CARDIOLOGY
Daniel J. Corsi, PhD; S. V. Subramanian, PhD
This cross-sectional study uses data from the Indian National Family Health Survey to assess the socioeconomic gradients and distribution of diabetes, hypertension, and obesity in the Indian population.
JAMA Netw Open. 2019;2(4):e190411. doi:10.1001/jamanetworkopen.2019.0411
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Editorial
Chronic Diseases in India鈥擴biquitous Across the Socioeconomic Spectrum
Shivani A. Patel, PhD; Solveig A. Cunningham, PhD; Nikhil Tandon, MD; K. M. Venkat Narayan, MD
JAMA Netw Open
INFECTIOUS DISEASES
Helen C. Stankiewicz Karita, MD; Kirsten Hauge, MPH; Amalia Magaret, PhD; et al.
This trial protocol describes a randomized clinical trial to assess the effectiveness of a human papillomavirus vaccine to reduce the risk of anal and vulvar high-grade squamous intraepithelial lesion recurrence after treatment.
JAMA Netw Open. 2019;2(4):e190819. doi:10.1001/jamanetworkopen.2019.0819
SURGERY
Laura A. Graham, PhD, MPH; Hillary J. Mull, PhD, MPP; Todd H. Wagner, PhD; et al.
This cohort study analyzes data from US Veterans Affairs hospitals to compare the existing metric of any unplanned readmission, which may not reflect the quality of surgical care, with a metric that classifies readmissions as likely associated with surgical quality in high-volume inpatient surgical procedures.
JAMA Netw Open. 2019;2(4):e191313. doi:10.1001/jamanetworkopen.2019.1313
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Invited Commentary
Clinical Accountability and Measuring Surgical Readmissions
Karan R. Chhabra, MD; Rachel M. Werner, MD, PhD; Justin B. Dimick, MD, MPH
JAMA Netw Open
PEDIATRICS
Angela Lupattelli, PhD; Christina D. Chambers, PhD; Gretchen Bandoli, PhD; et al.
This cohort study evaluates the association of motor, communication, and attention-deficit/hyperactivity disorder (ADHD) symptoms in preschoolers with gestational benzodiazepine/z-hypnotic exposure by timing and duration and coexposure to opioids or antidepressants.
JAMA Netw Open. 2019;2(4):e191435. doi:10.1001/jamanetworkopen.2019.1435
HEALTH POLICY
Lisa J. Stearns, MD; Sanjeet Narang, MD; Robert E. Albright Jr, MD; et al.
This economic evaluation uses a large US claims database to assess the cost and utilization of targeted drug delivery and conventional medical management vs conventional medical management alone for treating cancer-related pain.
JAMA Netw Open. 2019;2(4):e191549. doi:10.1001/jamanetworkopen.2019.1549
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Invited Commentary
The Cost of Pain
Thomas J. Smith, MD; Bruce E. Hillner, MD
JAMA Netw Open
HEALTH POLICY
Kira L. Ryskina, MD, MS; Yihao Yuan, MS; Rachel M. Werner, MD, PhD
This cross-sectional study of Medicare beneficiaries hospitalized for nonsurgical conditions measures the use of subspecialty consultations, compares payments for consultative and nonconsultative care, and measures variation in payments across hospital referral regions.
JAMA Netw Open. 2019;2(4):e191634. doi:10.1001/jamanetworkopen.2019.1634
INFECTIOUS DISEASES
Eric Kendjo, MSc; Sandrine Houzé, MD, PhD; Oussama Mouri, PharmD; et al.
This cross-sectional study of data from the French National Reference Center of Malaria Surveillance examines the epidemiologic characteristics associated with imported cases of malaria among travelers returning to metropolitan France.
JAMA Netw Open. 2019;2(4):e191691. doi:10.1001/jamanetworkopen.2019.1691
ONCOLOGY
Graham W. Warren, MD, PhD; Kathleen B. Cartmell, PhD; Elizabeth Garrett-Mayer, PhD; et al.
This economic evaluation models incremental costs of subsequent cancer treatment after failure of first-line cancer treatment among smoking vs nonsmoking patients with cancer.
JAMA Netw Open. 2019;2(4):e191703. doi:10.1001/jamanetworkopen.2019.1703
HEALTH INFORMATICS
Lukasz M. Mazur, PhD; Prithima R. Mosaly, PhD; Carlton Moore, MD; et al.
