Podcasts about Prevalence

Philippe Pinel remarked in 1800 that "It is an art of no little importance to administer medicines properly, but it is an art of much greater and more difficult acquisition to know when to suspend or altogether to omit them." This insight remains profoundly relevant today, especially in hospice care, where inappropriate prescribing is a common issue. Studies show that 20%–70% of hospice patients receive at least one unnecessary medication near the end of life, including drugs like antihypertensives, statins, and vitamins. In this episode of the GeriPal Podcast, we tackle the pressing topic of deprescribing at the end of life with expert guests Jennifer Tjia, Jon Furuno, and Simon Mooijaart. The conversation focuses on identifying medications that should almost always be discontinued—such as statins, osteoporosis meds, finasteride, and vitamins, which offer minimal benefit for patients with limited life expectancy. We also delve into more nuanced cases, such as antithrombotics, which present complex decisions that challenge clinicians, particularly when prognosis spans the many weeks to months range. Finally, we explore practical strategies for engaging patients and families in deprescribing conversations. Our guests highlight tools such as the FRAME mnemonic (Focus on the goals of care, Review current medications, Assess each medication's risk/benefit, Minimize the medication burden, and Evaluate regularly) and the Goal Concurrent Prescribing tool, which helps ensure medication decisions align with patients' values and end-of-life priorities. By: Eric Widera Other resources discussed in the podcast Prevalence and Factors Associated With Receiving a Prescription for Antithrombotic Therapy on Hospice Admission," JAGS. 2025 Discontinuation of Anticoagulants and Occurrence of Bleeding and Thromboembolic Events in Vitamin K Antagonist Users with a Life-limiting Disease. 2025 Effects of the discontinuation of antihypertensive treatment on neuropsychiatric symptoms and quality of life in nursing home residents with dementia (DANTON): a multicentre, open-label, blinded-outcome, randomised controlled trial. 2024 Perspectives on deprescribing in palliative care. Expert Review of Clinical Pharmacology. 2023 Developing a decision support tool for the continuation or deprescribing of antithrombotic therapy in patients receiving end-of-life care: Results of a European Delphi study. Thrombosis Research. 2025 Human-Centered Design Development and Acceptability Testing of a Goal Concordant Prescribing Program in Hospice. JPM 2025 Reduction of Antihypertensive Treatment in Nursing Home Residents. NEJM 2025  

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Atrial Fibrillation/Flutter in Transthyretin Cardiac Amyloidosis: Prevalence, Incidence, Clinical Predictors, and Effect of Tafamidis.

Le Covid long est souvent décrit comme un labyrinthe médical

Vegan essen – gesund trainieren – und trotzdem „Zahnprobleme“? In dieser Episode schauen wir evidenzbasiert auf Fluorid, vegane Ernährungsgewohnheiten und die besonderen Belastungen im Sport: Sports Drinks, Smoothies, Mundtrockenheit und häufige Kohlenhydratzufuhr. Du bekommst ein klares Modell, wie Karies und Erosion entstehen, welche Befunde Studien bei Veganer:innen und Athlet:innen zeigen und welche Präventionsmaßnahmen in der Praxis funktionieren.   Korrektur: Im Podcast spricht Dominik von einer Dentalfluorose, die er entwickelt habe durch Fluorid. Dies ist jedoch im Erwachsenenalter nicht mehr möglich. Wahrscheinlicher sind Verfärbungen der Zähne, durch im Tee enthaltene Tannine. Dennoch enthält Tee mitunter große Mengen Fluorid.  ------------------------------------------------------------------------ Dominiks Buch zur pflanzenbasierten Sporternährung im UTB-Verlag: https://www.utb.de/doi/book/10.36198/9783838560328 Dominiks Gesundheitscommunity: www.gsundes-hannover.de Dominiks Online-Knie-Kurs: https://gsundes-hannover.de/knieschmerzen/ Dominiks Online-Rücken-Kurs: https://copecart.com/products/34bd5abb/checkout Marcs veganes Online-Fitness-Coaching: https://vegainer-academy.com/ Marcs Online-Kurs: https://www.copecart.com/products/a50f88f2/checkout ------------------------------------------------------------------------ Dieser Podcast wird unterstützt von der Firma Watson Nutrition. Die Firma bietet als einzige umfassend laborgeprüfte Nahrungsergänzungsmittel für eine optimierte Nährstoffversorgung. Zum Angebot zählen Multi-Supplemente, Mono-Supplemente, Sportsupplemente wie Kreatin oder auch Proteinriegel, Shakes und essenzielle Aminosäuren Mit dem Code veganperformance erhältst du 5 % Rabatt auf deine Bestellung.  Zur Firmenwebseite: Watson Nutrition ------------------------------------------------------------------------ Quellen: Ali, H., & Tahmassebi, J. F. (2014). The effects of smoothies on enamel erosion: An in situ study. International Journal of Paediatric Dentistry, 24(3), 184–191. https://doi.org/10.1111/ipd.12058 Atarbashi-Moghadam, F., Moallemi-Pour, S., Atarbashi-Moghadam, S., Sijanivandi, S., & Bagherpour, A. A. (2020). Effects of raw vegan diet on periodontal and dental parameters. Tzu Chi Medical Journal, 32(4), 357–361. https://doi.org/10.4103/tcmj.tcmj_161_19 Betancur, D., Jara, E. L., Lima, C. A., & Victoriano, M. (2026). Diet type and the oral microbiome. Frontiers in Nutrition, 12, Article 1691952. https://doi.org/10.3389/fnut.2025.1691952 Campana Zamudio, F., Aleman Soto, V. S., Azañedo, D., & Hernández-Vásquez, A. (2025). Prevalence and severity of oral conditions in elite athletes: A systematic review and meta-analysis. Dentistry Journal, 13(12), 589. https://doi.org/10.3390/dj13120589 Coombes, J. S. (2005). Sports drinks and dental erosion. American Journal of Dentistry, 18(2), 101–104. D'Ercole, S., Tieri, M., Martinelli, D., & Tripodi, D. (2016). The effect of swimming on oral health status: Competitive versus non-competitive athletes. Journal of Applied Oral Science, 24(2), 107–113. https://doi.org/10.1590/1678-7757-2015-0324 Elorinne, A.-L., Alfthan, G., Erlund, I., Kivimäki, H., Paju, A., Salminen, I., Turpeinen, U., Voutilainen, S., & Laakso, J. (2016). Food and nutrient intake and nutritional status of Finnish vegans and non-vegetarians. PLOS ONE, 11(2), e0148235. https://doi.org/10.1371/journal.pone.0148235 Ehrnsperger, M. G. (2020). Die Erosivität von Smoothies auf die Zahnhartsubstanz (Dissertation). Ludwig-Maximilians-Universität München. Frese, C., Wohlrab, T., Sheng, L., Kieser, M., Krisam, J., Frese, F., & Wolff, D. (2018). Clinical management and prevention of dental caries in athletes: A four-year randomized controlled clinical trial. Scientific Reports, 8, 16991. https://doi.org/10.1038/s41598-018-34777-x Gallagher, J., Ashley, P., & Needleman, I. (2020). Implementation of a behavioural change intervention to enhance oral health behaviours in elite athletes: A feasibility study. BMJ Open Sport & Exercise Medicine, 6, e000759. https://doi.org/10.1136/bmjsem-2020-000759 Gallagher, J. (2019). Oral health related behaviours reported by elite and professional athletes. Gallagher, J., & Fine, P. (2026). The value of oral health screening for athletes. Research in Sports Medicine, 34(1), 1–10. https://doi.org/10.1080/15438627.2025.2532535 Hansen, T. H., Kern, T., Bak, E. G., Kashani, A., Allin, K. H., Nielsen, T., Hansen, T., & Pedersen, O. (2018). Impact of a vegan diet on the human salivary microbiota. Scientific Reports, 8, 5847. https://doi.org/10.1038/s41598-018-24207-3 Inchingolo, F., Dipalma, G., Guglielmo, M., Palumbo, I., Campanelli, A. D., Inchingolo, A. D., De Ruvo, E., Palermo, A., Di Venere, D., & Inchingolo, A. M. (2024). Correlation between vegetarian diet and oral health: A systematic review. European Review for Medical and Pharmacological Sciences, 28, 2127–2143. https://doi.org/10.26355/eurrev_202403_35716 Mazur, M., Bietolini, S., Bellardini, D., Lussi, A., Corridore, D., Maruotti, A., Ottolenghi, L., Vozza, I., & Guerra, F. (2020). Oral health in a cohort of individuals on a plant-based diet: A pilot study. Clinica Terapeutica, 171(2), e142–e148. https://doi.org/10.7417/CT.2020.2204 Medeiros, T. L. M., Mutran, S. C. A. N., Espinosa, D. G., Faial, K. d. C. F., Pinheiro, H. H. C., & Couto, R. S. D. (2020). Prevalence and risk indicators of non-carious cervical lesions in male footballers. BMC Oral Health, 20, 215. https://doi.org/10.1186/s12903-020-01200-9 Nebl, J., Schuchardt, J. P., Wasserfurth, P., Haufe, S., Eigendorf, J., Tegtbur, U., & Hahn, A. (2019). Characterization, dietary habits and nutritional intake of omnivorous, lacto-ovo vegetarian and vegan runners – a pilot study. BMC Nutrition, 5, 51. https://doi.org/10.1186/s40795-019-0313-8 Needleman, I., Ashley, P., Fine, P., Haddad, F., Loosemore, M., de Medici, A., Donos, N., Newton, T., van Someren, K., Moazzez, R., Jaques, R., Hunter, G., Khan, K., Shimmin, M., Brewer, J., Meehan, L., Mills, S., & Porter, S. (2015). Oral health and elite sport performance. British Journal of Sports Medicine, 49(1), 3–6. https://doi.org/10.1136/bjsports-2014-093804 Smits, K. P. J., Listl, S., & Jevdjevic, M. (2020). Vegetarian diet and its possible influence on dental health: A systematic literature review. Community Dentistry and Oral Epidemiology, 48, 7–13. https://doi.org/10.1111/cdoe.12498 Staufenbiel, I., Weinspach, K., Förster, G., Geurtsen, W., & Günay, H. (2013). Periodontal conditions in vegetarians: A clinical study. European Journal of Clinical Nutrition, 67(8), 836–840. https://doi.org/10.1038/ejcn.2013.101 Waldmann, A., Koschizke, J. W., Leitzmann, C., & Hahn, A. (2003). Dietary intakes and lifestyle factors of a vegan population in Germany: Results from the German Vegan Study. European Journal of Clinical Nutrition, 57, 947–955. https://doi.org/10.1038/sj.ejcn.1601629 Zotti, F., Laffranchi, L., Fontana, P., Dalessandri, D., & Bonetti, S. (2014). Effects of fluorotherapy on oral changes caused by a vegan diet. Minerva Stomatologica, 63(5), 179–188.

