetes diagnoses in children. We break down the NOVA food classification system, reveal how tobacco companies shifted into the food industry using addiction science, and explain why this new wave of lawsuits matters—especially to parents trying to feed their kids on a budget. If your child has been diagnosed with type 2 diabetes and there's no family history, this episode is a must-listen. Learn how you can join the fight to hold these corporations accountable.

A new study conducted by a team at Children's Hospital of Philadelphia and published in the Journal of the American Medical Association reveals a deeply troubling reality: children in the United States are facing worse health outcomes than their peers in other high-income nations—across nearly every indicator. Michael Smerconish breaks down the findings with insight, urgency, and a bit of personal reflection. From chronic conditions and gun violence to mental health, poverty, and policy failures, this episode dives deep into why America is falling short. This is the premise for today's Daily Poll Question at Smerconish.com, which asks: Why do U.S. children have comparatively worse health outcomes? Listen here, then vote there!

In the 25 years since its emergence in the US, West Nile virus has become the leading cause of domestic mosquito-borne disease. It causes more than 1200 neuroinvasive disease cases and 120 deaths annually in the US. Coauthor Carolyn Gould, MD, of the CDC joins JAMA Senior Editor Karen Lasser, MD, to discuss the review on this topic published in JAMA. Related Content: West Nile Virus What Is West Nile Virus Infection?

Just finished reviewing the latest JAMA 2025 article on osteoporosis by Morin et al. — a must-read for anyone managing bone health in aging adults!  

Interviewer: Dr. Lisa Meeks Interviewees:  ·       Abbey MacLellan ·       Zachary Ford ·       Marihan Farid ·       RJ Roggeveen ·       Michael Quon ·       Lynn Ashdown Description: Episode 108: ICAM Panel – Facing Ableism: What's Our Role in Building Inclusion

Lever des fonds pour financer son projet quand on est enceintes : Tatiana Jama nous raconte ce qu'elle regarde aujourd'hui comme une erreur. «Je pense qu'on a très mal géré nos maternités. J'ai caché mes grossesses avec un poncho à chaque pitch devant des investisseurs, jamais je ne referais la même chose. » Dans cet extrait, Tatiana Jama, mulitientrepreneure, fondatrice de Sista et Sista Fund, qui soutient l'entrepreneuriat des femmes dans la tech, revient sur ses maternités et les erreurs qu'elle estime avoir commises pour pitcher ses investisseurs. En 2024 , Tatiana Jama a publié un essai engagé aux éditions de l'Observatoire : « L'entrepreneuriat, un nouveau féminisme ».Découvrez un extrait de l'épisode #139, dispo sur votre appli podcast. Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief, and Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from June 28-July 3, 2025.

For too long, Alcohol Use Disorder (AUD) has been misunderstood as a failure of willpower—but science tells a different story. In this episode, we dive into the neurological basis of addiction, exploring how AUD rewires the brain and why overcoming it requires more than sheer determination. We'll debunk myths, highlight the role of medical and psychological support, and offer insight into what real recovery looks like. If you've ever wondered why quitting alcohol feels impossible for some, this episode is for you.Find out about the free resources and all our books available at winspress.com.******************************************************************************************References for today's episode:Koob, G. F., & Volkow, N. D. (2016). Neurobiology of addiction: A neurocircuitry analysis. The Lancet Psychiatry, 3(8), 760-773. https://doi.org/10.1016/S2215-0366(16)00104-Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363-371. https://doi.org/10.1056/NEJMra151148Goldstein, R. Z., & Volkow, N. D. (2011). Dysfunction of the prefrontal cortex in addiction: Neuroimaging findings and clinical implications. Nature Reviews Neuroscience, 12(11), 652-669. https://doi.org/10.1038/nrn311Bechara, A. (2005). Decision making, impulse control and loss of willpower to resist drugs: A neurocognitive perspective. Nature Neuroscience, 8(11), 1458-1463. https://doi.org/10.1038/nn158McLellan, A. T., Lewis, D. C., O'Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: Implications for treatment, insurance, and outcomes evaluation. JAMA, 284(13), 1689-1695. https://doi.org/10.1001/jama.284.13.168.Marlatt, G. A., & Donovan, D. M. (2005). Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors. Guilford Press.

Maria Mori Brooks, PhD, University of Pittsburgh School of Public Health, discusses "Assessing Unexpected Circumstances That Lead to Modifications in Clinical Trial Design, Conduct, or Analysis" in the JAMA Guide to Statistics and Methods series, with JAMA Statistical Editor Roger J. Lewis, MD, PhD. Related Content: Assessing Unexpected Circumstances That Lead to Modifications in Clinical Trial Design, Conduct, or Analysis

C'est la journée du Reggae ! Musique née en Jamaïque et très à la mode dans les années 80. Quels sont vos tubes reggae préférés ?

