POPULARITY
In this episode, Jean-Michel Molina, MD, PhD, and Joseph J. Eron, Jr., MD, discuss results from key clinical trials on HIV prevention and treatment as well as sexually transmitted infection (STI) prevention presented at IDWeek and Glasgow 2024, including:PURPOSE 1 and 2 comparing lenacapavir injection vs oral TDF/FTCTRIO Health Cohort and OPERA examining long-acting cabotegravir as PrEPDOLCE comparing DTG/3TC as first-line therapy in treatment-naive patients with HIVPRIDOX evaluating the use of DoxyPEP on STI incidence in men who have sex with men on PrEPPresenters:Jean-Michel Molina, MD, PhDProfessor of Infectious DiseasesUniversity of Paris CitéHead of the Department of Infectious DiseasesHospital Saint-Louis and lariboisièreParis, FranceJoseph J. Eron, Jr., MDProfessor of Medicine, School of MedicineHerman and Louise Smith Distinguished ProfessorChief, Division of Infectious DiseasesDirector, Clinical Core, UNC Center for AIDS ResearchAdjunct Professor of Epidemiology, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel Hill, North CarolinaLink to full program: https://bit.ly/3BBaZvJ
This week's guest is Dr. Samantha Meltzer-Brody who is a reproductive psychiatrist and the director of the UNC Center for Women's Mood Disorders. She has been involved in the clinical trials for the new medications to treat postpartum depression. Take a listen to this episode to learn all about these medications and the possibilities they provide for postpartum depression treatment. We hope you enjoy! Podcast Survey: https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNKSocial MediaFacebook: Just Us: Before, Birth and Beyond Podcast Instagram: @justus.bbb.podcast Resourceshttps://www.fda.gov/news-events/press-announcements/fda-approves-first-oral-treatment-postpartum-depression https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2023/08/zuranolone-for-the-treatment-of-postpartum-depression https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2781385 https://journals.lww.com/greenjournal/abstract/2023/05001/improvement_in_hamd_17_subscale_scores_with_14_day.222.aspx Please provide feedback here:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK
In this episode, Joseph J. Eron, Jr., MD, and Monica Gandhi, MD, MPH, discuss the key HIV studies from CROI 2024 that are influencing their clinical practice, including:New data surrounding long-acting ART, including:The CARES study of LA CAB + RPV in a Sub-Saharan African population using a public health approachThe IMPAACT 2017 MOCHA study evaluating switching to LA CAB + RPV in adolescents living with HIVThe ACTG A5359 LATITUDE study of LA CAB + RPV in people with adherence challenges to oral ARTUpdated data from San Francisco's Ward 86 Clinic using LA CAB + RPV in people without viral suppression at baselineCase series of LA CAB (± RPV) + LEN for select people living with HIV unable to take oral ART and unable to use LA CAB + RPV aloneData on comorbidities and coinfections, including:A REPRIEVE proteomic analysis to elucidate mechanistic pathways of statin effects on plaqueThe ACTG A5371 SLIM LIVER study of semaglutide for MASLD in people living with HIVThe impact of Doxy-PEP guideline implementation on STIs in men who have sex with men and transgender women in San FranciscoPotential novel treatment options on the horizon for people living with HIV, including:Phase II data on LEN + ISL dosed orally once weeklyEarly data on other oral weekly optionsData on bNAbs in combination or with other ART agentsPresenters:Joseph J. Eron, Jr., MDProfessor of Medicine, School of MedicineHerman and Louise Smith Distinguished ProfessorChief, Division of Infectious DiseasesDirector, Clinical Core, UNC Center for AIDS ResearchAdjunct Professor of EpidemiologyGillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel Hill, North CarolinaMonica Gandhi, MD, MPHProfessor of MedicineDivision of HIV, Infectious Diseases, and Global MedicineMedical Director, Ward 86 HIV ClinicUniversity of California, San FranciscoSan Francisco, CaliforniaContent based on an online CME program supported by independent educational grants from Gilead Sciences; Merck & Co., Inc.; and ViiV Healthcare.Link to full program: https://bit.ly/4awdWJMGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts or Spotify.
On Monday, March 18, the US Supreme Court heard oral argument in Murthy v Missouri. In this episode, Tech Policy Press reporting fellow Dean Jackson is joined by two experts- St. John's University School of Law associate professor Kate Klonick and UNC Center on Technology Policy director Matt Perault- to digest the oral argument, what it tells us about which way the Court might go, and what more should be done to create good policy on government interactions with social media platforms when it comes to content moderation and speech.
Unless you've been living under a rock, you've probably heard a great deal over the last year about generative AI and how it's going to reshape various aspects of our society. That includes elections. With one year until the 2024 U.S. presidential election, we thought it would be a good time to step back and take a look at how generative AI might and might not make a difference when it comes to the political landscape. Luckily, Matt Perault and Scott Babwah Brennen of the UNC Center on Technology Policy have a new report out on just that subject, examining generative AI and political ads.On this episode of Arbiters of Truth, our series on the information ecosystem, Lawfare Senior Editor Quinta Jurecic and Lawfare's Fellow in Technology Policy and Law Eugenia Lostri sat down with Matt and Scott to talk through the potential risks and benefits of generative AI when it comes to political advertising. Which concerns are overstated, and which are worth closer attention as we move toward 2024? How should policymakers respond to new uses of this technology in the context of elections?Support this show http://supporter.acast.com/lawfare. Hosted on Acast. See acast.com/privacy for more information.
Unless you've been living under a rock, you've probably heard a great deal over the last year about generative AI and how it's going to reshape various aspects of our society. That includes elections. With one year until the 2024 U.S. presidential election, we thought it would be a good time to step back and take a look at how generative AI might and might not make a difference when it comes to the political landscape. Luckily, Matt Perault and Scott Babwah Brennen of the UNC Center on Technology Policy have a new report out on just that subject, examining generative AI and political ads.On this episode of Arbiters of Truth, our series on the information ecosystem, Lawfare Senior Editor Quinta Jurecic and Lawfare's Fellow in Technology Policy and Law Eugenia Lostri sat down with Matt and Scott to talk through the potential risks and benefits of generative AI when it comes to political advertising. Which concerns are overstated, and which are worth closer attention as we move toward 2024? How should policymakers respond to new uses of this technology in the context of elections? Hosted on Acast. See acast.com/privacy for more information.
I'm excited that today's episode covers the new postpartum depression medication, Zuranalone (brand name Zurzuvae). This is the first pill for PPD and was just recently approved by the FDA. It differs from the IV infusion Braxanalone, which was FDA approved in 2019. As with any new medication, there are many questions to consider if we are to stay ahead of any misinformation and hesitations. Join us to learn what you need to know and understand about this fantastic new tool in the treatment of PPD. Dr. Samantha Meltzer-Brody is the Assad Meymandi Distinguished Professor and Chair of the Department of Psychiatry at the University of North Carolina at Chapel Hill. She is an internationally recognized reproductive psychiatrist and clinician-scientist who also directs the UNC Center for Women's Mood Disorders. Her work has focused on developing a comprehensive integrated clinical and research project in women's mood disorders across the reproductive life cycle. Dr. Meltzer-Brody investigates the epidemiologic and biological predictors of perinatal biomarkers, as well as the impact of adverse life events. Show Highlights: An explanation for the layperson about Zuranolone—and why this is an exciting breakthrough in pill form How SSRIs (Selective Serotonin Reuptake Inhibitors) came to be used in the treatment of PPD, even though they have downsides and significant side effects Why the new drug is different than traditional antidepressants previously used to treat PPD What the clinical trials revealed about Zuranolone side effects, efficacy, and breastfeeding considerations When Zuranolone will be available The overall significance of this new medication Why postpartum is different from major depression–and should be treated differently Resources: Connect with Dr. Samantha Meltzer-Brody: Visit www.postpartum.net for resources and support! 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! Learn more about your ad choices. Visit megaphone.fm/adchoices
What is avoidant/restrictive food intake disorder or ARFID? How does it differ from other disorders? How are intestinal microbiota involved when it comes to eating disorders? Dr. Cynthia Bulik is a Distinguished Professor of Eating Disorders and Founding Director of the University of North Carolina (UNC) Center of Excellence for Eating Disorders and Professor of Nutrition, Gillings School of Global Public Health; and Associate Director, UNC Center for Psychiatric Genomics. Dr. Bulik's research teams at UNC (Center of Excellence for Eating Disorders-CEED) and Karolinska Institute (Centre for Eating Disorders Innovation-CEDI) are dedicated to deepening our understanding of the underlying biology and genetics of eating disorders and to advancing the evidence base for the treatment of these illnesses. As founder and co-chair of the Eating Disorders Working Group of the Psychiatric Genomics Consortium (PGC-ED), she leads the global effort to identify actionable genomic variation in eating disorders. She is Principal Investigator of the global Eating Disorders Genetics Initiative funded by the National Institute of Mental Health. She is also the Principal Investigator of the largest study of genetic and environmental contributors to avoidant/restrictive food intake disorder (ARFID-GEN), also funded by the National Institute of Mental Health. Together with Ian Carroll, PhD she conducts population-level and intensive longitudinal clinical investigations of the intestinal microbiota in eating disorders. For the past decade, with Donald Baucom, PhD and Jennifer Kirby, PhD she has developed and disseminated a suite of couple-based interventions for anorexia nervosa, bulimia nervosa, and binge-eating disorder (UNITE: UNiting couples In the Treatment of Eating disorders). She also serves as senior faculty on the SAMHSA-funded National Center of Excellence for Eating Disorders (NCEED)—the national authoritative source for information and training in eating disorders. She is dedicated to mentorship of junior investigators, especially women in STEM fields and is passionate about translating science for the public.
Az amerikai tengerészgyalogság egészen komolyan kísérletezett a harci gördeszkával Telex 2023-05-30 05:09:41 Tudomány USA Szomália Saigon és Mogadishu csúnya fiaskója után fel kellett turbózni a nagyvárosi hadviselés kelléktárát. Először szállt fel utasokkal a fedélzetén az első kínai gyártású utasszállító PCWorld 2023-05-30 06:01:59 Infotech Kína Utasszállító A Kínában készült C919 az ország Nyugattól való függetlenedésének szimbóluma szeretne lenni, de nem ilyen egyszerű a helyzet. Ha fürdőkádad van, szinte egy tengeralattjáród is van Player 2023-05-30 04:06:10 Infotech Tengeralattjáró Csak ki kell bontani, barkácsolni kicsit, aztán kikapcsolni a természetes életösztöneid, és belemászni. Telekommunikáció: probléma a cseh állam függése Kínától Mínuszos 2023-05-30 06:33:06 Mobiltech háború NATO Csehország Nem lehet kizárni egy Oroszország és a NATO közti háborút. Amennyiben kitörne, Csehország az első pillanattól kezdve részese lenne – jelentette ki Karel Rehka. A cseh hadsereg vezérkari főnöke egy biztonságpolitikai konferencián leszögezte: „Egy ilyen forgatókönyv ellen csak felkészültséggel és elrettentéssel lehet védekezni”. Oroszország és az ész Mi a terve a magyar kormánynak az AI-forradalomban? 444.hu 2023-05-30 07:05:40 Infotech Hogyan készül fel az ország a mindent felforgató új technológiákra? Megkérdeztük az illetékes minisztériumokat. [*tücsökciripelés*] Van viszont egy 2030-ig tartó stratégiánk! Még egy napig lehet jelentkezni a munkára, ami száz dollárt fizet óránként a tiktokozásért Rakéta 2023-05-30 11:48:04 Infotech Kampány Trend TikTok Közösségi média Influencer A Ubiquitous nevű, influenszerekkel és közösségi média kampányokkal foglalkozó ügynökség olyan állást, illetve megbízást hirdetetett meg, ami sokaknak álomszerű, másoknak viszont maga a rémálom: tíz órán át kell böngészni a közösségi oldalt, trendek után kutatva, ezer dollárért cserébe. Lassan eltűnnek a csillagok az égről 24.hu 2023-05-30 11:51:27 Tudomány De a fényszennyezésnek annál sokkal nagyobb veszélyei is vannak, minthogy nem gyönyörködhetünk a csillagos éjszakai égboltban. Sárkányait fogná közös munkára a Qualcomm Bitport 2023-05-30 12:08:00 Infotech Qualcomm A csipgyártó a sokféle eszközben megtalálható Snapdragon CPU-k számítási kapacitásának egyesítésével oldaná meg az egyre növekvő MI-terhelést. Mesterséges intelligenciával a veszélyeztetett teknősökért Digital Hungary 2023-05-30 12:40:00 Infotech Mesterséges intelligencia A SAS a tömegek által vezérelt mesterséges intelligenciát (AI) és a gépi tanulást alkalmazza a veszélyeztetett tengeri teknősök védelme érdekében. Az analitika vezető vállalata az UNC Galapagos Kutatóközpontjával (UNC Center for Galapagos Studies; CGS) együttműködve a szigeteken folyó kutatások előmozdításán dolgozik. A közös munka során adatokat e Már podcasteket is készít a mesterséges intelligencia IT Business 2023-05-30 11:34:15 Infotech Mesterséges intelligencia Index Rengeteget fejlődött az utóbbi időben a podcastek világa, a műfaj kedvelői sokmillió tartalomból válogathatnak mára, ezért nem volt kérdés, hogy ezen a területen is megjelenik a mesterséges intelligencia (MI). Már podcastek világába is beszivárgott a mesterséges intelligencia, a technológia képes beszélgetős műsorokat generálni. A Podcast Index leg Munkába állt a legelső MI-vezérelt humanoid robot Bitport 2023-05-30 07:49:00 Autó-motor Robot Norvégia Tesla Startup Úgy tűnik, hogy a Teslát és a többi kisebb-nagyobb versenyzőt megelőzte egy norvég startup, melynek EVE nevű robotját biztonsági őrként alkalmazzák. Az Egyesült Arab Emirátusok űrszondája leszáll egy, a Mars és Jupiter közötti aszteroidára Rakéta 2023-05-30 11:48:04 Tudomány Világűr Mars Egyesült Arab Emírségek Meteor Az Egyesült Arab Emírségek 2028-ban ambiciózus küldetést indít az aszteroida-övbe, amelynek keretén belül egy űrszonda hét különböző kisbolygót vizsgál majd, és ezek egyikén a tervek szerint le is száll. Kínába utazott Elon Musk vg.hu 2023-05-30 10:08:06 Gazdaság Kína Elon Musk Tesla Sanghaj A Tesla legnagyobb gyára továbbra is a sanghaji üzem, de piacként is fontos szerepet játszik Kína.
