Bryan D. James, PhD's Avatar

Bryan D. James, PhD

@bryandjames.bsky.social

Epidemiologist, @rushalzheimers.bsky.social Host, Epi Counts podcast https://serepidemiologycounts.blubrry.net/ Social media editor, American Journal of Epidemiology @amjepi.bsky.social #EpiSky #Geronsky #ADRD #scicomm Proud papa of three crazy kids

3,472 Followers  |  762 Following  |  403 Posts  |  Joined: 07.08.2023  |  1.9283

Latest posts by bryandjames.bsky.social on Bluesky

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Risks and Benefits of Clinical Diagnosis Around the Time of Dementia Onset Diagnostic delay in dementia is common in the U.S. Drivers of diagnostic delay are poorly understood, but appear related to misconceptions about dementia, stigma, concerns about autonomy, the nature of the diagnostic process, and provider-related ...

๐Ÿ“ฃ @bryandjames.bsky.social is hiring a postdoc at @rushalzheimers.bsky.social. This work examines predictors and consequences of a timely #dementia diagnosis using CMS claims linked to cohort data. Could be great for an #hpss #statssky #episky #hspr #geronsky PhD student finishing up this year.

10.12.2025 01:13 โ€” ๐Ÿ‘ 5    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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The highlight of #GSA2025 was watching my friend and colleague @beyoung40.bsky.social give her speech for the James Jackson Mentorship Award , about her path from being mentored to becoming an exemplary mentor. Dr. Barnes has inspired SO many people. Lisa, youโ€™re the best!
@geronsociety.bsky.social

15.11.2025 21:44 โ€” ๐Ÿ‘ 8    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Not on Bluesky: Alden Gross, Emma Nichols, Lindsay Kobayashi

14.11.2025 15:30 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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I had a blast participating in the @geronsociety.bsky.social #GSA2025 Epi of Aging IG debate on the โ€œBiggest Baddest Bias in Aging Researchโ€ as โ€œThe Confounder ๐Ÿ˜Žโ€ I got SMOKED in the final vote (3%!) as @sfackley.bsky.social ran away with it at 85% but still fun! ๐Ÿ˜†
@mariaglymour.bsky.social

14.11.2025 15:28 โ€” ๐Ÿ‘ 12    ๐Ÿ” 0    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 1

Haha it does look like Daria

13.11.2025 16:24 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Fun with friends and AI at #GSA2025:
Drinks and oysters at Rochambeau โžก๏ธ our imagined selves at a 1940s speakeasy ๐Ÿธ๐Ÿฆช
@ekgraham22.bsky.social @gabriellepfund.bsky.social @chops310.bsky.social

13.11.2025 15:36 โ€” ๐Ÿ‘ 9    ๐Ÿ” 2    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

*Merten

13.11.2025 13:56 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Had the pleasure of serving as discussant for this great session on Blood-based Biomarkers of Aging and Neurodegeneration yesterday at @geronsociety.bsky.social #GSA2025 #geronsky
Speakers: Natascha Mertens, Joe Coresh, James Pike, Jason Smith
๐Ÿ“ธ: Priya Palta

13.11.2025 13:53 โ€” ๐Ÿ‘ 6    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

While the government was shut down, 379 NIH study section meetings (containing 24,380 grant applications) were postponed. NIH is committed to getting these reviewed, but please be patient and understanding with staff, as this is a complex and heavy lift.

13.11.2025 13:25 โ€” ๐Ÿ‘ 161    ๐Ÿ” 63    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 14
The "biggest baddest" bias in aging research: A spirited GSA debate.

The "biggest baddest" bias in aging research: A spirited GSA debate.

For those of you attending #GSA2025 in Boston, consider this panel of #NIH awardees, Drs. Alden Gross, @mariaglymour.bsky.social , @sfackley.bsky.social , and @bryandjames.bsky.social. Please remember to tag #geronsky and @geronsociety.bsky.social in your posts.

06.11.2025 14:23 โ€” ๐Ÿ‘ 14    ๐Ÿ” 7    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Everyone on this site knows this so this is posting to an echo chamber but it really is shocking on a daily (hourly) basis how we seem to be powerless to letting this man assume absolute power. I just canโ€™t believe how many Americans support this

20.10.2025 22:13 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Im definitely rooting for you all to beat the Eagles ๐Ÿคž Keep it up

10.10.2025 00:54 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Today my @nytimes.com colleagues and I are launching a new series called Lost Science. We interview US scientists who can no longer discover something new about our world, thanks to this yearโ€˜s cuts. Here is my first interview with a scientist who studied bees and fires. Gift link: nyti.ms/3IWXbiE

08.10.2025 23:29 โ€” ๐Ÿ‘ 4732    ๐Ÿ” 1832    ๐Ÿ’ฌ 142    ๐Ÿ“Œ 83
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Michigan Avenue right now.

