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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.

Romosozumab or Alendronate for Fracture Prevention in Women with Osteoporosis
01/01/70 - Fragility fractures are common and increase morbidity and mortality. Romosozumab (Amgen and UCB Pharma) is a new bone-forming monoclonal antibody that binds to and inhibits sclerostin, with a dual effect of increasing bone formation and decreasing bone resorption. In a randomized, controlled trial,…

Romosozumab ? Promising or Practice Changing?
01/01/70 - Over the past decade, the osteoporosis landscape has changed. Even though more treatment options are available, fewer measurements of bone mass are being performed and fewer prescriptions for antiosteoporosis agents are being written ? the last probably related to concerns about known side effects…

Abandonment
01/01/70 - "Hospice. It?s where people go to die," she says, surprising me with her sudden lucidity. "And also for symptom management," I add gently. "Like my headache," she notes. And your homelessness, I think ? the fact that your one-bedroom, upstairs council flat just won?t do anymore. "I could go home,"…

Man versus Nature ? Also Sprach Zarathustra and an End-of-Life House Call
01/01/70 - Tom has been my patient since my fellowship, and now he is dying. He has been a constant in my career journey as much as I have been in his treatment, for 5 years and more than 80 treatment cycles. As an oncology fellow, I told him of his diagnosis of colon cancer with lung and liver metastases. I…

Signs
01/01/70 - Not long after my mother died, my father lay disconsolate in a darkened hotel room begging his deceased wife to send him a sign. Wherever she was in her ghostly habitat, would she please smuggle him some affirmation of their enduring love? Suddenly, the overhead light switched on. Other people…

End-of-Life Decisions in the Netherlands over 25 Years
01/01/70 - To the Editor: In the Netherlands, the much debated practice of physician assistance in dying has been legally regulated since 2002. Such assistance may include physician-assisted suicide or euthanasia, in which a physician administers lethal medication at the explicit request of a patient. Both…

Certain about Dying with Uncertainty
01/01/70 - Mrs. C. a woman with whom we?d had a long-standing patient?physician relationship, one of us for over 25 years, died recently in the 87th year of her life. A woman who had always maintained her cheerful spirit even in the midst of quite trying medical setbacks, she was one of our favorite patients.…

Thyroid Hormone Therapy for Older Adults with Subclinical Hypothyroidism
01/01/70 - Subclinical hypothyroidism is defined as an elevated serum thyrotropin level and a serum free thyroxine level within the reference range. Between 8% and 18% of adults 65 years of age or older have these biochemical features, and the prevalence is higher among women than among men. Subclinical…

Efficacy of Recombinant Influenza Vaccine in Adults 50 Years of Age or Older
01/01/70 - Reducing the burden of influenza disease requires improved vaccines, and a recombinant influenza vaccine may contribute to this public-health goal. This vaccine contains recombinant hemagglutinin (HA) proteins produced in a serum-free medium by expresSF+ cells. These cells contain recombinant…

Delegalizing Advance Directives ? Facilitating Advance Care Planning
01/01/70 - When Luis Kutner, a human rights lawyer, first proposed the idea of the "living will" in 1969, he conceptualized it as a document establishing a trust, with the patient as the beneficiary and physicians as trustees. Kutner expected that such a document would be signed by two witnesses, notarized,…

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