Latest News from: JAMA - Journal of the American Medical Association

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10-Dec-2009 7:40 PM EST
Regular Coffee, Decaf and Tea All Associated With Reduced Risk for Diabetes
JAMA - Journal of the American Medical Association

Individuals who drink more coffee (regular or decaffeinated) or tea appear to have a lower risk of developing type 2 diabetes, according to an analysis of previous studies reported in the December 14/28 issue of Archives of Internal Medicine.

10-Dec-2009 8:00 PM EST
Studies Quantify Radiation Doses, Cancer Risks from CT Scans
JAMA - Journal of the American Medical Association

Doses of radiation from commonly performed computed tomography (CT) scans vary widely, appear higher than generally believed and may contribute to an estimated tens of thousands of future cancer cases, according to two reports in the December 14/28 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

10-Dec-2009 8:00 PM EST
Intensive Therapy for Narrowed Arteries Linked to Fewer Heart Events
JAMA - Journal of the American Medical Association

Intensive medical therapy, including aggressive control of blood pressure and cholesterol levels, for patients with asymptomatic plaque buildup in their carotid arteries (which supply blood to the brain) appears to be associated with reduced rates of cardiovascular events and reduced risk of microemboli (microscopic-sized blood clots) in the brain arteries, according to a report posted online today that will appear in the February 2010 print issue of Archives of Neurology, one of the JAMA/Archives journals.

10-Dec-2009 8:00 PM EST
Imaging Test Detects Alzheimer’s Disease That Is Likely to Progress
JAMA - Journal of the American Medical Association

Early Alzheimer’s disease detected by a compound that binds to brain plaques appears likely to progress into symptomatic Alzheimer’s disease with dementia, according to a report in the December issue of Archives of Neurology, one of the JAMA/Archives journals.

10-Dec-2009 8:00 PM EST
Reducing TV Time Helps Adults Burn More Calories
JAMA - Journal of the American Medical Association

Adults who used an electronic lock-out system to reduce their television time by half did not change their calorie intake but did expend more energy over a three-week period, according to a report in the December 14/28 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

3-Dec-2009 3:15 PM EST
Screening Method Able to Identify Newborns With Blood Disorder That Affects Immune System
JAMA - Journal of the American Medical Association

The testing of DNA from a statewide blood screening program for newborns in Wisconsin was able to identify infants with T-cell lymphopenia, a blood disorder that affects the child’s immune system, a disease in which early identification is important, according to a study in the December 9 issue of JAMA.

3-Dec-2009 3:10 PM EST
Most Primary Care Physician Practices Appear Too Small To Adequately Measure Quality
JAMA - Journal of the American Medical Association

Most primary care physicians active in the Medicare program work in practices with too few patients to reliably measure significant differences in common measures of quality and cost performance, according to a study in the December 9 issue of JAMA.

3-Dec-2009 3:00 PM EST
Treating Cluster Headaches With High-Flow Oxygen Appears Effective
JAMA - Journal of the American Medical Association

Patients with a cluster headache, which is characterized by bouts of excruciating pain usually near the eye or temple, were more likely to report being pain-free within 15 minutes of treatment with high-flow oxygen than patients who received a placebo treatment, according to a study in the December 9 issue of JAMA.

3-Dec-2009 3:00 PM EST
Many Dialysis Patients Undergoing PCI Receive Improper Medication, With Higher Risk of Bleeding
JAMA - Journal of the American Medical Association

Approximately 20 percent of dialysis patients undergoing a percutaneous coronary intervention (PCI; procedure such as angioplasty) are given an antithrombotic medication they should not receive, which may increase their risk for in-hospital bleeding, according to a study in the December 9 issue of JAMA.

3-Dec-2009 3:00 PM EST
Women With Breast Cancer Who Consume Soy Food Have Lower Risk of Cancer Recurrence
JAMA - Journal of the American Medical Association

Although there is a concern regarding the safety of soy food consumption among breast cancer survivors, researchers have found that women in China who had breast cancer and a higher intake of soy food had an associated lower risk of death and breast cancer recurrence, according to a study in the December 9 issue of JAMA.