This quality improvement study analyzes the perceived and physiological workload, performance, and fatigue levels of residents and fellows as they manage abnormal or critical test results using an electronic health record (EHR) system.
JAMA Netw Open. 2019;2(4):e191709. doi:10.1001/jamanetworkopen.2019.1709
PUBLIC HEALTH
Gina Liu, BA, BSc; Douglas J. Wiebe, PhD
This cross-sectional study using time-series analysis tests the hypothesis that mass shootings are associated with gun purchasing in the United States and examines factors associated with changes in gun purchasing.
JAMA Netw Open. 2019;2(4):e191736. doi:10.1001/jamanetworkopen.2019.1736
NEPHROLOGY
Matthew T. James, MD, PhD; Andrew S. Levey, MD; Marcello Tonelli, MD, SM, MSc; et al.
This cohort study investigates whether the Kidney Disease: Improving Global Outcomes guidelines can identify patients with acute kidney diseases and disorders who do not meet existing criteria for chronic kidney disease or acute kidney injury and whether these patients experience adverse outcomes.
JAMA Netw Open. 2019;2(4):e191795. doi:10.1001/jamanetworkopen.2019.1795
GASTROENTEROLOGY AND HEPATOLOGY
Bechien U. Wu, MD, MPH; Rebecca K. Butler, ScM; Wansu Chen, PhD
This cohort study investigates the variability in opioid use in pain management for patients hospitalized for acute pancreatitis.
JAMA Netw Open. 2019;2(4):e191827. doi:10.1001/jamanetworkopen.2019.1827
HEALTH INFORMATICS
Jieming Chen, PhD; Sanchita Bhattacharya, MS; Marina Sirota, PhD; et al.
This cohort study assembles an open access resource that contains more detailed follow-up information to examine postdonation health outcomes for living kidney donors.
JAMA Netw Open. 2019;2(4):e191851. doi:10.1001/jamanetworkopen.2019.1851
OPHTHALMOLOGY
Felix Yu, BS; Gianluca Silva Croso, BS; Tae Soo Kim, BS; et al.
This cross-sectional study evaluates machine learning and deep learning algorithms for automated phase classification of manually presegmented videos of cataract procedures.
JAMA Netw Open. 2019;2(4):e191860. doi:10.1001/jamanetworkopen.2019.1860
PSYCHIATRY
Judit Ciarrusta, MSc; Jonathan O'Muircheartaigh, PhD; Ralica Dimitrova, PhD; et al.
This cohort study compares functional magnetic resonance imaging of the brains of neonates with a family history of autism spectrum disorder (ASD) vs those of neonates with no family history of ASD.
JAMA Netw Open. 2019;2(4):e191868. doi:10.1001/jamanetworkopen.2019.1868
HEALTH POLICY
Jessica R. Hoag, PhD; Benjamin J. Resio, MD; Andres F. Monsalve, MD; et al.
This cross-sectional study compares perioperative mortality of Medicare beneficiaries after complex cancer surgery at top-ranked cancer hospitals vs their affiliated hospitals.
JAMA Netw Open. 2019;2(4):e191912. doi:10.1001/jamanetworkopen.2019.1912
HEALTH POLICY
Margaret B. Greenwood-Ericksen, MD, MSc; Keith Kocher, MD, MPH
This cross-sectional study of National Hospital Ambulatory Medical Care Survey data describes differences between rural and urban emergency department visits over a 12-year period by demographic characteristics, payers, and characteristics of care.
JAMA Netw Open. 2019;2(4):e191919. doi:10.1001/jamanetworkopen.2019.1919
HEALTH POLICY
Genevieve P. Kanter, PhD; Daniel Carpenter, PhD; Lisa S. Lehmann, MD, PhD; et al.
This survey study uses difference-in-difference analysis of national longitudinal survey data to examine the association between nationwide public disclosure of industry payments and Americans鈥� trust in their physicians and in the medical profession.
JAMA Netw Open. 2019;2(4):e191947. doi:10.1001/jamanetworkopen.2019.1947
CARDIOLOGY
Victor Okunrintemi, MD, MPH; Eve-Marie A. Benson, MD, MPH; Martin Tibuakuu, MD, MPH; et al.
This cross-sectional study uses Medical Expenditure Panel Survey data to describe trends and health care expenditures associated with physical activity levels among women with cardiovascular disease.