Dr. Olivier de Hon is the Chief Science Officer and Director of Intelligence and Investigations at Doping Authority Netherlands. In this episode, he shares more about the history of the organization, progress in estimating doping prevalence, challenges in assessing the effectiveness of anti-doping programs, and considerations for promoting clean sport among elite athletes as well as recreational athletes in gyms and fitness centers.

PeDRA Fellow Hannah Chang hosts a roundtable discussion with Dr. Jillian Rork and Dr. Deepti Gupta about a recent publication titled: Prevalence and Demographics of Psoriasis in the Down Syndrome Population: A Cross-Sectional Analysis Using the Epic Cosmos Dataset. This article was published in the Journal of the American Academy of Dermatology in September 2025.Tell us about you by taking this 1-question survey!

Cross-posted to LessWrong.Summary History's most destructive ideologies—like Nazism, totalitarian communism, and religious fundamentalism—exhibited remarkably similar characteristics: epistemic and moral certainty extreme tribalism dividing humanity into a sacred “us” and an evil “them” a willingness to use whatever means necessary, including brutal violence. Such ideological fanaticism was a major driver of eight of the ten greatest atrocities since 1800, including the Taiping Rebellion, World War II, and the regimes of Stalin, Mao, and Hitler. We focus on ideological fanaticism over related concepts like totalitarianism partly because it better captures terminal preferences, which plausibly matter most as we approach superintelligent AI and technological maturity. Ideological fanaticism is considerably less influential than in the past, controlling only a small fraction of world GDP. Yet at least hundreds of millions still hold fanatical views, many regimes exhibit concerning ideological tendencies, and the past two decades have seen widespread democratic backsliding. The long-term influence of ideological fanaticism is uncertain. Fanaticism faces many disadvantages including a weak starting position, poor epistemics, and difficulty assembling broad coalitions. But it benefits from greater willingness to use extreme measures, fervent mass followings, and a historical tendency to survive and even thrive amid technological and societal upheaval. Beyond complete victory or defeat, multipolarity may [...] ---Outline:(00:16) Summary(05:19) What do we mean by ideological fanaticism?(08:40) I. Dogmatic certainty: epistemic and moral lock-in(10:02) II. Manichean tribalism: total devotion to us, total hatred for them(12:42) III. Unconstrained violence: any means necessary(14:33) Fanaticism as a multidimensional continuum(16:09) Ideological fanaticism drove most of recent historys worst atrocities(19:24) Death tolls dont capture all harm(20:55) Intentional versus natural or accidental harm(22:44) Why emphasize ideological fanaticism over political systems like totalitarianism?(25:07) Fanatical and totalitarian regimes have caused far more harm than all other regime types(26:29) Authoritarianism as a risk factor(27:19) Values change political systems: Ideological fanatics seek totalitarianism, not democracy(29:50) Terminal values may matter independently of political systems, especially with AGI(31:02) Fanaticisms connection to malevolence (dark personality traits)(34:22) The current influence of ideological fanaticism(34:42) Historical perspective: it was much worse, but we are sliding back(37:19) Estimating the global scale of ideological fanaticism(43:57) State actors(48:12) How much influence will ideological fanaticism have in the long-term future?(48:57) Reasons for optimism: Why ideological fanaticism will likely lose(49:45) A worse starting point and historical track record(50:33) Fanatics intolerance results in coalitional disadvantages(51:53) The epistemic penalty of irrational dogmatism(54:21) The marketplace of ideas and human preferences(55:57) Reasons for pessimism: Why ideological fanatics may gain power(56:04) The fragility of democratic leadership in AI(56:37) Fanatical actors may grab power via coups or revolutions(59:36) Fanatics have fewer moral constraints(01:01:13) Fanatics prioritize destructive capabilities(01:02:13) Some ideologies with fanatical elements have been remarkably resilient and successful(01:03:01) Novel fanatical ideologies could emerge--or existing ones could mutate(01:05:08) Fanatics may have longer time horizons, greater scope-sensitivity, and prioritize growth more(01:07:15) A possible middle ground: Persistent multipolar worlds(01:08:33) Why multipolar futures seem plausible(01:10:00) Why multipolar worlds might persist indefinitely(01:15:42) Ideological fanaticism increases existential and suffering risks(01:17:09) Ideological fanaticism increases the risk of war and conflict(01:17:44) Reasons for war and ideological fanaticism(01:26:27) Fanatical ideologies are non-democratic, which increases the risk of war(01:27:00) These risks are both time-sensitive and timeless(01:27:44) Fanatical retributivism may lead to astronomical suffering(01:29:50) Empirical evidence: how many people endorse eternal extreme punishment?(01:33:53) Religious fanatical retributivism(01:40:45) Secular fanatical retributivism(01:41:43) Ideological fanaticism could undermine long-reflection-style frameworks and AI alignment(01:42:33) Ideological fanaticism threatens collective moral deliberation(01:47:35) AI alignment may not solve the fanaticism problem either(01:53:33) Prevalence of reality-denying, anti-pluralistic, and punitive worldviews(01:55:44) Ideological fanaticism could worsen many other risks(01:55:49) Differential intellectual regress(01:56:51) Ideological fanaticism may give rise to extreme optimization and insatiable moral desires(01:59:21) Apocalyptic terrorism(02:00:05) S-risk-conducive propensities and reverse cooperative intelligence(02:01:28) More speculative dynamics: purity spirals and self-inflicted suffering(02:03:00) Unknown unknowns and navigating exotic scenarios(02:03:43) Interventions(02:05:31) Societal or political interventions(02:05:51) Safeguarding democracy(02:06:40) Reducing political polarization(02:10:26) Promoting anti-fanatical values: classical liberalism and Enlightenment principles(02:13:55) Growing the influence of liberal democracies(02:15:54) Encouraging reform in illiberal countries(02:16:51) Promoting international cooperation(02:22:36) Artificial intelligence-related interventions(02:22:41) Reducing the chance that transformative AI falls into the hands of fanatics(02:27:58) Making transformative AIs themselves less likely to be fanatical(02:36:14) Using AI to improve epistemics and deliberation(02:38:13) Fanaticism-resistant post-AGI governance(02:39:51) Addressing deeper causes of ideological fanaticism(02:41:26) Supplementary materials(02:41:39) Acknowledgments(02:42:22) References --- First published: February 12th, 2026 Source: https://forum.effectivealtruism.org/posts/EDBQPT65XJsgszwmL/long-term-risks-from-ideological-fanaticism --- Narrated by TYPE III AUDIO. ---Images from the article:Apple Podcasts and Spotify do not show images in the episode description. 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Pastor Steven Henry, Sunday Morning

In this episode of The CIRS Group podcast, Barbara and Jacie talk about the prevalence of Chronic Inflammatory Response Syndrome (CIRS). Despite being relatively unknown, CIRS is not rare; It  affects approximately 25% of the population due to genetic susceptibility. They discuss the reasons behind the lack of awareness in conventional medicine, from underdiagnosis and nonspecific symptoms, to larger systemic issues with the medical industry and lack of awareness around mold. This episode highlights who should consider CIRS, the symptoms to look out for, and the steps to diagnosis and treatment. With a mix of personal insights and factual information, this episode aims to arm listeners with the knowledge to make informed decisions about their health. For more information and support, join us at https://thecirsgroup.com Timestamps 00:00 Introduction and medical disclaimer 00:36 What is Chronic Inflammatory Response Syndrome (CIRS)? 01:36 Why don't people take mold seriously? 02:55 Why it's difficult to diagnose CIRS 05:22 Prevalence of CIRS and Genetic Susceptibility 10:11 Exposure sources and triggers for illness 11:22 Common misconceptions and normalization, rationalization 15:24 Who should consider CIRS as a potential diagnosis? 19:31 Conclusion and Resources For more information and support, join us at https://thecirsgroup.com HELPFUL LINKS What even is CIRS? episode: https://youtu.be/K-rztn5x7_w?si=kbmVdeVXx8mLLWu7 Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie's book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

