Dr van Tilburg
@drvantilburg.bsky.social
📤 2442
📥 2337
📝 305
Professor UNC, UW, CUSOM Director of Research at CFVH Gut Expert | Child health |
#Parenting
pinned post!
Honored to continue to be listed among world’s top 2% of scientists. In science there is no “I”, only “we”. Grateful to all my collaborators, mentors, and mentees whose collaboration makes this work possible.
5 months ago
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New study: Kids 🧒 eating more ultra-processed foods 🌭🍕at age 3 showed higher rates of behavioral & emotional problems by age 5. The good news — replacing just 10% of UPFs with whole foods 🍒🥑was associated with better outcomes.
jamanetwork.com/journals/jam...
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Ultraprocessed Food Consumption and Behavioral Outcomes in Canadian Children
This cohort study examines the associations between intake of ultraprocessed foods at age 3 years and behavioral outcomes at age 5 years among children in Canada.
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2845768
1 day ago
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👶❄️ Kid (0–6 years) with a common cold? A randomized controlled trial found that saline nasal drops can: ✅ Shorten symptoms by about 2 days ✅ Reduce the chance of others in the household getting sick Simple, safe, and effective!
www.ersnet.org/news-and-fea...
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Saline nasal drops reduce the duration of the common cold in young children by two days
For the first time, researchers have shown it is possible to repair damaged lung tissue inpatients with chronic obstructive pulmonary disease (COPD) using the patients’ own lung cells.
https://www.ersnet.org/news-and-features/news/saline-nasal-drops-reduce-the-duration-of-the-common-cold-in-young-children-by-two-days/
12 days ago
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Do kids really need to sit still to learn? 🤔 In 2 studies with middle schoolers, students generated more novel ideas when allowed to move (wiggle stools) vs. sitting still. No effect on memory. Maybe it’s time to rethink “still = engaged.” 🪑✨
psycnet.apa.org/fulltext/202...
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APA PsycNet
https://psycnet.apa.org/fulltext/2026-91094-001.html
13 days ago
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Tired of hearing me talk about the untrustworthiness of Meyers Briggs personality test? I won’t stop soon! Not until you stop using it to decide who to marry, who to hire, or what College to attend. You have been sold a lie by ‘big business’.
www.powerofusnewsletter.com/p/why-are-we...
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Why are we suckers for Astrology, the Myers-Briggs, and other pseudoscientific personality tests?
Astrology signs and MBTI do not predict people's lives (but the Big 5 does). We explain why people love them nevertheless.
https://www.powerofusnewsletter.com/p/why-are-we-suckers-for-astrology?utm_campaign=post&utm_medium=web&fbclid=IwZnRzaAQFOaxleHRuA2FlbQIxMQBzcnRjBmFwcF9pZAo2NjI4NTY4Mzc5AAEeUP5geP6ERGtNHHHi2HOCnxpww_bh7NQzDNwC5bz0PbvABGwGkggermlHyo4_aem_Akwgg7LAZY9uEsjvjw899A
14 days ago
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New evidence shows chatbots are not only changing the way we write✍️, but the way we talk 🎙️too!
arxiv.org/abs/2409.01754
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Empirical evidence of Large Language Model's influence on human spoken communication
From the invention of writing and the printing press, to television and social media, human history is punctuated by major innovations in communication technology, which fundamentally altered how idea...
https://arxiv.org/abs/2409.01754
17 days ago
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New study asked 10 LLMs to manage pain for 1,000 ER patients. The result? Bias at scale. Black, unhoused, and low-income patients were flagged as high-risk for addiction but prescribed the most opioids. Low-income patients got less treatment despite similar needs.
www.nature.com/articles/s44...
