Concussions and Football By The Numbers

December 6, 2013
Concussions and Football By The Numbers

By Benjamin G. Wu

Peer Reviewed

The news of a large $675 million dollar settlement on concussions has headlined on both the sports news channels and in popular media during this 2013 National Football League (N.F.L.) season . Heralded as a victory mainly for the N.F.L., the settlement not only allows the league to avoid larger amounts in potential liability payments but also the public scrutiny of a discovery phase if a case were to move forward . In the wake of this settlement…

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Primecuts – This Week In The Journals

December 3, 2013
Primecuts – This Week In The Journals

By Matthew Lee, MD

Peer Reviewed

Thanksgiving has traditionally been characterized by turkey-centric meals and Black Friday madness, but these phenomena were joined this year by both NCAA football’s rivalry week and Thanksgivukkah (the alignment of Thanksgiving and first day of Hanukkah). While people took time off to celebrate the holiday festivities, the medical journal world continued to turn, bringing us to this week’s articles.

Our first article by Mulder et al. looks at glucose management in patients admitted for acute coronary syndrome (ACS).…

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Happy Thanksgiving

November 28, 2013
Happy Thanksgiving

Clinical Correlations will be closed for the holiday and will resume posting on Monday 12/2/13.  Have a wonderful Thanksgiving and remember, please be careful with that turkey…

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Primecuts – This Week In The Journals

November 25, 2013
Primecuts – This Week In The Journals

By Ali Mendelson, MD

Faculty Peer Reviewed

With Thanksgiving quickly approaching, the holidays are on everybody’s mind. There are parades to watch, food to cook, thanks to give, and inevitably, diets to break. That doesn’t mean you can’t find time to exercise, and for those who are pregnant, fitting in a few trips to the gym might aid in the development of your unborn child’s brain.

Two studies presented at this month’s Society for Neuroscience’s annual meeting looked at the association between exercise and infant…

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To Stent or not to Stent? A Review of the Evidence on the Utility of Stenting in Renal Artery Stenosis

November 22, 2013
To Stent or not to Stent? A Review of the Evidence on the Utility of Stenting in Renal Artery Stenosis

By Elizabeth Hammer, MD

Faculty Peer Reviewed

Renovascular hypertension, often caused by renal artery stenosis (RAS) due to atherosclerosis or fibromuscular dysplasia, is the most common potentially correctable cause of secondary hypertension. Although only approximately one percent of patients with hypertension have atherosclerotic renovascular disease (ARVD), the prevalence increases to 30-40% in patients with CAD, CHF, and PVD. Screening studies of asymptomatic populations in the United States demonstrate a disease prevalence of 7%, with an annual incidence of 0.5% per year in analyses of…

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From The Archives: The Polymyxins: Why am I using them all the time, and what are they?

November 21, 2013
From The Archives: The Polymyxins: Why am I using them all the time, and what are they?

Please enjoy this post from the archives dated December 8, 2010

By Jon-Emile S Kenny

Faculty Peer Reviewed

A 65-year-old female with locally advanced rectal cancer is admitted to the ICU, hypotensive and febrile. Her PICC line is removed and blood cultures drawn. Fourty-eight hours later all cultures return ESBL Klebsiella with susceptibility only to polymyxin.

I sat on the venerable call-room couch staring mindlessly at the cluttered, nauseating walls repeating the word ‘polymyxin’ like an endless antimicrobial mantra. What strange dosing it has, and…

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Fever: Friend or Foe?

November 20, 2013
Fever: Friend or Foe?

By Fernando Franco Cuadrado, MD, Julia Hyland Bruno, MD and  Mark D. Schwartz, MD

Faculty Peer Reviewed

When flu season returns, we will all see patients with sniffles, aches and a mild to moderate fever. History, tradition and habit have made the treatment of fevers almost automatic; however, how many of us pause and consider evolutionary principles before recommending acetaminophen for a fever? Could fever have an adaptive function? Are we sure we are doing more good than harm by recommending antipyretics?

To most…

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Primecuts – This Week In The Journals

November 18, 2013
Primecuts – This Week In The Journals

By Karin Katz, MD

Faculty Peer Reviewed

Last week Typhoon Haiyan took a devastating hit on the Philippines. According to UNICEF, 13 million people have been affected, and the death toll is estimated to be close to 4,000. In the aftermath of this disaster, with hundreds of thousands of people homeless, there is a concern that crowded living spaces with contaminated drinking water and unsanitary conditions could lead to the spread of communicable diseases. International relief efforts have been working to provide people with food,…

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