Contributor: Alec Coston, MD Educational Pearls: For patients presenting to the emergency room with hypertension, clinicians should determine if it is isolated and uncomplicated, or involves comorbidities with more complex underlying pathophysiology.  For uncomplicated and isolated hypertension, first-line treatment is thiazide diuretics.  How do thiazide diuretics work to treat hypertension? Thiazide diuretics work by blocking sodium and chloride resorption in the kidneys.  “Where sodium goes, water follows,” thus promoting diuresis and lowering blood pressure. Examples of thiazide diuretics and their benefits? Hydrochlorothiazide (HCTZ): First-line medication in uncomplicated and chronic hypertensive states. Cheaper and fewer significant adverse effects compared to chlorthalidone. HCTZ can be associated with decreased risk of stroke and myocardial infarction. However, for more complicated hypertension, especially in the setting of heart failure, Angiotensin Converting Enzyme (ACE) Inhibitors should be considered.  How do ACE Inhibitors manage blood pressure? The body's kidneys drive the Renin-Angiotensin-Aldosterone-System (RAAS) to regulate blood pressure. It is easiest to understand RAAS as being pro-hypertensive as a response to decreased renal perfusion. As renal perfusion decreases, renin is released and activates angiotensin I, which is converted by ACE to Angiotensin II, which causes release of aldosterone. ACE Inhibitors prevent the conversion of Angiotensin I to Angiotensin II, thus decreasing the kidneys' production of Angiotensin II and Aldosterone levels. Why, in the context of heart failure, are ACE Inhibitors preferred? In heart failure, especially left-sided or left-ventricular heart failure, a vicious cycle can develop wherein the left ventricle fails to perfuse the kidneys due to over-dilation. The kidneys are hypoperfused and activate RAAS to try to retain volume and increase peripheral vasoconstriction, promoting renal perfusion. The increase in blood pressure puts further strain on the heart, thereby further decreasing cardiac output. The cycle develops, and extremely elevated blood pressures can develop. ACE Inhibitors can directly block this cycle, hence their preference in heart failure. Big takeaway? In uncomplicated hypertensive patients, consider thiazide diuretics. When comorbidities, especially heart failure, are introduced, then consider ACE Inhibitors. References Carey RM, Moran AE, Whelton PK. Treatment of Hypertension: A Review. JAMA. 2022;328(18):1849-1861. doi:10.1001/jama.2022.19590 Fan M, Zhang J, Lee CL, Zhang J, Feng L. Structure and thiazide inhibition mechanism of the human Na-Cl cotransporter. Nature. 2023;614(7949):788-793. doi:10.1038/s41586-023-05718-0 Hripcsak G, Suchard MA, Shea S, et al. Comparison of Cardiovascular and Safety Outcomes of Chlorthalidone vs Hydrochlorothiazide to Treat Hypertension. JAMA Internal Medicine. 2020;180(4):542-551. doi:10.1001/jamainternmed.2019.7454 Yu D, Li JX, Cheng Y, et al. Comparative efficacy of different antihypertensive drug classes for stroke prevention: A network meta-analysis of randomized controlled trials. PLoS One. 2025;20(2):e0313309. doi:10.1371/journal.pone.0313309 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan & Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/  

Il y a urgence, c'est évident quand on lit l'essai de Tatiana Jama, que je reçois à notre micro aujourd'hui. Il y a urgence à conquérir le monde économique, un monde d'hommes, encore et toujours, les chiffres sont implacables : 95% des dirigeants des grandes entreprises dans le monde sont des hommes, en France, 60% des entreprises du CAC 40 comptent moins de 30% de femmes dans leur comité de direction, et dans l'investissement, terrain de bataille de Tatiana et de Sista Fund, devinez quelle est la part totale des fonds levés en France par des start-ups fondées ou dirigées par des femmes ? 2%, même pas un dixième, même pas un pourboire comme l'écrit notre invitée.Comment être égales aux hommes si nous restons mineures économiquement ? est-ce que l'entrepreneuriat peut-être la clef d'une véritable égalité ? Voici l'objet de ma discussion avec Tatiana Jama, mère de 3 enfants et multi-entrepreneure, qui publie un essai engagé aux éditions de l'Observatoire : « L'entrepreneuriat, un nouveau féminisme ».Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Was, wenn Dein Körper nachts heimlich gegen Dich arbeitet? Wenn Du abnehmen oder Muskeln aufbauen willst – aber der Fortschritt bleibt aus –, dann liegt es vielleicht nicht an Deinem Training oder Deiner Ernährung. Sondern an Deinem Schlaf.In dieser Folge erfährst Du:Warum schon eine Stunde weniger Schlaf Deinen Fettabbau torpedieren kannWie Schlafmangel Deinen Hormonhaushalt sabotiert – und Dich hungriger machtWas die Wissenschaft über Muskelabbau durch schlechten Schlaf sagtUnd welche 13 praxiserprobten Strategien Du ab heute umsetzen kannst, um erholsamer zu schlafen und Deinem Körper beim Regenerieren, Wachsen und Verbrennen zu helfenAußerdem: Warum Temperatur eine geheime Superkraft beim Schlaf ist – und was Mark persönlich verändert hat, um 10 % mehr Tiefschlaf herauszuholen.____________*WERBUNG: Infos zum Werbepartner dieser Folge und allen weiteren Werbepartnern findest Du hier.____________Erwähnte Tools:Hinweis: Wenn Du eines der Tools kaufen möchtest, kannst Du etwas Geld sparen, indem Du das jeweilige Angebot für Podcasthörer nutzt.Eight Sleep: bis 350 € Rabatt*Whoop: 1 Monat kostenlos*Melatonin: Melaform 1,5 Mg+ FormMed (5 € geschenkt für Neukunden: "mark5")Earbuds: Soundcore Sleep A20*Quellen:Nedeltcheva et al. (2010). Sleep curtailment is accompanied by increased intake of calories from snacks. Am J Clin Nutr, 91(1), 155–162.Nedeltcheva et al. (2010). Insufficient sleep undermines dietary efforts to reduce adiposity. Ann Intern Med, 153(7), 435–441.Spiegel et al. (2004). Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med, 141(11), 846–850.Spaeth et al. (2013). Effects of experimental sleep restriction on weight gain, caloric intake, and meal timing in healthy adults. Sleep, 36(7), 981–990.Leproult & Van Cauter (2011). Effect of 1 week of sleep restriction on testosterone levels in young healthy men. JAMA, 305(21), 2173–2174.Van Cauter & Plat (1996). Physiology of growth hormone secretion during sleep. J Pediatr, 128(5 Pt 2), S32–S37.Kräuchi & Wirz-Justice (2001). Circadian rhythm of heat production, heart rate, and skin and core temperature under unmasking conditions. Am J Physiol Regul Integr Comp Physiol, 283(3), R819–R829.Okamoto-Mizuno & Mizuno (2012). Effects of thermal environment on sleep and circadian rhythm. J Physiol Anthropol, 31, 14.Walker, M. (2017). Why We Sleep: Unlocking the Power of Sleep and Dreams. Scribner.Heller et al. (2010). Temperature regulation and sleep. In: Principles and Practice of Sleep Medicine (5th ed.), pp. 292–304.Emmons & McCullough (2003). Counting blessings versus burdens: An experimental investigation of gratitude and well-being in daily life. J Pers Soc Psychol, 84(2), 377–389.Kaimal et al. (2016). Reduction of cortisol levels and participants' responses following art making. Art Therapy, 33(2), 74–80.St-Onge et al. (2016). Effects of diet on sleep quality. Adv Nutr, 7(5), 938–949.Khalsa et al. (2003). A phase response curve to single bright light pulses in human subjects. J Physiol, 549(3), 945–952.***Shownotes und Übersicht aller Folgen.Trag Dich in Marks Dranbleiber Newsletter ein.Entdecke Marks Bücher.Folge Mark auf Instagram, Facebook, Strava, LinkedIn. Hosted on Acast. See acast.com/privacy for more information.

