Sur le Web, ces 30 derniers jours

jeudi 17 septembre 2020

mercredi 16 septembre 2020

mardi 15 septembre 2020

  • Routine Vaccinations Decline During Pandemic
    An alarming decline in routine vaccinations among children and adolescents has occurred since the coronavirus disease 2019 (COVID-19) pandemic began, according to a survey led by the United Nations Children’s Fund (UNICEF), the World Health Organization (WHO), and Gavi, the Vaccine (...)

  • Interest in Global COVID-19 Vaccine Alliance Grows
    More than 150 countries may join a global alliance to ensure rapid and equitable access to an eventual coronavirus disease 2019 (COVID-19) vaccine.

  • Nearly Half of Dementia Cases Could Be Prevented or Delayed
    International dementia experts have expanded their list of risk factors that, if reduced or eliminated, could prevent or delay 40% of dementia cases worldwide.

  • Honoring the Legacy of Henrietta Lacks: The Need for a Biospecimen Consent Policy
    In this Viewpoint, the NIH director and acting chief of staff discuss how Henrietta Lacks’ cervical cancer cells (HeLa) were used without her consent to create an immortal cell line used widely in modern medical research, and argue for development of policies to prevent unauthorized use of (...)

  • Addressing Influenza Vaccination Disparities During the COVID-19 Pandemic
    In this Viewpoint, CDC scientists discuss the public health urgency of increasing influenza vaccination uptake early in the 2020-2021 season to ameliorate the threat to patients and hospitals of overlapping outbreaks, and urges clinicians to strongly recommend the vaccine and administer it to (...)

  • JAMA
  • Finding His Voice—A Mother Learns to Let Go
    In this narrative medicine essay, a psychologist recounts how she found her voice through writing and in patient care advocacy and research and how she helped her son, who has Schwartz-Jampel syndrome, find his voice when young, but now he is taking over his own narrative as a young (...)

  • Buoyancy
    Your scars remind me of the silvery bottom of fish before they turn upwards. When I was younger, you took me fishing. The solution, you said, was not to build more lakes. Instead, you gently unhooked the smallest of fish before letting them wiggle away. So easy to forget the crimson. Slowly (...)

  • Patient Information: Brain Death
    This JAMA Patient Page explains the current definition of brain death, characteristic causes, and the conditions under which the diagnosis can be made.

  • Intra-arrest Transport vs Continued On-Scene Resuscitation and Survival in Patients With Out-of-Hospital Cardiac Arrest
    This study of adult patients with out-of-hospital cardiac arrest compares rates of survival to hospital discharge for those receiving EMS transport vs continued on-scene resuscitation .

  • Association of Routine Infant Vaccinations With Antibody Levels Among Preterm Infants
    This cohort study evaluates IgG antibody concentrations in preterm infants after administration of combination diphtheria–tetanus toxoids–acellular pertussis–inactivated poliomyelitis–Haemophilus influenza type b–and hepatitis B (DTaP-IPV-Hib-HepB) and pneumococcal conjugate (...)

  • Telehealth Success Spurs a Call for Greater Post–COVID-19 License Portability
    This Medical News article examines the pros and cons of national medical licensure as physicians have grappled with seeing out-of-state patients via telemedicine during the coronavirus disease 2019 pandemic.

  • Pharmacologic Treatments for Tinnitus—Reply
    In Reply Dr Asnis emphasizes the importance of pharmacological treatments for tinnitus, which were not addressed in our Clinical Update. Although we disagree with his assertion that nonpharmacological treatments are ineffective in many, his letter does raise several good points about the (...)

  • Preemptive Therapy vs Antiviral Prophylaxis in Cytomegalovirus-Seronegative Liver Transplant Recipients With Seropositive Donors—Reply
    In Reply The observed rate of breakthrough disease (2%) during prophylaxis in our study is consistent with the rate in other clinical studies (1%-4%). Both CMV disease cases in the prophylaxis group were receiving intermittent hemodialysis and kidney-adjusted parenteral ganciclovir per (...)

  • Benefits of Treating Obstructive Sleep Apnea—Reply
    In Reply We agree with Dr Hunasikatti that the exclusion of excessively sleepy patients from randomized trials of the management of OSA for secondary prevention of cardiovascular disease may well have contributed to the null findings of these studies, as mentioned in our Review. Although it is (...)

