This Viewpoint argues that adoption of a combination of varenicline, nicotine replacement therapy, and behavioral support as first-line treatment for tobacco addiction could increase smoking cessation rates in the United States and proposes that varenicline be made an over-the-counter medication to help more smokers quit cigarettes and improve population health.
This Medical News article is an interview with the coauthor of a new policy statement on corporal punishment for children.
In this Medical News & Perspectives article, researchers discuss insects’ potential as nutrition sources that put less stress on the environment than traditional livestock.
This Viewpoint discusses the increasing proportion of US surgeons 55 years or older and surgical competence issues related to aging, highlights efforts to assess competence and balance patient safety with maintenance of an effective workforce, and maintains that assessment of surgical competence should be based on functional age and abilities rather than age.
A previously healthy infant had a 4-week history of a worsening, widespread, papulovesicular rash with nighttime irritability and restlessness; burrows were present but no excoriations, and no bacterial or fungal elements were found on a Gram stain and potassium hydroxide preparation. A babysitter reported having nighttime pruritus. What would you do next?
This Viewpoint discusses mobile device–based personal health records, the challenges of making the devices interoperable with existing health care information systems, and the prospect that incorporation of smartphone personal health records might improve patient outcomes, lower costs, and improve health care quality.
This Viewpoint discusses how the technology underlying wearable devices may lead to unclassifiable or false-positive readings of cardiac rate and rhythm, and highlights resultant uncertainties about how best to integrate the information the devices offer into clinical care to improve patients’ health.
In this Viewpoint, Fauci and colleagues from NIAID review the evidence underlying the 2016 Prevention Access Campaign’s “Undetectable = Untransmittable (U = U)” HIV public health initiative, arguing that the science now supports elimination of the stigma associated with HIV infection.
This Arts & Medicine essay reviews the 2018-2019 Broadway revival of The Waverly Gallery, a Kenneth Lonergan play that tells the story of the effects within a well-to-do Manhattan family of the decline of a family member from progressive dementia.
This Medical News article discusses contributing factors and proactive solutions to the recent increase in sexually transmitted diseases in the US.
In this Viewpoint, Ioannidis and coauthors compare overuse of computed tomography and magnetic resonance image scanning with large-scale haphazard population screening for disease and call for dedicated investigations to understand how to reduce unnecessary and wasteful diagnostic imaging.
This Clinical Update proposes a management algorithm to prevent perioperative hyperglycemia in patients with diabetes undergoing elective surgery.
In this Viewpoint, the director and chief medical officer of the US National Vaccine Injury Compensation Program (VCIP) and colleagues review the history of and rationale for the program; explain the processes for updating injury categories and adjudicating and settling claims; and summarize the costs and success of the program in the context of the vast number of vaccine doses administered nationally.
In this Viewpoint the outgoing chair of the Advisory Committee on Immunization Practices (ACIP) reviews the history of the committee and its evolving role in making recommendations to the CDC about the best uses of vaccines in the United States.
This Viewpoint discusses the likelihood of Medicaid expansion in Maine, Wisconsin, Utah, and Kansas, where 2018 midterm voters elected candidates supportive of expansion or voted for it in ballot initiatives, and reviews evidence on associations between state Medicaid expansion and improved health outcomes for beneficiaries.
A 28-year-old nonsmoking woman with shortness of breath with exertion was referred to the pulmonary clinic. A computed tomographic scan of her chest revealed diffuse thin-walled pulmonary cysts without nodules, parenchymal changes, or lymphadenopathy and her serum vascular endothelial growth factor D level was 1300 pg/mL. How do you interpret the results?
This Medical News article is an interview with Rebecca Thurston, PhD, about her recent study published in JAMA Internal Medicine that found sexual harassment and assault was associated with poorer midlife health in women.
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