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    Scientific Discovery and the Future of Medicine

    Explore JAMA's 2015 series featuring common-sense descriptions of the frontiers of biomedical research by the world's most eminent scientists.

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    • Do Not Rule Out Double-blind Placebo Run-in Periods for Randomized Clinical Trials
      JAMA Psychiatry
      Letter
      April 1, 2022
      Research, Methods, Statistics
      Full Text | pdf link PDF
    • Potential Lessons for DSM From Contemporary Philosophy of Science
      JAMA Psychiatry
      Opinion
      February 1, 2022

      This Viewpoint seeks to examine current psychiatric nosology through the lens of modern philosophy of science.

      Psychiatric Nosology Psychiatry and Behavioral Health
      Full Text | pdf link PDF
    • Breakthrough Discovery in Protein Structure Prediction and the Promise of New Treatments
      JAMA
      Opinion
      October 12, 2021

      This Viewpoint discusses protein folding and the use of computers to solve the protein folding problem along with the limitations of protein structure prediction and the practical benefits that may be yielded from the breakthrough discovery.

      Drug Development
      Full Text | pdf link PDF
    • New Insights Into Plaque Erosion as a Mechanism of Acute Coronary Syndromes
      JAMA
      Opinion
      March 16, 2021

      This Viewpoint summarizes the pathophysiology and clinical features of atherosclerotic plaque erosion as an underlying mechanism of acute coronary syndromes (ACS) distinct from plaque rupture and reviews evidence that antithrombotic therapy without PCI and stenting may be optimal treatment.

      Acute Coronary Syndromes Cardiology Emergency Medicine Ischemic Heart Disease Anticoagulation
      Full Text | pdf link PDF has multimedia with quiz
    • Progress in Multiple Sclerosis Research: An Example of Bedside to Bench
      JAMA
      Opinion
      September 1, 2020

      This Viewpoint attributes improved understanding of the role of autoantibodies and B-cell activity in MS pathogenesis and the development of effective therapies to the ability of physician-scientists to bring clinical insights to laboratory research and it emphasizes the importance of supporting and encouraging these investigators to reinvigorate science at the bedside.

      Demyelinating Disorders Neurology Multiple Sclerosis
      Full Text | pdf link PDF has multimedia with quiz
    • Toward a Speech Neuroprosthesis
      JAMA
      Opinion
      February 4, 2020

      This Viewpoint describes principles underlying early brain-computer interfaces (BCIs) designed to read electrical brain signals, analyze how brain activity patterns contribute to vocal tract movements, and reproduce the sound patterns as speech toward the goal of restoring paralyzed individuals’ natural rate of communication and quality of life.

      Medical Devices and Equipment Physical Medicine and Rehabilitation Neuroscience Neurology
      Full Text | pdf link PDF has multimedia
    • Manipulating the Human Microbiome to Manage Disease
      JAMA
      Opinion
      January 28, 2020

      This Viewpoint discusses the challenges and successes of the application of microbiome science to human health and highlights the need for basic mechanistic research informed by clinical questions to advance the field.

      Infectious Diseases Gastroenterology and Hepatology Gastroenterology Pediatrics
      Full Text | pdf link PDF has multimedia
    • Accelerating the Science of SCD Therapies—Is a Cure Possible?
      JAMA
      Opinion
      September 10, 2019

      This Viewpoint reviews the molecular basis of sickle cell disease (SCD), the history of treatments for the disease, and recent progress toward curative therapies including HSCT and gene therapy and editing, emphasizing that research and innovation needs to take into account patient priorities and perspectives given the history of research mistreatment of minority groups most affected by SCD.

      Hematology Sickle Cell Disease Stem Cell Transplantation
      Full Text | pdf link PDF has multimedia
    • Aging as a Biological Target for Prevention and Therapy
      JAMA
      Opinion
      October 2, 2018

      This Viewpoint discusses targeting fundamental biological aging processes through nutritional, genetic, and pharmacologic interventions to delay or prevent the onset or progression of multiple chronic diseases and debilities typically observed in older humans to enhance and extend both health and longevity.

