The Skinny on Hoodia

May 16, 2008
The Skinny on Hoodia

Commentary by Melissa Freeman, PGY-2 

As summertime is just around the corner, many begin to evaluate whether their bodies are ready to expose what has been hidden under those bulky winter clothes. Between busy lives and an innate desire for quick results, people sometimes turn to over-the-counter diet pills for a slimmer physique. With recently banned products like Ephedra, consumers are looking for newer, more promising weight loss products. During a recent clinic visit, a patient asked me about my thoughts on diet pills…

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Approach to a Patient with ‘Treatment Refractory’ Depression in The Medical Setting: Part 1

May 15, 2008
Approach to a Patient with ‘Treatment Refractory’ Depression in The Medical Setting: Part 1

Commentary by Brian Bronson, MD, Chief of Psychosomatic Medicine, VA New York Harbor, New York Campus 

Summary: Symptoms of depression in the medical setting may not respond to usual pharmacologic antidepressant treatment for a number of reasons. These may include an incorrect psychiatric diagnosis; failure to consider underlying medical causes of the symptoms; or insufficient antidepressant medication trial due to poor patient adherence, insufficient dose or length of trial. There is no consensus as to the definition of ‘treatment refractory’ depression. However, when…

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Meeting Perspectives: American College of Cardiology, Part 2

May 14, 2008
Meeting Perspectives: American College of Cardiology, Part 2

Commentary by Rob Donnino MD, NYU Division of Cardiology

The annual meeting of the ACC was held last month in Chicago. A good number of NYU faculty and fellows either presented at or attended the meetings. The cardiology fellows exhibited an impressive balance between exploring the Chicago nightlife and diligent attendance at the meetings. Several of the cardiology fellows presented some of the highlights of the ACC meeting at a recent journal club conference for the Cardiology Division. They are being summarized in a…

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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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Its okay to smoke…we’ll screen you

May 9, 2008
Its okay to smoke…we’ll screen you

Commentary by Shrujal Baxi MD, NYU Chief Resident

One of the first things you learn about critically analyzing a medical journal piece is to go to the end and see who sponsored the study. Corporate financing is known to have subtle effects on research which can lead to an unconscious bias. Disclosure of funding is paramount for a researcher in order to remain above reproach.

In a recent New York Times article, the impact of such relationships is investigated. In 2006, Dr.…

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Meeting Perspectives: American College of Cardiology, Part 1

May 8, 2008
Meeting Perspectives: American College of Cardiology, Part 1

Commentary by Rob Donnino MD, NYU Division of Cardiology

The annual meeting of the ACC was held last month in Chicago. A good number of NYU faculty and fellows either presented at or attended the meetings. The cardiology fellows exhibited an impressive balance between exploring the Chicago nightlife and diligent attendance at the meetings. Several of the cardiology fellows presented some of the highlights of the ACC meeting at a recent journal club conference for the Cardiology Division. They will be summarized in…

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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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Class Act: The Polypill Panacea

May 1, 2008
Class Act: The Polypill Panacea

Commentary by David Hatcher, MSIII (reviewed by Neil Shapiro, MD Editor-In-Chief, Clinical Correlations)

C.M. is a 68 year-old retired Caucasian male with a past medical history significant for coronary artery disease, hyperlipidemia, HTN, and a 30 pack year history of smoking. His drug regimen consists of a beta-blocker, an ace inhibitor, a statin, and aspirin.

Patients like C.M. are now more common than ever before. He has already had one heart attack, and he has multiple risk factors for…

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