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In This Issue of JAMA
March 20, 2018


JAMA. 2018;319(11):1069-1071. doi:10.1001/jama.2017.12284


Home-based HIV testing is available in many African countries, but less than half of patients who test HIV positive initiate antiretroviral therapy (ART). Labhardt and colleagues randomized 278 adults who tested HIV positive at a home visit to receive same-day ART or standard clinic referral and found that same-day ART increased linkage to health care and viral suppression. In an Editorial, Katz and colleagues suggest additional ways to increase HIV testing, link HIV-infected individuals to health care, and achieve viral suppression.


Prior studies have suggested that adherence to clinical practice guidelines in the United States and Australia may be suboptimal. Braithwaite and colleagues audited the medical records of 6689 Australian children and found that adherence to quality of care indicators for important health conditions continues to be inadequate. In an Editorial, Grossman suggests that assessments of clinical performance should focus on interventions that are evidence based.



In late 2016, US government personnel serving in Havana, Cuba, experienced unusual sensory stimuli and varied neurological manifestations. Swanson and colleagues evaluated 24 of the affected adults and concluded that their symptoms were consistent with neurological injury. In an Editorial, Muth and Lewis suggest that the cause of the symptoms experienced by the individuals in this case series may be a known disease entity or an etiology yet to be described.

Editorial and Related Article

Author Audio Interview

Clinical Review & Education

Exposure to UV radiation during childhood increases the risk of skin cancer later in life. Based on a review of the available evidence, the US Preventive Services Task Force recommends counseling to minimize the exposure of young children with fair skin to UV radiation. In an Editorial, Robinson and Jablonski suggest that trials of behavioral counseling should be open to all individuals with sun-sensitive skin, not just those with fair complexions.

Editorial, Related Article, and JAMA Patient Page

CME and Author Audio Interview

In a review of 21 trials of behavioral interventions for the prevention of skin cancer, Henrikson and colleagues found that behavioral interventions can increase sun protection behaviors but there is a lack of evidence on skin cancer outcomes.

Editorial, Related Article, and JAMA Patient Page

This JAMA Clinical Challenge by Ramachandran and colleagues presents a 56-year-old woman with a history of ovarian cancer and a hard, nontender nodule adjacent to her colostomy stoma. What would you do next?