Curated News: JAMA

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27-Oct-2020 5:05 PM EDT
Aspirin Use Best For Those With High Coronary Calcium, Low Risk of Bleeding
UT Southwestern Medical Center

DALLAS – Oct. 28, 2020 – An X-ray test commonly used to assess hardening of the arteries could help doctors decide whether the benefits of taking aspirin to prevent a first heart attack or stroke outweigh the risks of bleeding from its use, UT Southwestern research suggests.

Released: 22-Oct-2020 11:30 AM EDT
Toward a New Staging System for Prostate Cancer, and Why it Matters
Michigan Medicine - University of Michigan

The development and validation of a staging system for non-metastatic prostate cancer could help doctors and patients assess treatment options, as well as improve clinical trials.

Released: 22-Oct-2020 11:00 AM EDT
Time is Not on Their Side: Physicians Face Barriers to Voting
UT Southwestern Medical Center

DALLAS – Oct. 22, 2020 – Two new UT Southwestern studies published today report some surprising findings: Only half of practicing physicians are registered to vote, and the most common obstacle faced by resident physicians is the lack of time to vote. The researchers say finding ways to increase voter participation among doctors is critical as the nation tackles health care issues.

   
Released: 21-Oct-2020 8:30 AM EDT
Opioid Use Disorder? Electronic Health Records Help Pinpoint Probable Patients
Florida Atlantic University

A new study suggests that patients with opioid use disorder may be identified using information available in electronic health records, even when diagnostic codes do not reflect this diagnosis. The study demonstrates the utility of proxies coding for DSM-5 criteria from medical records to generate a quantitative DSM-5 score that is associated with opioid use disorder severity. The study methods are unique in deriving a severity score that aims to mirror severity scores from more traditional interview-based diagnostic procedures.

Released: 20-Oct-2020 11:45 AM EDT
Efficacy, politics influence public trust in COVID-19 vaccine
Cornell University

If an initial COVID-19 vaccine is about as effective as a flu shot, uptake by the American public may fall far short of the 70% level needed to achieve herd immunity, new Cornell research suggests.

   
13-Oct-2020 4:55 PM EDT
Nudges Combined with Machine Learning Triples Advanced Care Conversations Among Patients with Cancer
Perelman School of Medicine at the University of Pennsylvania

An electronic nudge to clinicians—triggered by an algorithm that used machine learning methods to flag patients with cancer who would most benefit from a conversation around end-of-life goals—tripled the rate of those discussions.

Released: 14-Oct-2020 12:35 PM EDT
Therapy plus medication better than medication alone in bipolar disorder
University of California, Los Angeles (UCLA), Health Sciences

A review of 39 randomized clinical trials by scientists from UCLA and their colleagues from other institutions has found that combining the use medication with psychoeducational therapy is more effective at preventing a recurrence of illness in people with bipolar disorder than medication alone.

14-Oct-2020 8:55 AM EDT
Tied to Undiagnosed Aortic Disease, Aortic Dissection in Pregnancy Proves Difficult to Predict
Michigan Medicine - University of Michigan

The 100th report out of the International Registry of Acute Aortic Dissection details the experiences of 29 women who faced this rare life-threatening complication while pregnant.

Released: 14-Oct-2020 8:30 AM EDT
Mount Sinai Researchers Find That Where People Live Can Impact Their Risk for Common Chronic Conditions Including High Blood Pressure and Depression
Mount Sinai Health System

The researchers found that a persons' place of residence substantially influences their risk of uncontrolled chronic disease including high blood pressure and depression

Released: 12-Oct-2020 12:20 PM EDT
Total deaths recorded during the pandemic far exceed those attributed to COVID-19
Virginia Commonwealth University (VCU)

For every two deaths attributed to COVID-19 in the U.S., a third American dies as a result of the pandemic, according to new data publishing Oct. 12 in the Journal of the American Medical Association.

Released: 12-Oct-2020 11:00 AM EDT
Labor epidurals do not cause autism; Safe for mothers and infants, say anesthesiology, obstetrics, and pediatric medical societies
American Society of Anesthesiologists (ASA)

The Society for Obstetric Anesthesia and Perinatology (SOAP),the American Society of Anesthesiologists (ASA), the Society for Pediatric Anesthesia (SPA) the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) aim to clearly reassure pregnant women that the article “Association Between Epidural Analgesia During Labor and Risk of Autism Spectrum Disorders in Offspring,” a new retrospective database study published in JAMA Pediatrics on October 12th, 2020 does not provide credible scientific evidence that epidurals for pain relief cause autism.

8-Oct-2020 1:00 PM EDT
More young adults are abstaining from alcohol
University of Michigan

Fewer college-age Americans drink alcohol, compared to nearly 20 years ago, according to a new study.

Released: 9-Oct-2020 2:15 PM EDT
Young people hospitalized with COVID-19 face substantial adverse outcomes
Brigham and Women’s Hospital

While older age is widely recognized as a risk factor for increased morbidity and mortality due to COVID-19, younger patients have received less attention as a population vulnerable to adverse clinical outcomes.

Released: 9-Oct-2020 12:55 PM EDT
Weighing Risks and Benefits for Glaucoma Patients During COVID-19
Michigan Medicine - University of Michigan

Michigan Medicine ophthalmologists create a scalable algorithm for triaging appointments during the pandemic.

Released: 7-Oct-2020 5:20 PM EDT
Early COVID-19 Cases in Southern California Linked to New York
Cedars-Sinai

Most COVID-19 (coronavirus) patients in Southern California during the early months of the pandemic appear to have been infected by a variant of the SARS-CoV-2 virus introduced to the region from New York state via Europe, not directly from China, where the virus was first detected, according to a new study conducted at Cedars-Sinai.

5-Oct-2020 4:30 PM EDT
Yes or No: Forcing a Choice Increased Statin Prescribing for Heart Disease Patients
Perelman School of Medicine at the University of Pennsylvania

Adding an “active choice” nudge to the electronic health record increased statin prescribing for patients with heart disease, but not for those “at-risk”

Released: 6-Oct-2020 11:00 AM EDT
Story Tips From Johns Hopkins Experts On COVID-19
Johns Hopkins Medicine

Johns Hopkins Medicine biomedical engineering student Christopher Shallal developed an initiative to keep health care teams safe by galvanizing community members to use 3D printers to make face shields. His mentors on the project were Elizabeth Logsdon, Ph.D., and Warren Grayson, Ph.D.

Released: 5-Oct-2020 12:05 PM EDT
Exposure to Vitamin D in the Womb Might Minimize Risk of High Blood Pressure for Children Born to Mothers with Preeclampsia
Johns Hopkins Bloomberg School of Public Health

Children appear to be at greater risk of having high blood pressure when their mothers had the high blood pressure condition called preeclampsia during pregnancy—but this adverse association may be reduced or even eliminated for children who were exposed to higher levels of vitamin D in the womb.

30-Sep-2020 12:30 PM EDT
Study Highlights Shortcomings in Telemedicine Despite Large Increases in Remote Consults During Covid-19 Pandemic
Johns Hopkins Bloomberg School of Public Health

Despite increased use of telemedicine during the COVID-19 pandemic, Americans have had significantly fewer consultations with primary care doctors and markedly fewer assessments of common cardiac risk factors.



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