JAMA Netw Open. 2019;2(4):e191977. doi:10.1001/jamanetworkopen.2019.1977
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Editorial
Physical Activity, Fitness, and Cardiovascular Health: Insights From Publications in 糖心vlog Open
Steven M. Bradley, MD, MPH; Erin D. Michos, MD, MHS; Michael D. Miedema, MD, MPH
JAMA Netw Open
CARDIOLOGY
Akihiko Nogami, MD, PhD; Tomoo Harada, MD, PhD; Yukio Sekiguchi, MD, PhD; et al.
This randomized clinical trial compares the safety and efficacy of minimally interrupted dabigatran vs uninterrupted warfarin therapy in patients undergoing catheter ablation for atrial fibrillation.
JAMA Netw Open. 2019;2(4):e191994. doi:10.1001/jamanetworkopen.2019.1994
GERIATRICS
Gustavo Bigaton Lovadini, MD; Fernanda Bono Fukushima, MD, PhD; Joao Francisco Lindenberg Schoueri, MD; et al.
This cross-sectional study evaluates interrater reliability of medical orders documented in the Physician Orders for Life-Sustaining Treatment (POLST) form to translate the treatment preferences of Brazilian adult patients at the end of life.
JAMA Netw Open. 2019;2(4):e192036. doi:10.1001/jamanetworkopen.2019.2036
HEMATOLOGY
Sylvain Lamure, MD; Camille Carles, MD; Quam Aquereburu; et al.
This cohort study examines the association of occupational exposure to pesticides with immunochemotherapy response and survival in patients in France treated for diffuse large B-cell lymphoma (DLBCL).
JAMA Netw Open. 2019;2(4):e192093. doi:10.1001/jamanetworkopen.2019.2093
HEALTH POLICY
Shannon M. Ruzycki, MD; Sarah Fletcher; Madalene Earp, PhD; et al.
This cross-sectional study examines the proportion of female speakers at major academic medical conferences held in Canada and in the United States during the last decade.
JAMA Netw Open. 2019;2(4):e192103. doi:10.1001/jamanetworkopen.2019.2103
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Editorial
Examining Gender Disparity in Medicine and Setting a Course Forward
Nancy D. Spector, MD; Barbara Overholser, MA
JAMA Netw Open
GENETICS AND GENOMICS
Jorune Balciuniene, PhD; Elizabeth T. DeChene, MS, CGC; Gozde Akgumus, MS, CGC; et al.
This case series evaluates an exome-based gene panel approach to maximize diagnostic yield for children with idiopathic epilepsy.
JAMA Netw Open. 2019;2(4):e192129. doi:10.1001/jamanetworkopen.2019.2129
EMERGENCY MEDICINE
Shadi Lahham, MD, MS; Inna Shniter, MD; Maxwell Thompson, MD; et al.
This diagnostic study evaluates the sensitivity and specificity of point-of-care ultrasonography performed by emergency medical practitioners in identifying retinal detachment, vitreous hemorrhage, and vitreous detachment among patients with ocular symptoms who present to the emergency department.
JAMA Netw Open. 2019;2(4):e192162. doi:10.1001/jamanetworkopen.2019.2162
OPHTHALMOLOGY
Nara G. Ogata, MD; Fábio B. Daga, MD; Alessandro A. Jammal, MD; et al.
This cross-sectional study compares reaction times to peripheral stimuli while driving and using mobile telephones among patients with glaucoma vs healthy controls.
JAMA Netw Open. 2019;2(4):e192169. doi:10.1001/jamanetworkopen.2019.2169
PUBLIC HEALTH
Marc N. Gourevitch, MD, MPH; Lesley H. Curtis, PhD; Maureen S. Durkin, PhD, DrPH; et al.
This qualitative study describes the emergence of departments of population health at US academic medical centers, including shared areas of focus, opportunities, and challenges.
JAMA Netw Open. 2019;2(4):e192200. doi:10.1001/jamanetworkopen.2019.2200
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Invited Commentary
Can Academic Population Health Departments Improve Population Health?
David Kindig, MD, PhD; Sanne Magnan, MD, PhD
JAMA Netw Open
CARDIOLOGY
Elvira D鈥橝ndrea, MD, MPH; Spencer P. Hey, PhD; Cherie L. Ramirez, PhD; et al.
