Tuesday 19 January 2016

NEJM Week of 30th July 2015 (#1)

Professor Brian Andrews NEJM Recommendations
Week of the 30th July 2015 (#1)
University of Notre Dame Australia Fremantle

Community-Acquired Pneumonia Requiring Hospitalization among U.S. Adult

http://www.nejm.org/doi/full/10.1056/NEJMoa1500245

 

This is a very important article on the current state of community acquired pneumonia. This is the most evidenced based article on this topic and will be the state of the art article for years to come
Highly recommended for all four years

Threading the Needle — How to Stop the HIV Outbreak in Rural Indiana

Excellent public health perspective on HIV prevention and demonstrating how advanced Australia is in this area compared with most states in the US.
Recommended for all four years


FOCUS ON RESEARCH

Structural Approaches to Cancer Drug Development


Structure-Guided Blockade of CSF1R Kinase in Tenosynovial Giant-Cell Tumor

http://www.nejm.org/doi/full/10.1056/NEJMoa1411366

 

These two articles discuss new approaches to specific cancer therapy by identifying various ways in which specific receptors can be inhibited. This paper describes binding of an inhibitor to conserved region of the receptor which is not the binding site, thus maintaining the receptor in an inactivated state. The perspective indicates that in the past year, the FDA has approved more cancer drugs than in the past 10 years with many more to come.

This low grade locally destructive sarcoma has been recognised by rheumatologists as “pigmented villonodular synovitis.”

Recommended as a way to refresh receptor biology. More for BCS but important for MED300 and MED400 to be aware of what will be happening in the near future.

 

 

Antisense Inhibition of Apolipoprotein C-III in Patients with Hypertriglyceridemia

http://www.nejm.org/doi/full/10.1056/NEJMoa140028

 

This article offers the chance to review lipid biology but focus on triglycerides metabolism.  It also offers the chance to review a mechanism for specific mRNA inhibition using antisense technology which is now being used frequently in early studies.

Recommend for all years

 

 

Strawberry Tongue

http://www.nejm.org/doi/full/10.1056/NEJMicm1411222

 

This is a picture of the classical tongue in Kawasaki’s disease or muco-cutaneous lymph node syndrome.  Several patients present each year in Perth.

Recommended for all students

 

Chagas’ Disease

http://www.nejm.org/doi/full/10.1056/NEJMra1410150

 

This is an excellent review article on a disease which is rarely recognised in Australia but becoming increasingly more common in the US and may be seen occasionally in Australia in the future both due to increased recognition and rapid international travel. You might suspect this in a patient from South America with an undiagnosed cardiomyopathy and/or achalasia.


A review article to be stored in your data base, such as in Evernote for the future.