Video Library: Recent Episodes
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Guest: Roger Dmochowski, MD
Guest: David Staskin, MD
Tune in to this live broadcast on overactive bladder! Experts David Staskin, MD, and Roger Dmochowski, MD, discuss evidence-based best practices in the management and treatment of OAB and integrate challenging case studies throughout the broadcast.
Host: Matt Birnholz, MD
Guest: Uma Mahadevan, MD
Whether you’re a seasoned veteran in the field or a newly practicing clinician, successful time management and work-life balance can be difficult to achieve. Tune in for key tips and tricks from Dr. Uma Mahadevan.
Host: Matt Birnholz, MD
Guest: Kimberly Kearns, NP
An advanced practice-provider’s role in treating patients with IBD is very critical, especially at a time when emerging data supports the multidisciplinary team’s positive impact on patients' experiences. Joining Dr. Matt Birnholz is nurse practitioner Kimberly Kearns to illuminate the impact advanced practice-providers have on patient outcomes.
Host: Matt Birnholz, MD
Guest: Maria T. Abreu, MD
As emerging data supports the idea that patients with IBD can be managed by focusing on the microbiome, discussing dietary needs, and using cognitive behavioral therapy, it’s important that providers are attentive to the changing paradigms. During the 2020 Crohn’s and Colitis Foundation Congress, Dr. Maria Abreu leverages her triple-threat perspective on bench research, clinical research, and clinical care to share how we can improve care for patients with IBD.
Host: Matt Birnholz, MD
Guest: James D. Lewis, MD, MSCE
The recipe for a healthy gut involves much more than just prescribing medications and diet restrictions. Treating the whole patient by identifying malnourishment, dermatologic conditions, and psychosocial needs can help ensure that IBD doesn’t have any negative impacts beyond the gut. Join Dr. Matt Birnholz as he digests the highlights from the 2020 Crohn's and Colitis Congress session "IBD: Beyond the Gut" with guest Dr. James Lewis.
Host: Matt Birnholz, MD
Guest: Tiffany H. Taft, PsyD
Since the brain-gut connection directly impacts the biopsychosocial well-being of IBD patients, Dr. Matt Birnholz sits down with Dr. Tiffany Taft, Director of Psychogastroenterology Research in the Division of Gastroenterology and Hepatology at Northwestern University, to discuss how integrating psychogastroenterology principles and techniques into your practice can help alleviate the burden of IBD on your patients.
Host: Matt Birnholz, MD
Guest: Corey A. Siegel, MD, MS
At the third annual Crohn’s & Colitis Congress in Austin, Texas, Co-Director of the IBD Program and Section Chief of Gastroenterology and Hepatology at the Dartmouth-Hitchcock Medical Center Dr. Corey Siegel sat down with Dr. Matt Birnholz to share his approach to presenting risk data to his IBD patients.
Host: Jennifer Caudle, DO
To gain more insights into how inflammatory bowel disease (IBD) affects our young patients, Dr. Jennifer Caudle connects with Caroline, a 12-year-old patient who was diagnosed with IBD at the age of 4, and her parents, Preston and Rachelle, about the challenges they face and the strategies and solutions available that can help children and teens like Caroline manage this condition.
Host: Jennifer Caudle, DO
It can be easy to think of heat exhaustion and heatstroke as the same condition, but there’s a key difference between the two that we need to help our patients understand, especially during the warm summer months.
Guest: Jennifer Caudle, DO
It’s an unfortunate reality that an increasing number of patients are refusing to get vaccinated—regardless of whether that’s the recommendation for themselves or their children. But luckily, there are ways you can talk to your patients about this, as Dr. Jennifer Caudle explains.
Host: Jennifer Caudle, DO
Guest: Catherine Apicella, MPT, PYT-C, PRPC
With less and less primary care physicians partnering with physical therapists, it’s time we ask: are we doing ourselves—and our patients—a disservice by not taking advantage of this option? To find out, Dr. Jennifer Caudle sits down with physical therapist Catherine Apicella to discuss the often-overlooked benefits of physical therapy and how primary care physicians and physical therapists can work together to benefit their patients.
Host: Kelly Issokson, MS, RD, CNSC
Guest: James D. Lewis, MD, MSCE
After the “Nutritional Therapy for IBD: From Theory to Your Practice” session at the second annual Crohn’s & Colitis Congress in Las Vegas, dietician Kelly Issokson and Dr. James Lewis recap the key takeaways, how you can implement those takeaways into your practice, and the benefits of recruiting dieticians and other healthcare professionals to provide your IBD patients with nutritional therapy.
Host: Alessandro Fichera, MD
Guest: Judy Cho, MD
At the second annual Crohn’s & Colitis Congress in Las Vegas, Dr. Alesandro Fichera and Dr. Judy Cho discuss the session that they co-moderated about the management of complicated IBD and the breakthroughs for Crohn's disease management that could limit your patients’ need for surgery.
Host: Animesh Jain, MD
Guest: David P. Hudesman, MD
The number of IBD patients who find themselves with colorectal cancer has decreased over the past ten years due to better screening tools and medication. And to help continue that trend, Dr. Animesh Jain and Dr. David Hudesman discuss the unique risk factors and the importance of early screening at the second annual Crohn’s & Colitis Congress in Las Vegas.
Host: Alan C. Moss, MD
To help ensure that you and your patients are on the same page, the Crohn’s & Colitis Foundation creates a Health Maintenance Checklist each year. Join Dr. Alan Moss as he breaks down this checklist at the second annual Crohn’s & Colitis Congress in Las Vegas.
Host: Maria T. Abreu, MD
Guest: Michael Rosen, MD, MSCI
Dr. Maria Abreu and the Medical Director of Schubert-Martin Inflammatory Bowel Disease Center Dr. Michael Rosen discuss one of the sessions at the second annual Crohn’s & Colitis Congress, entitled “Environmental Triggers and Stemming the Rising Tide of IBD.”
Host: Athos Bousvaros, MD, MPH
Guest: Andrew B. Grossman, MD
Recorded at the second annual Crohn’s & Colitis Congress in Las Vegas, Dr. Athos Bousvaros and Dr. Andrew Grossman discuss IBD among pediatric patients and how optimizing various therapies is critically important to achieving disease remission.
Host: Gary R. Lichtenstein, MD, FACG, FACP, AGAF
Guest: Marla Dubinsky, MD
Not every IBD patient fits into IBD care guidelines, which is why Dr. Gary Lichtenstein and Dr. Marla Dubinsky discuss the best ways to use these guidelines in your practice at the second annual Crohn’s & Colitis Congress in Las Vegas.
Host: Laurie Keefer, PhD
Guest: Joel R. Rosh, MD
Joining Dr. Laurie Keefer at the second annual Crohn’s & Colitis Congress in Las Vegas to discuss one of the conference’s highly anticipated sessions is Dr. Joel Rosh, a pediatric gastroenterologist from Atlantic Health System.
Host: Brent Polk, MD, AGAF
Guest: Maria T. Abreu, MD
Sit in on the conversation between the chair and co-chair of the Crohn’s & Colitis Congress Dr. Brent Polk and Dr. Maria Abreau, as they discuss highlights from the second annual conference held in Las Vegas and why this meeting is so important for clinicians and scientists alike.
Host: Kimberly Kearns, NP
Guest: Betty White, ARNP, MN
Recapping the “Optimal IBD Outcomes: What Advanced Practice Providers Need to Know” session they moderated at the second annual Crohn’s & Colitis Congress in Las Vegas, adult nurse practitioner-board certified Kimberly Kearns and advanced practice nurse Betty White talk about the top 10 takeaways, including which patients are right for clinical trials and managing IBD in pregnant patients.
Host: Jennifer Caudle, DO
Guest: Catherine Apicella, MPT, PYT-C, PRPC
Frustrating multiple sclerosis (MS) symptoms like urinary frequency and incontinence can be detrimental to a patient’s quality of life, but there are resources available to help. To explore the benefits of pelvic floor physical therapy for MS, Dr. Jennifer Caudle sits down with two special guests: physical therapist Catherine Apicella from CORE 3 Physical Therapy and her patient—and ReachMD’s very own employee—Crystal Gouldey.
Host: Brian P. McDonough, MD, FAAFP
Guest: Jeanne Venella, DNP, MS, CEN, CPEN
Jeanne Venella, Vice President of Clinical Operations at Stel Life, Inc., talks about the benefits and limitations of the electronic records system in healthcare from her perspective as a nurse.
Host: Prathima Setty, MD
Dr. Prathima Setty traveled to the Physician Advisor and Medical Director Summit in Orlando, Florida, where she caught up with Dr. Simon Ahtaridis. As the National Clinical Advisor and the Chief Medical Officer of Advisory Services of Sound Physicians, Dr. Ahtaridis describes the implications of the change regarding total knee replacements and how providers and patients alike will be impacted.
Guest: Alexis Ogdie, MD, MSCE
Along with the management of psoriatic arthritis, many patients also struggle with multiple, underlying comorbidities, increasing the complexity of the disease. In a review of the associated comorbidities that can emerge from PsA, Dr. Alexis Ogdie brings another aspect to the forefront: the all-too-often underrecognized comorbidities and risk factors.
Beyond Skin Deep: Impacts of Psoriatic Arthritis is sponsored by Lilly. Content for this non-certified educational series is produced and controlled by ReachMD. This series is intended for health care professionals only.
Host: Jennifer Caudle, DO
For the two percent of Americans diagnosed with psoriasis, proper and individualized treatment is essential in improving a patient’s quality of life, as Dr. Jennifer Caudle explains.
Host: Jennifer Caudle, DO
The month of September is dedicated to raising awareness of sickle cell disease, which affects approximately 70,000 to 100,000 Americans each year. Here to tell us more about this prevalent condition and the various resources available is Dr. Jennifer Caudle.
Guest: Adrienne Rencic, MD, PhD
Many psoriatic arthritis patients struggle in determining the proper physician they should seek for treatment and care management. Since dermatologists are usually consulted first due to skin manifestations, it’s crucial that they are able to recognize the symptoms of PsA and know when to refer the patient to another specialist. Dr. Adrienne Rencic, a dermatologist in Glen Mills, PA, emphasizes the power of communication to achieve good coordination of care.
Beyond Skin Deep: Impacts of Psoriatic Arthritis is sponsored by Lilly. Content for this a non-certified educational series is produced and controlled by ReachMD. This series is intended for health care professionals only.
Guest: Robin K. Dore, MD
Dr. Robin Dore joins us to answer some of the most frequently asked questions about PASI, like what these scores are, how they’re used, and how they affect the outcomes of your psoriatic arthritis patients.
Beyond Skin Deep: Impacts of Psoriatic Arthritis is sponsored by Lilly. Content for this a non-certified educational series is produced and controlled by ReachMD. This series is intended for health care professionals only.
Guest: Robin K. Dore, MD
The emotional burden of psoriatic arthritis stems from the development of skin lesions, which can be extremely damaging to a patient’s personal and professional relationships as Dr. Robin Dore explains.
Beyond Skin Deep: Impacts of Psoriatic Arthritis is sponsored by Lilly. Content for this a non-certified educational series is produced and controlled by ReachMD. This series is intended for health care professionals only.
Guest: Elizabeth Volkmann, MD, MS
What matters most to your psoriatic arthritis patients? Knowing the answer plays a big role in any successful treat-to-target strategy, and thanks to these insights from Dr. Elizabeth Volkmann, you can ensure that you’re developing an approach that’s ideal for each individual patient. Dr. Volkmann is a rheumatologist and clinical researcher at the Ronald Reagan Medical Center at UCLA.
Beyond Skin Deep: Impacts of Psoriatic Arthritis is sponsored by Lilly. Content for this a non-certified educational series is produced and controlled by ReachMD. This series is intended for health care professionals only.
Guest: Elizabeth Volkmann, MD, MS
When assessing for low or minimal disease activity in psoriatic arthritis patients, there are three things you need to consider: patient-centered criteria, physical examination findings, and laboratory measures. Explore how you can use this combination of outcome measurements in your practice with rheumatologist and clinical researcher at the Ronald Reagan Medical Center at UCLA, Dr. Elizabeth Volkmann.
Beyond Skin Deep: Impacts of Psoriatic Arthritis is sponsored by Lilly. Content for this a non-certified educational series is produced and controlled by ReachMD. This series is intended for health care professionals only.
Hear from Michael Osso, President and CEO of the Crohn’s & Colitis Foundation, as he talks about the Crohn’s & Colitis Foundation Perspectives series on ReachMD.
Tip 4: Plot Your Path in Five Steps
Most speeches and presentations tend to be a bit boring. But with Karen Friedman's help, you'll be able to organize your content in five easy steps and begin "writing for the eye and speaking for the ear."
Tip 7: The Pause
Recognized as the most powerful tool, the pause has the ability to create different effects and meanings in speeches. Karen Friedman suggests multiple uses and explains the benefits of applying this tool when speaking to your audience.
Tip 11: Vocal Variety
You use natural inflections in your voice every day, so why should your presentation sound any different? Karen Friedman reviews the five Ps that add vocal variety to your presentation.
Tip 2: The One Thing
Not sure how to start a new presentation? Karen Friedman discusses the "Twitter-like" approach towards a project that ensures that your message is conveyed properly.
Tip 5: Mix it Up:
By using different stories and visuals, you have the power to change the energy of the room. Karen Friedman discusses how to properly incorporate unique, unusual, and interactive techniques to regulate the mood and captivate the audience.