Kimmie Ng, MD, MPH, a JAMA associate editor and associate chief of the Division of Gastrointestinal Oncology at the Dana-Farber Cancer Institute, shares highlights from the American Society of Clinical Oncology's annual meeting, including new research on diet, exercise, and cancer survival and the best time of day for treatment. Related Content: Lifestyle and Cancer Survival, the Best Time of Day for Treatment, and More—Highlights From ASCO

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief, and Linda Brubaker, MD, Deputy Editor of JAMA, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from June 21-27, 2025.

Today's episode focuses on a recent article in JAMA Internal Medicine regarding maternal mental health in the United States. I'll explain and summarize the study and results, and discuss the most appropriate next steps. Since I'm presenting the information in summary form, please read the article for yourself by clicking the link in the Resources section for this episode.  Show Highlights: The findings of this study are sobering and validating. Scope and value of research findings like this to “fill the gap” in maternal mental health The details of the study subjects: 198,000+ US mothers from 2016-2023 who self-reported their physical and mental health The key findings: The percentage of mothers reporting a rating of “excellent” mental health dropped dramatically during the time frame, the percentage reporting “fair” or “poor” mental health increased, and the trend of declining maternal mental health crosses through all socio-economic groups. The key factors contributing to maternal mental health conditions  Results of the study show that we need more investment into the underlying causes of mental health decline, especially for lower socio-economic status moms. Moms are suffering under the weight of silence, stigma, shame, and societal expectations. Studies like this one are vital to break down barriers to care and support. Learning to identify your needs, choose rest when needed, and prioritize self-compassion What we can do to help: offer screenings at multiple points, effect policy change, and find positive ways to support the entire family system. Resources: Read the JAMA article, “Trends and Disparities in Maternal Self-Reported Mental and Physical Health.” Click here. Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources available, including online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to become more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Ever feel so tired even after a full night's sleep? Can't focus? Struggle with mood swings, hair shedding, or heavy periods? You might be low in iron — and you're not alone. A recent JAMA study found that nearly 40% of girls and women have low iron levels. In this episode, we're breaking down what iron actually does in your body, why it matters so much for your energy, hormones, and periods, and how to spot the signs of a deficiency. I'll share how to check your iron status (and what those labs even mean), how food plays a role, and the top 3 meals I swear by when trying to get more iron in. We're also talking about who's most at risk! If your energy hasn't been energy-ing lately, this one's for you. LISTEN UP! The Flourish Heights Podcast was made for women, by women. To be empowered in health starts with a true connection with your body. Join Valerie Agyeman, Women's Health Dietitian as she breaks through topics surrounding periods, women's nutrition, body awareness, and self-care.  Stay Connected: Follow us on social media: Instagram: @flourishheights / @valerieagyeman / Women's Health Hub: @flourishvulva Is there a topic you'd like covered on the podcast? Submit it to hello@flourishheights.com Say hello! Email us at hello@flourishheights.com Subscribe to our quarterly newsletters: Flourish Heights Newsletter Visit our website: www.flourishheights.com Want to support this podcast? Leave a rating, write a review and share! Thank you!

In this episode, Dr. Sergio Zanotti discusses the different aspects of managing pneumonia in critically ill patients. He covers the initial management of severe pneumonia, management of ventilator-associated pneumonia, and highlights the clinical approach to non-resolving pneumonia in the intensive care unit (ICU). He is joined by Dr. Andre Kalil, a physician specializing in critical care and infectious diseases. Dr. Kalil is a Professor in the Division of Infectious Diseases and Director of Transplant Infectious Diseases at the University of Nebraska Medical Center (UNMC). Additional resources: How to approach a patient hospitalized for pneumonia who is not responding to treatment? Pedro Povoa, et al. Intensive Care Med 2025: https://link.springer.com/article/10.1007/s00134-025-07903-3 Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Andre Kalil, et al. Clin Infect Dis. 2016: https://pmc.ncbi.nlm.nih.gov/articles/PMC4981759/ Management of Ventilator-Associated Pneumonia: Guidelines. M Metersky and Andre c. Kalil. Infect Dis Clin North Am. 202: https://pubmed.ncbi.nlm.nih.gov/38280768/ Hydrocortisone in Severe Community-Acquired Pneumonia. CAPE-COD Clinical Trial. N Eng J of Med 202: https://www.nejm.org/doi/full/10.1056/NEJMoa2215145 Continuous vs. Intermittent β-Lactam Antibiotic Infusions in Critically Ill Patients with Sepsis. BLING III Clinical Trial. JAMA 2024: https://jamanetwork.com/journals/jama/fullarticle/2819971 Music mentioned in this episode: Pat Metheny Group – We Live Here: https://bit.ly/44gt8Jl Antonio Carlos Jobin – Terra Basilis: http://bit.ly/4k4Amq1 Mahler: Symphony No.9 – Chicago Symphony Orchestra: http://bit.ly/4k9sXWn

