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The Lancet in conversation with (The Lancet Group)

Explore every episode of The Lancet in conversation with

Dive into the complete episode list for The Lancet in conversation with. Each episode is cataloged with detailed descriptions, making it easy to find and explore specific topics. Keep track of all episodes from your favorite podcast and never miss a moment of insightful content.

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1–50 of 659

Pub. DateTitleDuration
08 Mar 2022Verna Vanderpuye and Isabelle Soerjomataram on International Women's Day and cancer00:12:56

On this International Women's Day,  Lancet editors and the co-chairs of the Women and Cancer Commission discuss the burden of women’s cancer on society and reflect on the questions the Commission is trying to answer. 

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31 Aug 2023Simon Kyle on a new effective treatment for insomnia00:11:04

Simon Kyle joins Gavin Cleaver of The Lancet to discuss his paper on sleep restriction therapy as a new effective treatment for insomnia.

Read the full article:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00683-9/fulltext?dgcid=buzzsprout_icw_podcast_generic_lancet

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26 Oct 2023Emily Chew on the future of treatments for geographic atrophy00:18:26

Emily Chew joins Chloe Wilson of The Lancet to discuss the future of treatments for geographic atrophy following the publication of two randomised controlled trials of new drug treatments.

Read the full article here:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01583-0/fulltext?dgcid=buzzsprout_icw_podcast_generic_lancet

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21 Dec 2023Lene Seidler on umbilical cord management at preterm birth00:14:49

Lene Seidler joins Callam Davidson of The Lancet to discuss umbilical cord clamping strategies at preterm birth following the publication of two systemic review and meta-analyses with individual participant data.

Read the full articles:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02468-6/fulltext?dgcid=buzzsprout_icw_podcast_generic_lancet
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02469-8/fulltext?dgcid=buzzsprout_icw_podcast_generic_lancet

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28 Mar 2024Patricia Campbell and Frans Rutten on heart failure with preserved ejection fraction00:40:03

Patricia Campbell and Frans Rutten join Chloe Wilson for an educationally-focused podcast, discussing the key messages for clinical practice on heart failure with preserved ejection fraction.

Read the full Seminar:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02756-3/fulltext?dgcid=buzzsprout_icw_podcast_generic_lancet

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02 May 2024Prasad Kulkarni on a vaccine against typhoid and paratyphoid00:18:06

Prasad Kulkarni joins Callam Davidson of The Lancet to discuss the safety and immunogenicity of a bivalent conjugate vaccine against typhoid and paratyphoid, following the publication of a phase 1 trial.

Read the full article:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00249-6/fulltext?dgcid=buzzsprout_icw_podcast_generic_lancet

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08 Aug 2024Natasha Pocovi on the prevention of low back pain recurrence00:23:50

Natasha Pocovi joins Chloe Wilson of The Lancet to discuss a trial investigating a walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack).

Read the full article:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00755-4?dgcid=buzzsprout_tlv_podcast_generic_lancet

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05 Sep 2024Dr Oriol Mitjà and Dr Hypolite Muhindo Mavoko on mpox00:26:26

On August 14th, the World Health Organisation declared a public health emergency of international concern in relation to mpox. This was motivated, in part, by the emergence of a concerning new strain of mpox, clade 1b, which has spread rapidly across Central Africa. Joining me this week to discuss important clinical aspects of the current mpox outbreak are Dr Oriol Mitja, Associate Professor at the Germans Trias Research Institute in Barcelona, and Dr Hypolite Muhindo Mavoko from the Department of Tropical Medicine at the University of Kinshasa.

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10 Oct 2024Rasha Al-Lamee and Shayna Chotai on ESC 2024 highlights00:40:18
31 Oct 2024Nusrat Husain, Farah Lunat, and Fehmida Motala on postnatal depression in British south Asian women (the ROSHNI-2 trial)00:48:44

ROSHNI-2 was a multicentre, randomised controlled trial that investigated the efficacy of a culturally adapted, cognitive behavioural therapy-based intervention for postnatal depression in British south Asian women. Joining us to share their expertise and perspectives are chief investigator Professor Nusrat Husain, trial manager Farah Lunat, and service user representative Fehmida Motala.

