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September 2019 - July 1883

Decade

Year

Issue

August 13, 2019, Vol 322, No. 6, Pages 479-588

In This Issue of JAMA

Highlights

Abstract Full Text
free access has audio
JAMA. 2019;322(6):479-588. doi:10.1001/jama.2018.15454
Original Investigation

Association of Gluten Intake During the First 5 Years of Life With Incidence of Celiac Disease Autoimmunity and Celiac Disease Among Children at Increased Risk

Abstract Full Text
has active quiz
JAMA. 2019;322(6):514-523. doi:10.1001/jama.2019.10329

This cohort study investigates the association between gluten intake in the first 5 years of life and celiac disease autoimmunity and biopsy-confirmed celiac disease in genetically at-risk children over a median 9-year follow-up.

Association of Intensive vs Standard Blood Pressure Control With Cerebral White Matter Lesions

Abstract Full Text
has multimedia
JAMA. 2019;322(6):524-534. doi:10.1001/jama.2019.10551

This substudy of the SPRINT randomized clinical trial evaluates the association between intensive (systolic blood pressure <120 mm Hg) vs standard (<140 mm Hg) blood pressure control and changes in cerebral white matter lesion and total brain volumes among hypertensive adults.

Association of Midlife to Late-Life Blood Pressure Patterns With Incident Dementia

Abstract Full Text
has multimedia
JAMA. 2019;322(6):535-545. doi:10.1001/jama.2019.10575

Over 24 years plus follow-up, this community-based cohort study monitored individuals categorized by midlife and late-life blood pressure levels to evaluate association between blood pressure levels and incident dementia.

Association Between Long-term Exposure to Ambient Air Pollution and Change in Quantitatively Assessed Emphysema and Lung Function

Abstract Full Text
has active quiz has multimedia
JAMA. 2019;322(6):546-556. doi:10.1001/jama.2019.10255

This cohort study examines the association between long-term exposure to ambient ozone, black carbon, and other air pollutants and progression of CT-defined percent emphysema and decline in lung function in adults in 6 US metropolitan regions.

Research Letter

Pulmonary Embolism Hospitalization, Readmission, and Mortality Rates in US Older Adults, 1999-2015

Abstract Full Text
JAMA. 2019;322(6):574-576. doi:10.1001/jama.2019.8594

This study uses Medicare billing codes to characterize trends in readmission and mortality rates for Medicare fee-for-service beneficiaries with pulmonary embolism (PE) between 1999 and 2015 to assess changes accompanying recent diagnostic and therapeutic changes in management of the disease.

Perceived Bullying Among Internal Medicine Residents

Abstract Full Text
JAMA. 2019;322(6):576-578. doi:10.1001/jama.2019.8616

This study uses IM-ITE survey data to characterize the proportion of internal medicine residents in 2016 who self-reported having been bullied during their residency training.

Viewpoint

Trust in Health Care

Promoting Trust Between Patients and Physicians in the Era of Artificial Intelligence

Abstract Full Text
JAMA. 2019;322(6):497-498. doi:10.1001/jama.2018.20563

This Viewpoint discusses the use of artificial intelligence in health care and its potential effect on how patients access care and how physicians and patients make decisions.

Advances in Understanding the Pathophysiology of Chronic Fatigue Syndrome

Abstract Full Text
JAMA. 2019;322(6):499-500. doi:10.1001/jama.2019.8312

This Viewpoint reviews new findings presented at a 2019 NIH conference about neuroendocrine, metabolic, immunologic, and physiologic abnormalities that contribute to myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS).

Offering Emergency Buprenorphine Without a Prescription

Abstract Full Text
JAMA. 2019;322(6):501-502. doi:10.1001/jama.2019.8309

This Viewpoint argues that buprenorphine be made available without prescription behind the counter at retail pharmacies with age and quantity restrictions similar to those used for pseudoephedrine, and addresses concerns raised by the access model about safety and diversion.