Az amerikai tengerészgyalogság egészen komolyan kísérletezett a harci gördeszkával Telex 2023-05-30 05:09:41 Tudomány USA Szomália Saigon és Mogadishu csúnya fiaskója után fel kellett turbózni a nagyvárosi hadviselés kelléktárát. Először szállt fel utasokkal a fedélzetén az első kínai gyártású utasszállító PCWorld 2023-05-30 06:01:59 Infotech Kína Utasszállító A Kínában készült C919 az ország Nyugattól való függetlenedésének szimbóluma szeretne lenni, de nem ilyen egyszerű a helyzet. Ha fürdőkádad van, szinte egy tengeralattjáród is van Player 2023-05-30 04:06:10 Infotech Tengeralattjáró Csak ki kell bontani, barkácsolni kicsit, aztán kikapcsolni a természetes életösztöneid, és belemászni. Telekommunikáció: probléma a cseh állam függése Kínától Mínuszos 2023-05-30 06:33:06 Mobiltech háború NATO Csehország Nem lehet kizárni egy Oroszország és a NATO közti háborút. Amennyiben kitörne, Csehország az első pillanattól kezdve részese lenne – jelentette ki Karel Rehka. A cseh hadsereg vezérkari főnöke egy biztonságpolitikai konferencián leszögezte: „Egy ilyen forgatókönyv ellen csak felkészültséggel és elrettentéssel lehet védekezni”. Oroszország és az ész Mi a terve a magyar kormánynak az AI-forradalomban? 444.hu 2023-05-30 07:05:40 Infotech Hogyan készül fel az ország a mindent felforgató új technológiákra? Megkérdeztük az illetékes minisztériumokat. [*tücsökciripelés*] Van viszont egy 2030-ig tartó stratégiánk! Még egy napig lehet jelentkezni a munkára, ami száz dollárt fizet óránként a tiktokozásért Rakéta 2023-05-30 11:48:04 Infotech Kampány Trend TikTok Közösségi média Influencer A Ubiquitous nevű, influenszerekkel és közösségi média kampányokkal foglalkozó ügynökség olyan állást, illetve megbízást hirdetetett meg, ami sokaknak álomszerű, másoknak viszont maga a rémálom: tíz órán át kell böngészni a közösségi oldalt, trendek után kutatva, ezer dollárért cserébe. Lassan eltűnnek a csillagok az égről 24.hu 2023-05-30 11:51:27 Tudomány De a fényszennyezésnek annál sokkal nagyobb veszélyei is vannak, minthogy nem gyönyörködhetünk a csillagos éjszakai égboltban. Sárkányait fogná közös munkára a Qualcomm Bitport 2023-05-30 12:08:00 Infotech Qualcomm A csipgyártó a sokféle eszközben megtalálható Snapdragon CPU-k számítási kapacitásának egyesítésével oldaná meg az egyre növekvő MI-terhelést. Mesterséges intelligenciával a veszélyeztetett teknősökért Digital Hungary 2023-05-30 12:40:00 Infotech Mesterséges intelligencia A SAS a tömegek által vezérelt mesterséges intelligenciát (AI) és a gépi tanulást alkalmazza a veszélyeztetett tengeri teknősök védelme érdekében. Az analitika vezető vállalata az UNC Galapagos Kutatóközpontjával (UNC Center for Galapagos Studies; CGS) együttműködve a szigeteken folyó kutatások előmozdításán dolgozik. A közös munka során adatokat e Már podcasteket is készít a mesterséges intelligencia IT Business 2023-05-30 11:34:15 Infotech Mesterséges intelligencia Index Rengeteget fejlődött az utóbbi időben a podcastek világa, a műfaj kedvelői sokmillió tartalomból válogathatnak mára, ezért nem volt kérdés, hogy ezen a területen is megjelenik a mesterséges intelligencia (MI). Már podcastek világába is beszivárgott a mesterséges intelligencia, a technológia képes beszélgetős műsorokat generálni. A Podcast Index leg Munkába állt a legelső MI-vezérelt humanoid robot Bitport 2023-05-30 07:49:00 Autó-motor Robot Norvégia Tesla Startup Úgy tűnik, hogy a Teslát és a többi kisebb-nagyobb versenyzőt megelőzte egy norvég startup, melynek EVE nevű robotját biztonsági őrként alkalmazzák. Az Egyesült Arab Emirátusok űrszondája leszáll egy, a Mars és Jupiter közötti aszteroidára Rakéta 2023-05-30 11:48:04 Tudomány Világűr Mars Egyesült Arab Emírségek Meteor Az Egyesült Arab Emírségek 2028-ban ambiciózus küldetést indít az aszteroida-övbe, amelynek keretén belül egy űrszonda hét különböző kisbolygót vizsgál majd, és ezek egyikén a tervek szerint le is száll. Kínába utazott Elon Musk vg.hu 2023-05-30 10:08:06 Gazdaság Kína Elon Musk Tesla Sanghaj A Tesla legnagyobb gyára továbbra is a sanghaji üzem, de piacként is fontos szerepet játszik Kína.
Welcome back, everyone. I am so happy to do the final episode of our Sexual Health and Anxiety Series. It has been so rewarding. Not only has it been so rewarding, I actually have learned more in these last five weeks than I have learned in a long time. I have found that this series has opened me up to really understanding the depth of the struggles that happen for people with anxiety and how it does impact our sexual health, our reproductive health, our overall well-being. I just have so much gratitude for everyone who came on as guests and for you guys, how amazing you've been at giving me feedback on what was helpful, how it was helpful, what you learn, and so forth. Today, we are talking about PMS and anxiety, and it is so hopeful to know that there are people out there who are specifically researching PMS and anxiety and depression, and really taking into consideration how it's impacting us, how it's affecting treatment, how it's changing treatment, how we need to consider it in regards to how we look at the whole person. Today, we have the amazing Crystal Edler Schiller on. She is a Psychologist, Assistant Professor, and Associate Director of Behavioral Health for the University of North Carolina Center for Women's Mood Disorders. She provides therapy for women who experience mood and anxiety symptoms across the lifespan. She talks about her specific research and expertise in reproductive-related mood disorders. She was literally the perfect person for the show, so I'm so excited. In today's episode, we talked about PMS, PMDD, the treatments for these two struggles. We also just talked about those who tend to have an increase in symptoms of their own anxiety disorder or mood disorder when at different stages of their menstrual cycle. I found this to be so interesting and I didn't realize there were so many treatment options. We talked about how we can implement them and how we may adjust that depending on where you are in terms of your own recovery already. I'm going to leave it there and get straight over to the show. Thank you again to Crystal Schiller for coming on, and I hope you guys enjoy it just as much as I did. Kimberley: Thank you so much for being here, Crystal. This is a delight. Can you just share quickly anything about you that you want to share and what you do? Crystal: Sure. I'm a clinical psychologist at UNC Chapel Hill. I'm an Associate Director of the UNC Center for Women's Mood Disorders, where we provide treatment to people with reproductive hormones across the lifespan—starting in adolescence, going through pregnancy, postpartum, and all the way up through the transition to menopause. We also do research. My research focuses on how hormones trigger depression and anxiety symptoms in women. I do that by administering hormones, so actually giving women hormones and looking at the impact on their brain using brain imaging and then also studying specific symptoms that they have with that treatment. We've given hormones that mimic pregnancy and postpartum, and we also use hormones to treat symptoms as women transition through menopause and look at, like I said, how that impacts how their brain is responding to certain kinds of things in the environment and also how they report that changes their mood. WHAT IS PMS? AND WHAT IS THE DIFFERENCE BETWEEN PMS AND PMDD? Kimberley: Wow. You couldn't be more perfect for this episode. You've just confirmed it right there. Thank you for being here. Before we get started, mostly we're talking about what we call PMS, but I know that's actually maybe not even a very good clinical term and so forth. Can you share with us what is PMS and What is the difference btween PMS and PMDD? Crystal: Yeah. PMS stands for premenstrual syndrome. It actually is a medical diagnosis and it includes a host or a range of physical symptoms as well as some mild psychological symptoms. It can be things like breast tenderness or swelling, bloating, cramps, menstrual pain, as well as some anxiety, low mood, mood fluctuations. But those tend to be mild in a PMS diagnosis. PMS is really common in the general population. Some studies estimate 30, 40, 50% of women experience these symptoms. Very, very common. On the other hand, premenstrual dysphoric disorder is a condition that is associated with more severe depression and anxiety symptoms. The mood symptoms are more at the forefront, although those physiologic symptoms like the breast tenderness, swelling, pain, cramps can certainly be a part of it. HOW CAN WOMEN DISTINGUISH BETWEEN NORMAL PREMENSTRUAL SYMPTOMS AND THOSE ASSOCIATED WITH PMS OR PMDD? Most women with PMDD do have those physical symptoms as well. Pain is a commonly reported symptom in folks with PMDD, but the mood fluctuations are more severe. People spend about half their menstrual cycle usually with pretty severe symptoms. And then once the period starts, those symptoms go away in PMDD. That's actually part of the criteria for the disorder that the symptoms have to what we call clear out or remit soon after menstrual bleeding starts. So, that's for the formal diagnosis of PMDD. But then all sorts of people with anxiety or depression have what we call a premenstrual exacerbation of symptoms, so it's also possible to have, let's say generalized anxiety disorder or panic disorder, OCD, and have those symptoms get worse during certain periods of the menstrual cycle. We wouldn't say that that person has PMDD; they just have a premenstrual worsening of symptoms. For some women, that occurs during that time, the week or two leading up to a period, but others have symptoms that are more around ovulation. Other women have symptoms that persist through the period. That's the interesting thing. But also, the really complicated thing about this space is that there's so many individual differences where some people have symptoms that sometimes, but not others. And then if you look at symptoms across the menstrual cycle and the next person, it may show a totally different pattern. But then over time, that pattern is maintained. It is clearly a pattern and a function of hormone change, but it can look different between different people. PMS SYMPTOMS VS PMDD SYMPTOMS? Kimberley: Why is it so different for different people? Do we understand that yet, or do we not have enough research? Crystal: We don't have enough research. This is a relatively new area that one of my colleagues, Dr. Tory Eisenlohr, has been working on at the University of Illinois at Chicago. What she has been finding is that there are different subgroups or subtypes of people with this premenstrual worsening where, like I said, some people have it right before their period; others more around ovulation. Some people seem to have worsening symptoms when their hormone levels are going up. Other people have worsening symptoms when their hormone levels are going down. Some people have worsening symptoms anytime there's a fluctuation or change. That's what we see in my research as well. When I start administering hormones in some women, they almost immediately start experiencing anxiety and irritability. And then as soon as I take the hormone away, they feel better. Whereas other women feel terrible until their hormones even out again, and I've stopped messing with them so much. It's really individualized and it probably has something to do with genetic predisposition as well as early environment. It's this combination of factors. DOES ANXIETY INCREASE DURING PMS? Kimberley: Right. I could be so off base here, and please just tell me if I am. While we know it's chemical, hormonal, biological, and genetic, is there also a small percentage of people who have these shifts from a cognitive component to where they've maybe had some depressive symptoms in the past, and so that when it comes on, they're anxious about the symptoms coming on? Does anxiety increase during PMS? Is it as cognitive as well, or are you more looking at just the physiological piece? Crystal: Both, for sure. First of all, you're not way off base. That's totally what I see in the clinic, that as folks have had these experiences with hormonal shifts and they had some anxiety or symptoms of depression during those times, it raises concern as they go through those similar hormonal shifts in the future. It becomes, in some ways, a self-fulfilling prophecy. Like, “Oh my gosh, this time is going to be so horrible, I must prepare for it. Oh no, here it comes.” And then it is terrible because you're expecting it to be terrible on some level. TREATMENT OPTIONS FOR PMS AND PMDD Crystal: There are great treatment options for PMS and PMDD. That's what we do in cognitive behavioral therapy for these very symptoms, is working through some of those expectations about how things are going to be and what we can actually do to prepare for it so that it doesn't end up being bad just because we think it's going to be bad. But that's not to say that there isn't also a hormonal driver because for some people, there clearly is. Again, that's what makes this work so interesting and complicated, is that it's both for so many people. And that's what makes treatment somewhat complicated. CBT can go a long way toward helping with these symptoms. Not everybody, of course, can afford to access CBT. There are medication options as well, but the combination of these treatments seems to work the best for that reason. Kimberley: Yeah. CBT is good for so many things, isn't it? Crystal: Yeah. Kimberley: This is a perfect segue into questions I commonly get. I'm not a medical professional, everybody knows that. I'm a therapist. But people will often report to me that their doctor said, “There's nothing you can do. It's your hormones, it's your cycle. You have to ride it out and ride the PMDD or ride out your OCD or ride out your anxiety or your panic and just wait.” Would you agree with that? If so, or if not, what treatments would you encourage people to consider? Crystal: Okay, I want people to know that that is absolutely not true. If a medical provider tells you that, go see someone else because it's just not true. I actually hear the same thing all the time from my own patients and from our research participants too. They raised this concern with their physician; it wasn't taken seriously. That's why I do this work because I think it's really important. We do have good treatments that work. There are a whole bunch of different things that people can try. MEDICATIONS FOR PMDD + PMS Crystal: Because I mentioned there are different ways in which hormones influence mood symptoms across individuals, the unfortunate news is that we have certainly different medication for pmdd + pms treatments that work for a lot of people, but you have to work with a physician that you like to find the combination or the exact right treatment for you. It's not like a one-and-done where you would go in and say, “Okay, great, you're going to put me on this low-dose antidepressant and I will feel better and it will completely take care of this.” The thing that I would really encourage people to do is find a physician who's willing to work with them and see them regularly in the beginning, once every few weeks, or even more often as they try these different treatments to see what's going to work. I already mentioned cognitive behavioral therapy. That's a first-line treatment option for PMDD as well as for this premenstrual exacerbation or cyclic exacerbation of underlying anxiety or depression. The other thing that works well for PMDD is selective serotonin reuptake inhibitors. SSRIs that are used to treat depression and anxiety work well for PMDD but the mechanism is different, which is really interesting. A lot of people I hear from are reluctant to take SSRIs because they've heard that they're difficult to come off of eventually if they wanted to, that you can become dependent on them. The good news for PMDD, for people who are worried about those studies, is actually, you don't have any dependence on it because you only take it during that period of the menstrual cycle that's problematic for you. You can take it just those two weeks leading up to the beginning of your period and then stop taking it once the period starts. That has been shown to fully prevent PMDD symptoms in some women. And then some other people take it all the time, like around the whole menstrual cycle just because it's hard to remember to start it, or because they're not exactly sure when their period is going to start. If you're not super regular, it's hard to know and you might miss that window of opportunity to start it before the mood symptoms. That's another option. But SSRIs are another first-line treatment option. And then some women have really good success with oral contraceptives. Low-dose combined estrogen-progestin contraceptives are what's recommended. Yaz is the only one that's FDA-approved to treat PMDD, but it's not all that dissimilar from any other low-dose combined oral contraceptive. Sometimes it isn't covered by all insurances. If that one is not covered, I tell people to ask their doctor about what are the other alternatives because you shouldn't be paying tons and tons of money for your oral contraceptive. And then the other thing that often helps, for women who have some symptom relief with Yaz or other oral contraceptives, is to take it continuously because, as I mentioned, it is often that hormone change that seems to provoke symptoms in folks. If you don't have a period, then you don't have any hormone change. It's those placebo pills that cause a period, it's the switching from a low-dose hormone to then having that withdrawal of progestin that causes a period. But you don't medically need one. You can ask your doctor to prescribe the hormone continuously and not have a period at all. And that works well for a lot of folks with PMDD as well. And then you can combine all these different treatments. LIFESTYLE CHANGES TO HELP PMS ANXIETY + PMDD And then, in addition, some other non-pharmacologic lifestyle changes to help PMS anxiety and PMDD. Exercise has been shown to help. Regular exercise I think enhances all of our moods. It has the same effect within PMDD. There's some studies showing that taking calcium seems to reduce symptoms as well. For most of our patients, I just have them start taking a multivitamin and try to boost up that calcium a little bit. But like I said, a lot of people need a combination of treatments. Different SSRIs work in slightly different ways and may be more effective for some people than others. Just because the first SSRI doesn't work doesn't mean that you couldn't try another one. Again, it's just a matter of finding a physician that's willing to work with you to find the right combination and dose of these various treatments. Also possible for some people that none of these things work and those cyclic mood symptoms persist. And then there are other more invasive options for folks who don't have good success with any of these. Kimberley: Right. I have a couple of questions about that. You've just given us an amazing treatment plan, or treatment options for someone who is experiencing PMDD or they're having more onset of anxiety not to maybe that degree. I just want to clarify, for those who also have a chronic anxiety disorder, I'm assuming, but please again correct me, that they wouldn't be one of the people who should be coming off of their SSRIs; they should stay on them if you've got an additional psychiatric or a mental illness on the side. Crystal: Correct. I would never advise someone to come off of their SSRI if they're still having some breakthrough cyclicity in their symptom exacerbation. What I would suggest instead is to try adding on some of these other options. If you're already on an SSRI and not doing CBT, that's maybe where I would start, is to first track your mood symptoms relative to your period. This is a step that many people skip. The only way to diagnose PMDD, but also an important indicator for this cyclic exacerbation of symptoms, is to track every day your mood symptoms. You can just do this really easily on a calendar, even in the Notes app on your phone. I just have my patients make a mood rating of 0 to 10. 