This systematic review and meta-analysis evaluates the evidence supporting current US Food and Drug Administration鈥揳pproved uses of niacin in cardiovascular disease prevention settings.
JAMA Netw Open. 2019;2(4):e192224. doi:10.1001/jamanetworkopen.2019.2224
ONCOLOGY
Ann C. Raldow, MD, MPH; Aileen B. Chen, MD, MPP; Marcia Russell, MD; et al.
This economic evaluation compares the cost-effectiveness of short-course radiotherapy vs long-course chemoradiotherapy for locally advanced rectal cancer.
JAMA Netw Open. 2019;2(4):e192249. doi:10.1001/jamanetworkopen.2019.2249
HEALTH POLICY
Stanton A. Glantz, PhD
This economic evaluation estimates the 1-year changes in US Medicaid expenditures associated with a 1% reduction in cigarette smoking prevalence.
JAMA Netw Open. 2019;2(4):e192307. doi:10.1001/jamanetworkopen.2019.2307
DIABETES AND ENDOCRINOLOGY
Alma B. Pedersen, MD, PhD, DMSc; Uffe Heide-Jørgensen, MSc, PhD; Henrik T. Sørensen, MD, PhD, DMSc; et al.
This cohort study of individually linked data from Danish health registries compares the risk of hip and any fracture in adult patients treated with denosumab vs alendronate in routine practice settings.
JAMA Netw Open. 2019;2(4):e192416. doi:10.1001/jamanetworkopen.2019.2416
OBSTETRICS AND GYNECOLOGY
Samir Soneji, PhD; Hiram Beltrán-Sánchez, PhD
This cross-sectional study assesses the association between preterm delivery and smoking cigarettes throughout pregnancy or ceasing smoking at the start of or during pregnancy among more than 25 million expectant mothers who smoked cigarettes 3 months before pregnancy.
JAMA Netw Open. 2019;2(4):e192514. doi:10.1001/jamanetworkopen.2019.2514
CARDIOLOGY
Pirkko J. Pussinen, PhD; Susanna Paju, DDS, PhD; Jaana Koponen, BDS; et al.
This cohort study examines signs of oral infection in children and the risk factors for atherosclerosis that develop as the children mature to adulthood, in this ongoing follow-up study in Finland.
JAMA Netw Open. 2019;2(4):e192523. doi:10.1001/jamanetworkopen.2019.2523
HEALTH INFORMATICS
Kit Huckvale, MBChB, MSc, PhD; John Torous, MD; Mark E. Larsen, MEng, DPhil
This cross-sectional study evaluates the data sharing and privacy practices of smartphone applications available in public app stores for depression and smoking cessation.
has audio
JAMA Netw Open. 2019;2(4):e192542. doi:10.1001/jamanetworkopen.2019.2542
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Podcast:
Data Sharing and Privacy of Smartphone Apps for Depression and Smoking Cessation; Association of Accelerometer-Measured Light-Intensity Physical Activity With Brain Volume
IMAGING
Nathaniel Braman, BEng; Prateek Prasanna, PhD; Jon Whitney, PhD; et al.
This diagnostic study examines the use of magnetic resonance imaging to identify tumor biological factors associated with targeted therapy response for HER2-positive breast cancer.
JAMA Netw Open. 2019;2(4):e192561. doi:10.1001/jamanetworkopen.2019.2561
HEALTH POLICY
Megan E. V. Caram, MD, MSc; Ryan Ross, BS; Paul Lin, MS; et al.
This cohort study identifies factors associated with the adoption of sipuleucel-T to treat US patients with asymptomatic or minimally symptomatic metastatic castration-resistant prostate cancer.
JAMA Netw Open. 2019;2(4):e192589. doi:10.1001/jamanetworkopen.2019.2589
ONCOLOGY
Jasleen K. Grewal, BS; Basile Tessier-Cloutier, MD; Martin Jones, PhD; et al.
This cross-sectional diagnostic study evaluates the accuracy of a machine learning method that uses the whole transcriptome to identify gene markers in primary and metastatic tumors.
JAMA Netw Open. 2019;2(4):e192597. doi:10.1001/jamanetworkopen.2019.2597
PUBLIC HEALTH
Dima M. Qato, PharmD, MPH, PhD; G. Caleb Alexander, MD, MS; Apurba Chakraborty, MBBS, MPH; et al.