Tip 9: Ditch the Slides
Slides should be used for reinforcement, not as a script. These important tips provided by Karen Friedman will teach you how to use these visuals appropriately.
Tip 12: How to Look Confident When Speaking
We all have moments when our nerves take over. However, you can't let your nerves stop you from looking confident, credible, and connected to your audience. In this segment, Karen Friedman looks into the different ways you can achieve strong body language throughout a presentation.
Karen Friedman returns with another season of Speaking of... a series devoted to divulging presentational tips and tricks that turn boring into brilliant. With these helpful tools, you'll find yourself becoming an impactful leader and effective communicator throughout all aspects of life.
Tip 1: Present the Problem
Presenting the problem before the solution not only gives people a reason to listen, but as Karen Friedman explains, it also gives you the opportunity to connect with your audience and gain rapport and trust.
Host: Philip Stein, MD
Guest: Neilanjan Nandi, MD
Guest: Susan Peck, MSN, CRNP
From the ReachMD studios in Fort Washington, Pennsylvania, host Dr. Philip Stein talks with Dr. Neilanjan Nandi and nurse practitioner Susan Peck about their respective experiences with The Crohn’s & Colitis Foundation's Camp Oasis. This camp gives children with IBD the opportunity to meet other kids with the same chronic illness, teaching them how to cope with their disease, manage their own medical needs, try new sports and activities, build confidence and independence, and most importantly, spend quality time just being a kid.
Host: Adam Ehrlich, MD, MPH
Guest: Adam Kaufman, MD
From the ReachMD studios in Fort Washington, Pennsylvania, host Dr. Adam C. Ehrlich talks with Dr. Adam Kaufman, Gastroenterologist at Main Line Gastroenterology Associates. Dr. Kaufman brings to the forefront the importance of preparing your IBD patient for travel. Discussion points include scheduling a pre-travel counsel visit, medication choices and proper storage procedures, vaccination considerations, blood clot prophylaxis, and travel insurance.
Host: Brian P. McDonough, MD, FAAFP
Guest: John D. Betteridge, MD
Guest: Philip Stein, MD
Guest: Thomas Judge, M.D.
From the ReachMD studios in Fort Washington, Pennsylvania, host Dr. Brian McDonough moderates an expert gastroenterology panel exploring some of the top issues in IBD management: the best time for primary care clinicians to refer patients to GI, challenges to making an early diagnosis, and differences between IBD and IBS.
Panel participants include:
- Dr. John Betteridge, Gastroenterologist at Lancaster General Hospital and Regional Gi Medical Center in Lancaster, PA
- Dr. Tom Judge, Gastroenterologist and Director of the Inflammatory Bowel Disease Center at Cooper University Health Care, and Associate Professor of Medicine at the Cooper Medical School of Rowan University
- Dr. Philip Stein, Pediatric Gastroenterologist at St. Christopher's Hospital and faculty member in the Department of Pediatrics at Drexel University College of Medicine
Host: Philip Stein, MD
From the ReachMD studios in Fort Washington, Pennsylvania, host Dr. Philip Stein talks with Claire Griffin and Bill Johnson, patients and counselors at CCF's Camp Oasis. Claire and Bill discuss their respective involvements with the camp, why they made the decision to go, how they became their own personal advocates, and what Camp Oasis taught them about adjusting to their disease.
Host: Brian P. McDonough, MD, FAAFP
Guest: Adam Ehrlich, MD, MPH
Guest: John D. Betteridge, MD
From the ReachMD studios in Fort Washington, Pennsylvania, host Dr. Brian McDonough leads an expert panel focusing on preventive care for IBD patients. Joining the expert panel are:
- Dr. Adam C. Ehrlich, Assistant Professor of Medicine at the Lewis Katz School of Medicine at Temple University and Co-Medical Director of the Temple Inflammatory Bowel Disease Program, and
- Dr. John D. Betteridge, Gastroenterologist at Lancaster General Hospital and Regional Gi Medical Center. Drs. Ehrlich and Betteridge discuss the issues surrounding IBD with a focus on preventative care in patients.
Discussion points include micronutrient deficiencies, immunosuppression, methods to maintain a well-balanced nutrient-rich diet, and communication strategies between PCPs and GI specialists to improve patient care.
Host: Robert Frankel, MD
Guest: Neilanjan Nandi, MD
From the ReachMD studios in Fort Washington, Pennsylvania, host Dr. Robert Frankel talks with Dr. Neilanjan Nandi, Assistant Professor in the Division of Gastroenterology & Hepatology and Associate Director of the Gastroenterology Fellowship program at Drexel University College of Medicine. Dr. Nandi shares new insights on how to approach sexual and intimacy issues for IBD patients. Discussion points include quality of life measures, methods for maintaining healthy intimate relationships, respecting boundaries, and top health practitioner resources.
Host: Alicia A. Sutton
Guest: Hilary Schmidt, PhD
Guest: John Ruggiero, PhD, MPA, CHCP
Guest: Gregory Salinas, PhD
Guest: Nili Solomonov
Annually, there are around 150,000 certified activities produced in the US annually. However, meta-analyses and research estimates that less than 20% of those educational activities drive behavior change and probably less than 5% lead to improvements in patient outcomes. With a vast array of continuing education (CE) activities available to healthcare professionals (HCPs) and the delay in data on the effectiveness and outcomes of CE activities, it's difficult for HCPs and CE stakeholders to determine the most effective education that has the greatest potential to lead to behavior change thus improving patient care.
During the Alliance for Continuing Education in the Healthcare Professions annual meeting host Alicia Sutton speaks with guests Hilary Schmidt, PhD, John Ruggiero, PhD, MPA, CHCP, Gregory Salinas, PhD, and Nili Solomonov in a two-part interview covering:
- The current state of CE activities and address the lack of objective, reliable, and empirical assessment available to prospectively identify CE activities that have the greatest potential to lead to improvements in health care practice.
- The development of a new Instructional Design Rating Scale and its reliability and predictive validity in driving behavior change through rigorous research methods based on the science of human learning.
Host: Alicia A. Sutton
Guest: Rob Lowney
In this episode of Lifelong Learning, Alicia Sutton welcomes Rob Lowney, Principal and Managing Director of CMEology. Rob showcases how CMEology's innovative methods improve engagement in CME which ultimately leads to improved patient care. In addition to improving engagement, Rob also shares how to add value across all stakeholders in CME, such as utilizing the arts and humanizing the education, quantifying the value of CME, research conveying improved patient health & changing performance, and multimedia education.
Host: Alicia A. Sutton
Guest: Camille M. Fung, MD
Host Alicia Sutton is joined by Dr. Camille Fung to discuss two areas of public health in Utah that were not addressed by the Utah legislature: opioid addiction and overdose in pregnant women and newborn infants with Neonatal Abstinence Syndrome (NAS). Dr. Fung is an assistant professor at the University of Utah, Division of Neonatology.
Tune in to see how Dr. Fung with her colleagues created enduring material to educate healthcare professionals on the unaddressed public health problem of opioid management without any financial resources.
Host: Alicia A. Sutton
Guest: Miriam Uhlmann, PhD
Guest: Samar Aboulsoud, MD, PhD, MSc Med Ed, FHEA, MAcadMEd
Due to research and studies, health care teams are improving and understanding cultural sensitivity issues and cultural competence. However, we still have much to learn. At the Alliance for Continuing Education in Healthcare Professions 2018 annual meeting, host Alicia Sutton interviewed Samar Aboulsoud, MD and Miriam Uhlmann, PhD about their presentation "A Means to an End: Achieving Patient Satisfaction Through Culturally Sensitive Communication".
In this discussion, Drs. Aboulsoud and Uhlmann discuss their personal and professional experience with educating health care teams to deepen the medical knowledge and clinical skills of those who provide holistic approaches for patient care. Furthermore, it will challenge clinician’s understanding of what affects their interactions and understandings that can impact patient care, compliance, and outcomes.
Host: Alicia A. Sutton
Guest: Alvaro Margolis, MD, MS
Guest: Jann Balmer, PhD, RN, FACEHP, FAAN
From the annual meeting of the Alliance for Continuing Education in the Healthcare Professions in Orlando, Florida, join in as Alvaro Margolis, MD, MS, President and CEO of EviMed, and his colleague Jann Balmer, PhD, RN, FACEHP, FAAN, Director of CME at the University of Virginia School of Medicine, discuss how Facebook and other social network concepts and approaches can be used to promote social learning in health care teams, both for online and for combined online and face-to-face learning.
Host: Alicia A. Sutton
Guest: Dave deBronkart
From the annual meeting of the Alliance for Continuing Education in the Healthcare Professions in Orlando, Florida, keynote speaker Dave deBronkart joins host Alicia Sutton to discuss the evolving roles in the patient and doctor relationship.
Better known as ‘e-Patient Dave’, deBronkart emphasizes key points in the shift from the patient as a passive recipient of care to one where the patient is an active contributor to his or her own care. deBronkart discusses healthy patient:doctor communication and ways clinicians can employ effective techniques.
As a co-founder of the Society for Participatory Medicine and stage 4 kidney cancer survivor, deBronkart speaks globally on how patients should be partners in their care, rather than passive recipients, and how collaboration makes healthcare better for everyone.
Guest: Sheryl A. Kingsberg, PhD
Dr. Sheryl Kingsberg demonstrates counseling strategies clinicians can use with their patient when discussing dyspareunia in post-menopausal women.
Dr. Sheryl Kingsberg is Chief of the Division of Behavioral Medicine in the Department of OB/GYN at University Hospitals Cleveland Medical Center and Professor of Reproductive Biology and Psychiatry at Case Western Reserve University School of Medicine in Cleveland, Ohio.
Guest: David J. Portman, MD
Dr. David J. Portman demonstrates how clinicians can begin the conversation of dyspareunia with patients, as well as how to discuss the available treatment options for managing this condition in post-menopausal women.
Dr. Portman is Director Emeritus at Columbus Center for Women’s Health Research; and, Adjunct Instructor of Obstetrics and Gynecology at The Ohio State University, Columbus, OH.
Host: David Weisman, MD
Guest: John Khoury, MD
For the first time, the FDA has approved a direct-to-consumer genetic test from 23andme that will inform patients if they are predisposed to diseases such as Parkinson’s, Alzheimer's, and Celiac Disease among others.
Proponents applaud this decision, saying this will allow for people to know their genetic health risks and be more proactive about their health. Others argue that this information doesn’t tell the whole story since predisposition doesn't reflect someone's ultimate risk or likelihood of developing a disease. What are the benefits and liabilities of consumers' access to genetic testing?
Host Dr. David Weisman, Director of Clinical Trials at Abington Neurological Associates, sits down with Dr. John Khoury, Associate Director at Abington Memorial Hospital Sleep Disorders Center, to debate the merits and pitfalls of direct-to-consumer genetic testing.
Host: Brian P. McDonough, MD, FAAFP
Guest: Allison Willis, MD
More men than women are diagnosed with Parkinson's Disease by almost a 2 to 1 margin. However, women receive supportive surgery less often than men, and their symptoms are more severe on average by the time surgical options are taken.
Host Brian McDonough chats with Dr. Allison Willis, Assistant Professor of Neurology at the Perelman School of Medicine at the University of Pennsylvania, about gender differences in diagnosing and managing Parkinson's Disease.
Host: John J. Russell, MD
Guest: Harish Lavu, MD
Pancreatic cancer is projected to become the second leading cause of cancer-related death in the United States by 2020. This is due, in large part, to its insidious onset and subtle presentation even at late stages, many symptoms of which are often attributed to common and less serious conditions in aging populations.
Dr. Harish Lavu, Head of Hepatopancreatobiliary Surgery at Jefferson University, talks with host Dr. John Russell about the diagnostic and therapeutic priorities addressing pancreatic cancer, and why this disease is so hard to detect.
Host: Brian P. McDonough, MD, FAAFP
Interoperability refers to the capacity for computer systems and software to exchange information and interpret that shared data.
The ability for machines to communicate efficiently within healthcare systems offers a myriad of vital benefits to patients and providers. For instance, as data becomes more mobile, personal health information entered by clinicians can begin to reach patients wherever they are and whenever they need it.
Dr. Brian McDonough sits down with Brendan McCorkle, CEO and Founder of CloudMine, to discuss his perspectives on the importance of health care systems interoperability and how to implement it successfully.
Host: Matt Birnholz, MD
Guest: Michael Freytag
Throughout his time as Managing Director of Blacktree Healthcare Consulting, Michael Freytag has seen many changes in the healthcare system. In this program, he will discuss how consulting firms aim to help health care providers optimize the new technologies that are available, as well as adapt to the changing political and economic policies. Dr. Matt Birnholz hosts.
Host: Adam Ehrlich, MD, MPH
Guest: Philip Stein, MD
The majority of adolescents with inflammatory bowel disease (IBD) will transition from a pediatric to an adult specialist. This process can be daunting, especially if patients are not ready to take control of their health care. However, with the right communication and preparation, the transition can be smooth for the patient, parent, and physician. Host Dr. Adam Ehrlich joins Dr. Philip Stein, a pediatric gastroenterologist at St. Christopher’s Hospital for Children, to discuss how physicians can best prepare patients to transition and overcome potential difficulties.
Host: Adam Ehrlich, MD, MPH
Guest: Alison Kaufman, PsyD
Our body responds to stress and anxiety in a variety of ways. For patients with IBD, the body manifests stress into various psychological issues, creating a link between IBD and mental health.