Regionalization of Care and the Maternal-Infant Dyad Disconnect

Abstract Full Text
JAMA. 2019;322(6):503-504. doi:10.1001/jama.2019.6403

This Viewpoint argues for thinking about improvements in the care of new moms and infants as a single entity, and discusses regionalization of obstetric and infant care as a way to operationalize the idea and achieve simultaneous improvements in maternal and neonatal outcomes.

A Piece of My Mind

A Delicate Bond

Abstract Full Text
JAMA. 2019;322(6):505-506. doi:10.1001/jama.2019.10610

In this narrative medicine essay, a pediatrician realizes after her infant daughter undergoes treatment for elevated bilirubin that until then her advice to new parents may have interfered with the infant-mother bond yet forgives herself the distress she may have caused.

Editorial

Trust in Health Care

Building Trust in Health Care—Why, Where, and How

Abstract Full Text
JAMA. 2019;322(6):507-509. doi:10.1001/jama.2019.4892

Gluten and Celiac Disease Risk: Is It Just a Matter of Quantity?

Abstract Full Text
JAMA. 2019;322(6):510-511. doi:10.1001/jama.2019.9678

Blood Pressure, Brain Volume and White Matter Hyperintensities, and Dementia Risk

Abstract Full Text
has multimedia
JAMA. 2019;322(6):512-513. doi:10.1001/jama.2019.10849
Review

Extracorporeal Life Support for Adults With Respiratory Failure and Related Indications: A Review

Abstract Full Text
has audio
JAMA. 2019;322(6):557-568. doi:10.1001/jama.2019.9302

This narrative review summarizes the mechanisms and set-up of extracorporeal life support (ECLS) including extracorporeal membrane oxygenation (ECMO) and extracorporeal carbon dioxide removal (ECCO2R), its indications, complications, goals of treatment, and the need to build on evidence base for the intervention so it is used nationally and in a standardized fashion.

JAMA Insights

Clinical Use of Bone Turnover Markers

Abstract Full Text
JAMA. 2019;322(6):569-570. doi:10.1001/jama.2019.9372

This JAMA Insights Clinical Update reviews bone turnover markers measurable in blood and urine and summarizes evidence supporting their use to predict osteoporosis and osteoporotic fractures, assess treatment adherence and efficacy, and monitor bone loss after drug discontinuation.

JAMA Clinical Challenge

A Woman With Dyspnea and Bronchiectasis

Abstract Full Text
has active quiz
JAMA. 2019;322(6):571-572. doi:10.1001/jama.2019.8606

A 41-year-old woman with an 8–pack-year history of tobacco use had 4 years of progressive cough and dyspnea. She had no history of neonatal respiratory distress or nasal congestion and no family history of COPD or cystic fibrosis; pulmonary function testing showed a severe obstruction and chest CT showed lower lobe predominant emphysema and bronchiectasis. What is the diagnosis and what would you do next?

Medical News & Perspectives

Mounting Evidence and Netflix’s Decision to Pull a Controversial Suicide Scene

Abstract Full Text
JAMA. 2019;322(6):490-492. doi:10.1001/jama.2019.9492

In this Medical News article, experts discuss an association between the Netflix series 13 Reasons Why and increases in adolescent suicides, suicide attempts, and suicide-related hospital admissions.

Quick Uptakes

For Mortality, Busting the Myth of 10 000 Steps per Day

Abstract Full Text
JAMA. 2019;322(6):492-493. doi:10.1001/jama.2019.10042

This Medical News article discusses a recent study in JAMA Internal Medicine on the association of daily steps with all-cause mortality.

