JAMA más leídos

JAMA más leídos 2017-01-13T09:38:31+00:00

Project Description

JAMA - más leídos

Battles Between Burnout and Balance
24/7/2018
Humikowski CA.
ver resumen
In this narrative medicine essay, the author considers the words used to describe the tension between shouldering the complex and painful realities of patients while simultaneously facing equally complex and painful family matters—burnout, balance, self-care—inadequate in helping physicians regain equilibrium.

“Is There a Doctor on the Plane?”
17/7/2018
Voelker R.
ver resumen
In this Medical News article, frequent traveler Rachel Zang, MD, talks about her experiences helping ill patients aboard commercial airline flights and discusses what all physicians should know about in-flight medical emergencies.

Probiotics to Prevent Clostridium difficile Infection in Patients Receiving Antibiotics
7/8/2018
Goldenberg JZ, Mertz D, Johnston BC.
ver resumen
This Clinical Evidence Synopsis summarizes a Cochrane review of randomized trials comparing the effects of co-administration of an antibiotic and a probiotic vs placebo or no treatment in adults and children diagnosed with Clostridium difficile infection.

Aspirin Plus Clopidogrel vs Aspirin Alone for Preventing Cardiovascular Events
14/8/2018
Donadini MP, Bellesini M, Squizzato A.
ver resumen
This Clinical Evidence Synopsis summarizes a Cochrane review of randomized trials comparing the effects of the addition of clopidogrel to aspirin therapy vs aspirin therapy alone among patients at high risk for or with established cardiovascular disease.

Advice for Starting Medical School
6/8/2018
Cifu AS.
ver resumen
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.

Antiretroviral Drugs for Treatment and Prevention of HIV Infection in Adults
24/7/2018
Saag MS, Benson CA, Gandhi RT, et al.
ver resumen
This statement from the International Antiviral Society–USA updates recommendations for the use of antiretroviral drugs to treat adults with established HIV infection and to prevent HIV infection among persons at risk.

Consensus Definitions for Sepsis and Septic Shock
23/2/2016
Singer M, Deutschman CS, Seymour C, et al.
ver resumen
This article presents updated definitions of and clinical criteria for diagnosing sepsis and septic shock based on recommendations from an expert task force.

Perinatal Marijuana Use and the Developing Child
14/8/2018
Jansson LM, Jordan CJ, Velez ML.
ver resumen
This Viewpoint assesses the literature regarding marijuana use during pregnancy and whether it is safe to use as an alternative to opioids for pain management among pregnant women.

2014 Guideline for Management of High Blood Pressure
5/2/2014
James PA, Oparil S, Carter BL, et al.
ver resumen
In the report from the panel members appointed to the Eighth Joint National Committee (JNC 8), the guideline authors provide evidence-based recommendations for the management of hypertension including specific goals by age, race, and comorbidities.

Lyme Disease—What Is New (and What Is Not)
2/8/2018
Shapiro ED, Wormser GP.
ver resumen
This Viewpoint provides a clinical update on Lyme disease, reviewing information on the epidemiology, diagnosis, and treatment of the infection, and discussing the role of Lyme testing in the evaluation of chronic pain and fatigue.

Shingles Vaccination
24/7/2018
Jin J.
ver resumen
This JAMA Patient Page describes shingles, the shingles vaccine, and who should be vaccinated against shingles.

Precision Medicine and Preventive Medicine
26/7/2018
Psaty BM, Dekkers OM, Cooper RS.
ver resumen
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.

Noninvasive Prenatal Genetic Screening Using Cell-free DNA
14/8/2018
Allyse MA, Wick MJ.
ver resumen
This JAMA Clinical Update reviews the use of maternal cell-free DNA (cfDNA) analysis to help screen for fetal aneuploidy trisomies 13, 18, 21, and others).

For Survivors of Intimate Partner Violence, Overlooked Brain Injuries Take a Toll
14/8/2018
Voelker R.
ver resumen
In this Medical News article, experts discuss the importance of screening for intimate partner violence to detect traumatic brain injuries that may lead to serious cognitive deficits.

Effect of a Behavioral Intervention for Underserved Preschool-Age Children on Change in BMI
7/8/2018
Barkin SL, Heerman WJ, Sommer EC, et al.
ver resumen
This randomized clinical trial compares the effects of a 36-month multicomponent behavioral intervention for obesity prevention vs a school-readiness control on body mass index (BMI) trajectories in underserved preschool-age children at risk for obesity but not yet obese.

USPSTF Recommendation: Screening for AF With Electrocardiography
7/8/2018
, Curry SJ, Krist AH, et al.
ver resumen
This 2018 Recommendation Statement from the US Preventive Services Task Force concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for atrial fibrillation (AF) with ECG (I statement).

Key Issues in the Development of Clinical Practice Guidelines
9/8/2018
Shekelle PG.
ver resumen
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.

Effect of Escitalopram vs Placebo for Depression and Cardiac Outcomes in ACS
24/7/2018
Kim J, Stewart R, Lee Y, et al.
ver resumen
This randomized clinical trial compares the effect of escitalopram vs placebo on long-term major adverse cardiovascular events among patients in Korea with depression following acute coronary syndrome.

USPSTF Recommendation: Risk Assessment for CVD With Nontraditional Risk Factors
17/7/2018
, Curry SJ, Krist AH, et al.
ver resumen
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 adding ABI, hsCRP, or CAC score measures to traditional risk assessment for CVD in asymptomatic adults to prevent CVD events (I statement).

CDC Guideline for Prescribing Opioids for Chronic Pain, 2016
19/4/2016
Dowell D, Haegerich TM, Chou R.
ver resumen
This guideline from the Centers for Disease Control and Prevention makes 12 recommendations to improve communication about opioids for chronic pain, to improve the safety and effectiveness of pain treatment, and to reduce risks associated with long-term opioid therapy.







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