Dr. Alison Kaufman, a psychologist at Children’s Hospital of Philadelphia will discuss the common emotional reactions of IBD patients, suggesting ways for physicians to help these patients cope with their chronic disease. She is joined by Dr. Adam Ehrlich of Temple University.
Host: Matt Birnholz, MD
Guest: Denise Devine
What if there was a way to monitor vital signs in real time? Denise Devine, Co-Founder of RTM Vital Signs, LLC, is working on just that. She is joined by Dr. Matt Birnholz at the Villanova Health Summit to discuss this innovative technology in development, which opens up the possibility of collecting continuous health data from patients to enhance point-of-care treatments.
Host: Rebecca Kaplan
Guest: Michael E. Kwiatt, MD
When should surgery be considered as a treatment option for patients with Crohn’s or colitis? Host Rebecca Kaplan of the Crohn’s and Colitis Foundation is joined by Dr. Michael Kwiatt, Assistant Professor of Surgery at Cooper University Hospital in New Jersey, to discuss when to consider surgery. Additionally, he will touch on the common surgical complications and differences in surgical approach for patients with respective diseases.
Host: Rebecca Kaplan
Dealing with inflammatory bowel disease (IBD) on its own is difficult, but managing it with a professional athletic schedule is another task altogether. Dajuan Wagner, a former NBA player, was diagnosed with IBD early in his career. In this episode, he will discuss how he learned to manage his disease, and his advice for physicians treating IBD patients who are also athletes.
He is joined by Rebecca Kaplan of the Crohn’s and Colitis Foundation.
Host: Matt Birnholz, MD
Guest: Harold Mondschein
The surgical field is always being improved by cutting edge technology, but the processes used to connect surgical centers to hospitals lack innovation. Dr. Matt Birnholz sits down with Harold Mondschein, CEO and Co-Founder of Medtel Inc. to discuss methods of improving surgical outcomes by capturing structured data. Through better analytics, healthcare providers can better coordinate surgical care while reducing costs and inefficiencies.
Host: Brian P. McDonough, MD, FAAFP
Guest: Daniel Tropeano
Guest: Michael Freytag
An expert panel of health professionals representing hospital administration, technology, and medical education convene to discuss how their various career paths have led them in directions that were unexpected at times but ultimately fulfilling. They also talked about why being versatile and willing to embrace change became so important within the health care field.
The panel participants are:
- Jeanne Churchill: Professor of Nursing, Columbia University
- Robert McNally: President and CEO of GeoVax, Inc.
- Michael Freytag: Managing Director of BlackTree Health Consulting
- Daniel Tropeano: CEO of United Healthcare Services, Inc.
Host: Matt Birnholz, MD
Guest: Jeanne Churchill, MD
From the Villanova Health Summit's Speaker Event, host Dr. Matt Birnholz speaks with Dr. Jeanne Churchill, Professor of Nursing at Columbia University School of Nursing, about how technology is changing the ways health educators teach medicine.
Discover how hearing loss in the US is growing and how it affects young and older people alike. Protect your patients' hearing with these tips and resources in an increasingly noisy world from Dr. John Iskander and Dr. William Murphy in this session of Beyond the Data.
Visit Dangerousdecibels.org to learn how to protect your hearing. Discover “How loud is too loud?”
Host: Rebecca Kaplan
Guest: Neil Nandi, MD
For patients with Crohn's and Colitis diseases, fecal matter transplants could be the therapy they have been waiting for. Dr. Neil Nandi, Director of the Center for Inflammatory Bowel Diseases at Drexel University College of Medicine, will discuss what fecal transplants are, outline the risks and benefits of treatment, and forecast upcoming research. He is joined by Rebecca Kaplan of the Crohn's and Colitis Foundation.
Host: Matt Birnholz, MD
From the Villanova Health Summit's Speaker Event, host Dr. Matt Birnholz speaks with Jeanne Vanella, Chief Nursing Officer at Bernoulli, Inc. about the challenges of adopting new, innovative technologies into nursing practices.
In this educational activity, steering committee members, Dr. Jaume Sastre-Garriga and Dr. Antonio Uccelli, discuss establishing partnerships among practitioners for best patient outcomes.
This interview is supported by an educational grant from Merck KGaA, Darmstadt, Germany.
In this interview, Lawrence Sherman and Dr. Ralf Gold discusses the study, "Immunologic Effects of Metformin and Pioglitazone Treatment on Metabolic Syndrome and Multiple Sclerosis," which was led by researchers, Laura Negrotto and Dr. Raul Carrea. They will also discuss the impact of the drugs on clinical biomarkers and MRI, as well as future research on immunologic effects tied to MS.
This interview is supported by an educational grant from Merck KGaA, Darmstadt, Germany.
Dr. Edgardo Cristiano, from Buenos Aires, Argentina, will discuss policy issues in the management of MS specific to optimizing treatment options in this interview.
This interview is supported by an educational grant from Merck KGaA, Darmstadt, Germany.
This lecture was given at the 360◦ of Fertility: Optimizing Clinical and Laboratory Approaches educational program in Sao Paulo, Brazil by Martha Luna Rojas, MD.
This interview is supported by an educational grant from Merck KGaA, Darmstadt, Germany.
Guest: Andrea J. Singer, MD, FACP, CCD
This interview with Andrea J. Singer, MD, FACP, CCD, explores strategies for your patients on how to maintain a healthy sexual relationship during ART treatments.
This interview is supported by an educational grant from Merck KGaA, Darmstadt, Germany.
This lecture was given at the 360◦ of Fertility: Optimizing Clinical and Laboratory Approaches educational program in Sao Paulo, Brazil by Marcos Horton, MD.
This interview is supported by an educational grant from Merck KGaA, Darmstadt, Germany.
This lecture was given at the 360◦ of Fertility: Optimizing Clinical and Laboratory Approaches educational program in Sao Paulo, Brazil by Marcos Horton, MD.
This interview is supported by an educational grant from Merck KGaA, Darmstadt, Germany.
This lecture was given at the 360◦ of Fertility: Optimizing Clinical and Laboratory Approaches educational program in Sao Paulo, Brazil by Sandro Esteves, MD, PhD.
This interview is supported by an educational grant from Merck KGaA, Darmstadt, Germany.
In this session of Beyond the Data carrying forward ideas discussed at CDC's Public Health Grand Rounds, Dr. Phoebe Thorpe and Dr. Larry Garber expand on the reasons for medication non-adherence by patients, and priority considerations for helping reduce this risk.
Host: David Weisman, MD
Dr. David Weisman explores a study from Wake Forest School of Medicine that examined the effects of concussions for youth football participants.
Host: Lea Ann Chen, MD
Guest: Hans Herfarth, MD
Recorded on location at the Crohn’s & Colitis Foundation’s Annual Meeting in Orlando, host Dr. Lea Ann Chen, Assistant Professor of Medicine at New York University, discusses goals of therapy in IBD with Dr. Hans Herfarth, Professor of Medicine at University of North Carolina School of Medicine.
Host: John J. Russell, MD
What if Americans put aside their differences and worked together to fix America's broken healthcare system? What changes need to be made in order to make health care both accessible and affordable without compromising excellent quality of care standards for patients? These and other crucial questions form premise behind the book We CAN Fix Healthcare: The Future is NOW.
Host Dr. John Russell sits down with Dr. Stephen Klasko, President and CEO of Jefferson University and Jefferson Health and author of We CAN Fix Healthcare: The Future is NOW.
Guest: Annette Mallory Donawa, PhD
Constructivism is the theory that people in a learning environment will merge their prior foundational knowledge and experience with new details they are learning, helping them construct new understandings for themselves.
Joining host Alicia Sutton is Dr. Annette Mallory Donawa, Assistant Dean and Director of Continuing Medical Education at the Johns Hopkins University School of Medicine. Dr. Donawa will discuss the learning theory of constructivism and its current to future impacts on continuing medical education.
Dr. Becky Fitzgerald, a dermatologist in private practice in Los Angeles, CA and on the clinical faculty at UCLA, and Dr. Sabrina Fabi, dermatologist, assistant clinical professor at the University of California, San Diego, and associate at Cosmetic Laser Dermatology, discuss Poly-L-lactid Acid (PLLA) injections and how to best employ this unique product cosmetically for patients.
Host: Matt Birnholz, MD
Guest: Douglas Scharre, MD, CMD
Dr. Douglas Scharre, Professor of Clinical Neurology and Psychiatry and Director of the Center for Cognitive and Memory Disorders at The Ohio State University Wexner Medical Center, explains the importance of early detection for Alzheimer's disease on patient quality of life, as well as broader impacts on American healthcare systems.
Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection**
Host: Matt Birnholz, MD
Guest: Douglas Scharre, MD, CMD
Dr. Douglas Scharre, Professor of Clinical Neurology and Psychiatry and Director of the Center for Cognitive and Memory Disorders at The Ohio State University Wexner Medical Center, describes updated perspectives and understandings on the pathophysiology for Alzheimer's disease.
Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection**
Host: Matt Birnholz, MD
Guest: David Weisman, MD
Dr. David Weisman, neurologist with Abington Neurological Associates and Director of Abington Neurologic Association's Trial Center, talks about expert approaches to recognizing the signs and symptoms for Alzheimer's disease.
Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection**
Host: Matt Birnholz, MD
Guest: Carol Lippa, MD
Dr. Carol Lippa, Professor of Neurology & Director of the Memory Disorders Program at Drexel University College of Medicine, member of the Board of Directors for the Alzheimer's Association, and Chair of the Delaware Valley Chapter’s Medical & Scientific Committee, reveals the biological, social, and stigma-based ways in which Alzheimer's remains the most prominently "hidden" disease in America.
Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection**
Host: Matt Birnholz, MD
More than half of those seeking a diagnosis for dementia have delayed going to their doctor by at least a year, according to a survey carried out by the Alzheimer’s Society of Great Britain. Dr. Matt Birnholz reports.
Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection**
Host: Matt Birnholz, MD
Guest: Douglas Scharre, MD, CMD
Dr. Douglas Scharre, Professor of Clinical Neurology and Psychiatry with the Center for Cognitive and Memory Disorder at The Ohio State University Wexner Medical Center, speaks to the methods used for early detection of Alzheimer’s Disease, and their respective advantages vs costs in clinical practice.
Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection**
Host: Matt Birnholz, MD
Guest: Marwan Noel Sabbagh, MD, FAAN, CCRI
Dr. Marwan Sabbagh, Professor of Neurology and Chief of the Memory Disorders Division at Barrow Neurological Institute, describes some of his key priorities for the current and future state of Alzheimer’s care.
Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection**
[Read the Article]
Suicide is the 10th leading cause of death in the United States and identifying those at risk can be challenging. According to a new study, certain words in hospital discharge notes may be one way to identify patients who are at an increased risk of suicide.
Researchers from Massachusetts General Hospital examined more than 450,000 patients’ discharge notes from 2005 to 2013. They analyzed these notes by using a sentiment analysis computer program which searches for positive or negative words. The researchers found that certain words like gloomy, unfortunate, and sad can predict a higher risk for suicide, as opposed to words like lovely, delightful or pleasant.
In general, there is an elevated risk for suicide after hospital discharge so this is a moment for increased intervention.
[Watch more videos of The JAMA Report]
[Read the Article]
The increasing cost of prescription drugs in the United States has become a source of growing concern for patients, prescribers, payers, and policy makers. A new study examined the reasons for these high prices and also suggests policy changes that could help contain costs.
Researchers from Brigham and Women’s Hospital reviewed the medical and health policy literature on prescription drug prices in the U.S. and found high drug costs stem from various factors such as market exclusivity, limitations on payers and their ability to negotiate prices, and limitations on competition.
The researchers state that the most realistic short-term strategies include enforcing stricter requirements for exclusivity rights, ensuring timely generic drug availability, providing greater opportunities for price negotiation by patients, and effectively educating patients, prescribers, payers, and policy makers about these choices.
[Watch more videos of The JAMA Report]
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Patients who might benefit from a heart valve replacement but are too ill for open heart surgery can sometimes undergo a less invasive procedure known as transcatheter aortic valve implantation or "TAVI". About 10% of patients undergoing TAVI can experience small strokes and related brain injury as a complication. A new study found that the use of a cerebral protection device, which captures debris dislodged from blood vessels during the TAVI procedure, reduced the number and volume of brain lesions seen on MRI.
Researchers from the University of Leipzig Heart Center, Germany studied 100 patients with an average age of 80 who underwent TAVI. Half of the patients received the cerebral protection device and the other half did not. Patients underwent brain MRIs before the implantation and again at 2 and at 7 days after the procedure. The results found that using the filter device helped to decrease the number of brain lesions seen in the brain by about half.
[Watch more videos of The JAMA Report]
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According to a new study, eating a diet that includes more plant-based protein is associated with a lower risk of death, while eating more animal protein is associated with a higher risk of death, especially among adults with at least one unhealthy behavior such as smoking, drinking alcohol, being overweight or living a sedentary lifestyle.
Researchers from Massachusetts General Hospital examined how each protein source influenced long-term health. They looked at more than 131,000 adults participating in two long-running national health studies. Participants provided 25 to 30 years of detailed data on diet, lifestyle, and medical conditions. Researchers reviewed detailed food questionnaires that were sent to the participants every four years.
They found that higher intake of animal protein was positively associated with mortality and that the association was higher among adults who lived an unhealthy lifestyle. Substituting plant protein for animal protein, especially processed red meat, was associated with lower mortality, suggesting the importance of protein source.
