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November 2024 - July 1883

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July 10, 2018, Vol 320, No. 2, Pages 109-212

This Week in JAMA

Highlights

Abstract Full Text
free access has audio
JAMA. 2018;320(2):109-111. doi:10.1001/jama.2017.12449
Original Investigation

Effect of a Home-Based Wearable Continuous ECG Monitoring Patch on Detection of Undiagnosed Atrial Fibrillation: The mSToPS Randomized Clinical Trial

Abstract Full Text
free access has multimedia
JAMA. 2018;320(2):146-155. doi:10.1001/jama.2018.8102

This randomized clinical trial and matched cohort study compares the effects of immediate vs delayed use of a self-applied adhesive continuous ECG monitoring patch on new diagnoses of atrial fibrillation in patients at high risk of atrial fibrillation.

Effect of Alteplase vs Aspirin on Functional Outcome for Patients With Acute Ischemic Stroke and Minor Nondisabling Neurologic Deficits: The PRISMS Randomized Clinical Trial

Abstract Full Text
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JAMA. 2018;320(2):156-166. doi:10.1001/jama.2018.8496

This randomized trial compares the effects of intravenous alteplase vs oral aspirin treatment on functional outcomes in patients with minor nondisabling acute ischemic stroke.

Effect of Acupuncture vs Sham Acupuncture or Waitlist Control on Joint Pain Related to Aromatase Inhibitors Among Women With Early-Stage Breast Cancer: A Randomized Clinical Trial

Abstract Full Text
free access
JAMA. 2018;320(2):167-176. doi:10.1001/jama.2018.8907

This randomized clinical trial compares true acupuncture with sham acupuncture and with waitlist control on the reduction of joint pain related to aromatase inhibitor use in postmenopausal women with early-stage breast cancer.

Research Letter

Testosterone Prescribing in the United States, 2002-2016

Abstract Full Text
free access
JAMA. 2018;320(2):200-202. doi:10.1001/jama.2018.7999

This study uses commercial claims database data to characterize trends in testosterone prescribing in the United States from 2002 to 2016.

US Preventive Services Task Force

Recommendation Statement

Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment With the Ankle-Brachial Index: US Preventive Services Task Force Recommendation Statement

Abstract Full Text
free access has audio
JAMA. 2018;320(2):177-183. doi:10.1001/jama.2018.8357

This 2018 Recommendation Statement from the US Preventive Services Task Force concludes that current evidence is insufficient to assess the balance of benefits and harms of screening for peripheral artery disease and cardiovascular disease risk with the ankle-brachial index in asymptomatic adults (I statement).

Evidence Report

Screening for Peripheral Artery Disease Using the Ankle-Brachial Index: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

Abstract Full Text
free access
JAMA. 2018;320(2):184-196. doi:10.1001/jama.2018.4250

This systematic review to support the 2018 US Preventive Services Task Force Recommendation Statement on screening for peripheral artery disease (PAD) using the ankle-brachial index (ABI) summarizes published evidence on the diagnostic accuracy of the ABI test and the benefits and harms of treatment of screen-detected PAD.

Viewpoint

Helping to End Addiction Over the Long-term: The Research Plan for the NIH HEAL Initiative

Abstract Full Text
JAMA. 2018;320(2):129-130. doi:10.1001/jama.2018.8826

This Viewpoint discusses the National Institutes of Health’s Helping to End Addiction Long-term, an interdisciplinary program aimed at advancing addiction and pain research in the United States.

The Philip Morris International–Funded Foundation for a Smoke-Free World

Abstract Full Text
JAMA. 2018;320(2):131-132. doi:10.1001/jama.2018.6729

This Viewpoint discusses the Philip Morris International–funded Foundation for a Smoke-Free World, whose stated mission is to end cigarette smoking within a generation, and explains why the effort is likely a distraction from true evidence-based tobacco control.

Transition to the ICD-10 in the United States: An Emerging Data Chasm

Abstract Full Text
JAMA. 2018;320(2):133-134. doi:10.1001/jama.2018.6823

This Viewpoint proposes strategies to manage code linkage gaps and other sources of error in the transition in the United States from use of the International Classification of Diseases, Ninth Revision (ICD-9) to the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10).

A Piece of My Mind

On Breaking Bad News

Abstract Full Text
JAMA. 2018;320(2):135-136. doi:10.1001/jama.2018.8544

In this narrative medicine essay, a medical student reflects on the way that bad news, whether shared with humanity or as a bungled communication, affects how the person on the receiving end reacts, grieves, and moves forward.