Read the full article:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01612-X/fulltext?dgcid=buzzsprout_icw_podcast_generic_lancet

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09 Jan 2025Michael Heneka on passive anti-amyloid β immunotherapy in Alzheimer’s disease00:21:35

Michael Heneka joins Chloe Wilson and Bea Gomez Perez-Nievas of The Lancet to discuss a therapeutics paper discussing the opportunities and challenges of passive anti-amyloid β immunotherapy in Alzheimer's disease.

Read the full article:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01883-X/fulltext?dgcid=buzzsprout_icw_podcast_generic_lancet

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27 Jan 2025Shawn St Peter on appendicectomy versus antibiotics for acute uncomplicated appendicitis in children00:16:01

This week, we discuss treatment approaches for uncomplicated appendicitis in children following the publication of a trial in our January 18th issue. Lead author Shawn St Peter, general paediatric surgeon and surgeon-in-chief at Children’s Mercy Hospital, Kansas City, spoke with Callam Davidson about the motivation behind the study, key findings, and what the results mean for clinical practice.

Read the full article:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)02420-6/fulltext?dgcid=buzzsprout_icw_podcast_generic_lancet

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14 Mar 2025Francis Couturaud on treatment of venous thromboembolism00:28:30

Francis Couturaud joins Chloe Wilson of The Lancet to discuss the RENOVE trial, which looks at assessing the efficacy and safety of reduced-dose versus full-dose direct oral anticoagulants in patients in whom extended anticoagulation has been indicated.

Read the full paper: 
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)02842-3/fulltext?dgcid=buzzsprout_icw_podcast_generic_lancet

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19 Feb 2020Richard Horton, Sarah Dalglish, and Grace Gatera00:16:25

Richard Horton, Sarah Dalglish, and Grace Gatera talk about the future for children alive today, alongside findings from the new Commission.

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09 Mar 2020Bin Cao00:11:16

The Asia Executive Editor of The Lancet, Helena Hui Wang, chats with Bin Cao about clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China.

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09 Mar 2020Bin Cao (in Chinese)00:18:11

柳叶刀亚洲执行主编王辉跟曹彬教授关于2019冠状病毒感染住院患者临床发病过程和死亡危险因素的讨论

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07 Jul 2020Rosanna Peeling00:21:37

Professor Rosanna Peeling discusses the implications of seroprevalence results from recent COVID-19 antibody studies.

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14 Jul 2020Kathleen O’Reilly and Stein Emil Vollset00:23:21

The new Global Burden of Disease paper forecasts major alterations in worldwide population over the next few decades. We ask Kathleen O’Reilly, of LSHTM, how models are made and how you account for a changing world, and we speak with paper author Stein Emil Vollset of IHME about the implications of his predictions.

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20 Jul 2020Richard Horton00:11:23

The Lancet Editor-in-Chief Richard Horton explains the current status of the Oxford and China COVID-19 vaccines, including an overview of current progress and the next steps for both.

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02 Sep 2020Rafael Lozano and Margaret Kruk00:22:52

Universal health coverage (UHC) is a vital facet of healthcare across the world, and a new Global Burden of Disease paper seeks to measure its spread. The Lancet spoke with  author Rafael Lozano and linked Comment author Margaret Kruk about efforts to analyse and measure UHC.

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02 Dec 2020Renee Salas00:17:12

Renee Salas, leader of the Lancet Countdown policy brief in the US, discusses the climate problems facing the US, the issues of the last four years, and the reasons to be optimistic about the future.

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08 Dec 2020Richard Horton on the Oxford vaccine phase 3 trial00:11:32

Editor-in-chief of The Lancet, Richard Horton, discusses the results of the Oxford vaccine's phase 3 trial.

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11 Feb 2021Mary Bassett00:25:20

The Lancet's new Commission, Public Policy and Health in the Trump Era, looks back at the effects of the last four years on the health of the USA. One of the authors of the Commission, Mary Bassett (Harvard University) joins us to talk about the Commission findings and wider issues facing the USA.

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25 Feb 2021Muir Gray00:16:41

On the 50th anniversary of the Inverse Care Law, Professor Sir Muir Gray joins Gavin Cleaver to discuss the continuing importance of the ICL, and notions of value and quality in health care.