[Watch more videos of The JAMA Report]
Host: Matt Birnholz, MD
Today’s culture of stress is driving people to pharmaceuticals and other dangerous outlets as coping mechanisms. What strategies should people employ to mitigate stress and manage their time better?
Host Dr. Matt Birnholz sits down with Dr. Patricia Sulak, Endowed Professor at Texas A&M University to talk about the dangers of stress.
Host: Matt Birnholz, MD
The American Congress of Obstetricians and Gynecologists have made several recommendations regarding the practice of umbilical cord blood banking.
Host Dr. Matt Birnholz speaks with Dr. Jordan Perlow, Associate Director of Maternal-Fetal Medicine at Banner Good Samaritan Medical Center in Phoenix, AZ, about the newest guidelines set forth from ACOG.
[Read the Article]
Since the legalization of marijuana in Colorado, there has been an increase in hospital visits and calls to regional poison centers due to unintentional marijuana exposure among young children. Researchers from the University of Colorado evaluated the number of children with exposures before and after recreational marijuana was legalized.
Between 2009 and 2015 they found a rise in the annual number of unintentional pediatric exposures. On average, these children were about two years old. Most children ingested the drug in edible forms such as candies and baked goods. Almost half of the patients seen in the children's hospital in the 2 years after legalization had exposures from recreational marijuana, suggesting that legalization did affect the incidence of exposures.
[Watch more videos of The JAMA Report]
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A new study suggests that teens undergoing bariatric surgery can experience benefits in terms of walking speed and joint pain. Researchers from the University of Minnesota School of Medicine are tracking long-term outcomes for 242 teens that underwent bariatric surgery at five centers around the United States.
For the current study, researchers specifically focused on improvements in mobility and pain related to muscles and joints is a subset of 206 patients. All patients participated in a quarter mile walk test before and after surgery at six months, twelve months and twenty-four months. Improvements in time to complete the walk, resting heart rate and heart rate differences continued at one and two years after surgery.
[Watch more videos of The JAMA Report]
Host: Matt Birnholz, MD
Dr. Matt Birnholz sits down with Michael Freytag, an attendee at the Villanova Health Summit, to talk about his reactions and thoughts on the keynote presentations and panel discussion. The two discuss outlooks on the future of multidisciplinary teams in health care, and how standard views on "change agents" within this field may evolve over time.
[Read the Article]
Chronic use of prescription pain medications known as opioids is increasing in the United States. New research shows that a portion of patients undergoing several common surgical procedures may be at increased risk for chronic opioid use several months after surgery.
Researchers from Stanford University School of Medicine reviewed the records of more than 641,000 patients who underwent one of 11 common operations and were not taking opioid pain medication during the year prior to surgery.
They found that some patients were at an increased risk for chronic opioid use following surgery, with the risks ranging from about one and a half times more likely, to as high as five times more likely, depending on the procedure. Males and the elderly had a higher risk, as well as patients with a history of drug or alcohol abuse. The overall risk of chronic opioid use remained low at about 1 percent depending on the type of surgery.
[Watch more videos of The JAMA Report]
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According to a new study, euthanasia and physician-assisted suicide (PAS) in the United States, Canada, and Europe are increasingly being legalized, but remain relatively uncommon. Researchers from the University of Pennsylvania examined the legal status of both procedures and available data on attitudes and practices from the late 1940s to present day.
They found that public support for euthanasia and PAS in the United States had increased through the 1990s, but has since plateaued. More than 70 percent of cases of euthanasia and PAS worldwide involved patients with cancer. Typical patients are older, white, and well-educated. Motivations for requesting PAS include loss of autonomy and dignity, inability to enjoy life and regular activities, and other forms of mental distress. Pain is mostly not reported as the primary motivation.
Although the ethics and legality continue to be controversial, cases of these procedures remain relatively rare. Researchers did not find evidence that vulnerable patients have been receiving euthanasia or PAS at higher rates.
[Watch more videos of The JAMA Report]
Host: Brian P. McDonough, MD, FAAFP
Physicians used to receive very little guidance on how to work in teams during training, but were nonetheless expected to demonstrate these skills day to day on the job. In recent years there has been a shift towards multidisciplinary training in medicine to help clinicians work together early on. How has this change in attitude and focus toward teamwork affected patient care?
From the Villanova Healthcare Speaker Event, Host Dr. Brian McDonough sits down with Lawrence Sherman, Senior Vice President of TOPEC Global, to discuss the importance of inter-professional education.
[Read the Article]
The U.S. Preventative Services Task Force has updated the recommendations regarding colorectal cancer screening. The Task Force strongly recommends screening average risk adults age 50 to 75 for colorectal cancer, and then making individual screening decisions for adults age 76 to 85, taking into account the patient's overall health and screening history.
Colorectal cancer is the second leading cause of cancer death in the United States, and about one-third of adults in the United States have never been screened.
[Watch more videos of The JAMA Report]
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According to a new study, in 2013 to 2014 there was an increase in obesity rates among U.S. women but not U.S. men. The overall prevalence of obesity during this time period was 40 percent among women and 35 percent among men.
Researchers from the National Center for Health Statistics examined trends in obesity among U.S. adults from 2005 to 2014. Using data from the National Health and Nutrition Examination Survey (NHANES), researchers looked at a sample of more than 13,000 men and 13,000 women. They found no recent changes in obesity or extreme obesity rates among men, but saw an increase in both for women.
[Watch more videos of The JAMA Report]
Host: Matt Birnholz, MD
Guest: Gene Kestenbaum
When children are confronted with serious chronic diseases, parents often go to extraordinary lengths to advocate on their children's behalf. In some cases, this mission expands into tireless efforts to raise awareness and fundraise for research towards a cure. Guest Gene Kestenbaum did just this when his son was diagnosed with Crohn’s Disease several years ago. His advocacy work for his child led him to become a national activist, and he served as President for the Crohn’s and Colitis Foundation.
Host Dr. Matt Birnholz sits down with Mr. Kestenbaum, who participated in the expert panel for the Villanovans in Healthcare event. They discuss his past and present involvement with Crohn's and Colitis Foundation and supporting ongoing efforts to find a cure for inflammatory bowel diseases.
Host: Matt Birnholz, MD
Guest: Michael Russomano
In many discussions that focus on achieving quality improvements for clinical care, the roles of healthcare industries are often either excluded or, worse yet, painted as oppositional to patient interests. But a new model of health care delivery positions the industrial sector as a key partner in the interprofessional team, with a common mission to improve patient outcomes nationwide.
From the Villanova Healthcare Speaker Event, Dr. Matt Birnholz speaks with Michael Russomano, President, CEO, and Global Business Head of Wyeth Nutrition, a Nestle business. Mr. Russomano, who also serves as a member of the Board of Directors for the Alzheimer's Association, joins Dr. Birnholz to discuss opportunities for the healthcare industry to partner with clinical, administrative, educational, and patient advocacy groups in advancing quality of care.
[Read the Article]
Despite targeted efforts to reduce obesity through diet and exercise, these rates continue to rise. A new study from Ontario, Canada found that obesity and diabetes rates were lower in more walkable neighborhoods compared to less walkable neighborhoods, where they saw an increase in these rates.
Researchers from St. Michael's Hospital in Toronto studied almost 9,000 neighborhoods in Southern Ontario looking at walkability scores, along with government health data and survey results during a twelve-year period. They examined whether neighborhoods that were more walkable experienced a slower increase in obesity and diabetes compared to less walkable neighborhoods.
[Watch more videos of The JAMA Report]
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Many critically ill patients are unable to make medical decisions for themselves. Family members or close friends are often asked to serve as surrogate decision makers. However, expectations about a patient's overall prognosis sometimes differ between physicians and surrogate decision makers.
Researchers from the University of Pittsburgh enrolled 99 physicians and 229 surrogates who made decisions for 174 critically ill patients in a new study. They found that in about half of the cases, surrogates were substantially more optimistic about a patient's prognosis compared to physicians and that the physician's estimates were much more accurate than that of surrogates.
[Watch more videos of The JAMA Report]
Host: Matt Birnholz, MD
Guest: Patricia Sulak, MD
The American Heart Association instituted a Strategic Impact Goal to reduce the incidence of cardiovascular deaths and disabilities by 20% by 2020.
Host Dr. Matt Birnholz chats with Dr. Patricia Sulak, Endowed Professor of the Texas A&M University College of Medicine about the 7 key health metrics to reduce cardiovascular deaths including blood pressure, physical activity, and healthy diet, among others.
[Read the Article]
Therapeutic substitution is a practice that replaces chemically different compounds within the same class of medications for one another. A new study examined how using this practice could save money on prescription drug costs.
Researchers from the Ohio State University reviewed records of more than 107,000 patients between 2010 and 2012 and looked at their prescription drug use and estimated how much money could be saved using therapeutic substitution.
The authors report that an extra $73 billion was spent between 2010 and 2012 on brand name medications. Therapeutic substitution could help lower those costs. Although therapeutic substitution is somewhat controversial, the authors conclude that if implemented in a way that does not negatively affect quality of care, this is a useful approach to decreasing healthcare costs.
[Watch more videos of The JAMA Report]
Host: Brian P. McDonough, MD, FAAFP
Guest: Daniel Tropeano
How do we manage the rising costs of healthcare while still maintaining a high level and quality of care? With more costs falling on the consumer these days, one of the biggest challenges in healthcare is dealing with these increased expenses.
From the Villanova Healthcare Speaker Event, Host Dr. Brian McDonough chats with Daniel Tropeano, Executive Director of United Healthcare, about the challenges insurance companies are facing with the growing costs of healthcare.
[Read the Article]
Out-of-hospital cardiac arrest (OCHA) is a major public health problem in the United States. Bystander CPR has been shown to double or even triple survival from OCHA. A new study examined whether providing CPR instruction over the phone ("telephone CPR") with the help of trained 9-1-1 dispatchers could improve survival rates after cardiac arrest.
Researchers from the Arizona Department of Health Services provided additional training to dispatchers in two regional centers in the Phoenix on how to be more assertive and confident while on the phone with rescuers. They measured outcomes from more than 2,300 out-of-hospital cardiac arrests during a three year period. The researchers found increases both in the number of patients that survived to hospital discharge as well as those with good functional outcomes, which means patients were able to return to their normal baseline.
[Watch more videos of The JAMA Report]
Host: Brian P. McDonough, MD, FAAFP
Guest: Sandra Gomberg
Technological advances over the past decade have rapidly changed the ways people seek, access, and respond to health care at all levels: patients self-research medical information via health websites, clinicians counsel and treat patients from remote telemedical settings, insurance companies promote patient-controlled health savings accounts, and healthcare organizations monitor internet reviews to predict future cash flow rises and falls. All of these changes point toward a consumer-driven healthcare (CDHC) model, but where will it lead?
From the Villanova Healthcare Speaker Event, host Dr. Brian McDonough talks with guest Sandra Gomberg, Chief Operating Officer at Aria Health System. They discuss ways in which medicine has adopted consumer-driven healthcare over time, and what the future holds for patients and clinicians in this system.
Host: Matt Birnholz, MD
Guest: Ronald J. Wapner, MD
Innovations in medical genetics are changing the practice of obstetrics and gynecology. With advancing knowledge of underlying genetic predispositions, doctors can provide more precisioned care plans for patients in women's health centers.
Dr. Matt Birnholz talks with Dr. Ronald J Wapner, Professor of Obstetrics and Gynecology and Director of Reproductive Genetics at Columbia University, about how the ever-changing field of medical genetics is revolutionizing OB/GYN treatment options and patient care.
Host: Brian P. McDonough, MD, FAAFP
Guest: Michael Russomano
Guest: Sandra Gomberg
Guest: Daniel Tropeano
Guest: Gene Kestenbaum
Guest: Lawrence Sherman
An expert panel of health professionals representing hospital admistration, pharmaceuticals, insurance providers, patient advocacy, and medical education convene to strategize new ways for health care industry sectors to work together to improve quality of care for patients. The panel participants also discuss their respective and complementary visions for the future of health care services, including ways that technological innovations such as social media are changing the landscape of medicine.
The panel participants are:
- Michael Russomano: President, CEO and Global Business Head of Wyeth Nutrition, a Nesle Company
- Sandra Gomberg: Chief Operating Officer at Aria Health System
- Daniel Tropeano: Executive Director for United Healthcare
- Gene Kestenbaum: Past Chair of the Board for the Crohn's & Colitis Foundation of America
- Lawrence Sherman: Senior Vice President of TOPEC Global
[Read the Article]
An estimated 15 million Americans do some kind of rotating shift work, including overnights, evenings and early morning shifts. But can this type of shift work increase the risk of coronary heart disease? A new study examined the link between rotating night shift work and heart disease in a group of female nurses.
Researchers at Brigham and Women's Hospital used data from the Nurses' Health Studies (1 and 2), which followed participants for a twenty-four year period. They specifically looked at 189,000 women who reported their lifetime exposure to rotating night shift work. Over the course of the study period, more than 10,000 new cases of coronary heart disease were reported.
The results suggested that rotating night shift work was associated with modest risk of coronary heart disease, but further research is needed to help determine whether the association is related to specific work hours and/or individual characteristics.
[Watch more videos of The JAMA Report]
Guest: Lawrence Sherman
What happens when you suddenly become a patient and are faced with a life-threatening illness? How do the interprofessional members of the medical team work together to help you recover as safely and quickly as possible?