The JAMA Forum

Bringing It Home: The Shift in Where Health Care Is Delivered

Abstract Full Text
free access
JAMA. 2019;322(6):493-494. doi:10.1001/jama.2019.11302
News From the Centers for Disease Control and Prevention

Tuberculin Antigen Shortage

Abstract Full Text
JAMA. 2019;322(6):496. doi:10.1001/jama.2019.10855

Reductions in Rotavirus Infections

Abstract Full Text
JAMA. 2019;322(6):496. doi:10.1001/jama.2019.11314
Biotech Innovations

Smart Devices Detect Agonal Breathing in Cardiac Arrest

Abstract Full Text
JAMA. 2019;322(6):495. doi:10.1001/jama.2019.11648

Detecting Circulating Tumor Cells Through the Skin

Abstract Full Text
JAMA. 2019;322(6):495. doi:10.1001/jama.2019.11240

Meditation App Improves Attention in Young Adults

Abstract Full Text
JAMA. 2019;322(6):495. doi:10.1001/jama.2019.11649
The Arts and Medicine

Basch Unbound—The House of God and Fiction as Resistance at 40

Abstract Full Text
has multimedia
JAMA. 2019;322(6):486-487. doi:10.1001/jama.2019.9499

In this Arts and Medicine feature, author Samuel Shem (pen name of Stephen Bergman, MD) reflects on the origins of his classic novel The House of God, the people and events that inspired its stories, the notion of “fiction as resistance,” and the evolving meaning of the book given developments in medicine and medical education in the 40 years since its publication.

The House of God at Age 40—An Appreciation

Abstract Full Text
has multimedia
JAMA. 2019;322(6):488-489. doi:10.1001/jama.2019.8156

In this Arts and Medicine feature, an early-career physician discusses the ongoing relevance of Samuel Shem’s novel, The House of God, to contemporary health care and medical education on the occasion of its 40th anniversary of publication.

Poetry and Medicine

Neither Pause nor Gaze at What Is Passing

Abstract Full Text
JAMA. 2019;322(6):584. doi:10.1001/jama.2019.4496
JAMA Revisited

Gomers

Abstract Full Text
JAMA. 2019;322(6):585. doi:10.1001/jama.2018.15462
JAMA Patient Page

Small Kidney Tumors

Abstract Full Text
free access
JAMA. 2019;322(6):588. doi:10.1001/jama.2019.8509

This JAMA Patient Page describes small kidney tumor diagnoses and treatment options.

Comment & Response

Sex Differences in Grant Funding

Abstract Full Text
JAMA. 2019;322(6):578-580. doi:10.1001/jama.2019.7836

Sex Differences in Grant Funding

Abstract Full Text
JAMA. 2019;322(6):578-580. doi:10.1001/jama.2019.7840

Sex Differences in Grant Funding—Reply

Abstract Full Text
JAMA. 2019;322(6):579-580. doi:10.1001/jama.2019.7848

Strategies to Adjust Positive End-Expiratory Pressure in Patients With ARDS

Abstract Full Text
JAMA. 2019;322(6):580-582. doi:10.1001/jama.2019.7880

Strategies to Adjust Positive End-Expiratory Pressure in Patients With ARDS—Reply

Abstract Full Text
JAMA. 2019;322(6):580-582. doi:10.1001/jama.2019.7888

Strategies to Adjust Positive End-Expiratory Pressure in Patients With ARDS

Abstract Full Text
JAMA. 2019;322(6):581. doi:10.1001/jama.2019.7884

Strategies to Adjust Positive End-Expiratory Pressure in Patients With ARDS

Abstract Full Text
JAMA. 2019;322(6):581. doi:10.1001/jama.2019.7876

Time Horizons in Cost Analyses

Abstract Full Text
JAMA. 2019;322(6):582-583. doi:10.1001/jama.2019.7853

Time Horizons in Cost Analyses—Reply

Abstract Full Text
JAMA. 2019;322(6):582-583. doi:10.1001/jama.2019.7861
JAMA Masthead

JAMA

Abstract Full Text
free access
JAMA. 2019;322(6):483-484. doi:10.1001/jama.2018.15455
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