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Journal Cover JAMA The Journal of the American Medical Association
  [SJR: 6.44]   [H-I: 549]   [1483 followers]  Follow
    
   Full-text available via subscription Subscription journal
   ISSN (Print) 0098-7484 - ISSN (Online) 1538-3598
   Published by American Medical Association Homepage  [13 journals]
  • Highlights for August 8, 2017
    • PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Can Patients Record Their Medical Encounters'
    • Authors: Elwyn G; Barr P, Castaldo M.
      Abstract: This Viewpoint discusses legal statutes in US states that guide patients’ audio or video recording of medical encounters, and argues for clear policies to facilitate use of recording technology by patients for their benefit.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Challenges in International Comparison of Health Care Systems
    • Authors: Papanicolas I; Jha AK.
      Abstract: This Viewpoint discusses the challenges in cross-national comparisons of health care system performance, including defining the responsibilities of the health system, managing limitations of data, and accounting for different values in different nations.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Unintended Consequences of Machine Learning in Medicine
    • Authors: Cabitza F; Rasoini R, Gensini G.
      Abstract: This Viewpoint discusses the potential ramifications from using machine learning–based decision support systems when making diagnosis and treatment decisions in clinical practice.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Health and Spirituality
    • Authors: VanderWeele TJ; Balboni TA, Koh HK.
      Abstract: This Viewpoint argues that patients’ spiritual and religious views should be part of the discussion when making treatment decisions.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • A Prisoner of Preconceptions
    • Authors: Chertoff J.
      Abstract: It was an unusually tranquil day in our medical intensive care unit (MICU). Ventilator alarms were not blaring, intravenous drips were not urgently beeping, and vital sign monitors were not alerting us to any unstable patients. Certainly this calm could not last for long—and it didn’t.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Music Therapy for Children With Autism Spectrum Disorder
    • Authors: Broder-Fingert S; Feinberg E, Silverstein M.
      Abstract: In this issue of JAMA, Bieleninik and colleagues present the results of a large, well-designed, multicenter randomized clinical trial (RCT) of improvisational music therapy for young children with autism spectrum disorder (ASD). Music therapy is “a systematic process of intervention wherein the therapist helps the client to promote health, using musical experiences and the relationships that develop through them.” Among 364 children aged 4 to 7 years, over 5 months, the mean scores on the Autism Diagnostic Observation Schedule (ADOS), social affect domain, decreased from 14.08 to 13.23 among children randomized to improvisational music therapy and from 13.49 to 12.58 among those randomized to enhanced standard care, a mean difference in change scores of 0.06 (95% CI, −0.70 to 0.81), with no significant differences between groups.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Improvisational Music Therapy in Autism Spectrum Disorder
    • Authors: Bieleninik Ł; Geretsegger M, Mössler K, et al.
      Abstract: This randomized trial evaluated the effects of improvisational music therapy vs enhanced standard care on generalized social communication skills of children with autism spectrum disorder.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Cerebral Embolic Protection in Patients Undergoing Surgical Aortic Valve
           Replacement
    • Authors: Mack MJ; Acker MA, Gelijns AC, et al.
      Abstract: This randomized clinical trial compares the efficacy and adverse effects of 2 cerebral embolic protection devices vs a shared control group in reducing ischemic central nervous system injury during surgical aortic valve replacement.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Effects of Levosimendan on Low Cardiac Output Syndrome After CABG
    • Authors: Cholley B; Caruba T, Grosjean S, et al.
      Abstract: This randomized clinical trial compares the effect of preoperative levosimendan vs placebo on the incidence of postoperative low cardiac output syndrome in patients with low ventricular ejection fraction who were undergoing coronary artery bypass grafting with cardiopulmonary bypass.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Azithromycin and Airflow Decline–Free Survival After Stem Cell
           Transplant
    • Authors: Bergeron A; Chevret S, Granata A, et al.
      Abstract: This clinical trial, which was stopped early, seeks to evaluate whether the early administration of azithromycin would improve airflow decline–free survival among patients who had undergone an allogeneic hematopoietic stem cell transplant.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Routine Preoperative Laboratory Tests for Elective Surgery
    • Authors: Martin SK; Cifu AS.
      Abstract: This JAMA Clinical Guidelines Synopsis summarizes the 2016 National Clinical Guideline Centre’s guideline on routine preoperative tests for elective surgery.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • A Woman With Purple Macules on the Legs
    • Authors: Cohen JM; Femia AN, Ho RS.
      Abstract: A 30-year-old woman had widespread, erythematous, purpuric macules and papules on the abdomen and extremities. A skin punch biopsy showed extravasated erythrocytes, a neutrophilic infiltrate, fibrinoid necrosis, and broken-down neutrophils releasing nuclear debris. What would you do next'
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Colorectal Cancer Mortality Rates in US Adults, 1970-2014
    • Authors: Siegel RL; Miller KD, Jemal A.
      Abstract: This study uses National Center for Health Statistics data to analyze colorectal cancer mortality rates among US adults aged 20 to 54 years by race from 1970 through 2014.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Survival After Laparoscopic vs Abdominal Hysterectomy
    • Authors: Yin Y; Tian X.
      Abstract: To the Editor The study by Dr Janda and colleagues found that laparoscopic hysterectomy compared with abdominal hysterectomy had equivalent disease-free survival outcomes for women with early-stage endometrial cancer. We found some features of interest in the authors’ results.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Survival After Laparoscopic vs Abdominal Hysterectomy—Reply
    • Authors: Gebski V; Janda M, Obermair A.
      Abstract: In Reply Drs Yin and Tian comment on the potential differential effect of total laparoscopic hysterectomy between different levels of BMI. Notwithstanding speculation regarding the reasons total laparoscopic hysterectomy may provide benefit, the strength of the interaction can be examined from the analyses presented in the supplement published with the article.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Improvised vs Commercial Tourniquets
