Sur le Web, ces 30 derniers jours

mardi 19 mars 2019

lundi 18 mars 2019

  • Pochettes à insuline Frio
    Les pochettes Frio, spécialement conçues pour le transport et la Protection de l'insuline entamée, de l'adrénaline ou des bandelettes CoaguChek Roche. Emportez votre stylo à insuline partout et sans contrainte. Ces pochettes protègent votre insuline de la chaleur, même sous les climats les plus (...)

vendredi 15 mars 2019

  • WHO’s Top Health Threats for 2019
    In its list of the top 10 global health threats for 2019, the World Health Organization (WHO) identified noncommunicable diseases such as diabetes, cancer, and heart disease as a grave danger, causing more than 70% of deaths worldwide and disproportionately affecting low- and middle-income (...)

  • Venezuela’s Infant Death Rate Rises Amid Worsening Humanitarian Crisis
    Venezuela’s plunge into an economic crisis and the collapse of its health care system appear to have taken a toll on newborns. The country’s infant mortality rate has increased by 40% since 2008, according to a recent study.

  • Higher HIV Rates in Adolescent Girls Related to Drought in Lesotho
    A recent study linked severe drought in the African country of Lesotho from 2014 to 2016 with an increased risk of HIV infection among adolescent girls.

  • Lessons Learned From TARV About Dispersion of Transcatheter Mitral Valve Repair Into Clinical Practice
    This Viewpoint discusses the strategy of “rational dispersion” for new technology into clinical practice, and proposes patient and clinical selection criteria, follow-up and registry surveillance, and regionalization strategies that would guide rational staged rollout of transcatheter technology (...)

  • JAMA
  • JAMA Peer Reviewers in 2018
    We sincerely thank the 2704 peer reviewers who completed manuscript reviews for JAMA in 2018.

  • Bearing Witness and Finding Meaning in Others’ Suffering
    In this narrative medicine essay, a palliative care physician’s experience—holding the hand of a man who was flung to a curb after miscalculating a light change as he dashed across the street causing him to be struck by truck—cured her of fainting at the sight of pain, which enabled her to choose (...)

  • The War of All Against All
  • Cardiac Catheter Ablation for Heart Rhythm Abnormalities
    This JAMA Patient Page describes why and how cardiac catheter ablation is used to correct atrial fibrillation and other heart rhythm abnormalities.

  • Dietary Cholesterol or Egg Consumption With Incident CVD and Mortality
    This pooled cohort study reports that consumption of an additional 300 mg of dietary cholesterol per day or an additional half egg per day is significantly associated with higher risk of incident cardiovascular disease (CVD) events and all-cause (...)

  • Levels of Evidence Supporting ACC/AHA and ESC Guidelines, 2008-2018
    This systematic review of current and prior American College of Cardiology/American Heart Association and European Society of Cardiology guidelines summarizes the class and level of evidence (LOE) supporting guideline recommendations and changes in LOEs over (...)

  • Catheter Ablation vs Antiarrhythmic Medication and Quality of Life in Atrial Fibrillation
    This randomized trial compares the effects of pulmonary vein isolation using radiofrequency ablation vs antiarrhythmic medication on self-reported quality of life at 1 year in patients with atrial fibrillation and previous medication (...)

  • Challenges in Research on Suicide Prevention—Reply
    In Reply We are gratified to know that the FDA is developing guidance that supports inclusion of individuals with suicidal ideation or behavior associated with serious mental illnesses, including schizophrenia and bipolar disorder, in clinical trials. We agree that trial participants with acute (...)

  • Reducing the Burden of Fellowship Interviews—Reply
    In Reply Excessive interviewing between training programs and applicants is costly and time-consuming for both. Dr Miele reiterates a concern raised in our Viewpoint that candidates with strong applications will be favored over those who excel in interviews if interview matching were (...)

  • Challenges in Research on Suicide Prevention
    To the Editor In a Viewpoint, Drs Sisti and Joffe expressed concern that interventions to reduce suicide have not been well studied in clinical trials and proposed inclusion of actively suicidal individuals in trials. The US Food and Drug Administration (FDA) provides regulatory advice on (...)

  • Challenges in Research on Suicide Prevention
    To the Editor Drs Sisti and Joffe described challenges in conducting research on suicide. We agree that such research should include individuals with suicidal behavior and that suicide attempts and death are appropriate outcomes for trials. We also agree that conceptualizing the outcome of (...)

  • Reducing the Burden of Fellowship Interviews
    To the Editor The Viewpoint by Dr Melcher and colleagues raised concerns regarding time expenditures, incurred costs, and loss of clinical coverage caused by interviewing for surgical fellowships and proposed an interview match as a way to decrease the overall amount of interviews. They (...)

  • Reducing the Burden of Fellowship Interviews
    To the Editor Dr Melcher and colleagues accurately described the challenges of the current surgical fellowship application system and proposed a match within the match solution. The essence of their proposal centers on limiting the number of interviews that an applicant can participate in and (...)

  • Disclosure of Religious Identity on Catholic Hospital Websites
    This study examines whether Catholic hospitals disclose their religious identity and health care practices based on the church’s teachings on their websites.

  • Vesalius and Cushing: Tradition and Inspiration
    Just as skill in perspective drawing is necessary for proficiency in painting and sculpture, a mastership in anatomy opens the door to all purposeful work in medicine. The period of Galen, emphasizing rational anatomy and physiology as a corrective to even the brightest hippocratic philosophies (...)

