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November 2024 - July 1883

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August 28, 2018, Vol 320, No. 8, Pages 735-846

This Week in JAMA

Highlights

Abstract Full Text
free access has audio
JAMA. 2018;320(8):735-737. doi:10.1001/jama.2017.12715
Original Investigation

Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial

Abstract Full Text
free access
JAMA. 2018;320(8):769-778. doi:10.1001/jama.2018.7044

This randomized clinical trial compares the effectiveness of a strategy of initial laryngeal tube insertion vs initial endotracheal intubation performed by emergency medical services in adults with out-of-hospital cardiac arrest.

Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome: The AIRWAYS-2 Randomized Clinical Trial

Abstract Full Text
free access
JAMA. 2018;320(8):779-791. doi:10.1001/jama.2018.11597

This cluster randomized clinical trial compares the effects on functional outcomes of paramedic use of a supraglottic airway device vs tracheal intubation as airway management for adults with nontraumatic out-of-hospital cardiac arrest.

Global Mortality From Firearms, 1990-2016

Abstract Full Text
free access has multimedia
JAMA. 2018;320(8):792-814. doi:10.1001/jama.2018.10060

This population epidemiology study estimates national rates of firearm homicide and suicide and unintentional gun deaths in 195 countries and territories from 1990 to 2016.

Research Letter

Estimation of the Acquisition and Operating Costs for Robotic Surgery

Abstract Full Text
free access
JAMA. 2018;320(8):835-836. doi:10.1001/jama.2018.9219

This study used 1999-2017 financial statements from INTUITIVE, the company that supplies most robotic technology, to establish a hospital cost benchmark to inform future cost-effectiveness evaluations.

Viewpoint

Comparison of 2 Treatment Models: Precision Medicine and Preventive Medicine

Abstract Full Text
JAMA. 2018;320(8):751-752. doi:10.1001/jama.2018.8377

This Viewpoint compares the strengths and weaknesses of precision-medicine and preventive-medicine models for treating disease driven by genetics and disease driven by lifestyle and toxic environments.

Data Enclaves for Sharing Information Derived From Clinical and Administrative Data

Abstract Full Text
JAMA. 2018;320(8):753-754. doi:10.1001/jama.2018.9342

This Viewpoint reviews the advantages of data enclaves, secure hosting environments that permit remote investigator access to confidential health system data, as a solution to facilitate data sharing for clinical and health services research while minimizing concerns about data reuse and security.

Gaps in the Clinical Management of Influenza: A Century Since the 1918 Pandemic

Abstract Full Text
JAMA. 2018;320(8):755-756. doi:10.1001/jama.2018.8113

This Viewpoint reviews advances in the surveillance, diagnosis, and treatment of influenza since the 1918 pandemic, and identifies key clinical questions to address in advance of the next outbreak, including optimal treatment for hospitalized and critically ill patients and those with secondary bacterial pneumonia.

Clinical Practice Guidelines: What’s Next?

Abstract Full Text
JAMA. 2018;320(8):757-758. doi:10.1001/jama.2018.9660

This Viewpoint reviews recent progress and challenges in the evolution of clinical practice guidelines, from 2011 National Academy of Medicine (NAM) guidance for creation of trustworthy guidelines through the 2018 demise of the National Guideline Clearinghouse (NGC), and calls for increased attention to conflicts of interest among guidelines developers and the need for more regular and frequent guideline updates.

A Piece of My Mind

Advice for a Student Starting Medical School

Abstract Full Text
JAMA. 2018;320(8):759-760. doi:10.1001/jama.2018.11225

In this narrative medical essay, an internist offers three basic lessons not taught in medical school that he learned about practicing medicine based on his experiences from a patient with whom he has built a trusting relationship over the years.

Editorial

Pragmatic Airway Management in Out-of-Hospital Cardiac Arrest

Abstract Full Text
JAMA. 2018;320(8):761-763. doi:10.1001/jama.2018.10824

Firearm-Related Mortality: A Global Public Health Problem

Abstract Full Text
JAMA. 2018;320(8):764-765. doi:10.1001/jama.2018.9942

Medications for Alcohol Use Disorder and Predicting Severe Withdrawal

Abstract Full Text
JAMA. 2018;320(8):766-768. doi:10.1001/jama.2018.10061
Review

Diagnosis and Pharmacotherapy of Alcohol Use Disorder: A Review

Abstract Full Text
has audio
JAMA. 2018;320(8):815-824. doi:10.1001/jama.2018.11406

This narrative review discusses the identification and treatment of alcohol use disorder (AUD).

The Rational Clinical Examination

Will This Hospitalized Patient Develop Severe Alcohol Withdrawal Syndrome?The Rational Clinical Examination Systematic Review

Abstract Full Text
has audio
JAMA. 2018;320(8):825-833. doi:10.1001/jama.2018.10574

This Rational Clinical Examination systematic review summarizes the accuracy of risk factors, symptoms and signs, and survey instruments for predicting delirium tremens, withdrawal seizures, and clinical severe alcohol withdrawal in hospitalized patients with a history of alcohol use.

