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New Pathways for Pain Relief

We are pleased to present an interview with Dr. Nigel Bunnett in coordination with May 31, 2017 release of his landmark article in the current issue of Science Translational Medicine: Neurokinin 1 Receptor Signaling in Endosomes Mediates Sustained Nociception and is a Viable Therapeutic Target for Prolonged Pain Relief. This interview covers the origins of pain and itching, the widespread clinical problems associated with both, and an exploration of new pathway that may lead to class of palliative drugs that are both more effective, and without problematic side effects.
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In December 2016, a retrospective study from the Mayo Clinic indicated that a surgeon can safely be responsible for two overlapping procedures when critical parts of the procedures are not coincident. The study of overlapping operations showed no difference in patient outcomes, but increased effectiveness and time management. Paul Kurlansky, MD, Associate Director of Columbia’s Center for Innovation and Outcomes Research at NYP/Columbia, stresses that there is a big difference between overlapping and concurrent operations. With overlapping procedures, "surgeons cannot be booked to perform critical parts of two operations at the same time," he said. Craig Smith, MD, surgeon-in-chief, NYP/Columbia told Medscape Medical News has been performing overlapping operations routinely for more than 30 years, and he believes his judgment should be trusted with regard to when and how to do them.
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A recent study published in Circulation shows that patients who take their medication faithfully have dramatically better long-term outcomes, regardless of whether they have CABG or PCI. However, among the non-adherent group, CABG patients fared better with fewer major adverse cardiac events in the years after surgery. “This study shows how important it is to get to know your patients and find out how well they comply with medication,” says Paul Kurlansky, MD, who led the study and is currently director of research for Columbia HeartSource.
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CABG better than Interventional Procedures for Patients with Diabetes
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What's New in the Department of Surgery

CIOR to coordinate quality of care data

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Dr. Paul Kurlansky has returned to Columbia as the Director of Research, Recruitment and Continuous Quality Improvement for Columbia's HeartSource program.
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