Primecuts – This Week In The Journals

June 30, 2014
Primecuts – This Week In The Journals

By Dana Zalkin

Peer Reviewed

Former Mayor Michael Bloomberg’s proposal to limit sales of sugary drinks over 16 ounces was rejected by New York’s highest court this week . Given that this was the final appeal, the soda ban is officially over. Although supporters hoped this would be a stepping-stone in the fight against obesity, opponents felt this proposal threatened consumer autonomy. While the soda ban had divided new Yorkers into several factions, one thing that most of us can support this week is…

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Board Exam Nightmare

June 27, 2014
Board Exam Nightmare

By Michael Tanner, MD

The American Board of Internal Medicine compels us internists to take a 6-hour multiple-choice Maintenance of Certification exam every 10 years. I, by an accident of birth year (being old), am one of the few doctors who have had to take “the Boards” three times—in 1994, 2004 & 2014. The exam tests our knowledge of 500 diseases that we haven’t seen in the 10 years since we last had to take the exam. It’s kind of like a college reunion: a…

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Primecuts – This Week In The Journals

June 25, 2014
Primecuts – This Week In The Journals

By Ian Henderson, MD

Peer Reviewed

This week we lost an outspoken, revolutionary leader in medicine , Dr. Arnold Relman. A former Editor in chief of the New England Journal and professor emeritus of medicine and social medicine at Harvard, Dr. Relman passed peacefully in his home in Cambridge, Mass. at the age of 91. Known for being a for being a pioneering researcher early in his career, Dr. Relman went on to become an out spoken editor of numerous medical journals and won the…

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Inhaled insulin: An Elusive Revolution in Diabetes Management.

June 19, 2014
Inhaled insulin: An Elusive Revolution in Diabetes Management.

By Reed Magleby, MD

Peer Reviewed

For many with type II diabetes, initiation of insulin therapy represents a devastating progression of their disease. Patients who are dependent on insulin require constant blood sugar monitoring, adherence to strict dosing algorithms, and up to 4 self-administered injections every day. According to a 2010 survey of non-insulin adherent diabetic patients, both “injection phobia” and inconvenience were found to be important barriers to initiation of insulin therapy. . In response to these concerns, less invasive administration techniques such as…

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Primecuts – This Week In The Journals

June 17, 2014
Primecuts – This Week In The Journals

By Christopher Maulion, MD

Peer Reviewed

The last week was certainly a treat for sports fans. Thursday marked the start of the World Cup, and the month where the United States begins to care about fútbol. Martin Kaymer set a US Open record by beating the field at Pinehurst No. 2 by 8 strokes. Last but not least, Lebron James and the Miami Heat’s attempt at a three-peat was thwarted by Timmy and the Spurs. As we watch these exciting events unfold, let us turn…

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Proton Pump Inhibitors: Acid Suppression with a Nutritional Cost

June 13, 2014
Proton Pump Inhibitors: Acid Suppression with a Nutritional Cost

By Dana Zalkin

Peer Reviewed

In the late 1970s evidence began to emerge that a newly discovered pump, a H+/K+ ATPase in the gastric mucosa, was the final step in the process of acid secretion . With this discovery, further research demonstrated the ability to reduce gastric acid secretion by inhibiting these proton pumps . We now have drugs that do just that: the proton pump inhibitors (PPIs). Proton pump inhibitors have been used since 1989 to treat acid-related gastrointestinal disorders as well as in…

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Medical Eponyms: Recognizing the Medical Greats

June 11, 2014
Medical Eponyms: Recognizing the Medical Greats

By David Kudlowitz, MD

Peer Reviewed

Whether assessing for a Babinski sign, listening to Korotkoff sounds, or diagnosing Wolf-Parkinson-White Syndrome, we are surrounded by names of the medical greats in day-to-day medical practice. Medical eponyms for diseases, physical exam signs, procedures, and anatomic parts are considered by many practitioners to be tributes to their physician discoverers. However, over the past several years there has been an increasing resistance to the excessive use of eponyms, especially those associated with Nazi physicians . A compilation of medical…

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Primecuts – This Week In The Journals

June 9, 2014
Primecuts – This Week In The Journals

By Mark Adelman, MD

Peer Reviewed

This week marked the anniversaries of several major events in 20th century world history. June 4th was the 25th anniversary of the Tiananmen Square Massacre, during which the Chinese military forcibly removed pro-democracy protestors that had been camped outside of Beijing’s Forbidden City. Estimates vary widely due to the Chinese government’s official prohibition on public discussion of the events, but anywhere from a few hundred to several thousand people were killed in the process . Seventy years ago on…

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