Send us a textIn this episode, I explore whether the famed Blue Zones offer genuine insights for longevity or if they're more marketing myth than science, while highlighting what the evidence truly shows about living to 100.We begin by considering how many people actually reach 100. Currently, just 0.03% of Americans are centenarians, though this is expected to quadruple by 2054, with women comprising about 78% of that group (Pew Research). Globally, regions like Hong Kong show higher longevity, where 12.8% of females and 4.4% of males are projected to reach 100 (Nature). This brings us to the question: what might we learn from regions like the Blue Zones?I break down how the Blue Zones concept originated, starting with Sardinia where researchers Pes and Poulain mapped centenarians with blue dots, hence the term Blue Zones. Their 2004 study highlighted clusters of longevity (ScienceDirect). Dan Buettner later popularized these findings through his National Geographic article (Blue Zones PDF) and subsequent books, documentaries, and programs. The Blue Zones promote nine lifestyle habits: daily activity, minimal meat and processed foods, moderate red wine intake, calorie reduction, life purpose, stress reduction, spiritual community involvement, prioritizing friendships, and surrounding oneself with like-minded people.While these recommendations align in part with my six pillars of health—exercise, nutrition, mind-body harmony, sleep, exposure to heat/cold, and social relationships—the Blue Zones overlook critical factors like sleep and heat/cold exposure. Their encouragement of moderate alcohol use also contrasts with emerging evidence on alcohol's risks.I examine critiques of Blue Zone science, including flawed birth records that may inflate longevity claims, as seen historically in the U.S. and Greece  (bioRxiv, UCL). Some regions, like Okinawa and Sardinia, no longer display exceptional longevity, possibly due to regression to the mean or changes in lifestyle (PubMed).I also share a rigorous epidemiologic study tracking 80-year-olds to 100, identifying key predictors like non-smoking, low alcohol use, regular exercise, healthy BMI, and dietary diversity (fruits, vegetables, fish, beans, tea). Those with high lifestyle scores had a 60% greater chance of reaching 100 (JAMA).Ultimately, while Blue Zones have helped popularize valuable lifestyle habits, the science behind their claims is mixed. My six pillars remain grounded in evidence that applies to real-world aging.Takeaways: Focus on proven factors—exercise, balanced nutrition, sleep, mind-body practices, social connections, and thoughtful heat/cold exposure—to enhance both lifespan and healthspan. Be cautious about adopting longevity claims without strong evidence. Remember, while genetics play a larger role at extreme ages, your daily choices still profoundly influence your journey toward living long and well.

The Theology, Medicine, and Culture Initiative (TMC) welcomed Dr. Brewer Eberly for this virtual seminar on September 8, 2023. He is a third-generation family physician at Fischer Clinic in Raleigh, NC, and a McDonald Agape Fellow in the Theology, Medicine, and Culture Initiative at Duke Divinity School. He completed his family medicine residency and chief residency at AnMed Health in Anderson, SC. Dr. Eberly has been published widely, including JAMA, the New Atlantis, and Christianity Today, with artwork on the cover of Academic Medicine and in the AMA Journal of Ethics. While the majority of his work is caring for his patients, his writing and research is rooted in the intersections of medicine, aesthetics, and Christian theology, with a particular eye toward medical trainee formation, the relationship between beauty and ethics, and the nourishment of weary clinicians.

Send us a textIn this episode, I had the pleasure of speaking with Dr Erin Von Klien, who is now a third year Neonatology fellow at Monroe Carell Children's Hospital/Vanderbilt University, Nashville. Erin described her research project on exploring association between caregiver employment decisions and having a preterm infant. Erin describes her project which was also recently published in JAMA pediatrics (Preterm Birth and Caregiver Employment Decisions | Reproductive Health | JAMA Pediatrics | JAMA Network) where she investigated the impact of prematurity in parental employment decisions. She describes how she got interested in this impactful topic and how she found her mentor. She is a 2024 recipient of the AAP Marshall Klaus Award in Health Services Research and a participant in the Vanderbilt Patient/ Practice Outcomes Research in Effectiveness and Systems Science (PROgRESS) T32 Program. In this episode she describes her experience in grant writing and winning the AAP Marshall Klaus award. She also provides valuable advice to incoming fellows who are interested in the physician scientist pathway in health services research. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief, and Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from June 14-20, 2025.

In Part 2 of my conversation with Kalonji Jama Changa—founder of the FTP Movement and organizer of the Atlanta Hip Hop compilation Wrath of the Siafu—we unpack the political fallout of the January 6 riots, the dysfunction plaguing American leadership, and the role of art in revolution. Kalonji shares powerful insights on how Hip Hop can serve as both a mirror and a weapon in the struggle for liberation.This episode is a call to consciousness—where culture, community, and resistance collide.

