Podcasts about western university college

Drs. Jensen and Richey welcome two residents from the Ascension St. Vincents Podiatric Residency program in Indianapolis, Indiana to Dean's Chat.  Dr. Ashlee Starr is a 2nd year resident, a graduate of the Arizona College of Podiatic Medicine. Dr. Savannah Santiago is a 1st year resident, a graduate of the Western University College of Podiatric Medicine.  This episode will be of interest to pre-meds contemplating a career in podiatric medicine, and current podiatric medical students contemplating clerkship choices and residency opportunities.   This episode is sponsored by Bako Diagnostics! Enjoy this discussion with an two future leaders in podiatric medicine! https://www.midwestern.edu/academics/degrees-programs/doctor-podiatric-medicine-program  https://www.westernu.edu/podiatricmedicine/ https://medicaleducation.ascension.org/indiana/st-vincent-podiatry-residency https://bakodx.com/ https://bmef.org/ www.explorepodmed.org https://podiatrist2be.com/ https://higherlearninghub.com/  

Over the next few months, Dean's Chat will be providing bonus episodes interviewing students from the Schools and Colleges of Podiatric Medicine. This week we are joined by three students from Western Unversity College of Podiatric Medicine (WUCPM)); Jessica Rangel, Jeremy Skelton, Tony Chi Do.  All three represent the American Podiatric Medical Students Association (APMSA) within WUCPM. This episode is sponsored by Bako Diagnostics! Join our discussions each week on the podiatric journey our students are embarking on at the various schools. Students share their path to discovering podiatric medicine, to applying to what is now eleven schools and colleges of podiatric medicine, to the first and second year of didactics, Boards Part 1 and 2, and clinical experiences and opportunities. We do some professor shout-outs and discuss student services, extracurricular activities, and student life at each school. Enjoy! In this episode, Drs. Jensen and Richey and the students discuss the significance of shadowing various health professionals to determine career preferences and find satisfaction in their chosen field.  The hosts specifically mention that podiatrists tend to be very happy with their careers due to the wide range of specialization options available to them. They explain that podiatrists can focus on areas they truly enjoy, which contributes to their overall job satisfaction. The students mention their personal experiences with shadowing and how it influenced their career decisions.  The students emphasize the importance of shadowing multiple specialties to determine personal preferences. They emphasize that understanding other specialties is valuable even for those pursuing podiatry, as it helps in comprehending the body's other systems and treating patients holistically. The students note that many podiatrists they have worked with and shadowed are incredibly satisfied with their careers. While they acknowledge that satisfaction can be found in other specialties as well, they observe this as a common theme within the podiatry profession. They also mention that students from all schools of podiatric medicine are incredibly happy with their choice to pursue podiatry. In this episode, we discuss the importance of students taking advantage of opportunities for involvement and support from organizations like APMSA. They emphasize that being involved in organizations like APMSA allows students to have a voice and make a change at the national level. They mention that APMSA provides various opportunities for students, such as hosting webinars on different topics like mental health and clerkship advice.  Overall, the episode emphasizes the benefits of shadowing different health professionals to help students determine their career preferences and find satisfaction in their chosen field. It underscores the importance of exploring various specialties, including podiatry, and understanding different aspects of healthcare to make informed decisions. https://www.apmsa.org/ https://bakodx.com/ https://bmef.org/ www.explorepodmed.org https://podiatrist2be.com/ https://higherlearninghub.com/    

Dean's Chat hosts, Dr. Jeffrey Jensen, and Dr. Johanna Richey, are joined by Ms. Carmen Massel, a 1st year student at the Western University of Health Sciences, College of Podiatric Medicine. Carmen made history on December 29, 2023, as the first female National Lacrosse League official when the San Diego Seals played the Rochester Nighthawks. Carmen played and officiated lacrosse since she was 12 years old, and officiated in the Minor Leagues for 8 years! Join us for a fun discussion on her journey, how she discovered podiatric medicine, and how she made her way to the Western University College of Podiatric Medicine in Pomona, CA. Carmen Massel's journey as the first female National Lacrosse League official showcases her exceptional resilience, emotional intelligence, and leadership qualities. Despite encountering challenges and skepticism, Carmen pursued her passion for officiating lacrosse, demonstrating her determination to succeed in a male-dominated field. In 2019, Carmen experienced a ruptured Achilles tendon while refereeing, resulting in a significant injury that exposed her to the world of podiatric medicine. This event served as a turning point, sparking her interest in foot and ankle surgery and ultimately leading her to pursue a career in podiatric medicine. Transitioning from a background in communications and business management to podiatric medicine, Carmen's adaptability and willingness to embrace new challenges are evident. Her ability to navigate different fields and excel in each highlights her versatility and determination to succeed. By shadowing podiatrists like Dr. Ziv Feldman, Carmen gained valuable insights into the field of podiatric medicine. Her eagerness to learn and explore various aspects of the profession reflects her commitment to personal and professional growth. Carmen's advice to prospective students stresses the importance of seeking diverse perspectives and experiences. Her encouragement to connect with individuals in the field and gather information from various sources underscores her belief in the power of networking and mentorship. As Carmen progresses through her first year of podiatric medical school, her dedication to studying, resilience in the face of challenges, and commitment to personal growth are evident. Her ability to balance academic demands with personal development showcases her strong work ethic and determination to excel in her chosen field. Carmen's aspiration to challenge the status quo in podiatric medicine aligns with her experiences in officiating lacrosse. Her desire to make a positive impact and create opportunities for future generations reflects her leadership qualities and vision for the future of the profession. Through her experiences as a patient and student, Carmen has gained valuable insights into the importance of diverse perspectives in healthcare. By actively seeking mentors, shadowing doctors, and engaging with the podiatric community, Carmen has demonstrated the power of representation in shaping the future of the profession. Her commitment to learning, growth, and advocacy for underrepresented groups in podiatry lays a strong foundation for positive change and opportunities for advancement in the field. Tune in for a great episode!  https://www.nll.com/ https://www.nll.com/news/carmen-massel-makes-history-as-first-female-nll-official/ https://explorepodmed.org/ Dean's Chat Website Dean's Chat Episodes Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician https://lelandjaffedpm.com

