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Year

Day

November 30, 2018
Viewpoint

The Challenges of Improving Treatments for Depression

Abstract Full Text
free access
JAMA. Published online November 30, 2018. doi:10.1001/jama.2018.17824

In this Viewpoint, the author discusses the need for studying treatments that help patients with persistent depression.

Potential Risks and Benefits of Mental Health Screening of Physicians

Abstract Full Text
free access
JAMA. Published online November 30, 2018. doi:10.1001/jama.2018.18403

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.

November 29, 2018
Viewpoint

Ebola and War in the Democratic Republic of CongoAvoiding Failure and Thinking Ahead

Abstract Full Text
free access
JAMA. Published online November 29, 2018. doi:10.1001/jama.2018.19743

In this Viewpoint, Gostin and colleagues review recommendations developed by experts convened by Georgetown University on how the international community can respond to the 2018 Ebola outbreak in the Democratic Republic of Congo (DRC) in the midst of active conflict and insecurity from armed rebels.

Improving Electronic Health Record Usability and Safety Requires Transparency

Abstract Full Text
free access
JAMA. Published online November 29, 2018. doi:10.1001/jama.2018.14079

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.

JAMA Clinical Challenge

Fever, Rash, and Abnormal Liver Function Test Results

Abstract Full Text
free access
JAMA. Published online November 29, 2018. doi:10.1001/jama.2018.16143

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?

November 28, 2018
Medical News & Perspectives

States Move to Substitute Opioids With Medical Marijuana to Quell Epidemic

Abstract Full Text
free access
JAMA. Published online November 28, 2018. doi:10.1001/jama.2018.17329

This Medical News & Perspectives article discusses recently enacted state laws that allow prescribed opioids to be substituted with medical marijuana.

November 26, 2018
Viewpoint

Professionalism, Performance, and the Future of Physician Incentives

Abstract Full Text
free access
JAMA. Published online November 26, 2018. doi:10.1001/jama.2018.17719

This Viewpoint calls out the limited evidence supporting current pay-for-improvement incentives in the US, and argues that performance improvement programs that emphasize nonfinancial rewards, resources for quality improvement, and team-based recognition would be more consistent with physician motivation and professionalism and would be worth evaluating as a means to reduce health care costs and waste and improve quality.

JAMA Clinical Guidelines Synopsis

Diagnosis and Management of Nonalcoholic Fatty Liver Disease

Abstract Full Text
free access
JAMA. Published online November 26, 2018. doi:10.1001/jama.2018.17365

This JAMA Clinical Guidelines Synopsis summarizes the 2017 practice guidance from the American Association for the Study of Liver Diseases on diagnosis and management of nonalcoholic fatty liver disease.

November 21, 2018
Medical News & Perspectives

Is It Possible to Get a Flu Shot Too Early?

Abstract Full Text
free access
JAMA. Published online November 21, 2018. doi:10.1001/jama.2018.18373

This Medical News article examines the ongoing debate about whether people should begin getting immunized against influenza as soon as the vaccine becomes available.

November 19, 2018
Viewpoint

Protecting the Value of Medical Science in the Age of Social Media and “Fake News”

Abstract Full Text
free access
JAMA. Published online November 19, 2018. doi:10.1001/jama.2018.18416

This Viewpoint discusses the spread of scientific misinformation through social media, and countermeasures scientists and institutions can use to monitor and respond to it.

JAMA Clinical Challenge

A Young Woman With Chest Pain

Abstract Full Text
free access has multimedia
JAMA. Published online November 19, 2018. doi:10.1001/jama.2018.17045

A 36-year-old gravida 3, para 3 woman who had elective cesarean delivery 11 days prior presented with 3 days of exertional chest pain, an elevated troponin I level, ST-segment depression on electrocardiography, and coronary artery dissection on angiography. What would you do next?

November 16, 2018
Viewpoint

Expansion of the Medicare 340B Payment ProgramHospital Participation, Prescribing Patterns and Reimbursement, and Legal Challenges

Abstract Full Text
free access
JAMA. Published online November 16, 2018. doi:10.1001/jama.2018.15667

In this Viewpoint, the authors review Medicare & Medicaid Services 340B Payment program and recent rules to curtail expansion of drug discounts beyond serving poor patients.