3-Dec-2009 4:00 PM EST
Antiepileptic Drugs Not Linked to Suicide Among Those With Bipolar Disorder
JAMA - Journal of the American Medical Association

Despite government warnings about an increased risk of suicidal thoughts and actions while taking antiepileptic drugs, these medications do not appear to be associated with increased risk of suicide attempts in individuals with bipolar disorder, and may have a possible protective effect, according to a report in the December issue of Archives of General Psychiatry, one of the JAMA/Archives journals.

3-Dec-2009 3:30 PM EST
Young Adults’ Blood Lead Levels Linked to Depression, Panic Disorder
JAMA - Journal of the American Medical Association

Young adults with higher blood lead levels appear more likely to have major depression and panic disorders, even if they have exposure to lead levels generally considered safe, according to a report in the December issue of Archives of General Psychiatry, one of the JAMA/Archives journals.

3-Dec-2009 3:30 PM EST
Antidepressant May Change Personality While Relieving Symptoms
JAMA - Journal of the American Medical Association

Individuals taking a medication to treat depression may experience changes in their personality separate from the alleviation of depressive symptoms, according to a report in the December issue of Archives of General Psychiatry, one of the JAMA/Archives journals.

25-Nov-2009 12:00 PM EST
Criteria Based on CT Imaging After Chemotherapy May Help Predict Survival
JAMA - Journal of the American Medical Association

Preliminary research suggests that criteria based on computed tomography (CT) imaging of changes in tumors from colorectal liver metastases after chemotherapy with the drug bevacizumab may have the potential to predict overall survival, according to a study in the December 2 issue of JAMA.

25-Nov-2009 12:00 PM EST
Infections are Common in ICUs World-Wide
JAMA - Journal of the American Medical Association

An international study that examined the extent of infections in nearly 1,300 intensive care units (ICUs) in 75 countries found that about 50 percent of the patients were considered infected, with infection associated with an increased risk of death in the hospital, according to a study in the December 2 issue of JAMA.

19-Nov-2009 9:00 PM EST
Most Top Medical Journals Have Conflict of Interest Policies Available for Public Review
JAMA - Journal of the American Medical Association

Nearly 90 percent of medical journals with relatively high impact factors have policies addressing author conflict of interest (COI) available for public review, according to a report in the November 25 issue of JAMA. But many journals do not require authors to sign disclosure statements, and there is variability in how COI is defined.

19-Nov-2009 9:30 PM EST
IV Drug Treatment For Out-of-Hospital Cardiac Arrest May Not Improve Long-Term Survival
JAMA - Journal of the American Medical Association

Patients with an out-of-hospital cardiac arrest who received intravenous (IV) drug administration during treatment, recommended in life support guidelines, had higher rates of short term survival but no statistically significant improvement in survival to hospital discharge or long-term survival, compared to patients who did not receive IV drug administration, according to a study in the November 25 issue of JAMA.

19-Nov-2009 9:00 PM EST
High vs. Low Hospital Volume for Angioplasty Finds Little Difference in Death Rates
JAMA - Journal of the American Medical Association

A study based on a contemporary registry of patients with myocardial infarction (heart attack) indicates that even though hospitals that perform a higher number of angioplasties are more likely to follow evidence-based guidelines and have shorter times to the angioplasty procedure, there appears to be no significant difference in outcomes such as length of hospital stay or risk of death, according to a study in the November 25 issue of JAMA.

19-Nov-2009 9:00 PM EST
Severe and Chronic Pain in Multiple Areas Associated With Increased Risk of Falls in Older Adults
JAMA - Journal of the American Medical Association

Older adults who reported chronic musculoskeletal pain in two or more locations, higher levels of severe pain, or pain that interfered with daily activities were more likely to experience a fall than adults who did not reports these types of pain, according to a study in the November 25 issue of JAMA.

