Primecuts – This Week In The Journals

May 31, 2016
Primecuts – This Week In The Journals

By Jung-Eun Ha, MD

Peer Reviewed

These past few weeks have seen some very interesting news items. The first genitourinary reconstructive (penile) transplant in the US was performed by surgeons at Massachusetts General Hospital earlier this month. The patient lost his organ to penile cancer in 2012 and has thus far had an uneventful post-operative course, including the resumption of normal urination. This surgery follows two earlier penile transplants performed abroad. The first transplant was in China in 2005, but the transplant had to be …

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Wearable Health Trackers: Better behaviors, or Fashion fads?

May 25, 2016
Wearable Health Trackers: Better behaviors, or Fashion fads?

By David Valentine, MD

Peer Reviewed

Currently, well over one third of US adults use at least one health-related online service or app, with almost half of those focused on physical activity 1. With the growing popularity of wearable health tracking devices such as the Fitbit, Nike Fuel, Jawbone and more, the prevalence of these technologies is only set to grow. However, while more and more people know more and more about their health and habits by the day, little is known about perhaps the …

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Primecuts – This Week In The Journals

May 23, 2016
Primecuts – This Week In The Journals

By Priya Patel, MD

Peer Reviewed

This last week, ISIS had a number of terrorist attacks, confirming a shift from traditional battlefield tactics back to targeted attacks seen prior to 2014. They confirmed their role in the bombings at a gas plant in Baghdad which killed 10 and injured 24 . Just days prior to this, 66 were killed in a bombing in a Baghdad food market and 87 others were injured .

In the U.S., even more attention has been turned towards likely Republican …

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Can N-Acetylcysteine be Used in Non-Acetaminophen Induced Acute Liver Failure?

May 20, 2016
Can N-Acetylcysteine be Used in Non-Acetaminophen Induced Acute Liver Failure?

By David Pineles, MD

Peer Reviewed

In the early 1970’s, scientists discovered in animal models that a minor metabolite of acetaminophen, N-acetyl-p-benzoquinone imine (NAPQI), accumulates in the body after ingestion. This metabolite is normally conjugated by glutathione, but when acetaminophen is taken in excess, the body’s glutathione reserves are inadequate to inactivate all of the toxic NAPQI. This metabolite is then free to cause direct damage to hepatocytes. If present in high enough concentrations, the liver damage can be so extensive that it results in …

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Primecuts – This Week In The Journals

May 11, 2016
Primecuts – This Week In The Journals

By Tania Ruiz-Maya, MD

Peer Reviewed

This past week there was great news for all animal advocates and conservationists when the world’s largest chimpanzee research facility, Louisiana’s New Iberia Research Center (NIRC), announced that it will release all 220 of its chimps to a sanctuary in what it is calling the largest resettlement of chimpanzees from a U.S. research center . The transfer to Project Chimps, a 95-hectare sanctuary in the mountains of northern Georgia, will be completed in the next 3 to 5 years. …

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From The Archives: Is a VBG just as good as an ABG?

May 6, 2016
From The Archives: Is a VBG just as good as an ABG?

Please enjoy this post from the archives, dated July 13, 2012

By Sunnie Kim, MD

Faculty Peer Reviewed

A rapid response is called overhead. As white-coated residents rush to the patient’s bedside, the medical consult starts to shout out orders to organize the chaos. “What’s the one-liner?” “Whose patient is this?” And of course, “Who’s drawing the labs?” Usually, at this point, the intern proceeds to collect the butterfly needle, assorted colored tubes, and the arterial blood gas (ABG) syringe. If lucky, there’s a strong …

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By Any Other Name

May 4, 2016
By Any Other Name

By Kathy May Tran

Peer Reviewed

Six weeks ago, Mr. S had fever, chills, cough, and rhinorrhea, which ultimately self-resolved. Two weeks later, he noticed right-sided neck pain that radiated towards his ear. When the pain progressively worsened, he presented to the emergency department. On physical exam, Mr. S was febrile to 100.5°F, tachycardic, diaphoretic, and in obvious pain. His right neck was swollen, erythematous, and tender to palpation. Laboratory results were significant for a white blood cell (WBC) count of 19.5 x 103/uL with …

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Primecuts – This Week In The Journals

May 2, 2016
Primecuts – This Week In The Journals

By Nydia Ekasumara, MD

Peer Reviewed

Fighting resumes in Syria as an air strike hit the Al Quds hospital in the divided city of Aleppo, killing 27 people including children and staff members. This is just one in a disconcerting chain of attacks by government forces against health services in Syria, as two hospitals in Maarat al-Noaman were hit earlier this year . Meanwhile, in the United States, the Defense Department announced “administrative” punishment, but no criminal charges, for the 16 American military personnel involved …

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