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October 2019 - July 1883

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Issue

October 22/29, 2019, Vol 322, No. 16, Pages 1527-1620

In This Issue of JAMA

Highlights

Abstract Full Text
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JAMA. 2019;322(16):1527-1529. doi:10.1001/jama.2018.15564
Original Investigation

Effect of Cryotherapy vs Loop Electrosurgical Excision Procedure on Cervical Disease Recurrence Among Women With HIV and High-Grade Cervical Lesions in Kenya: A Randomized Clinical Trial

Abstract Full Text
JAMA. 2019;322(16):1570-1579. doi:10.1001/jama.2019.14969

This randomized clinical trial compares the effect of cryotherapy vs loop electrosurgical excision procedure (LEEP) on disease recurrence (cervical intraepithelial neoplasia [CIN] grade 2 or higher or invasive cervical cancer) in women with HIV and CIN grade 2 or 3.

Prevalence of Survival Without Major Comorbidities Among Adults Born Prematurely

Abstract Full Text
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JAMA. 2019;322(16):1580-1588. doi:10.1001/jama.2019.15040

This cohort study uses data from the Swedish Birth Registry to determine the prevalence of survival without major comorbidities in adulthood among persons born preterm vs full-term in Sweden between 1973 and 1997.

Preliminary Communication

Effect of Fluoxetine on Obsessive-Compulsive Behaviors in Children and Adolescents With Autism Spectrum Disorders: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2019;322(16):1561-1569. doi:10.1001/jama.2019.14685

This randomized clinical trial compares the effects of fluoxetine vs placebo for obsessive-compulsive behaviors in children and adolescents with autism spectrum disorders.

Research Letter

Association Between Limited English Proficiency and Revisits and Readmissions After Hospitalization for Patients With Acute and Chronic Conditions in Toronto, Ontario, Canada

Abstract Full Text
JAMA. 2019;322(16):1605-1607. doi:10.1001/jama.2019.13066

This study discusses observed associations between limited English proficiency, revisits, and readmissions to 2 Toronto hospitals.

Viewpoint

Can Plant-Based Meat Alternatives Be Part of a Healthy and Sustainable Diet?

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JAMA. 2019;322(16):1547-1548. doi:10.1001/jama.2019.13187

This Viewpoint explores the potential for plant-based meat alternatives to improve human diets, alleviate concern about the contamination that industrial meat production creates, and create a healthy and sustainable food source for the increasing global population but cautions that the health and environmental benefits remain to be proven.

Improving the Quality of Dietary Research

Abstract Full Text
JAMA. 2019;322(16):1549-1550. doi:10.1001/jama.2019.11169

This Viewpoint discusses methodological challenges to conducting reliable dietary research relative to processes and standards in place for drug discovery and development, and proposes modifications to the conduct of dietary research to improve its transparency, quality, and reliability.

Primary Care Selection: A Building Block for Value-Based Health Care

Abstract Full Text
JAMA. 2019;322(16):1551-1552. doi:10.1001/jama.2019.14190

In the context of “attribution gaps” that leave payers uncertain which physicians are to be credited with patient care quality and outcome measures in accountable care organization (ACO) payment models, this Viewpoint discusses the importance of patient selection of primary care providers to patient-centered value-based care, and changes CMS will need to implement to integrate the measure.

Pay-to-Participate Trials and Vulnerabilities in Research Ethics Oversight

Abstract Full Text
JAMA. 2019;322(16):1553-1554. doi:10.1001/jama.2019.14703

This Viewpoint discusses ethical considerations surrounding randomized clinical trials (RCTs) funded by patients who pay to enroll in them, and gaps in IRB oversight that could allow the trials to be approved despite possible patient exploitation and questionable scientific quality and social value.

A Piece of My Mind

You Did Not Teach Me What You Thought You Did

Abstract Full Text
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JAMA. 2019;322(16):1555-1556. doi:10.1001/jama.2019.15849

In this narrative medicine essay, a clinical educator uses her experiences enduring the aftermath of treatment for acute myeloid leukemia to reflect on the difference between physician-teachers and patients’ experience of illness and to locate meaning in what she can offer her colleagues and trainees despite persistent disability.

Editorial

Fluoxetine and Repetitive Behaviors in Children and Adolescents With Autism Spectrum Disorder

Abstract Full Text
JAMA. 2019;322(16):1557-1558. doi:10.1001/jama.2019.11738

Cervical Cancer as a Global Concern: Contributions of the Dual Epidemics of HPV and HIV

Abstract Full Text
JAMA. 2019;322(16):1558-1560. doi:10.1001/jama.2019.16176
Review

Diagnosis and Management of Dementia: Review

Abstract Full Text
JAMA. 2019;322(16):1589-1599. doi:10.1001/jama.2019.4782

This narrative review summarizes published evidence on the diagnosis and management of dementia, including criteria distinguishing mild cognitive impairment (MCI) from dementia, newer approaches to diagnostic testing and imaging, and nonpharmacologic and drug treatment approaches.

JAMA Insights

Clinical Update

Clinical Approach to Lactose Intolerance

Abstract Full Text
JAMA. 2019;322(16):1600-1601. doi:10.1001/jama.2019.14740

This JAMA Insights Clinical Update summarizes the causes, clinical manifestations, diagnosis, and treatment of patients with lactose intolerance.

JAMA Clinical Guidelines Synopsis

Prevention and Management of Venous Thromboembolism

Abstract Full Text
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JAMA. 2019;322(16):1602-1603. doi:10.1001/jama.2019.13853

This JAMA Clinical Guidelines Synopsis summarizes the 2018 American Society of Hematology guidelines for management of venous thromboembolism.

