This systematic review to support a 2024 US Preventive Services Task Force Recommendation Statement summarizes published evidence on the benefits and harms of weight management interventions for children and adolescents.
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.
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...
This Viewpoint discusses changes proposed by the US Department of Health and Human Services’ Office of Research Integrity that would shift control of research misconduct proceedings from institutional oversight to federal authority.
This Viewpoint discusses the need to protect participants in clinical research and the opportunity to address this issue as the World Medical Association works to revise its Declaration of Helsinki, which governs medical research ethics.
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.
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.
This study evaluated the uptake of Healthcare Common Procedure Coding System code M0201 after initial implementation to inform future policy related to in-home preventive care.
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...
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...
This JAMA Clinical Guidelines Synopsis summarizes the American College of Gastroenterology’s 2023 guideline update on diagnosis and management of celiac disease.
This Medical News article discusses a new Boston Medical Center initiative that helps patients with financial hardship pay their utility bills.
This Medical News article discusses a recent study in JAMA Internal Medicine that estimated statin eligibility using the new PREVENT equations compared with the older equations.
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.
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...
Regularly eating peanut products from infancy up to age 5 years may reduce the risk of peanut allergies in early adolescence, a recent study published in NEJM Evidence found.
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.
A new study published in JAMA Otolaryngology–Head & Neck Surgery may provide guidance for people who snore but don’t have obstructive sleep apnea—and their partners.
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.
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.
Use of antihypertensive medications was associated with a 29% increase in the rate of eczematous dermatitis diagnoses among older adults, according to a recent cohort study published in JAMA Dermatology. The results follow a 2021 study that found that cases of atopic eczema have increased throughout adulthood and are more active and severe in older adults.
Outpatient physicians spend roughly half of their day on the electronic health record (EHR) and desk work, encroaching on patient interaction time and contributing to high rates of physician burnout. New research suggests that virtual scribes that provide asynchronous or real-time remote assistance with clinical documentation could help.
This week, Carina discusses how to transition into a career in biotech when you don’t have lab experience. Plus, handling difficult interviews and getting a “dry” promotion.