Stress and the Prefrontal Cortex: An Interview with Dr. Amy Arnsten

Stress and the Prefrontal Cortex: An Interview with Dr. Amy Arnsten

How does stress affect the prefrontal cortex? In this episode of the YJBM podcast, host Delyar Khosroabadi speaks with Dr. Amy Arnsten, Albert E. Kent Professor of Neuroscience and Professor of Psychology. Dr. Arnsten shares the experience that sparked her interest in neuroscience, her journey as an undergraduate creating the first neuroscience major at Brown University, and what drew her to study the prefrontal cortex. She discusses dynamic network connectivity, the mechanism of action of guanfacine, and why prefrontal deficits begin to appear in middle age. Dr. Arnsten also offers fascinating insights on how exercise and a healthy diet can benefit the prefrontal cortex.
Get to know YJBM at: https://medicine.yale.edu/yjbm/

Integrative Medicine issue: https://www.ncbi.nlm.nih.gov/pmc/issues/471502/

Our Instagram: https://www.instagram.com/theyjbm/

The Culmination of Everything: Dr. Easley’s Expreince of Recording Over 50 episodes

The Culmination of Everything: Dr. Easley’s Expreince of Recording Over 50 episodes

Dr. Easley has been on a six season-long journey with the Heartwood podcast, having now recorded over fifty episodes with a highly diverse group of guests. He joins Bennett to reflect on the podcast’s roots, how it has grown over time, how he has grown with it, and what the future holds for the next fifty.

The Current State of Medical Device AI Regulation with Eric Henry

The Current State of Medical Device AI Regulation with Eric Henry

This video is part of a series of guest expert interviews that we recorded for our new Yale Certificate Program on Medical Software and Medical AI – https://online.yale.edu/medical-software-ai-program. Our guest is Eric Henry. Mr. Henry is the Senior Quality Systems & Compliance Advisor at the Law Firm King & Spalding and works from his home in the Cleveland area. He joined King & Spalding in 2018 after 30 years managing global technical and regulatory compliance organizations in various industries and in medical devices in particular over the last 22 years. Eric currently provides advisory and consulting services to corporate management, boards, and staff regarding regulatory compliance, enforcement, and policy matters for regulated life sciences companies. Mr. Henry is a member of the AFDO/RAPS Healthcare Products Collaborative AI Strategic Committee and co-chairs their Good Machine Learning Practices Working Team. He also advises the Coalition for Health AI in their Predictive AI and Assurance Lab Certification Work Groups.

00:10 Introduction. Who is Eric Henry?
06:28 The FDA and AI.
14:45 The state of affairs outside the United States. China and the EU.
19:44 The general state of upheaval in Medical Devices/AI in the EU.
23:44 The current discussion on medical AI at the FDA. Potential issues with a new administration.
29:33 AI Tools development inside Health Systems. Challenges, fears and opportunities
38:34 Concluding Thoughts

Additional Readings:
European Union. Regulation (EU) 2024/1689 of the European Parliament and of the Council of 13 June 2024 laying down harmonised rules on artificial intelligence [Internet]. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=OJ:L_202401689

U.S. Food and Drug Administration, Health Canada, Medicine & Helathcare products Regulatory Agency. Good Machine Learning Practice for Medical Device Development. 2021 Oct. Available from: https://www.fda.gov/medical-devices/software-medical-device-samd/good-machine-learning-practice-medical-device-development-guiding-principles

U.S. Food and Drug Administration, Health Canada, Medicine & Helathcare products Regulatory Agency. Transparency for machine learning-enabled medical devices: Guiding principles. 2024 Jun. Available from: https://www.fda.gov/medical-devices/software-medical-device-samd/transparency-machine-learning-enabled-medical-devices-guiding-principles

U.S. Food and Drug Administration, Health Canada, Medicine & Helathcare products Regulatory Agency. Predetermined Change Control Plans for Machine Learning-Enabled Medical Devices: Guiding Principles 2023. Available from: https://www.fda.gov/medical-devices/software-medical-device-samd/predetermined-change-control-plans-machine-learning-enabled-medical-devices-guiding-principles

Readings from Mr. Henry’s own work:
AI/ML in Medical Devices: US & EU Regulatory Perspectives (https://array.aami.org/content/news/ai-ml-medical-devices-us-eu-regulatory-perspectives )

Medical Device Cybersecurity for Engineers and Manufacturers, Second Edition (Chapter 3: Global Regulations and Standards) (https://us.artechhouse.com/Medical-Device-Cybersecurity-for-Engineers-and-Manufacturers-Second-Edition-P2416.aspx )

“Bias in Artificial Intelligence In Healthcare Deliverables” (https://healthcareproducts.org/ai/aighi/aio/whitepaper-bias-in-ai-healthcare/ )

Software Under the Regulatory Microscope: The Current and Future State of Enforcement for Regulated Computer Systems (https://www.americanpharmaceuticalreview.com/Featured-Articles/574553-Software-Under-the-Regulatory-Microscope-The-Current-and-Future-State-of-Enforcement-for-Regulated-Computer/ )

You can find a full list of Mr. Henry’s publications, conference presentations, and media interviews on his LinkedIn profile: https://www.linkedin.com/in/eric-henry-519bb48/

Exploring the True Meaning of D.E.I. with RaShad Eas

Exploring the True Meaning of D.E.I. with RaShad Eas

On this episode, Isaac interviews RaShad Eas, aka Dr. Easley as a hip-hop artist, about his latest project titled D.E.I. RaShad Eas talks about the themes behind each track on the album, and the roles of family, friends, and faith in his personal journey. Join us for a glimpse into the creative mind of our own Dr. Easley as he moves from the interviewer seat to the other side of the mic.

