This Viewpoint discusses the barriers to physicians’ seeking treatment for depression, burnout, and suicide ideation; reviews the pros and cons of establishing a mental health screening protocol for physicans; and calls for research on the effect screening has on mental health outcomes.
In this Viewpoint, the author discusses the need for studying treatments that help patients with persistent depression.
This Viewpoint about heritable genome editing–the modification of DNA of an embryo, sperm, or egg to alter its characteristics for future generations–summarizes the 2018 Nuffield Council on Bioethics report on social and ethical issues raised by the technique, and questions its rejection of a distinction between gene editing for therapeutic vs feature enhancement purposes.
This Viewpoint discusses ways in which vendors of electronic health record (EHR) systems can block the conduct and dissemination of EHR usability and safety research and calls for policies that promote the identification and communication of usability and safety issues.
This Viewpoint discusses the practice of using a clock timer analogy to describe population risks of cancer and suggests standardizing the measures of incidence rates used in the clocks to population size to facilitate more accurate comparisons between populations.
In this narrative medicine essay, a neonatologist-in-training finds that small, ordinary treasures—the first blooms of forsythia, the brilliant flash of an ignited Amaretti wrapper, incandescent cracks of lightning on a muggy summer night—mitigate some of the pain of her memories of having watched her father’s struggle with alcoholism, his failed marriage, and his suicide.
This cohort study examined the effects of the CMS’s Hospital Readmissions Reduction Program, which imposed financial penalties on hospitals with higher-than-expected readmission rates, on mortality among Medicare beneficiaries hospitalized with heart failure, acute myocardial infarction (AMI), or pneumonia.
This cohort study uses GWAS data to identify genetic variants associated with higher waist-to-hip ratio (WHR) via gluteofemoral vs abdominal fat distribution and to estimate the association between a polygenic score for higher WHR and blood pressure, lipids and glucose levels, and type 2 diabetes and CVD risk.
This network meta-analysis of randomized clinical trials estimates the effects of analgesics, vitamin E, bone-acting agents like bisphosphonates and calcitonin, nonsteroidal anti-inflammatory drugs, intra-articular hyaluronic acid and corticosteroids, chondroitin sulfate and glucosamines, and disease-modifying agents on pain, physical function, and joint structure in patients with osteoarthritis.
This narrative review summarizes evidence about the prevalence and management of in-flight medical emergencies and provides guidance for health care professionals who may be called on to help during these events.
A man in his 30s had a 5-day history of fever, rhinorrhea, nonproductive cough, fever, and a maculopapular rash on his neck and trunk that spread to the extremities. He had leukopenia, and liver enzyme levels were elevated. What would you do next?
A 68-year-old woman with chronic lymphocytic leukemia (CLL) presents with dyspnea on exertion, conjunctival pallor and scleral icterus, and moderate anemia with elevated reticulocytes and LDH and a 3+ anti-IgG direct antiglobulin test (DAT). How do you interpret the results?
This study analyzes Medicare claims data to assess the use of transitional care management and chronic care management services delivered by primary care physicians to fee-for-service beneficiaries.
This Medical News & Perspectives story examines the debate over whether opting for whole-fat dairy or nonfat dairy or avoiding dairy altogether is optimal for health.
This Medical News article is an interview with the director of the National Institute of Child Health and Human Development about its Human Placenta Project.
This Arts and Medicine essay reviews the 2 best graphic medicine publications of 2018: Ellen Forney’s Rock Steady, about her approach to self-managing her bipolar disorder, and Marnie Galloway’s Slightly Plural, about overcoming cultural myths of pregnancy and motherhood to develop one’s own story of parenting.
This JAMA Patient Page describes the symptoms, causes, diagnosis, and treatment of endometriosis.
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