PrimeCuts

Primecuts – This Week in the Journals

August 21, 2017
Primecuts – This Week in the Journals

By Andrew Armanious, MD

Peer Reviewed

This past week, President Trump decided to part ways with White House Chief Strategist Steve Bannon (1). Bannon was a controversial and blunt-spoken political figure who influenced President Trump on many of his contentious campaign decisions. Bannon will be returning to his prior position of executive chairman of Breitbart News.

In world news, thousands of Spaniards in Barcelona assembled along La Rambla in an act of defiance against terrorism less than 24 hours after a van rammed into crowds …

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Primecuts – This Week in the Journals

August 14, 2017
Primecuts – This Week in the Journals

By Jonathan Whitehouse, MD

Peer Reviewed

In New York last week, Mayor de Blasio announced a plan to tax wealthy New Yorkers in order to raise funds for our enfeebled subway system.  It was seen by many as a direct political clash with Governor Cuomo over funding for the Metropolitan Transportation Authority, at a time when the subways are plagued by delays and cancellations, and when both politicians are preparing for elections (1). Other well-documented problems include an “antiquated signal system, severe overcrowding, and trains …

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Can I Safely Use Anticoagulants in my Patient with a Brain Tumor?

August 3, 2017
Can I Safely Use Anticoagulants in my Patient with a Brain Tumor?

By Christopher Sonne, MD

Peer Reviewed

It is the last admission of your admitting night shift. You are called to assess a pleasant, oriented 65-year-old man with lung cancer and metastases to the bone, liver, and brain. You review his history along with his admission labs and imaging, and you quickly feel confident in your diagnosis of a lobar pneumonia. Relieved, tired, the sun peaking through the call window, you begin to put in his orders. Finally, your last task is to choose adequate venous …

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Primecuts – This Week in the Journals

July 31, 2017
Primecuts – This Week in the Journals

By Jiwoon Chang, MD

Peer Reviewed

This past week at the International AIDS Society Conference in Paris, investigators of the mosaic HIV vaccination trial called APPROACH shared their early findings of healthy adults developing immunological responses against HIV after vaccinations . Results from this NIH-funded clinical trial are expected in late 2017, but the preliminary report provides a new hope to protect those at risk of acquiring HIV. This week, our first article evaluates enhanced antimicrobial prophylaxis for HIV patients with low CD4+ count. The …

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Primecuts – This Week in the Journals

July 25, 2017
Primecuts – This Week in the Journals

Kelsey Luoma, MD
Peer Reviewed

Opioid-related morbidity and mortality has reached crisis levels in the United States. According to the CDC, between 1999 and 2014 more than 165,000 people died due to opioid drug overdose . This week, our first article questions whether a multicomponent primary care intervention can mitigate the risk of prescription opioid abuse, thereby potentially saving lives. Next, we’ll review a study on the effects of long-term inhaled corticosteroid use on fracture risk; we’ll compare various non-invasive testing strategies for workup of …

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Primecuts – This Week in the Journals

July 19, 2017
Primecuts – This Week in the Journals

By Cesar Soria Jimenez, MD
Peer Reviewed

In this week’s Primecuts issue, we will be discussing topics related to obesity and its effects on the global population over the past quarter century (the effects are both surprising and worse than you likely imagine), a trial analyzing the potential for a blood serum biomarker to distinguish the infectious etiology of community acquired pneumonia and prevent unnecessary use of empiric antibiotics, and the characterization of a distinct phenotype of heart failure with ejection fraction, a condition that …

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Primecuts-This Week in the Journals

July 6, 2017
Primecuts-This Week in the Journals

By David Rhee, MD
Peer Reviewed
A warm welcome to all the new interns! As the future of healthcare is debated in congress, there has been a great deal of attention on Medicaid and the Affordable Care Act (ACA). This week, our first two articles explore some of the effects Medicaid, Medicare, and the ACA had on patient outcomes either through the Hospital Value-Based Purchasing initiatives or through the growing use of observation units. Our third article reviews a study on non-vitamin K anticoagulation agents …

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Primecuts – This Week in the Journals

June 22, 2017
Primecuts – This Week in the Journals

By David Pineles, MD
Peer Reviewed

In a major blow to the Democratic party, Republican Karen Handel won the special congressional election in Georgia, fending off Democrat Jon Ossoff . While some see this as a victory for President Trump, others are viewing this as a win despite Mr. Trump’s actions . In world news, Britain’s Prince Phillip, the 96-year old husband of Queen Elizabeth, spent his second night in King Edward VII Hospital for an unspecified infection . In sporting news, the the National …

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Primecuts – This Week in the Journals

May 22, 2017
Primecuts – This Week in the Journals

By Michelle Lo, MD

Peer Reviewed

This past week marks the first leg of president Trump’s foreign trip starting at Saudi Arabia, where he was lavished with extravagant gifts. While former president Obama slowed military cooperation with the kingdom from the concerns of the country’s indiscriminate bombing of civilians in Yemen, Trump may seek to expand them.

The number of suspected cases of Ebola has now risen to 29 in less than a week the Democratic Republic of Congo. The risk of spread is high …

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Primecuts – This Week in the Journals

May 17, 2017
Primecuts – This Week in the Journals

By Maxine W Stachel, MD

Peer Reviewed

The past week saw a massive worldwide cyber-hacking attack that affected many well-known brands and, disturbingly, at least a dozen hospitals in Britain’s National Health Service. Using a program allegedly stolen from the US National Security Administration, hackers were able to freeze NHS electronic medical records, which left doctors unable to access patient files and patients unable to access care. Outpatient appointments and elective surgeries were cancelled. Some emergency departments were even forced to divert patients needing urgent …

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Primecuts – This Week in the Journals

May 8, 2017
Primecuts – This Week in the Journals

HALLANDALE BEACH, FL – APRIL 01: #4 Always Dreaming (FL) wth jockey John Velazquez on board, wins the Xpressbet Florida Derby (Grade I) at Gulfstream Park on April 01, 2017 in Hallandale Beach, Florida. (Photo by Liz Lamont/Eclipse Sportswire/Getty Images)

By Alicia Cowley, MD, MBA

Peer Reviewed

This past Thursday, the American Health Care Act narrowly survived a full vote in the House. The American College of Physicians, the American Medical Association, the American Academy of Family Physicians, and at least a dozen other health …

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Primecuts – This Week in the Journals

May 1, 2017
Primecuts – This Week in the Journals

By Janine Knudsen, MD

Peer Reviewed

In the first major demonstration of scientists and science-lovers in the US, last Saturday thousands of people descended on the Mall in Washington, DC, and rallied in the March for Science. Clever signs abounded as the marchers protested against the threats to governmental science funding, the use of “alternative facts”, and many issues in between. Down the street at the White House, Trump was busy turning out new policies before April 29th, his 100th day in office. This past …

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