Innovative approach for PIEB setting

Innovative approach for PIEB setting

Dr. Allana Munro and Dr. Ronald George are two obstetric anesthesia experts whose research is focused on labor analgesia. Two years ago, they demonstrated that “achieving desired pain relief” is of utmost importance to our patients. The question remains: How can we safely achieve this while minimizing workload and side effects? In this episode, they discuss their study titled “An Innovative Approach to Determine Programmed Intermittent Epidural Bolus Pump Settings for Labor Analgesia: A Randomized Controlled Trial.” Using the response surface methodology, they identified optimal settings for the programmed intermittent epidural bolus pump (PIEB) that maximize maternal satisfaction, minimize clinician-administered boluses, and balance PCEA boluses delivered to those requested.

An Innovative Approach to Determine Programmed Intermittent Epidural Bolus Pump Settings for Labor Analgesia: A Randomized Controlled Trial. https://pubmed.ncbi.nlm.nih.gov/38905148/

Patient Preferences for Outcomes Associated With Labor Epidural Analgesia. https://pubmed.ncbi.nlm.nih.gov/35355544/

Peer Mentorship in Spinal Cord Injury Recovery: A Conversation on Independence, Community, and Integrative Care

Peer Mentorship in Spinal Cord Injury Recovery: A Conversation on Independence, Community, and Integrative Care

In this special episode of the Yale Journal of Biology and Medicine podcast, hosts Shivesh Shourya and Mara Kushelman bring together a remarkable group of individuals transforming spinal cord injury (SCI) recovery through peer mentorship and advocacy. Joining us are Jonathan Sigworth, co-founder of More Than Walking, a nonprofit promoting independent living for SCI survivors; Dr. Benjamin Doolittle, Yale professor and Program Director of the Combined Internal Medicine-Pediatrics Residency Program with a focus on wellness and spirituality in medicine; and Yale medical students Teimur Kayani and Robert Cotter, who have conducted pivotal research on peer mentorship as a valuable intervention for SCI recovery.

Throughout the conversation, we explore how peer mentorship helps SCI survivors regain independence, the role of community support in recovery, and the potential for integrative medicine to enhance quality of life for SCI patients. The guests share insights from their personal and professional journeys, discussing the challenges, triumphs, and transformative impact of peer mentorship. Together, they highlight the importance of holistic, community-based approaches to recovery and inspire a reimagining of what’s possible for SCI survivors.

For more information, explore the resources below:

More Than Walking Website

Article by the Authors

About Spinal Cord Injury

About Peer Mentorship

Join us to learn more about the power of peer mentorship in supporting SCI survivors and shaping new pathways to independence.

Curing Cancer and the CRAP Test: An Interview with Dr. James Yu

Curing Cancer and the CRAP Test: An Interview with Dr. James Yu

Can you tell the difference between snake oil and evidence-based medicine? In this episode, meet Dr. James Yu: researcher, editor of multiple journals, father, Yale alum, and radiation oncologist. Dr. Yu shares with our host Elaine Yang how alternative medicine influences patient outcomes, the power of interdisciplinary research collaborations, as well as what embracing technological advancements and artificial intelligence means for cancer care.

For more on the CRAP Test: https://www.sciencedirect.com/science/article/abs/pii/S1879850023000334

Get to know YJBM at: https://medicine.yale.edu/yjbm/

Integrative Medicine issue: https://www.ncbi.nlm.nih.gov/pmc/issues/471502/

Our Instagram: https://www.instagram.com/theyjbm/

Leading the way | Michel Gelobter | (Lean) Startup warrior for social + environmental justice

Leading the way | Michel Gelobter | (Lean) Startup warrior for social + environmental justice

Michel Gelobter is the Executive Director of the Yale Center for Environmental Justice. He is a lifelong environmental advocate, policy analyst, and entrepreneur. In this episode, we discuss his journey as a change-maker, champion for climate justice and how to make positive change.

Fighting for Inclusion and Professional Eminence with Dr. Darin Latimore from Yale School of Medicine

Fighting for Inclusion and Professional Eminence with Dr. Darin Latimore from Yale School of Medicine

On this episode, Dr. Easley, Bennett and Isaac are joined by a returning guest from season one, Dr. Darin Latimore, Deputy Dean of Diversity and Inclusion and Chief Diversity Officer at Yale School of Medicine. Dr. Latimore discusses the continued need for diversity and inclusion in today’s climate, where the field needs to go in an environment that is becoming more hostile towards DEI, and the importance of mentorship and support structures for DEI practitioners.