Professor
Brian Andrews NEJM Recommendations for Medical Students and Tutors
Week
of 1st December 2016 (#71)
University
of Notre Dame Australia (Fremantle Campus)
Occasional Editorial Comment
None
Must Read Articles
Perspective
Permanent
Supportive Housing for Homeless People — Reframing the Debate
Advocates
claim that providing permanent supportive housing to chronically homeless
people will deliver net savings by reducing the use of jails, shelters, and
hospitals. It won't. Rather than focus on costs, we should consider the best
way to meet this population's needs.
CLINICAL PROBLEM-SOLVING
Scratching
Below the Surface
A
27-year-old woman was brought to the emergency department because of “strange
behavior.” Her illness had begun 7 days earlier with nausea and palpitations
and had progressed to agitation, hallucinations, intermittent muscle rigidity,
and involuntary jerking of the arms and legs.
Articles Recommended for Medical Students
Perspective
Structural
Racism and Supporting Black Lives — The Role of Health Professionals
Structural
racism leads to increased rates of premature death and reduced levels of
overall health and well-being — an epidemic affecting our whole society. As
clinicians and researchers, we wield power, privilege, and responsibility for
dismantling structural racism.
CLINICAL PRACTICE
Postpartum
Depression
Postpartum
depression is common and affects the woman, infant, and family. Treatment
depends on the severity of symptoms and the level of functional impairment and
can include social support, psychological therapy, and pharmacotherapy
(generally an SSRI as first-line treatment).
IMAGES IN CLINICAL MEDICINE
Skin
Mottling
A
68-year-old woman was admitted to the ICU with respiratory failure and
hypotension. Her blood pressure was 70/50 mm Hg, and her heart rate was 125
beats per minute. Physical examination revealed skin mottling on the legs.
IMAGES IN CLINICAL MEDICINE
Neurogenic
Megacolon in Spinal Cord Injury
A
44-year-old man with quadriplegia presented with symptoms of urinary tract
infection. Extremely large, intermittent waves of peristalsis, shown in a
video, were noted. CT revealed massive dilatation of the transverse,
descending, and sigmoid colon.
EDITORIAL
Preventing
HIV among Women — A Step Forward, but Much Farther to Go
Important Articles Related to Mechanisms of Disease and
Translational Research
None
Other Articles which should interest medical students
None
New Pharmacological Therapies
EDITORIAL
PARP
Inhibitors in Ovarian Cancer Treatment
ORIGINAL ARTICLE
Niraparib
Maintenance Therapy in Platinum-Sensitive, Recurrent Ovarian Cancer
Among
patients with platinum-sensitive, recurrent ovarian cancer, the use of
niraparib, a PARP inhibitor, was associated with a significantly longer
duration of progression-free survival than placebo, with moderate bone marrow
toxicity.
Other articles which may be of interest to certain students
None
