Journal of American medical association, ces 60 derniers jours

Site du Journal of American medical association (JAMA)



mardi 9 octobre 2018

  • Highlights for October 9, 2018
  • Eliminating Poverty in the 21st Century
    In this Viewpoint, World Bank President Jim Yong Kim explains the World Bank’s Human Capital Index, which uses data on each country’s level of education and indicators of health status to answer a simple but powerful question: how productive will children born today be as members of the future (...)

  • The Benefits and Risks of High-Nicotine e-Cigarettes
    This Viewpoint discusses how e-cigarettes have the potential to attract young users, and that stronger regulatory actions are needed to stop e-cigarette use among this group.

  • Shifts in Health Law Jurisprudence With A Realigned US Supreme Court
    This Viewpoint reviews what little is known about US Supreme Court nominee Judge Brett Kavanaugh’s jurisprudence on issues related to health care and health law in cases that could come before the US Supreme Court nominee in coming (...)

  • Antibiotics for Sepsis
    This Viewpoint makes the case that the importance of early detection of sepsis and the need for rapid antibiotics in patients with definite infection and possible septic shock has likely led to overuse of antibiotics in patients who might not need them, and argues for testing to confirm (...)

  • The Giving Tree , the Giving Body
    In this narrative medicine essay, a young physician diagnosed with stage III kidney cancer realized with the progressive loss of systems and organs through treatment that he grew to identify with Shel Silverstein’s The Giving Tree, about a tree who gives the boy it loves every part of itself (...)

  • Politics and Health Care
    On March 30, 1981, as he was about to undergo surgery at George Washington University Hospital for his life-threatening bullet wound, President Ronald Reagan is alleged to have quipped to the attending physicians and nurses, “I hope you are all Republicans.” Everyone laughed. In fact, his surgeon (...)

  • Immediate vs Delayed Pushing During the Second Stage of Labor
    Efforts to optimize cesarean delivery rates have prompted research regarding the optimal approach to the management of labor. The second stage of labor, defined as the interval from complete cervical dilation until delivery of the fetus, is a critical period in labor management. Whether the (...)

  • Epidemiology and Management of Spontaneous Pneumothorax
    Spontaneous pneumothorax represents air trapped within the pleural space that develops without antecedent trauma. Current understanding regarding the epidemiology of spontaneous pneumothorax has been informed by small studies performed at single medical centers or retrospective reviews of (...)

  • Effect of Immediate vs Delayed Pushing on Spontaneous Vaginal Delivery
    This randomized clinical trial compares the effects of immediate vs delayed pushing on spontaneous vaginal delivery and maternal and neonatal morbidities among nulliparous women at or beyond 37 weeks’ gestation admitted for spontaneous or induced (...)

  • Effect of Polymyxin B Hemoperfusion on Septic Shock and Elevated Endotoxin Level
    This clinical trial involving patients with septic shock and high endotoxin activity compares the effect of treatment with polymyxin B hemoperfusion vs sham therapy and usual care on mortality.

  • Third-Trimester Tdap Immunization and Neonatal Pertussis Antibody Concentration
    This prospective cohort study assesses whether maternal immunization with tetanus, diphtheria, and acellular pertussis (Tdap) vaccine, compared with no immunization, is associated with high concentrations of pertussis toxin antibodies at birth and if there is an optimal gestational age for (...)

  • Trends in the Incidence and Recurrence of Spontaneous Pneumothorax, 1968-2016
    This population epidemiological study uses English national hospital data sets to characterize trends in the incidence and recurrence of hospital admissions for spontaneous pneumothorax to identify risk factors for recurrence.

  • Management of Chronic Wounds—2018
    This Clinical Update summarizes options for chronic wound management in ambulatory settings, including use of standard gauze, negative-pressure wound therapy, advanced dressings (alginates, foams, hydrocolloids, and hydrogels), and adjuvant wound (...)

  • Bisphosphonates for Patients Diagnosed With Multiple Myeloma
    This Clinical Evidence Synopsis summarizes a Cochrane review of randomized trials comparing the effects of bisphosphonate therapy vs placebo or no treatment on mortality, vertebral fractures, nonvertebral fractures, and skeletal-related events among patients with multiple (...)

  • Coagulation Test in Oral Anticoagulant Therapy
    A 74-year-old man taking rivaroxaban for atrial fibrillation developed a subdural hematoma and had an elevated prothrombin time (PT) with normal activated partial thromboplastin time (aPTT) and platelets prior to planned surgical evacuation. How do you interpret the (...)

