Meeting Perspectives-ASCO 2007

June 26, 2007
Meeting Perspectives-ASCO 2007

Commentary By: Theresa Ryan, M.D. Assistant Professor, Division of Oncology

During the first five days in June, the American Society of Clinical Oncology met in Chicago for their 43rd annual meeting. The theme of this meeting was “Translating Research into Practice,” emphasizing the society’s goal of enhancing patient care by creating a forum wherein the latest advances in translational and clinical cancer research are presented in the context of our current understanding of cancer biology. Many abstracts presented will lay the groundwork for…

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ShortCuts-This Week in The Journals

June 25, 2007
ShortCuts-This Week in The Journals

Commentary By: Sean Cavanaugh MD, Associate Editor Clinical Correlations

Not much in the way of surprise, a lot of the articles in the press this past week focused on cardiovascular health.

In the Lancet, the results of the VALIDD trial (the acronyms are getting a bit ridiculous eh?) were published. Although it seems that valsartan was not more effective than other agents at improving diastolic dysfunction, it seems that lowering the blood pressure aggressively (using any agents) DID effectively improve diastolic functioning.…

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Can You Give A Cephalosporin to a Patient Who is Allergic to Penicillin?

June 21, 2007
Can You Give A Cephalosporin to a Patient Who is Allergic to Penicillin?

-Commentary by Susan Morey, PharmD. Pharmacy Practice Resident

A true allergy to penicillin is known to occur in less than 10% of patients exposed to penicillin. 1, 2 The cross-reactivity to cephalosporins has been reported to be approximately 8% to 18% in patients with a documented penicillin allergy. True allergic, type I reactions are IgE mediated, with a spectrum of presentation ranging from urticaria to severe anaphylactic shock.1, 2

The beta-lactam ring has been implicated as the structure responsible for cross-reactivity…

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Meeting Perspectives: Digestive Disease Week (DDW) 2007

June 20, 2007
Meeting Perspectives: Digestive Disease Week (DDW) 2007

Commentary by Milini Sahu, MD Fellow, Division of Gastrotenterology, Gina Sam-DeRiggs, Fellow, Division of Gastroenterology, and Michael Poles MD,  Assistant Professor, NYU Division of Gastroenterology and Associate Editor, Clinical Correlations

Close to 17,000 gastroenterologists attended Digestive Disease Week (DDW) from May 19-24 in Washington DC. While I stayed behind (someone has to help with emergency endoscopies), the majority of NYU’s gastroenterology fellows and attendings were there for a week of learning, presenting, and making NYU proud.  Two of our fellows, Malini…

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ShortCuts-This Week in The Journals

June 18, 2007
ShortCuts-This Week in The Journals

A study reported in this week’s issue of JAMA attempts to correlate preoperative hematocrit levels with postoperative outcomes in elderly veterans undergoing noncardiac surgery. Both 30-day postoperative mortality and cardiac event rates increased in patients with hematocrits either higher or lower than the normal range (39 to 53.9%). A 1.6% increase in mortality was associated with every percentage point positively or negatively deviating from the normal range. Although compelling, this study does not establish a causal relationship between hematocrit and postoperative complications, and…

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Clinical Pathology Conference 6/8/07-The Answer

June 15, 2007

Please review the posting of last week’s  CPC Case here.

When you’re ready you can download the CPC Answer here.

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$50,000: The price of a car or the price of life?

June 14, 2007
$50,000: The price of a car or the price of life?

Commentary by Vlad Fridman MD, PGY-2

$50,000. This is the price of a new (and cheap) model BMW, and also a price the US government is willing to spend to prolong your medically trained (or everyone else’s for that matter) life by one year. Before describing why $50,000 was chosen it’s necessary to describe what this number stands for.

For years, health economists have been struggling to determine a way to ration health care. Since resources are limited, who is…

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Hyperparathyroidism in Chronic Kidney Disease

June 13, 2007
Hyperparathyroidism in Chronic Kidney Disease

Commentary by Sarah Berry MD, PGY-3 and Joseph Weisstuch, MD Clinical Assistant Professor of Medicine, Divsion of Nephrology

Case: Mr. K is a 59 year old gentleman with a past medical history of hypertension, non-insulin dependent diabetes mellitus, dyslipidemia and worsening chronic kidney disease (CKD) over the last six years, despite compliance with his medications and optimized glucose and blood pressure control. His current medication regimen includes metoprolol, hydrochlorothiazide, aspirin, simvastatin, glyburide, and monopril. Mr. K’s most recent lab work indicates that his…

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