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March 2021 - July 1883

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Issue

November 19, 2019, Vol 322, No. 19, Pages 1839-1932

In This Issue of JAMA

Highlights

Abstract Full Text
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JAMA. 2019;322(19):1839-1841. doi:10.1001/jama.2018.15597
Original Investigation

Effect of Delayed vs Immediate Umbilical Cord Clamping on Maternal Blood Loss in Term Cesarean Delivery: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2019;322(19):1869-1876. doi:10.1001/jama.2019.15995

This randomized clinical trial compares the effect of immediate vs delayed cord clamping on change in maternal hemoglobin in scheduled cesarean deliveries (c-sections) at term (≥37 weeks).

Association of Umbilical Cord Milking vs Delayed Umbilical Cord Clamping With Death or Severe Intraventricular Hemorrhage Among Preterm Infants

Abstract Full Text
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JAMA. 2019;322(19):1877-1886. doi:10.1001/jama.2019.16004

This post hoc analysis of a prematurely terminated randomized trial compares deaths and severe intraventricular hemorrhage among preterm infants (born at 23-31 weeks’ gestation) managed with placental transfusion via umbilical cord milking vs delayed umbilical cord clamping.

Effect of Ubrogepant vs Placebo on Pain and the Most Bothersome Associated Symptom in the Acute Treatment of Migraine: The ACHIEVE II Randomized Clinical Trial

Abstract Full Text
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JAMA. 2019;322(19):1887-1898. doi:10.1001/jama.2019.16711

This randomized clinical trial compares the effect of 25 mg and 50 mg of ubrogepant, an oral calcitonin gene–related peptide recptor antagonist, with placebo on 2-hour pain relief among adults with migraine headaches.

Effect of Vitamin D and Omega-3 Fatty Acid Supplementation on Kidney Function in Patients With Type 2 Diabetes: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2019;322(19):1899-1909. doi:10.1001/jama.2019.17380

This 2 × 2 factorial trial compares the effects of vitamin D3 vs placebo and omega-3 fatty acids vs placebo on change in glomerular filtration rate estimated from serum creatinine and cystatin C (eGFR) over 5 years in adults with type 2 diabetes.

Research Letter

Protections From Civil Liability in State Abortion Conscience Laws

Abstract Full Text
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JAMA. 2019;322(19):1918-1920. doi:10.1001/jama.2019.15105

This study characterizes the number and scope of state laws that protect clinicians, institutions, and others from adverse legal consequences if they refuse to participate in abortion and limitations on rights of refusal in cases of patient emergency and preservation of patients’ right to sue for injury in such cases.

Provision of Insurance Coverage for IVF by a Large Employer and Changes in IVF Rates Among Health Plan Enrollees

Abstract Full Text
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JAMA. 2019;322(19):1920-1921. doi:10.1001/jama.2019.16055

This study investigates changes in in vitro fertilization (IVF) rates among health plan enrollees between 2012 and 2017 after a large US empoloyer (University of Michigan) began providing coverage for IVF in 2015.

Viewpoint

Patient-Centered Reduction or Discontinuation of Long-term Opioid Analgesics: The HHS Guide for Clinicians

Abstract Full Text
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JAMA. 2019;322(19):1855-1856. doi:10.1001/jama.2019.16409

In this Viewpoint, co-chairs of the US Department of Health and Human Services (HHS) workgroup on patient-centered reduction or discontinuation of long-term opioid analgesics summarize their 2019 guidance, including criteria for and approaches to opioid tapering; behavioral health support; and management of withdrawal symptoms, pain, and other complications.

Firearm Violence Research: Improving Availability, Accessibility, and Content of Firearm-Related Data Systems

Abstract Full Text
JAMA. 2019;322(19):1857-1858. doi:10.1001/jama.2019.16286

This Viewpoint discusses the importance of developing national data systems for the study of firearm violence, and calls for investments in infrastructure and regulations to promote data availability and accessibility as an essential means to reduce the adverse public health effects of gun-related injury and mortality.

Alternative Payment for Radiation Oncology

Abstract Full Text
JAMA. 2019;322(19):1859-1860. doi:10.1001/jama.2019.15888

This Viewpoint discusses details of the Radiation Oncology Model, a 90-day episode-based alternative payment model proposed by the Centers for Medicare & Medicaid Services (CMS) intended to reduce inappropriate overuse of proton beam therapy, intensity-modulated radiation therapy (IMRT), and other expensive radiation oncology services.

Complexity in Assessing the Benefit vs Risk of Vaccines: Experience With Rotavirus and Dengue Virus Vaccines

Abstract Full Text
JAMA. 2019;322(19):1861-1862. doi:10.1001/jama.2019.16206

This Viewpoint uses experience with rotavirus vaccine–induced intussusception and dengue virus vaccine–induced shock syndrome to discuss issues of disease prevalence and severity underlying recommendations the vaccines be used widely, and it reviews the systems in place to monitor vaccine safety that broadly favor vaccine benefits over risks to individuals and society.

A Piece of My Mind

On Parenting

Abstract Full Text
JAMA. 2019;322(19):1863. doi:10.1001/jama.2019.17138

In this narrative medicine essay, a pediatric otolaryngologist shares the story of rearing her son who has a seisure disorder and of trying to keep herself and the family together while trying not to burst or collapse.