Tech News Weekly Episode 392 Show Notes This week on Tech News Weekly, Mikah Sargent and Jennifer Pattison Tuohy talk cybersecurity vulnerabilities with over 40,000 exposed internet cameras, Wyze's new security features following past breaches, a study on youth mental health and addictive tech use, and the launch of Trump Mobile's new phone and cellular plan. • 40,000 Exposed Internet Cameras: A cybersecurity investigation by BitSight reveals that over 40,000 internet-connected cameras are accessible to anyone with a browser and IP address, many of which use default passwords or lack basic security features. • Wyze Introduces "Verified View" Security Feature: Following previous incidents where users could see other people's camera streams due to cloud failures, Wyze launched a new security feature that stamps user metadata onto footage for an additional layer of verification to access photos and videos. • Study Challenges Screen Time Assumptions for Youth Mental Health: A major JAMA study tracking over 4,000 kids from ages 10-14 found no direct link between screen time duration and suicidal behavior, but instead identified addictive usage patterns as the real culprit. • The Launch of Trump Mobile: The new "47 Plan" offers 20GB of data for $47.45/month, along with a $499 phone claimed to be "made in America," though tech experts question both the value proposition and manufacturing claims. Hosts: Mikah Sargent and Jennifer Pattison Tuohy Download or subscribe to Tech News Weekly at https://twit.tv/shows/tech-news-weekly. Join Club TWiT for Ad-Free Podcasts! Support what you love and get ad-free shows, a members-only Discord, and behind-the-scenes access. Join today: https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT Melissa.com/twit threatlocker.com/twit

Tech News Weekly Episode 392 Show Notes This week on Tech News Weekly, Mikah Sargent and Jennifer Pattison Tuohy talk cybersecurity vulnerabilities with over 40,000 exposed internet cameras, Wyze's new security features following past breaches, a study on youth mental health and addictive tech use, and the launch of Trump Mobile's new phone and cellular plan. • 40,000 Exposed Internet Cameras: A cybersecurity investigation by BitSight reveals that over 40,000 internet-connected cameras are accessible to anyone with a browser and IP address, many of which use default passwords or lack basic security features. • Wyze Introduces "Verified View" Security Feature: Following previous incidents where users could see other people's camera streams due to cloud failures, Wyze launched a new security feature that stamps user metadata onto footage for an additional layer of verification to access photos and videos. • Study Challenges Screen Time Assumptions for Youth Mental Health: A major JAMA study tracking over 4,000 kids from ages 10-14 found no direct link between screen time duration and suicidal behavior, but instead identified addictive usage patterns as the real culprit. • The Launch of Trump Mobile: The new "47 Plan" offers 20GB of data for $47.45/month, along with a $499 phone claimed to be "made in America," though tech experts question both the value proposition and manufacturing claims. Hosts: Mikah Sargent and Jennifer Pattison Tuohy Download or subscribe to Tech News Weekly at https://twit.tv/shows/tech-news-weekly. Join Club TWiT for Ad-Free Podcasts! Support what you love and get ad-free shows, a members-only Discord, and behind-the-scenes access. Join today: https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT Melissa.com/twit threatlocker.com/twit

Tech News Weekly Episode 392 Show Notes This week on Tech News Weekly, Mikah Sargent and Jennifer Pattison Tuohy talk cybersecurity vulnerabilities with over 40,000 exposed internet cameras, Wyze's new security features following past breaches, a study on youth mental health and addictive tech use, and the launch of Trump Mobile's new phone and cellular plan. • 40,000 Exposed Internet Cameras: A cybersecurity investigation by BitSight reveals that over 40,000 internet-connected cameras are accessible to anyone with a browser and IP address, many of which use default passwords or lack basic security features. • Wyze Introduces "Verified View" Security Feature: Following previous incidents where users could see other people's camera streams due to cloud failures, Wyze launched a new security feature that stamps user metadata onto footage for an additional layer of verification to access photos and videos. • Study Challenges Screen Time Assumptions for Youth Mental Health: A major JAMA study tracking over 4,000 kids from ages 10-14 found no direct link between screen time duration and suicidal behavior, but instead identified addictive usage patterns as the real culprit. • The Launch of Trump Mobile: The new "47 Plan" offers 20GB of data for $47.45/month, along with a $499 phone claimed to be "made in America," though tech experts question both the value proposition and manufacturing claims. Hosts: Mikah Sargent and Jennifer Pattison Tuohy Download or subscribe to Tech News Weekly at https://twit.tv/shows/tech-news-weekly. Join Club TWiT for Ad-Free Podcasts! Support what you love and get ad-free shows, a members-only Discord, and behind-the-scenes access. Join today: https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT Melissa.com/twit threatlocker.com/twit

Tech News Weekly Episode 392 Show Notes This week on Tech News Weekly, Mikah Sargent and Jennifer Pattison Tuohy talk cybersecurity vulnerabilities with over 40,000 exposed internet cameras, Wyze's new security features following past breaches, a study on youth mental health and addictive tech use, and the launch of Trump Mobile's new phone and cellular plan. • 40,000 Exposed Internet Cameras: A cybersecurity investigation by BitSight reveals that over 40,000 internet-connected cameras are accessible to anyone with a browser and IP address, many of which use default passwords or lack basic security features. • Wyze Introduces "Verified View" Security Feature: Following previous incidents where users could see other people's camera streams due to cloud failures, Wyze launched a new security feature that stamps user metadata onto footage for an additional layer of verification to access photos and videos. • Study Challenges Screen Time Assumptions for Youth Mental Health: A major JAMA study tracking over 4,000 kids from ages 10-14 found no direct link between screen time duration and suicidal behavior, but instead identified addictive usage patterns as the real culprit. • The Launch of Trump Mobile: The new "47 Plan" offers 20GB of data for $47.45/month, along with a $499 phone claimed to be "made in America," though tech experts question both the value proposition and manufacturing claims. Hosts: Mikah Sargent and Jennifer Pattison Tuohy Download or subscribe to Tech News Weekly at https://twit.tv/shows/tech-news-weekly. Join Club TWiT for Ad-Free Podcasts! Support what you love and get ad-free shows, a members-only Discord, and behind-the-scenes access. Join today: https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT Melissa.com/twit threatlocker.com/twit

