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September 2024 - July 1883

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July 25, 2023, Vol 330, No. 4, Pages 295-386

This Week in JAMA

Audio Highlights

Abstract Full Text
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JAMA. 2023;330(4):e2215989. doi:10.1001/jama.2022.15989
Original Investigation

Abatacept, Cenicriviroc, or Infliximab for Treatment of Adults Hospitalized With COVID-19 Pneumonia: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2023;330(4):328-339. doi:10.1001/jama.2023.11043

This study reports the results of 3 randomized, double-masked, placebo-controlled substudies of abatacept, cenicriviroc, and infliximab plus standard care for COVID-19 pneumonia.

Cervical Pessary for Prevention of Preterm Birth in Individuals With a Short Cervix: The TOPS Randomized Clinical Trial

Abstract Full Text
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JAMA. 2023;330(4):340-348. doi:10.1001/jama.2023.10812

This randomized clinical trial assesses the effect of cervical pessary placement on preterm birth and fetal mortality among pregnant individuals with a cervical length of 20 mm or less.

Identifying Children Likely to Benefit From Antibiotics for Acute Sinusitis: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2023;330(4):349-358. doi:10.1001/jama.2023.10854

This randomized clinical trial compares the effect of amoxicillin and clavulanate vs placebo on symptom burden in children diagnosed with acute sinusitis.

Trends in Cardiovascular Health Counseling Among Postpartum Individuals

Abstract Full Text
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JAMA. 2023;330(4):359-367. doi:10.1001/jama.2023.11210

Using data from the Pregnancy Risk Assessment Monitoring System, this study evaluates trends (2016-2020) in prevalence of postpartum counseling for healthy eating, exercise, and losing weight gained during pregnancy among individuals with prepregnancy cardiovascular disease risk factors or adverse pregnancy outcomes.

Research Letter

Tubal Sterilization Requests at a Single Institution Following the Supreme Court Decision to Overturn the Constitutional Right to Abortion

Abstract Full Text
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JAMA. 2023;330(4):374-375. doi:10.1001/jama.2023.11073

This study uses data from electronic health records to examine the rate of tubal sterilization requests in 3 periods before and after the US Supreme Court’s 2022 Dobbs v Jackson Women’s Health Organization decision, compared with the same periods in 2019 and 2021, at a single institution in Michigan.

State Restrictions and Geographic Access to Gender-Affirming Care for Transgender Youth

Abstract Full Text
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JAMA. 2023;330(4):375-378. doi:10.1001/jama.2023.11299

This study estimates changes in geographic access and drive times to gender clinics following legislation enacted to restrict puberty-suppressing medications and hormones for those younger than 18 years.

Viewpoint

AI Chatbots, Health Privacy, and Challenges to HIPAA Compliance

Abstract Full Text
JAMA. 2023;330(4):309-310. doi:10.1001/jama.2023.9458

This Viewpoint examines the privacy concerns raised by medical uses of large language models, such as chatbots.

AI in Medicine

Health Care Privacy Risks of AI Chatbots

Abstract Full Text
JAMA. 2023;330(4):311-312. doi:10.1001/jama.2023.9618

This Viewpoint notes that as clinicians incorporate new AI tools (such as chatbots) into their practice, they must also remain vigilant of the risks these tools pose to other aspects of patient care such as privacy.

Generative AI in Health Care and Liability Risks for Physicians and Safety Concerns for Patients

Abstract Full Text
JAMA. 2023;330(4):313-314. doi:10.1001/jama.2023.9630

This Viewpoint discusses the potential use of generative artificial intelligence (AI) in medical care and the liability risks for physicians using the technology, as well as offers suggestions for safeguards to protect patients.

AI in Medicine

The Challenges for Regulating Medical Use of ChatGPT and Other Large Language Models

Abstract Full Text
JAMA. 2023;330(4):315-316. doi:10.1001/jama.2023.9651

This Viewpoint discusses how regulators across the world should approach the legal and ethical challenges, including privacy, device regulation, competition, intellectual property rights, cybersecurity, and liability, raised by the medical use of large language models.

Artificial Intelligence in Clinical Diagnosis: Opportunities, Challenges, and Hype

Abstract Full Text
JAMA. 2023;330(4):317-318. doi:10.1001/jama.2023.11440

This Viewpoint examines various aspects of using generative artificial intelligence (AI) in health care, including assisting with making clinical diagnoses, and the challenges that come with using AI, such as ensuring the accuracy of the clinical data on which AI makes its diagnoses.

A Piece of My Mind

Hurting and Healing

Abstract Full Text
JAMA. 2023;330(4):319-320. doi:10.1001/jama.2023.11831

In this narrative medicine essay, a physician and single adoptive parent considers how orphaned children need not only material resources but love and specialized behavioral health care too.

Editorial

Translating Clinical Trial Results to Clinical Practice During a Pandemic

Abstract Full Text
JAMA. 2023;330(4):321-322. doi:10.1001/jama.2023.11260

The Vexing Problem of Preterm Birth Prevention

Abstract Full Text
JAMA. 2023;330(4):323-325. doi:10.1001/jama.2023.7244

Acute Bacterial Sinusitis: Limitations of Test-Based Treatment

Abstract Full Text
JAMA. 2023;330(4):326-327. doi:10.1001/jama.2023.11365
JAMA Clinical Guidelines Synopsis

Caring for Patients With Acute Respiratory Distress Syndrome: Summary of the 2023 ESICM Practice Guidelines

Abstract Full Text
has active quiz has audio
JAMA. 2023;330(4):368-371. doi:10.1001/jama.2023.6812

This article summarizes the 2023 updated ARDS guidelines from the European Society of Intensive Care Medicine, including the guidelines’ methods, findings, and implications, along with reflections on next steps.