Dean's Chat host, Dr. Jeffrey Jensen is joined by Lawrence B. Harkless, DPM to discuss his distinguished career in podiatric medicine. In this Part 3 episode, Dr. Harkless discusses his experience as the Founding Dean of two Colleges of Podiatric Medicine; the Western University College of Health Sciences, College of Podiatric Medicine, and the University of Texas - Rio Grande Valley School of Podiatric Medicine. Dr. Harkless is currently an Adjunct Professor Department of Orthopedics UT - San Antonio Long School of Medicine and Professor Emeritus UTRGV School of Podiatric Medicine. He's also the Founding Dean Emeritus and Professor Emeritus, the College of Podiatric Medicine, Western University of Health Sciences, Pomona, CA He has served in both public and private universities known for clinical and research excellence, including the University of Texas Health Science Center San Antonio University of Texas Rio Grande Valley and Western University of Health Sciences. His research program has been interprofessional and collaborative in nature, and he has built upon a team approach to further scientific discovery. His research has focused on Amputation Prevention in Diabetes and wound healing, and global Podiatric public health, for which he has received numerous grants and awards. He has impacted the entire arena of diabetic foot, including the development and validation of wound and risk stratification models. The risk and wound classification systems have provided a taxonomy that allows clinicians to communicate worldwide improving patient-centered outcomes and reducing the impact of health care costs. His passion for Education was recognized receiving the Presidential in Excellence Teaching Award University of Texas Health Science Center San Antonio 1998. In 2001, the American Diabetes Association awarded Dr. Harkless the Outstanding Educator in Diabetes Award. Hailed as “the father of diabetic foot care,” he is recognized nationally and internationally for his scientific and scholarly contributions, serving on scientific advisory panels for industry and government (CDC, HHS, NIH, VA, and FDA). Moreover, he has edited textbooks and has published more than 130 peer reviewed articles and book chapters He was appointed to the Texas Diabetes Council in 1995 by Governor George W. Bush, serving as Chair from 2001-2007. Dr. Harkless, an ACFAS Fellow, is a founding member and the First Chair of the American Diabetes Association (ADA) Council on Foot Care and is a past member of the ADA Board of Directors. He is also past president of the National Podiatric Medical Association and the Texas Podiatric Medical Association. He chaired the International Diabetes Federation (IDF) inaugural Diabetic Foot Stream for the 2017 annual meeting. Dr. Harkless has received numerous awards at the state, national, and international level for his inter-professional education and service contributions in amputation prevention in diabetes and wound care. A native Texan, Dr. Harkless did his undergraduate work at The University of North Texas and is a graduate of the California College of Podiatric Medicine in San Francisco where he was a member of the Honor Society. He completed his internship at UTHSCSA and his residency in Podiatric Surgery at Atlanta Hospital and Medical Center in Georgia. He and his wife Gerry of 43 years have two children Erin Paige (Charles)and Lawrence Bernard Jr (Elizabeth): Five grandchildren Eliana, Zola, Elijah, Charles, and Ethan. www.expolorepodmed.org In this episode of Dean's Chat, Dr. Jeffrey Jensen interviews Dr. Lawrence Harkless, a highly influential podiatrist in the field of diabetic foot care. Dr. Harkless has significantly contributed to the profession through teaching, research, and publications. As the founding dean of two colleges of podiatric medicine, he has mentored numerous students, residents, and fellows. Tune in for an interesting episode diving into Dr. Harkless' career. In this episode, Dr. Harkless emphasizes the importance of a good teacher meeting each student where they are and giving them the necessary time to grow. He shares his own experience of dedicating more time to weaker students rather than smarter ones. While acknowledging competing priorities, he believes that there is no better feeling than instilling confidence in people and allowing them the time to develop. Dr. Harkless refers to this as "the will to be and do," recognizing that it varies for each person. www.explorepodmed.org https://aacpm.org/ https://deanschat.com/ https://deanschat.com/episodes/ https://deanschat.com/blog/ https://deanschat.com/why-podiatric-medicine/ https://aacpmas.liaisoncas.com/applicant-ux/#/login

