Patient Information: Unhealthy Alcohol Use
This JAMA Patient Page defines risky alcohol use and alcohol use disorder, and describes their adverse health effects.
This JAMA Patient Page defines risky alcohol use and alcohol use disorder, and describes their adverse health effects.
This retrospective whole-population cohort study explores the association between warranted and unwarranted iatrogenic delivery for suspected fetal growth restriction and childhood school outcomes among children in Victoria, Australia.
This exploratory study examines changes in quality of care and use of medications to treat opioid use disorder from 2014 through 2018 among Medicaid patients in 11 states.
This randomized clinical trial compares the efficacy of a single injection of intratendinous platelet-rich plasma vs injection with a subcutaneous dry needle (sham) from baseline until 6-month follow-up in adult patients with chronic midportion Achilles tendinopathy.
In Reply In their letter about my Review of the diagnosis and treatment of IBS, the citation by Dr Taft and colleagues of the systematic review endorsed by the American College of Gastroenterology (ACG) omits the summary statement: “Various psychological therapies appear to be effective in IBS, but the interpretation of many studies is hampered by the absence of a true sham control which is, admittedly, difficult to construct for these particular interventions.” Their letter also did not mention... Читать дальше...
In Reply In response to our Viewpoint on Medicaid reform, Dr Gabow discusses the need to establish and standardize eligibility criteria and benefits for beneficiaries in the Medicaid program. We agree that the current variation across US states results in unequal access and services. As Gabow points out, the federal government currently specifies core requirements of the Medicaid program as a condition of receiving funding. States have broad flexibility regarding eligibility and benefits and other aspects of their programs. Читать дальше...
To the Editor In the recent Review on diagnosis and treatment of irritable bowel syndrome (IBS), Dr Camilleri stated: “Overall, evidence so far does not show psychological therapies to be effective in relieving symptoms of IBS.” Camilleri also suggested that psychological treatments may be beneficial only in patients with comorbid psychological symptoms. We believe neither statement is supported by the available evidence.
To the Editor The recent Viewpoint by Dr Gee and colleagues addressed 5 components that would improve Medicaid’s administration and patient outcomes. However, 1 important aspect omitted from this article is the national standardization and uniformity of eligibility and benefits.
This JAMA Insights Clinical Update summarizes and provides a suggested treatment algorithm for the diagnosis and management of adenomyosis.
In this issue of JAMA, Selvaratnam and colleagues use an innovative approach to show that iatrogenic delivery (defined as early induction of labor or cesarean delivery prior to labor) for suspected fetal growth restriction (FGR) may be associated with relatively poorer school outcomes. In the birth population of 705 937 infants born at 32 weeks’ gestation or greater in Victoria, Australia, between 2003 and 2013, infants who were severely small for gestational age (SGA) (birth weight <3rd percentile)... Читать дальше...
In the Research Letter titled “Reasons for Admissions to US Children’s Hospitals During the COVID-19 Pandemic,” published in the April 27, 2021, issue of JAMA, there were 2 data errors in Table 2. For the pneumonia and bronchiolitis rows, the minus signs indicating negative values were omitted from the upper bounds of the 95% CIs for the adjusted change in values for spring (March 15 to May 31). The upper CI bound for the pneumonia row should have read −53.5 and the upper CI bound for the bronchiolitis... Читать дальше...
In the Review article titled “Oral Antiplatelet Therapy After Acute Coronary Syndrome: A Review,” published in the April 20, 2021, issue of JAMA, aspirin’s role in inhibiting platelet activation should have been reported as “irreversible.” The reference supporting this statement has been updated. This article was corrected online.
A 71-year-old woman presented 8 weeks after total knee arthroplasty with a 1-week history of scattered tense, pruritic bullae around the incision site but no surrounding erythema or edema. She was afebrile and had no known allergies; the pruritus and bullae remained unchanged after a course of oral cephalexin and prednisone. What is the diagnosis and what would you do next?
A systematic review of studies on artificial intelligence (AI)–aided lung imaging for COVID-19 revealed a mismatch between what developers focus on and what clinicians need.
A recent case report in Nature Medicine described a man with long-term blindness in whom experimental optogenetic treatment restored partial vision. The approach uses light pulses to control cells that have been genetically modified to respond to the stimulation.
Myocarditis—heart muscle inflammation—can masquerade as a heart attack. A diagnosis usually requires cardiac magnetic resonance (CMR) imaging, which may not always be available, and gold-standard endomyocardial biopsies are invasive. Now, researchers have discovered a potential plasma biomarker for the task.
South Sudan first became a sovereign nation in January 2011, seceding from Sudan following an independence referendum that saw almost 99% vote for independence. By October that year, four pre-existing telcos had received operating licences: Kuwaiti operator Zain, South Africa’s MTN, the Gambia’s Gamtel, and Vivacell, owned by Lebanon&rsquo…
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For many of us, subscriptions to a streaming service such as Netflix or Amazon Prime have been part of our lives for many years. However, it is easy to take for granted the level of broadband connection required to enjoy these services to the full, something which is still unattainable for some of the more rural areas around the UK. In a recent study on behalf of Netgem by YouGov…
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At the start of Ethio Telecom’s financial year, back in July 2020, the internet was in the midst of a government-mandated two-week internet blackout, following protests in the capital, Addis Ababa. Since then, ongoing violent unrest in Ethiopia’s northern Tigray region has left scores dead and the country in a state of political unease…
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Small Cell Forum (SCF), the telecoms organization making infrastructure solutions available to all, today unveiled a proposed global framework for hosted Open RAN networks combining the qualities of established and emerging neutral host architectures ranging from site share and Distributed Antenna Systems (DAS) to small cells with Citizen Broadband Radio Service (CBRS) and Joint Operator Technical Specifications for Neutral Host In…
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A sudden surge in demand for electronics during the COVID-19 pandemic led to an unprecedented shortage of semiconductor chips worldwide. Right from gaming consoles, laptops and desktop to even digital thermometers have been faced with an acute chip shortage due to a sudden increase in demand, bringing to fore the importance of self-sufficiency in semiconductor manufacturing. China is taking a lead in addressing the global shortage of chips by accelerating the development and manufacturing of 14 nm chips... Читать дальше...
Early detection is key for dairy farmers to stay on top of lameness cases and prevent the impact being seen in the bulk tank, particularly those milking on a robotic system.
Champion and protect British food in trade deals, British public say in new opinion polling.
Prior to the CAP agreement, the European farmers’ confidence index showed a slight but promising increase in 2021.