From the Villanovans in Healthcare Speaker Event, join Lawrence Sherman, Senior Vice President of TOPEC Global, as he talks about innovative and collaborative interprofessional approaches to care stemming from lessons learned through his own experience as an educator-turned patient.
Host: Matt Birnholz, MD
Dr. Matt Birnholz sits down with Dr. Carl Schultz, Research Director at the Center for Disaster Medical Sciences at University of California, Irvine. Dr. Schultz is a Professor of Emergency Medicine at the UC Irvine and recipient of the Disaster Medical Science Award at ACEP. He talks about the challenges of securing funding for disaster relief in the field and the integration of citizen volunteers in a disaster incident.
How do you make sure that the right people are doing the right jobs at the right time, helping medical practices function more efficiently?
Alicia Sutton chats with Ray Saputelli, Executive Vice President and CEO of the New Jersey Academy of Family Physicians, about transforming medical practices to run as more cohesive units.
[Read the Article]
In a new study, researchers from the University of California-Los Angeles studied tumor response and overall survival following the administration of a new treatment among patients with advanced melanoma. This agent, called pembrolizumab, is an antibody that blocks PD-1, a protein which prevents the body's immune system from attacking the cancer.
The researchers tested pembrolizumab on more than 650 patients in North America, Europe and Australia. They looked at tumor response before and after treatment and found that the lesions were smaller in about one third of patients. In patients who responded to the treatment, seventy-five percent maintained the response at one or two years.
[Watch more videos of The JAMA Report]
Host: Matt Birnholz, MD
Cannabis is gaining increased acceptance within the medical community for pain relief and other supportive care applications. But for oncology specialties, the use of cannabis may additionally extend into therapeutic purposes for patients.
From the floors of the A4M Conference in Las Vegas, Dr. Matt Birnholz speaks with Constance Finley, Founder and CEO of Constance Therapeutics, a California-based cannabis collective. The two discuss cannabis and cannabis oil applications for cancer patients, and their potential therapeutic effects.
[Read the Article]
Air pollution is associated with chronic respiratory health problems in children. A new study examined whether decreases in air pollution levels are associated with significant reductions in respiratory symptoms in children.
Researchers from the University of Southern California followed over 4,600 children in eight Southern California communities across three different time periods from 1993-2012. In addition to monitoring air quality, they also looked at children with and without asthma, and whether they reported respiratory symptoms like bronchitis, congestion, phlegm production, or a daily cough for three months in a row, during the previous year.
Along with significant improvements in air pollution levels, the authors found a decrease in reported respiratory symptoms in children both with and without asthma. Respiratory symptoms decreased by 32 percent in children with asthma and 21 percent in children without.
[Watch more videos of The JAMA Report]
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Among a group of patients with severe obesity who underwent bariatric surgery, a large percentage experienced improvement in pain, physical function, and walking capacity over 3 years, according to a new study.
Severe obesity can be associated with joint pain and impaired physical function, like the ability to bend, lift, carry, and walk.
Researchers from the University of Pittsburgh studied more than 2,200 patients from 10 U.S. hospitals. Patients filled out questionnaires about their pain and physical function before surgery and each year, for 3 years after surgery. Patients also participated in a 400 meter walking test.
The results found that 50 to 70 percent of patients experienced significant improvements in body pain and physical function and in the walking test. In addition, they found three-fourths of participants with severe knee and hip pain experienced improvements in arthritis symptoms.
[Watch more videos of The JAMA Report]
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Low back pain is a leading cause of disability in the United States. A new study shows that among adults with chronic back pain, both mindfulness-based stress reduction (MBSR) and cognitive behavioral therapy (CBT) resulted in meaningful improvement in back pain compared to traditional care.
Researchers from Group Health Research Institute randomly assigned 342 adults age 20 to 70 years with chronic low back pain to receive MBSR, CBT, or traditional care. Both MBSR and CBT were delivered in 8 weekly 2 hour groups. They found that study participants who received MSBR and CBT showed more improvement in pain and physical limitations at both 6 and 12 months.
[Watch more videos of The JAMA Report]
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Recent outbreaks of vaccine-preventable diseases in the United States have prompted clinicians, public health officials and the public to pay closer attention to the growing phenomenon of vaccine refusal. A new study looks at the role of vaccine refusal and the risk of measles and pertussis. In recent years, a substantial proportion of US measles cases occurred in people who were intentionally unvaccinated. Vaccine refusal was also found to be associated with an increased risk of pertussis in some populations.
[Watch more videos of The JAMA Report]
Host: Matt Birnholz, MD
Only a decade ago, emergency medicine was largely considered an afterthought in large-scale clinical trials. This oversight persisted for years despite the fact that a wide variety of time-sensitive clinical conditions under frequent study were diagnosed and treated predominantly in emergency departments. However, the last several years have witnessed a rapid evolution within this specialty, such that departments nationwide are now granted the means and resources to dedicate efforts exclusively toward advancing emergency medicine research.
From the floors of the American College of Emergency Physicians (ACEP) annual meeting in Boson, Dr. Matt Birnholz speaks with Dr. Philip Levy, Professor of Emergency Medicine & Physiology and Associate Chair for Research in the Department of Emergency Medicine at Wayne State University School of Medicine. Dr. Levy is Chair of the ACEP Research Forum, whose efforts to date have helped put emergency medicine research in the limelight. The two discuss origins, present objectives, and future horizons for this forum and its impact on clinical research advancement in the field.
Host: Matt Birnholz, MD
Joining Dr. Matt Birnholz on the floors of the American College of Emergency Physicians annual meeting in Boston, MA is Dr. Matt Bitner, Vice Chair of Medical Staff Affairs and Quality at the Greenville Health System in Greenville, SC. Dr. Bitner co-chaired and directed ACEP's InnovatED, an interactive exhibitional platform that gained rapid acclaim for its next-level medical simulation demonstrations. He talks about the unique development processes and educational applications for these programs, such as the popular Code Black simulation.
Host: Brian P. McDonough, MD, FAAFP
Guidelines in testing intervals and recommended methods for cervical cancer screening have been changing rapidly. What's the bottom line on helping primary care clinicians best protect their patients from this disease development? Joining Dr. Brian McDonough on the floors of Omnia Education's Women's Health Annual Visit in New York to discuss updated strategies drive down cervical cancer risk is Dr. Edward Mayeaux, Professor and Chairman of the Department of Family and Preventive Medicine at the University of South Carolina School of Medicine.
[Read the Article]
Approximately one-third of children who experience a concussion will experience persistent post-concussion symptoms. Researchers have developed a new clinical scoring system that may help predict which patients are at a higher risk for prolonged symptoms.
Canadian researchers evaluated more than 3,000 patients, ages 5 to 18, who presented within 48 hours of an acute head injury. About thirty percent ended up with persistent post-concussion symptoms at 28 days. Researchers identified nine clinical factors that were predictive of post-concussive symptoms. These factors were then used in a twelve point risk score that included items like age, sex, history of migraines or depression, prior history of concussion, and problems with balance.
Although the clinical score was better than a physician's judgement alone, further research is needed before it is fully adopted into clinical practice.
[Watch more videos of The JAMA Report]
[Read the Article]
According to a new study, low dose aspirin taken regularly was associated with a reduced risk for cancer.
Researchers from Massachusetts General Hospital examined data from two large national studies that include about 136,000 men and women who have been providing detailed information about their overall health for decades.
Researchers identified 20,414 cancers among 88,084 women and 7,571 cancers among 47,881 men during a 32-year follow-up. Regular use of aspirin, two times or more per week, was associated with a 3 percent lower overall risk for cancer. This was mostly due to a 15 percent lower risk for gastrointestinal tract cancers and a 19 percent lower risk for cancers of the colon and rectum.
[Watch more videos of The JAMA Report]
Host: Matt Birnholz, MD
Inflammation plays a pivotal role in the development and persistence of many chronic diseases, but only recently has the human microbiome been linked as something more central to inflammatory processes than a passive reservoir. What roles do the gut, microbiome, and gut-brain axis play in chronic disease development, as well as prevention?
From the floors of the A4M Conference in Las Vegas, Dr. Matt Birnholz speaks with James LaValle, founder and CEO of Metabolic Code Enterprises, Inc and a nationally recognized clinical pharmacist, author, and board certified clinical nutritionist. The two discuss expanded understandings of the microbiome's influence on human health and disease, both in the U.S. and worldwide.
[Read the Article]
Sepsis is a clinical syndrome of physiologic, pathologic, and biochemical abnormalities caused by serious infection. Sepsis is a major public health concern. Besides being a leading cause of mortality worldwide, sepsis accounted for more than $20 billion of U.S. hospital costs in 2011. In addition, there is increasing awareness that patients who survive sepsis are often left with long-term disabilities.
Updated definitions and clinical criteria for sepsis should help promote earlier recognition and more timely treatment of patients with sepsis or suspected sepsis. In a related study, researchers reviewed the electronic health records of more than one million patients to assess the usefulness of a clinical score known as "SOFA", which is used to help identify patients with sepsis.
[Watch more videos of The JAMA Report]
Host: Alicia A. Sutton
Pre and Post tests have long been the standards in continuing medical education. However, with the use of today's technologies, typical didactic learning sessions have evolved into novel real-time experiences for both learners and the educational providers. Host Alicia Sutton welcomes Ryan Mazon, Vice President of Business Development at Educational Measures, to discuss the rise in interactive education in medicine.
Host: Frank Russomano
Interest in health policies related to drug pricing has spiked in recent times. While remarkable research discoveries have positively escalated the pharmaceutical industry with release of more novel drugs, the question on how drugs should be priced is continually resurfacing. How are high drug costs justified when they become financially inaccessible to many patients, and what measures are being put in place to address these access gaps?
Host Frank Russomano welcomes Andrew Rosenberg J.D. of the CME Coalition and Thomas Sullivan, President of Rockpointe Corporation and editor of Policy and Medicine, to discuss recent developments in drug pricing.
Host Frank Russomano welcomes Andrew Rosenberg J.D. of the CME Coalition and Thomas Sullivan, President of Rockpointe Corporation and editor of Policy and Medicine. - See more at: https://reachmd.com/programs/voices-from-american-medicine/all-things-educational-panel-discusses-independent-cme-sunshine-act-reporting/7901/#sthash.CkKA6uPe.dpuf
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A new study suggests that family and other unpaid caregivers who provide substantial help with health care were twice as likely to experience physical, financial or emotional difficulty, five times as likely to restrict social activities, and more than three times as likely to experience a loss in job productivity as individuals who did not provide this type of help.
Researchers from Johns Hopkins Bloomberg School of Public Health used data from two nationally representative samples that provided insight into older adults and the caregivers who help them. The study sample represented 14.7 million caregivers assisting 7.7 million older adults, who either had dementia or a severe disability. About 45 percent of caregivers provided substantial help, (around 28 hours of care per week), often resulting in significant emotional difficulty and other caregiver role-related effects.
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Host: Alicia A. Sutton
Shared decision making (SDM) is a synergistic process that allows patients and their providers to make health care decisions together and take into account the best scientific evidence available, as well as the patient’s values, goals, and preferences. It's important to invite all patients into the process even if they decline. This process increases patient satisfaction, adherence and compliance. Join host Alicia Sutton to discuss shared decision making with guest Isabelle Vacher, former nurse and Senior Vice President of Educational Strategy at AXIS Medical Education, Inc.
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Rates of genetic testing for BRCA1 and BRCA2 mutations have increased among younger women diagnosed with breast cancer, according to a new study. The study focused on nearly 900 women diagnosed with breast cancer at age 40 or younger. Researchers looked at rates of genetic testing, barriers to testing, and how the test results affected treatment decisions.
In 2006, the rates of BRCA testing were in the seventy percent range and by 2012 that proportion rose to ninety-five percent. While the majority of women reported being tested for BRCA 1 and 2, many were not, and a small minority reported that no one had discussed genetic risk or testing options. The study authors note that the overall goal of genetic testing is to help women make informed treatment decisions. Assessment of a young woman's genetic risk after a breast cancer diagnosis can affect treatment decisions and the results can also have health implications for her relatives.
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A new study examined the brains of deceased individuals and found that moderate seafood consumption correlated with lesser Alzheimer disease.
Researchers from Rush University Medical Center in Chicago enrolled older people living in public housing and retirement communities in an ongoing study of memory and aging. Participants had normal memory function when they entered the study and were asked to keep track of their diet using a detailed questionnaire. The participants also agreed to brain donation after they died, providing researchers a total of 286 brains to examine.
They found that participants who reported consuming seafood at least once a week had decreased occurrence of the plaques and tangles associated with Alzheimer disease. Increased seafood consumption was associated with increased brain mercury levels, but the mercury did not appear to have an impact on brain health.
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Depression is a common clinical problem, and is a leading cause of disability in adults. This condition is often under recognized and under treated, affecting individuals, families, businesses and society. The U.S. Preventive Services Task Force is an independent group of medical professionals that makes evidence-based recommendations about clinical preventive services in the primary care setting. The Task Force is recommending screening for depression in adults, including pregnant and postpartum women.
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To some, end of life care in the United States is considered resource intensive, expensive, and inattentive to patients' needs. So how does the United States compare to other countries? A new study examined several health care measures at the end of life for cancer patients in five European countries, Canada and the United States.
Researchers from the University of Pennsylvania Perelman School of Medicine compared the health care experience for cancer patients older than 65, in Canada, Belgium, Germany, England, the Netherlands, Norway and the United States. They examined several clinical measures during the final six months of life.
