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Новости за 16.07.2024

Aquatic and Maritime Drowning Deaths Among Undocumented Migrants

Jamanetwork.com 

To the Editor The Research Letter by Ms Lussier and Dr Lindholm quantified the number of drowning deaths of undocumented migrants in Southern California (Pacific Ocean, canals, and other water bodies) and Texas (Rio Grande River). During the periods assessed (2016-2019 and 2020-2023), the height of the border wall was increased in California but not in Texas. The authors reported that aquatic deaths increased in California but not in Texas and suggest that the difficulty in traversing the new US-Mexico... Читать дальше...

Early vs Late Inguinal Hernia Repair in Preterm Infants

Jamanetwork.com 

To the Editor We read with great interest the recent article by Dr Blakely and colleagues reporting the results of their randomized clinical trial on the timing of inguinal hernia repair in preterm infants. Delaying hernia repair until after hospital discharge and when the infants were older than 55 weeks’ postmenstrual age resulted in fewer serious adverse events compared with performing an early hernia repair before discharge from the neonatal intensive care unit. As a result, the authors advocate... Читать дальше...

Corrected Classification of Drugs in Table

Jamanetwork.com 

In the Original Investigation titled “α2-Adrenergic Agonists or Stimulants for Preschool-Age Children With Attention-Deficit/Hyperactivity Disorder,” published May 4, 2021, in JAMA, the medications listed at the bottom of Table 1 were in the wrong columns. The drug classes listed as α2-agonists and those listed as stimulants were reversed. This article was corrected online.

Interventions for High BMI in Children and Teenagers

Jamanetwork.com 

This JAMA Patient Page describes intensive behavioral interventions for high body mass index (BMI) in children and teenagers and the US Preventive Services Task Force (USPSTF) recommendation for provision of such interventions.

Treatment Interventions for Child and Adolescent Obesity

Jamanetwork.com 

In this issue of JAMA, the US Preventive Services Task Force (USPSTF) releases updated recommendations for interventions for high body mass index (BMI) in children and adolescents. Child and adolescent obesity continues to be one of the most significant health challenges in the US and globally. In 2017-2020, 19.7% of US children and adolescents aged 2 to 19 years had obesity (BMI ≥95th percentile for age and sex), and the rate of BMI increase nearly doubled during the first 9 months of the COVID-19 pandemic. Читать дальше...

Questioning the Impossible

Jamanetwork.com 

In this narrative medicine essay, a pediatric oncologist gains new insight into the decision to transition from cancer-directed therapy to comfort-focused care when roles are reversed and she experiences end-of-life decision-making as a caregiver.

free flap

Jamanetwork.com 

i’m no stranger to this— the art of moving something deemed immovable from its place of origin to another

A Clinical Diagnostic Test for Calcium Release Deficiency Syndrome

Jamanetwork.com 

Case-control study including individual cases of calcium release deficiency syndrome (CRDS), 3 patient control groups, and genetic mouse models assesses the cardiac repolarization response on an electrocardiogram after brief tachycardia and a pause as a clinical diagnostic test for CRDS.

Localization of Musical Centers

Jamanetwork.com 

During the last two decades many investigators—Kussmaul, Stumpf, Preyer, Oppenheim, Knoblouch, Charcot, etc.—have conclusively demonstrated that the musical faculty is older than that of speech; that music is a primary and simple phenomenon, while speech is secondary and complex. It is a well-known fact that many birds possess the faculty of producing and reproducing themes, whereas there are but very few that can reproduce the human voice, even after a long tutelage. According to Darwin, wild dogs... Читать дальше...

Clinical Test for Calcium Release Deficiency Syndrome?

Jamanetwork.com 

On any cardiac electrophysiology service, the evaluation of survivors of resuscitated cardiac arrest is commonplace, often resulting in the placement of an implantable cardioverter-defibrillator, but without a satisfactory answer regarding the cause of the cardiac arrest. When a young and otherwise healthy family member of such a patient then dies suddenly, it is both tragic and frustrating, particularly if the family member was deemed in good health after a thorough cardiovascular assessment. Sadly... Читать дальше...

Diagnosis and Management of Celiac Disease

Jamanetwork.com 

This JAMA Clinical Guidelines Synopsis summarizes the American College of Gastroenterology’s 2023 guideline update on diagnosis and management of celiac disease.

Exposure to Zika Virus May Increase Risk of Dengue Disease

Jamanetwork.com 

Individuals with a previous infection with Zika virus may be more vulnerable to symptomatic infections of certain types of dengue virus, according to a cohort study of 3412 children aged 2 to 17 years old in Nicaragua.

Policy on Liver Transplants May Have Worsened US Health Disparities

Jamanetwork.com 

In February 2020, the United Network for Organ Sharing (UNOS) implemented a new liver allocation policy to improve accessibility to liver transplants. Previously, patients in the US had received the organs from a donation service area that served a single region. But under the new UNOS policy, patients could now receive a liver from a wider geographic area—an “acuity circle” spanning a 500-nautical-mile radius. However, a recent study published in JAMA Surgery revealed that this change may have led... Читать дальше...

AHA Recommends Better Postpartum Care to Lower Heart Disease Risk

Jamanetwork.com 

Cardiovascular disease is the leading cause for the more than 140% increase in pregnancy-related deaths over the past 3 decades, according to the American Heart Association (AHA). Now, the organization has released 4 new recommendations with the goal of improving postpartum care to curb this alarming rise.

Study: Semaglutide Lowered Chronic Kidney Disease–Related Risks

Jamanetwork.com 

Chronic kidney disease, most commonly caused by diabetes and high blood pressure, puts more than half a billion people globally at high risk for kidney failure, cardiovascular events, and death. Treatment with semaglutide may significantly reduce this risk, according to a randomized study involving 3533 patients with type 2 diabetes and chronic kidney disease.

Only 1 in 5 US Nursing Homes Have Enough Staff to Meet New Requirements

Jamanetwork.com 

Less than 1 in 5 (19%) US nursing facilities currently meet all 3 new staffing minimums outlined in the final rule released by the Centers for Medicare & Medicaid Services this April, an analysis by KFF found. The rule requires 3.48 total hours of care a day for each resident, with registered nurses providing half an hour of that care and nurse aides providing 2.45 hours.