Episode 144: Risk Factors for Pediatric Overweight and ObesityFuture Dr. Lal describes multiple risk factors associated with childhood overweight and obesity. Dr. Arreaza adds comments about caring for pediatric patients with obesity. Practice guidelines are mentioned throughout this episode.Written by Krustina Lal, MSIII, Western University College of Osteopathic of the Pacific. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction:Obesity is one of the most common pediatric chronic diseases affecting 14.4 million children and adolescents (about twice the population of New Jersey).A recent simulation study from the US found that by 2030, a staggering 55–60% of today's children will be obese.1 in 4 children in California have obesity.Research shows that the ages between 0 and 5 years is a critical period in the development of overweight and obesity. Obesity has complex genetic, physiologic, socioeconomic, and environmental contributors. Pediatricians and other primary care physicians need to be aware of the risk factors for pediatric obesity to provide early anticipatory guidance for prevention, close monitoring, and early intervention when the weight trajectory increases.We will discuss the risk factors for children and adolescents to develop overweight and obesity, we will be diving deep into general, environmental, and familial factors. This is based off the AAP (American Academy of Pediatrics) “Clinical Practice Guidelines for the Evaluation and Treatment of Children and Adolescents with Obesity.” This guideline was published in February 2023, it is available online for free, and this is the first edition.A. General Factors- Socioeconomic StatusA longitudinal analysis of predominantly non-Hispanic white children in the United States found that low socioeconomic status before 2 years of age was associated with higher obesity risk by adolescence in both boys and girls.Poverty is associated with toxic stress, limited access to healthy foods, and low physical activity.-Children in Families That Have Immigrated to the USRecently arrived immigrants tend to be healthier than their US-born counterparts. However, as immigrants try to adjust to a new culture, they may adopt Americanized foodways, which are high in fat, sugar, and salt.Second-generation Hispanic immigrants are 55% more likely to have obesity than nonimmigrant white children, whereas first-generation Asian immigrants had a 63% lower risk of having obesity.Larger body sizes may be an indication of health and wealth in some cultures. This cultural factor may make it more difficult for parents to understand the gravity of their children's obesity.Comment: This is a common concern among Hispanic families that bring their children to the clinic to get “vitamins” to gain weight because they look “sick,” but their BMIs are normal. PCPs should be prepared to address that concern in the clinic.B. Neighborhood and Community Environments-School EnvironmentThe presence of fast foods, vending machines, and/or sweetened beverages in schools may negatively influence children's food choices, this effect is larger in younger grades.One day I went to have lunch with Devin, I liked that they had to go through the salad bar before they went to get other foods. They had the choice between vegetables or fruits.-Lack of Fresh Food AccessNeighborhood food environment has been shown to have a mixed association with children's BMI.Children and families in these settings may be unable to access fresh fruits and vegetables and safe physical activity spaces. There may be limitations in transportation, cost, affordability, and availability.-Fast food proximityLow-priced, calorie-rich fast foods with elevated levels of saturated fat, simple carbs, sugar, and sodium are commonly sold in fast food restaurants. Because they are easily available, they taste good, and they are strategically marketed, fast foods tend to be popular among children and adolescents.Some studies, not all, have shown an association between fast food locations near schools and obesity in children; a stronger association is seen in populations with lower socioeconomic status.-Access to safe physical activityGreater exposure to green space has been shown to be associated with higher levels of physical activity and a lower risk of obesity.That is something we have to recommend during our well-child visits. We are seeing a lot of aversion to going outside among the new generations. Going out seems to be torture when they find so much fun inside their houses (countless amounts of videos, video games, air conditioning/heater, etc...). A strategy for parents can be recommended 1 hour of playing outside before allowing screen time.-Environmental Health  Exposure to environmental hazards during the prenatal period, infancy, and childhood can have impacts on the health and well-being of children.Exposure to endocrine-disrupting chemicals may occur through breastfeeding, inhalation, ingestion, or absorption through the skin. We are basically surrounded by hazardous chemicals used in cleaning agents, food packaging, pesticides, fabrics, upholstery, etc. Exposure during early childhood can affect the programming of several systems, including endocrine and metabolic systems, which may affect BMI, cardiovascular, and metabolic outcomes later in life. C. Family and home environment factors-Parenting feeding styleFour types of parent feeding styles have been described:AuthoritativeAuthoritarianPermissive or indulgentNegligentAuthoritative feeding is considered protective against excessive weight gain. Children tend to eat more healthy foods, be more physically active, and have healthier BMI compared with children raised in homes with authoritarian, permissive or indulgent, or negligent parenting styles.