  • Campaign Contributions From PACs to Congressional Committee Members Responding to the Opioid Crisis
    This study examines recent campaign contributions to members of US congressional committees responsible for legislating on the opioid crisis by political action committees (PACs) associated with firms under investigation for having contributed to the (...)

  • Vital Statistics Death Counts Calculation of Excess Deaths in Puerto Rico Following Hurricane Maria
    This study calculates the number of excess deaths following Hurricane Maria through December 2017, using death counts from vital statistics records, to update a previous estimate.

  • Unproven but Profitable: The Boom in US Stem Cell Clinics
    This Medical News & Perspectives article examines the proliferation of US clinics offering unproven stem cell therapies.

  • The Surprising Resiliency of the Affordable Care Act
    Ever since the passage of the Affordable Care Act (ACA) in 2010, Republicans (and, more recently, President Trump) have made their opposition to the ACA a rallying cry. The focus on “repeal and replace” during the 2014 Congressional election and again in the November 2016 full election led many (...)

  • Breastfeeding Report Card
    More than 80% of US infants start out life breastfeeding, but many still stop earlier than recommended, the CDC’s 2018 Breastfeeding Report Card found.

  • More Youth Vaccinated for HPV
    About two-thirds of adolescents had received their first dose of the human papillomavirus (HPV) vaccine in 2017 and 48.6% completed all recommended doses, according to a CDC report. This represents a 5-percentage point increase in youth who’ve completed the HPV vaccine series since (...)

  • In-home Robots Improve Social Skills in Children With Autism
    In a recent open-label pilot study, Yale University researchers demonstrated that children with autism have improved social skills after a month of daily 30-minute interactions at home with an autonomous socially assistive robot.

  • Researchers Test New Techniques to Rule Out and Predict Heart Attacks
    A new protocol to rule out myocardial infarctions (MIs), or heart attacks, in emergency departments using a recently approved high-sensitivity troponin t test was found to be safe and accurate in a study published in Circulation.

  • Meta-analysis of LDL-C Lowering and Mortality
    To The Editor In a meta-analysis by Dr Navarese and colleagues concerning low-density lipoprotein cholesterol (LDL-C) levels and mortality after LDL-C lowering, we identified several potential errors related to trials conducted by our research (...)

  • Meta-analysis of LDL-C Lowering and Mortality—Reply
    In Reply Dr Duran and colleagues suggest there were errors in data extracted from 3 trials for our meta-analyses and that the “errors do not reflect differences between RRs and HRs.” Hazard ratios were inconsistently reported for the cardiovascular and all-cause mortality end points in trials (...)

  • Biological, Legal, and Moral Definitions of Brain Death
    To the Editor Brain death, as Dr Truog argued in a Viewpoint, is a concept that blends both medical and legal information. He pointed out that while the law often requires drawing bright-line distinctions between categories—guilty and innocent, dead and alive—biological domains tend to be more (...)

  • Biological, Legal, and Moral Definitions of Brain Death—Reply
    In Reply The perspective presented by Mr Dewar and colleagues raises many interesting philosophical questions about the relationship among science, morality, and law in society. The definition of death intersects with all 3. Scientifically, it depends on the capacity of an organism to maintain (...)

  • Using Big Data to Determine Reference Values for Laboratory Tests
    To the Editor Dr Manrai and colleagues advocated for changes in the way reference intervals are calculated for common laboratory tests. They championed leveraging data sets collected from aggregated large-scale databases of pooled electronic health records to statistically define reference (...)

  • Using Big Data to Determine Reference Values for Laboratory Tests—Reply
    In Reply We agree with Dr Obstfeld and colleagues that harmonizing measurements across laboratory test platforms is critical to the success of personalized laboratory medicine. The efforts cited by the authors will contribute to reducing technical variation and measurement error across test (...)

  • Honoring the Victims of Opioid Addiction
    This Arts and Medicine essay reviews a traveling US exhibit created by the US National Safety Council that honors the human costs of the opioid addiction crisis and engages visitors in strategies to manage opioid use and prevent future (...)

  • Return
    It was a small hourwhen I heard the liftreturning my daughterfrom the operating room.I was informed, ‘She’s okay.’She had not been reducedto blinking as a way of speaking.She would never bungee jump,or dive again, or swim front crawl,but one day she would standand one day take first steps.When I (...)

  • Adequate Supply of Physicians and Educational Standards
    According to the Census Bureau estimate for 1917, the population of the United States was 106,543,317, and according to the new American Medical Directory, the total number of physicians is 147,812. At the present time, therefore, there is one physician to every 720 people. In the various (...)

  • Choledocholithiasis
    This JAMA Patient Page describes the symptoms, diagnosis, and treatment of choledocholithiasis.

  • JAMA

mardi 2 octobre 2018

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