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26 Apr 2021Siobhan Quenby & Arri Coomarasamy on miscarriage00:18:27

Siobhan Quenby & Arri Coomarasamy discuss the key findings from The Lancet's new Series on miscarriage.

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02 Jun 2021Jie Qiao (in English) on reproductive health in China00:16:41

Helena Wang discusses The Lancet Commission on women's reproductive, maternal, newborn, child and adolescent health (RMNCAH) in China with author Professor Jie Qiao.

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02 Jun 2021Jie Qiao (in Chinese) on reproductive health in China00:16:37

《柳叶刀》亚洲执行主编王辉对话《柳叶刀中国女性生殖、孕产妇、新生儿、儿童和青少年健康重大报告》共同主席乔杰院士。

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23 Dec 2021Nick James on the STAMPEDE trial00:14:56

Nick James discusses the key messages of the recent report from the STAMPEDE trial platform and the success of this platform in advancing the treatment of prostate cancer 

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07 Apr 2017America: Equity and Equality in Health 1: April, 201700:17:41

Rebecca Cooney discusses inequality and healthcare outcomes in the USA with Series author Sam Dickman.

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13 Apr 2017America: Equity and Equality in Health 2: April 13, 201700:14:54

Rebecca Cooney discusses the Affordable Care Act with US Series author Adam Gaffney.

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05 May 2017America: Equity and Equality in Health 5: Population health in an era of rising income inequality00:11:22

Aaron van Dorn speaks with series author Jacob Bor about the interaction of rising inequality and health outcomes.

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21 Apr 2017America: Equity and Equality in Health 3: Structural racism and health inequities in the USA: April 21, 201700:20:06

Rebecca Cooney speaks with Mary Bassett and Zinzi Bailey about health outcomes and structural racism in the USA.

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28 Apr 2017America: Equity and Equality in Health 4: Mass incarceration, public health, and widening inequality in the USA: April 28, 201700:15:05

Aaron van Dorn discusses mass incarceration and its effect on public health in the USA with Series author Christopher Wildeman.

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09 Sep 2016Statins reviewed: The Lancet: September 8, 201600:17:43

Rory Collins discusses his Review of the evidence from randomised studies concerning the efficacy and safety of statins.

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09 Sep 2016US Election 2016: The Lancet: September 8, 201600:12:39

Rebecca Cooney discusses a platform for improving health in the US

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26 Aug 2016UK obesity strategy: The Lancet: August 25, 201600:14:15

Tim Lobstein from the World Obesity Forum discusses the recently published UK childhood obesity strategy.

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01 Dec 2016Phantom motor execution: The Lancet: December 1, 201600:14:52

Max Ortiz-Catalan discusses his trial of using augmented reality, motor execution technology to help treat patients with phantom limb pain.

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02 Nov 2016Health, equity, and women's cancers: The Lancet: November 2, 201600:09:13

Ophira Ginsburg discusses her Series about women's cancers, summarising what the needs are, disparities between regions, and this topic as an unmet global health issue.

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04 Nov 2016US Election: The Lancet: November 4, 201600:20:42

Discussion of the US election, and of the importance of underlying social determinants of health for the US health policy environment.

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05 Oct 2016Early Childhood Development 2016: The Lancet: October 4, 201600:13:58

Linda Richter from the University of the Witwatersrand discusses the importance of investing in early childhood development.

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07 Dec 2016Breast Cancer 2016: The Lancet: December 6, 201600:09:40

Sibylle Loibl discusses recent advances in the treatment of oestrogen receptor positive, HER2-positive, and triple-negative breast cancers.

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08 Oct 2016A manifesto for UK health: The Lancet: October 7, 201600:11:21

Lord Nigel Crisp discusses a new vision for improving health in the UK.

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16 Nov 2016Where next for US health and health care?00:27:05

A joint podcast from Kaiser Health News and The Lancet – discussion of where US health policy might be heading when Donald Trump takes office early next year.

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11 Nov 2016US Election reaction: The Lancet: November 11, 201600:14:03

David Himmelstein looks ahead to US health policy challenges in light of the shock US election result.