-Sugar-sweetened beverages within the homeA systematic review of 20 prospective cohort studies and randomized controlled trials from 2013 to 2015 found that sugar-sweetened beverages (SSBs) were positively associated with obesity in children in all but 1 study.Comment: Sugary drinks are an easy way to get calories in your body. People tend to think that drinks don't count, but they can be loaded with carbs. Orange juice can have up to 25 grams of sugar in a cup, some sodas may have double, and both are high in sugar.-Portion sizes and snacking behavior Positive association but need long-term studies-Dining out and family mealsEating outside of the home—irrespective of the type of restaurant establishment visited—is associated with a higher risk of weight or BMI gain.Conversely, 2 meta-analyses found that an increased frequency of eating family meals was associated with a lower risk of childhood obesity.-Screen time – This is one of the major struggles we have as parents. It's a daily fight.A recent meta-analysis reported a 42% greater risk of being overweight or obese with more than 2 hours per day of television (TV) compared with 2 or fewer hours.Meta-analysis showed that even short exposure to unhealthy food and beverage marketing targeted at children resulted in increased dietary intake and behavior during and after the exposure.Marketing occurs via television, websites, online games, supermarkets, and outside schools.Male children and adolescents tend to spend more time on media screen devices and other Internet technology than female children and adolescents do.There is no conclusive guideline about it, but in general, we can recommend sleep hygiene to avoid insomnia or abnormal sleep patterns, such as avoiding “screens” 1 hour before bed.-Sedentary behaviorNo association. However, many confounding factors include physical activity, screen time, and unhealthy food intake.-Sleep durationChildren 13 years and younger with short sleep duration (∼10 hours) had a 76% increased risk of being overweight or obese compared with their counterparts with longer sleep duration (12.2 hours).Sleep restriction may be associated with increased calorie consumption, fatigue, and decreased physical activity.-Environmental smoke exposureChildren under 8 years old exposed to environmental tobacco smoke (ETS) have been found to have higher BMI compared with their nonexposed counterparts.I wonder If this is a direct or indirect effect of smoke.-Psychosocial stressA meta-analysis showed that prenatal psychological stress was associated with a higher risk of childhood and adolescent obesity.Psychosocial and emotional issues may lead to weight gain through maladaptive coping mechanisms, including eating in the absence of hunger to suppress negative emotions, appetite up-regulation, low-grade inflammation, decrease in physical activity, increase in sedentary behavior, and sleep disturbance. Depression has been shown to be a risk factor in both pediatric and adult obesity.-Adverse childhood experiencesACEs include a history of physical, emotional, or sexual abuse; exposure to domestic violence; household dysfunction from parental divorce or substance abuse; economic insecurity; mental illness; and/or loss of a parent because of death or incarceration.A study found that having many ACEs increased two times the risk of children having overweight or obese compared with children with no history of ACEs. Stress may result in abnormal coping strategies—such as binge eating, eating in the absence of hunger, impulsive eating, and poor sleep hygiene—which may result in further weight gain.Summary: The consequences of childhood obesity are far-reaching and extend beyond physical health issues. Children with obesity are more likely to experience a range of health complications, including type 2 diabetes, high blood pressure, sleep apnea, joint problems, and psychological issues such as low self-esteem and depression. Moreover, children with obesity are at a higher risk of carrying their weight-related problems into adulthood, increasing their susceptibility to chronic conditions such as cardiovascular disease, certain types of cancer, and premature mortality. As medical providers, we all need to keep general, environmental, and familial factors in mind when discussing weight changes among our pediatric patients. Having knowledge of such influences will help us intervene and prevent further progression. ______________________________Conclusion: Now we conclude episode number 144, “Risk Factors for Pediatric Overweight and Obesity.” Future Dr. LaL reminded us that childhood obesity is a disease linked to multiple risk factors, including but not limited to: low socioeconomic status, lack of access to safe spaces for exercise, parenting feeding styles, sleep disturbances, and adverse childhood events. Dr. Arreaza emphasized the importance of providing obesity care with kindness and empathy, especially when caring for pediatric patients.This week we thank Hector Arreaza and Krustina Lal. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Sarah E. Hampl, Sandra G. Hassink, Asheley C. Skinner, Sarah C. Armstrong, Sarah E. Barlow, Christopher F. Bolling, Kimberly C. Avila Edwards, Ihuoma Eneli, Robin Hamre, Madeline M. Joseph, Doug Lunsford, Eneida Mendonca, Marc P. Michalsky, Nazrat Mirza, Eduardo R. Ochoa, Mona Sharifi, Amanda E. Staiano, Ashley E. Weedn, Susan K. Flinn, Jeanne Lindros, Kymika Okechukwu; Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. Pediatrics February 2023; 151 (2): e2022060640. 10.1542/peds.2022-060640. https://publications.aap.org/pediatrics/article/151/2/e2022060640/190443/Clinical-Practice-Guideline-for-the-Evaluation-and?autologincheck=redirected.Weihrauch-Blüher, S., Wiegand, S. Risk Factors and Implications of Childhood Obesity. Curr Obes Rep 7, 254–259 (2018).Hemmingsson, E. Early Childhood Obesity Risk Factors: Socioeconomic Adversity, Family Dysfunction, Offspring Distress, and Junk Food Self-Medication. Curr Obes Rep 7, 204–209 (2018).Royalty-free music used for this episode: "Latina Havana Boulevard." Downloaded on October 13, 2022, from https://www.videvo.net/ 