Medical News & Perspectives

Quick Uptakes

Subconcussive Football Hits May Leave a Telltale Signature of Brain Damage

Abstract Full Text
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JAMA. 2019;322(16):1537-1538. doi:10.1001/jama.2019.15361

This Medical News article discusses recent findings linking subconcussive football hits to midbrain white matter damage.

Matters of the Mind: Honest Placebos, Hostility and Heart Attacks, and Sleepless Nights

Abstract Full Text
JAMA. 2019;322(16):1539-1540. doi:10.1001/jama.2019.15983

This Medical News feature discusses how placebo pills, hostility, and insomnia can affect health.

The JAMA Forum

The San Francisco Ban and the Future of e-Cigarettes

Abstract Full Text
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JAMA. 2019;322(16):1540-1541. doi:10.1001/jama.2019.16181
News From the Centers for Disease Control and Prevention

Measles Outpatient Prevention

Abstract Full Text
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JAMA. 2019;322(16):1545. doi:10.1001/jama.2019.16578

Disparities in Maternal Mortality

Abstract Full Text
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JAMA. 2019;322(16):1545. doi:10.1001/jama.2019.16156
Clinical Trials Update

Counseling Reduces Physician Burnout

Abstract Full Text
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JAMA. 2019;322(16):1544. doi:10.1001/jama.2019.16855

Experimental Chlamydia Vaccine Shows Promise

Abstract Full Text
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JAMA. 2019;322(16):1544. doi:10.1001/jama.2019.16219

Occupational Intervention Unnecessary to Treat Back Pain

Abstract Full Text
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JAMA. 2019;322(16):1544. doi:10.1001/jama.2019.16856

Esketamine Prevents Treatment-Resistant Depression Relapse

Abstract Full Text
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JAMA. 2019;322(16):1544. doi:10.1001/jama.2019.16857

Diabetes, Prior PCI, and Dual Antiplatelet Therapy

Abstract Full Text
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JAMA. 2019;322(16):1544. doi:10.1001/jama.2019.16858
Health Agencies Update

Many Children, Adolescents Not Getting Medicaid-Covered Screenings

Abstract Full Text
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JAMA. 2019;322(16):1543. doi:10.1001/jama.2019.16398

Air Pollution and Preterm Birth Risk in Second Pregnancy

Abstract Full Text
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JAMA. 2019;322(16):1543. doi:10.1001/jama.2019.16981

Use of Illicit Drugs Continues to Rise

Abstract Full Text
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JAMA. 2019;322(16):1543. doi:10.1001/jama.2019.16982
JAMA Infographic

Global Trends in Type 2 Diabetes, 2007-2017

Abstract Full Text
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JAMA. 2019;322(16):1542. doi:10.1001/jama.2019.16074
The Arts and Medicine

Heavy Hunger—Managing Weight and Obesity in Black American Communities

Abstract Full Text
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JAMA. 2019;322(16):1534-1536. doi:10.1001/jama.2019.15184

This Arts and Medicine feature reviews 2 memoirs by black Americans, Hunger by Roxane Gay, and Heavy by Kiese Laymon, that reveal how early-life trauma and adverse experiences contribute to eating disorders and obesity and complicate weight management in black Americans.

Poetry and Medicine

After Aleppo

Abstract Full Text
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JAMA. 2019;322(16):1614. doi:10.1001/jama.2019.15684
JAMA Revisited

Tuberculosis in Health Resorts for the Tuberculous

Abstract Full Text
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JAMA. 2019;322(16):1615. doi:10.1001/jama.2018.15572

Industrial Tuberculosis Experience in 1918

Abstract Full Text
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JAMA. 2019;322(16):1615. doi:10.1001/jama.2019.16021
JAMA Patient Page

Lactose Intolerance

Abstract Full Text
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JAMA. 2019;322(16):1620. doi:10.1001/jama.2019.9608

This JAMA Patient Page describes lactose intolerance, its diagnosis, and its treatment.

Comment & Response

P2Y12 Inhibitor Monotherapy vs Dual Antiplatelet Therapy After Percutaneous Coronary Intervention

Abstract Full Text
JAMA. 2019;322(16):1607. doi:10.1001/jama.2019.13159

P2Y12 Inhibitor Monotherapy vs Dual Antiplatelet Therapy After Percutaneous Coronary Intervention—Reply

Abstract Full Text
JAMA. 2019;322(16):1607-1608. doi:10.1001/jama.2019.13163

Antihypertensive Medication Use in Older Adults at Risk for Hip Fracture

Abstract Full Text
JAMA. 2019;322(16):1608-1609. doi:10.1001/jama.2019.13951

Antihypertensive Medication Use in Older Adults at Risk for Hip Fracture—Reply

Abstract Full Text
JAMA. 2019;322(16):1609. doi:10.1001/jama.2019.13954

FEV1:FVC Thresholds for Defining Chronic Obstructive Pulmonary Disease

Abstract Full Text
JAMA. 2019;322(16):1609-1610. doi:10.1001/jama.2019.13948

FEV1:FVC Thresholds for Defining Chronic Obstructive Pulmonary Disease

Abstract Full Text
JAMA. 2019;322(16):1610-1611. doi:10.1001/jama.2019.13945

FEV1:FVC Thresholds for Defining Chronic Obstructive Pulmonary Disease

Abstract Full Text
JAMA. 2019;322(16):1611. doi:10.1001/jama.2019.13957

FEV1:FVC Thresholds for Defining Chronic Obstructive Pulmonary Disease—Reply

Abstract Full Text
JAMA. 2019;322(16):1611-1612. doi:10.1001/jama.2019.13960
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2019;322(16):1531-1532. doi:10.1001/jama.2018.15565
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