PrimeCuts

PrimeCuts: This Week in the Journals

March 2, 2009
PrimeCuts: This Week in the Journals

Commentary by Michael Tanner MD, Section Editor, Clinical Correlations

Michael Pollan wrote last year in In Defense of Food: An Eater’s Manifesto, “…the history of modern nutritionism has been a history of macronutrients at war: proteins against carbs; carbs against proteins, and then fats; fats against carbs.” This week’s New England Journal features an attempt at a fair fight: a trial that randomized 811 adults with BMIs from 25 to 40 to one of four reduced-calorie diets with the following percentages of macronutrients:…

Read more »

PrimeCuts: This Week in the Journals

February 23, 2009
PrimeCuts: This Week in the Journals

Commentary by Ryan Farley MD, PGY-3

Faculty Peer Reviewed

Hot off the press from the New England Journal of Medicine (NEJM) this week is an original article comparing percutaneous coronary intervention (PCI) with coronary artery bypass graft surgery (CABG) for severe coronary artery disease. This study, also known as the Synergy between PCI with Taxus and Cardiac Surgery (SYNTAX) trial, was a prospective clinical trial conducted at 85 sites in 17 countries in Europe and the United States that randomly assigned 1800 patients with…

Read more »

PrimeCuts: This Week in the Journals

February 16, 2009
PrimeCuts: This Week in the Journals

Commentary by Josh Remick MD, NYU Senior Chief Resident 

It was quite the week in Medicine, spanning from politics to plagiarism, pregnancy to pain, steroids to statins and artificial limbs to A-Roid.  And that’s not even getting into Octomom or Michael Phelps and the physiology of bong smoking.

The news only seems to be getting better for statins.  In a recent trial published in the Archives of Internal Medicine, consistent use of statins improved mortality in patients with coronary artery disease (this…

Read more »

PrimeCuts: This Week in the Journals

February 9, 2009
PrimeCuts: This Week in the Journals

Commentary by Michael Poles MD, Associate Editor, Clinical Correlations 

Welcome to this week’s primecuts. Let’s slice right in and take a big bite out of last week’s medical news, starting with a little political news. On Wednesday February 4th, the Obama administration expanded SCHIP. SCHIP is a children’s health insurance program, and its passage will allow about 7 million children to continue to receive healthcare coverage and will allow an additional 4 million children to sign up. This appears to be an important step…

Read more »

PrimeCuts: This Week in the Journals

February 2, 2009
PrimeCuts: This Week in the Journals

Commentary by Sherley Abraham MD PGY-3

Faculty Peer Reviewed

This week we reflect on the interplay in life which is showcased by two football teams. In medicine, it plays out between two drugs, newer markers and standard guidelines, or lifestyle and disease. Each ailment calls for its own chicken soup, which it turns out, actually does work for the common cold. Of course, in football, one team emerges as victor….go Steelers and the NFL…but onto BNP.

The search continues for a…

Read more »

PrimeCuts: This Week in the Journals

January 26, 2009
PrimeCuts: This Week in the Journals

Commentary by Michael Tees MD, MPH , PGY-1

The journals this week were not where the eyes of the nation or the world were fixed. All were focused upon a turning point, a new beginning, a change. The inauguration of America’s first African-American president and what that represented was where our attention was fixed. Policies before or after a leadership change can always be debated. But what happened on this special day in American history can be considered a birth of a new…

Read more »

PrimeCuts: This Week in the Journals

January 19, 2009
PrimeCuts: This Week in the Journals

Commentary  by Aleksandar Adzic MD, PGY-3

Faculty Peer Reviewed

Have you ever been annoyed that the computer systems at the three hospitals you work at are completely different?  Have you ever had trouble piecing together a patient’s medical history who is at your hospital for the first time?  Well President (elect until ~12:00 noon on Tuesday) Obama understands how you feel.  It is no surprise that our “first wired president” (1) has made a bold plan to standardize electronic health records in the next 5 years…

Read more »

PrimeCuts: This Week in the Journals

January 12, 2009
PrimeCuts: This Week in the Journals

Commentary by Paul Fenyves MD, PGY-3 

Faculty Peer Reviewed

Macrovascular Control: In the New England Journal of Medicine, a new study re-addresses the question of whether tight glycemic control in diabetes prevents macrovascular complications. “Glucose Control and Vascular Complications in Veterans with Type 2 Diabetes” was an open-label study, which randomized 1791 diabetic veteran to either intensive or standard glucose control. The subjects were mostly men with a mean age of 60.4 and carried the diagnosis of type 2 diabetes for a mean…

Read more »

PrimeCuts: This Week in the Journals

January 5, 2009
PrimeCuts: This Week in the Journals

Commentary by Ramani Balu MD, PGY 1

Faculty Peer Reviewed

The beginning of the New Year is a time to reflect on our progress and look forward to developments yet to come. Here are a few articles from last week that highlight innovative approaches to old problems and force us to think in new ways about issues we face every day. Judging by these selections, it should be an exciting new year indeed for medical research.
 

New reasons to…

Read more »

PrimeCuts: This Week in the Journals

December 29, 2008
PrimeCuts: This Week in the Journals

Commentary by Sam Rougas MD, PGY-3 

Faculty Peer Reviewed

With the holiday season upon us, it seems we are always scrambling to find that perfect last minute gift for our loved ones. So, in the spirit of the season, here is a gift to those poor souls in the CCU. The New York Times commented on a recent study published in JAMA about the correlation between a lack of sleep and heart disease. It seems that patients who slept seven hours a night…

Read more »

PrimeCuts: This Week in the Journals

December 23, 2008
PrimeCuts: This Week in the Journals

Commentary by Ishmeal Bradley MD, PGY-2

During the last few months, the media has been overflowing with stories about the staggering American economy and soaring consumer (and national) debt. One story that has been marginalized in the wake of the current fiscal crisis is the soaring cost of medical education and the dangers that this poses to the future of the healthcare industry.

I’m sure all of us remember that warm spring morning years ago when we got our acceptance letters to medical school.…

Read more »

PrimeCuts: This Week in the Journals

December 15, 2008
PrimeCuts: This Week in the Journals

Commentary by Christopher Tully MD, PGY-1

Faculty Peer Reviewed 

With the holiday shopping season rapidly rising to its peak and winter weather finally beginning to take hold, take a break from the cold, chaotic world outside and catch up on the news from around the medical world. 

One fall and wintertime tradition that many people would often rather avoid is their yearly flu shot.  While the vaccine itself is here to stay, for those who have complained in the past that…

Read more »