Tech News Weekly Episode 392 Show Notes This week on Tech News Weekly, Mikah Sargent and Jennifer Pattison Tuohy talk cybersecurity vulnerabilities with over 40,000 exposed internet cameras, Wyze's new security features following past breaches, a study on youth mental health and addictive tech use, and the launch of Trump Mobile's new phone and cellular plan. • 40,000 Exposed Internet Cameras: A cybersecurity investigation by BitSight reveals that over 40,000 internet-connected cameras are accessible to anyone with a browser and IP address, many of which use default passwords or lack basic security features. • Wyze Introduces "Verified View" Security Feature: Following previous incidents where users could see other people's camera streams due to cloud failures, Wyze launched a new security feature that stamps user metadata onto footage for an additional layer of verification to access photos and videos. • Study Challenges Screen Time Assumptions for Youth Mental Health: A major JAMA study tracking over 4,000 kids from ages 10-14 found no direct link between screen time duration and suicidal behavior, but instead identified addictive usage patterns as the real culprit. • The Launch of Trump Mobile: The new "47 Plan" offers 20GB of data for $47.45/month, along with a $499 phone claimed to be "made in America," though tech experts question both the value proposition and manufacturing claims. Hosts: Mikah Sargent and Jennifer Pattison Tuohy Download or subscribe to Tech News Weekly at https://twit.tv/shows/tech-news-weekly. Join Club TWiT for Ad-Free Podcasts! Support what you love and get ad-free shows, a members-only Discord, and behind-the-scenes access. Join today: https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT Melissa.com/twit threatlocker.com/twit

In this powerful two-part conversation, I sit down with Kalonji Jama Changa—founder of the FTP Movement, community organizer, former educator, and unapologetic freedom fighter. In Part 1, we dig into the intersections of education, music, and the current state of our communities. From the classroom to the streets, Kalonji shares the roots of his activism, the artists and movements that shaped his worldview, and how Hip Hop continues to inform his fight for justice.This episode is a layered look at what it means to teach, lead, and resist—on your terms.

This week on Tech News Weekly, Mikah Sargent and Jennifer Pattison Tuohy talk cybersecurity vulnerabilities with over 40,000 exposed internet cameras, Wyze's new security features following past breaches, a study on youth mental health and addictive tech use, and the launch of Trump Mobile's new phone and cellular plan. 40,000 Exposed Internet Cameras: A cybersecurity investigation by BitSight reveals that over 40,000 internet-connected cameras are accessible to anyone with a browser and IP address, many of which use default passwords or lack basic security features. Wyze Introduces "Verified View" Security Feature: Following previous incidents where users could see other people's camera streams due to cloud failures, Wyze launched a new security feature that stamps user metadata onto footage for an additional layer of verification to access photos and videos. Study Challenges Screen Time Assumptions for Youth Mental Health: A major JAMA study tracking over 4,000 kids from ages 10-14 found no direct link between screen time duration and suicidal behavior, but instead identified addictive usage patterns as the real culprit. The Launch of Trump Mobile: The new "47 Plan" offers 20GB of data for $47.45/month, along with a $499 phone claimed to be "made in America," though tech experts question both the value proposition and manufacturing claims. Hosts: Mikah Sargent and Jennifer Pattison Tuohy Download or subscribe to Tech News Weekly at https://twit.tv/shows/tech-news-weekly. Join Club TWiT for Ad-Free Podcasts! Support what you love and get ad-free shows, a members-only Discord, and behind-the-scenes access. Join today: https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT Melissa.com/twit threatlocker.com/twit

Story at-a-glance Not all sudden chest pain signals a heart attack — less than 6% of emergency room visits for chest pain are life-threatening, according to a 2016 JAMA study Precordial catch syndrome, often triggered by poor posture or growth spurts, causes short, stabbing chest pain but is harmless and usually resolves on its own within minutes Digestive issues like gastritis and gastroesophageal reflux disease (GERD) cause chest discomfort that mimics heart conditions; triggers include spicy food, alcohol, nonsteroidal anti-inflammatory drugs (NSAIDs), and stress Other non-cardiac causes include panic attacks, rib strain, or costochondritis —these are painful but generally self-limiting and improve with rest, posture correction, or over-the-counter medications Life-threatening causes like pulmonary embolism or aortic dissection require urgent care; if chest pain radiates or includes fainting or breathlessness, seek emergency help immediately

Interview with April W. Armstrong, MD, MPH, author of Defining On-Treatment Remission in Plaque Psoriasis: A Consensus Statement From the National Psoriasis Foundation. Hosted by Adewole S. Adamson, MD. Related Content: Defining On-Treatment Remission in Plaque Psoriasis