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Socio-demographic gaps in pain management guided by large language models - Nature Health
In scenarios involving 1,000 acute-pain clinical vignettes, varied across 34 socio-demographic features, a panel of ten large language models is found to provide inconsistent recommendations, which al...
https://www.nature.com/articles/s44360-025-00017-6
26 days ago
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Happy New Year! Starting the year off with more science. Chronic anxiety may be caused by dysfunction of the microglia (the brains primary immune cells), new study in mice suggests.
pubmed.ncbi.nlm.nih.gov/40897864/ts
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Defective Hoxb8 microglia are causative for both chronic anxiety and pathological overgrooming in mice - PubMed
Disruption of the Hoxb8 gene results in chronic anxiety and pathological overgrooming in mice. Using bilateral intracerebral cell transplantation, we demonstrate that mutant Hoxb8 microglia are causative for both behaviors. Mice contain two microglia lineages, Hoxb8 and non-Hoxb8 microglia. We propo …
https://pubmed.ncbi.nlm.nih.gov/40897864/ts
2 months ago
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Our interdependence with the gut
#microbiota
is remarkable. New research suggests gut microbes 🦠 may help train the maternal immune system to tolerate the fetus—reducing the risk of pregnancy loss🤰.
news.weill.cornell.edu/news/2025/12...
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Microbiome May Aid in Successful Pregnancies
Gut microbes may play a key role in training a mother’s immune system to adapt to the developing fetus during pregnancy, according to a preclinical study by Weill Cornell Medicine investigators.
https://news.weill.cornell.edu/news/2025/12/microbiome-may-aid-in-successful-pregnancies
2 months ago
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Getting the
#RSV
#vaccine
during pregnancy helped protect babies under 6 months: • Cut doctor visits for RSV by about two-thirds • Reduced RSV hospitalizations by about 70%
jamanetwork.com/journals/jam...
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Effectiveness and Impact of Maternal RSV Immunization and Nirsevimab in US Children
This study estimates maternal respiratory syncytial virus (RSV) vaccine and nirsevimab effectiveness against acute respiratory illness and estimates the impact of these products on RSV-associated hosp...
https://jamanetwork.com/journals/jamapediatrics/fullarticle/2843213
2 months ago
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Attending an Ivy-Plus
#college
(vs. an average flagship public) increases the chance of: 💰Top 1% of earners 🎓Attending elite graduate school 🏢Working at a prestigious firm 💵Average salaries, however, are not meaningfully different
academic.oup.com/qje/advance-...
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Diversifying Society’s Leaders? The Determinants and Causal Effects of Admission to Highly Selective Private Colleges*
Abstract. We use anonymized admissions data from several colleges linked to income tax records and SAT and ACT test scores to study the determinants and ca
https://academic.oup.com/qje/advance-article-abstract/doi/10.1093/qje/qjaf050/8306880
2 months ago
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Infants of mothers with childhood abuse, showed more difficult temperament. DNA methylation of HPA-axis-related genes moderated this association, suggesting that epigenetic changes may amplify the effects of maternal childhood abuse on infant stress responses.
pubmed.ncbi.nlm.nih.gov/40974784/
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Maternal history of maltreatment interacts with DNA methylation patterns to predict infant temperament - PubMed
These findings highlight the complexity of the relations among maternal CM, epigenetic modifications to the stress response, and infant temperament. Infants of mothers who experienced more CM, particularly abuse, exhibited more difficult temperament, a relation that was moderated by heightened methy …
https://pubmed.ncbi.nlm.nih.gov/40974784/
3 months ago
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This is a very sobering graph for the US. Hospitals that treat kids (level 1-2-3 in figure) are disappearing. This is problematic for all.
publications.aap.org/pediatrics/a...
3 months ago
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reposted by
Dr van Tilburg
Dr K WILDSCHUT
3 months ago
Absolutely staggering figures; USA an outlier among its developed countries peers wrt intimate partner violence, and India the outlier for sexual violence against children.
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More kids dying of the flu now that vaccine rates are dropping. Misinformation have consequences. Please protect yourself and others.
#VaccinesSaveLives
3 months ago
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Violence against woman and kids major contributor to ill health. Not just in ‘developing countries’ here too, When will we stop the patriarchy, allow ‘boys will be boys’, and build social structures that help women and girls?
www.thelancet.com/journals/lan...
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Disease burden attributable to intimate partner violence against females and sexual violence against children in 204 countries and territories, 1990–2023: a systematic analysis for the Global Burden o...
IPV and SVAC are substantial contributors to global health burden, and their health consequences span a variety of individual health outcomes. Importantly, mental health disorders account for the grea...