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14 Nov 2016The Lancet Countdown: The Lancet: November 13, 201600:09:09

Nick Watts discusses the Lancet Countdown paper about importance of climate change to health, and tracking alterations to create positive changes for human health.

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16 Dec 2016Wakley Prize 2016: The Lancet: December 15, 201600:09:52

Naaheed Mukadam reads her winning Wakley Prize essay, entitled "Stay with me"; an account about the diagnosis and care of a patient with dementia and his spouse.

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16 Sep 2016Maternal health: The Lancet: 15 September, 201600:15:28

Series co-leader Oona Campbell discusses progress and ongoing priorities for maternal health with Richard Lane

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17 Oct 2016The health of people living in slums: The Lancet: October 16, 201600:10:52

Oyinlola Oyebode discusses the health problems of people living in slums, possible interventions, and the value in additional research needed for this neglected field.

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23 Sep 2016A Baseline for the Sustainable Development Goals00:09:33

Stephen Lim from the University of Washington discusses analysis of the Sustainable Development Goals, using data from the Global Burden of Diseases Programme.

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23 Dec 2016Ebola vaccine: The Lancet: December 22, 201600:18:52

Marie-Paule Kieny outlines encouraging final results of the rVSV-ZEBOV Ebola vaccine trial from Guinea.

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25 Nov 2016Multiple sclerosis Series: The Lancet: November 23, 201600:09:56

Jeff Cohen from the Cleveland Clinic Lerner School of Medicine discusses the Series—recent therapeutic progress, and remaining challenges.

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25 Oct 2016Primary care obesity intervention: The Lancet: October 24, 201600:14:39

Paul Aveyard discusses a new trial regarding a primary care intervention to help obese patients lose weight.

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30 Sep 2016Mobilisation in the surgical ICU: The Lancet: September 29, 201600:13:02

Matthias Eikermann discusses a trial to improve mobility for patients within the surgical ICU environment

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02 Jun 2017Going viral through music: The Lancet: June 1, 201700:11:59

Elizabeth Pisani discusses how global health can be represented through music, in an upcoming production in London called Song of Contagion.

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02 Mar 2017Crohn's disease: The Lancet: March 1, 201700:13:36

Subra Kugathasan discusses his Article which creates a risk-stratification model to predict the risk of developing complications in paediatric patients with newly diagnosed Crohn’s disease.

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02 Sep 2017Listen in—the conversations we need to have about racism, health, and medicine: September 1, 201700:17:42

Rebecca Cooney is joined by Mary Bassett, Tené T Lewis, Nwando Olayiwola, Esther Choo, Jennifer Okwerekwu, and Barron Lerner.

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03 Mar 2017Syndemics Series: The Lancet: March 2, 201700:18:05

Emily Mendenhall discusses a new Lancet Series, explaining the new health concept of syndemics and how it can be used to tackle health inequities.

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04 Aug 2017Venezuela's green helmets: The Lancet: August 3, 201700:12:42

Manuel Rueda discusses the humanitarian work of medical students and doctors in Venezuela’s violent street protests.

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04 Jul 2017Germany Series: The Lancet: July 3, 201700:19:13

Author and leading health policy expert Reinhard Busse discusses the success and current challenges of Germany’s health system.

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04 May 2017Weight-loss programme: The Lancet: May 3, 201700:09:21

Amy Ahern discusses the results from the UK trial assessing the effects of patient access to an extended vs standard weight-loss programme.

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05 Apr 2017Global burden of smoking: The Lancet: April 5, 201700:11:20

Emmanuela Gakidou discusses the Article on daily smoking prevalence and attributable global disease burden.

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07 Apr 2017America: equity and equality in health: The Lancet: April 6, 201700:18:47

Series leaders David Himmelstein and Steffie Woolhandler discuss the Series, and how it could help shape the future direction of US health policy.

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05 Dec 2017Weight management in type 2 diabetes: The Lancet: December 5, 201700:08:06

Roy Taylor talks about weight management techniques and remission in type 2 diabetes.

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08 May 2017Health in Israel: The Lancet: May 8, 201700:27:32

Professor Mark Clarfield from Ben-Gurion University of the Negev, Israel, with an overview of a new Lancet country Series about health in Israel.

