Primecuts – This Week in the Journals

March 28, 2017
Primecuts – This Week in the Journals

By Stephanie Charles, MD 

Peer Reviewed

This week marked an important point in our national health care debate. The American Health Care Act put forth by the Republican party failed to pass by Congress, allowing for the continuation of the Affordable Care Act, at least for now. Read below to learn of the important work published by the medical community this week. 

Trial of Pregabalin for Acute and Chronic Sciatica

Pregabalin (Lyrica, Pfizer) is an antiepileptic medication that has been shown to reduce symptoms of …

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Does Loneliness Contribute to Morbidity and Mortality?

March 24, 2017
Does Loneliness Contribute to Morbidity and Mortality?

By Katherine Otto

Peer Reviewed

What medications do you currently take? Do you have any allergies? What medical conditions did your parents live with, or die from?

As physicians in training, we are conditioned to drill every patient with a standard list of questions whose answers could literally save a life. We investigate for drug toxicities, medication interactions, daily exposures, and family histories that shed light onto present illness.

Within our standard interview we also check off mandatory boxes to describe a patient’s “Social History”—Do …

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Gamechanger? Should Steroids be Added to Treat Community Acquired Pneumonia?

March 23, 2017
Gamechanger?  Should Steroids be Added to Treat Community Acquired Pneumonia?

By Martin Fried, MD

Peer Reviewed

Welcome to Gamechangers, a series that takes a critical look at the latest in medical literature to answer one important question: would the results of this article change my practice? Featuring thorough evidence-based review as well as expert commentary, our aim is for this series to help you decide if the results of a given study are, in fact, a gamechanger. 

Why does this matter?

Community-acquired pneumonia (CAP) is a common and potentially serious infection that can lead to …

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Primecuts – This Week in the Journals

March 20, 2017
Primecuts – This Week in the Journals

By Katharine Lawrence, MD

Peer Reviewed

Last week, the Accreditation Council for Graduate Medical Education (ACGME) announced that the cap on residents’ duty hours would be adjusted to include 28 hour shifts for first-year residents. This is a shift from the 2011 ‘duty hours’ requirements, which limited maximum shift duration for interns to 16 hours.

In a statement on the Common Program Requirements, the ACGME announced “that the hypothesized benefits associated with the have not been realized, and the disruption of team-based care …

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Primecuts – This Week in the Journals

March 15, 2017
Primecuts – This Week in the Journals

By Irina Dimitrova , MD

Peer Reviewed

This week in the news, House Republicans at long last unveiled the American Health Care Act, their replacement plan for the ACA. Meanwhile the Justice Department decided to clean house by asking for the immediate resignation of all Obama-appointed district attorneys, with swift consequences for those who did not comply. President Trump debuted version 2.0 of his executive order regarding immigration and refugee status from 6 Muslim majority nations. South Korea, four years after electing its first female …

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Primecuts – This Week In The Journals

March 6, 2017
Primecuts – This Week In The Journals

By Jack Dougherty, MD

Peer Reviewed

This week in the news, Breitbart reported on a female to male transgender teenager who won the Texas girls state wrestling championship.1 According to local regulations for school sports, 17 year old Mack Beggs was only permitted to compete against other athletes that had the same gender on their birth certificates: female. But he is taking testosterone supplements and identifies as male. A lawyer hired to oppose Mack’s participation commented, “The more I learn about this, the more I …

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Primecuts – This Week in the Journals

March 1, 2017
Primecuts – This Week in the Journals

By Bradley Lankowsky, MD

Peer Reviewed

NASA scientists announced the discovery of a solar system of 7 Earth-sized planets surrounding a nearby dwarf star about 40 light years away. Their findings published in Nature report that 3 of the planets are located within the habitable zone, the area around a star where liquid water may exist. However, NASA scientists believe all 7 may contain liquid water. The planetary system, named TRAPPIST-1 after the telescope used to discover it, raises the question of whether …

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Primecuts – This Week in the Journals

February 22, 2017
Primecuts – This Week in the Journals

By Matthew Gross, MD

Peer Reviewed

Risk of Acute Kidney Injury After Intravenous Contrast Media Administration

This single center retrospective cohort analysis intended to assess the risk of contrast- induced nephropathy (CIN) in patients receiving CT scans with IV contrast in the emergency department. The authors responsible for the study recognized that the majority of studies evaluating contrast- induced nephropathy were conducted in patients undergoing arterial angiography and were done before low- and iso-osmolar contrast were available. This study identified a large number of patients …

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