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 Showing 1-20 of 22 Articles
Teachable Moment 
Christina Hao Wang, MD; Blake Charlton, MD; Jeffrey Kohlwes, MD, MPH

This Teachable Moment questions the routine use of thickened liquids to prevent pneumonia in patients with dementia.

Original Investigation  FREE
Corby K. Martin, PhD; Manju Bhapkar, MS; Anastassios G. Pittas, MD; Carl F. Pieper, DrPH; Sai Krupa Das, PhD; Donald A. Williamson, PhD; Tammy Scott, PhD; Leanne M. Redman, PhD; Richard Stein, PhD; Cheryl H. Gilhooly, PhD; Tiffany Stewart, PhD; Lisa Robinson, RD; Susan B. Roberts, PhD; for the Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy (CALERIE) Phase 2 Study Group
Includes: Supplemental Content

Importance  Calorie restriction (CR) increases longevity in many species and reduces risk factors for chronic diseases. In humans, CR may improve health span, yet concerns remain about potential negative effects of CR.

Objective  To test the effect of CR on mood, quality of life (QOL), sleep, ...

Invited Commentary: Obesity Management and Prevention; Tannaz Moin, MD, MBA, MSHS
Original Investigation  FREE
Rena R. Wing, PhD; Deborah F. Tate, PhD; Mark A. Espeland, PhD; Cora E. Lewis, MD; Jessica Gokee LaRose, PhD; Amy A. Gorin, PhD; Judy Bahnson; Letitia H. Perdue, MS; Karen E. Hatley, MPH; Erica Ferguson, MSW; Katelyn R. Garcia, MS; Wei Lang, PhD; for the Study of Novel Approaches to Weight Gain Prevention (SNAP) Research Group
Includes: Supplemental Content

Importance  Weight gain occurs commonly in young adults and has adverse effects on health.

Objective  To compare 2 self-regulation interventions vs control in reducing weight gain in young adults over a mean follow-up of 3 years.

Design, Setting, and Participants  Randomized clinical trial in 2 ...

Invited Commentary: Obesity Management and Prevention; Tannaz Moin, MD, MBA, MSHS
Original Investigation 
Angel Y. S. Wong, BSc; Ian C. K. Wong, PhD; Celine S. L. Chui, MSc; Edwin H. M. Lee, FHKCPsych; W. C. Chang, FHKCPsych; Eric Y. H. Chen, MD; Wai K. Leung, MD; Esther W. Chan, PhD
Includes: Supplemental Content

Importance  There is a concern that Helicobacter pylori therapy containing clarithromycin might be associated with acute neuropsychiatric events.

Objective  To examine the association between H pylori therapy containing clarithromycin and acute neuropsychiatric events.

Design, Setting, and Participants  A self-controlled case series study was conducted using ...

Invited Commentary  FREE
Tannaz Moin, MD, MBA, MSHS

More than one-third (34.9%) of the US population is obese,1 so it is critical to disseminate effective interventions to tackle this epidemic. Numerous weight management studies have been conducted, but the results have been mixed and interventions are often multifaceted, making it difficult to determine whether specific ...

Research Letter 
Xiaoyu Nie, MSPH; Soeren Mattke, MD, DSc; Zachary Predmore, BA; Hangsheng Liu, PhD

This study discusses the marked increase in the coding of risk from anesthesia for outpatient gastrointestinal procedures from 2005 to 2013.

Evidence to Practice 
Samia Mora, MD, MHS
Perspective 
Andre Kumar, MD; Nazima Allaudeen, MD

“New admission for NSTEMI. Please call the ER.” My eyebrows furrowed as I looked at my pager. It was shaping up to be a busy call day. I glanced through my new patient’s medical record and called the emergency department physician. It seemed straightforward: a 77-year-old man with ...

Original Investigation 
Yves Longtin, MD; Bianka Paquet-Bolduc, RN, MPA; Rodica Gilca, MD, PhD; Christophe Garenc, PhD; Elise Fortin, PhD; Jean Longtin, MD; Sylvie Trottier, MD, MSc; Philippe Gervais, MD; Jean-François Roussy, MD; Simon Lévesque, PhD; Debby Ben-David, MD; Isabelle Cloutier, BPharm; Vivian G. Loo, MD
Includes: Supplemental Content

Importance  Clostridium difficile infection (CDI) is a major cause of health care–associated infection worldwide, and new preventive strategies are urgently needed. Current control measures do not target asymptomatic carriers, despite evidence that they can contaminate the hospital environment and health care workers’ hands and potentially transmit C ...