On this episode of My Lupus Living Room, Adrienne fills in for Suzanne and sits down with Dr Emily Littlejohn, DO, MPH from the Cleveland Clinic. She may be our most accomplished guest yet, and while she did complete her Rheumatology Fellowship at that school up north, she's made up for it in spades by helping countless lupus patients across Ohio. We've put her resume below: Emily Littlejohn completed her undergraduate education at Georgetown University, where she received a B.S in Human Science. After college she moved to Boston where she received a M.P.H in Epidemiology from Boston University of Public Health. She then attended Medical School at Western University College of Osteopathic Medicine of the Pacific (COMP) where she was awarded a research fellowship in the Department of Biotechnology. She went on to complete her Internal Medicine Residency at Loyola University Medical Center in Chicago, IL and Rheumatology Fellowship at the University of Michigan where she worked closely with lupus patients and became interested in this complex and elusive disease. She joined the medical staff in the Department of Rheumatic and Immunologic Diseases at Cleveland Clinic in 2017 and holds a faculty position of Clinical Assistant Professor in the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. She directs the Cleveland Clinic Lupus Cohort (CCLC), a longitudinal bio repository that banks blood and urine of lupus patients and is co- director of the Lupus Clinic.

Episode 130: Epigenetics in childhood obesitySaakshi and Dr. Arreaza discuss some principles of epigenetics implicated in the development of obesity in children. Written by Saakshi Dulani, MS3, Western University College of Osteopathic Medicine of the Pacific. Edited by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.This topic is constantly expanding, and I'm excited to talk about it. It is a fact that epigenetic changes play a role in the development of certain diseases such as Prader-Willi syndrome, Fragile X syndrome, and various cancers. It has been demonstrated that certain foods can alter gene expression in animals, for example. What is epigenetics?Epigenetics is the regulation of gene expression without a change in the base sequence of DNA. Epigenetics means “on top of” the genes. Genes can be turned “on” or “off” as a response to external influences. Obesity and Epigenetics.The link between genetics and obesity is complex, but it is known that epigenetics plays a significant role in childhood obesity. Surprisingly, exposure to environmental factors starts in the uterus. Fetuses are exposed to intrauterine signals that increase their potential to develop obesity. Factors such as in-utero hyperglycemia, gestational diabetes mellitus, and early childhood diet and lifestyle practices can affect the development of the gut microbiome, modify gene expression through DNA methylation, and increase the risk of childhood obesity. These gene expression changes can be passed on to future generations. DNA methylation is the addition of a methyl group to part of the DNA molecule. That methyl group acts as a “chemical cap,” which prevents gene expression. Another example of epigenetics is histone modification. Histones are proteins that are used by DNA as spools to wrap around pieces of information that are “not needed”. The reason why a scalp cell and a neuron are different is that the expression of certain genes is suppressed while other genes are expressed.Factors that influence obesity.Some factors that increase the risk of childhood obesity through epigenetic changes include neonatal intestinal microbiome, C-section delivery, maternal insulin resistance, exposure to antibiotics and other environmental toxins, early introduction of complementary foods, parental diets high in carbohydrates and low in fruits and vegetables, and poor sleep. There are many other factors, but we will discuss only a few of them.Microbiome:The microbiome is a whole new world that is being explored by many investigators. The gut microbiome refers to the diverse community of organisms, including bacteria, fungi, and viruses, that reside in the human intestine. The neonatal intestinal microbiome is established during the first two years of life and may be influenced by factors such as the method of delivery, maternal obesity, and the maternal gut microbiome. Some bacteria worth mentioning are Bacteroides, Clostridium, and Staphylococcus. These gut bacteria are higher in pregnant women who have obesity, and they also have a low count of Bifidobacterium. Infants born to obese mothers have higher levels of bacteria associated with increased energy harvest compared to infants born to normal-weight mothers. The gut microbiome of infants delivered by C-section is different than infants delivered vaginally.Link to antibiotics:Early exposure to antibiotics is associated with the development of resistance in microorganisms. The intestinal microbiota exposed to antibiotics also shows reduced diversity. Antibiotics can decrease the number of mitochondria and impair their function, which is important in maintaining energy metabolism. Evidence suggests that some antibiotics can cause mutations in the mitochondrial genome, and they have a direct effect on the microbiome and influence metabolism. There is a strong association between early-life antibiotic exposure and childhood adiposity, with a strong dose-response relationship. A stronger association has been seen with exposure to broad-spectrum antibiotics and macrolides. Maternal insulin resistance (IR):Insulin resistance means that the mother needs levels of insulin that are higher than normal to stay normoglycemic. It means the insulin receptors are “exhausted” and do not respond to normal levels of insulin. Insulin does NOT cross the blood-placenta barrier, but glucose and other nutrients do. This causes the fetus to have an abundance of glucose that stimulates the secretion of high levels of insulin by the fetal pancreas to stay normoglycemic. The combination of insulin + glucose is the perfect combination for anabolism, adipocyte hyperplasia, and fetal growth. That explains why mothers with insulin resistance deliver larger babies (macrosomia). Maternal insulin resistance is a predictor of infant weight gain and body fat in the first year of life. This is not influenced by the mother's BMI before pregnancy. Maternal insulin resistance causes alterations in gene regulation for lipids, amino acids, and inflammation, leading to long-term health implications for both the mother and future pregnancies.C-section and obesity:C-section delivery is a saving procedure for many obstetrical emergencies. C-sections have improved the survival of larger infants and their mothers. C-sections are more frequent among populations with obesity and sedentary lifestyles. This method of delivery is also strongly associated with childhood obesity. Among many other reasons, whenever a vaginal delivery is feasible, a vaginal delivery is preferred over a c-section.   In summary, we discussed 4 factors that may influence childhood obesity: the newborn microbiome, exposure to antibiotics, maternal insulin resistance, and C-sections. There are many other factors that we did not talk about, but the more we know about genetics, epigenetics, and metabolism, the closer we get to a better understanding of obesity._____________________Conclusion: Now we conclude our episode number 130, “Epigenetics in childhood obesity.” Saakshi discussed with Dr. Arreaza that the in-utero environment can alter gene expression and increase the risk of obesity in children. Some factors, such as maternal insulin resistance and changes in gut microbiome, can be the cause of obesity in some children. This week we thank Hector Arreaza and Saakshi Dulani. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________Sources:Burdge GC, Hoile SP, Uller T, Thomas NA, Gluckman PD, Hanson MA, Lillycrop KA. Progressive, transgenerational changes in offspring phenotype and epigenotype following nutritional transition. PLoS One. 2011;6(11):e28282. doi: 10.1371/journal.pone.0028282. Epub 2011 Nov 30. PMID: 22140567; PMCID: PMC3227644. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3227644/Rachael Rettner, Epigenetics: Definition & Examples, Live Science, published on June 24, 2013, available at: https://www.livescience.com/37703-epigenetics.htmlMulligan CM, Friedman JE. Maternal modifiers of the infant gut microbiota: metabolic consequences. J Endocrinol. 2017;235: R1-R12.Aghaali, M. and S. S. Hashemi-Nazari (2019). “Association between early antibiotic exposure and risk of childhood weight gain and obesity: a systematic review and meta-analysis.” J Pediatr Endocrinol Metab 32(5): 439-445.Yuan C, Gaskins AJ, Blaine AI, et al. Association between cesarean birth and risk of obesity in offspring in childhood, adolescence, and early adulthood. JAMA Pediatr. 2016;170(11):e162385. doi: 10.1001/jamapediatrics.2016.2385.Royalty-free music used for this episode: “Gushito - Burn Flow." Downloaded on October 13, 2022, from https://www.videvo.net/

