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JAMA - más leídos

2014 Guideline for Management of High Blood Pressure
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.

NIH-Kennedy Center Initiative to Explore Music and the Mind
Collins FS, Fleming R.
ver resumen
In this Arts and Medicine essay, soprano Renee Fleming and NIH Director Francis Collins describe the Sound Health initiative, a program by the NIH and the John F. Kennedy Center for the Performing Arts in association with the National Endowment for the Arts exploring connections between music, health, and neuroscience.

Consensus Definitions for Sepsis and Septic Shock
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.

Colloids vs Crystalloids and Mortality
Annane D, Siami S, Jaber S, et al.
ver resumen
Annane and coauthors report the results of the CRISTAL pragmatic randomized trial on the effects of fluid resuscitation with colloids vs crystalloids on mortality in critically ill patients. In an accompanying Editorial, Seymour and Angus discuss making a pragmatic choice for fluid resuscitation.

Helmet vs Face Mask and Endotracheal Intubation in Patients With ARDS
Patel BK, Wolfe KS, Pohlman AS, et al.
ver resumen
This clinical trial tested whether noninvasive ventilation delivered via helmet reduced intubation rates among intensive care adult patients with acute respiration distress syndrome compared with ventilation delivered via face mask.

Overall Survival for Patient-Reported Symptom Monitoring in Routine Cancer Treatment
Basch E, Deal AM, Dueck AC, et al.
ver resumen
This study assesses overall survival associated with electronic patient-reported symptom monitoring vs usual care during routine cancer treatment.

Antiplatelet Therapy, Coronary Stents, and Elective Noncardiac Surgery
Childers CP, Maggard-Gibbons M, Shekelle PG.
ver resumen
This Viewpoint discusses the management of antiplatelet therapy in patients with coronary stents undergoing elective noncardiac surgery.

Addressing Vaccine-Hesitant Parents’ Perceptions About Immunizations
Politi MC, Jones KM, Philpott SE.
ver resumen
This Viewpoint discusses cognitive biases that underlie vaccine hesitancy and refusal and proposes strategies for respectfully engaging with patients to address concerns and increase vaccination over time.

Effective Use of Human Insulin in Type 2 Diabetes
Lipska KJ, Hirsch IB, Riddle MC.
ver resumen
This Viewpoint suggests that clinicians prescribe human insulin products as a more-affordable option over insulin analogues and explains dosing options.

Starch-Based ‘Super Food’ May Protect Against Variety of Diseases
Rubin R.
ver resumen
This Medical News article discusses research exploring the clinical potential of a chemically modified dietary starch to protect against type 1 diabetes and other diseases.

USPSTF Recommendation: Screening for Obesity in Children and Adolescents
, Grossman DC, Bibbins-Domingo K, et al.
ver resumen
This Recommendation Statement from the US Preventive Services Task Force recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight (B recommendation).

Cardiac Catheterization
Kosova E, Ricciardi M.
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Phenytoin Toxicity—A Significant Adverse Drug Event
Gupta A, Yek C, Hendler RS.
ver resumen
This JAMA Performance Improvement article uses the case of a patient with iatrogenic phenytoin toxicity due to an excess prescribed dosage to discuss proper handling and reporting of significant adverse drug events.

Robots Help Patients Change Behaviors
Abbasi J.
ver resumen
This Medical News article is a Q&A with University of Southern California robotics expert Maja Matarić.

US Health Care Reform: Progress and Next Steps
Obama B.
ver resumen
In this Special Communication, President Barack Obama reviews the Affordable Care Act: why he pursued it, what it has effected, and how the health care system can still be improved.

ICMJE Requirement for Clinical Trial Data Sharing
Taichman DB, Sahni P, Pinborg A, et al.
ver resumen
The International Committee of Medical Journal Editors (ICMJE) believes there is an ethical obligation to responsibly share data generated by interventional clinical trials because trial participants have put themselves at risk. In January 2016 we published a proposal aimed at helping to create an environment in which the sharing of deidentified individual participant data becomes the norm. In response to our request for feedback we received many comments from individuals and groups. Some applauded the proposal while others expressed disappointment it did not more quickly create a commitment to data sharing. Many raised valid concerns regarding the feasibility of the proposed requirements, the necessary resources, the real or perceived risks to trial participants, and the need to protect the interests of patients and researchers.

Linder KA, Malani PN.
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Improving Medical Device Safety
Ibrahim AM, Dimick JB.
ver resumen
This Viewpoint uses the example of gastric band failures to discuss how available data may be used more appropriately to detect problems in the safety and effectiveness of medical devices.

The Hunt Continues for Early Ovarian Cancer Clues
Kuehn BM.
ver resumen
This Medical News article discusses efforts aimed at developing ovarian cancer screening and prevention strategies.

An Evidence Framework for Genetic Testing: Summary of the 2017 NASEM Report
Khoury MJ.
ver resumen
This Viewpoint discusses the 2017 National Academies of Sciences, Engineering, and Medicine (NASEM) report on improving the system of evaluation of genetic testing so that implementation of genomic medicine in clinical settings can be evidence-based.

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