Editorial

Evaluating Health Technology Through Pragmatic Trials: Novel Approaches to Generate High-Quality Evidence

Abstract Full Text
JAMA. 2018;320(2):137-138. doi:10.1001/jama.2018.8512

Screening for Atrial Fibrillation With a Wearable Device

Abstract Full Text
JAMA. 2018;320(2):139-141. doi:10.1001/jama.2018.8513

Intravenous Alteplase for Mild Nondisabling Acute Ischemic Stroke: A Bridge Too Far?

Abstract Full Text
JAMA. 2018;320(2):141-143. doi:10.1001/jama.2018.8511

Ankle-Brachial Index Screening and Improving Peripheral Artery Disease Detection and Outcomes

Abstract Full Text
JAMA. 2018;320(2):143-145. doi:10.1001/jama.2018.8953
JAMA Clinical Challenge

Progressive Weakness and Memory Impairment in a Middle-aged Man

Abstract Full Text
JAMA. 2018;320(2):197-198. doi:10.1001/jama.2018.6474

A 61-year-old man presented with 4 weeks of progressive weakness and paresthesias, cognitive impairment, difficulty ambulating independently, and hyperreflexia with diminished vibratory sensation and proprioception in his lower extremities. A complete blood cell count revealed macrocytic anemia; magnetic resonance imaging revealed prolonged T2 signal in the posterior columns of the spinal cord. What would you do next?

Medical News & Perspectives

New Foundation Revives Debate About Health Research Funded by Big Tobacco

Abstract Full Text
JAMA. 2018;320(2):123-125. doi:10.1001/jama.2018.6975

This Medical News story examines the controversy surrounding Philip Morris International’s funding of a foundation whose stated purpose is to reduce the use of conventional cigarettes.

The JAMA Forum

New Ebola Outbreak in Africa Is a Major Test for the WHO

Abstract Full Text
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JAMA. 2018;320(2):125-126. doi:10.1001/jama.2018.8537
News From the Centers for Disease Control and Prevention

Pool-Related Infections

Abstract Full Text
JAMA. 2018;320(2):128. doi:10.1001/jama.2018.8773

Stroke Rehab Lacking

Abstract Full Text
JAMA. 2018;320(2):128. doi:10.1001/jama.2018.9047
Biotech Innovations

Oral Sodium Sensor for Hypertension Management

Abstract Full Text
JAMA. 2018;320(2):127. doi:10.1001/jama.2018.8979

Immunotherapy Leads to Complete Regression in Late-Stage Breast Cancer

Abstract Full Text
JAMA. 2018;320(2):127. doi:10.1001/jama.2018.9486
Poetry and Medicine

Too small, too soon

Abstract Full Text
JAMA. 2018;320(2):207. doi:10.1001/jama.2018.0110
JAMA Revisited

Current Comment: The Hen and Her Imitators

Abstract Full Text
JAMA. 2018;320(2):208. doi:10.1001/jama.2017.12457
JAMA Patient Page

Screening for Peripheral Artery Disease With Ankle-Brachial Index

Abstract Full Text
free access
JAMA. 2018;320(2):212. doi:10.1001/jama.2018.9112

This JAMA Patient Page describes the US Preventive Services Task Force recommendations on screening for peripheral artery disease with measurement of the ankle-brachial index.

Comment & Response

Low-Fat vs Low-Carbohydrate Diets and Weight Loss

Abstract Full Text
JAMA. 2018;320(2):202. doi:10.1001/jama.2018.6240

Low-Fat vs Low-Carbohydrate Diets and Weight Loss

Abstract Full Text
JAMA. 2018;320(2):202-203. doi:10.1001/jama.2018.6244

Low-Fat vs Low-Carbohydrate Diets and Weight Loss—Reply

Abstract Full Text
JAMA. 2018;320(2):203-204. doi:10.1001/jama.2018.6248

Importance of Intelligence and Emotional Intelligence for Physicians

Abstract Full Text
JAMA. 2018;320(2):204. doi:10.1001/jama.2018.6282

Importance of Intelligence and Emotional Intelligence for Physicians

Abstract Full Text
JAMA. 2018;320(2):204-205. doi:10.1001/jama.2018.6286

Importance of Intelligence and Emotional Intelligence for Physicians

Abstract Full Text
JAMA. 2018;320(2):205. doi:10.1001/jama.2018.6278

Importance of Intelligence and Emotional Intelligence for Physicians—Reply

Abstract Full Text
JAMA. 2018;320(2):205-206. doi:10.1001/jama.2018.6290
JAMA Masthead

JAMA

Abstract Full Text
free access
JAMA. 2018;320(2):113-114. doi:10.1001/jama.2017.12450
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