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In the Letter to the Editor titled “SARS-CoV-2 Reduction in Shared Indoor Air,” published in the December 6, 2022, issue of JAMA, the author affiliations were incorrectly listed. Mr Srikrishna’s affiliation is PatientKnowhow.com, San Mateo, California; Dr Karan’s affiliation is the Division of (...)
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For better or worse, independent medical practices and solo community hospitals are disappearing as they are acquired by hospital-based health systems. In this issue of JAMA, Beaulieu et al provide a detailed review of the current (2018) prevalence and performance of the 580 health systems they (...)
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“I find that I cannot exist without poetry” proclaimed John Keats, the beloved English Romantic poet who many forget was trained as a physician. Keats practiced medicine for only 7 years before abandoning the profession. The medicine of his day, in early 19th-century London, faced dire challenges (...)
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This JAMA Guide to Statistics and Methods explains sequential, multiple assignment, randomized trial (SMART) study designs, in which some or all participants are randomized at 2 or more decision points depending on the participant’s response to prior (...)
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Several agencies under the US Department of Health and Human Services (HHS) aren’t adequately shielded against political interference, according to a report by the US Government Accountability Office (GAO).
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The Administration for Community Living (ACL), through its Administration on Aging, released updated demographics for the US population aged 65 years or older. Data were sourced from the Bureau of Labor Statistics, the National Center for Health Statistics, and the US Census (...)
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The Centers for Medicare & Medicaid Services (CMS) proposed a rule to standardize electronic signatures and health care attachment transactions, such as medical charts and x-rays. If finalized, the rule would also standardize notes documenting physician referrals and office and (...)
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Listen to the JAMA Editor’s Audio Summary for an overview and discussion of the important articles appearing in this week’s issue of JAMA.
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In addition to the many profound changes in the living conditions of mankind which the World War served to bring about, the exigencies developed by the great conflict have helped in a large way to emphasize the possible significance of efficiency and organization in the conduct of human (...)
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This study examines sexual assault allegations perpetrated against individuals detained across US Immigration and Customs Enforcement (ICE) detention facilities from 2018 to 2022.
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To the Editor A recent Research Letter reported that temperatures measured by temporal thermometers are lower than those measured orally in Black patients but not in White patients. However, I am concerned that this study used race as a proxy for skin color. Because people can have a range of (...)
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To the Editor A recent Research Letter examined temperatures generated with temporal artery thermometers with the goal of identifying systemic bias in medical devices. As one of us (F.P.) is the inventor of the temporal artery thermometer, and as we are scientists working for its manufacturer, (...)
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To the Editor I have some concerns about the Editorial that was written about our recent article. First, the Editorial stated that “…patients may be less convinced that risk-adjusted annual declines of 6% in the rates of acute myocardial infarction or pneumonia, for instance, imply that hospitals (...)
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In Reply We thank the authors for their comments about our recent article exploring racial differences in the accuracy of temporal thermometers. We agree with Dr Newman that self-reported race is an imperfect proxy for skin color. If differences in skin color are the basis of the temperature (...)
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In Reply “The goal is zero harms” has resonated throughout patient safety. Two decades after To Err Is Human, health care continues to face recurrences of a multitude of preventable adverse events. No guideline, policy, or public health intervention has been able to eliminate adverse (...)
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People with type 2 diabetes who ate a low-carbohydrate, high-fat (LCHF) diet for 6 months had better glycemic control than those who ate a high-carbohydrate, low-fat (HCLF) diet, a recent trial reported, but the differences weren’t sustainable 3 months after the (...)
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The use of a motion-based digital therapeutic device to guide pelvic-floor muscle training led to greater improvement of urinary incontinence symptoms for up to 12 months compared with standard self-guided exercises a recent study (...)
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Three vaccine regimens against Zaire Ebola virus disease safely produced immune responses for up to 12 months, according to 2 trials of adults and children reported in the New England Journal of Medicine.
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A novel oral poliovirus vaccine type 2 (nOPV2) was well-tolerated among newborns and resulted in nearly all infants developing neutralizing antibodies after 2 doses, a recent trial reported.
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This retrospective cohort study compares stroke-specific algorithms with pooled cohort equations developed for atherosclerotic cardiovascular disease for the prediction of new-onset stroke across different subgroups (race, sex, and age) and the added value of novel machine learning (...)
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This retrospective observational study evaluates UBA1 variants in exome data from individuals in the Geisinger MyCode Community Health Initiative.
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This JAMA Patient Page describes rabies and its symptoms, diagnosis, and prevention measures.
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I fall for you every time I look at blood, especially when my own gurgles into a test tube or drib-drabs onto the floor, or when my knees lock from standing too long in one place, or even when I eye a needle pointed at me. Once
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This issue’s poem, “Viva Las Vagus,” takes the reader on an appropriately wandering, at times dizzying journey, beginning with its title’s jokey, far-out allusion to, yes, the 1964 Elvis Presley movie. As the poem unspools we veer between playful camp and profound physical experience of our (...)
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In this narrative medicine essay, a pediatrician whose youngest child will start college next fall contemplates how she will shift focus on her career without competing interests.
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This Special Communication examines health systems in the United States, assesses differences between physicians and hospitals in and outside of health systems, and compares quality and cost of care delivered by physicians and hospitals in and outside of health (...)
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This Viewpoint examines in-depth 5 features of health care systems that may influence quality of care: pooled resources, centralization, standardization, interprovider coordination, and cross-practice learning.
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Life expectancy in the US decreased by about a half year between 2020 and 2021, from 77 years to 76.4 years, according to final 2021 mortality data from the National Center for Health Statistics. Life expectancy in 2021 was at its lowest level since 1996. The report attributed the drop mainly (...)
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Almost 107 000 US individuals died from a drug overdose in 2021, continuing a 2-decade-long trend of increasing overdose deaths that accelerated during the pandemic, according to a National Center for Health Statistics report.
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The COVID-19 pandemic caught society unprepared. The lack of therapeutic agents for coronaviruses led to a scramble to investigate approved medications for repurposing against SARS-CoV-2. Successes were achieved with immunomodulatory agents for the inflammatory disease processes of COVID-19, (...)
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This randomized, placebo-controlled platform trial compares the use of low-dose fluvoxamine (50 mg twice daily) for 10 days compared with placebo in outpatients with mild to moderate COVID-19.
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This study evaluates the adoption of clinician billing for patient portal messages as e-visits, prompted by significant increases in patient messaging after the onset of the COVID-19 pandemic.
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This Viewpoint discusses a proposed DHHS rule to address discrimination in clinical algorithms and the need for additional considerations to ensure the burden of liability for biased algorithms is not disproportionately placed on health care (...)
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This Viewpoint discusses recent legal directives by the DHHS and FDA that could increase health care entities’ liability for possible discriminatory biases of clinical algorithms and the need for additional legal clarity to avoid adverse effects on algorithm development and (...)
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This Medical News article discusses a recent study that investigated the benefits of brief bursts of intense physical activity during daily life.