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)02503-6/fulltext
3 months ago
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Study among Chinese college students shows negative affect of app usage: 😴Less sleep ⏰More often late for class ✏️Lower grades 👔Lower salary in first job Even more scary: Roommate use had huge impact as app use is infectious.
www.nber.org/system/files...
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https://www.nber.org/system/files/working_papers/w33054/w33054.pdf
3 months ago
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Pursuing a PhD isn’t just academically demanding — it can strain mental health. Study shows PhD students increase use of psychiatric meds each year compared to master’s students. Exception: medical & health sciences, where use stayed steady.
www.sciencedirect.com/science/arti...
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The impact of PhD studies on mental health—a longitudinal population study
Recent self-reported and cross-sectional survey evidence documents high levels of mental health problems among PhD students. We study the relationship…
https://www.sciencedirect.com/science/article/pii/S0167629625001055
3 months ago
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🚸 Overparenting hurts mental health. A meta-analysis of 44 studies (21k+ people) found small but significant links between overparenting and anxiety, depression, and lower life satisfaction. Effects varied by culture, parent gender, and age.
#Parenting
#MentalHealth
pubmed.ncbi.nlm.nih.gov/41009265/
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Associations Between Overparenting and Offspring's Mental Health: A Meta-Analysis of Multiple Moderators - PubMed
Despite overparenting being considered a critical factor associated with offspring's mental health, the existing research on this topic has yielded inconsistent results. The current study aimed to examine the relationship between overparenting and various mental health outcomes, such as anxiety, dep …
https://pubmed.ncbi.nlm.nih.gov/41009265/
3 months ago
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AI powered toys are already on the market and more are coming. Martell made a deal this summer with OpenAI. Don’t make your child an experiment.
www.npr.org/2025/11/18/n...
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Report finds some AI-enabled toys shared inappropriate content or collected data
NPR's A Martinez speaks with Teresa Murray, the co-author of a new report on the potential dangers of artificial intelligence-enabled children's toys.
https://www.npr.org/2025/11/18/nx-s1-5611070/report-finds-some-ai-enabled-toys-shared-inappropriate-content-or-collected-data
3 months ago
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New findings suggest that
#microbiome
imbalance comes before infant
#colic
. This is already changing how we care for infants—and reminds us how essential maternal gut health is, since so much of a baby’s microbiome comes from mom.
pubmed.ncbi.nlm.nih.gov/40485532/
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Aberrant microbiota signatures precede symptom development in infantile colic - PubMed
ClinicalTrials.gov identifier: NCT02536560.
https://pubmed.ncbi.nlm.nih.gov/40485532/
4 months ago
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Short social media videos 📱linked to shorter attention spans and more stress 😖, meta analysis of 71 studies with 98,299 participants finds. It is not social media - it’s what you do on it that matters.
pubmed.ncbi.nlm.nih.gov/41231585/?ut...
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Feeds, feelings, and focus: A systematic review and meta-analysis examining the cognitive and mental health correlates of short-form video use - PubMed
The resurgence of short-form videos (SFVs), popularized by TikTok and Douyin, has transformed social media platforms, with features like Instagram Reels and YouTube Shorts fostering their widespread adoption. Although initially geared toward entertainment, SFVs are increasingly used in education, po …
https://pubmed.ncbi.nlm.nih.gov/41231585/?utm_source=FeedFetcher&utm_medium=rss&utm_campaign=None&utm_content=1bexwgOHj9hUdy36c8qD_erZIX2TdRibpVwhXGOteFbY8635D&fc=None&ff=20251113212223&v=2.18.0.post22+67771e2
4 months ago
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Looking for faculty to join our new Medical school in NC. Are you an expert in pathology, anatomy, or biochemistry?
www.methodist.edu/offices-serv...
