JAMA Internal Medicine recientes

JAMA Internal Medicine recientes 2017-01-13T02:45:50+00:00

Project Description

JAMA Internal Medicine - recientes

May 2018 Issue Highlights
1/5/2018
ver resumen

The Personal Care Products Safety Act
1/5/2018
Feinstein D, Collins S.
ver resumen
This Viewpoint outlines goals of the proposed Personal Care Products Safety Act, a response to the problems associated with the current regulatory approach to cosmetics and personal care products in the United States.

Medical Students in Puerto Rico After Hurricane Maria
1/5/2018
Quiñones-Rivera A, Rubin A.
ver resumen
This Viewpoint explains the difficulties for medical students in Puerto Rico after Hurricane Maria.

Improving Communication With Patients With Limited English Proficiency
1/5/2018
Taira BR.
ver resumen
This Viewpoint stresses the importance of institutions providing clinicians who are fluent in the language of patients with limited English proficiency.

Italy’s New Advance Directive Law
1/5/2018
Sulmasy DP.
ver resumen
This Viewpoint describes the sociopolitical factors that led Italy to adopt its first advance directive legislation.

Does More Achievement Make Us Better Physicians?
1/5/2018
Stock J.
ver resumen
This Perspective describes the increasing pressures for achievement experienced by physicians as they start their careers and how this leads to neglect of the very qualities of inner character that need to be cultivated by physicians.

Toenails as the “Hemoglobin A 1c ” of Functional Independence
1/5/2018
Orkaby AR, Schwartz A.
ver resumen
This article argues that the physical examination finding of long toenails should alert the clinician to other possible care needs and help guide questions as to the underlying differential diagnosis of the untrimmed toenails.

Would Have—A Physician's Personal Reflection On Alzheimer Dementia
1/5/2018
Melvin L.
ver resumen
The article describes a physician’s experience with a family member with Alzheimer disease.

USPSTF Recommendations for Behavioral Counseling for Skin Cancer Prevention
1/5/2018
Linos E, Pagoto S.
ver resumen
In this week’s issue of JAMA, the US Preventive Services Task Force (USPSTF) discusses their recommendations on behavioral counseling for skin cancer prevention, supported by an evidence report and systematic review. Based on the available studies conducted in primary care settings between 2009 and 2017, the review concluded that “behavioral interventions can increase sun protection behavior, but there is no consistent evidence that interventions are associated with a reduction in the frequency of sunburn in children or adults and minimal evidence on skin cancer outcomes.” The Task Force recommended that clinicians should counsel children and young adults with fair skin types about minimizing exposure to UV radiation (grade B recommendation). In addition, for the first time, the USPSTF concluded that there may be a small benefit of counseling adults at high risk for skin cancer about minimizing UV exposure (grade C recommendation). Skin self-examinations were assigned an I statement, meaning that insufficient evidence is available to recommend for or against this intervention.

Is There a Future for Ovarian Cancer Screening?
1/5/2018
Narod SA.
ver resumen
Currently, about 65% of the 22 000 women diagnosed with ovarian cancer annually in the United States will die of their cancer, and we all would like to reduce the mortality rate. Possible approaches to reducing mortality include prevention, screening, and better treatment. In the current issue of JAMA, the US Preventive Services Task Force issued a grade D recommendation, against population-based screening for ovarian cancer, based on a review of 4 randomized screening trials. The 2 largest studies in the review were the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS) and the Prostate, Lung, Colorectal and Ovarian screening trial (PLCO); UKCTOCS used a proprietary algorithm that incorporates changes in cancer antigen 125 (CA-125) over time, whereas the smaller PLCO trial assigned women to CA-125 and ultrasonography vs usual care. Both screening interventions failed to reduce ovarian cancer mortality.

Alcohol-Related Nurse Care Management in Primary Care
1/5/2018
Bradley KA, Bobb JF, Ludman EJ, et al.
ver resumen
This randomized clinical trial assessed the effect of 12 months of patient-centered nurse care management vs usual care on heavy drinking and alcohol-related problems among patients in primary care.

Cardiovascular Safety of Varenicline, Bupropion, and Nicotine Patch
1/5/2018
Benowitz NL, Pipe A, West R, et al.
ver resumen
This randomized clinical trial evaluates the cardiovascular risk associated with use of varenicline, bupropion, and nicotine replacement therapy in individuals who smoke.

Sex Differences in Outcomes After STEMI
1/5/2018
Cenko E, Yoon J, Kedev S, et al.
ver resumen
This observational study examines sex differences in outcomes in patients after ST-segment elevation myocardial infarction.

CMS Partnership to Improve Dementia Care and Use of Antipsychotics and Other Psychotropics
1/5/2018
Maust DT, Kim H, Chiang C, et al.
ver resumen
This interrupted time-series analysis of a 20% Medicare sample examines the association of CMS’s National Partnership to Improve Dementia Care in Nursing Homes with trends in prescribing of antipsychotic and other psychotropic medication among older adults in long-term care.

Medicare Accountable Care Organization Enrollment and Cancer Screening Appropriateness
1/5/2018
Resnick MJ, Graves AJ, Thapa S, et al.
ver resumen
This population-based analysis of Medicare data examines whether Medicare Shared Savings Program accountable care organization enrollment changes appropriateness of screening for breast, colorectal, and prostate cancers.

Dialysis Use and Mortality in Veterans Affairs vs Medicare
1/5/2018
Kurella Tamura M, Thomas I, Montez-Rath ME, et al.
ver resumen
This cohort study compares use of dialysis and survival in patients with end-stage renal disease who receive care through Veterans Affairs vs Medicare.

Medical Cannabis Laws and Opioid Prescribing in the Medicare Part D Population
1/5/2018
Bradford AC, Bradford W, Abraham A, et al.
ver resumen
This longitudinal study examines the association between prescribing patterns for opioids in Medicare Part D and the implementation of state medical cannabis laws.

Medical and Adult-Use Marijuana Laws and Opioid Prescribing for Medicaid Enrollees
1/5/2018
Wen H, Hockenberry JM.
ver resumen
This population-based, cross-sectional study examines the association of state implementation of medical and adult-use marijuana laws with opioid prescribing rates and spending among Medicaid enrollees.

Efficacy of Vaginal Estradiol or Moisturizer vs Placebo for Postmenopausal Vulvovaginal Symptoms
1/5/2018
Mitchell CM, Reed SD, Diem S, et al.
ver resumen
This randomized clinical trial compares the efficacy of a low-dose vaginal estradiol tablet and a vaginal moisturizer, each vs placebo, for treatment of moderate-to-severe postmenopausal vulvovaginal symptoms.

State Firearm Laws and Interstate Firearm Deaths
1/5/2018
Kaufman EJ, Morrison CN, Branas CC, et al.
ver resumen
This cross-sectional analysis of US county data examines whether counties in states located closer to states with lenient firearm policies have higher firearm death rates.







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