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Dernières entêtes d'Actus

EARLY RELEASE: Clarifying Enrollment Procedures in the Trial of CT Screening for Lung Cancer
Mercredi 30 Juillet 2008 - 07:00 - 5 mois, 1 semaine depuis - Presse spécialisée - New England Journal of Medicin
(No abstract is available for this citation)

PERSPECTIVE: FDA Regulation of Tobacco -- Pitfalls and Possibilities
Mercredi 30 Juillet 2008 - 06:55 - 5 mois, 1 semaine depuis - Presse spécialisée - New England Journal of Medicin
After more than half a century of debate and discussion, it is likely that during the coming year, Congress will pass legislation bringing tobacco products under the regulatory authority of ...

PERSPECTIVE: Focus on Research: Gastric Cancer in Japan -- Honing Treatment, Seeking Causes
Mercredi 30 Juillet 2008 - 06:55 - 5 mois, 1 semaine depuis - Presse spécialisée - New England Journal of Medicin
In this issue of the Journal, Sasako and colleagues (pages 453-462) present results from a randomized trial of surgery for gastric cancer conducted in 24 specialized hospitals in Japan. The ...

ORIGINAL ARTICLE: D2 Lymphadenectomy Alone or with Para-aortic Nodal Dissection for Gastric Cancer
Mercredi 30 Juillet 2008 - 06:55 - 5 mois, 1 semaine depuis - Presse spécialisée - New England Journal of Medicin
This randomized trial of the surgical treatment of curable gastric cancer in Japan compared gastrectomy and extended (D2) lymphadenectomy with gastrectomy and D2 lymphadenectomy plus para-aortic nodal dissection (PAND). There were no significant differences in overall survival between the two groups. Gastrectomy with D2 lymphadenectomy remains the preferred surgical treatment for curable gastric cancer in Japan.

ORIGINAL ARTICLE: Lack of Effectiveness of Cellulose Sulfate Gel for the Prevention of Vaginal HIV Transmission
Mercredi 30 Juillet 2008 - 06:55 - 5 mois, 1 semaine depuis - Presse spécialisée - New England Journal of Medicin
Women-controlled methods to prevent male-to-female transmission of human immunodeficiency virus (HIV) are needed. In this study of vaginally applied 6% cellulose sulfate gel conducted in India and Africa, 1398 women were randomly assigned to use the gel or placebo before sexual acts. Use of the gel did not prevent the acquisition of HIV or other sexually transmitted infections and may have increased the risk of HIV infection.

ORIGINAL ARTICLE: Effect of Cyclosporine on Reperfusion Injury in Acute Myocardial Infarction
Mercredi 30 Juillet 2008 - 06:55 - 5 mois, 1 semaine depuis - Presse spécialisée - New England Journal of Medicin
Experimental evidence suggests that cyclosporine may attenuate myocardial reperfusion injury. In a pilot trial, 58 patients with acute ST-elevation myocardial infarction were randomly assigned to receive an intravenous bolus of either cyclosporine or saline immediately before undergoing percutaneous coronary intervention. Creatine kinase release was significantly reduced in the patients who received cyclosporine. These results require confirmation in a larger trial.

SPECIAL ARTICLE: Smoke-free Legislation and Hospitalizations for Acute Coronary Syndrome
Mercredi 30 Juillet 2008 - 06:55 - 5 mois, 1 semaine depuis - Presse spécialisée - New England Journal of Medicin
After enactment of a law in Scotland that prohibited smoking in public places, the number of hospital admissions for acute coronary syndrome decreased by 17%. The decrease was greater among persons who had never smoked than among smokers, suggesting that the reduction in passive smoking had a public health benefit.

REVIEW ARTICLE: Medical Progress: Malignant Gliomas in Adults
Mercredi 30 Juillet 2008 - 06:55 - 5 mois, 1 semaine depuis - Presse spécialisée - New England Journal of Medicin
Malignant gliomas, the most common type of primary brain tumor in adults, are associated with disproportionate cancer-related morbidity and mortality. Recently, there have been important advances in our understanding of the molecular pathogenesis of malignant gliomas and progress in treating them. This review summarizes the diagnosis and management of these tumors in adults, highlighting new advances.

IMAGES IN CLINICAL MEDICINE: Complex Regional Pain Syndrome Type 1
Mercredi 30 Juillet 2008 - 06:55 - 5 mois, 1 semaine depuis - Presse spécialisée - New England Journal of Medicin
An otherwise healthy and functional 35-year-old man had an undisplaced fracture of the right fifth metacarpal neck after a fall. He presented 21 months later with pain, extensive swelling (Panels ...

IMAGES IN CLINICAL MEDICINE: Horizontal Pendular Nystagmus in a Patient with Ocular Albinism
Mercredi 30 Juillet 2008 - 06:55 - 5 mois, 1 semaine depuis - Presse spécialisée - New England Journal of Medicin
A 32-year-old Hispanic woman with ocular albinism presented with a congenital horizontal pendular nystagmus (see ). Other than being fair-skinned, the patient had no cutaneous manifestations of albinism, and pigmentation ...

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