09.10.2025 00:23 โ€” ๐Ÿ‘ 40569    ๐Ÿ” 11286    ๐Ÿ’ฌ 1030    ๐Ÿ“Œ 648

I know a lot of neuropsychologistsโ€”all of you should be voting for @drmlamar.bsky.social as the head of INS! Any professional society would be lucky to have her as president.

22.09.2025 22:10 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Rodgers is nonbinary, spread the word.

18.09.2025 12:25 โ€” ๐Ÿ‘ 4    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Please see this story of my program officer @tyk314.netโ€™s father and what cuts to funding mean to people like him and all of us

11.09.2025 23:25 โ€” ๐Ÿ‘ 5    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

You got it

11.09.2025 23:24 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Truly disgusting. I donโ€™t know how anyone can support this. The โ€œItโ€™s just a memeโ€ claim falls short when itโ€™s the president posting it and it will literally lead to deaths, pain, and sadness in an American city. Sadistic fascism.

06.09.2025 17:40 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Our new paper in JG:PS is out!

In a sample of over 3100 older adults assessed each year for 12 years, loneliness & sense of purpose were unique predictors of cognitive decline, though past research has underestimated the reciprocal nature of this relationship.

www.researchgate.net/publication/...

04.09.2025 19:09 โ€” ๐Ÿ‘ 13    ๐Ÿ” 4    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 2
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September Editor Spotlight of the Month! โœ๏ธ Next up is Sunni Mumford (@sunnimum.bsky.social) โœจ, Associate Editor at AJE & Professor of Epidemiology at the Perelman School of Medicine at the University of Pennsylvania. This month, we chatted with her about her work with AJE.

02.09.2025 16:01 โ€” ๐Ÿ‘ 7    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ›Ž๏ธ ๐Ÿ›Ž๏ธ ๐Ÿ›Ž๏ธ

29.08.2025 22:24 โ€” ๐Ÿ‘ 4    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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I miss the old brand #CDC

28.08.2025 22:00 โ€” ๐Ÿ‘ 7055    ๐Ÿ” 1746    ๐Ÿ’ฌ 97    ๐Ÿ“Œ 73

Another insane day in America

28.08.2025 01:24 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
My resignation letter from CDC.  

Dear Dr. Houry,

I am writing to formally resign from my position as Director of the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention (CDC), effective August 28, 2025, close of business.   I am happy to stay on for two weeks to provide transition, if requested.

This decision has not come easily, as I deeply value the work that the CDC does in safeguarding public health and am proud of my contributions to that critical mission. However, after much contemplation and reflection on recent developments and perspectives brought to light by Secretary Robert F. Kennedy Jr., I find that the views he and his staff have shared challenge my ability to continue in my current role at the agency and in the service of the health of the American people. Enough is enough.

While I hold immense respect for the institution and my colleagues, I believe that it is imperative to align my professional responsibilities to my system of ethics and my understanding of the science of infectious disease, immunology, and my promise to serve the American people.  This step is necessary to ensure that I can contribute effectively in a capacity that allows me to remain true to my principles.

My resignation letter from CDC. Dear Dr. Houry, I am writing to formally resign from my position as Director of the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention (CDC), effective August 28, 2025, close of business. I am happy to stay on for two weeks to provide transition, if requested. This decision has not come easily, as I deeply value the work that the CDC does in safeguarding public health and am proud of my contributions to that critical mission. However, after much contemplation and reflection on recent developments and perspectives brought to light by Secretary Robert F. Kennedy Jr., I find that the views he and his staff have shared challenge my ability to continue in my current role at the agency and in the service of the health of the American people. Enough is enough. While I hold immense respect for the institution and my colleagues, I believe that it is imperative to align my professional responsibilities to my system of ethics and my understanding of the science of infectious disease, immunology, and my promise to serve the American people. This step is necessary to ensure that I can contribute effectively in a capacity that allows me to remain true to my principles.

The recent change in the adult and childrenโ€™s immunization schedule threaten the lives of the youngest Americans and pregnant people.   The data analyses that supported this decision have never been shared with CDC despite my respectful requests to HHS and other leadership.  This lack of meaningful engagement was further compounded by a โ€œfrequently asked questionsโ€ document written to support the Secretaryโ€™s directive that was circulated by HHS without input from CDC subject matter experts and that cited studies that did not support the conclusions that were attributed to these authors.  Having worked in local and national public health for years, I have never experienced such radical non-transparency, nor have I seen such unskilled manipulation of data to achieve a political end rather than the good of the American people.

