PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include genetics and asthma, obesity and diabetes among identical twins, a Zika update, and remote monitoring of patients.

Program notes:

0:30 Zika and contraception use

1:34 In places with Zika risk are women using contraception

2:28 Some of it is cultural or access issues

3:22 Genetics, environment and asthma

4:22 Amish have traditional farms

5:23 Powerful and creative study

6:21 Twin study and obesity consequences

7:22 What does this tell us about diabetes and heart disease?

8:11 Remote monitoring

9:12 Way to get the alarms off the floor

10:38 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include the cost of physical inactivity, the mortality impact of sedentary behavior, behavioral activation for depression, and skin inspections for skin cancer.

Program notes:

0:32 Mortality and physical inactivity

1:33 If you sit for 8 hours increased mortality by 58%

2:33 Looked at over a million individuals

3:31 You have to do 60-95 minutes

3:44 Global economic burden of inactivity

4:44 Physical activity declining worldwide

5:11 Behavioral activation for depression

6:11 Go out to exercise or go out to dinner

7:11 May have applicability widely

7:25 USPSTF recommendations for skin inspection

8:25 Only about 50% with dermatologists

9:12 Inspect even scalp

10:08 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include two on HIV management, obesity and death, and the benefits of special shoes for osteoarthritis.

Program notes:

0:30 Shoes and knee osteoarthritis

1:31 Unloading shoes or not

2:32 Six months of use

3:03 Condom use in couples with HIV in one partner

4:05 Condom not used but HIV treatment in place

5:07 HIV treatment at detection of infection

5:40 Patient navigators in HIV-positive people

6:40 Three groups randomized

7:50 Obesity and death

8:50 BMI over 40 triples risk

9:50 Number of reasons for premature death

10:20 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include euthanasia and physician-assisted suicide, a new model for breast cancer trials, biomarkers, and S. aureus in families.

Program notes:

0:31 A new approach to breast cancer studies

1:31 Stage 2 or 3 breast cancer

2:29 Looking at pathologic remission

3:38 Biomarker recommendations

4:40 Couple key issues

5:21 Euthanasia and physician-assisted suicide

6:22 Five states allow physician assistance

7:23 Individuals lose autonomy, want to die with dignity

8:00 Staphylococcus aureus in families

9:00 Sibling five times more likely

10:27 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include end-of-life care in a spectrum of illness, dementia and blood transfusions, co-prescribing of naloxone with opioids, and treatment of binge eating disorder.

Program notes:

0:31 End-of-life treatments

1:32 Compared with cancer

2:33 Advancing disease apparent

3:28 Must bring to our attention

4:05 Naloxone co-prescription

5:05 47% fewer ED visits initially

6:00 Binge eating disorder and treatment

7:00 Therapist led CBT

7:45 Blood transfusions and dementia

8:46 At risk for neurodegenerative disorders

9:45 Is prion in blood?

10:43 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include sudden cardiac death in youth, novel anticoagulants, dietary habits of Americans, and plant-based therapies for menopausal symptoms.

Program notes:

0:30 Comprehensive look at dietary habits of Americans

1:30 Less processed meat

2:34 Worth undertaking

2:52 Global look at novel anticoagulants

3:53 Meta-analysis with coumadin

4:53 Limited options for reversal

5:32 Plant-based therapies for menopausal symptoms

6:34 Over 6,000 women

7:35 Sudden cardiac death in youth

8:38 Establish cause in about a quarter

9:35 Belies exercise risk

10:26 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include Zika and microcephaly, getting a handle on HIV in Africa, the impact of mortality data reporting, and suicides among members of the U.S. military.

Program notes:

0:34 Suicidality among Army enlistees

1:38 Likely in second month of enlistment

2:36 More common in women

3:15 Getting a handle on HIV infection in Africa

4:15 Will avert over 2 million HIV transmissions

5:00 Public reporting of mortality data

6:00 Reporting did not impact mortality

7:00 Difficult to compare

7:21 Estimate of Zika microcephaly

8:21 Real world validation

9:18 Avoid poor sanitation

10:07 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include metabolic surgery, talking with patients about advanced cancer, sodium in those with kidney disease, and blood pressure in the elderly.

Program notes:

0:34 Blood pressure lowering in elderly

1:31 Blood pressure below 120

2:34 Intensive required one more medicine

3:35 Long-term examination of treatment

4:01 Sodium and kidney disease

5:02 Followed for 7 years

6:01 Conflicting data in those without kidney disease

6:50 People with advanced cancer and talks with their physician

7:50 Those who had had recent discussions understood more

8:50 Patients may not choose treatment if they understood

9:15 Expanding indications for bariatric surgery

10:05 Several types of surgery

10:51 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include symptoms in smokers, long-term impact of caring for chronically ill, swaddling and SIDS, and CO2 and colonoscopy.