Medical News & Perspectives

Addressing Barriers to Inclusion of Pregnant Women in Clinical Trials

Abstract Full Text
JAMA. 2018;320(8):742-744. doi:10.1001/jama.2018.9989

This Medical News story examines the challenges of including pregnant women in clinical trials and ongoing initiatives addressing these challenges.

Can Acupuncture Keep Women on Their Breast Cancer Drugs?

Abstract Full Text
JAMA. 2018;320(8):744-746. doi:10.1001/jama.2018.11068

In this Medical News article, an author and the editor of a JAMA research article on acupuncture for aromatase inhibitor–related pain in women with breast cancer discuss the article’s evolution and implications.

The JAMA Forum

Work Requirements for Health Coverage

Abstract Full Text
free access
JAMA. 2018;320(8):746-747. doi:10.1001/jama.2018.11492
News From the Centers for Disease Control and Prevention

Chronic Fatigue Care

Abstract Full Text
JAMA. 2018;320(8):750. doi:10.1001/jama.2018.11469

Discussions About Cognitive Decline

Abstract Full Text
JAMA. 2018;320(8):750. doi:10.1001/jama.2018.11889
Clinical Trials Update

Melatonin Improves Sleep in Patients With Circadian Disruption

Abstract Full Text
JAMA. 2018;320(8):749. doi:10.1001/jama.2018.10903

No Benefit for Women From Sigmoidoscopy Screening

Abstract Full Text
JAMA. 2018;320(8):749. doi:10.1001/jama.2018.12040

Automated Device Improves Glucose Control in Hospitalized Patients

Abstract Full Text
JAMA. 2018;320(8):749. doi:10.1001/jama.2018.12042

Behavior Therapy May Help Prevent Teen Suicide

Abstract Full Text
JAMA. 2018;320(8):749. doi:10.1001/jama.2018.12044

Drug Improves Glucose Levels and Drives Weight Loss

Abstract Full Text
JAMA. 2018;320(8):749. doi:10.1001/jama.2018.12046
Health Agencies Update

Partnership to Develop Over-the-Counter Flu Tests

Abstract Full Text
JAMA. 2018;320(8):748. doi:10.1001/jama.2018.11316

Expanding Veterans’ Access to Cancer Clinical Trials

Abstract Full Text
JAMA. 2018;320(8):748. doi:10.1001/jama.2018.12069

Medicaid and Improper Payments

Abstract Full Text
JAMA. 2018;320(8):748. doi:10.1001/jama.2018.12070
Poetry and Medicine

Synapsed

Abstract Full Text
JAMA. 2018;320(8):841. doi:10.1001/jama.2018.4609
JAMA Revisited

Letter: The Redundant Ritual

Abstract Full Text
JAMA. 2018;320(8):842. doi:10.1001/jama.2017.12545
JAMA Patient Page

Injury to the Eye

Abstract Full Text
free access
JAMA. 2018;320(8):846. doi:10.1001/jama.2018.8457

This JAMA Patient Page describes types of injury to the eye and practices for preventing eye injury.

Comment & Response

Sepsis as a Cause of Infectious Disease Mortality

Abstract Full Text
JAMA. 2018;320(8):836-837. doi:10.1001/jama.2018.7941

Sepsis as a Cause of Infectious Disease Mortality—Reply

Abstract Full Text
JAMA. 2018;320(8):837. doi:10.1001/jama.2018.7945

Errors Resulting From Standard Order Sets

Abstract Full Text
JAMA. 2018;320(8):838. doi:10.1001/jama.2018.7816

Errors Resulting From Standard Order Sets—In Reply

Abstract Full Text
JAMA. 2018;320(8):838. doi:10.1001/jama.2018.7828

Comparing Spending on Medical Care in the United States and Other Countries

Abstract Full Text
JAMA. 2018;320(8):838. doi:10.1001/jama.2018.8016

Comparing Spending on Medical Care in the United States and Other Countries

Abstract Full Text
JAMA. 2018;320(8):839. doi:10.1001/jama.2018.8004

Comparing Spending on Medical Care in the United States and Other Countries—In Reply

Abstract Full Text
JAMA. 2018;320(8):840. doi:10.1001/jama.2018.8020
Correction

Data Misinterpretation

Abstract Full Text
free access
JAMA. 2018;320(8):840. doi:10.1001/jama.2018.11589

Error in 95% CI Limit

Abstract Full Text
free access
JAMA. 2018;320(8):840. doi:10.1001/jama.2018.12457
JAMA Masthead

JAMA

Abstract Full Text
free access
JAMA. 2018;320(8):739-740. doi:10.1001/jama.2017.12716
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