The United States and Netherlands had the lowest percentage of patients dying in the hospital. The United States also had the fewest hospitalizations and the smallest number of days patients spent in the hospital. In contrast, intensive care admissions were twice as common in the United States compared to the other countries.
During the last six months of life, patients in Norway and Canada had higher hospital costs than patients in the United States. There was less spending in Germany and Belgium, but the lowest expenditures were in the Netherlands and …
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Emphysema is a serious lung disease that results in severe shortness of breath and impaired quality of life. Management of emphysema is challenging since there is no cure and current therapies, including lung reduction surgery, can be risky. A new study examined a minimally invasive procedure to see if it could improve shortness of breath and also be a safe and cost effective way to treat emphysema.
Researchers from Hôpital Universitaire de Reims, France studied a new procedure that permanently places several coils into the lung. The study included one hundred patients from ten centers across France. Fifty patients had coils placed in their lungs and the other fifty received standard medical treatment. Both groups were followed closely and assessed at six and twelve months. They participated in a six minute walk test to see if their breathing had improved, allowing them to walk farther.
Results showed that thirty-six percent of patients who received the coil treatment had improvement in the six minute walk test, compared to only eighteen percent in the control group. There was also a significant improvement in quality of life at six and twelve months for patients who received …
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Among obese older patients with an increasingly common type of heart failure, calorie restriction and/or exercise training improved their ability to participate in physical activity without experiencing shortness of breath, according to a new study.
Heart failure with preserved ejection fraction (HFPEF) is the most rapidly increasing form of heart failure in the United States. Although the heart pumps normally, it does not fill with enough blood because the lower chamber of the heart is too stiff. More than eighty percent of patients with HFPEF are overweight or obese. Despite multiple studies, so far, no currently available medications have improved symptoms in patients with HFPEF.
Researchers from the Wake Forest School of Medicine randomly assigned 100 older obese participants with HFPEF to 20 weeks of diet, exercise, or both. They found that the exercise participants lost three percent of body weight, the diet group lost seven percent and the combined group lost ten percent of body weight. Patients in both the diet and exercise groups showed improvement in their ability to participate in exercise without significant symptoms.
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Host: Matt Birnholz, MD
Joining Dr. Matt Birnholz on the floors of the American College of Emergency Physicians annual meeting in Boston, MA is Dr. Sudave Mendiratta, Program Director of Emergency Medicine at the University of Tennessee College of Medicine and co-founder of InnovatED, an interactive exhibitional platform at ACEP featuring products and services vetted by a team of emergency physicians and showcased working together in a true-to-life environment. Dr. Mendiratta shares insights on InnovatED's mission to bolster future thinking, departmental design solutions, cutting-edge products and services, and best practices driving change in the ED.
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Women facing infertility often turn to in vitro fertilization (IVF). Although IVF technology has improved, there is still a widely held belief that if a woman doesn't experience a successful live birth after three or four IVF cycles, her chances of a successful live birth are very low. A new study looked at IVF success rates after repeated treatment cycles well beyond the third or fourth attempts.
Researchers from the University of Bristol, in England reviewed the medical records of almost 160,000 women in the United Kingdom who underwent nearly 260,000 full IVF cycles between 2003 and 2010. They examined live birth rates among these women thru 2012.
They found that women under the age of forty who used their own eggs had a 33 percent success rate within the first cycle. This rate remained at above 20 percent up to and including the fourth cycle. By the sixth cycle, women had a cumulative live birth rate of 68 percent. Women between ages forty and forty-two, also saw an increased success rate up until the ninth cycle.
Overall, researchers reported that patients had an increased chance of success up to the ninth …
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Glioblastoma is the most devastating form of brain cancer in adults; most patients die within one to two years of diagnosis. A new study examined whether using tumor-treating fields, a type of electromagnetic therapy, combined with maintenance chemotherapy in patients with glioblastoma who had already completed standard chemotherapy and radiation, could increase survival.
Researchers from University Hospital in Zurich, Switzerland are conducting a worldwide trial with 695 glioblastoma patients. One out of three received a standard maintenance course of chemotherapy, while the other two received maintenance therapy plus the tumor treating fields for up to two years.
The current results are for the first 315 patients. Researchers found that use of the tumor-treating fields increased both progression-free survival and overall survival. Overall survival is prolonged by an average of three months in patients getting the tumor-treating fields therapy.
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Even in the general population, people often don't want to talk about depression, which is one of the major reasons it isn't always treated properly. Depression is also a concern in the medical community, particularly affecting physicians in training known as medical residents. A considerable number of medical residents suffer significant depressive symptoms at various times during their training. What should be done to address the problem?
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Host: Matt Birnholz, MD
Dr. Matt Birnholz welcomes Dr. Clifton Callaway, Professor and Executive Vice Chairman of the Department of Emergency Medicine at the University of Pittsburg School of Medicine. Dr. Callaway received ACEP's Outstanding Contribution to Research Award for his more than two decades of research dedicated to improving brain resuscitation after cardiac arrest. He joins Dr. Birnholz to discuss a research-guided evolution in resuscitation protocols based on improved physiological understandings of secondary brain injuries, comas, and recoveries.
CDC's Dr. Phoebe Thorpe speaks with Dr. Sherif Zaki about the important work being done to further reduce the risk of unusual transplant-associated infections.
Ensuring that organs are safe requires:
- Involvement by many disciplines including: pathologists, epidemiologists, clinicians, and others
- Global collaboration between federal and state agencies as well as academic institutions
- Continued focus on improving regulations and screening procedures
CDC's Dr. John Iskander and Dr. Janet Wright discuss the progress that has been made with Million Hearts®, along with the work that is still needed to reach the goal of preventing one million heart attacks and strokes by 2017.
Providers should:
- Utilize electronic health records to proactively reach individuals with elevated blood pressure or cholesterol
- Place emphasis on detecting cases of uncontrolled high blood pressure which are hiding in plain sight
Communities can:
- Implement smoke-free policies to lower exposure to smoke
- Adopt food procurement policies that make healthier foods more readily available
- Encourage and train individuals to self-monitor their blood pressure
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The most common operation done worldwide is the cesarean or C-section. Cesarean delivery is lifesaving for obstructed labor and other obstetrical emergencies; however, as with any surgical procedure, there are risks of complications and overuse can be harmful to both mothers and newborns. There were about 22.9 million cesarean deliveries worldwide in 2012. Based on older analyses from the mid-1980s, the World Health Organization (WHO) recommends that cesarean delivery rates should not exceed 10 to 15 per 100 live births.
In a study in the December 1 issue of JAMA, Harvard Researchers examine the relationship between cesarean delivery rates and maternal and infant death, and other adverse outcomes in children following planned cesarean delivery. The results indicate that the optimal cesarean delivery rate in relation to maternal and neonatal mortality is approximately 19 per 100 live births. Higher cesarean delivery rates were not associated with better outcomes in mothers and children.
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CDC's Dr. Phoebe Thorpe and Dr. David Lakey discuss the many costs of preterm birth, and how we can make prevention a priority in the United States. Tune in to find out how some states, like Texas, are educating the public and taking steps to reduce the rates of preterm birth and infant mortality.
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Preschool children who experience repeated episodes of severe lower respiratory tract infections (LRTI) often present with symptoms like wheezing and difficulty breathing. A new study looked at whether the use of the common antibiotic, azithromycin, would help prevent progression of the illness, if given early enough in the episode.
Researchers from Washington University in Saint Louis School of Medicine, studied more than 600 children, ranging from ages one to six years old, with a history of repeated episodes of severe respiratory illness. Children were randomly assigned to either receive azithromycin or a placebo early in these episodes.
They found that children in the antibiotic group experienced a lower risk of progressing to severe LRTI than the placebo group.
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Proliferative diabetic retinopathy (PDR) is a leading cause of vision loss in patients with diabetes, resulting in up to 24,000 cases of blindness each year in the United States. Laser therapy has been the most common treatment used to help reduce severe vision loss, but the procedure has many side effects including permanent loss of peripheral vision and swelling of the retina.
A group of researchers from across the US tested an alternative treatment using an injectable medication called ranibizumab, to see if it would be as effective as the laser therapy. They studied more than 300 patients with PDR, assigning them to either receive standard laser therapy or an injection into the eye. In total, they treated close to 400 eyes.
Outcomes, especially loss of vision, were compared at two years. Over the two year period, researchers found that patients receiving the injections of medication had fewer side effects and did somewhat better in terms of vision loss than those who received laser therapy.
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Dr. John Iskander and Dr. George Luber revisit their discussion on climate change and its impact on human health to update some of the important new scientific findings that have taken place.
Since the first session on climate change:
- 2014 has been confirmed as the hottest year on record,
- Extreme climate events are occurring more frequently, and
- Communities are facing heightened health risks due to drought.
Host: Matt Birnholz, MD
Dr. Matt Birnholz is joined by Dean Wilkerson, Executive Director for American College of Emergency Physicians (ACEP). Mr. Wilkerson provides an overview of ACEP's highest priority initiatives and ongoing efforts from the organization's leadership to help advance emergency medical care nationwide. Topics of discussion include the following:
- Increasing awareness toward outcomes measures and reporting for improved quality of emergency care.
- Defining emergency medicine's vital role in the 'Medical Neighborhood' models of patient care.
- Understanding the controversies over balance billing in emergency departments, how this affects both patients and clinicians, and what can be done about it.
For more information about ACEP's strategic goals and activities, visit www.acep.org.
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Financial incentives for physicians or patients are one way healthcare organizations are trying to improve health outcomes. A new study examined whether providing these financial incentives would help improve low-density lipoprotein cholesterol (LDL-C) in patients with a high-risk for cardiovascular disease.
Researchers from the University of Pennsylvania, Philadelphia studied 1,500 patients and 340 primary care physicians. Physicians were randomly assigned to one of four groups. One group solely focused on providing physicians with financial incentives, while another group focused on financially rewarding patients when they showed improvements in their cholesterol levels. A third group consisted of shared incentives for both physicians and patients, while the last group (a control group) did not receive any financial incentives.
Overall, shared financial incentives for both physicians and patients, but not incentives to physicians or patients alone, resulted in a significant reduction of LCL-C levels at 12 months.
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Use of prescription drugs represents a major healthcare expense in the United States, and the number of adults taking prescription medications continues to increase. Researchers from the Harvard T.H. Chan School of Public Health examined trends in prescription drug use from 1999-2012 using data from nearly 40,000 adults, 20 years and older, who participated in the National Health and Nutrition Examination Survey. They found that the prevalence of prescription drug use increased from 51 percent in 1999-2000 to 59 percent in 2011-2012, while the use of five or more prescription drugs increased from 8 percent to 15 percent.
Eight of the 10 most commonly used drugs in 2011-2012 are used to treat components of the cardiometabolic syndrome, including high blood pressure, diabetes, and high cholesterol. Researchers note that the increase in use of several medications may reflect the growing need to treat obesity related complications. Use of antidepressants also increased from 7 percent in 1999-2000 to 13 percent in 2011-2012. The most commonly used individual drug was simvastatin, a medication used to treat high cholesterol. Simvastatin was used by 8 percent of the adult population in 2011-2012, up from 2.0 percent in 1999-2000.
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Evaluating long-term trends in mortality is important for health planning, priority setting and also to identify modifiable factors contributing to poor health. In a new study, researchers from the American Cancer Society reviewed changes in the overall U.S. death rate, as well as trends in the six leading causes of death.
The researchers gathered data from the National Center for Health Statistics from 1969 to 2013. They report that overall death rates have decreased by 43 percent. During this time period, death rates continued to decrease for heart disease, cancer, stroke, injuries and diabetes. However, the decrease in heart disease, stroke and diabetes related deaths has slowed during the last five years.
The researchers also found that deaths from chronic obstructive pulmonary disease (COPD) have doubled since 1969, and continue to increase, specifically among women.
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In the United States, it is estimated that approximately 230,000 women will be diagnosed with breast cancer, and more than 40,000 will die from the disease this year alone. Early detection using mammography remains the best way to prevent premature death from breast cancer. A panel of experts examined decades of research to update the American Cancer Society's (ACS) recommendations for breast cancer screening. Based on this review, the 2015 recommendations for breast cancer screening for women at average risk of cancer include the following:
- Women should undergo regular screening mammography starting at age 45.
- Women 45 to 54 years of age should be screened annually.
- Women 55 years and older should transition to every other year screening or have the opportunity to continue annual screening.
- Women should have the opportunity to begin annual screening between the ages of 40 and 44 years.
- Women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or longer.
- Clinical breast examination is not recommended for breast cancer screening among average-risk women of any age.
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Host: Matt Birnholz, MD
Joining host Dr. Matt Birnholz is Sarah Marchal Murray, Chief Operating Officer at The END Fund, a private philanthropic initiative dedicated to controlling and eliminating neglected tropical diseases (NTDs). Over 1.4 billion people globally are affected by one or more of the most common NTDs, including 875 million children. The END Fund focuses on tackling the five most prevalent NTDs: intestinal worms,schistosomiasis,lymphatic filariasis,trachoma, and river blindness.
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In the United States, seasonal influenza epidemics are responsible for an estimated 226,000 hospitalizations and between 3,000 and 49,000 deaths each year. Pneumonia, the leading infectious cause of hospitalization and death in the United States, is a serious complication of influenza. A new study examined whether getting a flu shot can help reduce hospitalizations due to influenza pneumonia.
Researchers from Vanderbilt University Medical Center evaluated more than 2,700 patients from January 2010 to June 2012. All patients had pneumonia and were admitted to the hospital from the emergency department. Overall, about six percent of patients had pneumonia due to influenza.