JAMA Diagnostic Test Interpretation

Serum Creatinine in the Critically Ill Patient With Sepsis

Abstract Full Text
free access
JAMA. Published online November 16, 2018. doi:10.1001/jama.2018.16627

Following esophageal resection for cancer, a 73-year-old man was admitted to the ICU with pneumonia and progressive acute respiratory failure, and he was placed on mechanical ventilation. At day 5, his creatinine level continued to increase. How would you proceed?

November 15, 2018
Viewpoint

Monitoring Jet Engines and the Health of People

Abstract Full Text
free access
JAMA. Published online November 15, 2018. doi:10.1001/jama.2018.16558

In this Viewpoint, Eric Topol and Lionel Tarrasenko, a biomedical engineer known for developing early-warning systems in critical care settings, contrast the precision monitoring of jet engines with existing monitoring systems in patients, and discuss how sensors, artificial intelligence, and other contemporary digital technologies used to monitor the maintenance needs of engines can be used to personalize treatment and improve outcomes for patients without generating false alarms.

Comment & Response

Inconsistent Reporting of Potential Conflicts of Interest in JAMA

Abstract Full Text
free access
JAMA. Published online November 15, 2018. doi:10.1001/jama.2018.18490
Correction

Inconsistent Conflict of Interest Disclosure

Abstract Full Text
free access
JAMA. Published online November 15, 2018. doi:10.1001/jama.2018.18875
November 14, 2018
Viewpoint

Addressing Health-Related Misinformation on Social Media

Abstract Full Text
free access
JAMA. Published online November 14, 2018. doi:10.1001/jama.2018.16865

This Viewpoint discusses strategies for debunking health misinformation on social media and ideas for ways to spread accurate health information.

Institutional Conflicts of Interest and Public Trust

Abstract Full Text
free access
JAMA. Published online November 14, 2018. doi:10.1001/jama.2018.18482

This Viewpoint discusses recent problems with undisclosed conflicts of interest and proposes broadening disclosure requirements beyond individuals to include the institutions funding the research.

November 12, 2018
Editorial

Intensive Intervention to Improve Outcomes for Patients With COPD

Abstract Full Text
free access
JAMA. Published online November 12, 2018. doi:10.1001/jama.2018.17508
Original Investigation

Effect of a Program Combining Transitional Care and Long-term Self-management Support on Outcomes of Hospitalized Patients With Chronic Obstructive Pulmonary DiseaseA Randomized Clinical Trial

Abstract Full Text
free access has active quiz
JAMA. Published online November 12, 2018. doi:10.1001/jama.2018.17933

This randomized clinical trial compares the effects of a program combining transition and long-term self-management support vs transition support alone on 6-month hospitalizations and emergency department visits among patients with chronic obstructive pulmonary disease (COPD).

November 9, 2018
Original Investigation

Effect of Linagliptin vs Placebo on Major Cardiovascular Events in Adults With Type 2 Diabetes and High Cardiovascular and Renal RiskThe CARMELINA Randomized Clinical Trial

Abstract Full Text
free access
JAMA. Published online November 9, 2018. doi:10.1001/jama.2018.18269

This randomized clinical trial compares the effects of the dipeptidyl peptidase 4 inhibitor linagliptin vs placebo plus usual care on cardiovascular (CV) and renal outcomes in adults with type 2 diabetes and high CV and renal risk.

November 1, 2018
Viewpoint

Establishing the Effectiveness of Procedural InterventionsThe Limited Role of Randomized Trials

Abstract Full Text
free access
JAMA. Published online November 1, 2018. doi:10.1001/jama.2018.16329

This Viewpoint highlights logistical and methodological challenges complicating the use of randomized clinical trials (RCTs) to evaluate medical procedures and proposes standards of evidence for adopting new procedures in the absence of RCT data, including use of observational surveillance data to confirm the procedures’ effectiveness in real-world settings.

JAMA Clinical Evidence Synopsis

Treatment of Lower Extremity Superficial Thrombophlebitis

Abstract Full Text
free access
JAMA. Published online November 1, 2018. doi:10.1001/jama.2018.16623

This Clinical Evidence Synopsis summarizes a Cochrane review of randomized trials comparing the effects of treatment of lower extremity superficial thrombophlebitis on venous thromboembolism and major bleeding.

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