This Viewpoint discusses the rapidly growing threat to public health that the dissemination of medical misinformation enables and the active measures that must be taken to stop it.
A 65-year-old man from Vietnam presented with shortness of breath at rest, orthopnea, and lower extremity edema for the past 2 weeks and nonproductive cough and weight loss for the past 4 months. A computed tomographic (CT) scan demonstrated a moderate to large pericardial effusion that was lymphocyte-predominant with a fluid ADA level of 118.1 U/L. What would you do next?
This Viewpoint proposes an array of approaches state governments might take to lower health care prices paid by private insurance, including rate setting using reference pricing; scrutiny of hospital mergers; expanding scope-of-practice laws to increase workforce; and investing in alternative payment models.
This JAMA Clinical Guidelines Synopsis summarizes the 2017 American College of Cardiology/American Heart Association/Heart Rhythm Society guideline on management of patients with ventricular arrhythmias and prevention of sudden cardiac death.
This Medical News story discusses a recent study of cognitively normal seniors that found an association between low awareness of scammers’ tactics and subsequent risk of Alzheimer dementia.
This Medical News article is an update on important clinical research in the world of heart disease and stroke.
This 2019 Recommendation Statement from the US Preventive Services Task Force recommends screening for HIV infection in adolescents and adults aged 15 to 65 years and in younger adolescents and older adults at increased risk of infection (A recommendation) and in all pregnant persons, including those with unknown HIV status at labor or delivery (A recommendation).
This systematic review to support the 2019 updated US Preventive Services Task Force guideline on screening for HIV infection in adolescents and adults summarizes published evidence on the clinical benefits and harms of screening and intervention for HIV infection in asymptomatic, nonpregnant adolescents and adults.
This systematic review to support the 2019 updated US Preventive Services Task Force guideline on screening for HIV infection in pregnant women summarizes published evidence on the clinical benefits and harms of screening and intervention for HIV infection in pregnant women.
This JAMA Patient Page describes the US Preventive Services Task Force’s recent recommendations on screening for HIV infection in adults and adolescents.
This Viewpoint discusses the importance of trust in partnerships between health care and community-based organizations for achieving better health outcomes and proposes principles and strategies for building and nurturing trustworthy collaborations.
A man with a history of nephrolithiasis and laparotomy for trauma had left flank and left upper quadrant pain. He had mild leukocytosis, but the physical examination and other laboratory testing were unremarkable; abdominal CT revealed a well-circumscribed, extraluminal mass with central high density. What is the diagnosis and what would you do next?
This cohort study uses electronic medical record (EMR) data to examine the association between maternal hemoglobin A1c levels during pregnancy and risk of autism spectrum disorder in offspring.
This Viewpoint discusses the historic lack of trust between health systems and underserved communities and suggests evidence-based strategies to build the trusting relationships needed to address this complex social problem.
In the context of a Centers for Medicare & Medicaid Services proposal to simplify evaluation and management (E/M) documentation guidelines by 2021, this Viewpoint reviews the problems with current implementation of review-of-systems history taking in electronic health records (EHRs), including information overload, lack of follow-up of findings, clinical irrelevance to some patients and visits, and dishonesty in documentation.
This Viewpoint discusses current strategies that are the focus of research on eradication or suppression of virus in individuals infected with HIV without dependence on antiretroviral therapy regimens.
This Viewpoint questions whether the use of race as a variable in the CKD-EPI equation to estimate glomerular filtration rate (eGFR) puts some black patients at a disadvantage with respect to renally cleared antibiotics and access to kidney transplantation, and argues that more objective clinical variables might improve the equation’s precision while avoiding problems with identifying race.
This Viewpoint reviews the number and types of US state-initiated restrictions on abortion in 2019, their likely effects on compromising women’s access to reproductive health services, and prospects for the overturn of Roe v Wade by the US Supreme Court.
This Medical News article discusses the recent discovery of a gene variant strongly associated with menthol cigarette use.
This Medical News article describes research proposals the US military is weighing to evaluate sufentanil sublingual tablets, an opioid that gained a controversial FDA approval last year, for battlefield use.
This randomized trial compares the effects of higher levels of positive end-expiratory pressure (PEEP) with alveolar recruitment maneuvers vs a lower level of PEEP on postoperative respiratory failure, acute respiratory distress syndrome, pulmonary infection, pleural effusion, atelectasis, pneumothorax, and other pulmonary complications in obese patients undergoing noncardiac, nonneurological surgery under general anesthesia.
This study evaluates whether a 2012 change in the South Carolina Medicaid policy to reimburse hospitals for provision of immediate postpartum long-acting reversible contraception (IPP-LARC) separately from global payment for all services in a delivery hospitalization was associated with changes in IPP-LARC use and short-interval births between 2010 and 2017.
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