While the term "hyperpalatable" has been used frequently for considerable time to refer to foods that are so appealing and tasty that they drive overeating, this term hasn't been well-defined nor has there been a universal standard for what it means. One researcher who set out to create an objective definition for hyper-palatable foods (HPFs) is Dr. Tera Fazzino. Using specific defined thresholds of sugar, fat and salt combinations, Dr. Fazzino and colleagues have looked at the impact of consumption of these HPFs. In this episode, we delve into defining HPFs and their nutrient profiles, whether they have addictive-like properties, how HPFs differ from (and overlap with) ultra-processed foods (UPFs), the mechanisms by which these foods drive overconsumption, and the broader public health implications. Tera Fazzino, PhD, is an associate professor of psychology at the University of Kansas. Her research focuses on addiction, obesity, and eating-related behaviors. Timestamps [03:39] Interview begins [05:05] Attempting to define hyper palatability [10:03] Nutrient combinations in hyper palatable foods [14:54] Prevalence of hyper palatable foods [17:43] Debate on ultra processed foods [30:02] Mechanisms behind hyper palatability [35:06] Addiction theory and hyper-palatable foods [43:38] Early exposure and long-term effects [50:53] Key ideas recap Related Resources Go to episode page (with links to studies mentioned) Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course

In this episode of The Open Bedroom Podcast, I explore how neurodiversity—specifically ADHD and autism—affect relationships, intimacy, and daily life. I'm joined by Seb, who has ADHD and two decades of experience supporting neurodivergent individuals, and his neurotypical wife, Dr. Alison Ash. Together, we discuss communication strategies, managing executive function stress, sensory sensitivities, and the importance of mutual understanding. Seb and Dr. Aly share practical tools for navigating challenges, fostering emotional connection, and creating fulfilling partnerships that honor both neurodivergent and neurotypical needs.Dr. Alison Ash, aka Dr. Aly, is a trauma-informed intimacy coach and educator, Stanford University Lecturer, author, and founder of TurnON.love.  As a sociologist with a PhD from Stanford, she has a comprehensive understanding of the complex societal challenges that often lead to unsatisfying and disempowering intimate experiences. Sebastian aka Seb is a certified TurnON.love sex and intimacy coach and educator. Seb also has two decades of experience of working with neurodivergent folks, and specializes in supporting them and their partners to have fulfilling intimacy. Dr. Aly and Seb design workshops, courses, and retreats and offer individuals and couples coaching to give others the tools to be able to cultivate and sustain nourishing emotional and sexual intimacy. They invite you to TurnON pleasure, intimacy and love at www.TurnON.loveChapter 2: Personal Journeys & Neurodiversity Expertise (00:02:04) Saib shares his background working with neurodiverse individuals and his personal experience with ADHD; Dr. Aly discusses her neurotypical but highly sensitive background.Chapter 3: Understanding Neurodiversity—Definitions & Dynamics (00:05:02) The group explores the definitions of neurotypical and neurodivergent, societal expectations, and the importance of recognizing both strengths and challenges.Chapter 4: Prevalence, Diagnosis, and Self-Identification (00:08:38) Saib discusses statistics on neurodivergence, generational differences, and how to recognize signs of being neurodivergent.Chapter 5: Empowerment Through Diagnosis & Community (00:12:50) Dr. Aly and Seb highlight the benefits of diagnosis or self-identification, including empowerment and finding community.Chapter 6: ADHD & Autism—Traits, Gender Differences, and Masking (00:14:13) Seb explains ADHD types, autism as a spectrum, gender differences in presentation, and the concept of masking neurodivergent traits.Chapter 7: Neurodiversity in Relationships—Challenges & Tools (00:22:35) Discussion shifts to how neurodivergence shows up in relationships, managing executive function, and practical tools like to-do lists and shared calendars.Chapter 8: Communication, Collaboration, and Emotional Health (00:35:26) Dr. Aly discusses supportive communication, positive reinforcement, collaborative problem-solving, and handling difficult conversations in neurodiverse partnerships.Chapter 9: Intimacy, Sensory Needs, and Sexual Connection (00:54:28) Exploring how ADHD and autism impact sexual intimacy, including sensory sensitivities, predictability, and tools for supporting neurodivergent partners.Dr. Aly and Sebastian will be teaching on ZoomNeurodiverse Relating & Executive Function on March 3rdNeurodiverse Love & Emotional Intimacy on March 10thNeurodiverse Pleasure & Sexual Intimacy on March 24th Folks can access these live virtual courses at www.TurnON.love/eventsThese workshops are also available as an on-demand rental, offering the same material anytime, at www.TurnON.love/workshopsFor info on 1:1, couples, and ENM Intimacy coaching with Dr. Aly and Sebastian can be found at www.TurnON.love/coaching Follow the Open Bedroom podcast:https://www.instagram.com/theopenbedroompodcast?igsh=cjJ0ZThkYmR0ZG11&utm_source=qr

In this episode of Liver Lineup: Updates and Unfiltered Insights, hosts Nancy Reau, MD, and Kimberly Brown, MD, are joined by guest Jessica Mellinger, MD, to discuss rising prevalence, new care models, and evolving concepts in alcohol-associated liver disease (ALD).Key episode timestamps:0:00:00 – Introduction0:00:30 – Prevalence of alcohol use & ALD under-recognition0:04:22 – Origin and design of the integrated ALD clinic0:06:50 – Expansion and outcomes of integrated care0:10:33 – Workforce and access challenges0:12:21 – Metabolic ALD (MetALD) concept0:15:18 – GLP‑1 agonists for metabolic disease & AUD0:19:09 – “Food noise,” food addiction, and ultra‑processed foods0:22:38 – Liver transplantation in ALD & Dallas criteria0:27:27 – Outcomes after relapse & closing

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-470 Overview: Social media use is nearly ubiquitous among adolescents, raising concern about its role in rising rates of depression, anxiety, insomnia, and suicidality. Although prior evidence has been mixed, emerging studies offer new insights on the relationship between social media use and adolescent mental health. Join us as we review current literature and discuss potential strategies to mitigate negative impacts and improve outcomes. Episode resource links: Calvert E, Cipriani M, Dwyer B, et al. Social Media Detox and Youth Mental Health. JAMA Netw Open. 2025;8(11):e2545245. doi:10.1001/jamanetworkopen.2025.45245 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2840489   Clayborne ZM, Capaldi CA, Mehra VM. Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth. BMC Public Health. 2025;25(1):2303. Published 2025 Jul 3. doi:10.1186/s12889-025-22874-2 Grøntved A, Singhammer J, Froberg K, et al. A prospective study of screen time in adolescence and depression symptoms in young adulthood. Prev Med. 2015;81:108-113. doi:10.1016/j.ypmed.2015.08.009 Nagata JM, Memon Z, Talebloo J, et al. Prevalence and Patterns of Social Media Use in Early Adolescents. Acad Pediatr. 2025;25(4):102784. doi:10.1016/j.acap.2025.102784 Oberle E, Ji XR, Kerai S, Guhn M, Schonert-Reichl KA, Gadermann AM. Screen time and extracurricular activities as risk and protective factors for mental health in adolescence: A population-level study. Prev Med. 2020;141:106291. doi:10.1016/j.ypmed.2020.106291 Pieh C, Humer E, Hoenigl A, et al. Smartphone screen time reduction improves mental health: a randomized controlled trial. BMC Med. 2025;23(1):107. Published 2025 Feb 21. doi:10.1186/s12916-025-03944-z Riehm KE, Feder KA, Tormohlen KN, et al. Associations Between Time Spent Using Social Media and Internalizing and Externalizing Problems Among US Youth. JAMA Psychiatry. 2019;76(12):1266–1273. doi:10.1001/jamapsychiatry.2019.2325 Varona MN, Muela A, Machimbarrena JM. Problematic use or addiction? A scoping review on conceptual and operational definitions of negative social networking sites use in adolescents. Addict Behav. 2022;134:107400. doi:10.1016/j.addbeh.2022.107400 Woolf SH. The Youth Mental Health Crisis in the United States: Epidemiology, Contributors, and Potential Solutions. Pediatrics. 2025;156(5):e2025070849. doi:10.1542/peds.2025-070849 Xiang AH, Martinez MP, Chow T, et al. Depression and Anxiety Among US Children and Young Adults. JAMA Netw Open. 2024;7(10):e2436906. doi:10.1001/jamanetworkopen.2024.36906 BBC: Australia has banned social media for kids under 16. How will it work? https://www.bbc.com/news/articles/cwyp9d3ddqyo Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