Researchers estimated that the patients who received influenza vaccine had a 57 percent less chance of getting hospitalized with influenza-pneumonia than those patients who were not vaccinated.
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JAMA Report videos provided pursuant to license. ©2015 American Medical Association, publisher of JAMA® and The JAMA Network® journals.
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Successful treatment of stage II or stage III rectal cancer relies on surgical removal of the tumor. However, researchers from Baylor University Medical Center wanted to know if a "minimally invasive" procedure called a laparoscopy, would be as effective as a standard or "open" operation for patients with rectal cancer.
Researchers assigned 486 patients to receive either a standard open operation or the less invasive laparoscopic approach. All procedures were done by forty-six highly trained surgeons. Specimens from each procedure were examined to see whether all the tumor was removed ("complete resection").
Results found that 90 percent of the patients who underwent the open operation had a complete resection, where patients who underwent the laparoscopy only had an 81 percent success rate. The researchers concluded that these findings do not support laparoscopic removal of rectal cancer.
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Agitation is common in patients with dementia and can contribute to distress for patients and caregivers and an increased risk of institutionalization. Nonpharmacological interventions are recommended as first-line therapy, but many patients fail to respond, and medications are often needed. Currently available medications don't work very well and can have serious side effects. A new study tested a combination of two existing medications, dextromethorphan hydrobromide and quinidine sulfate, to see if this would help control agitation in patients with Alzheimer's dementia.
Researchers from the Cleveland Clinic recruited 220 patients with Alzheimer's dementia and agitation. During a preliminary 10 week trial, participants were randomly assigned to receive either the dextromethorphan- quinidine combination or a placebo.
Results showed that patients receiving the combination medication demonstrated fewer episodes of agitation compared to patients who received the placebo. When agitation did occur, it tended to be less severe. Researchers also found that not only is the combined drug effective, but safe.
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About 42 percent of the general U.S. population has low vitamin D levels. In addition to promoting calcium and bone health, vitamin D may also affect the brain and cognitive function. A new study by JAMA Neurology looked at the association between baseline vitamin D levels and the rate of cognitive decline in a group of ethnically diverse older adults.
A researcher from Rutgers University, along with colleagues from the University of California Davis, studied 382 older adults with an average age of 75. Among the group, 61 percent of participants were women, 41 percent white, about 30 percent were African American and 25 percent were Hispanic. At study enrollment, about 18 percent had dementia, 33 percent had mild cognitive impairment and half were cognitively normal.
Vitamin D levels and cognitive function were measured at baseline. Cognitive function was also followed in 318 of the participants for an average of 5 years.
Researchers found:
- About 60 percent of the group, regardless of their race or ethnicity, was low in vitamin D.
- Vitamin D levels were lower for African American and Hispanics, compared with their white counterparts.
- …
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Autism Spectrum Disorder (ASD) represents a diverse group of neurodevelopmental conditions. If researchers can better understand the genetics of ASD, it may be possible to identify and diagnose at-risk children sooner. A new study looked at the results of two newer genetic testing technologies, chromosomal microarray and whole-exome sequencing, in children diagnosed with ASD.
Researchers from Newfoundland, Canada studied more than 250 children diagnosed with ASD. All participants underwent the chromosomal microarray analysis, however, only 95 randomly selected participants had whole-exome sequencing. Results found that sixteen percent of the children had an ASD related genetic finding on either microarray or whole-exome sequencing.
In addition to the new tests, researchers also closely examined the children for subtle physical differences and screened them for birth defects. Based on these exams, they were put into three groups of increasing physical severity: essential, equivocal, and complex. Researchers found that thirty-five percent of children in the complex group had a positive genetic test. In that group, the diagnosis of autism was more delayed than in the children of the other groups.
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Some evidence suggests that physical activity can help slow cognitive decline. A new study evaluated whether a program of moderate physical activity would result in better cognitive function, lower risk of dementia, or both, for older adults compared with a health education program.
Researchers from Wake Forest School of Medicine, Winston-Salem, North Carolina evaluated more than 1,600 sedentary adults, between the ages of 70 and 89, and randomly assigned them to either physical activity or a health education program. The participants were monitored for 24 months, during which their cognitive function was measured using a variety of clinical tests.
Results found that both groups preserved their cognitive function over the two year study period. Although there was no difference between the groups, the outcomes still prove notable, since steady decline in cognitive function would generally be expected within this age group.
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JAMA Report videos provided pursuant to license. ©2015 American Medical Association, publisher of JAMA® and The JAMA Network® journals.
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Electronic cigarettes (e-cigarettes) are becoming increasingly popular among teens. A new study looks at whether younger teens who never smoked cigarettes and who begin using e-cigarettes might be more likely to go on to use conventional tobacco products.
Researchers from the University of Southern California, Los Angeles surveyed more than 2,300 Los Angeles area high school students who reported never using tobacco products at the beginning of 9th grade. The students were surveyed again six months later and also when entering the 10th grade.
In a comparison of teens who had used e-cigarettes to those who had not, the researchers found that those who had used e-cigarettes were four times more likely to have gone on to use conventional tobacco products, including cigarettes and cigars. The researchers acknowledge that their findings, while suggestive, cannot prove that e-cigarette use directly causes subsequent tobacco use.
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The popularity of testosterone supplementation among older men has increased substantially over the past decade. However, the risks and benefits of long-term administration are still unclear. A new study examined whether using testosterone supplements affected the development of atherosclerosis (hardening of arteries), which is linked to heart attack and stroke.
Researchers from Brigham and Women's Hospital in Boston studied more than 300 men who were sixty years of age and older, in relatively good health, and had low or low-normal testosterone levels. Half the men applied a testosterone gel daily to the skin for three years, while the other half were given a placebo gel. During the course of the trial, hardening of the arteries was measured in the carotid and coronary arteries, which supply the brain and heart.
Results were that during the three year study, there was no significant effects in terms of hardening of the carotid or coronary arteries. Testosterone supplementation also did not improve overall sexual function or health-related quality of life.
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Posttraumatic stress disorder (PTSD) affects twenty-three percent of veterans returning home from deployments in Afghanistan and Iraq. Left untreated, PTSD is associated with high rates of other disorders, disabilities, and poor quality of life. A new study evaluated a different approach to managing PTSD related symptoms, a mindfulness-based stress reduction therapy.
Researchers at the Minneapolis Veterans Affairs Health Care System randomly assigned 116 veterans with PTSD to receive nine sessions of mindfulness-based stress reduction therapy, which teaches participants to be present in the moment in a nonjudgmental, accepting manner. The others attended group therapy, primarily focusing on current life problems. The veterans were monitored before, during and after treatment.
Results found that among veterans with PTSD, mindfulness-based stress reduction therapy, compared to group therapy, resulted in a greater decrease in PTSD symptom severity.
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America's landmark health care programs, Medicare and Medicaid, celebrate their 50th anniversaries on July 30th. Over the past five decades, the United States healthcare system has experienced dynamic changes, most notably in recent years with improvements in technology, care delivery and health related behaviors. A new study examined key outcomes among the Medicare population over a 15 year period.
Researchers from Yale University School of Medicine reviewed the records of nearly 70 million Medicare beneficiaries enrolled in fee-for-service and Medicare Advantage plans from 1999 to 2013, to better understand long-term trends in mortality, hospitalizations, and healthcare costs.
Results found that among Medicare beneficiaries, death rates have dropped an estimated twenty percent, there have been ten percent fewer hospitalizations, and overall expenditures have decreased from 1999 to 2013. In the last six months of life, total hospitalizations and inpatient costs have also decreased.
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Out-of-hospital cardiac arrest is a major public health issue, accounting for approximately 200,000 deaths per year in the United States. A new study examined whether increased use of defibrillators and cardiopulmonary resuscitation (CPR) by first responders and bystanders could help increase survival for people who experience an out-of-hospital heart attack.
In recent years, statewide initiatives in North Carolina have encouraged improvement in the use of CPR and automated external defibrillators (AEDs) by training more members of the general public.
Bystander-initiated CPR was associated with a greater likelihood of survival with favorable neurologic outcome. The combination of bystander CPR and first responder defibrillation increased from 14 percent in 2010 to 23 percent in 2013. Results found, patients who received bystander or first responder interventions before arrival of the emergency medical services (EMS) were more likely to survive compared to those who received EMS intervention alone.
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An increasing number of pregnant women are undergoing noninvasive prenatal testing to help identify fetal genetic abnormalities. This is done using a blood test that looks at the DNA of both the mother and fetus. In a small percentage of these tests, the results appear abnormal, but the baby's genetics are later shown to be normal. A new study examined if the rare diagnosis of maternal cancer could be one cause of such discrepancies. The study is being released to coincide with its presentation at the 19th International Conference on Prenatal Diagnosis and Therapy in Washington, D.C.
Researchers at Tufts Medical Center in Boston examined more than 125,000 noninvasive prenatal test results over the course of a two year period. Approximately 3,800 women had abnormal test results, and ten of those women were subsequently diagnosed with cancer. Medical records and additional genetic information were examined in eight of those women to look for patterns suggestive of underlying cancer.
Based on the results of the study, researchers estimate there is between a twenty and forty-four percent risk of maternal cancer if an abnormal number of chromosomes are detected. Further studies are needed to fully understand …
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Each year, nearly 800,000 Americans experience a stroke, and for survivors, cognitive decline including memory and thinking speed, is a major cause of disability. Many patients experience these declines immediately after a stroke, but a new study examined whether cognitive decline continues several years after the initial stroke.
Researchers from the University of Michigan Medical School, Ann Arbor examined changes in cognitive function in more than 23,000 individuals who were 45 years of age or older. All participants were free of cognitive impairment at the start of the study. Memory and other measures of cognitive function were recorded at the beginning and at regular intervals throughout a six year follow up period. 515 participants experienced a stroke during the study, the rest remained stroke free.
Results found that stroke survivors had a faster rate of cognitive decline after stroke compared with the pre-stroke rate. Stroke was associated with an early decline in cognitive function and also accelerated and persistent cognitive decline over the next six years.
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Guest: Joseph "Joe" Kim, MD, MPH
Host: Alicia A. Sutton
Quality Improvement Education, or QIE, is being leveraged for reducing errors and improving practice efficiencies across hospitals and private clinics alike. But how is QIE implemented, and what measures signify its success in medical education? Joining host Alicia Sutton to discuss this important subject at the Alliance for Education in the Health Professions annual meeting is Dr. Joe Kim, physician technologist and President of MCM Education.
Guest: Brian S. McGowan, PhD
Host: Alicia A. Sutton
"Learning about the Learners" is a core precept underlying the Flipped Classroom, a blended learning model that helps increase continuity of learning experiences between faculty and students. Joining host Alicia Sutton to describe this model and its applications in healthcare education is Brian McGowan, Chief Learning Officer for ArcheMedx.
Host: Alicia A. Sutton
Guest: Ray Saputelli
Healthcare costs in the U.S. are among the highest in the world, yet health outcomes remain in the bottom tiers compared to other developed countries. How might the care delivery model be changed to affect change in this regard, and who is leading the way?
Joining host Alicia Sutton to examine one state's efforts to replace volume of care with value in care, driving down costs while improving outcomes, is Ray Saputelli, Executive Vice President of the New Jersey Academy of Family Physicians.
Guest: Scott Kober
Guest: Derek Warnick
Host: Alicia A. Sutton
Google Hangouts: they're not just for video chats. It turns out that they are also quite useful for focused learning platforms positioned for targeted learners. How are these hangouts being leveraged for innovative medical educational offerings? Host Alicia Sutton welcomes Derek Warnick and Scott Kober to discuss this emerging platform in the healthcare sector.
Host: Alicia A. Sutton
"Patient engagement" is a broadly encompassing term that takes on various forms depending on the point of view, from the physician's drive toward better treatment compliance and health literacy to the patient's stance on being heard and understood through the care continuum. How can the medical profession assess, measure, and improve patient engagement indexes from both points of view? Host Alicia Sutton welcomes Pete Sheldon, president of Opus Science, LLC based in Annapolis, MD, to describe strategies employed locally and nationwide to enhance patient engagement.
Guest: AK
Host: Alicia A. Sutton
Visual representations of data come in many shapes and forms in medical education, but their clarity, meaningfulness, and utility are always intended to be top-notch. Unfortunately, this is sometimes not the case, with visual depictions of important information that may appear confusing or, even worse for the educator, uninteresting. What is the rhyme and reason to generating effective designs for medical data? Host Alicia Sutton welcomes Andy Kirk, data visualization expert and founder of Visualizing Data Ltd, to address this subject in depth. Mr. Kirk is author of Data Visualization: a successful design process, a practical guide for creating data visualisation solutions in the most effective and efficient way.
Guest: Cynthia Kear
Guest: Tom McKeithen, Jr.
Host: Alicia A. Sutton
There is a national public health crisis concerning the misuse and overuse of opioid medications, and despite multiple large scale efforts to stem the tide, negative trends persist. In order to address risk and safety concerns, reduce serious adverse outcomes, and simultaneously ensure that pain patients maintain necessary access to opioids, the U. S. Food and Drug Administration (FDA) has developed a Risk Evaluation and Mitigation Strategy (REMS) that applies to all long-acting and extended-release opioid medications. Joining Alicia Sutton to discuss how REMS programs are being used to help inform and educate the medical community are Cynthia Kear and Tom McKeithen. Ms. Kear is Senior Vice President of the California Academy of Family Physicians, while Mr. McKeithen is Senior Consultant at Healthcare Performance Consulting
Host: Alicia A. Sutton
Guest: Destry Sulkes, MD, MBA
The meeting of the Alliance for Continuing Education in the Health Professions (ACEHP) witnessed a broad spectrum of presentations and dialogues focused on medical education, from big data to quality improvement to social media to patient safety. Recapping highlights from this meeting is Dr. Destry J. Sulkes, President of the Board of Directors for ACEHP and co-founder of Medivo Inc.
