Primecuts – This Week In The Journals

April 22, 2014
Primecuts – This Week In The Journals

By Harry Saag, MD

Peer Reviewed

Roughly one year ago the city of Boston was in upheaval after two young men set off bombs in close proximity to the city’s landmark marathon, injuring hundreds of people. One year later the city was, once again, hosting its annual run with as much pride and fervor as ever. Despite the atrocities of last year’s events, it did not deter the city of Boston from forging on stronger than ever.

Similar analogies can be made regarding progress in…

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Primecuts – This Week In The Journals

April 14, 2014
Primecuts – This Week In The Journals

By Arnab Ghosh, MD

Peer Reviewed

With the awakening of Spring this week, the City basks in its new growth. Wandering the streets and avenues, the parks and riversides, they resemble the concord of the natural elements, whisking the bleeding cold away for another year. Punctuated by the dance of Spring showers, the vigour of the Sun’s warmth is empowering, embracing and enhancing. And so the troubles of faraway places, in Crimea, Syria, the Central African Republic, of terrible actions befalling our world, like climate…

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Should Physicians Ask Patients about Guns?

April 11, 2014
Should Physicians Ask Patients about Guns?

By Jennifer Zhu

Peer Reviewed

After the elementary school shooting in Newtown, CT in December 2012 that left 20 children and 6 adults dead, the country reacted as it had following the July 2012 movie theatre shooting in Aurora, CO, and the public meeting shooting involving Representative Gabrielle Giffords on January 11, 2011 in Tucson, AZ. Some called for tighter firearm safety laws, while others stood by the adage that “Guns don’t kill people,” and that this was no time to politicize a tragedy. The…

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Type 1 Diabetes: Research for Pancreatic Replacement, Transplantation and Regeneration

April 10, 2014
Type 1 Diabetes: Research for Pancreatic Replacement, Transplantation and Regeneration

By Karin Katz, MD and Loren Wissner Greene, MD, MA

Peer Reviewed

In 1964, Dr. Arnold Kadish used real-time glucose monitoring to adjust insulin infusion in a patient with diabetes and introduced the concept of a closed-loop system of insulin delivery. A decade later, several research groups developed closed-loop systems that linked glucose monitors with insulin pumps and determined how much insulin to deliver based on calculations from a set of algorithms . These big, bulky machines depended on intravenous routes of glucose…

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Primecuts – This Week In The Journals

April 7, 2014
Primecuts – This Week In The Journals

By Matthew Vorsanger, MD

Peer Reviewed

It seems that over the past week, New York has finally started to emerge from the deep-freeze of winter; and as we see the beginnings of spring, the lay press has begun to take interest in the eternal cycle of renewal. In particular, news has focused on the rapidly-expanding technology of 3D printing and the inroads it has been making into the science of organ growth . When combined with these versatile devices, harvested and cloned cells can be…

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From The Archives: They’re all the ‘roid rage: origins and mechanisms of corticosteroid therapy.

April 3, 2014
From The Archives: They’re all the ‘roid rage: origins and mechanisms of corticosteroid therapy.

Please enjoy this post from the archives dated September 23, 2011

By Santosh Vardhana, MD

A 36-year-old obese male with hypertension and hyperlipidemia presents to the ER with new knee pain, swelling, and erythema. Joint aspiration reveals negatively birefringent crystals. He is started on oral prednisone.

A 26-year-old woman with lupus presents to ER with edema, hematuria, and fevers. On exam she hypertensive, febrile to 100.4C, and has periorbital and lower extremity edema. Urine dipstick reveals 2+blood and protein. She is started on IV methylprednisolone.…

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Primecuts – This Week in the Journals

April 2, 2014
Primecuts – This Week in the Journals

By Jennifer Mulliken, MD

Peer reviewed

The Eiffel Tower, an historic symbol of industry and science in France, celebrates its 125th anniversary this week. On March 31st, 1889, the first visitors ascended by foot to the top of the tower – 1,710 steps – as the lifts had not yet been completed. In May of the same year, the Eiffel Tower made its official debut at the World’s Fair in Paris, marking the 100-year anniversary of the French Revolution. Originally standing at 984 feet, it…

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A Randomized Trial of Flattery

April 1, 2014
A Randomized Trial of Flattery

By Michael Tanner, MD

Background
A small body of low-quality evidence suggests that flattery will get you nowhere. We, rigorously applying the tools of evidence-based medicine, set out to test the opposite hypothesis: that when it comes to forming warm, healing relationships with patients, you catch more flies with honey than vinegar.

Objective
To determine the effect of compliments on patient self-esteem and satisfaction with their doctors in an inner-city hospital clinic.

Design
Randomized controlled trial of outpatients aged 21-98 at the Bellevue Adult…

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