19-Nov-2009 9:30 PM EST
Team-Based Care Involving a Pharmacist Improves Blood Pressure Control
JAMA - Journal of the American Medical Association

Patients whose hypertension is managed by a physician-pharmacist team have lower blood pressure levels and are more likely to reach goals for blood pressure control than those treated without this collaborative approach, according to a report in the November 23 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

19-Nov-2009 9:00 PM EST
Adverse Heart Effects of Rofecoxib May Have Been Identified Years Earlier
JAMA - Journal of the American Medical Association

Clinical trial data indicated an association between the anti-inflammatory medication rofecoxib and cardiovascular risk as early as December 2000, before the product was taken off the market in September 2004, according to a report in the November 23 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

19-Nov-2009 9:00 PM EST
Direct-to-Consumer Ads Associated With Higher Medicaid Costs
JAMA - Journal of the American Medical Association

Direct-to-consumer advertising (DTCA) for a commonly prescribed antiplatelet drug does not appear associated with increased use, but may be associated with increased drug costs and Medicaid pharmacy expenditures, according to a report in the November 23 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

19-Nov-2009 9:30 PM EST
Psychotropic Medications Associated With Risk of Falls in Older Adults
JAMA - Journal of the American Medical Association

Older adults who take several types of psychotropic medications—such as antidepressants or sedatives—appear more likely to experience falls, according to an analysis of previous studies reported in the November 23 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

12-Nov-2009 3:00 PM EST
Hospital Report Cards Do Not Appear to Result in Significant Improvements
JAMA - Journal of the American Medical Association

An analysis of quality of cardiac care following the public release of data on measures of care at hospitals in Ontario, Canada, did not result in significant systemwide improvement in hospitals’ performance on most quality of care indicators, according to a study to be published in the December 2 issue of JAMA. The study is being released early online because of its presentation at an American Heart Association scientific conference.

12-Nov-2009 3:00 PM EST
Prevalence of High LDL, or ‘Bad’ Cholesterol Levels Decreases in U.S.
JAMA - Journal of the American Medical Association

Between 1999 and 2006, the prevalence of adults in the U.S. with high levels of LDL cholesterol, the “bad” cholesterol, decreased by about one-third, according to a study in the November 18 issue of JAMA. But a high percentage of adults still are not being screened or treated for high cholesterol levels.

12-Nov-2009 3:00 PM EST
Study Examines Challenges of Diagnosing Neurofibromatosis Type 1–like Syndrome
JAMA - Journal of the American Medical Association

An analysis of patients with a syndrome similar to the genetic disorder, neurofibromatosis type 1, indicates that diagnosis may be difficult because of shared clinical findings, such as certain pigmentary characteristics, according to a study in the November 18 issue of JAMA.

12-Nov-2009 3:00 PM EST
Treatment With Folic Acid, Vitamin B12 Associated With Increased Risk of Cancer, Death
JAMA - Journal of the American Medical Association

Patients with heart disease in Norway, a country with no fortification of foods with folic acid, had an associated increased risk of cancer and death from any cause if they had received treatment with folic acid and vitamin B12, according to a study in the November 18 issue of JAMA.

12-Nov-2009 3:00 PM EST
Telephone-Delivered Care for Treating Depression After CABG Surgery Appears to Improve Outcomes
JAMA - Journal of the American Medical Association

Patients who received telephone-delivered collaborative care for treatment of depression after coronary artery bypass graft surgery reported greater improvement in measures of quality of life, physical functioning and mood than patients who received usual care, according to a study in the November 18 issue of JAMA. The study is being released early online because of its presentation at an American Heart Association scientific conference.

5-Nov-2009 9:00 PM EST
Ventilation Treatment in Prone Position For ARDS Does Not Provide Significant Survival Benefit
JAMA - Journal of the American Medical Association

Despite a current suggestion that patients with acute respiratory distress syndrome be positioned lying face down while receiving mechanical ventilation, study results indicate that this positioning does not significantly lower the risk of death compared to similar patients positioned lying face up during ventilation, according to a study in the November 11 issue of JAMA.