Host: John J. Russell, MD
When was it decided that exercise could only be good for you? In his recent book, Exercise Will Hurt You: Concussion, Traumatic Brain Injury, and How the Dangers of Sports and Exercise Can Affect Your Health, leading neurosurgeon Dr. Steven Barrer calls for a change in the way we think about exercise in the United States. His work arises from an extensive career treating exercise-related injuries, anecdotal experiences from his own personal exercise injuries over the years, and scientific data culled from the latest research.
Dr. Barrer is Director of the Neurosciences Institute and Chief of the Division of Neurosurgery at Abington Memorial Hospital in Philadelphia.
Host: Alicia A. Sutton
Guest: Bill Levisay, MBA
Past success is not always a predictor of future success, and nowhere is this clearer than in the medical field. But what can medicine draw from the unprecedented successes and colossal failures of the corporate world? Joining host Alicia Sutton to discuss the gravity of success, and ways to avoid failure in the wake of that success, is Bill Levisay, Chief Customer Officer at Bolthouse Farms in Atlanta, GA.
Host: Alicia A. Sutton
Guest: Alexander M. Djuricich, MD, FACP, FAAP
Guest: Brian S. McGowan, PhD
Are you using social media in your practice setting? If not, you may be missing important new peer-to-peer educational opportunities and innovative means of connecting with your patients for better care provision. Joining Alicia Sutton to discuss the emerging roles of social media in medicine are Brian McGowan, Chief Learning Officer for ArcheMedx, and Dr. Alexander Djuricich, Associate Dean for CME at Indiana University School of Medicine.
Host: Alicia A. Sutton
Guest: Jennifer Golbeck, PhD
How will new computational techniques leveraging "big data" analytics impact healthcare systems and medical practices, and where should this data come from? Alicia Sutton welcomes Jennifer Golbeck, director of the Human Computer Interaction Lab and associate professor at the College of Information Studies of the University of Maryland, to discuss present and future directions in big data usage for medicine and society.
Host: John J. Russell, MD
Dr. John Russell welcomes author Deborah Blum to talk about her book, The Poisoner's Handbook.
In early twentieth-century New York, poisons offered an easy path to the perfect crime. Science had no place in the Tammany Hall-controlled coroner's office, and corruption ran rampant. However, with the appointment of chief medical examiner Charles Norris in 1918, the poison game changed forever. Together with toxicologist Alexander Gettler, the duo set the justice system on fire with their trailblazing scientific detective work, triumphing over seemingly unbeatable odds to become the pioneers of forensic chemistry and the gatekeepers of justice.
Host: John J. Russell, MD
An award-winning memoir that goes far beyond its riveting medical mystery, Brain on Fire is the powerful account of one woman's struggle to recapture her identity. When twenty-four-year-old Susannah Cahalan woke up alone in a hospital room, strapped to her bed and unable to move or speak, she had no memory of how she'd gotten there. Only days earlier, she had been leading an exciting life at the beginning of her promising career at a major New York newspaper. Now she was labeled violent, psychotic, a flight risk. What happened?
Susannah's memoir tells the astonishing true story of her descent into madness, her family's inspiring faith in her, and the lifesaving diagnosis of an exceedingly rare disease which led to her complete recovery.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
An old clinical dogma in OB/GYN was that dyslipidemia during pregnancy wouldn't have any long term implications on the developing fetus because of short exposures at 9 months. This has since been shown to be untrue. What health issues surface in children whose mothers experienced abnormally elevated lipid levels in pregnancy, and how can these problems be prevented at the peripartum stage? Host Dr. Alan Brown joins Dr. Robert Wild, Professor of Obstetrics and Gynecology at the University of Oklahoma College of Medicine, to discuss prevention and treatment strategies for dyslipidemia during pregnancy. Dr. Wild is past president of the American Society of Preventive Cardiology, the Society of Reproductive Endocrinologists, the Oklahoma City Obstetrical and Gynecological Society, and the Menopause Group for the American Society of Reproductive Medicine.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
As many as 25% of patients taking statins may experience side effects. How should clinicians respond to the broad spectrum of side effects and variable severities reported? Host Dr. Alan Brown welcomes Dr. John Guyton, Associate Professor of Medicine and Assistant Professor of Pathology at Duke University School of Medicine, to discuss statin intolerance and the most effective methods for counseling patients who experience this issue. Dr. Guyton's team has developed approaches that help many patients who have trouble taking statin drugs find alternative ways to lower their low-density lipoprotein (LDL) levels. Dr. Guyton is recognized nationally as an expert in clinical management of lipid disorders and is known for his earlier work on lipid deposition in the arterial wall.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
A paradigm shift in the management of lipid disorders has been witnessed of late based on evidence reviews by the AHA and the ACC. Where the clinical dogma once focused on targeting specific lipoproteins, clinicians are now trending toward using appropriate dosages of statins for lowering non-HDL cholesterol. What are the ramifications of this change in approach, and how does the NLA weigh in on recommendations for targets and goals? To address these and other questions, host Dr. Alan Brown welcomes Kevin Maki, PhD, FNLA, CLS, Chief Science Officer for Midwest Center for Metabolic and Cardiovascular Research and Adjunct Faculty in Biostatistics and Applied Epidemiology at DePaul University, Chicago, IL.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
What's the evidence for LDL and other non-HDL targets for primary and secondary prevention of heart disease? What are the comparative benefits versus toxicities of all lipid-lowering medications in clinical use? Addressing these and other questions from the standpoing of recent NLA recommendations is Kevin Maki, PhD, FNLA, CLS, Chief Science Officer for Midwest Center for Metabolic and Cardiovascular Research and Adjunct Faculty in Biostatistics and Applied Epidemiology at DePaul University, Chicago, IL.
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Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Guest: Carl Orringer, MD, FACC, FNLA
What are some of the causes of high triglycerides? What is the biggest health risk? And, for these patients, at what level is the risk greater for developing pancreatitis and coronary artery disease? Host Dr. Alan Brown welcomes Dr. Carl Orringer, Associate Professor of Medicine at the Cardiology Division, University of Miami Medical Center and Director of the Preventive Cardiovascular Medicine and LDL apheresis program. In this edition of Lipid Luminations, Dr. Orringer will discuss the management of the patients with triglycerides 200-499 mg/dl.
Host: Matt Birnholz, MD
Twenty-five years ago CDC played a pivotal role in the discovery of the virus that causes hepatitis C. After the isolation of HCV, implementation of screening of blood products and organs for donation led to a decrease in rates of HCV infection between 1990 and 2009. In spite of these successes, HCV still remains a serious threat, both domestically and abroad. HCV remains the most common chronic blood borne infection in the United States, affecting approximately 3.9 million individuals. However up to 50% of HCV-infected persons are unaware of their infection. Globally, there are 180 million people who are chronically infected with the virus, and 3-4 million new infections occur every year.
Recent therapeutic advances hold the potential to halt the progression of HCV infection and disease. While HCV-infected persons can be effectively treated, more effort is needed to screen, diagnosis, treat and provide continuity of care. This session of Public Health Grand Rounds will discuss how new screening guidelines, testing methods and therapeutic advances will provide us with an opportunity to improve individual outcomes and to eventually eliminate HCV infection.
To view the complete video recording of this and other CDC Public Health Grand Rounds sessions, visit http://www.cdc.gov/about/grand-rounds/
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Host: John J. Russell, MD
Host Dr. John Russell chats with author Thomas Goetz about his recent book, The Remedy: Robert Koch, Arthur Conan Doyle, and the Quest To Cure Tuberculosis. The book chronicles the lives of two men: Robert Koch, great German scientist, who convinced the world of the germ theory of disease; and Arthur Conan Doyle, trained physician and author of Sherlock Holmes stories. The Remedy traces the history of tuberculosis, the people who brought its diagnosis, etiology, and treatment approaches to light, and ways in which scientific discoveries evolved into everyday realities. Mr. Goetz is a writer, entrepreneur and health care innovator.
Host: Brian P. McDonough, MD, FAAFP
Dr. McDonough discusses how lowering patient sedentary time can prevent precancerous lesions according to a report in the American Association for Cancer Research.
Host: Brian P. McDonough, MD, FAAFP
Dr. McDonough discusses new Breathalyzer technology introduced at the 2013 American Association of Pharmaceutical Scientists Annual Meeting that may one day eliminate the need for finger sticks for diabetics.
Host: Brian P. McDonough, MD, FAAFP
Dr. McDonough discusses a study that looks at how influential calorie postings in restaurants are on the decisions patient make.
Host: Brian P. McDonough, MD, FAAFP
Dr. McDonough looks at the American Heart Association review of more than 30 studies exploring the health benefits of pet ownership and its associated with lower blood pressure, better cholesterol, and a decreased incidence of obesity.
Host: Brian P. McDonough, MD, FAAFP
Dr. McDonough addresses the lack of conversation about sex with teen patients according to a new study from American Medical Association, Pediatrics, and Duke University researchers,
Host: Brian P. McDonough, MD, FAAFP
Dr. McDonough looks at the latest study from Spain on association between the sweetened beverage consumption and weight gain.
Host: John J. Russell, MD
Host Dr. John Russell welcomes author and journalist Molly Caldwell Crosby to discuss her first book, THE AMERICAN PLAGUE: The Untold Story of Yellow Fever, the Epidemic That Shaped Our History. The discussion focuses on one of history's most controversial human studies - the story of yellow fever and how it overshadowed this country, and in Africa, where even today it strikes thousands every year.
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Host: Matt Birnholz, MD
Tuberculosis is an ancient disease that remains an important global cause of morbidity and mortality. In most cases, TB can be treated and cured by taking a combination of several drugs for 6 to 12 months. When inappropriate or incomplete treatment takes place, however, TB bacteria can develop multidrug resistance (MDR). Annually, there are approximately 500,000 cases of MDR TB, and 150,000 deaths. Although there are simple rapid tests that have improved the diagnosis of the disease, there is immense potential to increase the number of persons diagnosed with MDR TB, and to do so more quickly to initiate treatment sooner.
This session of CDC′s Public Health Grand Rounds will explore how more patients can benefit from advances in diagnostic and treatment options, resulting in an overall reduction in morbidity from MDR TB. The role of CDC, WHO and other partners in combating this public health epidemic will also be discussed.
To view the complete video recording of this and other CDC Public Health Grand Rounds sessions, visit http://www.cdc.gov/about/grand-rounds/
Host: John J. Russell, MD
In her book, Five Days at Memorial, physician and reporter Sheri Fink reconstructs 5 days at Memorial Medical Center and draws the reader into the lives of those who struggled mightily to survive and to maintain life amid chaos. Drawing from a culmination of six years of reporting, Dr. Fink unspools the mystery of what happened in those days, bringing listeners into a hospital fighting for its life and into a conversation about the most terrifying form of health care rationing.
Click here for Part 2 of this fascinating two-part exploration of the disaster, a hospital's response, and the repercussions that have rippled through its affected staff, patients, and families years later.
Host: John J. Russell, MD
In December 2005, the National Football League produced a scientific paper concluding that "professional football players do not sustain frequent repetive blows to the brain on a regular basis." That judgment, implausible even to a casual fan, also contradicted the opinion of a growing cadre of neuroscientists who worked in vain to convince the NFL that it was facing a deadly new scourge: a chronic brain disease that was driving an alarming number of players -- including some of the all-time greats -- to madness. In this conversation with Mark Fainaru-Wada, author of League of Denial, the NFL's apparent efforts to cover up and deny mounting evidence of the connection between football and brain damage over a period of nearly two decades are put into the spotlight.
Host: John J. Russell, MD
A maddened creature, frothing at the mouth, lunges at an innocent victim and, with a bite, transforms its prey into another raving monster. It's a scenario that underlies our darkest tales of supernatural horror, but its power derives from a very real virus, a deadly scourge known to mankind from our earliest days. In this fascinating exploration, journalist Bill Wasik and veterinarian Monica Murphy speak with host Dr. John Russell about the history, science, and cultural mythology of rabies as described in their book "Rabid."
Host: John J. Russell, MD
An extraordinary yet almost unknown chapter in American history is revealed in this extensively researched exposé by author Matthew Algeo. On July 1, 1893, President Grover Cleveland boarded a friend's yacht and was not heard from for five days. During that time, a team of doctors removed a cancerous tumor from the president's palate along with much of his upper jaw. When an enterprising reporter named E. J. Edwards exposed the secret operation, Cleveland denied it and Edwards was consequently dismissed as a disgrace to journalism. Twenty-four years later, one of the president's doctors finally revealed the incredible truth, but many Americans simply would not believe it. After all, Grover Cleveland's political career was built upon honesty-his most memorable quote was "Tell the truth"-so it was nearly impossible to believe he was involved in such a brazen cover-up. "The President Is a Sick Man" is the first full account of the disappearance of Grover Cleveland during that summer more than a century ago. Dr. John Russell hosts this fascinating conversation with author Matthew Algeo.