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 workforce, relative to what is possible if they were in full health and had complete education?
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.
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 sessions.
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 infection in non-shock patients in place of rapid empirical antimicrobial treatment.
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 until as a stump all it can offer the now old man is a seat.
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 labor.
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.
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 maternal immunization.
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.
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 therapies.
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 myeloma.
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 results?
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 crisis.
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.
This Medical News & Perspectives article examines the proliferation of US clinics offering unproven stem cell therapies.
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 deaths.
This JAMA Patient Page describes the symptoms, diagnosis, and treatment of choledocholithiasis.