It is untenable to serve in an organization that is not afforded the opportunity to discuss decisions of scientific and public health importance released under the moniker of CDC.  The lack of communication by HHS and other CDC political leadership that culminates in social media posts announcing major policy changes without prior notice demonstrate a disregard of normal communication channels and common sense.  Having to retrofit analyses and policy actions to match inadequately thought-out announcements in poorly scripted videos or page long X posts should not be how organizations responsible for the health of people should function.  Some examples include the announcement of the change in the COVID-19 recommendations for children and pregnant people, the firing of scientists from ACIP by X post and an op-ed rather than direct communication with these valuable experts, the announcement of new ACIP members by X before onboarding and vetting have completed, and the release of term of reference for an ACIP workgroup that ignored all feedback from career staff at CDC.

The recent change in the adult and childrenโ€™s immunization schedule threaten the lives of the youngest Americans and pregnant people. The data analyses that supported this decision have never been shared with CDC despite my respectful requests to HHS and other leadership. This lack of meaningful engagement was further compounded by a โ€œfrequently asked questionsโ€ document written to support the Secretaryโ€™s directive that was circulated by HHS without input from CDC subject matter experts and that cited studies that did not support the conclusions that were attributed to these authors. Having worked in local and national public health for years, I have never experienced such radical non-transparency, nor have I seen such unskilled manipulation of data to achieve a political end rather than the good of the American people. It is untenable to serve in an organization that is not afforded the opportunity to discuss decisions of scientific and public health importance released under the moniker of CDC. The lack of communication by HHS and other CDC political leadership that culminates in social media posts announcing major policy changes without prior notice demonstrate a disregard of normal communication channels and common sense. Having to retrofit analyses and policy actions to match inadequately thought-out announcements in poorly scripted videos or page long X posts should not be how organizations responsible for the health of people should function. Some examples include the announcement of the change in the COVID-19 recommendations for children and pregnant people, the firing of scientists from ACIP by X post and an op-ed rather than direct communication with these valuable experts, the announcement of new ACIP members by X before onboarding and vetting have completed, and the release of term of reference for an ACIP workgroup that ignored all feedback from career staff at CDC.

Their desire to please a political base will result in death and disability of vulnerable children and adults.  Their base should be the people they serve not a political voting bloc.

I have always been first to challenge scientific and public health dogma in my career and was excited by the opportunity to do so again.  I was optimistic that there would be an opportunity to brief the Secretary about key topics such as measles, avian influenza, and the highly coordinated approach to the respiratory virus season.  Such briefings would allow exchange of ideas and a shared path to support the vision of โ€œMaking America Healthy Again.โ€  We are seven months into the new administration, and no CDC subject matter expert from my Center has ever briefed the Secretary.  I am not sure who the Secretary is listening to, but it is quite certainly not to us.  Unvetted and conflicted outside organizations seem to be the sources HHS use over the gold standard science of CDC and other reputable sources.  At a hearing, Secretary Kennedy said that Americans should not take medical advice from him.  To the contrary, an appropriately briefed and inquisitive Secretary should be a source of health information for the people he serves. As it stands now, I must agree with him, that he should not be considered a source of accurate information.

The intentional eroding of trust in low-risk vaccines favoring natural infection and unproven remedies will bring us to a pre-vaccine era where only the strong will survive and many if not all will suffer.  I believe in nutrition and exercise.  I believe in making our food supply healthier, and I also believe in using vaccines to prevent death and disability.  Eugenics plays prominently in the rhetoric being generated and is derivative of a legacy that good medicine and science should continue to shun.

Their desire to please a political base will result in death and disability of vulnerable children and adults. Their base should be the people they serve not a political voting bloc. I have always been first to challenge scientific and public health dogma in my career and was excited by the opportunity to do so again. I was optimistic that there would be an opportunity to brief the Secretary about key topics such as measles, avian influenza, and the highly coordinated approach to the respiratory virus season. Such briefings would allow exchange of ideas and a shared path to support the vision of โ€œMaking America Healthy Again.โ€ We are seven months into the new administration, and no CDC subject matter expert from my Center has ever briefed the Secretary. I am not sure who the Secretary is listening to, but it is quite certainly not to us. Unvetted and conflicted outside organizations seem to be the sources HHS use over the gold standard science of CDC and other reputable sources. At a hearing, Secretary Kennedy said that Americans should not take medical advice from him. To the contrary, an appropriately briefed and inquisitive Secretary should be a source of health information for the people he serves. As it stands now, I must agree with him, that he should not be considered a source of accurate information. The intentional eroding of trust in low-risk vaccines favoring natural infection and unproven remedies will bring us to a pre-vaccine era where only the strong will survive and many if not all will suffer. I believe in nutrition and exercise. I believe in making our food supply healthier, and I also believe in using vaccines to prevent death and disability. Eugenics plays prominently in the rhetoric being generated and is derivative of a legacy that good medicine and science should continue to shun.

