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Year

Day

June 14, 2019
Viewpoint

Employ Cybersecurity Techniques Against the Threat of Medical Misinformation

Abstract Full Text
free access
JAMA. Published online June 14, 2019. doi:10.1001/jama.2019.6857

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.

JAMA Diagnostic Test Interpretation

Adenosine Deaminase Diagnostic Testing in Pericardial Fluid

Abstract Full Text
has active quiz
JAMA. Published online June 14, 2019. doi:10.1001/jama.2019.7535

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?

June 13, 2019
Viewpoint

Health Policy

State Efforts to Lower Health Care Prices Paid by Private Insurers

Abstract Full Text
free access
JAMA. Published online June 13, 2019. doi:10.1001/jama.2019.7028

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.

JAMA Clinical Guidelines Synopsis

Primary Prevention of Sudden Cardiac Death

Abstract Full Text
JAMA. Published online June 13, 2019. doi:10.1001/jama.2019.7662

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.

June 12, 2019
Medical News & Perspectives

Low Awareness of Scammers’ Tactics Linked to Dementia Risk in Cognitively Normal People

Abstract Full Text
free access has audio
JAMA. Published online June 12, 2019. doi:10.1001/jama.2019.5765

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.

Cardiovascular Corner: Low Lipids, Metformin, and Plant-Based Diets

Abstract Full Text
free access
JAMA. Published online June 12, 2019. doi:10.1001/jama.2019.6544

This Medical News article is an update on important clinical research in the world of heart disease and stroke.

June 11, 2019
US Preventive Services Task Force

Recommendation Statement

Screening for HIV Infection: US Preventive Services Task Force Recommendation Statement

Abstract Full Text
free access has audio
JAMA. Published online June 11, 2019. doi:10.1001/jama.2019.6587

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).

Evidence Report

Screening for HIV Infection in Asymptomatic, Nonpregnant Adolescents and Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

Abstract Full Text
free access has audio
JAMA. Published online June 11, 2019. doi:10.1001/jama.2019.2592

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.

Evidence Report

Screening for HIV Infection in Pregnant Women: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

Abstract Full Text
free access has audio
JAMA. Published online June 11, 2019. doi:10.1001/jama.2019.2593

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.

JAMA Patient Page

Who Should Be Screened for HIV Infection?

Abstract Full Text
free access
JAMA. Published online June 11, 2019. doi:10.1001/jama.2019.6919

This JAMA Patient Page describes the US Preventive Services Task Force’s recent recommendations on screening for HIV infection in adults and adolescents.

June 10, 2019
Viewpoint

Trust in Health Care

Trust Between Health Care and Community Organizations

Abstract Full Text
free access
JAMA. Published online June 10, 2019. doi:10.1001/jama.2019.1211

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.

JAMA Clinical Challenge

A Patient With Abnormal Abdominal CT Scan Findings

Abstract Full Text
has active quiz
JAMA. Published online June 10, 2019. doi:10.1001/jama.2019.6849

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?

June 9, 2019
Research Letter

Hemoglobin A1c Levels During Pregnancy and Risk of Autism Spectrum Disorders in Offspring

Abstract Full Text
JAMA. Published online June 9, 2019. doi:10.1001/jama.2019.8584

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.

June 7, 2019
Viewpoint

Trust in Health Care

Building Trust in Health Systems to Eliminate Health Disparities

Abstract Full Text
free access
JAMA. Published online June 7, 2019. doi:10.1001/jama.2019.1924

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.

The Review of Systems, the Electronic Health Record, and Billing

Abstract Full Text
free access has audio
JAMA. Published online June 7, 2019. doi:10.1001/jama.2019.5667

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.

June 6, 2019
Viewpoint

Durable Control of HIV Infection in the Absence of Antiretroviral Therapy: Opportunities and Obstacles

Abstract Full Text
free access has audio
JAMA. Published online June 6, 2019. doi:10.1001/jama.2019.5397

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.

Reconsidering the Consequences of Using Race to Estimate Kidney Function

Abstract Full Text
free access
JAMA. Published online June 6, 2019. doi:10.1001/jama.2019.5774

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.

June 5, 2019
Viewpoint

State Abortion Restrictions and the New Supreme Court: Women’s Access to Reproductive Health Services

Abstract Full Text
free access
JAMA. Published online June 5, 2019. doi:10.1001/jama.2019.8437

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.

Medical News & Perspectives

Gene Variant Associated With Menthol Cigarette Smoking in Some African Americans

Abstract Full Text
free access
JAMA. Published online June 5, 2019. doi:10.1001/jama.2019.5243

This Medical News article discusses the recent discovery of a gene variant strongly associated with menthol cigarette use.

The US Military Considers Whether Controversial Opioid Is Fit for Battlefield Duty

Abstract Full Text
free access
JAMA. Published online June 5, 2019. doi:10.1001/jama.2019.5636

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.

June 3, 2019
Original Investigation

Caring for the Critically Ill Patient

Effect of Intraoperative High Positive End-Expiratory Pressure (PEEP) With Recruitment Maneuvers vs Low PEEP on Postoperative Pulmonary Complications in Obese Patients: A Randomized Clinical Trial

Abstract Full Text
free access
JAMA. Published online June 3, 2019. doi:10.1001/jama.2019.7505

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.

Research Letter

Association Between South Carolina Medicaid’s Change in Payment for Immediate Postpartum Long-Acting Reversible Contraception and Birth Intervals

Abstract Full Text
JAMA. Published online June 3, 2019. doi:10.1001/jama.2019.6854

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.

Editorial

Setting Positive End-Expiratory Pressure in Mechanically Ventilated Patients Undergoing Surgery

Abstract Full Text
JAMA. Published online June 3, 2019. doi:10.1001/jama.2019.7540
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