Welcome to the Social-Engineer Podcast: The Doctor Is In Series – where we will discuss understandings and developments in the field of psychology.    In today's episode, Chris and Dr. Abbie explore imposter syndrome, examining what it is, why it occurs, and how cultural and professional pressures can intensify it. They discuss common symptoms, personal experiences, and the psychological roots behind feeling undeserving of success. Through scientific insight and practical strategies, they share ways to recognize, reframe, and manage imposter syndrome with greater self-awareness and confidence.  [Feb 2, 2026]  00:00 - Intro  00:20 - Meet the Hosts  00:54 - Upcoming Events and Announcements  02:29 - Defining Imposter Syndrome  06:42 - Cultural and Gender Influences  12:26 - Personality Traits and Imposter Syndrome  14:46 - Sponsor  16:12 - Balancing Humility and Confidence  19:34 - Strategies to Overcome Imposter Syndrome  27:02 - Billy Boatwright's Story  30:36 -  Conclusion and Next Episode Preview    Find us online:   LinkedIn: linkedin.com/in/dr-abbie-maroño-phd   Instagram: @DoctorAbbieofficial   LinkedIn: linkedin.com/in/christopherhadnagy     References:  Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). Guilford Press.   Bennett-Levy, J., Butler, G., Fennell, M., Hackmann, A., Mueller, M., & Westbrook, D. (2004). The Oxford guide to behavioral experiments in cognitive therapy. Oxford University Press.   Breines, J. G., & Chen, S. (2012). Self-compassion increases self-improvement motivation. Personality and Social Psychology Bulletin, 38(9), 1133–1143. https://doi.org/10.1177/0146167212445599   Bravata, D. M., Watts, S. A., Keefer, A. L., Madhusudhan, D. K., Taylor, K. T., Clark, D. M., Nelson, R. S., Cokley, K. O., & Hagg, H. K. (2020). Prevalence, predictors, and treatment of impostor syndrome: A systematic review. Journal of General Internal Medicine, 35(4), 1252–1275. https://doi.org/10.1007/s11606-019-05364-1   Clance, P. R. (1985). The impostor phenomenon: Overcoming the fear that haunts your success. Peachtree Publishers.   Clance, P. R., & Imes, S. A. (1978). The impostor phenomenon in high achieving women: Dynamics and therapeutic intervention. Psychotherapy: Theory, Research and Practice, 15(3), 241–247. https://doi.org/10.1037/h0086006   Edmondson, A. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350–383. https://doi.org/10.2307/2666999  

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-470 Overview: Social media use is nearly ubiquitous among adolescents, raising concern about its role in rising rates of depression, anxiety, insomnia, and suicidality. Although prior evidence has been mixed, emerging studies offer new insights on the relationship between social media use and adolescent mental health. Join us as we review current literature and discuss potential strategies to mitigate negative impacts and improve outcomes. Episode resource links: Calvert E, Cipriani M, Dwyer B, et al. Social Media Detox and Youth Mental Health. JAMA Netw Open. 2025;8(11):e2545245. doi:10.1001/jamanetworkopen.2025.45245 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2840489   Clayborne ZM, Capaldi CA, Mehra VM. Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth. BMC Public Health. 2025;25(1):2303. Published 2025 Jul 3. doi:10.1186/s12889-025-22874-2 Grøntved A, Singhammer J, Froberg K, et al. A prospective study of screen time in adolescence and depression symptoms in young adulthood. Prev Med. 2015;81:108-113. doi:10.1016/j.ypmed.2015.08.009 Nagata JM, Memon Z, Talebloo J, et al. Prevalence and Patterns of Social Media Use in Early Adolescents. Acad Pediatr. 2025;25(4):102784. doi:10.1016/j.acap.2025.102784 Oberle E, Ji XR, Kerai S, Guhn M, Schonert-Reichl KA, Gadermann AM. Screen time and extracurricular activities as risk and protective factors for mental health in adolescence: A population-level study. Prev Med. 2020;141:106291. doi:10.1016/j.ypmed.2020.106291 Pieh C, Humer E, Hoenigl A, et al. Smartphone screen time reduction improves mental health: a randomized controlled trial. BMC Med. 2025;23(1):107. Published 2025 Feb 21. doi:10.1186/s12916-025-03944-z Riehm KE, Feder KA, Tormohlen KN, et al. Associations Between Time Spent Using Social Media and Internalizing and Externalizing Problems Among US Youth. JAMA Psychiatry. 2019;76(12):1266–1273. doi:10.1001/jamapsychiatry.2019.2325 Varona MN, Muela A, Machimbarrena JM. Problematic use or addiction? A scoping review on conceptual and operational definitions of negative social networking sites use in adolescents. Addict Behav. 2022;134:107400. doi:10.1016/j.addbeh.2022.107400 Woolf SH. The Youth Mental Health Crisis in the United States: Epidemiology, Contributors, and Potential Solutions. Pediatrics. 2025;156(5):e2025070849. doi:10.1542/peds.2025-070849 Xiang AH, Martinez MP, Chow T, et al. Depression and Anxiety Among US Children and Young Adults. JAMA Netw Open. 2024;7(10):e2436906. doi:10.1001/jamanetworkopen.2024.36906 BBC: Australia has banned social media for kids under 16. How will it work? https://www.bbc.com/news/articles/cwyp9d3ddqyo Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

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 January 24-30, 2026.

Keywords boarding school, trauma, recovery, family dynamics, sexual abuse, journalism, heritage, slavery, mental health, societal change Summary In this conversation, journalist Alex Renton discusses the profound impact of his boarding school experiences on his life and career. He reflects on the trauma associated with his time at school, including issues of abuse and the challenges of speaking out. Renton also explores the complexities of family dynamics, particularly in relation to his own experiences and the legacy of his family's involvement in slavery. Throughout the discussion, he emphasizes the importance of openness, empathy, and responsibility in addressing these difficult topics and fostering healing. Takeaways Alex Renton reflects on the lifelong impact of negative boarding school experiences. His career as a journalist was influenced by his skepticism towards authority. Alex began writing about boarding schools after learning about abuse cases at his former school. He emphasizes the importance of speaking out against abuse and the challenges that come with it. The conversation highlights the need for empathy towards survivors of abuse. Family dynamics play a crucial role in how individuals cope with trauma. Alex discusses the prevalence of abuse in boarding schools and the need for systemic change. He explores his family's history of involvement in slavery and its emotional implications. The importance of openness and transparency in healing from trauma is emphasized. Alex advocates for better communication and understanding in addressing issues of abuse.   Sound bites "I think, you know, I mean, I do talk people do." "I think we still sending children into danger." "I think we have to talk and we have to open."   Chapters (Timings approx) 00:00 The Impact of Boarding School Experiences 09:11 The Long-Term Effects of Trauma 18:08 Navigating Relationships with Parents 21:22 Stereotypes of Boarding School Education 24:43 Encouraging Disclosure and Support 27:44 The Prevalence of Abuse in Boarding Schools 29:47 Barriers to Disclosure: The Male Perspective 32:25 Societal Attitudes Towards Male Victims 34:30 Exploring Family Legacy and Historical Injustices 39:16 Healing Through Openness and Responsibility 43:26 Current Projects: A Hopeful Future for Child Safety 46:54 Ten second outro video.mp4

Keywords boarding school, trauma, recovery, family dynamics, sexual abuse, journalism, heritage, slavery, mental health, societal change Summary In this conversation, journalist Alex Renton discusses the profound impact of his boarding school experiences on his life and career. He reflects on the trauma associated with his time at school, including issues of abuse and the challenges of speaking out. Renton also explores the complexities of family dynamics, particularly in relation to his own experiences and the legacy of his family's involvement in slavery. Throughout the discussion, he emphasizes the importance of openness, empathy, and responsibility in addressing these difficult topics and fostering healing. Takeaways Alex Renton reflects on the lifelong impact of negative boarding school experiences. His career as a journalist was influenced by his skepticism towards authority. Alex began writing about boarding schools after learning about abuse cases at his former school. He emphasizes the importance of speaking out against abuse and the challenges that come with it. The conversation highlights the need for empathy towards survivors of abuse. Family dynamics play a crucial role in how individuals cope with trauma. Alex discusses the prevalence of abuse in boarding schools and the need for systemic change. He explores his family's history of involvement in slavery and its emotional implications. The importance of openness and transparency in healing from trauma is emphasized. Alex advocates for better communication and understanding in addressing issues of abuse.   Sound bites "I think, you know, I mean, I do talk people do." "I think we still sending children into danger." "I think we have to talk and we have to open."   Chapters (Timings approx) 00:00 The Impact of Boarding School Experiences 09:11 The Long-Term Effects of Trauma 18:08 Navigating Relationships with Parents 21:22 Stereotypes of Boarding School Education 24:43 Encouraging Disclosure and Support 27:44 The Prevalence of Abuse in Boarding Schools 29:47 Barriers to Disclosure: The Male Perspective 32:25 Societal Attitudes Towards Male Victims 34:30 Exploring Family Legacy and Historical Injustices 39:16 Healing Through Openness and Responsibility 43:26 Current Projects: A Hopeful Future for Child Safety 46:54 Ten second outro video.mp4