0 is feeling terrible, awful, worst I've ever felt; 10 is the best I've ever felt. It can be as simple as that. Or you can even use a smiley face symptom like, okay, feeling happy, feeling terrible. It doesn't have to be anything special. There are apps and things you can use as well to do this. But what we're looking for is a regular pattern of mood change relative to the menstrual cycle. Once you've established there is a regular pattern, then a CBT therapist can help you, like I said, prepare for those times and use some coping skills or strategies to manage those mood symptoms. But I think the treatments are largely the same for people with PMDD versus other anxiety and depressive disorders. But if you have more of a chronic picture that just has some change in symptoms around the menstrual cycle, then you wouldn't come off your SSRI. That's just for people with pure PMDD. CBT FOR PMDD and PMS ANXIETY Kimberley: I'm thinking about questions I'm assuming people will ask, and what comes to mind is, as myself as an OCD Specialist and as an anxiety specialist, we use CBT, but there are different types of CBT. We do a lot of exposure and response prevention for OCD and so forth. When we are talking about CBT, I want us to really be clear about what that looks like compared to all these other forms. What would that look like specific to somebody who has these symptoms, particularly around their menstrual cycle? Would it be more focused on the cognitive component or would it be an equal balance between managing cognitive distortions and behavioral activation? If we did behavioral activations, what would that look like? Crystal: I'm just going to lay my bias out on the table that I tend to lean more on the B side of CBT. I tend to be a behaviorist, and I do a lot of behavioral activation because, in my experience, it tends to work well in this space and for this population of folks. We do some behavioral planning. We track behaviors and mood symptoms. What did you do or not do when you were having that feeling of frustration or irritability and how did that work out for you? We get pretty in the weeds of like, what did you say, and then what happened next, and that sort of thing, and then we figure out like, okay, how do we prevent this kind of exchange from happening in the future when you're feeling really frustrated or irritable, if it caused problems, because sometimes it doesn't. Sometimes anger, frustration, or irritability serves as fuel to make a behavior change that needs to be made. It's a signal that something isn't working well. I don't want to pathologize all negative emotions because they're not always bad. Anyways, we look at what happened and where are the points at which we could have intervened and we rewind back in time to say, “Okay, how did you sleep the night before that thing happened that didn't go so well? Were you eating that day? What was that like? Were you already pretty depleted going into this negative interaction with your boss?” How do we prepare for the next cycle to make sure that you are allotting enough time to sleep and protecting that sleep time, not staying up super late, getting emails done or something, but really taking good care of yourself, eating well, drinking enough water, taking care of yourself the way you would take care of a child? And then from there, we talk about, “Okay, let's say this frustrating thing happens again and you're noticing yourself getting anxious or frustrated in that moment. What are some tools or skills we could use to respond?” Here, we might use something like taking a break, like, “All right, I noticed I'm getting really upset. I need to take a break from this interaction so that I don't say something that I might regret.” We might practice a skill like, “Thank you for that feedback. I'm feeling myself just getting flustered. I'm going to take five minutes and then I'd like to come back and have this conversation with you later, or an hour,” or “Can we come back and have this conversation next week,” depending on what it is and how out of sorts the person is feeling. And then using some skills to calm down. These might be mindfulness skills or any kind of self-care, emotion regulation skill that a person could use. We tend to start with skills that folks have already had good success with. I'm not teaching Buddhist meditation on the first day of treatment, but instead, it might be simple things like, “Oh, I feel better when I get some sunshine and take a walk outside,” so that might be a good skill we could just use right off the bat. It's pretty skill-based. And then we create a behavioral plan around that time of the month that tends to be more problematic so that we can keep people feeling well and well supported. A lot of times, that's all it takes. It doesn't require much more than that. Kimberley: I love that. I love that you're bringing in the mindfulness piece and a lot of self-care. This is really more of a question of curiosity, but I remember as a young teen, having a lot of PMS, being told you have to drink a lot of water. Is that like an old wives' tale? Because now I'm telling my daughter. I'm curious, is that an old wives' tale or is that actually a treatment or a part of the work? Crystal: I don't know. I mean, I think Americans probably go a little overboard on water consumption, but I think it's a good part of self-care to stay well-hydrated as well as well-fed and well-rested. You do lose some water through menstruation, and so it's probably good practice in general just to keep yourself well hydrated. That doesn't mean drinking a certain amount of water every day, but just noticing when you're thirsty and drinking something when you are. Kimberley: Okay, I'll be better about that because, like I said, as I tell my daughter, I'm always like, “This is probably an old wives' tale.” Maybe we could talk this one through together. Let's say I'm treating somebody. They've got severe OCD, severe panic disorder or severe health anxiety, severe social anxiety. They know and they've tracked using an app or, as you said, the notes on their phone or on paper, they've tracked it. They know around approximately that such and such day of the month, they're going to probably have an onset of treatment. How prepared should they be in terms of what would that preparation time look like? Is there a strategy you would give people? I know for us, on the clinical side, I'm amping up homework skills for them to manage the actual disorder, but is there something they could be doing on the PMS side that we should remember to do? Crystal: I think it's in my mind really specific to the individual and the symptoms that they're having that they find tend to get worse as well as the physical symptoms. If they're having a lot of pain around that time, then we want to also work on some pain management. Because when you're feeling a lot of pain, that can make your anxiety worse. That would be something I would think about in addition to the standardized ramping up of homework that you would ordinarily be doing. Pain management can again look more like mindfulness, some meditative practice, or it can mean talking with one's doctor about how to manage pain because there are non-addictive ways of managing pain as well. Kimberley: Right. You mentioned before talking to your doctor. Are you speaking specifically about just a GP or should they be going more to a reproductive doctor, OB-GYN? What kind of medical professional would you encourage people to reach out to? Crystal: I think if you have a doctor that you trust, whether it's a GP, OB-GYN, or even a psychiatrist, all of those are good options. Any of them can help treat these symptoms. Sometimes if the symptoms are really severe, then going to a specialist in reproductive mental health—that person would be a psychiatrist—can be helpful. There aren't that many of us out there though. I have a number of really wonderful colleagues that I work alongside in our clinic and we treat patients together. I provide the psychotherapy and then they provide the pharmacotherapy and then I also have an OB-GYN on the team who provides the hormonal treatment. Not everyone can access this highly skilled team, however, and I do recognize that. I think starting with a GP or your OB-GYN is a good place to start. Again, if they're not as knowledgeable as they need to be and they're telling you, you just have to suck it up and deal with it, that's not the right person. Kimberley: I appreciate you saying that because I do think—I'll be transparent—even to get somebody as skilled as yourself on the show for this was a really difficult thing. I was surprised how few people really understand it and are knowledgeable about the treatment options. It was harder than I thought and I'm so grateful for you to be here and talk about it with us. Crystal: I'm really sorry to hear that. I think there are a growing number of people interested in this, and I have a number of wonderful colleagues. But like you mentioned, there aren't that many of us out there. The bright spot, I would say, is that we have a training program at UNC Chapel Hill with lots and lots of applicants every year. We're training clinical psychologists and social workers and psychiatrists to do this work. Kimberley: Amazing. Thank you. Last question: Any final advice you would give someone who is experiencing symptoms of PMS and PMDD in regards to getting better or seeking treatment and help? LAST PIECE OF ADVICE FROM CRYSTAL Crystal: You're not alone. It's not all in your head. You deserve access to treatments that work. There are lots of treatments that work. Unfortunately, our medical system is really complex and sometimes you have to really advocate for yourself in this space. But if you are persistent and know what you're looking for in a provider, you, I hope, will be able to find one that can be a good advocate and supporter of you to recovery because you don't have to experience these symptoms by yourself or forever. Kimberley: Thank you so much for saying that. I think a lot of people feel like they're crazy or they've been told they're being crazy, which doesn't help. Crystal: Yeah. I mean, the word “hysteria” came from studying or psychiatrists working with women who they felt were hysterical and their uterus was traveling around their bodies. The roots of all of this are in this really misogynistic place where many of us are working really hard to overcome that unfortunate history, but there's often still a lot of stigma and misinformation out there. Kimberley: I remember in my master's degree, that was the first part of the history of Psychology, that women who were just having PMS were being totally hyper-pathologized. Horrible. Crystal: Yeah. Really horrible. I hope that the work that we do makes a difference. I'm so glad that you're tackling this topic on your podcast. I think this will, I hope, reach a lot of people. Kimberley: Thank you. Can you tell us where people can get ahold of you, where they might learn about you and the work that you're doing? Crystal: Yeah. I have a website, it's CrystalSchiller.com. C-R-Y-S-T-A-L S-C-H-I-L-L-E-R.com. I'm actually starting to write a book on this topic, so I really appreciate you reaching out and to know that people have questions about this because that's what I see where I'm at too. And then the UNC Center for Women's Mood Disorders, if you just Google that, you'll find our website and you can read more about the different research studies that we're doing and about our treatment program as well. Kimberley: Thank you so much and congratulations on writing a book. It's a big challenge and a big accomplishment. Crystal: Thanks. Kimberley: Thank you so much for coming on. It's been an absolute pleasure.Crystal: It was wonderful being with you today. Thank you so much. Take care.
Jasmine Soliman is an archivist. She started her work on the Akkasah Photography Archive (now part of the al Mawrid Center for Arab Art at New York University (NYU)-Abu Dhabi) in 2016. Prior to that, she worked as an archivist at the German Archaeological Institute in Cairo, beginning in 2013, and formerly was a business development professional working largely in the Middle East. Her work focuses on collection appraisal and management, cataloging and descriptive vocabularies, website UX/UI design, and social media outreach. She collaborates with the al Mawrid team to oversee the physical and digital collections, and works closely with the NYU Digital Library Technology Services Team and the website teams at NYU Shanghai and Abu Dhabi, as well as with the general public as they use the collections. She has presented her work at MELCOM, UNC Center for Middle East and Islamic Studies, Sharjah Art Foundation and The British Library. She endeavors to create archives that are inclusive and accessible to all in their design and function, and considerate of socioeconomic status and physical ability. She is the Founder of RepCinema.com which highlights repertory cinema screenings in the UAE and London and highlights of her work can be found at JasmineSoliman.com
#263 Best Of 2022. Dr. Drossman received gastroenterology training at the University of North Carolina where he founded the UNC Center for Functional GI and Motility Disorders. Dr Drossman is currently the Professor Emeritus of Medicine and Psychiatry in Gastroenterology at UNC. He is a Fellow of the American College of Physicians, a Master of the American College of Gastroenterology, Past-President of the American Psychosomatic Society (1997). Dr. Drossman has established multiple organizations to advance patient-centered education and treatment of Disorders of Gut-Brain Interaction (DGBI). He founded the Rome Foundation, and served as president until 2019, and is currently the President Emeritus and Chief of Operations. He has served as Senior Editor of Rome I, II, III, IV and is co-senior editor of Rome V to be released in 2026. As a gastroenterologist, Dr. Drossman consults or manages the care of difficult-to-diagnose and -treat patients with DGBIs. As Founder and President of DrossmanCare (Center for Education and Practice of Biopsychosocial Care) Dr. Drossman produces educational materials to teach communication skills and patient-centered care. He has published peer-reviewed articles and videotapes on medical interviewing and the patient-doctor relationship. He also facilitates workshops and communication skills training programs and has received numerous awards, as an educator and practitioner. Most recently he co-authored a book with a patient advocate called Gut Feelings: Disorders of Gut-Brain Interaction and the Patient-Doctor Relationship for patients and clinicians. Dr. Drossman has written over 500 articles and book chapters serves on six editorial and advisory boards, was Associate Editor of the journal Gastroenterology and was the Gastroenterology Section Editor of the Merck Manual for 17 years. His research relates to the clinical, epidemiological, psychosocial, and treatment aspects of gastrointestinal disorders, and he has been principal investigator in several NIH-funded epidemiological outcomes, clinical trials, and abuse grants in DGBI and has done brain imaging in IBS. In this episode we cover: What is constipation The different types of constipation - including primary and secondary Dyssynergic defecation - drivers and signs and symptoms What investigations are carried out by a gastroenterologist to confirm this Treatments commonly recommended or administered by gastroenterologists or GI motility specialists Why effective communication skills and patient-centered care are needed What are some ways that patients can improve their communication with doctors Get your hands on the book Gut feelings And so much more
In this episode, we present the “Affirmative Action and the Supreme Court: What's at Stake?” panel that took place Oct. 13, during the 48th American Association for Access, Equity and Diversity (AAAED) National Conference & Annual Meeting — themed Building an Infrastructure for Equitable and Sustainable Change. Moderated by your host Dr. Jamal Watson, the panel discusses the latest challenge before the U.S. Supreme Court against race-conscious admission policies at the University of North Carolina and Harvard University. Could the rulings in these cases effectively lead to the end of affirmative action in higher education as we know it? And what would that mean for other racial equity work being done? PANELISTS: David Hinojosa, Director of Education Opportunities Project Lawyers' Committee for Civil Rights Under Law Theodore M. Shaw, Julius L. Chambers Distinguished Professor of Law & Director of the UNC Center for Civil Rights, UNC School of Law Carol R. Ashley, Of Counsel, Jackson Lewis PC KEY POINTS: - What is threatened by the potential decision to end affirmative action? - Are DEI and affirmative action the same? - Can you separate race from a student? - How to support race-conscious admissions in higher education - Should the focus be on socioeconomic status rather than race? QUOTABLES: “The notion of no longer needing to include race-conscious measures or pursue them is really a remedial notion.” “Affirmative action is not the silver bullet. It's not going to resolve all the inequities. But it's incredibly important, given the history and legacy of this country's own denial of opportunity equal opportunity for all.” OTHER RESOURCES: AAAED 48th Annual Conference The Debate About Critical Race Theory - Implications for Diversity, Equity and Inclusion in the Workplace, sponsored by the Fund for Leadership, Equity, Access and Diversity (LEAD Fund) | (diverseeducation.com) PRODUCTS / RESOURCES: Watch this video and others on our YouTube channel: youtube.com/user/Diversediversedivers Visit the Diverse: Issues In Higher Education website: diverseeducation.com Or follow us on social media: Twitter: twitter.com/diverseissues Instagram: instagram.com/diverseissuesinhighereducation Facebook: facebook.com/DiverseIssuesInHigherEducation/ Linkedin: linkedin.com/company/diverse-issues-in-higher-education Transcription services are available upon request. Please drop us a line here. In The Margins is produced by Diverse: Issues In Higher Education and edited by Instapodcasts (visit at instapodcasts.com)
On Monday, October 31, 2022, the Supreme Court heard oral arguments for more than five hours in Students for Fair Admissions v. University of North Carolina, and Students for Fair Admissions v. President and Fellows of Harvard. In this pair of cases, the Supreme Court will assess whether the schools are violating the Equal Protection Clause by using race as a factor in admissions. Ted Shaw of the UNC Center for Civil Rights and David Bernstein of Antonin Scalia Law School at George Mason University join Jeffrey Rosen to recap the arguments in the case—including the specific questions asked by each of the justices; to discuss how the court will rule next year when it decides the cases; and what the ruling might mean for the interpretation of the 14th Amendment and equality and diversity in high education and American society going forward. · Listen to “Affirmative Action and the 14th Amendment – Part 1” Questions or comments about the show? Email us at podcast@constitutioncenter.org. Continue today's conversation on Facebook and Twitter using @ConstitutionCtr. Sign up to receive Constitution Weekly, our email roundup of constitutional news and debate, at bit.ly/constitutionweekly. You can find transcripts for each episode on the podcast pages in our Media Library.
