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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Neutropenic Precautions Demystified

June 13, 2008
Neutropenic Precautions Demystified

Commentary by Rachana Jani MD, PGY-1 and Neal Steigbigel MD, Professor of Medicine (Infectious Diseases/Immunology)

Rachana Jani MD:  Walking onto an oncology floor, one cannot help but notice the precautionary signs that segregate these patients from the rest of the hospital. “No fresh fruits or flowers.” “Neutropenic isolation, please see nurse before entering.” The idea of neutropenic precautions first emerged in the 1960s when myelosuppressive therapy came to the forefront of cancer treatment. It only made sense that patients with an impaired immune…

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Should H. pylori Eradication Be Confirmed?

June 12, 2008
Should H. pylori Eradication Be Confirmed?

Commentary by Fritz Francois, MD, MS, NYU Division of Gastroenterology

Humans are essentially the only reservoir for Helicobacter pylori, which is estimated to colonize the stomach of about half the world’s population (1). Although the bacteria generally do not invade the mucosa, attachment to the epithelium leads to an inflammatory reaction with neutrophils, lymphocytes, plasma cells, and macrophages. Over time, the persistent inflammation leads to changes in the gastric mucosa that may predispose to the development of dysplasia(2).

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Some say tomato, some say nationwide outbreak of Samonellosis

June 10, 2008
Some say tomato, some say nationwide outbreak of Samonellosis

Commentary by Chirayu Gor, MD

The CDC has issued an alert regarding the outbreak of a rare type of Salmonella, termed Salmonella Saintpaul. Since mid-April, over 140 persons have been identified in 16 states with this uncommon serotype of Salmonella. Preliminary investigation has implicated tomatoes.

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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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HotSpots: Wave-maven, Clinical Trial Results and Gold Miner

June 6, 2008
HotSpots: Wave-maven, Clinical Trial Results and Gold Miner

Welcome to HotSpots. In this series, we highlight unique websites of interest to the medical profession. Feel free to make suggestions for sites that should be featured in this series by clicking the comment field or sending us an email.

Commentary by Rachana Jani MD, PGY-1

 

Wave-maven

http://ecg.bidmc.harvard.edu/maven/mavenmain.asp

Every physician needs to be proficient in ECGs – and Dubin can only get you so far. Wave-maven is a great site for hundreds of ECG clinical cases designed to go beyond the…

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Grand Rounds: “Nephrogenic systemic fibrosis”

June 5, 2008
Grand Rounds: “Nephrogenic systemic fibrosis”

Commentary by Jatin Roper MD, PGY-3

Medical Grand Rounds today was presented last week by Dr. Shawn Cowper, Assistant Professor of Dermatology and Pathology at Yale University School of Medicine. Grand Rounds began with the presentation of a case from Tisch Hospital:

A 46 year old female with a history of end-stage renal disease secondary to diffuse-proliferative glomerulonephritis on hemodialysis, systemic lupus erythematosis, antiphospholipid antibody syndrome, and IVC thrombosis presents to a dermatology consultant for progressive hardness, tightness, and tenderness…

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Pharmaceutical industry marketing to physicians: what’s the big deal?

June 4, 2008
Pharmaceutical industry marketing to physicians: what’s the big deal?

Commentary by Jatin Roper, MD, PGY3, NYU Internal Medicine and Nitin Roper, MSIII, University of Connecticut School of Medicine

Pharmaceutical companies play a vital role in improving the public health through drug discovery. These for-profit entities are in the business of selling their products to physicians and patients. If you’re a physician, the images of drug marketing are ubiquitous: the attractive, vivacious sales representative who always seems happy to see you; the sea of purple tote bags at the last national gastroenterology meeting…

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