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New England Journal of Medicin - Objets Actus

PERSPECTIVE: Beyond Pay for Performance -- Emerging Models of Provider-Payment Reform
Mercredi 17 Septembre 2008 - 06:55 - 3 mois, 3 semaines depuis - Presse spécialisée - New England Journal of Medicin
Escalating costs and the growing imbalance between primary and specialty care have increased the urgency of calls for fundamental reform of the health care payment system. At the core of ...

PERSPECTIVE: No Place Like Home -- Testing a New Model of Care Delivery
Mercredi 17 Septembre 2008 - 06:55 - 3 mois, 3 semaines depuis - Presse spécialisée - New England Journal of Medicin
Seeking ways to slow the growth of Medicare spending and to better coordinate the health care it finances, the federal government is preparing to test the concept of the "medical ...

PERSPECTIVE: Building a Medical Neighborhood for the Medical Home
Mercredi 17 Septembre 2008 - 06:55 - 3 mois, 3 semaines depuis - Presse spécialisée - New England Journal of Medicin
Recent efforts to improve primary care in the United States have focused largely on the development and implementation of practice models and payment reforms intended to create a "medical home" ...

ORIGINAL ARTICLE: Accuracy of CT Colonography for Detection of Large Adenomas and Cancers
Mercredi 17 Septembre 2008 - 06:55 - 3 mois, 3 semaines depuis - Presse spécialisée - New England Journal of Medicin
In this comparison of CT colonography and optical colonoscopy in 2600 asymptomatic study participants 50 years of age or older at 15 centers, 90% of large colorectal adenomas and adenocarcinomas detected by optical colonoscopy were also detected on CT colonography, and 10% were missed by CT colonography.

ORIGINAL ARTICLE: Five-Year Risk of Colorectal Neoplasia after Negative Screening Colonoscopy
Mercredi 17 Septembre 2008 - 06:55 - 3 mois, 3 semaines depuis - Presse spécialisée - New England Journal of Medicin
In this study of subjects who had no adenomas or cancers on baseline screening colonoscopy, advanced adenomas were detected in only 1.3% of those who returned for rescreening after 5 years. These findings support a rescreening interval of 5 years or longer for patients at average risk who have normal findings on colonoscopy.

ORIGINAL ARTICLE: Telmisartan to Prevent Recurrent Stroke and Cardiovascular Events
Mercredi 17 Septembre 2008 - 06:55 - 3 mois, 3 semaines depuis - Presse spécialisée - 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.

ORIGINAL ARTICLE: Aspirin and Extended-Release Dipyridamole versus Clopidogrel for Recurrent Stroke
Mercredi 17 Septembre 2008 - 06:55 - 3 mois, 3 semaines depuis - Presse spécialisée - 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.

CLINICAL PRACTICE: Food Allergy
Mercredi 17 Septembre 2008 - 06:55 - 3 mois, 3 semaines depuis - Presse spécialisée - 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?

REVIEW ARTICLE: Mechanisms of Disease: Platelets, Petechiae, and Preservation of the Vascular Wall
Mercredi 17 Septembre 2008 - 06:55 - 3 mois, 3 semaines depuis - Presse spécialisée - 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.

IMAGES IN CLINICAL MEDICINE: Primary Small-Bowel Enterolithiasis
Mercredi 17 Septembre 2008 - 06:55 - 3 mois, 3 semaines depuis - Presse spécialisée - 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 ...

Actus fournies par : New England Journal of Medicine

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