On Monday, October 31, 2022, the Supreme Court will hear oral arguments in Students for Fair Admissions v. University of North Carolina, and Students for Fair Admissions v. President and Fellows of Harvard. In this pair of cases, the Supreme Court will assess whether the schools are violating the Equal Protection Clause by using race as a factor in admissions. Ted Shaw of the UNC Center for Civil Rights and David Bernstein of Antonin Scalia Law School at George Mason University join Jeffrey Rosen to examine the text, history, and original understanding of the 14th Amendment and how it relates to affirmative action. Questions or comments about the show? Email us at podcast@constitutioncenter.org. Continue today's conversation on Facebook and Twitter using @ConstitutionCtr. Sign up to receive Constitution Weekly, our email roundup of constitutional news and debate, at bit.ly/constitutionweekly. You can find transcripts for each episode on the podcast pages in our Media Library.
In recent episodes of this podcast we've explored the policies and practices of the social media platforms with regard to elections. In this week's episode, we'll hear two segments on this theme. First, an interview with Daniel Kriess, an Associate Professor in the Hussman School of Journalism and Media at the University of North Carolina at Chapel Hill and a principal researcher at the UNC Center for Information, Technology, and Public Life. With Ph.D candidate Erik Brooks, Daniel is the author of https://techpolicy.press/looking-to-the-midterms-the-state-of-platform-policies-on-u-s-political-speech/ (Looking to the Midterms: The State of Platform Policies on U.S. Political Speech), a recent post at Tech Policy Press. In the second segment, we zoom out and discuss the trajectory of tech company policies on elections over the last twenty six years with Katie Harbath and Collier Fernekes, authors of a https://bipartisanpolicy.org/report/history-tech-elections/ (recent report) for the Bipartisan Policy Center that was based on an archive of public announcements made by the firms. Katie is a former Facebook public policy director and now leads Anchor Change, a consultancy she started after leaving the tech company. Collier is a research analyst at the Bipartisan Policy Center.
Interviewer info Lyssa Rome is a speech-language pathologist in the San Francisco Bay Area. She is on staff at the Aphasia Center of California, where she facilitates groups. She owns an LPAA-focused private practice and specializes in working with people with aphasia, dysarthria, and other neurogenic communication impairments. She has worked in acute hospital, skilled nursing, and continuum of care settings. Prior to becoming an SLP, Lyssa was a public radio journalist, editor, and podcast producer. Guest bios Melinda Corwin is a university distinguished professor and clinical supervisor at the Texas Tech University Health Sciences Center (TTUHSC) Department of Speech, Language, and Hearing Sciences, where she has worked since 1994. Prior to her university position, she worked as a hospital speech-language pathologist. She directs the Stroke & Aphasia Recovery (STAR) Program, a community outreach program in Lubbock, Texas, for persons with aphasia and their families. Brooke Hallowell is professor and dean of health sciences at Springfield College. Brooke is a specialist in neurogenic communication disorders, and has been working clinically, teaching future clinicians, and engaging in research on aphasia for 25 years. She is known for transnational research collaboration, academic and clinical program development, and global health programming in underserved regions of the world. A pioneer in using eyetracking and pupillometry to study cognition and language in adults, she holds patents on associated technology. Professor Hallowell is the author of Aphasia and Other Acquired Neurogenic Language Disorders: A Guide for Clinical Excellence. Listener Take-aways In today's episode you will: Identify key differences between clinician-centered care and person-centered care. Understand gaps in current training regarding the Life Participation Approach. Learn about the Aphasia Access knowledge course. Edited show notes Lyssa Rome Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Lyssa Rome. I'm a speech language pathologist on staff at the Aphasia Center of California, and I see clients with aphasia and other neurogenic communication impairments in my LPAA focused private practice. Aphasia Access strives to provide members with information, inspiration and ideas that support their aphasia care through a variety of educational materials and resources. I'm pleased to be joining the podcast as today's host for an episode that will feature Melinda Corwin and Brooke Halliwell. We'll be discussing Aphasia Access's new online project, Person-Centered Care: The Life Participation Approach to Aphasia Knowledge Course, which debuts this month, I had the pleasure of playing a small role in this project as the narrator for the course. Melinda Corwin is a University Distinguished Professor and clinical supervisor at the Texas Tech University Health Sciences Center Department of Speech, Language and Hearing Sciences, where she has worked since 1994. Prior to her university position, she worked as a hospital speech language pathologist. She directs the Stroke and Aphasia Recovery, or STAR, program, a community outreach program in Lubbock, Texas, for persons with aphasia and their families. Brooke Hallowell is a professor and dean of health sciences at Springfield College. Brooke is a specialist in neurogenic communication disorders and has been working clinically, teaching future clinicians, and engaging in research on aphasia for 25 years. She is known for transnational research collaboration, academic and clinical program development, and global health programming in underserved regions of the world. A pioneer in using eye tracking and pupillometry to study cognition and language and adults, she holds patents on associated Technology. Professor Halliwell is the author of Aphasia and Other Acquired Neurogenic Language Disorders: A Guide for Clinical Excellence, Second Edition. Thank you for joining me. I wanted to start with an “aha moment,” anything that stands out for you in terms of the Life Participation Approach. Who would like to start? Melinda Corwin So, at our university, I got to meet a man who was in his 60s, he had survived a stroke two years prior, he was single and living in a long term care facility. He didn't have any family locally. He came to our university community outreach program for people with aphasia. And after about six months of being with us, he confided to his student clinician one day that he wondered if he could work out a payment plan to pay for throat surgery to fix his problems with speech and communication. And we realized that he did not understand the nature of aphasia. He actually thought there was a surgery available to fix or cure it, and that because he was low income, he didn't have the money to afford it. That was my aha moment, where I realized that we had failed him, our system had failed him. This man deserved to have access to his health information regarding his diagnosis, his condition, his prognosis, and he didn't get that as part of his ability to participate in his life and in his health care plan. And I knew we could do better. And so I found colleagues and friends through Aphasia Access, and I'm really hoping and working towards a systemic change for that reason. Lyssa Rome Thank you. Brooke, what about you? Brooke Hallowell Well, I continue to have aha moments. For for me, one that stands out relates to my role as an educator and a person who teaches courses in aphasia and author to support learning and future clinicians who will be working with people who have aphasia. It was hard for many of us who were raised with a focus on medical and impairment-based, deficit-focused models of aphasia, to integrate our appreciation for foci on life participation with how we were taught, and may have previously taught and mentored our students. It's as if, for many of us, the recognition of how essential it is for us to embrace life participation was there long before we had a good grasp on how to integrate life participation holistically into our educational content. We wanted to make sure our students knew about medical, neuroscientific, neuropsychological, psycholinguistic, etc., aspects of aphasia, and we wanted to make sure they knew about the theoretical underpinnings of aphasia-related content. So if you think about what we can cover in a course, in our limited time with future clinicians, we felt and still do just never have sufficient time to delve into some of the really critical life participation content. So for me it kind of aha moment. Although I gotta say it wasn't. So sudden as a flash at a single moment in time, maybe an aha phase. It relates to the importance of helping current and future clinicians embrace that we all need to be able to hold several conceptual frameworks about aphasia in our minds at the same time, and that by understanding and appreciating multiple perspectives, we didn't have to necessarily choose one over the other. We didn't have to argue about which models were better than others, or whether working on impairment level deficits was somehow not essential to life participation. Once that realization was clear within me, I found that it was easier to integrate life participation and the ICF framework through our all of our discussions and teaching about aphasia and other disorders as well. Many of us invested in life participation approaches have supported one another in that sort of integration of multiple frameworks in our thinking, and in our work. Aphasia Access has been a powerful force in that regard. The mutual support to hold life participation paramount, no matter what are other theoretical perspectives, and medical or non-medical orientations. Lyssa Rome Thank you. I think that leads really nicely, actually, into this topic of the knowledge course that that Aphasia Access has developed and that's debuting this month. So can you tell us a little bit more about the project and how it began? Melinda Corwin The project began with the plight of both people with aphasia and speech language pathologist. Of course, SLPs know that people with aphasia want to participate in life, which means their current life as a patient, or in their life when they go back home and their life years into the future. The plight for speech language pathologists is that they face enormous time limitations, insurance reimbursement constraints, they have increased workload across all the different healthcare systems and settings. And so providing true person-centered care, health equity, and personalized goals for each person that we serve can feel almost impossible. This challenge was so pervasive that it appeared in a comprehensive report written by Nina Simmons-Mackie in 2018, called Aphasia in North America, and it's available from Aphasia Access. In her report, she listed the gap areas and so we really wanted to focus on gap area number five, which is related to insufficient attention to life participation across the continuum of care. And also gap area number six, which is related to insufficient training and protocols or guidelines to aid speech language pathologists and other health care professionals in the implementation of this participation-oriented intervention across the continuum of care. So the year that her report came out a team of aphasia clinicians, researchers, and program providers mobilized to invent a product to concretely try to address these gap areas. We wanted to offer busy clinicians and healthcare professionals training that they wouldn't have to travel to, and something that was more than a webinar. We did a lot of research to produce the learning experience, and we tried to provide the most contemporary, interactive learning methods for adults. Our beta testers have said that they have found the course to be different and highly valuable. Lyssa Rome So I think obviously, there's this big need. And I'm wondering, Brooke, maybe if you could speak a little bit more to how this person-centered care approach can support the goals of increasing life participation, and maybe differentiate a little bit between clinician-centered care and person-centered care for people with aphasia? Brooke Hallowell Sure. In clinician-centered care, the clinician is really in charge of all aspects of intervention. The clinician is the boss. The clinician decides what will be assessed and how it will be assessed. The clinician interprets the assessment results. And from that, sets goals for the person with aphasia. And the clinician decides on the treatment methods that will be used to reach those goals. And that's very different from person-centered care, where the person and the clinician are collaborators from the start, they work together to determine priorities for what that person really wants to be able to do in life and how communication affects what a person wants to do. In person-centered care, the person's priorities are really the primary focus of assessment and goal setting and every aspect of intervention. And the person and the clinician set goals collaboratively, often including other people that are important in that person's life. And together, they collaborate in selecting what goals will get prioritized, and what the context is for working on those goals that's most relevant to the person. So the person's priorities are at the heart of our work in person-centered care. We clinicians collaborate with the person, and those people who are important to the person, at every stage of goal setting, assessment, treatment planning, etc. Lyssa Rome So thinking about person-centered care, I'm wondering if you can describe a little bit more about the goals of this knowledge course and how they relate to person-centered care. Brooke Hallowell Sure, the overarching goal is to provide learners with foundational, verifiable knowledge that's critical for providing person-centered care. Person-centered care is a universal and global need for people who have aphasia, and those who are important in their lives. The Life Participation Approach is fundamental to this wish that clinicians worldwide have for people with aphasia. That's increased participation in life regardless of race, ethnicity, gender, gender expression, national origin, geographic location, religious or other beliefs—regardless of any individual differences. This course is the first in a series. The knowledge course consists of eight online, self-paced interactive modules, each of which contains three specific learning objectives. The knowledge course is a standardized way that clinicians—from novices to experienced clinicians—can be formally recognized as a Life Participation Approach professional. When a person successfully completes the course, they earn an eBadge, a certificate, and an optional 2.5 continuing education credits for those who are members of the American Speech Language Hearing Association. Next year, Aphasia Access will release the second in the series: the practice course. That course will build on the fundamentals of the knowledge course, passing that course will lead to the award of a second badge focused on implementation strategies across care settings. Every course module is designed to provide practical suggestions, graphics, dynamic video clips, and interactive and reflective activities to help key concepts come alive. Lyssa Rome Tell us a little bit more about the content team. Who worked on this badge project? Melinda Corwin This is Melinda and it's been an honor to serve as the content team manager for the project. For the knowledge course we had eight members on our team. Our lead author is Nina Simmons-Mackie, who's a professor emeritus at Southeastern Louisiana University. Of course, Brooke Hallowell, who as you said, is professor and dean of health sciences at Springfield College. Brooke also secured a grant to help with funding portions of this project and we could not have done it without her. And our other team members include Katarina Haley, who is a professor at the University of North Carolina at Chapel Hill, and she directs the UNC Center for Aphasia and Related Disorders. Mary Hildebrand is a recently retired associate professor and program director of the occupational therapy department at Massachusetts General Hospital or MGH Institute of Health Professions. Jacqueline Laures-Gore is an associate professor of communication sciences and disorders at Georgia State University. We have Marjorie Nicholas, who's the chair of the communication sciences and disorders department at MGH Institute of Health Professions in Boston. And last but not least, our project manager Kathryn Shelley. She is co-founder and current grants director of the Aphasia Center of West Texas, and she's also a former president of Aphasia Access, and this course would not be possible without Kathryn's guidance. Lyssa Rome Tell us a little bit more about what the benefits are of having this eBadge or taking this course. Brooke Hallowell Sure, this is Brooke. The badge is going to convey to others that the participant has a firm foundation of person-centered care, which is, as we know, at the heart of the life participation approach. So benefits include delivering equitable, person-centered care through collaborative goal setting and intervention, improving success for people with aphasia, and those who care about them and helping specific care settings meet communication access mandates. When an eBadge is displayed in an email signature, or on social media, there'll be a clickable link. And that will help employers, or colleagues, or the people that we serve, even friends and family, link to a full description of what it means to have earned that eBadge. Lyssa Rome Great. Many of the professionals who are involved in Aphasia Access are experts in the life participation approach. So why would they want to take this course to document their knowledge? Melinda Corwin This is Melinda. Well, by