Healthcare (Or Lack Thereof) in Communist Albania

March 9, 2018
Healthcare (Or Lack Thereof) in Communist Albania

By Mariela Mitre

Peer Reviewed

I was born in the late 1980s, a relatively fortunate time in Albanian history, considering that Enver Hoxha (1908-1985), the most xenophobic communist dictator of the Eastern European bloc, had recently died and the country was on the verge of transformative demonstrations. My parents, on the other hand, were born in the 1950s during the first decade of the establishment of the Communist regime. Over the four decades of the dictator’s rule, he became increasingly paranoid, managed to break ties …

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Primecuts -This Week in the Journals

March 6, 2018
Primecuts -This Week in the Journals

By Katharine Lawrence, MD

Peer Reviewed

On February 14th, 2018, Nikolas Cruz, a nineteen-year-old ex-high school student at Marjory Stoneman Douglas High School in Parkland, Florida, opened fire on his classmates and teachers, killing 17 and wounding many others. It was the deadliest school shooting in United States’ since the Sandy Hook tragedy in 2012; it was also the 6th school shooting incident of 2018, and the 17th incident of gunfire in schools. Cruz used an AR-15-style assault rifle, legally purchased from a gun shop …

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Facing the Culture of Silence in Medicine

March 2, 2018
Facing the Culture of Silence in Medicine

By Ofole Mgbako, MD

We are at a crossroads. The recent movement of courageous Americans, mostly women, sharing their stories and facing down their abusers, has forced the reexamination of a culture of silence that drives rape, sexual assault, and sexual harassment into the shadows.  For too long, this violence has continued unchecked due to hierarchies of power that exist within nearly every sector of our society – from Hollywood to the restaurant industry, from tech to business, from our university system to the military. …

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Core IM: 5 Pearls on Albuminuria

February 28, 2018

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

By Cary Blum MD, Marty Fried MD and Shreya P. Trivedi MD; Illustration by Mike Natter MD. Quiz yourself on the 5 Pearls we will be covering:

  1. How good is a urine dipstick, urinalysis and UACR in detecting albuminuria? (1:42)
  2. What are some conditions that lead to transient proteinuria? What is the appropriate interval to recheck and how should be it be repeated? (5:14)
  3. Who should be screened for albuminuria and can it prognosticate risk for cardiovascular mortality? (7:47)
  4.  Does increasing RAAS inhibition improve renal outcomes? (10:57)
  5.  Throwback Question: How do you prescribe oral iron and what tips do you tell your patients? (13:11)

Subscribe to CORE IM on any podcast app! Follow us on Facebook @Core IM || Twitter @COREIMpodcast || Instagram @core.im.podcast. Please give any feedback at COREIMpodcast@gmail.com.

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Is There Really a Link between Asthma and Reflux?

February 27, 2018
Is There Really a Link between Asthma and Reflux?

By Scott Statman, MD

Peer Reviewed

There is little doubt that an association between asthma and gastroesophageal reflux disease (GERD) exists. However clinicians have debated the nature of this relationship for decades. Asthma and GERD are among the most common disorders encountered by physicians, with prevalence in the general population estimated at 8%1 and 10 to 20%2 respectively. Studies have shown that up to 80% of asthmatics have symptomatic GERD3 and that people with GERD are nearly1.2 times more likely to have asthma.4  This may …

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Do Appearances Really Matter? Examining the Role of the White Coat in Medicine Today

February 16, 2018
Do Appearances Really Matter? Examining the Role of the White Coat in Medicine Today

By Sonal Patel
Peer Reviewed

Prior to the 20th century, physicians’ attire was black, a color associated with formality, since patient-physician interactions were considered serious, formal matters. As the 19th century ended and medicine evolved from home remedies and “quackery” to the field of bioscience, values of cleanliness and antisepsis were emphasized. These were reflected in a change of physicians’ attire from black to white to highlight the “pureness” of medicine. Since this time, the white coat has been regarded as a symbol of medicine …

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Core IM: Mind the Gap on COPD Classifications

February 14, 2018

Let’s go deeper into to why we think about diseases the way we do: Classifications for COPD through the Years! Written by Dr. Steve Liu and Dr. Carolyn Drake || Hosted by Dr. Steve Liu, Dr. Carolyn Drake & Dr. Janine Knudsen || Graphic Design by Mr. Ramon Thompson

Time Stamps

  1. How did prior understanding of COPD pathophysiology lead to COPD classifications in the past? (3:25)
  2. How is COPD diagnosed? (6:13)
  3. How has COPD been classified and why? (6:42)

Subscribe to CORE IM on any podcast app! Follow us on Facebook @Core IM || Twitter @COREIMpodcast || Instagram @core.im.podcast. Please give any feedback at COREIMpodcast@gmail.com.

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Primecuts – This Week in the Journals

February 13, 2018
Primecuts – This Week in the Journals

By Sharine Wittkopp, MD

Peer Reviewed

Winter Games are warming up Pyeongchang despite frigid temperatures. Braving 11-degree weather, the US Olympic team is the largest team any nation has ever brought to a winter Olympic games.1 Perhaps they can huddle together for warmth.

Speaking of global warming, the EPA has recently replaced its top scientific advisors under a new rule banning researchers who receive EPA funding from serving in advisory positions, opening the door for industry scientists whose backers have the most to gain from …

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