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This Week in JAMA
April 25, 2012

This Week in JAMA

JAMA. 2012;307(16):1669. doi:10.1001/jama.2012.527

Stockwell and colleagues assessed the effect of a text messaging intervention on influenza vaccine receipt in a randomized trial that involved parents of 7574 primarily low-income and urban children and adolescents who received care at 4 community-based clinics and who had not yet received the 2010-2011 influenza vaccine. The authors found that the text messaging intervention increased the children's influenza vaccination rates compared with usual care; however, the overall rate of vaccination remained low. In an editorial, Szilagyi and Adams discuss the potential of text messaging to improve preventive care.



In a cohort of 72 235 very low-birth-weight (VLBW) infants born in 558 US hospitals with neonatal intensive care units, Lake and colleagues examined the relationship between hospital recognition of nursing excellence (RNE)—reflecting attainment of standards developed by the American Nurses Credentialing Center—and infant outcomes. Among the authors' findings were that compared with VLBW infants born at non-RNE hospitals, those born at RNE hospitals had lower risk-adjusted rates of 7-day mortality, nosocomial infection, and severe intraventricular hemorrhage but not lower rates of 28-day mortality or hospital-stay mortality. In an editorial, Barfield discusses quality of care and improved survival of VLBW infants.


In a randomized placebo-controlled trial that involved 92 patients with chronic ischemic heart failure, Perin and colleagues assessed the effect of transendocardial injection of autologous bone marrow mononuclear cells (BMCs) on left ventricular performance and perfusion. At 6 months, the authors found that compared with placebo, transendocardial injection of BMCs was not associated with improvements in left ventricular end-systolic volume nor associated with maximal oxygen consumption or reversal of myocardial ischemia.


In an analysis of data from an international prospective cohort of 2760 patients with definite infective endocarditis, Athan and colleagues examined clinical characteristics and outcomes associated with cardiac device infective endocarditis, diagnosed in 177 patients. Among the authors' findings was that concomitant valve infection was common and associated with high mortality. Early device removal was associated with improved survival at 1 year.


Jackson and colleagues assessed the effectiveness of botulinum toxin A for headache prophylaxis in a systematic review and meta-analysis of 27 randomized trials that involved 5313 adult patients. The authors found that compared with placebo, botulinum toxin was associated with a small to modest benefit (2 to 3 fewer headache days a month) among patients with chronic daily headache or chronic migraine but found no benefit among patients with episodic migraines or chronic tension-type headaches.


A young adult has experienced intermittent severe chest and abdominal pain for 1 year. Physical examination was remarkable for pain on palpation of the xiphoid. What would you do next?


A new initiative brings together researchers, designers, artists, and others to use a variety of media to disseminate compelling health care messages.


Electronic sharing of clinical data


New physicians, the ACA, and changes in medical practice


Specialty hospitalists


“[If] I choose to accept that I play some role in the success of treatment outcomes, it is only just that I must also acknowledge and accept responsibility for treatment failure.” From “Keep That.”


Call for Papers

Authors are invited to submit manuscripts for an upcoming JAMA theme issue.


Dr Bauchner summarizes and comments on this week's issue. Go to http://audio.jamanetwork.com/jamaeditorsaudiosummary/pcast_042512.mp3.

How would you help Mr J, a 52-year-old whose depressive symptoms impede his life? Read the case at www.jama.com. Submit your response by April 29.

Join Rita F. Redberg, MD, and Roger S. Blumenthal, MD, May 16 from 2 to 3 PM eastern time to discuss treating healthy middle-aged men with statins. To register, go to http://www.ihi.org/AuthorintheRoom.

For your patients: Information about sudden infant death syndrome.