devoting personal time, energy, and resources to earn an eBadge, it's an efficient way to let others know that we share a common goal to provide patient-centered care across the continuum of care. And regardless of what setting a particular professional is in, whether they're in an acute care hospital, inpatient rehabilitation, outpatient rehab, home health, or community-level aphasia program, or group, these eBadge holders will be able to identify each other. I'm a university professor and director of an aphasia community outreach program. I've been trying to teach and use the Life Participation Approach for several years, and I've wanted to spread the word with other speech language pathologists. So by adding this symbol to my email signature, I hope that colleagues will click on the eBadge and see what I've been up to. My decision to display the eBadge is my way to help make system change possible, I envision a day in which all healthcare providers will aspire to provide patient-centered care, essentially from the ambulance ride to the emergency center, all the way to the person's return to home and community. Lyssa Rome The benefits of this seem really clear. But will this eBadge or certificate be required for a clinician to to employ a person-centered or life participation approach to aphasia? Brooke? Brooke Hallowell Oh, no, definitely not. I have to chime in on that. We know that many clinicians are deeply engaged in this approach. And many have adhered to this approach for years and in ways that may not have been labeled expressly as life participation approach. Still, based on gaps that we know exists in our current healthcare and community settings, we hope that the eBadge will really help clinicians showcase their knowledge to employers and peers and the people they serve. Engaging in the course itself can provide support for students and clinicians who want to consider life participation constructs, perhaps more deeply or in new ways. And as Melinda was just intimating, it's also a means of confirming shared values about life participation amongst us. Lyssa Rome So when people have completed this course, how is that displayed as an eBadge? Melinda, maybe you can take that one? Melinda Corwin Yes. So it'll be in the person's email signature line, if they choose to place it there. And the eBadge is from a company called Credly, which enables anyone to click on the badge icon and be taken to a website that explains exactly what training the person completed to earn that eBadge. Brooke Hallowell Yeah, and it's so easy to register for the course, just go to the Aphasia Access website. That's www.aphasiaaccess.org. From there, you'll see the link to the knowledge course on the homepage. And that will take you to our new Aphasia Access Academy, which is the new home for all of our educational experiences. There is a cost. The cost for Aphasia Access members is $129. And for non-members, it's $179. And if you're not already an Aphasia Access member, your enrollment in the course includes a one year, first-time membership. So it's really a wonderful way to experience so many benefits of our Aphasia Access membership and network. We have our Brag and Steal events, the distinguished lecture series, shared free resources, there's a discount registration for the Leadership Summit, and there are also on-demand pre-recorded webinars. So all of that comes along with that membership. Lyssa Rome Well, I'm really excited about this course. And I appreciate your sharing more details about it. And I'm wondering if there are any last thoughts that you'd like to share with our listeners? Brooke Hallowell Yeah, this is Brooke, I would just I've been reflecting as we've had this conversation today about how amazing it was to work with this collaborative team in developing the course. You know, I think all of us who have been involved in this from the beginning felt like we were already expert in the life participation approach. There isn't that much more to learn. But in fact, there was a tremendous amount of dynamic discussion, argumentation, passionate discussion about the various aspects of the life participation and how to portray it, how to talk about it, and what terms to use and not use. So I feel like I grew tremendously from the process of the course development. And I think a lot of that, I certainly hope that a lot of that comes out to people who participate in the course. So even if you think you're already expert in it, I'd still recommend that you give it a try for all the reasons that we talked about, and including that there's always more for all of us to learn about this approach. Lyssa Rome So true. Brooke Hallowell and Melinda Corwin, thank you for being our guests on this podcast. For more information on Aphasia Access and to access our growing library of materials, go to www.aphasiaaccess.org. For a more user-friendly experience, members can sign up for the Aphasia Access Academy, which is free and provides resources searchable by topic or author. If you have an idea for a future podcast series topic, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access. References and Resources http://www.aphasiaaccessacademy.org/ www.AphasiaAccess.org/knowledgebadge/
Does music have the power to impact your mental and physical health? Can you use music and sound to reach beyond your traditional therapy? MEET Joyu LeeFellow of the Association for Music and Imagery, Narrative Therapist MM, NMT, MT-BC Joyu Lee (she/her), is the owner of Music and Your Mind, LLC, and a founding member of Vida Strings. She is a Senior Therapist at UNC Health in Chapel Hill, NC, and primarily works with teens and young adults with eating disorders, anxiety and depression, and crisis intervention. She is also a music therapist at Pasadenavilla Outpatient treatment center and provides re-educative, insight-building music psychotherapy sessions for groups and individuals on a daily basis. Joyu is a passionate and experienced therapist with 20+ years of combined international experience in creative/expressive arts therapy, cello performance, music education, and arts administration. She is trained in the Bonny Method Guided Imagery and Music (GIM- Music Psychotherapy) and is a Fellow of the Association for Music and Imagery. Joyu was mentored by Dr. Dag Körlin as an independent “Music Breathing” practitioner and completed the Narrative Therapy Certification through Narrative Therapy Initiative (NTI) in May 2022. Since 2018, she has facilitated "Music Care", and trauma-informed workshops at the National Bornoff Workshop at the University of Kansas, NC State University, Meredith College, Durham Crisis Response Center, UNC Health, Queens University, and Current Wellness. Joyu has presented in SER-AMTA regional conferences in 2021 and 2022 and was the keynote speaker presenting on "Radical Listening" in 2022. Joyu was the recipient of the 2022 Innovation Award at the Rehabilitation Department of UNC Health, and the recipient of the 2021 "Linda Keiser Mardis Education" research grant. She is the primary investigator for the ongoing Music Breathing research at the UNC Center of Excellence for eating disorders inpatient unit (2021-2022). Joyu has developed and presented the new music program "Finding Meaning" at the International Association for Music and Imagery conference in Philadelphia, USA, in 2021, and will be presenting at the European Association for Music and Imagery in Denmark, in September 2022. Joyu completed her Music Therapy degree from Appalachian State University (Boone, NC) and has been a Board-Certified Music Therapist (MT-BC) since 2014. She received a BM in Cello Performance from the National Taiwan Normal University, and a MM in Cello Performance from the Cleveland Institute of Music (Cleveland, OH). Find out more athttps://subtleyoga.com/ ( )https://www.musicandyourmind.com/ (Music And Your Mind) and connect with Joyu on https://www.instagram.com/musicandyourmind/ (Instagram). IN THIS PODCAST:What are the healing benefits of music therapy? 4:12 How to use mindfulness with music 10:32 Using music therapy when dealing with depression 20:33 Guided imagery in music therapy 26:30 What Are The Healing Benefits Of Music Therapy?What is music therapy? How do you as an individual interact with music in your everyday life How to incorporate music into your daily routine How to use music and the breath for healing benefits How To Use Mindfulness With Music Focusing on the elements of the music How to monitor your headspace Being intentional when listening to music How to use music therapy with trauma Using Music Therapy When Dealing With DepressionLearning to reconnect with music when dealing with depression Using a minimalistic approach with music therapy and depression Integrating other creative outlets along with music therapy Learning to invite your clients into the process of music therapy Guided Imagery In Music TherapyWhat is guided imagery? How to use guided imagery in one on one client sessions Understanding the importance of music selection in this practice Guided imagery walk-through with a cello performance Connect With...
Biography. Ted Shaw is the Julius L. Chambers Distinguished Professor of Law and the Director of the UNC Center for Civil Rights. Shaw teaches Civil Procedure and Advanced Constitutional Law. Lawyer and professor Theodore Michael Shaw was born on November 24, 1954 in New York City to Theodore and Jean Audrey Churchill Shaw. He received his B.A. degree from Wesleyan University in 1976 and his J.D. degree from the Columbia University School of Law in 1979, where he was a Charles Evans Hughes Fellow. Upon graduation, Shaw worked as a trial attorney in the Civil Rights Division of the United States Department of Justice from 1979 until 1982. He then joined the NAACP Legal Defense Fund (LDF) as an assistant counsel and director of the Education Docket in 1982. In 1987, Shaw established LDF's Western Regional Office in Los Angeles, and served as its Western Regional Counsel. In 1990, he left LDF to join the faculty of the University of Michigan Law School, where he taught constitutional law, civil procedure, and civil rights. In 1993, on a leave of absence from Michigan, he rejoined LDF as associate director-counsel. Shaw was lead counsel in a coalition that represented African American and Latino student-intervenors in the University of Michigan undergraduate affirmative action admissions case, Gratz v. Bollinger. On May 1, 2004, Shaw became the fifth director-counsel and president of LDF after Elaine Jones retired, where he served until 2008. He then joined the law firm of Norton Rose Fulbright, where he is “Of Counsel.” Shaw is also professor of professional practice at Columbia Law School and has held rotating chairs at the City University of New York School of Law and Temple University's James E. Beasley School of Law. Shaw has testified before Congress and state legislatures on numerous occasions. He has been a frequent guest on television and radio programs, and has published numerous newspaper, magazine and law review articles. He also has traveled and lectured extensively on civil rights and human rights in Europe, South Africa, South America, and Japan. Shaw serves on the Boards of the American Constitution Society, Common Sense, The Equal Rights Trust (London, England), The International Center for Transitional Justice, The New Press, the Poverty and Race Research Action Council, the Wesleyan University Center for Prison Education, and the Board of Deacons of the Abyssinian Baptist Church in the City of New York. He also serves on the Legal Advisory Network of the European Roma Rights Council, and served on Wesleyan University's Board of Trustees for fifteen years. Shaw has received numerous awards, honors, and citations. He was an Aspen Institute Fellow on Law and Society in 1987; a Twenty-first Century Trust Fellow on Global Interdependence in London, England in 1989; and a Salzburg Institute Fellow in 1991. The National Bar Association Young Lawyers Division presented Shaw with the A. Leon Higginbotham, Jr. Memorial Award. He also received the Lawrence A. Wein Prize for Social Justice from Columbia University, and was awarded the Baldwin Medal from the Wesleyan University alumni body. Theodore M. Shaw was interviewed by The History Makers on April 7, 2014.
#247 Dr. Drossman received gastroenterology training at the University of North Carolina where he founded the UNC Center for Functional GI and Motility Disorders. Dr Drossman is currently the Professor Emeritus of Medicine and Psychiatry in Gastroenterology at UNC. He is a Fellow of the American College of Physicians, a Master of the American College of Gastroenterology, Past-President of the American Psychosomatic Society (1997). Dr. Drossman has established multiple organizations to advance patient-centered education and treatment of Disorders of Gut-Brain Interaction (DGBI). He founded the Rome Foundation, and served as president until 2019, and is currently the President Emeritus and Chief of Operations. He has served as Senior Editor of Rome I, II, III, IV and is co-senior editor of Rome V to be released in 2026. As a gastroenterologist, Dr. Drossman consults or manages the care of difficult-to-diagnose and -treat patients with DGBIs. As Founder and President of DrossmanCare (Center for Education and Practice of Biopsychosocial Care) Dr. Drossman produces educational materials to teach communication skills and patient-centered care. He has published peer-reviewed articles and videotapes on medical interviewing and the patient-doctor relationship. He also facilitates workshops and communication skills training programs and has received numerous awards, as an educator and practitioner. Most recently he co-authored a book with a patient advocate called Gut Feelings: Disorders of Gut-Brain Interaction and the Patient-Doctor Relationship for patients and clinicians. Dr. Drossman has written over 500 articles and book chapters serves on six editorial and advisory boards, was Associate Editor of the journal Gastroenterology and was the Gastroenterology Section Editor of the Merck Manual for 17 years. His research relates to the clinical, epidemiological, psychosocial, and treatment aspects of gastrointestinal disorders, and he has been principal investigator in several NIH-funded epidemiological outcomes, clinical trials, and abuse grants in DGBI and has done brain imaging in IBS. In this episode we cover: What is constipation The different types of constipation - including primary and secondary Dyssynergic defecation - drivers and signs and symptoms What investigations are carried out by a gastroenterologist to confirm this Treatments commonly recommended or administered by gastroenterologists or GI motility specialists Why effective communication skills and patient-centered care are needed What are some ways that patients can improve their communication with doctors Get your hands on the book Gut feelings And so much more
Questions for the Week:What is happening with the Russian invasion of Ukraine? Is the PCUSA or any faith community doing anything in terms of support or relief?President Biden delivered his first State of the Union recently. What did you think of it? Did anything alarm you or resonate with you? Special Guest:Maura Drewry, Social/Clinical Advanced Research Assistant,UNC Center for Health Equity ResearchGuest Question:We have been hearing the term "public health" more often in the news and media. What it is it and why does it matter to people of faith? How does public health relate to things like justice and equity?Resource Roundup:Stated Clerk reacts to Russian invasion of UkrainePresbyterian Church (U.S.A.) seeking support for humanitarian response to UkraineGive to the PC(USA) response to the humanitarian crisis in Ukraine and Central EuropeCall on Congress to Stand With Vulnerable Ukrainians and Uphold Protections for the DisplacedWorld Health Organization's Definition of HealthCenter for Disease Control (CDC)
Dr. Cam Patterson is a renowned cardiologist and healthcare administrator who currently serves as chancellor of the University of Arkansas for Medical Sciences (UAMS).Patterson previously held numerous academic and clinical appointments at the University of North Carolina, including as physician-in-chief at the UNC Center for Heart and Vascular Care and executive director of the UNC McAllister Heart Institute.He was previously senior vice president and chief operating officer of New York-Presbyterian in New York.Over the course of his career, Patterson has received more than $60 million in grants from the National Institutes of Health, the American Heart Association and the Centers for Disease Control and Prevention and has published over 300 peer-reviewed articlesHis residency, including a year as chief resident, was conducted at Emory University Affiliated Hospitals. He was a research fellow at the Cardiovascular Biology Laboratory in the Harvard School of Public Health and a clinical fellow in cardiology at The University of Texas Medical Branch at Galveston, Texas, where he joined the institution's faculty in 1998.His wife, Kristine Patterson, M.D., is an infectious disease specialist who is an expert in treating menopausal women with HIV. They have three children Celia, Anna and Graham.We hope you enjoy this episode where we discuss starting a new role as a leader, leading a medical system, and establishing an organizational vision. Welcome to Leading the Rounds! Questions We Asked: How did you come to be the chancellor of University of Arkansas Medical? Was there something that surprised you about becoming chief resident? How were you able to create a culture in your organizations? How do you go from planning to implementation as a leader? How are you able to see problems as opportunities? How do you keep a pulse on your entire organization and know when to step in? What do you use to guide decision making with limited information? As a leader, how do you decide what challenges to take on first? When do you work to create buy-in first vs making unwavering decisions? What advice would you give someone interested in leadership? Quotes & Ideas: “You can create an environment where everyone complains to you, or one where everyone is understanding and happy.” “Culture eats strategy for breakfast” “Our goal is to help UAMS make Arkansas the healthiest state in the region.” “As a leader, there should be moments where you have nothing to do, otherwise you're doing someone else's job.” “If you make a bad decision, move on fast and start making some good decisions.” “Sometimes you have to trust your gut, and your gut works best when you have a strong moral compass.” “Leadership is a job that should not have a reverse gear… The reason why you make a change is because there was a problem in the first place.” “If life and work isn't fun then is it even worth it.” “You will be infinitely more happy finding and promoting the careers of people around you, than promoting your own career.” Book Suggestion: Music is History by Questlove