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16 Jun 2017Abortion access in the USA: The Lancet: June 16, 201700:12:26

Julie Cantor discusses the freedom to access abortion in the USA.

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09 Jan 2017Right Care Series: The Lancet: January 8, 201700:21:26

Vikas Saini discusses a new Lancet Series, which aims to improve global health care through an emphasis on reducing overuse and underuse of medical treatment.

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10 Feb 2017Type 2 diabetes: The Lancet: February 9, 201700:14:37

Melanie Davies and Sudesna Chatterjee discuss a Seminar on type 2 diabetes, and outline plans for a Lancet Diabetes Commission.

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10 Mar 2017Polypills Series: The Lancet: March 9, 201700:17:42

Ruth Webster from the George Institute in Sydney, Australia, discusses the potential of polypills to prevent atherosclerosis as part of a wider plan to meet non-communicable disease targets by 2025.

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08 Sep 2017Paediatric surgery: The Lancet: September 9, 201700:06:16

Paul Tam discusses the two-part Series about Paediatric Surgery, focusing on developments in paediatric urology and gastroenterology.

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11 Jul 2017Putting a dent in gonorrhoea?: The Lancet: July 10, 201700:09:06

Helen Petousis-Harris discusses a proof of principle study which suggests that a type of meningococcal B vaccine could protect against gonorrhoea.

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12 Sep 2017Asthma Commission: The Lancet: September 11, 201700:19:25

Discussion with two authors of a new Lancet Commission about the need for a new approach to prevent, manage, and cure asthma.

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13 Jan 2017Amygdalar activity and cardiovascular events: The Lancet: January 12, 201700:07:09

Ilze Bot discusses the link between stress, shown by amygdalar activity, and cardiovascular events.

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13 Oct 2017Palliative Care and Pain Relief: The Lancet: October 12, 201700:39:39

Felicia Knaul and Julio Frenk discuss the Commission on the global access to palliative care and pain relief, highlighting the new metric used to measure the burden, an essential package to these treatments, and integration of palliative care and pain relief into health systems.

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15 Dec 2017Public availability of trial protocols: The Lancet: December 16, 201700:06:05

Joan Marsh and Paul Glasziou discuss what steps can be taken to reduce research waste with the public availability of trial protocols.

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15 Feb 2017Religious leaders in promotion of male circumcision: The Lancet: February 14, 201700:10:26

Jennifer Downs discusses her Article on the influence of religious leaders in promoting male circumcision as a strategy to decrease HIV transmission in Tanzania.

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15 Sep 2017Global Burden of Disease 2016: The Lancet: September 16, 201700:29:10

In this special podcast we talk to GBD guru Chris Murray, representatives from exemplar countries Ethiopia, Nepal, and Peru, and The Lancet's editor Richard Horton.

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16 Mar 2017The American Health Care Act: The Lancet: March 16, 201700:15:00

Rebecca Cooney and Aaron van Dorn with insight and analysis about the new US Administration’s proposal for health care reform: the American Health Care Act.

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18 Aug 2017Black lung disease: The Lancet: Aug 17, 201700:12:00

Discussion of how coal workers pneumoconiosis (so-called black lung disease) may be re-emerging among coal miners in Queensland, Australia.

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17 Mar 2017Countdown to climate change: The Lancet: March 17, 201700:09:43

Nick Watts and guests discuss progress on The Lancet Countdown to Climate Change project at an interim meeting held in London on March 13–14, 2017.

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19 May 2017South Sudan Special Report: The Lancet: May 18, 201700:20:28

Sharmila Devi reports after a recent visit to South Sudan, where a combination of drought and civil conflict is perpetuating an appalling health and humanitarian catastrophe.

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20 Jan 2017Use of MRI in prostate cancer screening: The Lancet: January 19, 201700:11:58

Hashim Ahmed discusses his study about the diagnostic accuracy of multi-parametric MRI in detecting clinically significant prostate cancer in men.

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19 Jun 2017Rheumatoid arthritis: The Lancet: June 19, 201700:15:40

A special podcast from the European League Against Rheumatology meeting in Madrid, highlighting a two-part Series on rheumatoid arthritis.

