This noninferiority randomized clinical trial compares the effects of glyburide vs subcutaneous insulin on macrosomia, neonatal hypoglycemia, and hyperbilirubinemia in infants born to women with gestational diabetes.
This randomized clinical trial compares the clinical and microbiologic efficacy of 5-day nitrofurantoin vs single-dose fosfomycin in women with uncomplicated urinary tract infection (UTI).
This randomized trial compares the effect of premedication with atropine and propofol vs atropine, atracurium, and sufentanil on prolonged desaturation of neonates in the NICU requiring nonemergency nasotracheal intubation.
This study uses National Vital Statistics System data to describe trends in synthetic opioid involvement in drug overdose deaths in the United States from 2010 to 2016.
This Viewpoint surveys changes in the academic medical environment since the onset of the #MeToo movement in 2017 and outlines policy and procedural changes to decrease harassment and facilitate improvements to the learning environments of medical schools going forward.
This Viewpoint draws parallels between advances in the patient safety movement, in which team members are encouraged to call out unsafe practices and propose changes, and what will be required to advance the #MeToo movement in health care: courage to speak out when they or others are being harassed or disrespected.
This Viewpoint proposes 6 components of a public health strategy to reduce gun violence that would provide meaningful harm control and be lawful within existing Second Amendment case law.
In this Viewpoint, Gawande and colleagues characterize risks to patient safety from health system expansions identified by clinicians and health system leaders who have experienced the risks, and potential strategies institutions can implement to mitigate them.
In this narrative medicine essay, a pediatrician describes her descent into alcoholism as self-medication for complicated grief and the role the loss of her medical license and a support group for physicians with substance use disorders played in her recovery.
This narrative review summarizes recent advances in the epidemiology, identification, natural history, diagnosis, treatment, and prognosis of chronic hepatitis B virus (HBV).
This Clinical Update reviews the benefits and harms of breast cancer screening in women aged 40 to 49 years and calls for better tools to quantify and communicate the balance between the two to facilitate shared decision making between physicians and patients about the need for mammography.
This JAMA Clinical Guidelines Synopsis summarizes the 2017 American College of Gastroenterology and Canadian Association of Gastroenterology guideline on management of dyspepsia.
This Medical News article is an interview with cardiologist Stephen Devries, MD, about an institute that educates doctors about healthful eating.
This Medical News article discusses some of the factors behind the nearly 4.5-fold increase in US cases of Legionnaires disease since 2000, including increased testing and climate change, and why many cases are still probably being missed.
This JAMA Patient Page describes reasons for undergoing laparoscopic cholecystectomy and what to expect with the surgery.