#108 - Clinical psychologist Cynthia M. Bulik, Ph.D., FAED is the Founding Director of the University of North Carolina Center of Excellence for Eating Disorders, Distinguished Professor of Eating Disorders at the University of North Carolina at Chapel Hill, and Professor of Nutrition in the Gillings School of Global Public Health. She is also Professor of Medical Epidemiology and Biostatistics and Director of the Centre for Eating Disorders Innovation at Karolinska Institutet in Stockholm, Sweden. Dr. Bulik received her BA from the University of Notre Dame and her MA and PhD from the University of California, Berkeley. She completed internships and post-doctoral fellowships at the Western Psychiatric Institute and Clinic in Pittsburgh, PA. Dr. Bulik has developed eating disorders programs in New Zealand, the United States, and Sweden and has active collaborations all over the world. She has published more than 640 papers and 50 chapters on eating disorders. She is author of seven books including Crave: Why You Binge Eat and How to Stop, The Woman in the Mirror, Midlife Eating Disorders: Your Journey to Recovery, and Binge Control: A Compact Recovery Guide. Dr. Bulik has been the recipient of numerous awards including the Eating Disorders Coalition Research Award, the Academy for Eating Disorders Leadership Awards for Research and Advocacy, the Price Family National Eating Disorders Association Research Award, and the Don and Melissa Nielsen Lifetime Achievement Award from the National Eating Disorders Association.Dr. Bulik is past president of the Academy for Eating Disorders, past Vice-President of the Eating Disorders Coalition, and past Associate Editor of the International Journal of Eating Disorders. She serves on advisory boards of several advocacy organizations and is the founder and co-chair of the Eating Disorders Working Group of the Psychiatric Genomics Consortium.She is passionate about advancing the science of eating disorders and translating science for the public. Read more: https://www.cynthiabulik.com/ The EDGI studyhttps://edgi.org/UNC Center of Excellence for Eating Disordershttps://www.med.unc.edu/psych/eatingdisordersKarolinska Institutet Centre for Eating Disorders Innovationhttps://ki.se/en/meb/cedi-centre-for-eating-disorders-innovationExchanges Bloghttps://uncexchanges.org/National Center of Excellence for Eating Disorders (NCEED)https://www.nceedus.org/Our HostsLinda and John (Jack) Mazur wrote the book, Emilee-The Story of a Girl and Her Family Hijacked by Anorexia, https://www.amazon.com/Emilee-Story-Family-Hijacked-Anorexia/dp/170092012X to honor their daughter's wish, to raise awareness, evoke compassion, and foster change in how eating disorders are viewed and treated. They can be reached through the book website: https://emileethestoryofagirl.com or at Linda.john.mazur@gmail.com Ellen Bennett is the director of KMB for Answers which is a non-profit foundation providing educational and financial support for mental health professionals as well as assistance for families in search of resources. For more information about Ellen Bennett and the foundation founded in memory of her daughter Katlyn, go to: www.Kmbforanswers.com BooksEmilee: The Story of a Girl and Her Family Hijacked by Anorexia https://www.amazon.com/Emilee-Story-Family-Hijacked-Anorexia/dp/170092012X8 Keys to Recovery from an Eating Disorderhttps://www.amazon.com/Keys-Recovery-Eating-Disorder-Therapeutic/dp/0393706958Understanding Teen Eating Disorders by Chris Halton, Cathie Simpson, Dr. Mary Tantillo https://www.amazon.com/Understanding-Teen-Eating-Disorders-Haltom/dp/1138068837Multifamily Therapy Group for Young Adults with Anorexia Nervosa, by Mary Tantillo, Jennifer Sanftner McGraw, Daniel Le Grange https://www.amazon.com/Multifamily-Therapy-Adults-Anorexia-Nervosa/dp/113862490XSick Enough by Jennifer L. Gaudiani https://www.amazon.com/Sick-Enough-Jennifer-L-Gaudiani/dp/0815382456Life Without Ed by Jenni Schaefer https://www.amazon.com/Life-Without-Ed-Declared-Independence/dp/0071422986Resources: WNY Comprehensive Care Center for Eating Disorders; https://nyeatingdisorders.org/The Healing Connectionwww.thehealingconnectioninc.orgAlliance for Eating Disorder Awareness; https://www.allianceforeatingdisorders.com/Gaudiani Clinic; https://www.facebook.com/gaudianiclinicMom2Mom; https://www.facebook.com/groups/EatingDisordersMom2MomNEDA; https://www.nationaleatingdisorders.org/Emily Program; https://www.emilyprogram.com/Ophelia's Place; https://www.opheliasplace.org/Monte Nido; https://www.montenido.com/
Why does psychology matter in gut health? Can you use your psychology as a powerful tool to promote healing in your physical body? How can your body and mind help one another to recenter and find peace? MEET DR. JENNIFER FRANKLINhttps://opendoortherapy.com/dr-jennifer-c-franklin (Dr. Jennifer Franklin) is an experiential, relational, somatic, and mindfulness-based psychologist with about twenty years of psychotherapy experience. She has an educational background in mind-body/holistic psychology. Dually licensed in North Carolina and California, Dr. Franklin offers individual and couples therapy, teletherapy, and consultation. Dr. Franklin worked at the UNC Center for Functional GI & Motility Disorders and specializes in healing functional medical problems, especially Disorders of Gut-Brain Interaction like IBS, along with issues associated with anxiety, panic, interpersonal relationships, attachment, and trauma. She has served as an associate editor for the Journal of Humanistic Psychology, has taught mindfulness/Vipassana meditation, and has been a long-time yoga practitioner. Visit the https://donthateyourguts.com/ (Don't Hate Your Guts) website as well as http://www.opendoortherapy.com/ (Open Door Therapy). Connect with her on https://www.facebook.com/donthateyourguts/ (Facebook), https://twitter.com/drjcfranklin/ (Twitter), and https://www.youtube.com/channel/UCxXIczrfEkzs41lAdkPt4Rw (Youtube). Email her at drfranklin@opendoortherapy.com See also Dr. Franklin's newly launched https://donthateyourguts.com/the-brain-gut-connection-webinar-series-webinars-for-patients/ (Brain-Gut Connection Webinar Series)! IN THIS PODCAST:Why does psychology matter in treating the gut Be aware of your influence Use your body to help your mind Why does psychology matter in treating the gutThe gut-brain axis … the vagus nerve is part of the nervous system that allows your brain and gut … and other digestive organs as well to communicate … there is always this [gut to brain] communication happening in our bodies and there's a lot of information being transmitted about what's happening in our bodies. (Dr. Jennifer Franklin) The messages that flow from the gut to the brain are essential for proper brain function because they are messengers of homeostasis in the body. This is because the gut gives information about the environment that the body is in. This information is sent by the gut to the brain. On the other hand, people's psychology impacts them in various ways. People's desires, perceptions, wants, needs, and fears fluctuate daily. This is an important variable because, with awareness, one can influence it to create positive change. Be aware of your influenceEven though someone cannot control their symptoms, they can control their thoughts and can work to shift their perspective for the greater good of their physical health. When there's a stressor and a threat in our environment, whether, in our internal environment or our external environment, our brain zooms in on the threat … that threat are our symptoms, so then we get more focused … on the symptoms that are not making us feel very good, then we feel helpless to stop them, then we feel out of control … it leads to an unpleasant cascade of psychological, and worse, physiological symptoms. (Dr. Jennifer Franklin)This is where psychology becomes important in physical health: be aware of the influence that you can have over your thoughts. Use this ability benevolently and help your healing, instead of hyper-focusing on what is wrong. Focus on what you can influence positively. Use your body to help your mindJust as how you can use your mind to help your body, you can use your body to help your mind overcome stress and anxiety. Moving the body with slow, steady, and calm movements shows the brain that the body is safe, not in danger, and can relax. Activities such as yoga and gentle exercise help regear the mind from being in an activated nervous system to getting...
According to today's guest, Dr. Rachel Caskey, "stark disparities exist whereby Black women are nearly three times more likely to die from a pregnancy-related condition compared to white women. In addition, it is estimated that the majority of deaths are actually preventable." Today, we talk about what can be done to fix these inequities and disparities.Dr. Rachel Caskey is the chief of the division of academic internal medicine and associate professor of internal medicine and pediatrics at University of Illinois - Chicago. She's also the principal investigator at I-PROMOTE Illinois.Today's episode is hosted by Katherine Bryant, Research Associate and Project Manager for the UNC Center for Maternal and Infant Health and a Project Director in the UNC Jordan Institute for Families.Learn more about us, explore our resource center and find support for all maternal health professionals at MaternalHealthLearning.org.Maternal Health Innovation is a product of the Maternal Health Learning and Innovation Center and is produced by Earfluence.Music provided by Graham Makes.This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U7CMC33636 State Maternal Health Innovation Support and Implementation Program Cooperative Agreement. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government.
Dr. Meltzer-Body is the Assad Meymandi Distinguished Professor and Chair of the Department of Psychiatry at the University of North Carolina at Chapel Hill. She also directs the UNC Center for Women's Mood Disorders and is an executive sponsor of the UNC SOM and UNC Health Well-Being initiative. Dr. Meltzer-Brody founded the UNC Perinatal Psychiatry Program in 2004 and became Chair of the UNC Department of Psychiatry in October 2019. She investigates the epidemiologic and biological predictors of perinatal depression (PND) including genetic, neurosteroid and other neuroendocrine biomarkers as well as the impact of adverse life events. She is also the founder and lead of the Postpartum Depression Action Towards and Treatment (PACT) Consortium, and co-PI on a smartphone app (originally named PPD ACT and now rebranded as MOM GENES) that is a large scale international genetic study of PPD and postpartum. In today's episode, Dr. Meltzer-Brody will be discussing with us how perinatal depression, which can impact 10-15% of mothers, is defined, what are some of the signs that one should recognize as an indicator of when to reach out for help, and finally what are some of the best treatments for perinatal depression, postpartum depression, and anxiety. Dr. Meltzer-Brody will also talk about how her smartphone app, MOM GENES, has been used to generate evidence-based research on postpartum and how to identify genetic risk factors for women who may develop postpartum depression. You can learn more about Dr. Meltzer-Brody and her research at https://www.med.unc.edu/psych/directory/samantha-meltzer-brody/ and https://www.momgenesfightppd.org/
Patti and Damian have a frank and honest conversation about both the genetics research Dr. Bulik is in the middle of and some of the life saving issues they are tackling! Dr. Cynthia Bulik is the Founding Director of the University of North Carolina Center of Excellence for Eating Disorders and the founder and director of the Centre for Eating Disorders Innovation at Karolinska Institutet in Stockholm, Sweden. Her clinical work and research on eating disorders span decades and continents. She is passionate about mentorship, engaging stakeholders in science, and disseminating scientific findings to the public.
On this episode of “Beyond the White Coat,” Karey Sutton, PhD, AAMC director of health equity research workforce and director of research for the AAMC Center for Health Justice, talks with experts Giselle Corbie-Smith, MD, and Aaron Gerstenmaier, MD, about the racial and ethnic disparities in COVID-19 vaccination rates and explores strategies to promote equity in vaccine access. Episode Guests:Giselle Corbie-Smith, MD, is a Kenan distinguished professor of the Departments of Social Medicine and Medicine and the director of the UNC Center for Health Equity Research at the University of North Carolina (UNC) at Chapel Hill School of Medicine, as well as the associate provost for UNC Rural Initiatives at UNC Chapel Hill. She is nationally recognized for her scholarly work on the inclusion of disparity populations in research and is accomplished in drawing communities, faculty, and health care providers into working partnerships in clinical and translational research. Her empirical work, using both qualitative and quantitative methodologies, has focused on the methodological, ethical, and practical issues of research to address racial disparities in health.Aaron Gerstenmaier, MD, is the associate chief medical officer of Community of Hope — a nonprofit organization that focuses health services on low-income, medically under-resourced residents of Washington, D.C. — where he oversees a wide range of medical care and other programs designed to improve the health of vulnerable populations. Dr. Gerstenmaier has played a critical role in ensuring the continuity of medical services to the Washington, D.C., community during the pandemic, overseeing the transition to virtual care, supporting occupational health programs, ensuring clinical protocols for COVID-19 testing and vaccine distribution, and providing a range of other health services to over 11,000 patients in 2020. As an assistant professor of medicine at Georgetown University School of Medicine, he demonstrates a strong commitment to medical student and resident education, particularly around the importance and role of community health care. He also has his degree of fellow from the American Academy of Family Physicians. Dr. Gerstenmaier is board-certified in family medicine and received his medical degree from the Ohio State University College of Medicine. He also completed his residency at Georgetown/Providence Family Medicine Residency Program.Credits:Hosted by Karey Sutton, PhD, AAMC director of health equity research workforce and director of research for the AAMC Center for Health Justice.Produced by Stephanie Weiner, AAMC director of digital strategy and engagement, and Laura Zelaya, AAMC production manager.Recorded and edited by Laura Zelaya, AAMC production manager.With special contributions from Michelle Zajac, AAMC digital copy editor; Sholape Oriola, AAMC video specialist; and Mikhaila Richards, AAMC senior digital content strategist.You Might Also Be Interested In:“A Different Kind of Leader” podcast 10 Principles of Trustworthiness from the AAMC Center for Health Justice
Former UNC Center Eric Montross returns to the show to give us his thoughts on the hiring of Hubert Davis. We also visit with the man who is responsible for the hire and speak with North Carolina Athletic director Bubba Cunningham and hear what the process was like.. Plus we speak with the Louisville Director of Athletics Vince Tyra and hear about the recent success the Cardinals have been having in both men and women's sports.
Public health experts and advocates continue to shine a light on the horrifying statistics of COVID-19 infections within the prison-industrial complex. Those same experts, moreover, have shown that outbreaks in prisons and jails spread quickly and violently to communities outside prison walls. And yet, this humanitarian and public health crisis is still largely going unaddressed. In this week's episode of Rattling the Bars, Eddie Conway talks with Dr. Lauren Brinkley-Rubenstein, assistant professor of social medicine at the University of North Carolina at Chapel Hill, a core faculty member of the UNC Center for Health Equity Research, and one of the co-founders of the COVID Prison Project.Visit the COVID Prison Project: https://covidprisonproject.com/Tune in every Monday for new episodes of Rattling the Bars: https://therealnews.com/rattling-the-barsHelp us continue producing radically independent news and in-depth analysis by following us and making a small donation: Donate: https://therealnews.com/donate-ytSign up for our newsletter: https://therealnews.comLike us on Facebook: https://facebook.com/therealnewsFollow us on Twitter: https://twitter.com/therealnews
In this episode Millie chats with the renowned Dr. Cynthia Bulik - Distinguished Professor of Eating Disorders and Founding Director of the UNC Center of Excellence for Eating Disorders; Professor of Nutrition at the Gillings School of Global Public Health and Associate Director at the UNC Center for Psychiatric Genomics. They discuss the biology behind eating disorders and the importance of the Eating Disorders Genetic Initiative (EDGI) - the world's largest study into the genetics behind eating disorders. Hosted on Acast. See acast.com/privacy for more information.