    • Authors: Levy MJ; Goolsby C, Eastman AL.
      Abstract: To the Editor Dr Galante’s Patient Page on tourniquet use would have been improved if he had mentioned use of commercial tourniquets that have demonstrated success on the battlefield and are available to civilian communities. The US military’s experience, which revolutionized point-of-injury hemorrhage control, saved 1000 to 2000 lives on battlefields in Iraq and Afghanistan. That knowledge has been translated to civilian practice.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Improvised vs Commercial Tourniquets—Reply
    • Authors: Galante JM.
      Abstract: In Reply I agree with Dr Levy and colleagues that civilian tourniquet use is based primarily on the military’s experiences in Iraq and Afghanistan. I am a strong supporter of the efforts of the American College of Surgeons’ Stop the Bleed efforts. The Stop the Bleed course teaches direct pressure, wound packing, and the application of commercial tourniquets. The American College of Surgeons did recommend that “improvised tourniquets be applied only if no commercial device is available,” but commercial tourniquets are often not publicly available. Some state legislatures are working on policy to improve tourniquet availability, but in the meantime, recommendations to apply improvised tourniquets in the absence of commercial tourniquets should be followed.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Organ Donation After Euthanasia
    • Authors: Jindal RM.
      Abstract: To the Editor The Research Letter by Dr Bollen and colleagues projected the potential increase in the number of organs available for transplantation in Belgium if organ donation after euthanasia is granted to patients who voluntarily want to donate their organs after death.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Organ Donation After Euthanasia—Reply
    • Authors: Bollen J; van Heurn E, van Mook W.
      Abstract: In Reply Organ donation after euthanasia has been performed since 2005 in Belgium and 2012 in the Netherlands. Increasing interest only has arisen in the last few years, and therefore it is not possible to draw conclusions about the long-term results. Outcome data of all transplanted organs from organ donation after euthanasia are currently being collected.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Too Soon for Sepsis Mandates'
    • Authors: Abbasi J.
      Abstract: This Medical News article discusses ongoing uncertainties around sepsis management.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Rising Medical Costs Mean More Rough Times Ahead
    • Authors: Cutler DM.
      Abstract: Medical costs are rising again, after recent years of historic lows. As the figure shows, growth rates of real per person medical spending in the past 3 years have averaged 3.4% annually, up from 0.9% in 2011 to 2013. Although the current growth rate is low in a historical context, it exceeds the economy’s growth as a whole. Thus, health costs are expected to reappear on the radar screen of governments, businesses, and households.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • New Pain Drug Gets Fast Tracked
    • Authors: Abbasi J.
      Abstract: In June, the US Food and Drug Administration (FDA) granted fast-track designation to drug makers Pfizer and Eli Lilly for tanezumab, an investigational treatment for chronic pain in patients with osteoarthritis and chronic low back pain.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Flu Vaccine Patch In Development
    • Authors: Abbasi J.
      Abstract: A dime-sized adhesive patch loaded with dissolving microneedles could one day be a cheaper, more practical alternative to the traditional flu shot. The microneedle patch features 100 tiny needles that release vaccine as they dissolve in the skin over the course of a few minutes. A team led by Mark R. Prausnitz, PhD, at the Georgia Tech School of Chemical and Biomolecular Engineering designed the patch.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Faster Fever Detection
    • Authors: Abbasi J.
      Abstract: A digital thermometer in the form of a wearable patch detected increases in body temperature up to 180 minutes earlier than standard monitoring in a small study of patients admitted for stem cell transplant or high-dose chemotherapy for leukemia at University Hospitals (UH) Seidman Cancer Center in Cleveland. The Bluetooth-enabled patch measures temperature every 10 minutes instead of every 4 hours—the current usual care—and sends measurements to Apple- or Android-compatible mobile devices.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Infection Linked With Placenta Consumption
    • Abstract: A CDC report has warned health care professionals and new mothers about infection risks associated with placenta consumption—a rare but reportedly growing practice in the United States.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Walking Study: Women Outpace Men
    • Abstract: Women have made greater strides than men in one of the easiest, least costly forms of physical activity: walking.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • The Influence of Santiago Ramón y Cajal on Medicine
    • Authors: Georgopoulos AP; Georgopoulos A.
      Abstract: This Arts and Medicine essay explores an exhibit featuring drawings of brain cells by Santiago Ramón y Cajal, a 19th-century Spanish neurohistologist.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • A Matter of Taste
    • Authors: Wicks I.
      Abstract: Native tongue, intrepid epicurean, studded with its retinue of tastebuds—little Erlenmeyers, arrayed in legions of lingual papillae, readied to test all that we ingest.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Medical Writing
    • Abstract: How does “medical writing” differ from any other kind' A flippant and exaggerated answer comes immediately to mind: Medical writing is usually bad. Numberless critics, in pamphlets, articles, and books, have emphasized this defect, have bewailed the various repulsive qualities that characterize much medical writing—the monotony, the verbosity and jargon, the sheer clumsiness of expression, the lack of clarity. Of course, none of these is unique to physicians or to medicine, for in many other categories, particularly other branches of science, writing exhibits similar defects. But if we compare medical journals, as a class, with various literary periodicals as a class, the contrast appalls us.…
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • Sudden Vision Loss
    • Authors: Muth CC.
      PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
  • JAMA
    • PubDate: Tue, 08 Aug 2017 00:00:00 GMT
       
 
 
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