5-Nov-2009 4:00 PM EST
Findings Suggest Lipid Assessment in Vascular Disease Can Be Simplified, Without the Need to Fast
JAMA - Journal of the American Medical Association

Lipid assessment in vascular disease can be simplified by measuring either total and HDL cholesterol levels or apolipoproteins, without the need to fast and without regard to triglyceride levels, according to a study in the November 11 issue of JAMA.

5-Nov-2009 8:00 PM EST
Long-Term Statin Use Associated With Decreased Risk of Gallstones Requiring Surgery
JAMA - Journal of the American Medical Association

Use of the cholesterol-lowering drugs statins for more than a year is associated with a reduced risk of having gallstones requiring surgery, according to a study in the November 11 issue of JAMA.

5-Nov-2009 8:00 PM EST
Persistent Pain Common For Many Women 2 to 3 Years After Breast Cancer Treatment
JAMA - Journal of the American Medical Association

Nearly 50 percent of women surveyed indicate they experience pain symptoms 2 to 3 years after breast cancer treatment, with women who were younger or who received supplemental radiation therapy more likely to have pain, according to a study in the November 11 issue of JAMA.

5-Nov-2009 5:00 PM EST
Reduced Muscle Strength Associated With Risk for Alzheimer’s Disease
JAMA - Journal of the American Medical Association

Individuals with weaker muscles appear to have a higher risk for Alzheimer’s disease and declines in cognitive function over time, according to a report in the November issue of Archives of Neurology, one of the JAMA/Archives journals.

5-Nov-2009 10:00 PM EST
Exposure to Several Common Infections Over Time May Be Associated With Risk of Stroke
JAMA - Journal of the American Medical Association

Cumulative exposure to five common infection-causing pathogens may be associated with an increased risk of stroke, according to a report posted online today that will appear in the January 2010 print issue of Archives of Neurology, one of the JAMA/Archives journals.

5-Nov-2009 10:00 PM EST
Study Examines Quality and Duration of Primary Care Visits
JAMA - Journal of the American Medical Association

Adult primary care visits have increased in quality, duration and frequency between 1997 and 2005, according to a report in the November 9 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

5-Nov-2009 10:30 PM EST
Fewer Emergency Patients Seen Within Recommended Time Frame
JAMA - Journal of the American Medical Association

One in four emergency department patients in 2006 waited longer to be evaluated by a clinician than recommended at triage, an increase from one in five in 1997, according to a report in the November 9 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

5-Nov-2009 10:00 PM EST
Mood Improves on Low-Fat, but not Low-Carb, Diet Plan
JAMA - Journal of the American Medical Association

After one year, a low-calorie, low-fat diet appears more beneficial to dieters’ mood than a low-carbohydrate plan with the same number of calories, according to a report in the November 9 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

29-Oct-2009 9:00 PM EDT
Report on H1N1 Cases in California Shows Hospitalization Can Occur At All Ages, With Many Severe
JAMA - Journal of the American Medical Association

In contrast with some common perceptions regarding 2009 influenza A(H1N1) infections, an examination of cases in California indicates that hospitalization and death can occur at all ages, and about 30 percent of hospitalized cases have been severe enough to require treatment in an intensive care unit, according to a study in the November 4 issue of JAMA.

29-Oct-2009 9:00 PM EDT
Genes and Environment May Interact to Influence Risk for Post-Traumatic Stress Disorder
JAMA - Journal of the American Medical Association

Individuals who experience both childhood adversity and traumatic events in adulthood appear more likely to develop post-traumatic stress disorder than those exposed to only one of these types of incidents, according to a report in the November issue of Archives of General Psychiatry, one of the JAMA/Archives journals. In addition, the risk was further increased in individuals with a certain genetic mutation.