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Positions Available | Human Resources | Methodist University
Dear visitors, Welcome to Methodist University’s employment website! I’m delighted to greet potential applicants to our user-friendly online application
https://www.methodist.edu/offices-services/human-resources/positions-available/
4 months ago
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The national rate of pediatric firearm deaths increased by 54% from 2004 to 2023, with most US youth now living in states where firearm injury is the leading cause of death.
ja.ma/4opoxgN
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Firearm Mortality in the US Pediatric Population
This case series discusses the rise of pediatric firearm mortality in the US.
https://ja.ma/4opoxgN
4 months ago
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Houston we have a problem 40% of US women aged 15 to 44 say they would move abroad permanently if they had the opportunity That is a quadrupling in the past decade. For all we talk about a ‘crisis among young men’, women, as usual, are asked to suffer in silence.
news.gallup.com/poll/697382/...
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Record Numbers of Younger Women Want to Leave the U.S.
The percentage of younger women in the U.S. who express a desire to migrate permanently has surged in the past decade.
https://news.gallup.com/poll/697382/record-numbers-younger-women-leave.aspx
4 months ago
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Dr Carlo DiLorenzo giving the first
#NASPGHAN
TED talk during the 2025 annual meeting. “This is the best time to be a pediatric gastroenterologist”.
4 months ago
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WHO warns children remain under-represented in clinical trials. Clinical trials in children encounter many barriers such as ethical concerns and smaller numbers, but the biggest reason is underfunding. Let’s invest in child’s health!
www.who.int/news/item/06...
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WHO publishes new global research agenda to strengthen paediatric clinical trials
The World Health Organization (WHO) has released a new technical report, The future of paediatric clinical trials – setting research priorities for child health, presenting a global research agenda de...
https://www.who.int/news/item/06-11-2025-who-publishes-new-global-research-agenda-to-strengthen-paediatric-clinical-trials
4 months ago
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High levels of certain gut bacteria 🦠 at age 2 👶 predict: 🧠 how brain processes emotions at age 6 😩Anxiety/depression at age 7 These findings emphasize the need for healthy diets and reduced stress in small children.
www.powershealth.org/about-us/new...
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A Kids Gut Health Might Influence Their Future Mental Health
https://www.powershealth.org/about-us/newsroom/health-library/2025/10/31/a-kids-gut-health-might-influence-their-future-mental-health
4 months ago
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What an honor to present Grand Rounds at CHOC. Fantastic turnout and excellent questions. Even better was meeting the amazing team In awe of what Ashish Chogle MD has built! I left with renewed passion for our field!
www.linkedin.com/posts/ashish...
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This week’s Grand Rounds at Rady Children’s Health in Orange County featured Dr. Miranda van Tilburg, and she was outstanding as always. She’s the Taylor Swift of pediatric psychotherapy — original,…...
This week’s Grand Rounds at Rady Children’s Health in Orange County featured Dr. Miranda van Tilburg, and she was outstanding as always. She’s the Taylor Swift of pediatric psychotherapy — original, ...
https://www.linkedin.com/posts/ashish-chogle-md-mph-55393036_this-weeks-grand-rounds-at-rady-children-activity-7390160921215528960-BHcN?utm_medium=ios_app&rcm=ACoAAAUkno4Bbq-QyjDxgDRH41F-dZEK3vJiO90&utm_source=social_share_send&utm_campaign=copy_link
4 months ago
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We are meant to play. New study finds link between creativity and brain health. Adults who 💃🏻🎹🎮🎨show younger than expected brain patterns. Let your kids play and develop creative pursuits. It’s as important in life as academics.
www.nature.com/articles/s41...
4 months ago
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ADMISSIONS ARE NOW OPEN for the Methodist University Cape Fear Valley Health School of Medicine!! In just our first 4 hours, we've received almost 50 applications!!
www.methodist.edu/academics/me...
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Medicine | Academics | Methodist University
Welcome Generational Impact Setting a new course for medical care in Southeastern North Carolina, Methodist University and Cape Fear Valley Health
https://www.methodist.edu/academics/medicine/?fbclid=IwZnRzaANtfolleHRuA2FlbQIxMQABHoT3jWJaUEoFFCAuEe2JLWRmeGRQHwLmG_V9J3wfjM5GFvAeuwnxfRFnIQr1_aem_stPW2M2rbz85shSbjfTZTQ
4 months ago
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Very low sugar 🍭 intake in first 1000 days of life 🍼, protective of midlife heart health ♥️.
www.bmj.com/content/391/...