Episode 127: Obesity Update and Uterine CancerSaakshi presents some updates on the treatment of obesity in pediatric patients. Wendy explains a recent study connecting hair iron to uterine cancer. Updates on obesity management in pediatric patients.Written by Saakshi Dulani, MS3, Western University College of Osteopathic Medicine of the Pacific. Edited by Hector Arreaza, MD.Background information:The American Academy of Pediatrics has released new guidelines on obesity management in pediatric patients. This is the first update regarding childhood obesity in 15 years. According to the CDC, the rates of childhood obesity have tripled since the 1980s, and as of now, 1 in every 5 children suffers from obesity in the United States. It is important to recognize obesity is a chronic, multifaceted disease that comes with its own set of complications, such as type 2 diabetes mellitus, high blood pressure, asthma, sleep apnea, heart disease, and various mental and psychosocial health issues. The first-line treatment used to be comprised of behavioral health and lifestyle counseling, however, now, 1st line treatment for pediatric patients includes medications and surgery in addition to the previously suggested counseling. This is because research has shown that diet and level of physical activity are not the only factors that determine weight but also include genes, hormones, and metabolism. Similar to many other chronic diseases, the sooner the treatment is started, the better. There has been no benefit shown in waiting for adulthood to treat obesity. Who qualifies for which treatments?As a reminder, in the pediatric population, we use the BMI percentiles instead of the absolute number for BMI. Overweight is defined as BMI between 85-95th for patients of the same gender and age. Obesity is defined as being above the 95th percentile.Four drugs are now approved for obesity treatment in adolescents starting at age 12, which are Saxenda® (liraglutide), Qsymia® (phentermine-topiramate), Wegovy® (semaglutide), and Xenical® or Alli® (orlistat). Phentermine as monotherapy has been approved for teens aged 16 and older. Another drug called Imcivree® has been approved for children 6 and older affected by Bardet-Biedl syndrome. The problem with medications is that they are not available to everyone due to the cost, and there are many shortages occurring due to the high demand for these drugs. Surgical options:This is a MAJOR change in the recommendations for obesity treatment in children.  The new guidelines recommend discussing SURGERY with patients that are 13 years old and have severe obesity. It has been shown that bariatric surgery provides lasting results but also that it can reverse health issues such as type 2 diabetes mellitus and hypertension. It is exciting that more research is being done to provide us with more evidence regarding the treatment of obesity in children. Obesity treatment is challenging, even more so in children. So, we encourage all listeners to review the new guidelines about the use of medications and surgery to treat obesity in children and put them to practice if appropriate for your patients.____________________________You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.____________________________Hair products and uterine cancer.Written by Wendy Collins, MS3, Ross University School of Medicine. Edited by Hector Arreaza, MD.What is the sister study? The Sister Study is a nationwide effort in the US conducted by the National Institute of Environmental Health Sciences, which includes over 50,000 sisters of women who have had breast cancer. This study aims to find environmental and genetic causes of breast cancer. The women in this study were breast cancer free and lived in the United States, including Puerto Rico. They were enrolled from 2003-2009 and were followed up until September 2019. If the sister study is made up of 50,000 women, why does this study only use about 30,000 of those women? Excluded women include those who withdrew from the study (n = 3), who self-reported a diagnosis of uterine cancer before enrollment (n = 380), had an uncertain uterine cancer history (n = 10), had an unclear timing of diagnosis relative to enrollment (n = 59), had a hysterectomy before enrollment (n = 15,585), who did not answer any hair product use questions (n = 736), and who did not contribute any follow-up time (n = 164), resulting in 33,947 eligible women. How was it done?The authors reviewed medical records and questionnaires about hair care within the past 12 months and compared women who developed uterine cancer with those who did not for about 10 years between 2003-2009. Of this sample, only 378 women developed uterine cancer. Further investigation needs to be done to make worthwhile associations between hair straighter use and the incidence of uterine cancer. This study drew 2 primary conclusions:Hair products are not associated with uterine cancer: No associations were found between hair product usage and the incidence of uterine cancer. This was investigated because it's thought that synthetic estrogenic compounds, such as endocrine-disrupting chemicals, could contribute to uterine cancer risk because of their ability to alter hormonal actions. This is something that has been linked to breast and ovarian cancers in the past, so it made sense to consider the same for uterine cancers.Using a straightening iron is positively associated with uterine cancer: Ever vs. never use of a straightening iron in the previous 12 months was associated with a hazard ratio of 1.80 with 95% confidence interval 1.12 to 2.88. The association was stronger when comparing frequent use (>4 times in the past 12 months) vs never use was associated with a hazard ratio of 2.55, 95% confidence interval 1.146 to 4.45.This was investigated because it is thought that heating processes such as flat ironing or blow drying could release or thermally decompose chemicals from the products. This can lead to potential higher exposures to hazardous chemicals through inhalation or percutaneous absorption of chemicals, which is higher in the scalp compared to other areas. While this hypothesis makes sense and supports the results, there are many confounding variables, including physical activity. Women with higher physical activity tend to have decreased sex steroid hormones and less chronic inflammation, reducing their risk of uterine cancer.Hair products are not associated with uterine cancer, and straightening iron is positively associated with uterine cancer, but further research is needed.The incidence of uterine cancer in the past 20 years has significantly increased. Investigating reasons for why this might be could lead to the discovery of potential targets for intervention. However, I am personally unconvinced by this study, and I fully intend to continue to use hair products, my blow dryer, my curling iron, my crimper, and yes even my straightener for the foreseeable future until further research is done.__________________________Conclusion: Now we conclude episode 127 “Obesity Update and Uterine Cancer.” We learned from Saakshi that the American Academy of Pediatrics now recommends discussion of pharmacologic and surgical treatments for pediatric obesity; then Wendy explained that some association between hair iron and uterine cancer was found but further research is needed. This week we thank Hector Arreaza, Saakshi Dulani, and Wendy Collins. Audio edition by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________Links:Chang CJ, O'Brien KM, Keil AP, Gaston SA, Jackson CL, Sandler DP, White AJ. Use of Straighteners and Other Hair Products and Incident Uterine Cancer. J Natl Cancer Inst. 2022 Oct 17:djac165. doi: 10.1093/jnci/djac165. Epub ahead of print. PMID: 36245087. https://pubmed.ncbi.nlm.nih.gov/36245087/American Academy of Pediatrics Issues Its First Comprehensive Guideline on Evaluating, Treating Children and Adolescents With Obesity, American Academy of Pediatrics, AAP.org, published on January, 9, 2023, available at: https://www.aap.org/en/news-room/news-releases/aap/2022/american-academy-of-pediatrics-issues-its-first-comprehensive-guideline-on-evaluating-treating-children-and-adolescents-with-obesity/Gumbrecht, Jamie and Jacqueline Howard, Updated childhood obesity treatment guidelines include medications, surgery for some young people, January 11, 2023. CNN.com, available at: https://www.cnn.com/2023/01/09/health/childhood-obesity-treatment-guidelines-wellness/index.htmlSullivan, Kaitlin, New guidelines for treating childhood obesity include medications and surgery for first time, January 9, 2023. NBCnews.com, available at: https://www.nbcnews.com/health/kids-health/new-guidelines-treating-childhood-obesity-include-medications-surgery-rcna64651Royalty-free music used for this episode: “Gushito - Burn Flow." Downloaded on October 13, 2022, from https://www.videvo.net/