JCO PO author Dr. Wainberg at UCLA shares insights into the JCO PO article, "Prevalence of FGFR2b Protein Overexpression in Advanced Gastric Cancers During Prescreening for the Phase III FORTITUDE-101 Trial." Host Dr. Rafeh Naqash and Dr. Wainberg discuss how FGFR2b prevalence was similar across geographic regions and within defined patient and sample variables regardless of the level of expression. TRANSCRIPT TO COME

In this episode, Antonia and Andrew discuss the January 21, 2026 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Link: JBJS website: https://jbjs.org/issue.php Sponsor: This episode is brought to you by JBJS Clinical Classroom. Subspecialties: Foot & Ankle, Knee, Orthopaedic Essentials, Education & Training, Trauma Chapters (00:00:03) - Cases on Hold(00:01:34) - Permanent Free(00:02:34) - Concomitant ipsilateral upper extremity fractures in pediatric mont(00:06:59) - Dexamethasone(00:13:55) - Will Adding antioxidants to highly crosslinked polyethylene improve knee ar(00:20:44) - Prevalence of subtal arthritis after P-line fractures(00:29:10) - Honorary Mention

Jeffrey Pfeffer is the Thomas D. Dee II Professor of Organizational Behavior at the Graduate School of Business, Stanford University where he has taught since 1979. He is the author or co-author of 16 books. Dr. Pfeffer received his B.S. and M.S. degrees from Carnegie-Mellon University and his Ph.D. from Stanford. In this episode, Robinson and Jeffrey discuss the field of organizational behavior. More particularly, they talk about the aims and methods of the field, some of its subjects—such as power and influence—and case studies. Jeffrey's latest book is the 7 Rules of Power (Holt, 2022). 7 Rules of Power: https://a.co/d/58WWhiCOUTLINEOUTLINE00:00 Introduction05:46 Understanding Vs Implementation11:42 The Seven Principles of Influence19:33 Evolutionary Biology20:49 How Self-Interest Rules Organizations29:37 Power and the Prevalence of Conspiracies33:53 Jeffrey Epstein and the Laws of Power42:55 The Administration of Health Benefits49:16 How Jeffrey's Research Has Influenced His Behavior59:06 The Price of PowerRobinson's Website: http://robinsonerhardt.comRobinson Erhardt researches symbolic logic and the foundations of mathematics at Stanford University, where he is also a JD candidate in the Law School.

Send us a textUp to 70% of those with Crohn's and over half of those with UC experience malnutrition.... and did you know this can impact your response to medication also?Working with an IBD specialized dietitian can help correct malnutrition, reduce your risk of flare and give you tools for symptom relief - so that your body is in a better spot to respond to treatments.In this podcast we highlight common signs of malnutrition and steps individuals can take if they are experiencing malnutrition.Takeaways-- Malnutrition can impact medication effectiveness.- IBD patients can experience malnutrition due to various factors.- Dietitians play a crucial role in managing malnutrition.- Malnutrition is not solely defined by weight loss.- Inflammation increases caloric needs in IBD patients.- Certain medications can affect nutrient absorption.- Common signs of malnutrition include fatigue and feeling cold.- Addressing malnutrition can improve quality of life.- Dietary restrictions can lead to malnutrition over time.Chapters:00:00- Understanding Malnutrition and Its Importance05:54- Prevalence of Malnutrition in IBD Patients08:12- Impact of Malnutrition on Health and Quality of Life10:15- Steps to Address MalnutritionGet our top e-book here

Send us a textIn this episode of the PT Snacks podcast, your host Kasey dives into the often-overlooked topic of rib stress fractures. Aimed at physical therapists and PT students, this segment focuses on identifying, understanding, and managing these injuries, particularly in rowers and overhead athletes. Learn about the prevalence, symptoms, risk factors, and treatment strategies for rib stress fractures, along with expert tips for differential diagnosis and patient management. Whether you're prepping for your SCS or looking to improve patient outcomes, this episode offers valuable insights delivered in an engaging, bite-sized format.00:00 Introduction to PT Snacks Podcast00:17 Understanding Rib Stress Fractures01:32 Prevalence and Affected Populations03:26 Symptoms and Diagnosis08:42 Differential Diagnoses10:45 Management and Treatment14:05 Imaging and Final Thoughts15:14 Conclusion and Additional ResourcesSupport the showNeed CEUs? Unlock unlimited online courses, live webinars, and certification-prep programs with MedBridge. You'll get: Thousands of accredited, evidence-based courses across multiple specialties (PT, OT, AT, SLP) that count for state-license CEUs. Access anytime, from your office, phone, or home—perfect for busy clinicians. One annual subscription, no per-course fee. Special offers: Use code PTSNACKSPODCAST at checkout and save over $100. Students use code PTSNACKSPODCASTSTUDENT for a discounted annual plan. Studying for the NPTE? Check out PT Final Exam — they've helped thousands of students pass with confidence. Use code PTSnacks at checkout for a discount. Stay Connected! Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.com Join the email list ...

“I feel like I should be doing better by now.” In this episode, I unpack why that feeling is so common in PCOS — and why it's not a personal failure, but a gap in how PCOS care is delivered. Drawing from clinical experience and recent research, we explore three major blind spots in standard PCOS care:The high prevalence of disordered eating and eating disordersHow access, cost, stress, and food insecurity shape nutrition outcomesWhy many people are diagnosed without ever truly understanding their condition We'll break down what the research actually shows, connect it to real life, and explain why PCOS has never been a willpower problem — it's been a care-model problem. If you've been doing “everything right” and still feel stuck, this episode offers clarity, context, and a more human way forward! ✨ Learn more about our 1-on-1 nutrition care and PCOS Recovery Program If this episode resonated, leaving a rating or review helps others find inclusive, evidence-based PCOS support.  ReferencesBadri-Fariman M, Naeini AA, Mirzaei K, Moeini A, Hosseini M, Bagheri SE, Daneshi-Maskooni M. Association between the food security status and dietary patterns with polycystic ovary syndrome (PCOS) in overweight and obese Iranian women: a case-control study. J Ovarian Res. 2021 Oct 13;14(1):134. doi: 10.1186/s13048-021-00890-1. PMID: 34645502; PMCID: PMC8515721.Lalonde-Bester S, Malik M, Masoumi R, Ng K, Sidhu S, Ghosh M, Vine D. Prevalence and Etiology of Eating Disorders in Polycystic Ovary Syndrome: A Scoping Review. Adv Nutr. 2024 Apr;15(4):100193. doi: 10.1016/j.advnut.2024.100193. Epub 2024 Feb 24. PMID: 38408541; PMCID: PMC10973592.Liu Y, Guo Y, Yan X, Ding R, Tan H, Wang Y, Wang X, Wang L. Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study. BMJ Open. 2023 Nov 24;13(11):e071051. doi: 10.1136/bmjopen-2022-071051. PMID: 38000817; PMCID: PMC10680007.PROOF. New data on household food insecurity in 2024. PROOF. Published May 5, 2025. https://proof.utoronto.ca/2025/new-data-on-household-food-insecurity-in-2024/

In this episode I finally explore a topic I've wondered about for a long time: circumcision. How did an ancient punishment for prisoners turned religious ritual become a medical procedure carried out by over 80% of Americans? What triggered doctors to start recommending circumcision for all newborn boys starting in the late 1800s and why doesn't the rest of the world do it too? What about the ethical implications of performing a body altering procedure on someone without their consent? Is there really a good reason to do it? Or does a 5.4 billion dollar a year industry come into play? Let's fix that. Support the show! Join the Patreon (patreon.com/historyfixpodcast)Buy some merchBuy Me a CoffeeVenmo @Shea-LaFountaineSources:UNAIDS "Male Circumcision: context, criteria, and culture"Journal of Pediatric Surgery "The evolutionary saga of circumcision from a religious perspective"Advanced Urological Care "Circumcision Revisited: An Historical Perspective"National Library of Medicine "Male genital representation in paleolithic art: erection and circumcision before history"Research Gate "High Cost of Circumcision"Wikipedia "Circumcision"Wikipedia "Prevalence of Circumcision"Johns Hopkins Medicine "Johns Hopkins Study: Newborn Male Circumcision Rates In US Dropped Between 2012 and 2022"Shoot me a message! Support the show

Program notes:0:35 Global pain burden1:35 Prevalence increased in 15 countries2:35 Higher prevalence in older people but not consequence of aging3:02 Tertiary patents4:03 in the Orange Book5:05 Prolonged patent protection and higher prices6:07 Focused on high revenue products6:50 Detecting DVT better7:51 Age specific D-dimer cutoffs8:51 Age and morbidity factors9:23 Infant screen time and adolescent anxiety10:24 Multiple intermediate assessments11:24 Accelerates development12:47 End

Full article: Prevalence of Malignancy Among Incidental Indeterminate Adrenal Nodules on Contrast-Enhanced CT in Patients Without Known Cancer: A Multiinstitutional Study Can scenarios be defined when imaging follow-up may not be needed for adrenal nodules? Antonino Andrea Blandino, MD, discusses this AJR article by Corwin et al. exploring malignancy prevalence in incidental indeterminate adrenal nodules.