In this episode of Medical Ethics Unpacked, hosts Dominic Sisti and Steve Levine welcome Jason Schwartz, PhD, associate professor at the Yale School of Public Health, for a discussion on vaccine ethics, public health infrastructure, and the challenges of maintaining trust in immunization programs. Together, they explore how the COVID-19 pandemic reshaped public attitudes toward vaccines, while also underscoring long-standing tensions between individual autonomy and collective responsibility. Schwartz, whose work focuses on vaccine policy and history, offers perspective on the systems and institutions, such as the CDC's Advisory Committee on Immunization Practices (ACIP), helping to translate scientific evidence into public health recommendations. This episode comes at a time when ACIP is once again in the headlines as HHS Secretary Robert F. Kennedy Jr. recently replaced all 17 members with a new slate of individuals, citing concerns about groupthink and conflicts of interest. The move has generated widespread commentary about the role and value of such expert advisory bodies in shaping public health decisions, especially in the face of growing skepticism and political scrutiny. Ethical questions about equity, communication, and responsibility are threaded throughout the discussion. The hosts and Schwartz reflect on what it means to make fair vaccine recommendations in the context of incomplete data, and how institutions can maintain public trust amid scientific uncertainty. They also discuss how the infrastructure behind public health decisions—committees, advisory boards, and interagency coordination—can either strengthen or undermine confidence depending on how they function and how well they are understood. Chapters 00:00 – Introduction and Vaccine Policy in Crisis 03:00 – The Long History and New Politics of Vaccine Skepticism 09:30 – Erosion of Public Health Infrastructure and Expert Advisory Systems 14:50 – Why Vaccines Became a Political Flashpoint 19:10 – Clinician Ethics and the Vaccine-Hesitant Patient 32:00 – Data, Misinformation, and the Future of Vaccine Trust References: Stone W. RFK Jr. names new slate of vaccine advisers after purging CDC panel. NPR. Published June 11, 2025. Accessed June 17, 2025. https://www.npr.org/sections/shots-health-news/2025/06/11/nx-s1-5430870/cdc-vaccine-experts-rfk-jr Asturias EJ, Brewer NT, Brooks O, et al. Advisory Committee on Immunization Practices at a Crossroads. JAMA. Published online June 16, 2025. doi:10.1001/jama.2025.10776

Episode 69: The Hidden Harms of Vaping and Nicotine Pouches - What Dental Professionals Need to Know Hosts: Tabitha Acret (Australia) & Melissa Obrotka (USA)  Episode Description  In this critical episode, Tabitha and Melissa tackle one of the most pressing and misunderstood topics in oral health today: the harms of vaping and nicotine pouches like Zyn. Far from being "harmless alternatives," these products present significant risks that dental professionals need to understand and address. Key Topics Covered What Are Vapes and Nicotine Pouches?

Oregon lawmakers have until June 29 to finish legislative business and adjourn the 2025 regular session. Although a number of bills remain in play, even at this late date, the only thing lawmakers are constitutionally obligated to do before they leave the Capitol is pass a biennial budget for 2025-2027. During the last five months, Democrats and Republicans have taken up issues related to housing, taxes, transportation and much more. House Minority Leader Christine Drazan, R-Canby, shared her perspective on the session on Friday’s “Think Out Loud.” And joining us today to talk about the progress toward sine die is Senate Majority Leader, Kayse Jama, D-Portland.

Delaying diagnosis of parkinsonism can mean delaying care. In a study recently published in JAMA Neurology, David Vaillancourt, PhD, and colleagues tested the ability of an AI model to differentiate between Parkinson disease and other neurodegenerative disorders when paired with MRI. He joins JAMA and JAMA+ AI Associate Editor Yulin Hswen, ScD, MPH to discuss. Related Content: A Large Proportion of Parkinson Disease Diagnoses Are Wrong—Here's How AI Could Help Automated Imaging Differentiation for Parkinsonism

In episode 61 we discuss pregnancy outcomes with bup/nlx compared to bup alone. Straub L, et al. Comparative Safety of In Utero Exposure to Buprenorphine Combined With Naloxone vs Buprenorphine Alone. JAMA. 2024 Sep 10;332(10):805-816. doi: 10.1001/jama.2024.11501. We also discuss the elimination of SAMHSA and methamphetamine-related deaths. STAT News:Trump's mental health and addiction problem New York Times:As Fentanyl Deaths Slow, Meth Comes for Maine --- This podcast offers category 1 and MATE-ACT CME credits through MI CARES and Michigan State University. To get credit for this episode and others, go to this link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, visit MI CARES. CME: https://micaresed.org/courses/podcast-addiction-medicine-journal-club/ --- Original theme music:composed and performed by Benjamin Kennedy Audio editing: Michael Bonanno Executive producer:Dr. Patrick Beeman A podcast from Ars Longa Media --- This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice. The best part of any journal club is the conversation. Send us your comments on social media or join our Facebook group. Email: addictionmedicinejournalclub@gmail.com Facebook: @AddictionMedJC Facebook Group:Addiction Medicine Journal Club Instagram:@AddictionMedJC Threads:@AddictionMedJC YouTube:addictionmedicinejournalclub Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities. Learn more about your ad choices. Visit megaphone.fm/adchoices

Interview with Anne P. Cameron, MD and Glenn T. Werneburg, MD, PhD, authors of Foley Catheter Management: A Review. Hosted by Amalia Cochran, MD. Related Content: Foley Catheter Management