47. OCPhA Monthly Meeting Spotlights - Community Pharmacy with Dr. Paideia Le Originally recorded July 2021, OCPhA president Rod Patterson interviewed Dr. Paideia Le on how community pharmacies are integral in patient care. Dr. Le has been heavily involved in pharmacy practice and helping the community ever since she was a student at Western University College of Pharmacy. Since graduation, she has opened up Quinn's Apothecary Pharmacy with her business partners to provide unique care services to their patients. In this monthly meeting spotlight, she shares her journey and advice for those looking to get into the field. As always, you can visit us at www.ocpha.org or you can email us at info@ocpha.org. Follow us on social media and share this podcast with your friends! ========== Twitter: @OCPhA_CA Instagram: @OCPhA Facebook: OC Pharmacists Visit our parent organization, the California Pharmacists Association Until next time, OCPhA is reminding you to get determined, get inspired!

Dr. Bruno Azevedo discusses how CBCT's work, technical features clinicians should look for, application in general practice, diagnostic possibilities, problems CBCT solves, pain points and their solution, safety and liability issues and best advice for his colleagues. Dr. Bruno Azevedo – aka- The Cone Beam Guy is an Oral Maxillofacial Radiologists with extensive experience in 3D imaging technologies in Dentistry. He attended the University of Texas Health Science Center in San Antonio, where he received both a certificate in Oral Maxillofacial Radiology and a Masters in Dental Diagnostic Sciences.  Dr. Azevedo is a diplomate of the American Board of Oral and Maxillofacial Radiology and is one of the most active speakers in North America regarding dental 3D imaging technologies. He was a founding faculty of Western University College of Dental Medicine and served as the Oral Radiology Department Director for six years at the University of Louisville. Dr. Azevedo currently works in private practice Oral Maxillofacial Radiology and provides consulting services regarding dental imaging and 3D printing. The Dental Clinical Companion Podcast (DCCP) is provided for general informational purposes only. The DCCP, MounceEndo, LLC, Dr. Joel Fransen, Richmond Endodontics CA, and Dr. Richard Mounce personally have no liability for any clinical, management, or financial decisions or actions taken or made by you based on the information provided in this program. The DCCP is not intended to offer dental, medical, legal, management, investment, surgical, tax, clinical, or any other professional advice. Reliance on the information in the DCCP is done entirely at the listeners own risk.  No guarantees, representations, or warrantees are made with regard to the completeness, accuracy, and/or quality of the DCCP.  The DCCP takes no responsibility for, does not endorse, and does not imply a relationship/affiliation to any websites, products, services, devices, individuals, organizations which are hyperlinked to any DCCP component or mentioned in the DCCP. Third party materials, hyperlinks, and/or DCCP content does not reflect the opinions, standards, and policies of MounceEndo, LLC (owner of the DCCP, Dr. Richard Mounce, the guest, or show sponsors). The DCCP makes no warranty that the Podcast and its server are free of computer viruses or other destructive or contaminating code elements. The Dental Clinical Companion Podcast expressly disclaims any and all liability or responsibility for any direct, indirect, incidental, special consequential or other damages arising out of any individuals use of, reference to, reliance on, or inability to use, this podcast or the information presented in this podcast. Support the show (http://mounceendo.com/)

Introducing you to our newest guest...Mereat Askander!! Tune in as shares how her love for helping others started in her Public Health courses in her undergraduate studies. She shares how that transformed into a passion to pursue Podiatry. An incoming 1st year student at Western University College of Podiatric Medicine.

This interview was recorded on May 8, 2020. On this episode, Susan Ryan, DO, who has been on the front lines of this pandemic since it began, shares insights about her experience. Ryan also talks about the spectrum of symptoms, the toll on healthcare, and her own struggles with fear and anxiety. Ryan has been an emergency room (ER) physician with Rose Medical Center in Denver, CO, for 23 years. About the Expert Susan Ryan, DO, has been an emergency room physician with Rose Medical Center in Denver, CO, for the past 23 years. She received her medical degree from Western University College of Osteopathic Medicine and did her residency with Saint Joseph Hospital in Denver. She also completed a Sports Medicine Fellowship with the Orthopaedic & Spine Center of the Rockies and worked as an Olympic Team Physician and for the Colorado Avalanche Hockey team. She is also a volunteer puppy raiser for the nonprofit organization Canine Companions for Independence and has been a board member of that organization for the past 5 years.