Avoidant restrictive food intake disorder (ARFID) is an eating disorder where people severely restrict food due to fear, sensory sensitivities, or low interest — not body image concerns — causing significant health and social problems Unlike normal picky eating, ARFID involves intense distress, extremely narrow food choices, nutritional deficiencies, weight loss, and serious disruption to daily life and social activities Prevalence ranges from 0.35% to 6.4% depending on region, primarily affecting children and teens, with average diagnosis at age 11 and higher male representation than other disorders Treatment approaches include parental control strategies, cognitive behavioral therapy, family-based treatment, food therapy, and sequential oral sensory methods to gradually reduce food-related fear and anxiety A specialized protocol combining psychology, hypnosis, and neuro-linguistic programming shows 90% success for adults and 65% for children, often achieved in single session

Avoidant restrictive food intake disorder (ARFID) is an eating disorder where people severely restrict food due to fear, sensory sensitivities, or low interest — not body image concerns — causing significant health and social problems Unlike normal picky eating, ARFID involves intense distress, extremely narrow food choices, nutritional deficiencies, weight loss, and serious disruption to daily life and social activities Prevalence ranges from 0.35% to 6.4% depending on region, primarily affecting children and teens, with average diagnosis at age 11 and higher male representation than other disorders Treatment approaches include parental control strategies, cognitive behavioral therapy, family-based treatment, food therapy, and sequential oral sensory methods to gradually reduce food-related fear and anxiety A specialized protocol combining psychology, hypnosis, and neuro-linguistic programming shows 90% success for adults and 65% for children, often achieved in single session

In today's VETgirl online veterinary continuing education podcast, we review a recent paper out of France by Robin et al entitled “A systematic review and meta-analysis of prevalence of complications after tracheal stenting in dogs”. You're probably asking – what's a meta-analysis study, and is this podcast going to be boring and just about statistics? Well, first, a meta-analysis is an article that combines and analyzes multiple independent studies, then statistically critically reviews them to draw a more comprehensive conclusion. As there aren't very big studies in veterinary medicine looking at tracheal collapse in dogs, this one is important!

In today's VETgirl online veterinary continuing education podcast, we review a recent paper out of France by Robin et al entitled “A systematic review and meta-analysis of prevalence of complications after tracheal stenting in dogs”. You're probably asking – what's a meta-analysis study, and is this podcast going to be boring and just about statistics? Well, first, a meta-analysis is an article that combines and analyzes multiple independent studies, then statistically critically reviews them to draw a more comprehensive conclusion. As there aren't very big studies in veterinary medicine looking at tracheal collapse in dogs, this one is important!

Depo-Provera was approved in 1992 by U.S. regulators. About 1 in 4 sexually active women in the United States have used the shot at some point, according to the U.S. Centers for Disease Control and Prevention (CDC). Meningiomas are common intracranial tumors with a female predominance. In fact, they are the most common primary brain tumor in women, with an incidence of approximately 12.76 per 100,000 in the general female population. The vast majority of these tumors are benign (World Health Organization [WHO] grade 1) while 15% to 20% of these tumors can behave atypically (WHO grade 2) and rarely, in 1% to 2% of cases, these tumors can be malignant (WHO grade 3). We covered the relationship between Depo-Provera, as a contraceptive agent, and brain meningiomas back in March 2024. With the increase in data, the ACOG released a patient centered counseling tool titled, “Counseling Patients on Birth Control Injection and Meningioma”. The most recent update on this story comes from the FDA, which has granted a medication label change to Depo-Provera (Pfizer) warning of this association. Even though association does not prove causation, the association between depo and meningiomas seems strong (with new data from the US). Does this warning extend to other progestins? Listen in for details. 1. https://podcasts.apple.com/us/podcast/dr-chapas-obgyn-clinical-pearls/id1412385746?i=10006508795722. ACOG's “Counseling Patients on Birth Control Injection and Meningioma” 3. https://www.statnews.com/pharmalot/2025/12/17/fda-pfizer-contraception-cancer-preemption-depoprovera/4. Xiao T, Kumar P, Lobbous M, et al. Depot Medroxyprogesterone Acetate and Risk of Meningioma in the US. JAMA Neurology. 2025;82(11):1094-1102. doi:10.1001/jamaneurol.2025.3011.5. de Dios E, Näslund O, Choudhry M, et al.Prevalence and Symptoms of Incidental Meningiomas: A Population-Based Study.Acta Neurochirurgica. 2025;167(1):98. doi:10.1007/s00701-025-06506-7.6. Schaff LR, Mellinghoff IK.Glioblastoma and Other Primary Brain Malignancies in Adults: A Review. JAMA. 2023;329(7):574-587. doi:10.1001/jama.2023.0023.7. BMJ 2024; 384 doi: https://doi.org/10.1136/bmj-2023-078078 (Published 27 March 2024) Cite this as: BMJ 2024;384:e078078

In this episode of the Female Athlete Nutrition Podcast, host Lindsey Elizabeth Cortes discusses the importance of nutrition during a break from sports. Highlighting common fears and misconceptions around weight gain and muscle loss, Lindsey explains why metabolism and body composition do not drastically change during short breaks.   She emphasizes the need for proper refueling and maintaining adequate nutrition to ensure athletes are energized and ready to resume training. Additionally, Lindsey shares her personal updates, including an upcoming move to Boston for better medical care for her son. She announces a brief hiatus from the podcast, set to return in February with fresh content.   Episode Highlights: 01:22 Wave By: Revolutionizing Menstrual Health 03:06 Taking a Break: Nutrition Adjustments 05:04 Personal Update: Moving Across the Country 09:16 The Importance of Rest and Recovery 14:31 Debunking Myths About Breaks and Nutrition 22:35 Understanding the Prevalence of RED-S in Female Athletes 22:54 Resources and Support for RED-S Recovery 24:43 The Importance of Muscle and Metabolism 27:08 Caloric Needs During Breaks 31:39 Maintaining Nutrition During Breaks 37:15 Intuitive Eating and Extended Breaks 40:40 Upcoming Plans and Final Thoughts Resources and Links: For more information about the show, head to work with Lindsey on improving your nutrition, head to: http://www.lindseycortes.com/ Join REDS Recovery Membership: http://www.lindseycortes.com/reds WaveBye Supplements – Menstrual cycle support code LindseyCortes for 15% off: http://wavebye.co Previnex Supplements – Joint Health Plus, Muscle Health Plus, plant-based protein, probiotics, and more; code CORTES15 for 15% off: previnex.com Female Athlete Nutrition Podcast Archive & Search Tool – Search by sport, condition, or topic: lindseycortes.com/podcast Female Athlete Nutrition Community – YouTube, Instagram @‌femaleathletenutrition, and private Facebook group

AEM Podcast host Ken Milne, MD, and guest skeptic Suchismita Datta, MD, interview lead author Brian Driver, MD. Learn more in the accompanying Hot Off the Press article available in The Skeptics' Guide to Emergency Medicine.

Hosts: Bobbi Conner & Topher Conlan Guest: Sam Zolkiewicz Topic: Review of lily toxicity in cats generally, including a discussion of the article: Lam J, Hess RS, and Reineke EL. Prevalence of acute kidney injury and outcome in cats treated as inpatients versus outpatients following lily exposure. J Am Vet Med Assoc. 2025;263:41-46.

This episode reviews five oral abstracts on the prevalence of antimicrobial-resistant Neisseria Gonorrhea globally and in the US; clinical trial results of two novel oral antibiotics; and the protective effect of a meningococcal vaccine. These abstracts were presented at the 2024 STI Prevention Conference. View the abstracts in the 2024 STI Prevention Conference Abstract Book. View episode transcript at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs and STIs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW), Program Director of the UW Infectious Diseases Fellowship Program, and Associate Editor of the National STD Curriculum.  

Hallux valgus (bunions) are more common in women than men and high heeled shoes are often blamed. But how much of the problem is environment and how much genetics?   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: Bunions in unshod populations: https://pubmed.ncbi.nlm.nih.gov/13587573/ Prevalence of bunions in the general population: https://pubmed.ncbi.nlm.nih.gov/20868524/ The 2004 Cochrane review on conservative therapies to treat bunions: https://pubmed.ncbi.nlm.nih.gov/20868524/ More recent data on conservatie therapies to treat bunions: https://pubmed.ncbi.nlm.nih.gov/34408037/ The 2024 Cochrane review on surgery to treat bunions: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013726.pub2/full

