Heat-Related Illness in Athletes
This JAMA Insights discusses heat-related illness in athletes, including risk factors, prevention, symptoms, and management.
This JAMA Insights discusses heat-related illness in athletes, including risk factors, prevention, symptoms, and management.
In Reply We appreciate the Letter by Dr Tu and colleagues about our article on skin biopsy detection of P-SYN. We agree that P-SYN deposition within the skin is variable, and that a single skin biopsy may not be sufficient in all patients. In prior work, we determined that the use of 3 skin biopsies from anatomically different locations optimally balanced sensitivity, specificity, and convenience, while providing information on the topographic distribution of synuclein deposition. In the present study... Читать дальше...
To the Editor We have some concerns about a recent study about phosphorylated α-synuclein as a diagnostic biomarker for synucleinopathies.
This study assesses career satisfaction, discrepancies between ideal and expected careers, and likelihood of leaving current positions among former K awardees.
This Viewpoint explains the 3 trends—personal conscience, employment contracts, and laws—that challenge physicians from putting their patients first and offers ways to reverse these barriers.
Because its most defining characteristics lend it physicality, such as the heartbeat of meter and the shapeliness of stanzaic structure, poetry is a useful medium for representing and investigating the human body. That countless poems are penned by medical students honoring those who have donated their bodies so they might learn anatomy underscores this deep connection in the realm of healing. In “wasn’t there once,” poetic metaphor helps us see the body in unexpected ways: “the bones of camellias... Читать дальше...
in winter the bones of camellias jut along your roof, arms spare but womanly—some trees take time dying. for years I visited you, watched you unravel and spool old threads onto CDs in september, which I hung in the camellia trees, to scare the warblers away.
In Reply Dr Kurian and colleagues raise the option of surgical obesity treatments. These can be effective and cost-effective for individuals with appropriate indications. Yet many eligible patients opt for pharmacologic over surgical options. GLP-1 agonists also have far broader (and still expanding) indications, with at least 4-fold more US residents eligible. Identifying practical, effective, and economically feasible approaches to GLP-1 use remains a health care priority.
To the Editor In his Viewpoint, Dr Mozaffarian summarizes the problematic issues related to using GLP-1 agonists for weight loss, including the high personal and societal costs, tolerability, poor adherence, and weight regain when discontinued. He proposes a new paradigm of intermittent GLP-1 agonist treatment supported by long-term lifestyle programming structured around FIM to address these issues. This approach would be strengthened if coupled with a high dose of Exercise Is Medicine (EIM). The... Читать дальше...
This audit study examines availability of and wait times for Medicaid enrollee appointments with psychiatric prescribing clinicians across 4 of the most populous US cities.
This Viewpoint reviews the history of mandates governing access to medical diagnostic equipment in Section 504 of the Rehabilitation Act of 1973 and reviews the new rules.
This JAMA Patient Page describes the types of canker sores and how they can be treated.
This prospective diagnostic study examines the accuracy of an AI-enabled ultrasonography tool in estimating gestational age when used by those with no prior training in sonography.
The survival of man depends on his ability to adapt himself to his environment. For thousands of years changes in man’s environment resulted from natural causes beyond his control; he tried to mitigate their impact by migrating from regions that had become unfavorable to regions more favorable. Such attempts were not always successful, for various types of primitive man disappeared. About one hundred years have passed since modern man first experimented in modifying his natural environment by the... Читать дальше...
Establishing gestational age (GA) is critical for guiding obstetric care and decision-making (including the timing of prenatal visits, laboratory testing, administration of medications, vaccinations and delivery) as well as neonatal care (including need for newborn resuscitation and neonatal intensive care). Obstetric ultrasonography is the criterion-standard tool for establishing pregnancy viability and dating, as well as for assessing fetal anatomy, growth, and well-being. However, standard ultrasonography... Читать дальше...
This study assesses changes in hospitals’ capital assets after private equity acquisition.
This Medical News story discusses the rise in ransomware cyberattacks on health care, as well as new cybersecurity initiatives.
This Medical News article discusses recent findings that help explain Staphylococcus aureus vaccine failures.
In April 2024, the US Preventive Services Task Force (USPSTF) recommended that women aged 40 to 74 years with an average risk of breast cancer undergo mammography screening every 2 years. This updated the USPSTF’s prior suggestion that women aged 40 to 49 years engage in shared decision-making with their clinician before deciding whether to be screened.
In 2022, the US Federal Trade Commission (FTC) launched an inquiry into the opaque business practices of pharmacy benefit managers (PBMs), which act as intermediaries between drug manufacturers, insurance plans, and pharmacies. Now, despite “delay tactics” from PBMs, the FTC recently published an interim report describing how these companies might harm patients’ ability to access and afford their prescription medications.
The proportion of people diagnosed with and living with dementia has decreased over time in the US and in several European countries, according to a recent analysis of results from 27 cohort studies that collected data between 1947 and 2015. The lower rates of dementia were likely a product of increased education and fewer people smoking, the researchers concluded.
People with type 2 diabetes who used glucagon-like peptide 1 receptor agonists (GLP-1 RAs) had a lower risk of 10 types of so-called obesity-associated cancers than those who used insulin, according to findings from a retrospective cohort involving more than 1.65 million US participants. Obesity-associated cancers are those that are linked to excess body fat, which raises the risk of developing these cancers and having a worse prognosis.
Children born to people who had received a respiratory syncytial virus prefusion F (RSVpreF) vaccine during pregnancy were well-protected against severe disease, according to a recent trial. But the trial was stopped early due to a small but statistically significant increased risk of preterm births among pregnant people who’d received the vaccine.
The World Health Organization (WHO) recently introduced its first set of recommendations aimed at helping adults quit tobacco—a “milestone in our global battle against these dangerous products,” WHO Director-General Tedros Adhanom Ghebreyesus, PhD, MSc, said in a statement. The guidelines feature 9 strongly recommended methods.
People with a reduced sense of smell had more than twice the risk of frailty than those with a normal one, according to an analysis of 10 studies published in JAMA Otolaryngology—Head & Neck Surgery. The analysis defined frailty as a decline in a person’s physiological functioning that makes them more susceptible to stressors. It included studies involving a total of more than 10 600 participants with a mean age of about 63 years.