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Use of Cardiac Implantable Electronic Devices in Older Adults With Cognitive Impairment. Fowler et al.

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Medical Cannabis Laws and Opioid Analgesic Overdose Mortality in the United States, 1999-2010. Bachhuber et al.

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Early Mortality After Aortic Valve Replacement

Du et al compare early mortality after aortic valve replacement (AVR) among recipients of mechanical vs bioprosthetic valves and among patients who undergo AVR alone vs AVR with concurrent coronary artery bypass graft.

Home-Based Primary Care and Ambulatory Care–Sensitive Condition Hospitalizations

In a cohort study, Edwards et al assess the association between enrollment in the VA’s Home-Based Primary Care program and hospitalizations of older veterans with diabetes mellitus for ambulatory care–sensitive conditions.
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Device-Guided Breathing for Hypertension

Landman and colleagues assess the efficacy of device-guided breathing on blood pressure in a meta-analysis of patient data from blinded, randomized, active-controlled trials.

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Drugs of Questionable Benefit in Advanced Dementia

This cross-sectional analysis characterizes use of medications with questionable benefit by nursing home residents with advanced dementia, and clinical characteristics and costs associated with that use.
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Interview with Lena M. Chen, MD, MS, author of Use of Medical Consultants for Hospitalized Surgical Patients: An Observational Cohort Study, and Gulshan Sharma, MD, MPH, author of Medical Consultation for Surgical Cases in the Era of Value-Based Care

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Use of Medical Consultants for Hospitalized Surgical Patients:  An Observational Cohort Study

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JAMA Internal Medicine has several sections devoted to contemporary issues confronting internists.

Challenges in Clinical Electrocardiography

Case studies of patients with challenging electrocardiograms.

Less is More

Articles about how overuse of medical care may result in harm and how less intervention may lead to better health.

Teachable Moments

JAMA Internal Medicine is pleased to launch a new subsection of Perspectives, Teachable Moments, to bring attention to the harms that can result from medical overuse and from underuse of needed medical interventions. The format for submitting an entry is described here; manuscripts should be submitted here as usual. Note we need written permission from patients to include their story.

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Author Mara A. Schonberg, MD, MPH, discusses Development and Evaluation of a Decision Aid on Mammography Screening for Women 75 Years and Older.

Author Russell P. Harris, MD, MPH, discusses The Harms of Screening: A Proposed Taxonomy and Application to Lung Cancer Screening.

Author Karen J. Wernli, PhD, discusses Patterns of Breast Magnetic Resonance Imaging Use in Community Practice.

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