29-Oct-2009 9:00 PM EDT
Nicotine Patch Plus Lozenge Appears Best for Smoking Cessation
JAMA - Journal of the American Medical Association

In a comparison of five different smoking cessation medications, a nicotine patch plus a nicotine lozenge appears most effective at helping smokers quit, according to a report in the November issue of Archives of General Psychiatry, one of the JAMA/Archives journals.

29-Oct-2009 9:00 PM EDT
Hypertension, Inflammation Common in Offspring of Alzheimer’s Disease Patients
JAMA - Journal of the American Medical Association

High blood pressure, evidence of arterial disease and markers of inflammation in the blood in middle age appear more common in individuals whose parents have Alzheimer’s disease than in individuals without a parental history of the condition, according to a report in the November issue of Archives of General Psychiatry, one of the JAMA/Archives journals.

22-Oct-2009 5:00 PM EDT
Patients Starting Dialysis Have Increased Risk of Death
JAMA - Journal of the American Medical Association

Compared to the general population, patients starting dialysis have an increased risk of death that is not attributable to a higher rate of death from cardiovascular causes, as previously thought, according to a study in the October 28 issue of JAMA.

22-Oct-2009 4:50 PM EDT
Use of Antipsychotic Medications by Children and Adolescents Associated With Significant Weight Gain
JAMA - Journal of the American Medical Association

Many pediatric and adolescent patients who received second-generation antipsychotic medications experienced significant weight gain, along with varied adverse effects on cholesterol and triglyceride levels and other metabolic measures, according to a study in the October 28 issue of JAMA.

22-Oct-2009 5:00 PM EDT
Alternative to Pap Test Does Not Appear To Be Better For Detecting Cervical Cancer
JAMA - Journal of the American Medical Association

A Dutch study that included nearly 90,000 women finds that liquid-based cytology, a commonly used alternative to conventional Pap tests, is not superior to Pap tests for the detection of cervical cancer precursors or cancer, according to a study in the October 28 issue of JAMA.

22-Oct-2009 5:00 PM EDT
Significant Regional Variations Exist Regarding Proximity to Burn Centers
JAMA - Journal of the American Medical Association

Although nearly 80 percent of the U.S. population lives within 2 hours by ground or helicopter transport to a verified burn center, there is substantial state and regional variation in geographic access to these centers, according to a study in the October 28 issue of JAMA.

22-Oct-2009 7:30 PM EDT
Heart Attacks Become More Common But Less Often Fatal in Women
JAMA - Journal of the American Medical Association

Heart attacks appear to have become more common in middle-aged women over the past two decades, but all women and especially those younger than 55 have recently experienced a greater increase than men in their chances of survival following such a heart event, according to two reports in the October 26 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

22-Oct-2009 8:00 PM EDT
Partners in Weight Loss Success May Help African Americans Shed More Pounds
JAMA - Journal of the American Medical Association

Enrolling in a weight loss program with a family member or friend appears to enhance weight loss among African Americans, but only if the involved partner attends sessions frequently or also loses weight, according to a report in the October 26 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

22-Oct-2009 7:30 PM EDT
Fitness Levels Decline With Age, Especially After 45
JAMA - Journal of the American Medical Association

Men and women become gradually less fit with age, with declines accelerating after age 45, according to a report in the October 26 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. However, maintaining a healthy body mass index (BMI), not smoking and being physically active are associated with higher fitness levels throughout adult life.

15-Oct-2009 3:45 PM EDT
Use of Omega-3 With Treatment for Depression in Heart Disease Patients May Not Provide Benefit
JAMA - Journal of the American Medical Association

Contrary to the findings of some studies, new research indicates that augmenting antidepressant therapy with an omega-3 fatty acid supplement does not result in improvement in levels of depression in patients with coronary heart disease, according to a study in the October 21 issue of JAMA.

15-Oct-2009 4:40 PM EDT
Recommended Treatment for Heart Failure Often Underused
JAMA - Journal of the American Medical Association

Less than one-third of patients hospitalized for heart failure and participating in a quality improvement registry received a guideline-recommended treatment of heart failure, aldosterone antagonist therapy, according to a study in the October 21 issue of JAMA.



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