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Exposure to sugar rationing in first 1000 days after conception and long term cardiovascular outcomes: natural experiment study
Objective To examine whether exposure to sugar rationing during early life is associated with a reduction in the risk of cardiovascular outcomes in adulthood. Design Natural experiment study. Settin...
https://www.bmj.com/content/391/bmj-2024-083890
4 months ago
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What a milestone! We’re accepting applications for our inaugural class starting summer 2026.
www.methodist.edu/news/methodi...
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Methodist University Cape Fear Valley Health School of Medicine Receives Greenlight to Begin Recruiting Inaugural Class of Students | Methodist University
Standing in front of the soon-to-be completed, state-of-the-art Methodist University Cape Fear Valley Health School of Medicine building on Friday, Methodist University President Stanley T. Wearden, P...
https://www.methodist.edu/news/methodist-university-cape-fear-valley-health-school-of-medicine-receives-greenlight-to-begin-recruiting-inaugural-class-of-students/
5 months ago
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🧠 New Study from our Team: Kids’ emotional bonds with parents can shape how they experience gut pain. Children with Functional Abdominal Pain who felt less securely attached to their parents had more: ➡️ GI symptoms ➡️ depression ➡️ daily impairment
www.mdpi.com/2227-9067/12...
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https://www.mdpi.com/2227-9067/12/10/1371
5 months ago
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New study finds that more teenage girls in a classroom helps improve mental health for girls and boys. Particularly boys of low socioeconomic backgrounds, who would otherwise be more likely to be exposed to violent and disruptive (male) peers.
#GenderInequality
www.nber.org/papers/w34269
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More Girls, Fewer Blues: Peer Gender Ratios and Adolescent Mental Health
Founded in 1920, the NBER is a private, non-profit, non-partisan organization dedicated to conducting economic research and to disseminating research findings among academics, public policy makers, an...
https://www.nber.org/papers/w34269
5 months ago
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reposted by
Dr van Tilburg
Michael Burk, MD
5 months ago
I probably would have had two patients die in the last month alone without PubMed. Because of the peer reviewed articles I found on some rare diseases, confirming their diagnosis, and specialized treatment modalities, they are alive.
#Medsky
add a skeleton here at some point
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The Trump administration has stopped funding of PubMed, not considering a vital service. Your doctor will not know the newest information that affects your health. This will cost lives.
5 months ago
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@ownyourcrohns.bsky.social
giving a very passionate talk about cultural sensitive care and focus on psychosocial aspects in all GI disorders to @AmerGastroAssn leadership summit. Your advocacy makes a HUGE difference Tina!
5 months ago
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Honored to continue to be listed among world’s top 2% of scientists. In science there is no “I”, only “we”. Grateful to all my collaborators, mentors, and mentees whose collaboration makes this work possible.
5 months ago
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Amazing group of women at
#PNM2025
6 months ago
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🛑AI destructing any remaining trust in clinicians. ✋We need guard rails for AI and social media. Stat
www.nytimes.com/2025/09/05/t...
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The Doctors Are Real, but the Sales Pitches Are Frauds
https://www.nytimes.com/2025/09/05/technology/ai-doctor-scams.html?smid=nytcore-ios-share&referringSource=articleShare
6 months ago
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Did you know food allergies might actually start in the skin? In a new mouse study, when food proteins were introduced into the gut at the same time as skin damage, the animals developed food allergies. 🐭🥜 Healthy skin = prevention of allergies
medicine.yale.edu/news-article...
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Skin Injury May Bring on Food Allergies
A Yale lab links skin inflammation to the development of food allergies via a skin-gut connection, suggesting clues to a little-understood immune reaction.
https://medicine.yale.edu/news-article/skin-injury-may-bring-on-food-allergies/
6 months ago
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Great new resource now that CDC cannot be fully trusted. National Academy of Medicine Launches New Series to Help the Public Navigate Complex Health Debates; First Event Will Cover Ultra-Processed Foods and Children’s Health
nam.edu/news-and-ins...