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20 Oct 2017The Lancet Commission on Pollution and Health: October 19, 201700:26:35

Gina McCarthy, former EPA Administrator, and Commission leads Philip Landrigan and Richard Fuller join Gavin Cleaver for a discussion of the problems of pollution and the solutions available.

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20 Sep 2017Difference between human trafficking and smuggling: September 19, 201700:12:07

Rebecca Cooney and Hanni Stoklosa discuss the distinction between human trafficking and smuggling.

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20 Jul 2017Dementia Commission: The Lancet: July 20, 201700:17:30

Lead author Gill Livingston discusses the new Lancet Commission on dementia prevention, intervention, and care.

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21 Sep 2017Blood donation frequency: The Lancet: September 20, 201700:04:16

Emanuele Di Angelantonio talks about his study on increasing the frequency of blood donation.

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22 Dec 2017You don't know me: The Lancet: December 23, 201700:14:10

The author of the Wakley Prize-winning essay, Kate Rowland, talks about the ethics of care and the philosophy underlying the clinician-patient relationship, themes raised in her essay.

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22 Feb 20172030 life expectancy estimates: The Lancet: February 21, 201700:13:54

Majid Ezzati discusses Projections for increases in life expectancy in most of the world’s developed nations by 2030, and the implications for social policy.

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22 Nov 2017Heart failure incidence: The Lancet: November 21, 201700:07:17

Kazem Rahimi discusses the temporal trends and patterns in heart failure incidence in the UK between 2002 and 2014. 

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25 Jan 2017Pancreatic cancer: The Lancet: January 24, 201700:12:51

John Neoptolomos discusses the ESPAC-4 trial, investigating a chemotherapy drug combination for patients with pancreatic cancer.

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26 Jan 2017US premature mortality: The Lancet: January 25, 201700:04:53

Dr. Meredith Shiels discusses trends in premature mortality in the US since 1999.

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26 May 2017Renal Medicine Series: The Lancet: May 25, 201700:09:56

Danilo Fliser discusses a clinical Series that examines acute kidney injury, and priorities for graft preservation after renal transplantation.

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26 Apr 2017Post-partum haemorrhage: The Lancet: April 26, 201700:08:46

Haleema Shakur-Still and Ian Roberts discuss the results from the WOMAN trial on early use of tranexamic acid to reduce deaths due to post-partum haemorrhage.

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27 May 2017American Health Care Act: The Lancet: May 26, 201700:18:04

Rebecca Cooney and Aaron van Dorn speak with Adam Gaffney about the state of the American Health Care Act and what it means for the politics of health care in the USA.

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27 Oct 2017Conflict in Colombia: The Lancet: October 26, 201700:12:40

Joe Parkin Daniels, author of a new World Report on a military hospital in Bogota, joins us to discuss the nuances of peace and conflict in Colombia since the FARC peace deal, and the challenges still facing healthcare in the country.

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29 Jun 2017The Better Care Reconciliation Act: The Lancet: June 27, 201700:15:05

Adam Gaffney discusses what is in the US Senate's Affordable Care Act-repeal bill with Rebecca Cooney ahead of this week’s expected Senate vote.

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28 Jun 2017Microneedle patch flu vaccination: The Lancet: June 27, 201700:07:04

Nadine Rouphael and Mark Prausnitz discuss the findings from their phase 1 trial that uses a dissolvable microneedle patch to deliver an influenza vaccine to patients.

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29 Jul 2017Coeliac disease: The Lancet: July 28, 201700:11:59

Peter Green from Columbia University, New York City, discusses a Seminar which gives an up-to-date analysis of an increasingly prevalent disease that affects around 1% of the global population.

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29 Sep 2017Russia—history and health: The Lancet: September 28, 201700:12:42

Michel Kazatchkine joins us to talk about Russia's health system and struggles with HIV/AIDS in the context of its unique history.

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30 Aug 2017PURE: diet and cardiovascular disease: The Lancet: August 29, 201700:10:45

Victoria Miller and Mahshid Dehghan discuss their two PURE studies, assessing the intake of fruit, vegetables, and legumes, and also carbohydrates and fat on cardiovascular disease and mortality.

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