This cohort study examines the association between pharmacy closures and adherence to statins, 尾-blockers, and oral anticoagulants among adults 50 years or older in the United States.
JAMA Netw Open. 2019;2(4):e192606. doi:10.1001/jamanetworkopen.2019.2606
SUBSTANCE USE AND ADDICTION
Jason M. Glanz, PhD; Ingrid A. Binswanger, MD; Susan M. Shetterly, MS; et al.
This nested case-control study of adults prescribed long-term opioid therapy examines the association between opioid dose variability and opioid overdose.
JAMA Netw Open. 2019;2(4):e192613. doi:10.1001/jamanetworkopen.2019.2613
PSYCHIATRY
Rosaura Orengo-Aguayo, PhD; Regan W. Stewart, PhD; Michael A. de Arellano, PhD; et al.
This survey study examines the magnitude of disaster exposure and mental health outcomes among Puerto Rican youths after Hurricane Maria.
JAMA Netw Open. 2019;2(4):e192619. doi:10.1001/jamanetworkopen.2019.2619
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Invited Commentary
A Call for a Better Response to Major Disasters
David J. Schonfeld, MD
JAMA Netw Open
SURGERY
Lianne M. Wellens, MD; Jene Meulstee, MSc; Cornelis P. van de Ven, MD; et al.
This study compares conventional imaging, augmented reality holograms, and 3-dimensional printing of kidney models to assess the added value of each imaging method for preoperative evaluation of children with Wilms tumors.
has multimedia
JAMA Netw Open. 2019;2(4):e192633. doi:10.1001/jamanetworkopen.2019.2633
EMERGENCY MEDICINE
Adam J. Singer, MD; Henry C. Thode Jr, PhD; Jesse M. Pines, MD
This cross-sectional study uses data from the US National Hospital Ambulatory Care Survey and the Healthcare Cost and Utilization Project to evaluate the association between implementation of the Affordable Care Act (ACA) and rates of emergency department (ED) visits and hospitalizations by uninsured individuals.
JAMA Netw Open. 2019;2(4):e192662. doi:10.1001/jamanetworkopen.2019.2662
GLOBAL HEALTH
Jae Jeong Yang, PhD; Danxia Yu, PhD; Wanqing Wen, MD; et al.
This pooled analysis of data from more than 1 million participants examines the association of diabetes with all-cause and cause-specific mortality in Asian populations.
JAMA Netw Open. 2019;2(4):e192696. doi:10.1001/jamanetworkopen.2019.2696
PEDIATRICS
Laura Gould Crandall, MA; Joyce H. Lee, BS; Rebecca Stainman, MD; et al.
This case series study assesses the potential role of febrile seizures and other risk factors associated with sudden death in childhood and describes the epidemiology, mechanisms, and prevention of sudden death in childhood.
JAMA Netw Open. 2019;2(4):e192739. doi:10.1001/jamanetworkopen.2019.2739
NEUROLOGY
Nicole L. Spartano, PhD; Kendra L. Davis-Plourde, MA; Jayandra J. Himali, PhD; et al.
This community-based cohort study investigates the association of total steps walked per day and total intensity and duration of physical activity with brain volumes on magnetic resonance imaging among Framingham Heart Study participants.
has audio
JAMA Netw Open. 2019;2(4):e192745. doi:10.1001/jamanetworkopen.2019.2745
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Podcast:
Data Sharing and Privacy of Smartphone Apps for Depression and Smoking Cessation; Association of Accelerometer-Measured Light-Intensity Physical Activity With Brain Volume
PHYSICAL MEDICINE AND REHABILITATION
Mark A. Buhagiar, PhD, MHM, BAppSc; Justine M. Naylor, PhD, BAppSc; Ian A. Harris, MBBS, MMed, PhD, FRACS, FAHMS; et al.
This systematic review and meta-analysis assesses whether inpatient or clinic-based rehabilitation is associated with superior function and pain outcomes compared with any home-based rehabilitation among adult patients who underwent total knee arthroplasty.
JAMA Netw Open. 2019;2(4):e192810. doi:10.1001/jamanetworkopen.2019.2810
HEALTH POLICY
Hiroaki Saito, MD; Akihiko Ozaki, MD; Toyoaki Sawano, MD; et al.
This cross-sectional study evaluates the payment type and distribution from pharmaceutical companies, as well as policy transparency for conflict of interest disclosures among clinical practice guideline authors in Japan.