JAMA Clinical Challenge

A Child With Large Pulmonary and Liver Cysts

Abstract Full Text
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JAMA. 2023;330(4):372-373. doi:10.1001/jama.2023.11834

A previously healthy 7-year-old had 1 week of fevers, productive cough, and lethargy, which did not improve after 3 days of oral cefuroxime. He lived in a rural area and had close contact with dogs, cattle, and sheep. White blood cell count was 8000/μL, with 25.8% eosinophils; computed tomography showed a ruptured right upper lobe pulmonary cyst and 3 liver cysts. What is the diagnosis and what would you do next?

Editor's Note

“I Am a—Nobody”: Illness, Selfhood, and Poetry

Abstract Full Text
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JAMA. 2023;330(4):382. doi:10.1001/jama.2023.12219
Medical News & Perspectives

This Fall’s COVID-19 Vaccines Will Target Omicron XBB Subvariants, but Who Needs Them Remains to Be Seen

Abstract Full Text
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JAMA. 2023;330(4):299-301. doi:10.1001/jama.2023.10053

This Medical News story discusses the updated COVID-19 vaccines expected in the US this fall.

US Maternal Mortality Is Unacceptably High, Unequal, and Getting Worse—What Can Be Done About It?

Abstract Full Text
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JAMA. 2023;330(4):302-305. doi:10.1001/jama.2023.11328

This Medical News article is an interview by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, about maternal deaths and disparities in the US.

Medical News in Brief

First US Malaria Cases in 20 Years Prompt CDC Advisory

Abstract Full Text
JAMA. 2023;330(4):306. doi:10.1001/jama.2023.12052

HHS Report Focuses on Physical Activity Interventions for Older People

Abstract Full Text
JAMA. 2023;330(4):306. doi:10.1001/jama.2023.12053

Fasting No Better Than Calorie Counting for Weight Loss

Abstract Full Text
JAMA. 2023;330(4):306. doi:10.1001/jama.2023.12054

Triple-Hormone Combination Retatrutide Induces 24% Body Weight Loss

Abstract Full Text
JAMA. 2023;330(4):306. doi:10.1001/jama.2023.12055

e-Cigarette Sales, Poison Control Cases Increase; FDA Cracks Down

Abstract Full Text
JAMA. 2023;330(4):307. doi:10.1001/jama.2023.12056

Oral Empagliflozin Receives FDA Approval for Children With Diabetes

Abstract Full Text
JAMA. 2023;330(4):307. doi:10.1001/jama.2023.12057

FDA Proposes First Guidance for Researchers Studying Psychedelics

Abstract Full Text
JAMA. 2023;330(4):307. doi:10.1001/jama.2023.12058

Genetic Variant Tied to Disability in People With Multiple Sclerosis

Abstract Full Text
JAMA. 2023;330(4):307. doi:10.1001/jama.2023.12059

NCI Initiative Will Tackle Poverty’s Effects on Cancer Outcomes

Abstract Full Text
JAMA. 2023;330(4):307. doi:10.1001/jama.2023.12060
The Arts and Medicine

The Gregor Mendel Bicentennial Tribute—Enduring Mementos of the Founder of Genetics

Abstract Full Text
JAMA. 2023;330(4):297-298. doi:10.1001/jama.2023.9766

This Arts and Medicine feature summarizes events and scholarship honoring Abbot Gregor Mendel, founder of the science of modern genetics, on the occasion of the bicentennial of his birth.

Poetry and Medicine

Night MRI

Abstract Full Text
JAMA. 2023;330(4):382. doi:10.1001/jama.2023.11412
JAMA Revisited

The Hygiene of Music

Abstract Full Text
JAMA. 2023;330(4):383. doi:10.1001/jama.2022.15990
JAMA Patient Page

What Is Cirrhosis?

Abstract Full Text
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JAMA. 2023;330(4):386. doi:10.1001/jama.2023.8935

This JAMA Patient Page describes liver cirrhosis, its signs and symptoms, potential complications, and treatment options.

Comment & Response

Ectopic Pregnancy Risk and Levonorgestrel-Releasing Intrauterine Systems

Abstract Full Text
JAMA. 2023;330(4):378. doi:10.1001/jama.2023.8888

Ectopic Pregnancy Risk and Levonorgestrel-Releasing Intrauterine Systems—Reply

Abstract Full Text
JAMA. 2023;330(4):378-379. doi:10.1001/jama.2023.8891

Cardiovascular Risk Factor Prevalence, Treatment, and Control in US Adults

Abstract Full Text
JAMA. 2023;330(4):379. doi:10.1001/jama.2023.9004

Cardiovascular Risk Factor Prevalence, Treatment, and Control in US Adults—Reply

Abstract Full Text
JAMA. 2023;330(4):379-380. doi:10.1001/jama.2023.9007

Verapamil and Pancreatic Beta Cell Function in Pediatric Type 1 Diabetes

Abstract Full Text
JAMA. 2023;330(4):380. doi:10.1001/jama.2023.9110

Verapamil and Pancreatic Beta Cell Function in Pediatric Type 1 Diabetes—Reply

Abstract Full Text
JAMA. 2023;330(4):380. doi:10.1001/jama.2023.9113
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2023;330(4):295-296. doi:10.1001/jama.2022.15988
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