Earn CME credit for listening to this episode of Prioritizing Equity. In the December 10, 2020 edition of our Prioritizing Equity series, leaders in health justice will discuss misinformation, trustworthiness, and strategies to handle vaccine hesitancy among patients and health care professionals. Panel: Giselle Corbie-Smith, MD, MSc: UNC at Chapel Hill Director of the UNC Center for Health Equity Research, Kenan Distinguished Professor of Social Medicine and Medicine at the School of Medicine. Kim Gallon, PhD: Associate Professor of History at Purdue University and founder and executive director of COVID Black. Margaret P. Moss, PhD, JD, RN, FAAN: Hidatsa/Dakhóta, Director of the First Nations House of Learning and an Associate Professor in the School of Nursing at University of British Columbia. Marcella Nunez-Smith, MD, MHS: Founding Director of the Equity Research and Innovation Center (ERIC) & Associate Professor of General Internal Medicine, Public Health, and Management at Yale School of Medicine. Lauren Smith, MD, MPH: Chief Health Equity and Strategy Officer for the CDC Foundation. Moderator: Aletha Maybank, MD, MPH, Chief Health Equity Officer, Group Vice President, Center for Health Equity, American Medical Association Originally aired: December 10th, 2020 The AMA's Digital Code of Conduct: https://www.ama-assn.org/code-conduct
Receiving diagnosis like Irritable Bowel Syndrome (IBS), often comes with a stigma. Some believe IBS is a diagnosis a doctor uses to describe digestive symptoms when no serious pathology has been found. Thankfully we are moving a way from this definition. And now we recognize that conditions like IBS involved scientifically proven imbalances in both the gut and brain and must bet treated as such. The progress made can largely be attributed to the work of The Rome Foundation and the guests of this episode Dr. Douglas Drossman and Johannah Ruddy, M.Ed. Dr. Drossman and Johannah are the authors of the new book, Gut Feelings, Disorders of The Gut-Brain Interaction and are pioneering the efforts for patients and doctors to unite to have better approaches to treatment and care of these digestive disorders. Disorders like IBS have now become part of a larger group of digestive disorders now called Disorders of Gut Brain Interactions.”. In this episode we discuss: ● From a “diagnosis of exclusion” to where we are today. ● How the Gut and Brain Interact. What science tells us. ● Doctor-Patient teamwork ● Modalities of treatment for Brain-Gut Interactions About our Guests: Dr. Douglas Drossman Dr. Drossman is the president of the Drossman Center for the Education and Practice of Biopsychosocial Care, the President, Drossman Consulting and Drossman Gastroenterology, the President Emeritus and COO, Rome Foundation, a Professor Emeritus of Medicine and Psychiatry at the University of North Carolina School of Medicine, and the Founder and Co-Director Emeritus, UNC Center for Functional GI and Motility Disorders. His list of publications, research, and contributions to the field of functional gastrointestinal and motility disorders is tremendous.@ddrossman Johannah Ruddy, M.Ed. Mrs. Ruddy is the Executive Director of the Rome Foundation and serves on the Board of Directors of DrossmanCare, and is a Co-Facilitator for Teaching Communication Skills to Patients and Providers. Mrs. Ruddy has a BS in Political Science and an M.Ed. in Curriculum Development and 20 years of executive leadership experience working with a variety of nonprofit organizations nationwide. She has a strong background in grant writing, and is a speaker at GI practices, medical centers and conferences in the area of communication and patient advocacy. In this capacity she facilitates patient communication, education and advocacy programs within the Rome Foundation and DrossmanCare. @johannahruddy Links: Presale Page for Gut Feelings: https://theromefoundation.org/gut-feelings-presale/ #tuesdaynightibs, #gutfeelings #ibs #motilitydisorders #functionaldigstivedisorders #gutbrainaxis #gutbraininteractions #romefoundation --- Support this podcast: https://anchor.fm/adam-rinde/support
Betsy Wurzel's guest today is Dr. Cynthia Bulik, Ph.D., FAED, and she will be talking about her book “Binge Control”. Dr. Cynthia Bulik is the founder of the UNC Center of Excellence Eating Disorder. What are the consequences of Anorexia or other eating disorders? Dr. Bulik discusses the myths of eating disorders. Eating disorders do not discriminate. Also, discussions on the Pandemic and how there is a physical-mental illness pandemic on the heels of the COVID-19. Perhaps you may want to be part of a study. The contact information for the survey is provided in this blog. For more contact information:https://bit.ly/3kgb228 I hope you are doing well. Jeanne White, Station Manager, Passionate World Talk Radio Learn more about your ad choices. Visit megaphone.fm/adchoices
Betsy Wurzel’s guest today is Dr. Cynthia Bulik, Ph.D., FAED, and she will be talking about her book “Binge Control”. Dr. Cynthia Bulik is the founder of the UNC Center of Excellence Eating Disorder. What are the consequences of Anorexia or other eating disorders? Dr. Bulik discusses the myths of eating disorders. Eating disorders do not discriminate. Also, discussions on the Pandemic and how there is a physical-mental illness pandemic on the heels of the COVID-19. Perhaps you may want to be part of a study. The contact information for the survey is provided in this blog. For more contact information:https://bit.ly/3kgb228I hope you are doing well. Jeanne White, Station Manager, Passionate World Talk Radio
During this episode we interview Megan Cannady, a research associate with the UNC Center for Maternal & Infant Health. Megan is a wealth of knowledge on the dos and don'ts of creating a safe sleep environment for your infant, how to avoid falling asleep with baby in your arms, and other vital parenting skills related to sleep. Listen now and share to promote safe sleeping in all infants. Suggested Resources for Listeners: - Safe Sleep NC website: https://safesleepnc.org/ · Consumer Product Safety Commission website with a specific page for infant sleep: https://www.cpsc.gov/SafeSleep · National Safe to Sleep website: https://safetosleep.nichd.nih.gov/
Chris welcomes Lauren Brinkley-Rubenstein, assistant professor of social medicine at the University of North Carolina—Chapel Hill. Their wide-ranging conversation covers: the definition of social medicine, how COVID-19 more greatly impacts people in prisons and jails*, of course they cover her work with community partners, and there's a ghost named Kim. Yes, a ghost. *This episode was recorded in May, so covid numbers mentioned will have changed since then. Lauren Brinkley-Rubinstein is an assistant professor of social medicine at the University of North Carolina—Chapel Hill, as well as a core faculty member in the UNC Center for Health Equity Research. Dr. Brinkley-Rubinstein’s research focuses on how incarceration can impact health outcomes. She is the PI of a recently funded NIMHD R01 cohort study relevant to pre-exposure prophylaxis among people on probation and parole and the MPI of a NIDA Justice Community Opioid Innovation Network Clinical Research Center grant that will include the implementation and evaluation of opioid overdose prevention programs in community supervision settings in Rhode Island, Philadelphia, and Brunswick County North Carolina. This podcast is produced by Carrie Chalmers
Equal opportunities for all. Great idea. But what if addressing hundreds of years with LITTLE or NO opportunities for some, tilts the balance the other way. Affirmative action - Does it work? Does it cause resentment? GUESTS Ted Shaw Director of UNC Center for Civil Rights Stacy Hawkins Professor of Law at Rutgers University Thembisa Fakude Researcher at Al Jazeera Centre for Studies Roundtable is a discussion programme with an edge. Broadcast out of London and presented by David Foster, it's about bringing people to the table, listening to every opinion, and analysing every point of view. From fierce debate to reflective thinking, Roundtable discussions offer a different perspective on the issues that matter to you. Watch it every weekday at 15:30 GMT on TRT World.
Tonia Poteat, PhD, PA-C, MPH, is Assistant Professor of Social Medicine at UNC-Chapel Hill, as well as core faculty in the UNC Center for Health Equity Research. Dr. Poteat's research, teaching, and practice have focused on HIV and LGBT health disparities with particular attention to the health and well-being of transgender communities. Find more about Dr. Poteat here And find more of her work here In this podcast we talk about the courage, strength and safety needed to be your authentic self in a stigmatizing world. We discuss stigma and its effects among transgender people, and the historical and current effects of racism. We talk about having a vision for building a functioning, healthy, loving, equitable and just society. We also discuss the importance of beloved community, collective work (and rest) inspired by Sweet Honey in the Rock's 'Ella's Song'. Episode hosted by Dr. Carmen Logie. Original music and podcast produced by Cozmic Cat. Supported by funding from the Canada Foundation for Innovation(CFI) and Canada Research Chairs program.
May is Maternal Mental Health Awareness Month, and today, May 6, happens to be World Maternal Mental Health Day. It’s a fitting day to bring you this show with an expert who is the driving force behind a pioneering study to help diagnose postpartum depression earlier and get moms the treatment they need. Dr. Samantha Meltzer-Brody, MD, MPH, is co-principal investigator of the Mom Genes Fight PPD research study, as well as the Assad Meymandi Distinguished Professor and Chair of the UNC Department of Psychiatry and director of the UNC Center for Women’s Mood Disorders. Her funded research is focused on understanding the genetic signature of postpartum depression and investigating novel technologies and treatment modalities to optimize and personalize treatment for women with perinatal depression. Most recently, this has included the MOM GENES app and the brexanolone clinical trials, the first FDA-approved medication for postpartum depression. She knows a lot, and she’s done a lot with her significant work in perinatal mental health. Show Highlights: What postpartum depression is and why Dr. Meltzer-Brody is studying it The MOM GENES study that began in 2016 (learn how you can participate) How the study can help us identify who is at risk so intervention can happen earlier Who can participate in the study The confidentiality and anonymity of the study The availability of resources for participants in the study How the DNA samples are collected and pooled together How the genetic information will be used to determine treatment and outcomes The preliminary findings: not all women have the same types of postpartum depression Why women with co-occurring anxiety disorders are encouraged to apply for the study Examples of postpartum depression and the signals that mean someone needs to seek help How the study and the app have already helped people in many ways Resources: Mom Genes Fight PPD Learn how you can join the study from the comfort of your own home.
During these uncertain times, it is important to have accurate information regarding the COVID-19 pandemic. Our guest, Dr. Tonia Poteat, fielded questions for a webinar sponsored by ZAMI NOBLA on March 22, 2020. This is a recording of that event. Tonia Poteat, PhD, PA-C, MPH, is Assistant Professor of Social Medicine at UNC-Chapel Hill, as well as core faculty in the UNC Center for Health Equity Research. After completing her PhD at Johns Hopkins, Dr. Poteat served for two years in the Office of the U.S. Global AIDS Coordinator as the Senior Advisor for Key Populations. Since returning to academia in 2014, Dr. Poteat's research, teaching, and practice have focused on HIV and LGBT health disparities with particular attention to the health and well-being of transgender communities. Her current work attends to the health consequences of stigma based on multiple marginalized identities. Dr. Poteat is a certified HIV Specialist by the American Academy of HIV Medicine and has devoted her clinical practice to providing medically appropriate and culturally competent care to members of the LGBTQ community as well as people living with HIV. In 2018, she was selected for the Simmons Scholars Program which provides support for underrepresented faculty in medicine. Dr. Poteat was featured in an earlier ZAMI NOBLA podcast episode which you can find at this link, http://zaminobla.libsyn.com/dr-tonia-poteat-on-deserving-research-that-reflects-your-real-life-lived-experience
Eps 7 - One of our most important podcast episodes, in this show we tackle a topic that is often ignored but affects so many mothers in our country. Postpartum depression affects not only mothers but their families and children as well. If left untreated, the impacts of this mental illness become devastating and dangerous. In this episode we invited "Chloe" and she shares her truth about her battle with postpartum depression, the lessons she learned to cope, and what to do if it happens to you. This is one of our most important episodes and if you feel that you or someone you know will benefit from this show, we ask you to SHARE it with them. If you are a CRNA Mom and have yet to join our CRNA Mom Facebook group, check out this link to learn more. https://www.facebook.com/groups/1633304636922285/Here are resources discussed on the show that can help you or someone you love:PSI postpartum support international - local chapters - online perinatal mood disorder group Tuesday 6:30pm ($5 suggested but not required) **led by specialized moderator (5-12 women typically) can be as anonymous as you want with or without video -PSI helpline- English or Spanish 1-800-944-4773https://www.postpartum.netInpatient Facilities 1. UNC Center for Women's Mood Disorders (Chapel Hill) (919) 966-9640 https://www.med.unc.edu/psych/wmd/patient_care/perinatal-inpatient/2. Postpartum Resource Center of New York https://postpartumny.org855-631-0001 631-422-2255 English & Spanish speaking3. The Perinatal Mood and Anxiety Disorders Program, Long Beach CA, is a 4-bed inpatient unit designed to meet the needs of perinatal women and their children, with a focus on promoting mother-child bonding and attachment, while helping the mother overcome her illness.855-CHLB-4-HELPhttps://www.memorialcare.org/blog/could-you-be-affected-perinatal-mood-and-anxiety-disorders4. UCLA Maternal Mental Health Partial Hospitalization Program- patient-centered treatment program that aims to prevent inpatient hospitalization through early interventions that support mothers in their health and recovery. The program provides 20 hours of group and/or individual sessions each week.(310) 825-7469https://www.uclahealth.org/resnick/adult-partial-hospitalization-programList of Outpatient Treatment Centers https://www.postpartum.net/get-help/intensive-perinatal-psych-treatment-in-the-us/Books Mentioned in the PPD Podcast by Scrub Caps & Sippy Cups (there are many more, some mentioned on the above websites)1. "Understanding Postpartum Psychosis - A Temporary Madness" by Teresa Twomey, JD2. "Down Came the Rain" by Brooke ShieldsInternet Resources (adapted from MGH website)Mind Body Pregnancy – Dr. Anna Glezer: A physician’s expert guidance on your mental health & emotional well-being during pregnancy, delivery, & postpartum. Articles, guides, & advice on mood, anxiety, mental illness, hormones, treatments, resources, & many others.Treating for Two – Women and healthcare providers don’t have enough information to answer questions about medications and pregnancy. Treating for Two is CDC’s prescription for this problem. Treating for Two aims to improve the health of women and babies by working to identify the safest treatment options for the management of common conditions before and during pregnancy.Women and Mental Health – National Institute of Mental HealthPostpartum Depression: Signs and Resources for Help – Georgetown University School of Nursing & Health StudiesAunt Bertha – Aunt Bertha connects people to free and low cost services in their area by zip code. Services include: housing, food, education, goods, money, healthcare, education, employment and legal assistance.Women’s Health: A guide to Legal Resources – a “resource to arm women with legal tools to help advocate for themselves and other women” created by American University’s online Master of Legal Studies“.
Episode 15 of the Mental Horizons Podcast was with Bebe Smith, MSW, LCSW and the topic is Psychiatric Advance Directives. Bebe is director of mental health and coordinator of the North Carolina Evidence Based Practices Center at Southern Regional Area Health Education Center, part of the North Carolina AHEC system. She is also project coordinator for the Crisis Navigation Project, a collaboration between SR-AHEC, Duke University Medical Center, and NAMI-NC to promote the use of psychiatric advance directives. Prior to joining SR-AHEC, she worked for 21 years at the University of North Carolina at Chapel Hill in the Department of Psychiatry and the School of Social Work. She has taught mental health professionals from multiple disciplines in clinical and academic settings. Her clinical work has focused on providing humane and evidence-based treatment and services to persons who live with schizophrenia and other severe mental illnesses. In 2005, she helped develop OASIS, the first early psychosis program in North Carolina. She was a founder and co-director of the UNC Center for Excellence in Community Mental Health in 2008. She led a pilot of Critical Time Intervention (CTI), a team-based intensive case management model originally developed for people experiencing homelessness, from 2012-2015. CTI was adopted for statewide expansion in 2014. She trains nationally and internationally in the CTI model and other psychosocial treatment approaches. She was the NASW-NC Social Worker of the Year in 2012, and won the Bryan Public Service Award from the Carolina Center for Public Service in 2015. Three main talking points: 1. Bebe talks with Virgil about her leadership roles in mental health and the ways she has had to challenge the mental health system throughout her career. 2. Bebe teaches the listener about Psychiatric Advance Directives and how they can be powerful tools to help people maintain autonomy and a sense of control amidst crisis. 3. And lastly, Bebe and Virgil discuss psychiatric advance directives and Assisted Outpatient Treatment. How are these two things related, if at all? Can they both protect a person's autonomy or are they on two ends of a spectrum? If so, how do we reconcile this dichotomy and not get bogged down in ideology when the goal is serving the best interests of the individual?