Today, Dr. Kat speaks with Dr. Lee Cohen about his powerful new documentary, More Than Blue. Dr. Cohen shares the inspiration behind the film, how it was made, and his hopes for its impact in destigmatizing perinatal mental health conditions. A passionate advocate, Dr. Cohen offers insights from his decades of work helping women navigate mood and anxiety disorders during and after pregnancy. Please check out the trailer for More Than Blue here: https://womensmentalhealth.org/more-than-blue-documentary/   Bio Dr. Cohen: Dr. Lee Cohen is Director of the Ammon-Pinizzotto Center for Women's Mental Health at Massachusetts General Hospital and Professor of Psychiatry at Harvard Medical School. A pioneer in perinatal and reproductive psychiatry, Dr. Cohen has dedicated his career to research, clinical care, and education focused on mental health across the female reproductive lifespan. He has authored over 350 publications in journals including JAMA and the American Journal of Psychiatry, and has received multiple awards for his contributions to maternal mental health. Dr. Cohen is a nationally recognized leader and a passionate voice in improving care for women with perinatal mood and anxiety disorders. Show Highlights: Dr. Cohen's journey in women's mental health The key is getting patients well during pregnancy. Today's trends in perinatal mental health, from Dr. Cohen's perspective as a researcher and clinician Increasing awareness also increases access to care for at-risk patients. Accessing care doesn't always result in “well” patients several months later. Planning process for the “More Than Blue” documentary Characteristics of patients with PMADs  Process of collecting, curating, and organizing diverse stories via⁠⁠ womensmentalhealth.org⁠⁠ to destigmatize treatment options and show multiple perspectives Dr. Cohen's perspective on the importance of including postpartum psychosis in the documentary (A YouTube video is in the works.) Dr. Cohen's passion and optimism for his work: “We're not done.” The intentional plan for screenings and dissemination of “More Than Blue”  “Lowering the burden” in helping people feel comfortable in telling their stories to optimize the likelihood of proper care Resources: Connect with Dr. Cohen: The Center for⁠⁠ Women's Mental Health at MGH⁠⁠,⁠⁠ Facebook⁠⁠, ⁠⁠Instagram⁠⁠, and⁠⁠ X⁠⁠. Womensmentalhealth.org Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit⁠⁠ cdph.ca.gov⁠⁠ Please find resources in English and Spanish at⁠⁠ Postpartum Support International⁠⁠, or contact us by phone or text at 1-800-944-4773. There are many free resources available, including online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to become more supportive in offering services.  You can also follow PSI on social media, including⁠⁠ Instagram⁠⁠,⁠⁠ Facebook⁠⁠, and other platforms. Visit⁠⁠ www.postpartum.net/professionals/certificate-trainings/⁠⁠ for information on the grief course.   Visit my website at⁠⁠ www.wellmindperinatal.com⁠⁠ for more information, resources, and courses you can take today!If you are a California resident seeking a therapist in perinatal mental health, please ⁠⁠email me⁠⁠ about openings for private pay clients. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Join Drs. Michael Rosen, Benjamin T. Miller, Sara Maskal, and Ryan Ellis as they review mesh materials used in hernia repair and the general properties surgeons who perform hernia repairs should know.  Hosts:    - Sara Maskal, MD, Cleveland Clinic  - Ryan Ellis, MD, Cleveland Clinic - Benjamin T. Miller, MD, Cleveland Clinic  - Michael Rosen, MD, Cleveland Clinic  Learning Objectives:   - Understand common mesh materials  - Review properties of the different mesh materials - Understand how to apply knowledge of the different mesh properties to different patient scenarios References:  - Ellis R, Miller BT. Mesh selection in abdominal wall reconstruction: an update on biomaterials. Surgical Clinics. 2023 Oct 1;103(5):1019-28. https://pubmed.ncbi.nlm.nih.gov/37709387/ - Krpata DM, Petro CC, Prabhu AS, Tastaldi L, Zolin S, Fafaj A, Rosenblatt S, Poulose BK, Pierce RA, Warren JA, Carbonell AM. Effect of hernia mesh weights on postoperative patient-related and clinical outcomes after open ventral hernia repair: a randomized clinical trial. JAMA surgery. 2021 Dec 1;156(12):1085-92. https://pubmed.ncbi.nlm.nih.gov/34524395/ - Rosen MJ, Krpata DM, Petro CC, Carbonell A, Warren J, Poulose BK, Costanzo A, Tu C, Blatnik J, Prabhu AS. Biologic vs synthetic mesh for single-stage repair of contaminated ventral hernias: a randomized clinical trial. JAMA surgery. 2022 Apr 1;157(4):293-301. https://pubmed.ncbi.nlm.nih.gov/35044431/ - Maskal S, Miller B, Ellis R, Phillips S, Prabhu A, Beffa L, Krpata D, Rosenblatt S, Rosen M, Petro C. Mediumweight polypropylene mesh fractures after open retromuscular ventral hernia repair: incidence and associated risk factors. Surgical Endoscopy. 2023 Jul;37(7):5438-43. https://pubmed.ncbi.nlm.nih.gov/37038022/ - Harris HW, Primus F, Young C, Carter JT, Lin M, Mukhtar RA, Yeh B, Allen IE, Freise C, Kim E, Sbitany H. Preventing recurrence in clean and contaminated hernias using biologic versus synthetic mesh in ventral hernia repair: the PRICE randomized clinical trial. https://pubmed.ncbi.nlm.nih.gov/33443907/ - Olavarria OA, Bernardi K, Dhanani NH, Lyons NB, Harvin JA, Millas SG, Ko TC, Kao LS, Liang MK. Synthetic versus biologic mesh for complex open ventral hernia repair: a pilot randomized controlled trial. Surgical Infections. 2021 Jun 1;22(5):496-503. https://pubmed.ncbi.nlm.nih.gov/33259771/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Can pills and powders really improve our health? Despite their clinical look, most supplements aren't tested with the scientific rigour we expect from medical treatments, and many don't live up to their promises. Today, we're joined by two of ZOE's top scientists to uncover the truth. They share groundbreaking new research and reveal the results of a brand new randomized controlled trial that could reshape how we think about supplements and introduce an entirely new kind. Tim Spector is one of the world's top 100 most cited scientists, a professor of epidemiology, and ZOE's scientific co-founder. He's joined by Dr. Sarah Berry, a world leading expert in large scale human nutrition studies, Professor of Nutrition at King's College London, and Chief Scientist at ZOE. By the end of this episode, you'll have the latest science to help you make informed decisions about supplements and understand what your gut health really needs in 2025. Unwrap the truth about your food