PrimeCuts

ShortCuts-This Week in the Journals

July 7, 2008
ShortCuts-This Week in the Journals

Commentary by Judith Brenner MD, Associate Program Director, NYU Internal Medicine Residency Program

Happy July 4th!  As we celebrate our nation’s 232nd birthday, I sit here wondering what “shortcuts” might have looked like in 1776.  Smallpox inoculation might have made the cut.  Apparently people like Thomas Jefferson inoculated themselves and their families against this dreaded disease via inhalation.  It wasn’t until 20 years later, in 1796, that Dr. Edward Jenner discovered that he could protect people from smallpox by vaccinating them using cowpox. …

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ShortCuts-This Week in the Journals

June 30, 2008
ShortCuts-This Week in the Journals

Commentary by Danise Schiliro- Chuang MD

Welcome to the wide world of shortcuts. While I hope this post comes to you from your laptop while you’re relaxing on the beach with a cool drink, I realize this is likely not the case. Hopefully, reading this post will be refreshing enough.

Also before we start, a warm welcome to the new intern class! We hope that you’re settling in to life as an MD with ease and that you will enjoy shortcuts for…

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ShortCuts-This Week in the Journals

June 23, 2008
ShortCuts-This Week in the Journals

Commentary by Michael Poles MD, Associate Editor, Clinical Correlations 

Hey Blogophiles,

In case you were blogopenic, awaiting the latest installment of shortcuts, here we go.

It is still early morning as I write this. Many folk the world over are sitting down to their 1st or 2nd or perhaps 3rd cup of coffee. Caffeiniacs rejoice because an article in the latest issue of the Annals of Internal Medicine suggests that you may be headed for a longer life. The authors sought to…

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ShortCuts-This Week in the Journals

June 16, 2008
ShortCuts-This Week in the Journals

Commentary by Joshua Remick MD, NYU Senior Chief Resident

We’ll start this week off with some good news—we’re living longer and dying less! At least we were back in 2006. You remember 2006 don’t you? That was the year that Dick Cheney shot his buddy, Pluto was demoted, Brokeback Mountain created the stir but Crash won the Oscar, Roger Clemens unretired for the 3rd time (more on this in a bit) and Taylor Hicks was your American Idol. This week the CDC released…

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ShortCuts-This Week in the Journals

June 9, 2008
ShortCuts-This Week in the Journals

Commentary by Neil Shapiro MD, Editor-in-Chief, Clinical Correlations

Spiking oil prices, unemployment at 5.5%, Israel considering bombing Iran, 95 degree heat in early June, the White House exaggerating the case to go to war…the news was just tremendously uplifting this week. At least the democrats seem to be getting their act together. Sorry to start ShortCuts on a downer, but I thought maybe what follows could be seen as a reprieve from the news, where you can spend a moment not cursing the…

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ShortCuts-This Week in the Journals

June 2, 2008
ShortCuts-This Week in the Journals

Commentary by Henry Tran, MD

Opiate-induced constipation is frequently encountered by hospitalized patients. As Ben Franklin said, “An ounce of prevention is worth a pound of cure,” therefore an aggressive bowel regiment of stool softeners and laxatives will often prevent this problem from becoming a serious one. Not shockingly conventional bowel regiments sometimes don’t work and clinicians must resort to other treatments. Oral naloxone (Narcan) in escalating doses has been shown to be a successful treatment for opiate-induced constipation and even for post-op…

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ShortCuts-This Week in the Journals

May 28, 2008
ShortCuts-This Week in the Journals

Commentary by Josh Olstein MD, NYU Chief Resident 

This week’s edition of shortcuts begins with an article from the NEJM looking at the role of cardiac troponin in patients with acute decompensated heart failure. Many of us have “cycled the trops” countless times to evaluate patients with chest pain. However the utility of troponin measurement in patients with CHF is less clear. In this study the authors examined short-term outcomes of patients admitted with CHF exacerbations that had troponin data available on…

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ShortCuts-This Week in the Journals

May 19, 2008
ShortCuts-This Week in the Journals

Commentary by Michael Tanner, M.D., Section Editor, Clinical Correlations

In the May 15th issue of the Morbidity and Mortality Weekly Report,  the CDC recommends vaccinating all people 60 and older against shingles with one dose of zoster vaccine.  Let’s all get straight with the nomenclature here.  Varicella is chickenpox, zoster is shingles, and varicella zoster is the DNA herpesvirus that causes both of them.  Ninety-eight percent of adult Americans have varicella zoster virus latently lurking in their sensory dorsal root ganglia neurons.  The…

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ShortCuts-This Week in the Journals

May 12, 2008
ShortCuts-This Week in the Journals

Commentary by Cara Litvin MD, Executive Editor, Clinical Correlations

Making headlines this week was a study published in JAMA analyzing prospective data from over 100,000 female participants in the Nurses’ Health Study for 22 years of follow-up. 64% of deaths among current smokers and 28% of deaths among former smokers were attributable to cigarette smoking. However, an encouraging 13% reduction in all cause mortality was seen within the first 5 years of quitting smoking, and after 20 years, the excess risk decreased to…

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ShortCuts-This Week in the Journals

May 6, 2008
ShortCuts-This Week in the Journals

Commentary by Sean Cavanaugh MD, Associate Editor, Clinical Correlations

More strong evidence is popping up in the journals indicating that genes might actually be important in determining disease. Who knew? Now that we are well into the dawning age of genetically determined diagnosis and therapy, this week features a few interesting articles on recently discovered genetic associations with particular disease. Other than that – it’s all about global hypertension…

The Lancet features a type of research increasingly seen in the major journals:…

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ShortCuts-This Week in the Journals

April 28, 2008
ShortCuts-This Week in the Journals

Commentary by Judith Brenner MD, Associate Program Director, NYU Internal Medicine Residency Program

This week’s ShortCuts begins with a follow up of a story first presented in March, 2008, when the recall of potentially contaminated heparin was reported.

Typical case: 73 year old woman with a complex medical history including end-stage renal disease treated with the use of hemodialysis for 7 years routinely receives heparin intravenously during hemodialysis. In January 2008, during a dialysis session, she develops hypotension with associated nausea and…

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ShortCuts-This Week in the Journals

April 21, 2008
ShortCuts-This Week in the Journals

Commentary by Danise Schiliro-Chuang, NYU Chief Resident

Welcome to this week’s edition of ShortCuts. Hope that everyone has enjoyed the nice spring weekend weather.

Let’s begin with some news in the world of medical informatics. In an article published in the April 17 edition of NEJM and that grabbed the attention of the New York Times, authors Mandl and Kohane discuss the pros and cons of personally controlled health records (PCHRs). Two large corporations, Microsoft and Google, have begun to offer patients…

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