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May 22, 2013
Vol 309, No. 20
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In the Media
Long-term Outcomes Following Abdominal Sacrocolpopexy for Pelvic Organ Prolapse. Nygaard et al.

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Major Challenges in Providing an Effective and Timely Pandemic Vaccine for Influenza A(H7N9). Osterholm et al.

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Association of Single- vs Dual-Chamber ICDs With Mortality, Readmissions, and Complications Among Patients Receiving an ICD for Primary Prevention. Peterson et al.

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  • Caring for the Critically Ill Patient |  May 5, 2013

    Arterial Oxygen Saturation Levels in Preterm Infants

    To compare the effects of targeting lower or higher arterial oxygen saturations on the rate of death or disability in extremely preterm infants, Schmidt and coauthors conducted a multinational randomized trial in 1201 infants. In an Editorial, Bancalari and Claure discuss the translation of these results into clinical practice.

  • Caring for the Critically Ill Patient |  May 20, 2013

    Early Parenteral Nutrition in Critically Ill Patients

    Doig and coauthors investigated outcomes for adult patients in intensive care units who received early parenteral nutrition because of relative contraindications to early enteral nutrition. The multicenter, randomized, single-blind clinical trial included 1372 patients in 31 community and tertiary hospitals in Australia and New Zealand.

  • Caring for the Critically Ill Patient |  May 22, 2013

    Early vs Late Tracheostomy Placement

    In a trial to determine whether early vs late tracheostomy was associated with lower mortality among adult patients requiring mechanical ventilation, Young and coauthors randomly assigned 455 patients to receive the procedure in fewer than 4 days after intubation and 454 to receive it after 10 days.

  • Preliminary Communication |  May 22, 2013

    Escitalopram and Stress-Induced Myocardial Ischemia

    To examine the effects of escitalopram vs placebo on mental stress–induced myocardial ischemia (MSIMI) and other psychological stress–related biophysiological and emotional parameters, Jiang and coauthors randomly assigned 127 patients with clinically stable coronary heart disease and MSIMI to receive escitalopram or placebo for 6 weeks.

  • Clinical Crossroads |  May 22, 2013

    Management of Active Crohn Disease

    Cheifetz reviews the diagnosis and management of Crohn disease, including discussion of newer treatments and goals of care.

Online First >

Articles published ahead of print

Original Contribution | 

Short-term vs Conventional Glucocorticoids for COPD

Editorial | 

Steroids for Treatment of COPD Exacerbations

Original Contribution | 

Predicting Survival in Idiopathic Pulmonary Fibrosis

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Author Interview

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Interview with Christopher O'Connor, MD, author of Effect of Escitalopram on Mental Stress–Induced Myocardial Ischemia: Results of the REMIT Trial

RELATED ARTICLE:

Effect of Escitalopram on Mental Stress–Induced Myocardial Ischemia:  Results of the REMIT Trial

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Author in the Room® Teleconference

Bariatric Surgery Complications Before vs After Implementation of a National Policy Restricting Coverage to Centers of Excellence

Justin B. Dimick, MD, MPH; Lauren H. Nicholas, PhD; Andrew M. Ryan, PhD; Jyothi R. Thumma, MPH; John D. Birkmeyer, MD

Summary Points:

Interview with Justin B. Dimick, MD, MPH, author of Bariatric Surgery Complications Before vs After Implementation of a National Policy Restricting Coverage to Centers of Excellence. Summary Points:

  • Bariatric surgery has become much safer over the past decade, likely due to better techniques, training in advanced laparoscopy, and tighter credentialing of surgeons.
  • The CMS policy of restricting care to Centers of Excellence has not improved outcomes, but may have had the unintended consequence of reducing access to care.
  • Referring patients to Centers of Excellence for bariatric surgery will not lower the risk of adverse outcomes and decisions should be based on other factors, such as a surgeon’s training, experience, and outcomes.


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JAMA Editor's Audio Summary

May 21, 2013

JAMA: 2013-05-21, Vol. 309, No. 20,
Editor's Audio Summary

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Sudden Purpuriform Rash in an Infant

A 10-month-old boy presents with erythematous swelling of both ears and right eyelid and erythematous perioral macules following a respiratory infection.

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Patients at Risk for Primary Open-Angle Glaucoma

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Do TNF Inhibitors Reduce the Risk of Myocardial Infarction in Psoriasis Patients?

Dueling Viewpoints

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Contraception Is a Fundamental Primary Care Service vs Contraceptives and the Law: A View From a Catholic Medical Institution

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For your patients: information about conjunctivitis.

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Identification of Physician Impairment

A Piece of My Mind

The Proud Paratrooper

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JAMA Update on Fungal Meningitis Outbreak

Information for clinicians and patients and links to relevant resources.

JAMA Medical Student Elective in Medical Editing

JAMA offers a 4-week elective in medical editing to third- and fourth-year US medical students. The elective is full-time and must be taken for academic credit. For information and an application, please e-mail jamams@jamanetwork.org.

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The Restructuring of Structured Abstracts: Adding a Table in the Results Section

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A discussion with Drs Atul Gawande and Uwe Reinhardt about the economics of surgical complications and health care reform.

Article: Relationship Between Occurrence of Surgical Complications and Hospital Finances;
Editorial: Making Surgical Complications Pay.

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Growing Use of Genomic Data Reveals Need to Improve Consent and Privacy Standards

Visualizing Health Policy

The Role of Medicaid and Medicare in Women's Health Care

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Escitalopram and Stress-Induced Myocardial Ischemia

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