      Geriatrics
      Full Text | pdf link PDF
    • Aging, Cell Senescence, and Chronic Disease: Emerging Therapeutic Strategies
      JAMA
      Opinion
      October 2, 2018

      This Viewpoint describes the processes by which aging of cells contributes to age-related decline, chronic disease, and multimorbidity, and describes current animal research and clinical trials investigating the effects of senolytic drugs and vaccines that target senescent cell antiapoptotic pathways and remove senescent cells.

      Geriatrics
      Full Text | pdf link PDF
    • From Lifespan to Healthspan
      JAMA
      Opinion
      October 2, 2018

      This viewpoint discusses increased life expectancy and the initiatives to address the risks and unintended consequences of living longer.

      Geriatrics
      Full Text | pdf link PDF
    • Advancing Clinical Improvements for Patients Using the Theory-Driven and Data-Driven Branches of Computational Psychiatry
      JAMA Psychiatry
      Opinion
      March 1, 2018

      This Viewpoint describes the theory-driven and data-driven branches of computational psychiatry and how it might advance clinical improvements for patients.

      Psychiatry and Behavioral Health Research, Methods, Statistics
      Full Text | pdf link PDF
    • Therapeutic and Preventive Implications of Moonshot in Hereditary Cancer Syndromes
      JAMA Oncology
      Opinion
      May 1, 2017

      This Viewpoint discusses the significance of investing billions of dollars in genomic sequencing and the implications of finding a hereditary mutation in patients with metastatic cancer using next-generation sequencing.

      Oncology Genetics and Genomics Cancer Genetics Cancer Screening, Prevention, Control Targeted and Immune Cancer Therapy
      Full Text | pdf link PDF
    • The Role of Genetic Testing in the Selection of Therapy for Breast Cancer: A Review
      JAMA Oncology
      Review
      February 1, 2017

      This narrative review summarizes the current state of genomic testing for somatic mutations in breast cancer and considers approaches for more effective implementation.

      Breast Cancer Oncology Cancer Genetics Women's Health Genetics and Genomics
      Full Text | pdf link PDF
    • Advances, Pauses, and Future Opportunity for the Prevention of Venous Thromboembolism in the Trauma Population
      JAMA Surgery
      Opinion
      January 1, 2017
      Trauma and Injury Venous Thromboembolism Health Care Quality Radiology Anticoagulation
      Full Text | pdf link PDF
    • The Potential of Radiomic-Based Phenotyping in Precision Medicine: A Review
      JAMA Oncology
      Review
      December 1, 2016

      This perspective discusses the advent of medical imaging as a data source for precision management of patients with cancer through integration of automated imaging phenotype and cancer genotype.

      Oncology Radiology Genetics and Genomics Pathology and Laboratory Medicine Research, Methods, Statistics
      Full Text | pdf link PDF
    • Heavy Ions in Cancer Therapy
      JAMA Oncology
      Opinion
      December 1, 2016

      This Viewpoint compares the advantages and disadvantages of x-ray, proton, and heavy-ion therapy in cancer treatment, and the future of heavy-ion therapy in the United States.

      Oncology Radiation Oncology
      Full Text | pdf link PDF
    • Highlights in Central Nervous System Tumors
      JAMA Oncology
      Opinion
      December 1, 2016

      This Viewpoint highlights recent findings in the treatment of central nervous system tumors.

      Neuro-oncology Neurology Oncology Research, Methods, Statistics Targeted and Immune Cancer Therapy
      Full Text | pdf link PDF
    • JAMA Neurology at the Forefront, 1997-2016
      JAMA Neurology
      Opinion
      December 1, 2016
      Neurology Research, Methods, Statistics Neuroscience Genetics and Genomics Medical Journals and Publishing
      Full Text | pdf link PDF
    • Emerging Diagnostic and Therapeutic Tools for Central Nervous System Infections
      JAMA Neurology
      Opinion
      December 1, 2016

      This Viewpoint discusses 2 next-generation approaches to diagnosis and therapy that are either already clinically relevant or likely to be tested in central nervous system neurotropic viral infections in the near future.

      Infectious Diseases Neurology CNS Infections Neuroscience Neurogenetics
      Full Text | pdf link PDF
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