To Inject, or Not to Inject: Using the Pneumococcal Vaccinations Effectively

September 19, 2014
To Inject, or Not to Inject: Using the Pneumococcal Vaccinations Effectively

By Luke O’Donnell, MD

Peer reviewed

Once formidable diseases, pneumonia, bacteremia, and meningitis are all now considered “bread-and-butter” internal medicine. Streptococcus pneumoniae is one of the major pathogens in these processes, causing 500,000 cases of pneumonia, 50,000 cases of bacteremia, and 3,000 cases of bacterial meningitis in the United States annually, with case fatality rates of 5-7%, 20%, and 30%, respectively .

Efforts to vaccinate against this gram-positive diplococcus started in mining sites near Johannesburg, South Africa around the turn of the last century…

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From the Bellevue Wards: Wellens’ Syndrome Revisited

September 18, 2014
From the Bellevue Wards: Wellens’ Syndrome Revisited

By Matthew Shou Lun Lee, MD

Peer Reviewed

Clinical Questions

-How common are elevated cardiac enzymes during Wellens’ syndrome?

-Can the EKG changes in Wellens’ syndrome be found with other causes?

Background

This post represents a follow-up to the 2009 article in Clinical Correlations by Dr. Erin Ducharme .

Wellens’ syndrome refers to a distinctive combination of clinical and EKG findings in unstable angina associated with high-grade lesions of the left anterior descending artery (LAD) . Initially described in 1982, the criteria has undergone…

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Primecuts – This Week In The Journals

September 16, 2014
Primecuts – This Week In The Journals

By Caroline Srisarajivakul, MD

Peer Reviewed

The invisible silhouettes of the Twin Towers loomed large in the minds of many New Yorkers last week as we marked the 13th anniversary of September 11th, 2001, while President Obama rallied the United States’ allies in the Middle East to unite against the Islamic State in Iraq and Syria prior to the terror group’s third videotaped beheading, this time of Briton David Haines. Meanwhile, in Western Africa, Ebola Virus Disease continues to ravage populations that are ill-equipped to…

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Does Cranberry Juice Prevent Urinary Tract Infections?

September 11, 2014
Does Cranberry Juice Prevent Urinary Tract Infections?

Please enjoy this post from the archives dated November 9, 2011

By Jessie Yu

Faculty Peer Reviewed

A healthy 21-year-old female college student presents to clinic after one day of dysuria and increased frequency. You diagnose her with a recurrent urinary tract infection (UTI), and as you hand her a prescription for empiric antibiotic treatment, she asks you if drinking cranberry juice will prevent these in the future…

Drinking cranberry juice to prevent urinary tract infections (UTIs) has been a traditional folk remedy for…

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Primecuts – This Week In The Journals

September 9, 2014
Primecuts – This Week In The Journals

By Vaughan Tuohy, MD

Peer Reviewed

In sports news this week, the Seahawks crushed the Packers, 36-16, in the NFL season opener as Aaron Rodgers “played scared” against the Seahawks defense led by Richard Sherman, according to the Milwaukee Journal Sentinel. In actual news, the U.S. military continued airstrikes against ISIS in Iraq and clashes between Ukrainian troops and pro-Russian militants continued in Eastern Ukraine despite a ceasefire agreement. A federal judge ruled that BP should be fined $18 billion for “profit-driven decisions and willful…

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Primecuts – This Week In The Journals

September 2, 2014
Primecuts – This Week In The Journals

Kaveri Korgavkar, MD

Peer Reviewed

This week, ISIS militants continued to draw worldwide condemnation with the release of a video showing the beheading of a Kurdish man as a warning to forces fighting in northern Iraq. Jihadists warned that others would be killed if Kurdish leaders continued to back the US and it appears that they have killed “dozens” of Syrian army soldiers. In other news, President Poroshenko held urgent talks in Kiev, saying that Russian troops are “in Ukraine,” a nine-year-old girl fired…

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Primecuts – This Week In The Journals

August 26, 2014
Primecuts – This Week In The Journals

By Michael Toprover, MD

Peer Reviewed

As investigators work to identify the Islamist militant who beheaded American journalist James Foley, upset continues. According to the Committee to Protect Journalists, there are about 20 more journalists missing in Syria, most believed to be held by ISIS. Since August 8th, the US military has carried out 90 airstrikes however officials report that there is a “new context” for confronting ISIS and cutting off its supplies since the recent horrific event. Up to now, many of the US…

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Primecuts – This Week In The Journals

August 18, 2014
Primecuts – This Week In The Journals

By Rachel Kaplan, MD

Peer Reviewed

As the Ebola epidemic continues to plague West Africa, ZMapp, an experimental monoclonal antibody to Ebola virus antigens manufactured in tobacco plants, remains in high demand. According to the New York Times, the last remaining doses were recently provided to Liberian health workers after appeals to the United States . Mapp Biopharmaceuticals, who provided the drug, stated that the “available supply of ZMapp has been exhausted,” but that it is working on ramping up supply to undertake…

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