Invited Commentary: Containing What Lies Under the Waterline; Alice Y. Guh, MD, MPH; L. Clifford McDonald, MD
Original Investigation 
Maricruz Rivera-Hernandez, PhD; Bryan Leyva, BA; Laura M. Keohane, PhD; Amal N. Trivedi, MD, MPH
Includes: Supplemental Content

Importance  Geographic, racial, and ethnic variations in quality of care and outcomes have been well documented among the Medicare population. Few data exist on beneficiaries living in Puerto Rico, three-quarters of whom enroll in Medicare Advantage (MA).

Objective  To determine the quality of care provided to ...

Invited Commentary: Disparities in Health Care in Puerto Rico vs the United States; Héctor M. Colón, PhD; Marizaida Sánchez-Cesareo, PhD

During the 2000s, the incidence of Clostridium difficile infection (CDI) increased dramatically, in large part due to the emergence of a hypervirulent strain, BI/NAP1/027, responsible for many hospital outbreaks in the United States. In 2011, C difficile accounted for 12% of all US health care–associated infections, surpassing Staphylococcus ...

Invited Commentary 
Héctor M. Colón, PhD; Marizaida Sánchez-Cesareo, PhD

In this issue of JAMA Internal Medicine, Rivera-Hernandez and colleagues1 report that Medicare Advantage (MA) enrollees in the territory of Puerto Rico receive substantially lower quality of care than white or Hispanic enrollees residing in the United States (50 states and Washington, DC). The authors found ...

Challenges in Clinical Electrocardiography 
Ersilia M. DeFilippis, MD; David D. Berg, MD; Donna M. Polk, MD, MPH

A man in his 80s presented for his 1-month follow-up after bioprosthetic aortic valve placement for severe aortic stenosis. At presentation, he was feeling well and denied chest pain or dyspnea, and an electrocardiogram (ECG) was obtained (Figure 1). He had a history of paroxysmal atrial ...

Research Letter 
David Horrocks, MBA, MPH; Donna Kinzer, BS; Scott Afzal, BSBA; Jenner Alpern, MS; Joshua M. Sharfstein, MD

This study examined the patterns of hospital use of all patients with more than 5 emergency department visits to Maryland hospitals in 2014 to determine whether high utilizers can be identified by data from individual hospitals.

Teachable Moment 
Jeffrey A. Kepes, MD; James B. Wilhite Jr, BS; Alayne D. Markland, DO, MSc

This case reported in this Teachable Moment emphasizes the importance of catheter care as the responsibility of physicians as well as nurses.

Editor's Note 
Joseph S. Ross, MD, MHS

Use of the emergency department (ED) for nonurgent care is frequent and costly. These costs are of particular concern to state Medicaid programs, whose beneficiaries generally experience diminished access to primary care and may be more likely to rely on the ED for nonurgent care. The Deficit Reduction ...

Research Letter 
Renee Y. Hsia, MD, MSc; Ari B. Friedman, MS; Matthew Niedzwiecki, PhD

This study uses data from the National Hospital Ambulatory Medical Care Survey to examine whether a triage determination of nonurgent status in the emergency department ruled out the possibility of serious pathologic conditions, as compared with visits deemed as urgent.

Editor's Note: Triage, Copayments, and Emergency Department Visits; Joseph S. Ross, MD, MHS
Correction  FREE

In the Original Investigation titled “Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition–Heart Failure (BEAT-HF) Randomized Clinical Trial,” published online February 8, 2016, and also in the March 2016 issue of JAMA Internal Medicine,1 an updated ...

Teachable Moment 
Martin W. Schoen, MD, MPH; Stephanie Cull, MD, MSc; Fred R. Buckhold, MD

This Teachable Moment evaluates the use of bed alarms as a fall-prevention strategy.

Research Letter 
Aric A. Prather, PhD; Cindy W. Leung, ScD, MPH

This study examines associations between self-reported measures of sleep and the probability of occurrence of colds and infections in a nationally representative sample of adults.

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