Tuesday, 13 December 2016

NEJM Week of 24th November 2016 (#70)

Professor Brian Andrews NEJM Recommendations for Medical Students and Tutors
Week of 24th November 2016 (#70)
University of Notre Dame Australia (Fremantle Campus)



Occasional Editorial Comment


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Must Read Articles


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Articles Recommended for Medical Students



CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITAL

Case 36-2016 — A 50-Year-Old Man with Acute Liver Injury


A 50-year-old man from India, with a remote history of alcohol use, was admitted to this hospital because of abnormal liver function test results, anemia, and acute kidney injury. A diagnosis was made.


ORIGINAL ARTICLE

BRIEF REPORT

Fully Implanted Brain–Computer Interface in a Locked-In Patient with ALS


Electrical signals from fully implanted surface electrodes over the cerebral motor cortex were decoded to allow a locked-in patient with ALS to control a computer cursor and type independently at a slow pace.


REVIEW ARTICLE

Von Willebrand’s Disease


Von Willebrand's disease is the most common inherited bleeding disorder and is generally transmitted as an autosomal dominant trait. It is mainly associated with mucosal bleeding and excessive bleeding after trauma or surgery. A variety of effective treatments are available.


IMAGES IN CLINICAL MEDICINE

Large Hiatal Hernia


An 81-year-old woman presented with vomiting. Chest radiography showed a large air–liquid shadow in the inferior retrocardiac position, suggesting a paraesophageal hernia. CT showed a large retrocardiac mass that was consistent with herniation of the stomach into the chest.



Important Articles Related to Mechanisms of Disease and Translational Research


CLINICAL IMPLICATIONS OF BASIC RESEARCH

BASIC IMPLICATIONS OF CLINICAL OBSERVATIONS

Nephron Protection in Diabetic Kidney Disease


This commentary discusses nephron protection in diabetic kidney disease and describes the way in which renin–angiotensin system inhibitors and the sodium–glucose cotransporter 2 inhibitor empagliflozin have renoprotective effects.



Other Articles which should interest medical students



ORIGINAL ARTICLE

Thresholds for Abdominal Aortic Aneurysm Repair in England and the United States


Hospital and registry data and national statistics showed a lower rate of abdominal aortic aneurysm repair and a larger mean aneurysm diameter at repair in England than in the United States; U.S. rates of aneurysm rupture and aneurysm-related death were lower.


IMAGES IN CLINICAL MEDICINE

Dizziness and Vertigo during MRI


A 33-year-old man participating in a research study underwent MRI in a 7-tesla MRI scanner. On entering the scanner, he had a spinning sensation for 2 minutes. Nystagmus, recorded with infrared goggles and shown in a video, continued for the entire 90-minute scanning period.



New Pharmacological Therapies


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Other articles which may be of interest to certain students


ORIGINAL ARTICLE

TP53 and Decitabine in Acute Myeloid Leukemia and Myelodysplastic Syndromes


Decitabine produced responses in patients with acute myeloid leukemia or myelodysplastic syndromes who had cytogenetic abnormalities associated with a poor prognosis, including 21 of 21 patients with tumors that contained TP53mutations.


EDITORIAL

Acute Myeloid Leukemia — Many Diseases, Many Treatments