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Nejm News Une Mise à Jour The New England Journal of Medicine by Specialties

 


The New England Journal of Medicine: Search Results in Geriatrics\Aging
The New England Journal of Medicine (NEJM) RSS feed -- Search Results in Geriatrics\Aging. NEJM (http://www.nejm.org) is a weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics of importance to biomedical science and clinical practice.

Case 22-2018: A 64-Year-Old Man with Progressive Leg Weakness, Recurrent Falls, and Anemia
31/12/69 - Presentation of Case. Dr. Molly E. Wolf (Medicine): A 64-year-old man was admitted to this hospital because of progressive leg weakness, recurrent falls, and anemia. The patient had been in his usual state of health until 8 months before this admission, when fatigue on exertion and subjective leg…

Stable, Don?t Touch Nothing
31/12/69 - Mr. M. was short of breath. Each shallow contraction of his diaphragm inflated just a fraction of his lungs, the fraction that was not invaded by cancer. Looking at all the x-rays and scans, I couldn?t have told you which part of his body was spared from it. As a young doctor fresh out of medical…

Life Lessons from Paul in the Face of Death
31/12/69 - My brother Paul, a rabbi, died recently, just shy of 3 years after the diagnosis of widely metastatic colon cancer. The story of his diagnosis and treatment is all too familiar. An apparently healthy 64-year-old man has a sudden onset of lower abdominal pain. Imaging reveals an obstructing lesion.…

Nurse-Led Communication in the Intensive Care Unit
31/12/69 - We examine him each day ? the elderly patient, intubated, sedated, with a bewildered wife at his bedside. We should sit down with his wife before we ask her to make hard decisions about her husband?s care, but the unit is so busy that we find ourselves scurrying by, pausing only to offer rushed…

Substitute Decision Making in End-of-Life Care
31/12/69 - Three days ago, you were called to the intensive care unit (ICU) to examine Ms. Smith, a 70-year-old woman who had presented to the emergency department earlier that day with progressive shortness of breath. Ms. Smith had reported fatigue, progressive dyspnea, and intermittent fevers over the…

Beyond Legalization ? Dilemmas Physicians Confront Regarding Aid in Dying
31/12/69 - "What do you think about physician aid in dying?" Because 18.2% of the U.S. population lives in jurisdictions where physician aid in dying (PAD) is now legal, physicians need to anticipate that patients may inquire about or request it. Two decades ago, when PAD was illegal throughout the United…

Case 15-2018: An 83-Year-Old Woman with Nausea, Vomiting, and Confusion
31/12/69 - Presentation of Case. Dr. Andrew S. Hoekzema (Medicine): An 83-year-old woman was admitted to this hospital in the winter because of nausea, vomiting, diarrhea, and confusion. One week before admission, rhinorrhea, sore throat, and nonproductive cough developed. The patient felt feverish but did…

Randomized Trial of Verubecestat for Mild-to-Moderate Alzheimer?s Disease
31/12/69 - Alzheimer?s disease is characterized by the deposition of amyloid-beta (A?) aggregates and neurofibrillary tangles in the brain. The amyloid cascade hypothesis proposes that A? aggregates trigger the spreading of tau-related neurofibrillary tangles and subsequent neuronal degeneration. A? is…

Alzheimer?s Disease in Physicians ? Assessing Professional Competence and Tempering Stigma
31/12/69 - Dr. Redd, a 76-year-old practicing physician, sought help for memory loss at an Alzheimer?s disease research center. After being diagnosed with Alzheimer?s, she became distressed when she was instructed to stop working immediately. Abrupt retirement would leave patients in her highly subspecialized…

Amyloid-Beta Solubility in the Treatment of Alzheimer?s Disease
31/12/69 - There is general agreement that Alzheimer?s disease will become a crisis by the middle of the century. The Alzheimer?s Association estimates that 5 million Americans currently have Alzheimer?s disease and that their loved ones devote nearly 18 billion hours annually toward their care. If…

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