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 Showing 1-17 of 17 Articles
The Interstate Medical Licensure Compact is a streamlined process that would allow physicians to rapidly become licensed to practice medicine in multiple states.1,2 If the compact were to be approved by state legislators and incorporated into the laws of most, if not all, states, it could catalyze many substantial changes ...
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D. Kevin Horton, DrPH, MSPH; Paul Mehta, MD; Vinicius C. Antao, MD, MSc, PhD
Public health surveillance is an essential tool for assessing, controlling, and preventing disease. In the United States, public health surveillance has evolved from a focus on monitoring infectious diseases to also tracking injuries, chronic diseases, birth defects, environmental and occupational exposures, and risk factors.1 Despite this evolution of surveillance topics, ...
Medical News & Perspectives  FREE
M. J. Friedrich
New York—Activation of the immune system is the body’s natural reaction to infection or tissue damage, but when this protective response is prolonged or excessive, it can play a role in many chronic illnesses, not only of the body, but also of the brain.
Research Letter  FREE
Jason D. Wright, MD; Ana I. Tergas, MD, MPH; William M. Burke, MD; Rosa R. Cui; Cande V. Ananth, PhD, MPH; Ling Chen, MD, MPH; Dawn L. Hershman, MD, MS
Includes: Supplemental Content
Even though minimally invasive surgery has improved outcomes for hysterectomy, the procedure requires removal of the uterus through small incisions. Morcellation, or fragmentation of the uterus into smaller pieces, is one method to remove the uterus. Recently, concern has been raised that morcellation may result in the spread of undetected ...
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Troyen Brennan, MD, MPH; William Shrank, MD, MSHS
Treatment of infection with hepatitis C virus (HCV) has changed substantially in the last 3 years, with new therapies now reaching cure rates (defined by sustained virologic response) higher than 95%. As little as 3 years ago, treatment involved an arduous course of pegylated interferon and ribavirin, which caused serious ...
Original Investigation  FREE
Harsha Thirumurthy, PhD; Samuel H. Masters, MPH; Samwel Rao, MPH; Megan A. Bronson, MPH; Michele Lanham, MPH; Eunice Omanga, PhD; Emily Evens, PhD; Kawango Agot, PhD
Includes: Supplemental Content

Importance  Novel strategies are needed to increase the uptake of voluntary medical male circumcision (VMMC) in sub-Saharan Africa and enhance the effectiveness of male circumcision as an HIV prevention strategy.

Objective  To determine whether small economic incentives could increase circumcision prevalence by addressing reported economic barriers ...

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Derek Yach, MBChB, MPH; Chris Calitz, MPP
The focus of medical research has historically been on curative medicine, yielding better drugs, medical devices, and clinical procedures. Prevention science—the systematic application of scientific methods to the causes and prevention of diseases in populations—has yet to receive the necessary investment and support required to reduce the growing burden of ...
Topics: prevention
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Christine K. Cassel, MD; Robert S. Saunders, PhD
Millions of individuals have gained access to the health care system this year due to the Affordable Care Act. With greater access to health care, there is an increased need to ensure care remains high quality, affordable, and centered around the needs of patients and families. One opportunity for addressing ...
The Supreme Court on June 30, 2014, decided Burwell v Hobby Lobby Stores, Inc—a deeply divisive case. Holding that the federal government cannot lawfully mandate “closely held” for-profit corporations to provide contraceptive coverage, the Court split 5-4 along ideological lines.1 The Court thus entered a political quagmire at the intersection ...
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Lee Ducat; Louis H. Philipson, MD, PhD; Barbara J. Anderson, PhD
Individuals living with type 1 or type 2 diabetes are at increased risk for depression, anxiety, and eating disorder diagnoses. Mental health comorbidities of diabetes compromise adherence to treatment and thus increase the risk for serious short- and long-term complications, which can result in blindness, amputations, stroke, cognitive decline, decreased ...
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Ulrike Bingel, MD, PhD; For the Placebo Competence Team
Converging evidence suggests that the occurrence of unwanted adverse events during drug treatment is in part determined by nonpharmacological effects. For instance, the majority of unwanted adverse effects and symptoms reported by patients in clinical trials often are not caused by the medication, because unwanted adverse effects can also occur ...
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Zirui Song, MD, PhD; Thomas D. Sequist, MD, MPH; Michael L. Barnett, MD
The success of accountable care organizations (ACOs) under global payment may depend in part on a common yet poorly understood clinical decision: the patient referral in the outpatient setting. Fundamental to collaboration among physicians and other health care professionals, patient referrals have been largely ignored in the payment reform debate. ...
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Lawrence O. Gostin, JD; Aliza Y. Glasner, JD
The Family Smoking Prevention and Tobacco Control Act of 2009 empowered the US Food and Drug Administration (FDA) to regulate tobacco, the leading preventable cause of death. The agency, however, initially exercised authority only over specific tobacco products: cigarettes, cigarette tobacco, roll-your-own (loose tobacco), and smokeless tobacco. This decision left ...
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David Squires, MA
Increasing health care spending has been part of the US economy for decades, consuming an ever-increasing share of gross domestic product. However, in the past several years, the growth of US health spending has slowed to well below its historic norm.1 This slowdown in the rate of spending growth predates ...
Topics: spending
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Faisal G. Bakaeen, MD; Alvin Blaustein, MD; Melina R. Kibbe, MD
The current controversy surrounding Veterans Affairs (VA) medical centers has reached national concern, with Congress enacting new law in a matter of weeks. Disturbing reports are emerging daily of VA facilities keeping double sets of appointment books, and a report recently released from the Office of the Inspector General described ...
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John P. A. Ioannidis, MD, DSc; Muin J. Khoury, MD, PhD
Production of scientific work is regulated by reward systems. Scientists are typically rewarded for publishing articles, obtaining grants, and claiming novel, significant results. However, emphasis on publication can lead to least publishable units, authorship inflation, and potentially irreproducible results. Emphasis on claiming significant results leads to lack of publication of ...
Griffin M. Weber, MD, PhD; Kenneth D. Mandl, MD, MPH; Isaac S. Kohane, MD, PhD
It has been argued that big data will enable efficiencies and accountability in health care.1,2 However, to date, other industries have been far more successful at obtaining value from large-scale integration and analysis of heterogeneous data sources. What these industries have figured out is that big data becomes transformative when ...

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