Program notes:

0:49 Carbon dioxide and colonoscopy

1:50 CO2 absorbed much faster

2:50 Modest new equipment

3:38 Swaddling and SIDS

4:41 Increases rate of SIDS

5:42 Risk much higher if the baby is face down

6:06 Providing care to chronically ill

7:11 Most caregivers have high levels of depressive symptoms

7:42 Symptoms in smokers with preserved lung function

8:42 Trajectory toward more symptoms?

9:35 May have lost pulmonary function

10:26 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include dementia and depression, complications of implanted defibrillators, the most common emergency surgeries, and treatment of insomnia.

Program notes:

0:35 Treatment of insomnia

1:35 Medications only for short term

2:32 Has to be provided outside physician's office

3:14 Implantable cardiac defibrillator complications

4:14 Inform patients of potential

5:15 Depression and dementia

6:18 Followed about 3,300 people

7:15 Not good at prediction of dementia

8:00 Most common emergency surgeries

9:00 Adhesions, appendectomy ...

10:17 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include asthma and under the tongue immunotherapy, reducing C. diff infections, safety of smoking cessation drugs, and antibiotic stewardship.

Program notes:

0:39 Safety of smoking cessation medicines

1:40 None increased risk of psychiatric problems

2:40 How about combinations?

3:07 Sublingual immunotherapy

4:08 In people with moderate to severe asthma

5:09 Limited FDA approval

5:44 Antibiotic stewardship

6:44 Identified top 20% of overprescribers

7:45 Nobody mandating change

8:00 Reducing C. diff infections in hospital

9:00 Estimated to save quite a lot

10:30 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include reducing suicide, CABG plus medicines for some people, stroke risk following a transient ischemic attack (TIA), and metformin first for type 2 diabetes.

Program notes:

0:32 Look at a multitude of strategies to prevent suicide

1:32 16 different services implemented

2:32 Done in U.K.

3:32 How is care provided?

3:44 People who have CABG plus medicine

4:45 Surgery better now

5:44 Years 2 to 10 group with both did better

6:37 Risk following TIA

7:37 Risk of stroke 5.1%

8:35 Metformin first choice

9:35 Least expensive

10:35 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include teenage BMI and cardiovascular mortality, income and death, five star ratings for hospitals, and daily aspirin use.

Program notes:

0:38 Hospital ratings and outcomes

1:35 About a fifth received two stars or one star

2:36 Socioeconomic status of individuals

3:18 Income and mortality

4:20 Access to healthcare didn't correlate

5:20 Focus on interventions with populations

6:03 Taking aspirin daily

7:05 Can't have a risk for bleeding

8:08 Aspirin and melanoma prevention

8:40 BMI in teenagers and subsequent cardiovascular risk

9:35 Upper part of normal BMI range

10:40 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include statins for those at intermediate risk for heart disease, fresh fruit consumption in China, atrial fibrillation after cardiac surgery, and screening for chronic obstructive pulmonary disease (COPD).

Program notes:

0:36 Fresh fruit consumption in China

1:35 Reduction in blood pressure and blood sugar

2:35 Ethnicity and diet

3:34 HOPE 3 trial

4:35 Who should take a statin?

5:33 Side effects consideration

6:14 Atrial fibrillation after heart surgery

7:16 Either therapy the same

8:04 Screening for COPD

9:10 Finding them doesn't improve outcome

10:30 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include home care and survival, timing of HRT, Lyme disease and long-term antibiotics, and cardiac procedures before surgery.

Program notes:

0:34 Lyme disease and long-term antibiotics

1:35 Randomized to placebo or one of two antibiotic regimens

2:32 Just prompt single course of antibiotics

2:52 Timing of HRT

3:52 Early within 6 years of menopause onset

4:53 Cardioprotective issue aside

5:15 Heart assessment presurgically and procedures

6:15 Three-fourths had no or atypical symptoms

7:20 Need to readdress the guidelines

8:02 Discharge to home and longevity

9:02 Allowing patients to go home does not shorten life

10:27 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

PodMed is a weekly podcast from Johns Hopkins Medicine. In it, Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange, MD, president of the Texas Tech University Health Sciences Center in El Paso, look at the top medical stories of the week.

This week's topics include early parental nutrition, meditation for low back pain, use of complementary medicine by seniors, and non-invasive ventilation after abdominal surgery.

Program notes:

0:34 Parenteral nutrition for kids

1:34 Early or 8 days later

2:35 Lots about critical illness we don't know

2:51 Non-invasive ventilation after surgery

3:52 At risk of reintubation

4:52 Provide treatment to reduce anxiety

5:12 Alternative medicine for low back pain

6:13 Cognitive behavioral therapy or mind-body approach

7:15 Can use mind-body in other life areas

7:44 Complementary and alternative medicine use

8:44 Almost 7,500 subjects

9:40 Not regulated, interact with meds

10:31 End

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PodMed: A Medical News Roundup From Johns Hopkins (with audio)