In this podcast Tabitha Farrar talks to Dr Cynthia Bulik about recent study that identifies eight risk loci and implicates metabo-psychiatric origins for anorexia nervosa. Link to paper: https://www.nature.com/articles/s41588-019-0439-2 ----------------------------------- Dr. Bulik, a clinical psychologist, is Distinguished Professor of Eating Disorders in the Department of Psychiatry, professor of nutrition in the Gillings School of Global Public Health and founding director of the UNC Center of Excellence for Eating Disorders. She is also professor of medical epidemiology and biostatistics at Karolinska Institutet in Stockholm, Sweden, where she spends half of her time. Her research includes treatment, laboratory, epidemiological, twin and molecular genetic studies of eating disorders and weight regulation. She has written more than 590 scientific papers and chapters on eating disorders and is the author of Crave: Why You Binge Eat and How to Stop, The Woman in the Mirror, Midlife Eating Disorders: Your Journey to Recovery, and Binge Control: A Compact Recovery Guide. She is a recipient of the Eating Disorders Coalition Research Award, the Academy for Eating Disorders' Leadership Award for Research, the Price Family National Eating Disorders Association Research Award and the Women's Leadership Council Faculty-to-Faculty Mentorship Award. Dr. Bulik is past president of the Academy for Eating Disorders, past vice-president of the Eating Disorders Coalition and past Associate Editor of the International Journal of Eating Disorders. She holds the first endowed professorship in eating disorders in the United States. Her academic life is balanced by being happily married with three children and performing as an ice dancer and ballroom dancer.
Welcome to another episode of Talking Gut, and you have just been listening to the Fabulous Chalets, with the bass player being the one and only Dr Douglas Drossman, gastroenterologist and functional gut extraordinaire. I am so super excited to have Dr Drossman as a guest here today. I have been wanting to interview him for over 1 year and here it is.` A little background about Dr Drossman and I mean alittle, There is simply not enough time to go through his jaw dropping 124 page 10 font size single spacing CV. I simply cannot do his Bio justice here in the limited time we have, but Ill give it a go. Okay, so Dr. Drossman was one of the first gastroenterologists to develop the field of brain-gut interactions and Neurogastroenterology in terms of research, patient care and education. He is Professor Emeritus of Medicine and Psychiatry in Gastroenterology at the University Of North Carolina School of Medicine where he was on staff from 1977 through 2011. He founded and co-directed of the UNC Center for Functional Gastrointestinal and Motility Disorders (1993-2011) in Chapel Hill North Carolina. Dr. Drossman has published over 350 peer review articles and over 140 book chapters, has edited or written 20 books and acquired over $15 million in grants. He was Associate Editor of Gastroenterology (2001-2006), has served on six other editorial and advisory boards in Gastroenterology, psychosomatic medicine, behavioral medicine, and patient health and was the Gastroenterology Section Editor of the Merck Manual for 17 years. He is currently on the Board of Directors of the International Foundation for Functional GI Disorders (IFFGD) (www.iffgd.org). In 2012, Dr. Drossman founded the Drossman Center for the Education and Practice of Biopsychosocial Care (DrossmanCare -www.drossmancenter.com) to help train physicians in relationship centered biopsychosocial care with emphasis on communication skills and enhancing the patient doctor relationship. An area unique to Dr. Drossman is his excellence in teaching not only on the functional GI disorders, but also in communication skills and patient centered care. He has been a visiting professor at 143 academic programs and has given over 700 lectures. He has written numerous articles and produced educational videotapes on the biobehavioral aspects of medical care, medical interviewing and the patient-doctor relationship and he received second prize at the 1997 AMA International Film Festival. A major contribution relates to Dr. Drossman being the organizing founder and President of the Rome Foundation, a non-profit organization whose mission is to improve the lives of individuals with FGIDs. With regard to treatment, he was principal investigator in a 5-year multi-center study that first demonstrated in 2003 the value of a cognitive behavioral therapy and also of a tricyclic antidepressants for treatment of functional bowel disorders. Dr. Drossman has received multiple research awards, including the American Psychosomatic Society President’s Award (2003), the AGA Mentors Research Scholar Award (2007), the American Journal of Gastroenterology Lectureship award (2011) to name afew. And on top of these amazing achievements, he is person who is truly passionate about helping his patients and his colleagues. Sooo what did we talk about, we talk about pretty much everything. His early beginnings, his band the fabulous chalets to his early days as a gastroenterologist and people that influenced him to take the path in functional gut disorders. We talked about the Rome foundation and ROME criteria, and his past and current work in helping to improve the doctor patients relationship, to the befit of the patients and the gastroenterologist. There is a lot to learn here, for the both patient and for the Doctor will benefit from this talk. I hope you get as much out of it as I did. Please enjoy.
Tracie Hitz is a personal and professional branding strategist with more than 20 years of branding, marketing and sales experience in the sports industry. She launched Hitz & Branding, LLC in June 2018 after twenty years in the sports industry. In this new endeavor she helps people set goals, tell a story, land a date, land a job, or land anything they want. Immediately before founding Hitz & Branding, LLC., Tracie was the Director of Championships & Alliances at the NCAA. In her first year, she oversaw the 2014 Women’s Final Four sales efforts that led to a sold-out arena in a first-time host city, and the following year she led the charge to record the largest attendance at a Women’s Final Four since 2010. Tracie came to the national office after working in the C-Suite as the Chief Marketing Officer at Old Hat Creative for 3.5 years where she doubled its annual revenue each year working with over 80 professional and collegiate sports organizations. She was named to the C-Suite for the NACMA Board of Directors in 2008 and was the Board advisor from 2010-2013. She has been a member of the UNC Center for Research in Intercollegiate Athletics Board of Advisors and the IUPUI Tourism, Conventions and Event Management Advisory Board since 2015. She received her bachelorʼs degree in Communication (Journalism) from Truman State University in Kirksville, Missouri in 1997 and her masterʼs degree in Integrated Marketing Communications from Northwestern University in 2003. In today’s episode, we discuss: Different branding and marketing strategies for individuals and businesses Career journey in athletics Using social media to tell a story Dating and relationship advice ... and so much more!!! Website: HitzAndBranding.com Chicago Tribune Blog: ChicagoNow.com/hitz-mrs Tumblr: TracieHitz.tumblr.com Instagram: @Tracie.Hitz Twitter: @TracieHitz Email: traciehitz@gmail.com Facebook: Facebook.com/tracie.hitz LinkedIn: Linkedin.com/in/traciehitz Youtube: http://youtube.com/user/traciehitz Articles of interest ... Living Outside My Comfort Zone Pushes Me Beyond Mediocre Being Rejected on The Steve Harvey Show Boosted My Confidence LISTEN: Kickapoo native Tracie Hitz, a local girl done good Tracie Hitz Named Director of Business Development for Old Hat Creative Past "Success is a Choice" podcast episodes of interest . . . Tim Hall (UMBC Athletic Director) - Episode 095 Stephanie Harvey (5x World Champion Professional eSports Gamer) – Episode 087 Melissa Agnes (Crisis Preparedness & Brand Management Expert) - Episode 083 Dayvee Sutton (National Lifestyle & Travel Correspondent) – Episode 082 Kevin DeShazo (Social Media Expert & Fieldhouse Media Founder) – Episode 079 Larry Winget (The Pitbull of Personal Development) – Episode 054 Alicia Jessop (Pepperdine Sports Law Professor & Founder of Ruling Sports) – Episode 047 Kevin Harrington (Original Shark on “Shark Tank”) – Episode 021 Today’s podcast is brought to you by audible – get a FREE audiobook download and 30-day free trial (new subscribers only) at www.audibletrial.com/SuccessIsAChoice. Over 180,000 titles to choose from for your iPhone, Android, Kindle or mp3 player. Our friends at audible are offering a free download of some of our past guests including Todd Gongwer, Kevin Harrington, Lolly Daskal, Bob Burg, Amy Morin, Michael Burt, Larry Winget, Jon Gordon, and Pat Williams. Take advantage of this great deal by visiting www.AudibleTrial.com/SuccessIsAChoice. Please consider rating the podcast with 5 stars and leaving a quick review on iTunes. Ratings and reviews are the lifeblood of a podcast. This helps tremendously in bringing the podcast to the attention of others. You can tell your friends on Twitter about this episode by sharing the tweet below or spreading the word by using the share buttons below. Thanks again for listening and remember that “Success is a choice. What choice will you make today?”
After twenty years in the sports industry, Tracie Hitz launched Hitz & Branding, LLC in June 2018 to specialize in personal and professional branding in the sports industry and beyond. She continues to work with the NCAA on its women's basketball initiatives, including regular season marketing through the postseason.Tracie was named Director of Championships & Alliances at the NCAA in October 2013 where she joined the staff in its mission to grow the game of Women’s Basketball. In her first year, she oversaw the 2014 Women’s Final Four sales efforts that led to a sold-out arena in a first-time host city, and the following year she led the charge to record the largest attendance at a Women’s Final Four since 2010. Tracie came to the national office after working as the Chief Marketing Officer at Old Hat Creative for 3.5 years where she doubled its annual revenue each year working with over 80 professional and collegiate sports organizations. She was named to the NACMA Board of Directors in 2008 and was the Board advisor from 2010-2013. She has been a member of the UNC Center for Research in Intercollegiate Athletics Board of Advisors and the IUPUI Tourism, Conventions and Event Management Advisory Board since 2015.She received her bachelorʼs degree in Communication (Journalism) from Truman State University in Kirksville, Missouri in 1997 and her masterʼs degree in Integrated Marketing Communications from Northwestern University in 2003.
UNC Center for Civil Rights issued a letter of caution from the state bar arguing they are not authorized to provide legal services, Charges dropped for 3 of the 12 charged with toppling the confederate statute in Durham back in August, and feminist geography professor sues UNC for gender discrimination
In this podcast, Tabitha Farrar talks to professor Cynthia Bulik about the research underpinning the genetic locus for Anorexia Nervosa. In this podcast we discuss: Past and present research on the genetics behind Anorexia Nervosa and other eating disorders Implications for treatment Anorexia Nervosa and OCD links History of Anorexia Nervosa back to the starving saints Importance of parents and family support in eating disorders Anorexia and energy deficit Anorexia and money Genetics of Anorexia Nervosa Cynthia M. Bulik, Ph.D., FAED, is Distinguished Professor of Eating Disorders in the Department of Psychiatry in the School of Medicine at the University of North Carolina at Chapel Hill, where she is also Professor of Nutrition in the Gillings School of Global Public Health, and founding director of the UNC Center of Excellence for Eating Disorders. She is also Co-Director of the UNC Center for Psychiatric Genomics. Dr. Bulik is also professor of Medical Epidemiology and Biostatistics at the Karolinska Institutet in Stockholm, Sweden. She is passionate about translating science for the public.
It's estimated that nearly 30 million Americans will have an eating disorder at some point in their lives. But eating disorders are still an issue mostly kept quiet. In this week's episode, we talk about eating disorders and National Eating Disorder Awareness Week with Cynthia Bulik, the director of the UNC Center of Excellence for Eating Disorders and the director of the Center for Eating Disorders Innovation at the Karolinska Institutet in Stockholm, Sweden.
Dr. Samantha Meltzer-Brody Dispelling the myths of medication use in pregnancy and postpartum We are talking with Expert Dr. Samantha Meltzer-Brody about psychiatric medication during pregnancy and postpartum. We will go over some of the fundamental things it’s important to know about med use, risks to mother or baby for treated AND untreated illness, clear up some of the misconceptions of medication use and hopefully give you a good understanding of the risks and benefits. Dr. Samantha Meltzer-Brody, MD, MPH, is an Associate Professor and Director of the UNC Perinatal Psychiatry Program of the UNC Center for Women’s Mood Disorders. Which is the first program of its kind in the US. She is currently funded by multiple NIH grants to investigate epidemiologic, genetic, and other biomarker models of postpartum depression and has recently worked to establish an international postpartum depression genetics consortium (PACT). In addition, she is investigating novel treatment options for depression in perinatal women. Dr. Meltzer-Brody also studies maternal depression in high-risk groups including adolescent mothers, and mothers of children with neuro-developmental delays. Find all of the resources we discussed here: www.womensmooddisorders.org PPDACT app http://www.pactforthecure.com/ https://thehummingbirdstudy.com/ Twitter: @uncwomensmood Facebook: https://www.facebook.com/pg/UNCWMD/about/ www.postpartum.net www.postpartumprogress.org
Michael Gerhardt (Professor of Constitutional Law and Director of the UNC Center on Law and Government,  "The Forgotten Presidents: Their Untold Constitutional Legacy") joins the show. We discuss America's  forgotten presidents, who often ended up providing a blueprint for how future presidents could be remembered.
Gene Nichol is Boyd Tinsley Distinguished professor of law and Director of the Center on Poverty, Work and Opportunity at the University of North Carolina. He teaches courses in constitutional law, federal courts and civil rights. From 2005-2008, Nichol was the 26th president of the College of William and Mary.
Gene Nichol is Boyd Tinsley Distinguished professor of law and Director of the Center on Poverty, Work and Opportunity at the University of North Carolina. He teaches courses in constitutional law, federal courts and civil rights. From 2005-2008, Nichol was the 26th president of the College of William and Mary.
On March 26, 2012 The UNC Center for Media Law and Policy hosted a Speech by former British Ambassador Sir Christopher Meyer at the UNC School of Law. Ambassador Meyer, who previously chaired the Press Complaints Commission in the UK, will speak about the regulation of the news media, international law, and his new documentary entitled "Network of Power." He will also talk about the phone hacking scandal at News Corp. Sir Christopher Meyer, Honorary Fellow of Peterhouse, Cambridge, was educated at Lancing College, the Lycée Henri IV, Paris, and Peterhouse, Cambridge, where he read History. After Cambridge, he spent a year at the Paul Nitze School of Advanced International Studies in Bologna, Italy. Sir Christopher joined the Diplomatic Service in 1966. After two years in London, he was posted to Moscow from 1968 to 1970, and then to Madrid from 1970 to 1973. He became speech-writer to the Foreign Secretary. In this capacity he worked until 1978 for three Foreign Secretaries. On returning to London in 1984, he spent four years as Foreign Office Spokesman and Press Secretary to the then Foreign Secretary, Sir Geoffrey Howe (Later Lord Howe of Aberavon). In 1988-89 he spent a sabbatical year as a Visiting Fellow at Harvard University’s Centre for International Affairs. He served for two years Government Spokesman and Press Secretary to the Prime Minister. After serving as British Ambassador to the Federal Republic of Germany from March 1997 to October 1997, Sir Christopher was appointed Ambassador to the United States from October 1997 to February 2003, the longest period since the Second World War. Sir Christopher became Chairman of the Press Complaints Commission in March 2003. Sir Christopher was made Knight Commander, Order of St Michael and St George in 1998. In 2005 Sir Christopher published a book of memoirs entitled “DC Confidential.” In the spring of 2010, Sir Christopher became the first taught Honors 353, “Empire and Diplomacy,” with UNC Professor Theodore H. Leinbaugh OBE.
On 9/21/11 The UNC Center on the Law and Government hosted a dialogue on a proposed amendment to the N.C. Constitution that would outlaw gay marriage. The dialogue featured two prominent state lawmakers: Paul Stam, the House Republican leader, who introduced the proposed amendment in the House; and Rick Glazier, the House Minority Whip, who opposes the proposed amendment. Professor Michael Gerhardt moderated the discussion.
Guest: Samantha Meltzer-Brody, MD, MPH Host: Leslie P. Lundt, MD When treating the depressed post-partum woman who is nursing, we have two patients - the depressed woman and her infant. How can we choose the safest medication for both? Dr. Samantha Meltzer-Brody, assistant professor in the department of psychiatry at University of North Carolina at Chapel Hill and the Co-Director of the Perinatal Psychiatry Program of the UNC Center for Women's Mood Disorders joins host Dr. Leslie Lundt to discuss treating depression in breast feeding women.
Assistant General Manager for UNC Center for Public Television. Originally aired September 24, 2005.