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December 4, 2023
Research Letter

Trends in Before Medically Advised Discharges for Patients With Opioid Use Disorder, 2016-2020

Abstract Full Text
JAMA. Published online December 4, 2023. doi:10.1001/jama.2023.21288

This study examines discharge trends for opioid-related admissions from 2016-2020 with a focus on admissions with opioid use disorder and an injection-related infection.

JAMA Clinical Challenge

A 52-Year-Old With Painful Fingertips

Abstract Full Text
has active quiz
JAMA. Published online December 4, 2023. doi:10.1001/jama.2023.22011

A patient had cold, cyanotic fingertips with small ulcerations. Laboratory testing showed leukocytosis, eosinophilia, and elevated D-dimer level; results of tests for antinuclear antibodies, antiphospholipid antibodies, antineutrophil cytoplasmic antibodies against proteinase 3 and myeloperoxidase, and HIV were negative. What is the diagnosis and what would you do next?

The Arts and Medicine

Best of Graphic Medicine—The 2023 Graphic Medicine International Collective Awards

Abstract Full Text
free access
JAMA. Published online December 4, 2023. doi:10.1001/jama.2023.24478

This Arts and Medicine feature reviews 4 health-related graphic medicine (comic) projects judged as the best of 2022 by the Graphic Medicine International Collective.

December 1, 2023
Original Investigation

Caring for the Critically Ill Patient

Prone Positioning During Extracorporeal Membrane Oxygenation in Patients With Severe ARDS: The PRONECMO Randomized Clinical Trial

Abstract Full Text
free access
JAMA. Published online December 1, 2023. doi:10.1001/jama.2023.24491

This randomized trial assesses whether prone vs supine positioning decreases the time to successful weaning of extracorporeal membrane oxygenation (ECMO) in patients with severe acute respiratory distress syndrome (ARDS).

A Piece of My Mind

Pride

Abstract Full Text
free access
JAMA. Published online December 1, 2023. doi:10.1001/jama.2023.25077

In this narrative medicine essay, an internal medicine physician, invited to speak at an International AIDS Society plenary session about his HIV work, endures a cool response from his parents upon sharing his HIV status but is met with a standing ovation and cheered by his chosen family and friends after the speech.

Editorial

Prone Positioning During Venovenous ECMO for Severe ARDS

Abstract Full Text
free access
JAMA. Published online December 1, 2023. doi:10.1001/jama.2023.22456
JAMA Diagnostic Test Interpretation

Fourth-Generation HIV Testing

Abstract Full Text
has active quiz
JAMA. Published online December 1, 2023. doi:10.1001/jama.2023.18137

A 72-year-old man presented to the emergency department with fevers, night sweats, and rash 3 days after condomless vaginal intercourse. Results of a fourth-generation HIV test were positive and HIV-1-/2 antibody differentiation testing was negative. How would you interpret these results?

JAMA Patient Page

What Is Prediabetes?

Abstract Full Text
free access
JAMA. Published online December 1, 2023. doi:10.1001/jama.2023.17846

This JAMA Patient Page describes the condition of prediabetes and its symptoms, diagnosis, and management strategies.

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