  • Preemptive Therapy vs Antiviral Prophylaxis in Cytomegalovirus-Seronegative Liver Transplant Recipients With Seropositive Donors
    To the Editor Dr Singh and colleagues reported that within the first 12 months after liver transplantation, preemptive therapy resulted in significantly lower rates of cytomegalovirus (CMV) disease compared with primary valganciclovir prophylaxis in 205 CMV-seronegative recipients from (...)

  • Pharmacologic Treatments for Tinnitus
    To the Editor The Clinical Update on tinnitus by Dr Piccirillo and colleagues described the marked heterogeneity of this disorder associated with a number of different conditions, such as acoustic trauma, hearing loss, and emotional stressors. This heterogeneity may be the reason that (...)

  • Benefits of Treating Obstructive Sleep Apnea
    To the Editor Drs Gottlieb and Punjabi, in their Review on obstructive sleep apnea (OSA), stated that “current evidence suggests that treatment does not reduce the risk of cardiovascular disease, stroke, or metabolic abnormalities in asymptomatic patients.” Even though studies have failed to find (...)

  • Policies Among US Pediatricians for Dismissing Patients for Delaying or Refusing Vaccination
    This survey study assesses US pediatrician practices and office policies in response to parents who either refuse primary vaccinations or request to spread out individual vaccines in the primary series.

  • Occultism and Insanity
    William House, M.D., Portland, Ore.

  • New Rules for the Pandemic Era
    Coronavirus disease 2019 (COVID-19) is not the world’s first pandemic, and it is unlikely to be the last. In recent years, there have been actual or potential pandemics in 2002 (severe acute respiratory syndrome coronavirus), 2009 (H1N1 influenza), 2012 (Middle East respiratory syndrome (...)

  • Audio Highlights
    Listen to the JAMA Editor’s Audio Summary for an overview and discussion of the important articles appearing in this week’s issue of JAMA.

  • Estimating Risk Ratios and Risk Differences
    This JAMA Guide to Statistics and Methods explains the differences between risk ratios and odds ratios and when each is the more appropriate statistic to estimate measures of effect or association in research findings.

  • Oral Drug Approved for Spinal Muscular Atrophy
    The first oral therapy for adults and children aged 2 months or older who have spinal muscular atrophy (SMA) has received FDA approval.

  • CBD Drug Is Approved for a Third Form of Epilepsy
    A drug containing the marijuana derivative cannabidiol (CBD) was approved to treat seizures associated with tuberous sclerosis complex (TSC) in patients aged 1 year or older. TSC is a genetic disease that causes benign tumors to grow throughout the body. It affects 1 in 6000 (...)

  • Phasing Out Potentially Hazardous Food Packaging
    Three manufacturers agreed to a 3-year phaseout of certain perfluoroalkyl and polyfluoroalkyl substances (PFAS) that are used to prevent grease from penetrating food packaging such as fast-food wrappers and takeout boxes, the FDA (...)

  • Challenging the “Scoop and Run” Model for Management of Out-of-Hospital Cardiac Arrest
    Adult out-of-hospital cardiac arrest (OHCA) represents an enormous public health challenge in the US, with an estimated incidence of 140.7 per 100 000 persons per year. Of the 347 322 cases of OHCA assessed by emergency medical services (EMS) in 2015, 52% underwent resuscitation efforts with (...)

  • Incorrect Axis Alignment in Figure
    In the Original Investigation titled “Association of a Beverage Tax on Sugar-Sweetened and Artificially Sweetened Beverages With Changes in Beverage Prices and Sales at Chain Retailers in a Large Urban Area Setting,” published in the May 14, 2019, issue of JAMA, the volume sales designations on (...)

  • Financing Graduate Medical Education In the 21st Century
    This Viewpoint challenges US hospital claims that government funding to train physicians is necessary to offset costs, maintain physician supply, and keep costs low for other payers, and proposes reforms to use the monies to target known problems, such as geographic disparities in physician (...)