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-462 Overview: In this episode, we examine migraine—a leading cause of disability worldwide that is often underdiagnosed and undertreated in primary care. You'll learn how to distinguish migraine from other headache disorders, identify who is most affected, and explore both acute pharmacologic options and preventive strategies that can reduce attack frequency and improve patients' quality of life. Episode resource links: El Hussein, M. T., & Fraser, L. (2025). Pharmacologic Management of Migraine in Primary Care: Nurse Practitioner Guide. The Journal for Nurse Practitioners, 21(9), 105501. Qaseem, A., Tice, J. A., Etxeandia-Ikobaltzeta, I., Wilt, T. J., Harrod, C. S., Cooney, T. G., ... & Yost, J. (2025). Pharmacologic treatments of acute episodic migraine headache in outpatient settings: a clinical guideline from the American College of Physicians. Annals of internal medicine, 178(4), 571-578. Charles, A. C., Tepper, S. J., & Ailani, J. (2025). State of the art in the management of migraine—A response to the American College of Physicians migraine preventive treatment guideline. Headache: The Journal of Head and Face Pain. Vélez-Jiménez MK, et al. Comprehensive Preventive Treatments for Episodic Migraine: Systematic Review. Front Neurol. 2025 Lanteri-Minet, M., Casarotto, C., Bretin, O., Collin, C., Gugenheim, M., Raclot, V., ... & Lefebvre, H. (2025). Prevalence, characteristics and management of migraine patients with triptan failure in primary care: the EMR France-Mig study. The Journal of Headache and Pain, 26(1), 153. Guest: Mariyan L. Montaque, DNP, FNP-BC   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-462 Overview: In this episode, we examine migraine—a leading cause of disability worldwide that is often underdiagnosed and undertreated in primary care. You'll learn how to distinguish migraine from other headache disorders, identify who is most affected, and explore both acute pharmacologic options and preventive strategies that can reduce attack frequency and improve patients' quality of life. Episode resource links: El Hussein, M. T., & Fraser, L. (2025). Pharmacologic Management of Migraine in Primary Care: Nurse Practitioner Guide. The Journal for Nurse Practitioners, 21(9), 105501. Qaseem, A., Tice, J. A., Etxeandia-Ikobaltzeta, I., Wilt, T. J., Harrod, C. S., Cooney, T. G., ... & Yost, J. (2025). Pharmacologic treatments of acute episodic migraine headache in outpatient settings: a clinical guideline from the American College of Physicians. Annals of internal medicine, 178(4), 571-578. Charles, A. C., Tepper, S. J., & Ailani, J. (2025). State of the art in the management of migraine—A response to the American College of Physicians migraine preventive treatment guideline. Headache: The Journal of Head and Face Pain. Vélez-Jiménez MK, et al. Comprehensive Preventive Treatments for Episodic Migraine: Systematic Review. Front Neurol. 2025 Lanteri-Minet, M., Casarotto, C., Bretin, O., Collin, C., Gugenheim, M., Raclot, V., ... & Lefebvre, H. (2025). Prevalence, characteristics and management of migraine patients with triptan failure in primary care: the EMR France-Mig study. The Journal of Headache and Pain, 26(1), 153. Guest: Mariyan L. Montaque, DNP, FNP-BC   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

In this podcast episode, Emma Sutherland speaks with Dr Nick Fuller, Clinical Trials Director at the Royal Prince Alfred Hospital Endocrinology Department and researcher at the Charles Perkins Centre. Together they unpack the complex physiology behind weight regain, including metabolic adaptation, appetite-hormone shifts, and the evolutionary mechanisms that make long-term weight loss so challenging. Dr Fuller explains how even small amounts of weight loss can trigger significant biological compensations, why traditional dieting approaches often fail, and how interval-based weight management can help prevent the rebound effect commonly seen in clinical practice. The discussion also explores emotional eating, circadian influences on hunger, and the importance of balanced meals, sleep routines, daily activity, and a whole-foods approach to support metabolic health. This episode provides practitioners with a grounded, evidence-informed lens for guiding patients through sustainable, long-term weight change. COVERED IN THIS EPISODE (01:04) Welcome Dr Nick Fuller (01:46) The Charles Perkins Centre (02:52) Prevalence of successful weight loss (05:59) The evolutionary mismatch (12:30) Compensatory methods of weight loss (16:50) Inflammation and obesity (19:35) Biomarkers (22:14) Probiotic therapy (24:51) Weight regain in menopause (28:25) Matador study (34:12) Protein recommendation (38:17) Dopamine hunt (41:15) Weight loss medications (44:05) Patterns found in successful weight loss (49:52) Final remarks Find today's transcript and show notes here: https://www.bioceuticals.com.au/education/podcasts/the-biology-of-sustainable-weight-loss Sign up for our monthly newsletter for the latest exclusive clinical tools, articles, and infographics: www.bioceuticals.com.au/signup/ DISCLAIMER: The information provided on fx Medicine by BioCeuticals is for educational and informational purposes only. The information provided is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you learn here raises questions or concerns regarding your health.

Clonal mast cell disease is often missed because symptoms vary from person to person, tryptase levels can be normal, and bone marrow biopsies are hard to get. For some people, unexplained or very severe anaphylaxis may be an early sign of a clonal mast cell disease. In this episode, we review “Prevalence of KIT D816V in anaphylaxis or systemic mast cell activation,” published in October 2025 in the Journal of Allergy and Clinical Immunology. This paper, known as the PROSPECTOR trial, is looking at how often the KIT D816V mutation can be found using a blood test in adults who have had anaphylaxis or systemic mast cell activation symptoms. We break down why KIT D816V matters, how it connects to systemic mastocytosis, why HaT needs to be considered, and how newer blood tests may help doctors catch clonal mast cell disease earlier. What we cover in our episode about KIT D816V and anaphylaxis: Setting the stage: Understanding mast cell activation and anaphylaxis. Why KIT D816V matters: How this mutation fits into clonal mast cell disease, what blood testing can reveal, and when doctors still turn to a bone marrow biopsy. Making sense of tryptase and hereditary alpha-tryptasemia (HaT): Why baseline tryptase, the “20% + 2” rule, and HaT can make screening more complicated than it seems. What the PROSPECTOR trial uncovered: How often KIT D816V appeared in people with anaphylaxis, and other results on tryptase and HaT. How this helps patients: What these findings mean for anyone with unexplained or severe anaphylaxis, and how doctors combine KIT testing, tryptase, HaT, and symptoms to decide on next steps. Other podcast episodes about mast cell disease: Ep. 127: Management of indolent mastocytosis - A clinical yardstick Ep. 126: Management of mast cell activation syndrome - A clinical yardstick Ep. 121: Avapritinib vs Placebo in Indolent Systemic Mastocytosis - PIONEER Trial Ep. 118: The ISM Disconnect - Do Patients and Providers Agree on Symptom Control? Ep. 70 How do stress and low histamine diets impact mast cell disease? Ep. 63: Mast Cell Diseases & Systemic Mastocytosis: The Basic Science Ep. 65: The Symptoms and Triggers of Mast Cell Disease *********** The Itch Review, hosted by Dr. Gupta, Kortney, and Dr. Blaiss, explores allergy and immunology studies, breaking down complex research in conversations accessible to clinicians, patients, and caregivers. Each episode provides key insights from journal articles and includes a one-page infographic in the show notes for easy reference. *********** Made in partnership with The Allergy & Asthma Network. Thanks to Blueprint Medicines for sponsoring today's episode.  This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

In this episode of One in Ten, host Teresa Huizar engages in a thought-provoking conversation with Dr. Jim Hamilton, an associate professor adjunct at Yale School of Medicine, on the topic of medical child abuse. They explore the complexities of why caregivers might fabricate illnesses in their children, the significant discrepancies that pediatricians should look for, and the systemic issues that enable this form of abuse. Dr. Hamilton shares insights from his experience and research, including an innovative study using school nurses to understand the prevalence and detection of medical child abuse. The episode underscores the importance of early intervention, compassionate care, and preventing the escalation of such cases to protect children and support families. Time  Topic 00:00 Introduction to Medical Child Abuse 01:21 Dr. Jim Hamilton's Journey into Medical Deception 04:19 Understanding Medical Child Abuse 06:33 Indicators and Evidence of Medical Child Abuse 09:52 The Role of Healthcare Professionals 12:02 Complexities in Diagnosing Medical Child Abuse 17:22 Systemic Issues and Parental Influence 25:10 Legal Challenges and Case Studies 26:14 The Chilling Reality of Medical Child Abuse 27:16 Prevalence and Study Design Insights 27:52 Understanding Medical Child Abuse: Rare or Not? 31:15 The Role of School Nurses in Identifying Abuse 36:04 Study Findings and Surprising Results 43:00 The Importance of Early Intervention and Compassion 51:40 Final Thoughts and Future Directions ResourcesPrevalence of Suspected Medical Child Abuse in the School Setting: A Study of School Nurses - PubMedSupport the showDid you like this episode? Please leave us a review on Apple Podcasts.

