Much Ado about Comparative Effectiveness

July 22, 2009
Much Ado about Comparative Effectiveness

Minal Kale MD
Nirav R. Shah MD, MPH

In the last few months, academic research communities have been all aflutter with the unprecedented sums of money that are up for grabs, as supported by the American Recovery and Reinvestment Act of 2009. The federal stimulus package promises $10.4 billion administered through the National Institutes of Health (NIH), 80% of which is devoted specifically to scientific research. The frenzy in applying for these monies belies the high level of organization that will go into submitting funding …

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PrimeCuts: This Week in the Journals

July 20, 2009
PrimeCuts: This Week in the Journals

Farshid Yazdi MD

Faculty Peer Reviewed

In America, we are quickly coming upon a moment in history that will likely affect us for decades to come. A recent article in the New York Times describes the upcoming health care bill as one that will transform our health care system. President Obama has vowed to have these bills passed before the summer sessions end, but some in Congress are apprehensive about releasing such a major bill so quickly. With 45 million Americans lacking health care coverage, …

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Mystery Quiz

July 18, 2009
Mystery Quiz

Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors

The patient is a 74 year old man complaining of hemoptysis for four days. The patient has a history of hypertension, but had not been followed medically for many years until two weeks earlier when he presented with leg swelling, breathlessness, and atrial flutter. He was admitted, diuresed, begun on antihypertensive medications including hydralazine, aspirin, and anti-coagulated with enoxaparin and warfarin. After discharge, the patient felt well for a few days before the onset …

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Myths and Realities: Colon Cleansing: Healthful or just a load of @$%!

July 16, 2009
Myths and Realities: Colon Cleansing: Healthful or just a load of @$%!

Chau Che MD

Faculty Peer Reviewed

You’ll have increased energy, radiant skin,¬†reduced joint pain, improved asthma symptoms, and best of all…you will lose weight. These are some of the purported benefits of removing “toxins” (otherwise known as undigested material) from the colon through cleansing. As with fashion, music, and art, what’s old has a way of becoming trendy again…especially when celebrities such as Beyonce talk about it on the Oprah Winfrey show. Colon cleansing has become popular but it is far from a new …

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A Primer on H1N1

July 15, 2009
A Primer on H1N1

Liana Barkan MD

Faculty Peer Reviewed 

So much mystery and confusion, and yet so few answers, surround the current H1N1 Pandemic. From where did it come? How did it evolve to have genes from avian, human, and swine flu viruses? How does a virus that normally requires direct contact with the source animal develop the ability to sustain human-to-human transmission? What determines its mechanism of pathogenicity? Before we can attempt to answer these questions we need to review the basic pathophysiology of the influenza virus …

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PrimeCuts: This Week in the Journals

July 13, 2009
PrimeCuts: This Week in the Journals

Ami Jhaveri MD

Faculty Peer Reviewed

A low calorie diet, high adiponectin levels, new anti-cancer agents, and for patients on erythropoietin, hemoglobin levels between 9-12 g/dL are on the prescription pad this summer.

The New York Times reported that a low calorie diet may extend life in primates. Researchers at the University of Wisconsin have been studying rhesus monkeys and the effects of low calorie diets on their health and mortality. As the average lifespan of rhesus monkeys is 27 years, the study started over …

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Meeting Perspectives: The 2009 American Thoracic Society (ATS) International Conference

July 8, 2009
Meeting Perspectives: The 2009 American Thoracic Society (ATS) International Conference

Commentary by Kristy Bauer MD and Nishay Chitkara MD, NYU Division of Pulmonary and Critical Care Medicine

The 2009 meeting of the American Thoracic Society took place in sunny San Diego, California from May 15-20. The ATS meeting is the largest gathering of pulmonologists, thoracic surgeons, nurses, respiratory therapists and other healthcare professionals, and features over 5300 original research studies and scientific presentations. San Diego has long been a frequent host to the ATS meeting, with its ideal location. The large convention center in downtown …

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PrimeCuts: This Week in the Journals

July 6, 2009
PrimeCuts: This Week in the Journals

Ishmeal Bradley MD

Faculty Peer Reviewed

Let’s face it, the American population is getting older. With the graying of our populace (life expectancy 80 years for females, 74 for males), there has come an increased need for better quality of care and more cost-effective preventive care. The current healthcare fiscal crisis only highlights the need to more carefully spend our healthcare dollars. This week, the journals spent considerable space discussing the particular needs of the elderly and the preventive treatments that target them.

Take osteoporosis, …

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