Presse Med
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Medical journals play an important role in the diffusion of scientific medical information. We tried to evaluate the French medical journal, La Presse Médicale, and to compare it with the New England Journal of Medicine. We reviewed all the original articles published in 1982 (207 articles In La Presse Medicale and 152 articles in the New England Journal of Medicine): specialties, methodologies used in the studies, environment (number of authors, geographical origin, institutional origin, number and language of references, number of subjects included in the studies). ⋯ Most references were in English, even in La Presse Medicale, in which 76% of all references were not in French, and 14% of all articles had no French references. In conclusion, this study shows differences between the two journals: in particular, the methodologies used by the authors in La Presse Medicale were less pertinent than those used by the authors in the New England Journal of Medicine. This finding is important with regard to the formation of and information given to the French speaking physicians, and a strong reaction from the editors and physicians concerned is desirable.
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A patient presenting with gastric and duodenal necrosis following ingestion of sulphuric acid was successfully treated by excision of the stomach and duodeno-pancreas with delayed re-establishment of digestive tract continuity. This technique would not be possible without continuous enteral nutrition.
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Plasma C-peptide levels were measured in classical insulin-dependent diabetics (group I) and in patients who had become insulin-dependent after a mean 12 years of non-insulin dependent diabetes (group II). All had been under insulin therapy for no more than 2 years. ⋯ These findings suggest that patients with initially non-insulin dependent diabetes are more resistant to insulin than classical insulin-dependent diabetics. This low sensitivity to insulin might be due to age (which was more advanced in our group II patients) or might indicate that these patients still retain a degree of insulin-resistance that is characteristic of non-insulin dependent diabetes.