Dr. Don and Professor Ben talk about the risks of holding raw chicken at room temperature "all day" before cooking. Dr. Don - risky ☣️ Professor Ben - risky ☣️ Staphylococcosis in Poultry - Poultry - Merck Veterinary Manual Evaluation of the Prevalence of Staphylococcus aureus in Chicken Fillets and Its Bio-Control Using Different Seaweed Extracts - PMC

Join us for part 2 of this deep dive into weight loss surgery! We talk about how much weight people lose, the mental health outcomes of people (big trigger warning there), surgery in kids and informed consent. TW: Mention of su!c|de, depression, children and surgery as well as general awful stuff fat people endure. Episode show notes: http://www.fiercefatty.com/202 Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers Comparison of the Performance of Common Measures of Weight Regain After Bariatric Surgery: https://jamanetwork.com/journals/jama/fullarticle/2707460 All‑Cause and Cause‑Specific Mortality Associated with Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055056/ Body Image Disturbances and Weight Bias After Obesity Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012323/ Coping With "Ob*sity" Stigma Affects Depressed Mood: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670735/ Death Rates and Causes of Death After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ Depression, Anxiety, and Binge Eating Before and After Bariatric Surgery: https://www.scielo.br/j/abcd/a/tZXDCfc855KxdXcFKTbVtHR/?lang=en Diabetes after Bariatric Surgery: https://www.canadianjournalofdiabetes.com/article/S1499-2671(16)30072-7/fulltext Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Late Relapse of Diabetes After Bariatric Surgery: https://diabetesjournals.org/care/article/43/3/534/35625/Late-Relapse-of-Diabetes-After-Bariatric-Surgery Long-Term Follow-up After Bariatric Surgery: A Systematic Review: https://jamanetwork.com/journals/jama/fullarticle/1900516 Long-Term Outcomes After Bariatric Surgery: Systematic Review & Meta-analysis: https://link.springer.com/article/10.1007/s11695-018-3525-0 Mineral Malnutrition Following Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771134/ Patient Experiences of Outcomes of Bariatric Surgery: Systematic Review: https://onlinelibrary.wiley.com/doi/10.1111/obr.12518 Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682834/ Recent Experiences of Weight-based Stigmatization in a Weight Loss Surgery Population: https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2008.457 Risk of Suicide and Non-Fatal Self-Harm After Bariatric Surgery: Two Cohort Studies: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932484/ Risk of Suicide and Self-Harm Is Increased After Bariatric Surgery: Meta-analysis: https://link.springer.com/article/10.1007/s11695-018-3493-4 Substance Use After Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ Survival Among High-Risk Patients After Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/21666276/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html The Impact of Bariatric Surgery on Psychological Health: https://www.hindawi.com/journals/jobe/2013/837989/ Untold Stories of Living with a Bariatric Body: Long-Term Experiences of Weight-Loss Surgery: https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12999 "But Everything Is Supposed to Get Better After Surgery!" Understanding Postoperative Suicide and Self-Injury: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/ Long-Term Weight Regain After Gastric Bypass: A 5-Year Prospective Study: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Anti-Diet by Christy Harrison: https://christyharrison.com/book-anti-diet-intuitive-eating-christy-harrison Food Junk Science Blog: http://junkfoodscience.blogspot.com/2007/01/junkfood-science-weekend-special.html Suicide Rates After Bariatric Surgery: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Kaitlin Anderle Who Had Surgery: https://www.instagram.com/p/B9B7HwSh3RM/ Roxane Gay - What Fullness Is: https://gay.medium.com/the-body-that-understands-what-fullness-is-f2e40c40cd75 Lindo Bacon on Bariatric Surgery: https://www.lindobacon.com/HAESbook/pdf_files/HAES_Bariatric-Surgery.pdf Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682834/#:~:text=There%20is%20some%20evidence%20that Mineral Malnutrition Following Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771134/#:~:text=Bariatric%20surgery%20exacerbates%20preexisting%20malnutrition,with%20micronutrient%20supplementation%20following%20surgery Substance Use After Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ Early Mortality Among Medicare Beneficiaries Undergoing Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/16234496/#:~:text=The%20rates%20of%2030%2Dday,001 Death Rates and Causes of Death After Bariatric Surgery for Pennsylvania Residents: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Save Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Suicide Rates: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Long-Term Weight Regain After Gastric Bypass: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Association of Race With Bariatric Surgery Outcomes (Wood et al., 2019): https://jamanetwork.com/journals/jamasurgery/fullarticle/2727128 Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry (Welsh et al., 2020): https://pmc.ncbi.nlm.nih.gov/articles/PMC7223417/

Stop powering through the pain! Surgery is a high-performance sport, yet surgeons often operate with minimal support, leading to chronic pain and potential career-ending injuries. This episode dives into the crucial topic of surgical ergonomics, explaining why your posture, instrument size, and even hydration impact your performance and longevity. Learn essential OR hacks—from adjusting monitor height and using micro-break stretches to strategic pre-case fueling—to mitigate the physical toll. We also share candid stories from surgeons who faced debilitating injuries, providing critical advice on acknowledging pain, seeking help, and treating recovery like a full-time job. It's time to invest in your physical health, because your hands and posture are your most vital instruments. Hosts:  Agnes Premkumar, MD (General Surgery Resident at Creighton University) @agnespremkumar  Steven Thornton, MD (General Surgery Resident at Duke University) @swthorntonjr Guests: Kathryn Coan, MD (Dignity Health, Phoenix) Anathea Powell, MD (Renown Health, Reno) Danielle Tanner, MD (Creighton University, Phoenix) Dr. Kathryn Coan is an endocrine surgeon, and associate professor at the Creighton University School of Medicine in Phoenix. Outside of the OR, she enjoys being active such as playing golf, hockey, and hiking. Dr. Anathea Powell is a colorectal surgeon working at Renown Health in Reno, Nevada and the University of Nevada, Reno. Outside of the OR, she has certifications in personal training as well as coaching for nutrition, sleep and recovery, mobility, and menopause. She is also a former All American in triathlon and aquabike (swim-bike). Dr. Danielle Tanner is a PGY-5 at Creighton University School of Medicine in Phoenix and aspires to be a rural general surgeon. Publications and Applications Discussed: Black Belt Academic Surgical Skills: https://bbass.org/ Epstein S, Sparer EH, Tran BN, Ruan QZ, Dennerlein JT, Singhal D, Lee BT. Prevalence of Work-Related Musculoskeletal Disorders Among Surgeons and Interventionalists: A Systematic Review and Meta-analysis. JAMA Surg. 2018 Feb 21;153(2):e174947. doi: 10.1001/jamasurg.2017.4947. Epub 2018 Feb 21. PMID: 29282463; PMCID: PMC5838584. https://pubmed.ncbi.nlm.nih.gov/29282463/ Sutton E, Irvin M, Zeigler C, Lee G, Park A. The ergonomics of women in surgery. Surg Endosc. 2014 Apr;28(4):1051-5. doi: 10.1007/s00464-013-3281-0. PMID: 24232047. https://pubmed.ncbi.nlm.nih.gov/24232047/ Patel VR, Stearns SA, Liu M, Tsai TC, Jena AB. Mortality Among Surgeons in the United States. JAMA Surg. 2025 Sep 1;160(9):1032-1034. doi: 10.1001/jamasurg.2025.2482. PMID: 40737024; PMCID: PMC12311820. https://pubmed.ncbi.nlm.nih.gov/40737024/ Lee MR, Lee GI. Does a robotic surgery approach offer optimal ergonomics to gynecologic surgeons?: a comprehensive ergonomics survey study in gynecologic robotic surgery. J Gynecol Oncol. 2017 Sep;28(5):e70. doi: 10.3802/jgo.2017.28.e70. Epub 2017 Jun 23. PMID: 28657231; PMCID: PMC5540729. https://pubmed.ncbi.nlm.nih.gov/28657231/ Berguer R. The application of ergonomics in the work environment of general surgeons. Rev Environ Health. 1997 Apr-Jun;12(2):99-106. doi: 10.1515/reveh.1997.12.2.99. PMID: 9273926. https://pubmed.ncbi.nlm.nih.gov/9273926/ 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://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Last week we had an important conversation with Dr. Michael Rafii all about the link between DS and Alzheimer's disease. If you're still processing everything you learned from that interview, that's okay. Sit down with the three of us + our good friend Kandi Pickard (CEO of the National DS Society) and we'll talk through it together!How do we confront medical discrimination?Where can we get involved in research?What does it mean that the NDSS has merged with LuMind? (hint: its a great thing for Alzheimer's research!)We know this isn't an easy topic but this episode is full of hope. Remember, there are medical experts (like Dr. Rafii) and organizations (like NDSS) doing all that they can to improve the future for your loved one with Down syndrome.--SHOW NOTESLearn more more about Alzheimer's disease from the National DS SocietyLearn more about LuMind merging with the NDSSFind resources on The Alzheimer Biomarkers Consortium-Down Syndrome (ABC-DS)Get involved in research with DS-ConnectSPONSORSign up for Enable SNP HERE.

  Snakes in Pools and Magpie Attacks on Cyclists. Jeremy discusses the prevalence of snakes, noting that it is illegal to kill them, and they are frequently attracted to swimming pools, seeking water and warmth in filters or motors. He warns that even libraries are not safe from brown snakes. He also highlights an experiment examining why magpies aggressively attack cyclists more than other people. Retry

As we continue this season on brain health, its time to dive deep into the link between Alzheimer's disease and Down syndrome. It's not an easy topic.. and that's why we are so grateful to have Dr. Michael Rafii with us. He's a physician-scientist whose research focuses on developing treatments for Alzheimer's disease, including a genetic form that occurs in people with Down syndrome. Dr. Rafii is breaking down these topics today:Alzheimer's 101: How does it progress over time? How many people with and without DS are likely to develop Alzheimer's disease?The science: What gene is responsible for causing Alzheimer's? Current breakthroughs: More people with DS are involved in the research and Dr. Rafii is focused on developing research methods that work for individuals with intellectual disabilities. Take some notes, friends. This is an important one. SPONSORSign up for Enable SNP Today HERE.