Dernières entêtes d'Actus
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ORIGINAL ARTICLE: Telmisartan to Prevent Recurrent Stroke and Cardiovascular Events
Mercredi 17 Septembre 2008 - 06:55 - 2 mois depuis - Santé - New England Journal of Medicin In a multicenter trial, 20,332 patients who had recently had an ischemic stroke were randomly assigned to receive either telmisartan or placebo. All patients also received medications for blood-pressure control at the investigators' discretion. At a mean follow-up of 2.5 years, there was no significant difference between the two study groups in the rates of recurrent stroke or major cardiovascular events. |
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ORIGINAL ARTICLE: Aspirin and Extended-Release Dipyridamole versus Clopidogrel for Recurrent Stroke
Mercredi 17 Septembre 2008 - 06:55 - 2 mois depuis - Santé - New England Journal of Medicin In this large clinical trial, aspirin plus extended-release dipyridamole was found to have an efficacy similar to that of clopidogrel in the prevention of recurrent stroke. However, aspirin plus extended-release dipyridamole resulted in more bleeding, including intracranial bleeding. The results will help guide therapy for secondary stroke prevention. |
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CLINICAL PRACTICE: Food Allergy
Mercredi 17 Septembre 2008 - 06:55 - 2 mois depuis - Santé - New England Journal of Medicin A 3-year-old boy is admitted to the hospital with hives and wheezing after eating chocolate mousse. At 18 months of age, contact urticaria developed after he put his hand into a cake mix containing egg. He also has a history of chronic rhinitis, nocturnal cough, severe eczema, and a previous hospitalization for recurrent wheezing. How should this child be evaluated and treated? |
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REVIEW ARTICLE: Mechanisms of Disease: Platelets, Petechiae, and Preservation of the Vascular Wall
Mercredi 17 Septembre 2008 - 06:55 - 2 mois depuis - Santé - New England Journal of Medicin This review concerns functional contacts between platelets and endothelial cells, with emphasis on the maintenance of vascular integrity by proangiogenic cytokines and growth factors released by platelets. These molecules bind to receptors on the surface of endothelial cells, thereby stabilizing the vascular-endothelium cadherin complex. |
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IMAGES IN CLINICAL MEDICINE: Primary Small-Bowel Enterolithiasis
Mercredi 17 Septembre 2008 - 06:55 - 2 mois depuis - Santé - New England Journal of Medicin A 53-year-old woman with a 2-year history of intermittent abdominal pain, diarrhea, and constipation presented for evaluation. Her medical history was significant for congenital imperforate anus requiring a colostomy at ... |
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IMAGES IN CLINICAL MEDICINE: Colonic Saccular Diverticula
Mercredi 17 Septembre 2008 - 06:55 - 2 mois depuis - Santé - New England Journal of Medicin A 61-year-old woman with severe pulmonary hypertension and an 8-year history of the CREST syndrome (calcinosis, Raynaud's phenomenon, esophageal involvement, sclerodactyly, and telangiectasia) and with a positive anticentromere-antibody test was ... |
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CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITAL: Case 29-2008 -- A 19-Year-Old Man with Weight Loss and Abdominal Pain
Mercredi 17 Septembre 2008 - 06:55 - 2 mois depuis - Santé - New England Journal of Medicin A 19-year-old man was admitted to this hospital because of acute abdominal pain, which had begun the previous day. Imaging studies disclosed dilatation of the colon and small bowel, with no obstruction or free air. Administration of fluids and laxatives resulted in resolution of the pain. The patient had had anorexia nervosa since the age of 14 years and had recently lost several kilograms of weight. He was admitted to the psychiatric inpatient unit, and a treatment plan was established. |
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EDITORIAL: Colorectal Cancer Screening on Stronger Footing
Mercredi 17 Septembre 2008 - 06:55 - 2 mois depuis - Santé - New England Journal of Medicin Screening for colorectal cancer has lagged behind other cancer screening, but it is now in a dynamic phase. New screening tests are available, and there is stronger evidence of their ... |
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EDITORIAL: Stroke Prevention -- Insights from Incoherence
Mercredi 17 Septembre 2008 - 06:55 - 2 mois depuis - Santé - New England Journal of Medicin If clinical trials were sporting contests, then it would be fair to say that low-dose aspirin plus extended-release dipyridamole (Aggrenox) was the clear favorite against clopidogrel going into the Prevention ... |
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CORRESPONDENCE: Correction: Socioeconomic Inequalities in Health in 22 European Countries
Mercredi 17 Septembre 2008 - 06:55 - 2 mois depuis - Santé - New England Journal of Medicin To the Editor: Mackenbach et al. (June 5 issue)1 present interesting findings on the magnitude of socioeconomic inequalities in health ... |
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