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National Academy of Medicine Launches New Series to Help the Public Navigate Complex Health Debates; First Event Will Cover Ultra-Processed Foods and Children’s Health - NAM
The National Academy of Medicine (NAM) has launched a new series of monthly discussions to help members of the public navigate many of the complex health
https://nam.edu/news-and-insights/nam-launches-new-series-to-help-the-public-navigate-complex-health-debates-first-event-will-cover-ultra-processed-foods-and-childrens-health/
6 months ago
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Child 👦depression predicts mom’s 😞#depression but not the other way around, study during pandemic found.
pubmed.ncbi.nlm.nih.gov/40853554/
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Testing Bidirectional Associations Between Maternal and Child Depression During Emerging Adolescence - PubMed
Contrary to prevailing assumptions, these findings suggest that children's depression over time may have contributed to worsening maternal depression, rather than the other way around. While these res...
https://pubmed.ncbi.nlm.nih.gov/40853554/
6 months ago
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The pill 💊 may make your nausea 🤢 worse. Among women who have chronic nausea, symptoms are worse in those who use oral contraceptives.
pubmed.ncbi.nlm.nih.gov/40569298/
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Nausea and Gastric Myoelectrical Activity Are Influenced by Hormonal Contraception in Chronic Gastroduodenal Disorders - PubMed
Women with gastroduodenal disorders on hormonal contraception experience increased nausea in comparison with nonusers, with substantial variation dependent on contraceptive type. Hormonal contraceptio...
https://pubmed.ncbi.nlm.nih.gov/40569298/
6 months ago
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The pill 💊 may make your nausea 🤢 worse. Among women who have chronic nausea, symptoms are worse in those who use oral contraceptives.
pubmed.ncbi.nlm.nih.gov/40569298/
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Nausea and Gastric Myoelectrical Activity Are Influenced by Hormonal Contraception in Chronic Gastroduodenal Disorders - PubMed
Women with gastroduodenal disorders on hormonal contraception experience increased nausea in comparison with nonusers, with substantial variation dependent on contraceptive type. Hormonal contraceptio...
https://pubmed.ncbi.nlm.nih.gov/40569298/
6 months ago
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New study suggests physicians may lose skills of disease detection when using AI. It may not matter if AI is always available. Sort of like losing the skill to read a map since Google maps is on every phone. Yet something to keep a close eye on!
www.thelancet.com/journals/lan...
imet
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https://www.thelancet.com/journals/langas/article/PIIS2468-1253(25)00133-5/abstractts
7 months ago
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🚨 A calorie is not just a calorie. New trial finds that people eating minimally processed foods lost more weight and felt less hungry than those eating the same ultra-processed foods. Processing matters. 🍎 > 🍩
7 months ago
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From 2016 to 2023, moms’ mental health declined while their physical health stayed mostly steady. Mothers need more support. 🔗
ja.ma/4nH23bq
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Trends and Disparities in Maternal Self-Reported Mental and Physical Health
This cross-sectional study examines trends and disparities in self-reported maternal physical and mental health between 2016 and 2023 in the US.
https://ja.ma/4nH23bq
7 months ago
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Pediatric chronic pain down 30% since pandemic. 📉 Three possible contributors: 💬 Less bullying 🍽️ More frequent family meals 💪 Greater family resilience Small changes at home & schools may be driving big improvements.
#PediatricHealth
#ChronicPain
pmc.ncbi.nlm.nih.gov/articles/PMC...
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Comparing the prevalence of chronic pain in school-aged children in the United States from 2019 to 2020: a nationally representative study examining differences associated with the COVID-19 pandemic
https://pmc.ncbi.nlm.nih.gov/articles/PMC10841312/
7 months ago
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Forever chemicals are tough to remove—but your gut might help. 💩 Mice with special gut bacteria cleared more PFAS from their bodies. Human research is coming, but this gives new meaning to “trust your gut.”
#DetoxScience
#GutHealth
#PFAS
www.scientificamerican.com/article/huma...
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Could Gut Bacteria Help You Flush Away Your PFAS Woes?
When tested on their own and in mice, these bacterial strains from the human microbiome show promise in accumulating PFAS
https://www.scientificamerican.com/article/human-gut-bacteria-can-gather-up-pfas-forever-chemicals/
7 months ago
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