  • Shaking Things Up in California
    California has been waiting and planning for the “big one” for a long time. I am not talking about the long-forecasted massive earthquake but the much-anticipated dream of publicly sponsored universal health care coverage. With the inauguration in January 2019 of Gavin Newsom as the governor of (...)

  • Evaluation of Cardiac Rhythm Abnormalities From Wearable Devices
    This Clinical Update reviews the technologies underlying dysrhythmia detection by Apple's smartwatch and other personal mobile devices, accuracy of the devices for detecting atrial fibrillation and clinically significant tachycardias and bradycardia, and it proposes an algorithm for how (...)

  • Highlights for March 19, 2019
  • Management of Patients With Atrial Fibrillation
    This JAMA Clinical Guidelines Synopsis summarizes the AHA/ACC/HRS 2019 update of the societies’ guideline for managing patients with atrial fibrillation, focusing on use of novel oral anticoagulants (NOACs) and procedural interventions such as left atrial appendage closure (LAAC) and catheter (...)

  • Oversight of Supplements
    The FDA recently announced plans to modernize and reform the regulation of dietary supplements, which are taken regularly by 3 of every 4 adults in the United States, according to the agency.

  • Breast Implant–Associated Lymphoma
    In a recent letter, the FDA encouraged health care professionals to learn more about the association between all breast implants—regardless of filling or texture—and anaplastic large cell lymphoma (ALCL), a type of non-Hodgkin (...)

  • New Treatment for Rare Blood Clotting Disorder
    The FDA has approved the first adjunctive therapy for adults with acquired thrombotic thrombocytopenic purpura (aTTP), a rare and life-threatening blood clotting disorder.

  • The Evidence Supporting Cardiovascular Guidelines
    For more than 3 decades, the American College of Cardiology/American Heart Association (ACC/AHA) Task Force on Practice Guidelines has contributed substantially to the quality of cardiac care by developing guidelines pertaining to virtually all areas of cardiovascular disease. The intent is to (...)

  • Association of Egg Consumption and Dietary Cholesterol With Cardiovascular Disease Risk
    Nutrition research, in contrast with randomized clinical trials that compare a drug with placebo, is more difficult for many reasons, including complexities in data gathering and changes in human behavior over time. In this issue of JAMA, Zhong and colleagues report new insights about a (...)

  • Thank You to JAMA Peer Reviewers, Authors, and Readers
    In this issue of JAMA, we are pleased to publish the names of the 2704 peer reviewers who completed reviews of manuscripts in 2018. We extend our sincere appreciation to all reviewers for their thoughtful, insightful, and scholarly evaluation of manuscripts. Their substantive comments and (...)

  • Integrated Adherence Monitoring for Inhaler Medications
    This Viewpoint discusses integration of sensors to metered dose inhalers (MDIs) that provide measures of actuation and adherence and calls on physicians and manufacturers to make monitor-derived adherence measures a standard component of management of asthma, chronic obstructive pulmonary (...)

  • Potential Implications of Private Equity Investments in Health Care Delivery
    This Viewpoint describes trends favoring private equity acquisition of health care practices and companies, and calls for research to better characterize potential risks and benefits relative to health care quality, outcomes, and (...)

  • Enhanced Recovery After Surgery in the United States
    This Viewpoint characterizes the evidence base underlying existing interventions to reduce complications and improve patient outcomes after surgery, and emphasizes the need for science to guide extension and development of new interventions in the face of pressures to use length-of-stay (LOS) (...)

  • Clinics Aim to Improve Post-ICU Recovery
    This Medical News story discusses initiatives aimed at improving recovery from life-threatening illnesses after release from the intensive care unit.

  • Older Adults May Fuel an Upturn in Eczema Cases
    This Medical News & Perspectives article describes a report showing that the prevalence of atopic eczema rebounds in older adults.

  • Choosing a Time Horizon in Cost and Cost-effectiveness Analyses
    This JAMA Guide to Statistics and Methods reviews considerations that go into investigators’ choice of time over which to define and measure the benefits and costs of interventions in risk-benefit and cost-effectiveness analyses.

  • Plan d'action pour réduire la consommation de boissons sucrées et promouvoir l'eau
    Les boissons sucrées constituent la principale source de sucres ajoutés dans l’alimentation des Québécois. Près d’un jeune sur trois consomme des boissons sucrées chaque jour. Leur consommation excessive est associée au diabète, aux maladies cardiovasculaires ainsi qu’à la carie dentaire, et contribue (...)

  • Obstacles aux interventions cliniques liées à l’activité physique dans le traitement des maladies cardiométaboliques
    Les statines sont devenues la pierre angulaire pharmacologique sur laquelle reposent la prévention et le traitement des maladies cardiovasculaires (MCV). Par ailleurs, selon des études d’envergure sur les statines, il est évident qu’une réduction maximale des niveaux de cholestérol à lipoprotéines de (...)

  • La vérité et la publicité directe aux consommateurs au Canada sur DUKORAL pour prévenir la diarrhée du voyageur
    Il peut être difficile pour un médecin de soins primaires d’exercer sa profession d’une manière impartiale et factuelle dans un environnement de pratique dans lequel non seulement les patients, mais aussi les fournisseurs de soins sont bombardés de renseignements en ligne douteux. S’ils ne sont pas (...)

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