JAMA Netw Open. 2019;2(4):e192834. doi:10.1001/jamanetworkopen.2019.2834
PEDIATRICS
Suzanne Vogelezang, MSc; Susana Santos, PhD; Liza Toemen, MSc, MD; et al.
This population-based cohort study, a part of the Generation R Study from the Netherlands, examines the associations of fetal and infant weight change with general, visceral, and organ adiposity at school age.
JAMA Netw Open. 2019;2(4):e192843. doi:10.1001/jamanetworkopen.2019.2843
PUBLIC HEALTH
Leah LaRue, PharmD, PMP; Robert K. Twillman, PhD; Eric Dawson, PharmD; et al.
This cross-sectional study analyzes the rates of fentanyl positivity in urine drug test results that were positive for cocaine or methamphetamine.
JAMA Netw Open. 2019;2(4):e192851. doi:10.1001/jamanetworkopen.2019.2851
NUTRITION, OBESITY, AND EXERCISE
David Scheinker, PhD; Areli Valencia, BA; Fatima Rodriguez, MD, MPH
This cross-sectional study uses summarized statistical data and US Census data to compare epidemiologic and machine learning methods to examine associations of US county-level demographic, socioeconomic, health care, and environmental factors with regional variance in obesity prevalence.
JAMA Netw Open. 2019;2(4):e192884. doi:10.1001/jamanetworkopen.2019.2884
PEDIATRICS
Fida Khater, PhD; Stephanie Vairy, MD; Sylvie Langlois, MSc; et al.
This diagnostic study examines next-generation sequencing technologies and their application to the molecular profiling of refractory or relapsed cancers in children and adolescents.
JAMA Netw Open. 2019;2(4):e192906. doi:10.1001/jamanetworkopen.2019.2906
PEDIATRICS
Catherine R. Hoyt, OTD; Andrew N. Van, BS; Mario Ortega, PhD; et al.
This cohort study of pediatric patients uses accelerometry data from the upper extremities to evaluate whether movement can distinguish between children with typical development and those with motor deficits.
has multimedia
JAMA Netw Open. 2019;2(4):e192970. doi:10.1001/jamanetworkopen.2019.2970
HEALTH POLICY
Cian P. McCarthy, MB, BCh, BAO; Muthiah Vaduganathan, MD, MPH; Kershaw V. Patel, MD; et al.
This cross-sectional study investigates whether the introduction of a new, stratified payment adjustment method is associated with an alteration in the distribution of penalties among hospitals included in the Hospital Readmissions Reduction Program.
JAMA Netw Open. 2019;2(4):e192987. doi:10.1001/jamanetworkopen.2019.2987
SUBSTANCE USE AND ADDICTION
Julia Thornton Snider, PhD; Margaret E. Duncan, MD, PhD; Mugdha R. Gore, PhD; et al.
This economic evaluation uses state-level data to estimate the association between eligibility thresholds for state Medicaid coverage and deaths related to substance use disorders.
JAMA Netw Open. 2019;2(4):e193056. doi:10.1001/jamanetworkopen.2019.3056
PUBLIC HEALTH
P. Monica Lind, PhD; Samira Salihovic, PhD; Jordan Stubleski, PhD; et al.
This population-based cohort study investigates if levels of persistent organic pollutants in plasma are associated with cardiovascular and all-cause mortality in participants of the Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS) study.
JAMA Netw Open. 2019;2(4):e193070. doi:10.1001/jamanetworkopen.2019.3070
INFECTIOUS DISEASES
Nicholas B. DeFelice, PhD; Ruthie Birger, PhD; Nathaniel DeFelice, MD; et al.
This modeling study examines delays in reporting of human and mosquito West Nile virus infection and the association between these delays and accurate real-time forecasting of West Nile virus outbreaks.
JAMA Netw Open. 2019;2(4):e193175. doi:10.1001/jamanetworkopen.2019.3175
PEDIATRICS
Robert C. Whitaker, MD, MPH; Allison N. Herman, MEd, MPH; Tracy Dearth-Wesley, PhD, MPH; et al.
This cluster randomized clinical trial determines whether a 6-session professional development course improves the quality of teachers鈥� relationships with the children in their classrooms vs teacher-children relationships in classrooms that did not receive the intervention.
JAMA Netw Open. 2019;2(4):e193193. doi:10.1001/jamanetworkopen.2019.3193