Tripawds Podcast Episode #92: Chemotherapy doesn't have to be scary! What is the most important factor when considering chemotherapy for your dog or cat with cancer? And why is it also important to think about nutrition, the clinical experience, and our emotions? Find out from Dr Vanessa Rizzo, on this episode of Tripawd Talk Radio.PLEASE NOTE: This episode was recorded before COVID-19 distancing restrictions we announced. Please practice safe physical distancing and abide by your vet's regulations.Guest: Dr. Vanessa Rizzo, DVM, ACVIM (Oncology) Oncologist & Medical Director of Puget Sound Veterinary Specialists Dr. Rizzo is a board certified veterinary medical oncologist in the Pacific Northwest. As Medical Director and chief oncologist at Puget Sound Veterinary Specialists, she knew she wanted to treat pets with cancer since starting veterinary school at Western University College of Veterinary Medicine in Southern California. Dr. Rizzo a 3-year residency program in medical oncology at Cornell University and today in addition to oncology care, her unique specialty practice also incorporates integrative vet medicine such as nutrition consulting and acupuncture. Puget Sound Veterinary Specialists also goes the extra mile by taking a Fear Free approach to helping animals feel at ease in the clinic while undergoing cancer care and other serious conditions. Today we will talk about how the Fear Free experience can make cancer care less scary for pets and people, and what newcomers to veterinary oncology can expect if they decide to pursue treatment. Learn more about Dr. Rizzo:http://pugetsoundvetspecialists.comFind a certified Fear Free vet clinic near you:https://fearfreepets.comPlease subscribe and rate Tripawd Talk Radio on Apple Podcasts and find all past episodes at https://tripawds.com/radioSupport the show (https://tripawds.com/support)

25. Student Spotlight: Stephanie (Stephy) Lee: Engineering a Path to Clinical Care On today's first episode of the Student Spotlight series, we highlight current second year pharmacy student Stephanie (Stephy) Lee at Western University College of Pharmacy. She comes from a unique background in engineering and found her way to pharmacy through personal life circumstances that she's willing to share with our listeners. In addition, she will be presenting a poster at the upcoming CSHP Seminar held in Anaheim, CA. Her poster presentation will be on Friday, October 18th, 2019.To contact Stephanie for any questions about WesternU events, please contact her at stephanie.lee@westernu.edu. For more information about CSHP, visit https://www.cshp.org/page/SeminarAs always, you can visit us at www.ocpha.org or you can email us at info@ocpha.org. Follow us on social media and share this podcast with your friends!Twitter: @OCPhA_CAInstagram: @OCPhAFacebook: OC PharmacistsVisit our parent organization, the California Pharmacists AssociationUntil next time, OCPhA is reminding you to get determined, get inspired!

Dr. Kirsten Mackey is a board-certified medicine physician and traditional osteopath with specialty training in functional and holistic medicine. In this heartfelt episode we explore challenges and celebrations Kirsten has had in her personal path and how she has brought the learning from those experiences into her practice with her patients. Kirsten uses osteopathic manual medicine (O.M.M.), homeopathy, prolotherapy/neural therapy injections, Ayurveda, autonomic response testing (A.R.T.) to holistically address a variety of health concerns. As a yoga instructor and former competitive snowboarder and Division I field hockey player, Dr. Mackey learned the importance of a holistic approach to healing and medicine. Her experiences led her to attend osteopathic medical school in the Bay Area and complete her training at the University of Nevada Reno. She formerly served as a clinical faculty member at Western University College of Osteopathic Medicine and currently teaches at the University of Nevada Family Medicine Residency as well as the Shakti School, an Ayurvedic practitioner program. Dr. Mackey is excited to return to the Lake Tahoe area after most recently working for several years at a highly regarded osteopathic practice in Santa Monica, California. If you're inspired to connect with Kirsten, she practices in the Lake Tahoe, California area and you can find her on her website drkirstenmackey.com.

Dr. Shidlofsky completed his Pre-Optometry studies at the University of Texas at Austin in 1984. He then attended Southern College of Optometry in Memphis, Tenn. where he received his BS in 1986 and OD in 1988. Upon graduation, he moved back to to the Dallas area to begin his practice. Dr. S, as he is known around the office, has been very active in Neuro-developmental Optometry for most of his years in practice. He has developed and integrated many unique therapies that have helped thousands of children who have struggled in school due to vision problems often seen in: ADD/ADHD, Autism Spectrum Disorder, Sensory Processing Disorders as well as some of the classic vision problems related to focusing, eye teaming, eye movement skills, visual spatial skills and vision perception issues. He has expanded his work to include those with traumatic and acquired brain injury, stroke and other neurological processing problems. In addition, he works with several professional sports teams in the Dallas area as well as weekend athletes on developing vision skills. Dr. Shidlofsky is a Clinical Director for the Special Olympics Opening Eyes Program. Dr. Shidlofsky completed his Fellowship for the College of Optometrists in Vision Development in 2011. In addition, he is an Adjunct Professor of Optometry at: Southern College of Optometry, University of Houston College of Optometry, University of Incarnate Word-Rosenberg College of Optometry and Western University College of Optometry. He is also director of a private practice residency program in pediatrics/vision therapy/sports vision and neuro-vision rehabilitation through Southern College of Optometry. Episode sponsored by: Midwest Functional Neurology Center

Welcome to the Vivid Vision Spotlights podcast! On this week's episode we glimpse into the future of optometry and vision therapy with Fayiz Maghoub a student at the Western University College of Optometry in Pomona California. Here is a snippet of some of the things we spoke about. 30: How Fayiz became interested in Optometry and vision therapy. 1:40 Vision therapy is not taught at every optometry school. Why? 4:00 What does the future of Optometry and vision therapy look like from the perspective of someone who is currently a student? 5:30 A lot of eye care professionals have a personal connection to why they pursued their career in the field. 7:30 What is something that all or most vision therapists and optometrist agree on? 9:40 What is holding back Optometry and vision therapy from achieving its true potential? 11:00 What do Optometry students need and want from large institutions and the overall community? 13:00 What's being done currently to make sure students can transition smoothly into private practice? 14:30 The main differences between younger optometrists vs old school optometrists. 15:40 The importance of educating the public about vision issues that might or might not be affecting them. 18:00 Closing thoughts. Stay in touch with Fayiz via the link below: Fayiz Maghoub - Linkedin page: http://bit.ly/1rmDZgm