Primecuts-This Week in the Journals

January 18, 2010
Primecuts-This Week in the Journals

Megha Shah, MD

Facutly Peer Reviewed

As you sit down to read this week’s Primecuts, just take a few moments to think about those affected by the tradegy in Haiti. The devastating earthquake that shook the small nation early last week not only affected the nine million inhabitants that call it home but people all over the world, including, as we do live in a global city, our colleagues, neighbors, and patients. As members of the medical community, it is, of course, our inclination to …

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The Ethics of Electronic Health Records

January 15, 2010
The Ethics of Electronic Health Records

John J. Mercuri

Faculty peer reviewed

Introduction
The 111th Congress allocated $19 billion of the American Recovery and Reinvestment Act of 2009 toward the creation of an electronic health record (EHR) for each person in the United States by 2014.(1) The recent debate over EHRs has focused largely on the economic, logistical, and political consequences of implementing such a system; however, the country should also contemplate the ethical ramifications of EHRs. Addressing these concerns requires the application of ethical principles such as autonomy, justice, beneficence/non-maleficence, …

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How Do You Advise the Balding Patient?

January 13, 2010
How Do You Advise the Balding Patient?

Sagar Mungekar

Faculty Peer Reviewed

The incidence of male pattern hair loss can reach almost 100% in some ethnic groups.1, 2 While treatment of the condition is usually deferred to dermatologists, it is often the primary care physician (PCP) who is first approached for advice. Several medical and surgical treatments exist for male pattern hair loss. Herbal supplements and products on infomercials make cursory non-FDA-approved claims of hair growth. Minoxidil, once developed for hypertension, is available over the counter as a scalp treatment. Finasteride and …

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PrimeCuts: This Week in the Journals

January 11, 2010
PrimeCuts: This Week in the Journals

Kathir Palanisamy MD

Faculty peer reviewed

With the recent Christmas day terrorist attack fresh in our memories, the New York Times published an article about some of the health risks of the proposed whole body airport scanners. The two major technologies used in these whole body scanners are backscatter and millimeter wave. Backscatter scanners use ionizing radiation, about 1% of the amount used in dental x-rays. To put this into perspective according to Robert Barish’s book, “The Invisible Passenger,” the dose delivered would be the …

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Tales of Survival: The Rock’s Wife

January 8, 2010
Tales of Survival: The Rock’s Wife

John Trahanas

She was not my patient. Actually, she was nobody’s patient, she was just a wife; she was “the family.” She was a rough, stern looking woman, and with good reason as she had weathered many difficult times. Her husband had been severely demented for many years; however, it was only in the past few months that he required such intensive inpatient care. He was not conscious or communicative, but he was clearly in pain from the gaping, gangrenous sacral ulcer that his prolonged …

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Some gleanings from the meeting of the Infectious Diseases Society of America (IDSA) in Philadelphia, October 29-November 1. 2009

January 6, 2010
Some gleanings from the meeting of the Infectious Diseases Society of America (IDSA) in Philadelphia, October 29-November 1. 2009

Neal H. Steigbigel, M.D.

The recent IDSA meeting reviewed many important and interesting findings.  Topics spanned a wide array of subjects, many of which are of importance and interest to all physicians.  These subjects included:

HIV/AID- increasing support for starting HAART earlier Influenza-details regarding pathogenesis, epidemiology, clinical presentation and treatment for the H1N1 2009 Influenza pandemic infections Updates regarding  pyogenic bacterial meningitis and Group A streptococcus necrotizing fasciitis Management information regarding the all too common hospital-associated multiple drug resistant gram-negative bacillary infections (especially, P. aeruginosa…

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PrimeCuts: This Week in the Journals

January 4, 2010
PrimeCuts: This Week in the Journals

Ramin Hastings MD

Faculty peer reviewed

While the journals and media continue to focus on the H1N1 virus, an article published in The Journal of the American Medical Association (JAMA) sparked a good deal of controversy. In fact, the New York Times referenced the study in an article entitled, “F.D.A to Seek New Standards on Human Tests (1).” Dhruva et al set out to study the premarket approval process for medical devices and the quality of the evidence used during that process (2). They performed …

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Happy New Year and Happy Birthday to Us

January 1, 2010
Happy New Year and Happy Birthday to Us

As we here at Clinical Correlations celebrate the New Year and mark our 3rd anniversary we realize that we have so much to be thankful for.  2009 has been a very productive year for our website.  Our readership has grown over 65% since last year reaching over 200,000 hits this year.  Readers visited us from over 200 countries including a reader from Greenland, the last major holdout.  We were awarded the 2009 Gold eHealthcare Leadership Award our second major award.  Last week Judith Brenner, our …

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