The recent shooting at CDC is not why I am resigning.  My grandfather, who I am named after, stood up to fascist forces in Greece and lost his life doing so.  I am resigning to make him and his legacy proud.   I am resigning because of the cowardice of a leader that cannot admit that HIS and his minionsโ€™ words over decades created an environment where violence like this can occur.  I reject his and his colleaguesโ€™ thoughts and prayers, and advise they direct those to people that they have not actively harmed.

For decades, I have been a trusted voice for the LGBTQ community when it comes to critical health topics.  I must also cite the recklessness of the administration in their efforts to erase transgender populations, cease critical domestic and international HIV programming, and terminate key research to support equity as part of my decision.

Public health is not merely about the health of the individual, but it is about the health of the community, the nation, the world. The nationโ€™s health security is at risk and is in the hands of people focusing on ideological self-interest.

I want to express my heartfelt gratitude for the opportunities for growth, learning, and collaboration that I have been afforded during my time at the CDC. It has been a privilege to work alongside such dedicated professionals who are committed to improving the health and well-being of communities across the nation even when under attack from within both physically and psychologically.

Thank you once again for the support and guidance I have received from you and previous CDC leadership throughout my tenure. I wish the CDC continued success in its vital mission and that HHS reverse its dangerous course to dismantle public health as a practice and as an institution.  If they continue the current path, they risk our personal well-being and the security of the United States.

The recent shooting at CDC is not why I am resigning. My grandfather, who I am named after, stood up to fascist forces in Greece and lost his life doing so. I am resigning to make him and his legacy proud. I am resigning because of the cowardice of a leader that cannot admit that HIS and his minionsโ€™ words over decades created an environment where violence like this can occur. I reject his and his colleaguesโ€™ thoughts and prayers, and advise they direct those to people that they have not actively harmed. For decades, I have been a trusted voice for the LGBTQ community when it comes to critical health topics. I must also cite the recklessness of the administration in their efforts to erase transgender populations, cease critical domestic and international HIV programming, and terminate key research to support equity as part of my decision. Public health is not merely about the health of the individual, but it is about the health of the community, the nation, the world. The nationโ€™s health security is at risk and is in the hands of people focusing on ideological self-interest. I want to express my heartfelt gratitude for the opportunities for growth, learning, and collaboration that I have been afforded during my time at the CDC. It has been a privilege to work alongside such dedicated professionals who are committed to improving the health and well-being of communities across the nation even when under attack from within both physically and psychologically. Thank you once again for the support and guidance I have received from you and previous CDC leadership throughout my tenure. I wish the CDC continued success in its vital mission and that HHS reverse its dangerous course to dismantle public health as a practice and as an institution. If they continue the current path, they risk our personal well-being and the security of the United States.

Full resignation letter from Demetre C. Daskalakis, a CDC leader, does not hold back.
"The recent shooting at CDC is not why I am resigning. My grandfather, who I am named after, stood up to fascist forces in Greece and lost his life doing so. I am resigning to make him and his legacy proud."

28.08.2025 01:01 โ€” ๐Ÿ‘ 6669    ๐Ÿ” 2402    ๐Ÿ’ฌ 73    ๐Ÿ“Œ 241

Our latest @rushalzheimers.bsky.social study on the #MINDdiet and brain health led by Puja Agarwal: MIND diet associated with lower likelihood of hippocampal sclerosis (HS) and more neurons in the hippocampus. The MIND diet association with reduced dementia was partially mediated by HS #neurosky

12.08.2025 16:02 โ€” ๐Ÿ‘ 3    ๐Ÿ” 3    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

๐Ÿคฎ

08.08.2025 13:28 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

The GAO just confirmed what we all knew: this administration illegally withheld congressionally approved funds to research by canceling grants and slowing new awards. This destruction of US scientific research has to stop.

06.08.2025 13:36 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Every reputable expert I know considers mRNA vaccine technology to be one of the most revolutionary advances in medicine in our lifetimes. Its inventors won the Nobel Prize in 2023. Shutting it down now is pointless self-harm to humanity.

05.08.2025 22:54 โ€” ๐Ÿ‘ 18153    ๐Ÿ” 6768    ๐Ÿ’ฌ 549    ๐Ÿ“Œ 283
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Just Diagnosed with Mild Cognitive Impairment? What to Look for and What It Means | Being Patient An MCI diagnosis doesnโ€™t always mean Alzheimerโ€™s. Identifying and treating underlying causes can slow progression โ€” or even reverse symptoms.

Just Diagnosed With Mild Cognitive Impairment? What To Look For And What It Means beingpatient.com/what-to-do-a...

#Alzheimers #dementia #health #wellness

05.08.2025 14:02 โ€” ๐Ÿ‘ 8    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

@bryandjames is following 18 prominent accounts