  • The Transformational Effects of COVID-19 on Medical Education
    This Viewpoint discusses the ways medical schools adapted to the coronavirus disease 2019 (COVID-19) pandemic, allowing students to be part of the public health response, adapting curricula to educational opportunities, and modernizing means of instruction without losing time or compromising (...)

  • Legal Interventions to Address US Reductions in Life Expectancy
    This Viewpoint discusses ways that evidence-based laws can address health disparities and halt the documented reduction of life expectancy across socioeconomic groups in the US, including through regulation of hazardous products, behavioral economic incentives, wage increases, and provision of (...)

  • Effect of Remdesivir vs Standard Care on Clinical Status of Patients With Moderate COVID-19
    This open-label randomized trial compares the effect of remdesivir (5 or 10 days) vs standard care on clinical status 11 days after treatment initiation among patients with confirmed SARS-CoV-2 infection hospitalized with moderate pneumonia (room air oxygen saturation (...)

  • Efficacy of Remdesivir in COVID-19
    The coronavirus disease 2019 (COVID-19) pandemic has strained health care systems across the globe, necessitating drastic public health measures and prompting a fervent search for effective treatments. The experimental antiviral drug remdesivir (manufactured by Gilead) was granted Emergency Use (...)

  • Ethical Considerations for COVID-19 Vaccine Trials in Correctional Facilities
    This Viewpoint discusses the importance of studying coronavirus disease 2019 (COVID-19) vaccine candidates in prisoners, and proposes a framework for considering how to include them safely, ethically, and without coercion in future phase 3 vaccine (...)

  • Point Prevalence of SARS-CoV-2 Infection Among Residents of Connecticut Nursing Homes
    This study describes the point prevalence of polymerase chain reaction tests positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among residents of a sample of Connecticut nursing homes in the first half of May (...)

  • Association of Nursing Home Ratings and COVID-19 Cases
    This study evaluates COVID-19 case rates between high- and low-performing nursing homes based on CMS quality measures.

  • Determination of Brain Death/Death by Neurologic Criteria: The World Brain Death Project
    This Special Communication summarizes consensus recommendations from the World Brain Death project, an international collaborative created to establish minimum standards for diagnosing brain death/death by neurologic criteria (BD/DNC) in children and adults across a broad range of settings and (...)

  • Brain Death: Moving Beyond Consistency in the Diagnostic Criteria
    In this issue of JAMA, contributors to the World Brain Death Project present an international consensus report on criteria for the diagnosis of brain death, or determination of death by neurologic criteria (BD/DNC). The report addresses inconsistencies in clinical guidelines across different (...)

lundi 14 septembre 2020

  • Tensiomètre Manopoire DuraShock DS58 Welch Allyn
    Tensiomètre Manopoire DuraShock DS58 de Welch Allyn avec son Design innovant peut-être utilisé aussi bien par les gauchers que les droitiers. Système de gonflage Premium pour une utilisation de tout confort, résistance aux chocs en cas de chute depuis une hauteur maximale de 150 cm sans rien perdre (...)

jeudi 10 septembre 2020

mercredi 9 septembre 2020

mardi 8 septembre 2020

  • TB Control Suffers During Pandemic
    Extraordinary demands during the coronavirus disease 2019 (COVID-19) pandemic have diminished efforts to diagnose and treat people with tuberculosis (TB) at half of US public health departments, according to a report by the CDC and the National TB Controllers (...)

  • COVID-19 Precautions Helped Limit Cases Linked to Milwaukee Primary
    High rates of voting by mail and other prevention strategies during Milwaukee’s April primary limited the election-related spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), according to a report by CDC and City of Milwaukee Health Department (...)

  • Cascading Risks of COVID-19 Resurgence During an Active 2020 Atlantic Hurricane Season
    This Viewpoint discusses the prospects for exacerbation of the coronavirus disease 2019 (COVID-19) pandemic during hurricane season in the US, and proposes reinforcement of public health measures, clear communication, and learning from each experience to reduce the risks of hurricane-related (...)

  • JAMA
  • The Silence and Sorrow of Miscarriage
    In this narrative medicine essay, a neurologist relates the story of her miscarriage while touring immigration detention centers in Texas documenting medical care and human rights violations and shares her deep sorrow for the women who lost children either by force or miscarriages while (...)

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