Editorial

Maternal and Infant Outcomes After Different Methods of Umbilical Cord Management

Abstract Full Text
JAMA. 2019;322(19):1864-1865. doi:10.1001/jama.2019.16003

Vitamin D and Health Outcomes: Then Came the Randomized Clinical Trials

Abstract Full Text
JAMA. 2019;322(19):1866-1868. doi:10.1001/jama.2019.17302
JAMA Insights

Women's Health

Treatment of Vulvovaginal Atrophy

Abstract Full Text
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JAMA. 2019;322(19):1910-1911. doi:10.1001/jama.2019.15100

This JAMA Insights Clinical Update discusses management options for women with vulvovaginal atrophy, focusing on the systemic safety of estrogen-based therapies and shared decision-making based on preference, cost, and adverse effect profile.

Pain Management With Opioids in 2019-2020

Abstract Full Text
JAMA. 2019;322(19):1912-1913. doi:10.1001/jama.2019.15802

This JAMA Insights Clinical Update reviews evidence-based use of opioids to manage noncancer pain, proposing opioid-sparing pain management strategies for patients with chronic pain not yet prescribed opioids, those with chronic pain receiving opioids, and those with acute pain and not currently receiving opioid therapy.

JAMA Clinical Challenge

A Patient With Widespread Painful Purpura

Abstract Full Text
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JAMA. 2019;322(19):1914-1915. doi:10.1001/jama.2019.15276

A 62-year-old woman receiving R-CHOP chemotherapy for extranodal lymphoma had diffuse, symmetric patches and soft, thin plaques of retiform purpura on her extremities and acral surfaces. Results of physical examination and laboratory testing, including fibrinogen level and coagulation panel, were unremarkable except for leukocytosis, thrombocytopenia, and low hemoglobin count and hematocrit. What is the diagnosis and what would you do next?

Medical News & Perspectives

Philanthropists Fund Johns Hopkins Center for Study of Psychedelics

Abstract Full Text
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JAMA. 2019;322(19):1849-1851. doi:10.1001/jama.2019.17126

This Medical News article discusses recent work aimed at using psychedelics to better understand the mind and as potential therapies for neurological and mental health disorders.

Quick Uptakes

Medical Students Around the World Poorly Trained in Nutrition

Abstract Full Text
JAMA. 2019;322(19):1852. doi:10.1001/jama.2019.17297

This Medical News article discusses a systematic review of studies on nutrition education in medical schools.

News From the Food and Drug Administration

First Treatment for Rare Photosensitivity

Abstract Full Text
JAMA. 2019;322(19):1854. doi:10.1001/jama.2019.18550

Ebola Virus Antigen Test OK’d

Abstract Full Text
JAMA. 2019;322(19):1854. doi:10.1001/jama.2019.18095

Grants for Rare Disease Research

Abstract Full Text
JAMA. 2019;322(19):1854. doi:10.1001/jama.2019.18551
Global Health

Summit Leaders Urge Greater HPV Vaccination in Africa

Abstract Full Text
JAMA. 2019;322(19):1853. doi:10.1001/jama.2019.17713

Rwanda Celebrates Progress Toward HIV Control

Abstract Full Text
JAMA. 2019;322(19):1853. doi:10.1001/jama.2019.18548

Global Board Presses for Action to Prevent Pandemics

Abstract Full Text
JAMA. 2019;322(19):1853. doi:10.1001/jama.2019.18549
The Arts and Medicine

Memoir of an Undeadhead—A Blood Transfusion Pathologist’s Vampire Weekend Romance

Abstract Full Text
JAMA. 2019;322(19):1846-1847. doi:10.1001/jama.2019.15183

In this Arts and Medicine feature, a blood transfusion pathologist recounts her obsession with indie rock band Vampire Weekend and the relevance of the group’s music and work to her life and growth as a physician.

Poetry and Medicine

The Night the Spirit Moved Uncle Elijah

Abstract Full Text
JAMA. 2019;322(19):1927. doi:10.1001/jama.2019.15740
JAMA Revisited

The Surprising Caloric Value of Dainties Eaten Between Meals

Abstract Full Text
JAMA. 2019;322(19):1928. doi:10.1001/jama.2018.15605
JAMA Patient Page

What Is a Tracheostomy?

Abstract Full Text
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JAMA. 2019;322(19):1932. doi:10.1001/jama.2019.14994

This JAMA Patient Page describes tracheostomy tube placement procedures.

Comment & Response

Canada’s Single-payer Health Care System

Abstract Full Text
JAMA. 2019;322(19):1922. doi:10.1001/jama.2019.14397

Canada’s Single-Payer Health Care System—Reply

Abstract Full Text
JAMA. 2019;322(19):1922-1923. doi:10.1001/jama.2019.14406

Family Visitation Policies in the ICU and Delirium

Abstract Full Text
JAMA. 2019;322(19):1923-1924. doi:10.1001/jama.2019.15585

Family Visitation Policies in the ICU and Delirium

Abstract Full Text
JAMA. 2019;322(19):1924. doi:10.1001/jama.2019.15591

Family Visitation Policies in the ICU and Delirium—Reply

Abstract Full Text
JAMA. 2019;322(19):1924-1925. doi:10.1001/jama.2019.15594
Correction

Incorrect Data in Text, Table, and Figure Legend

Abstract Full Text
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JAMA. 2019;322(19):1925. doi:10.1001/jama.2019.17582

Incorrect Height and Positioning of Box and Whisker Plots

Abstract Full Text
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JAMA. 2019;322(19):1925. doi:10.1001/jama.2019.17910

Clarifying Terminology Use

Abstract Full Text
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JAMA. 2019;322(19):1925. doi:10.1001/jama.2019.17982
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2019;322(19):1843-1844. doi:10.1001/jama.2018.15598
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