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JAMA: the Journal of the American Medical Association

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https://www.readbyqxmd.com/read/28334387/presidential-immigration-policies-endangering-health-and-well-being
#1
Lawrence O Gostin, Katharina Eva Ó Cathaoir
No abstract text is available yet for this article.
March 23, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28334321/the-rise-of-crowdfunding-for-medical-care-promises-and-perils
#2
Michael J Young, Ethan Scheinberg
No abstract text is available yet for this article.
March 23, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28329040/medical-community-gathers-steam-to-tackle-climate-s-health-effects
#3
M J Friedrich
No abstract text is available yet for this article.
March 22, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28324036/vital-directions-and-national-will
#4
Donald M Berwick
No abstract text is available yet for this article.
March 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28324029/vital-directions-for-health-and-health-care-priorities-from-a-national-academy-of-medicine-initiative
#5
Victor J Dzau, Mark B McClellan, J Michael McGinnis, Sheila P Burke, Molly J Coye, Angela Diaz, Thomas A Daschle, William H Frist, Martha Gaines, Margaret A Hamburg, Jane E Henney, Shiriki Kumanyika, Michael O Leavitt, Ruth M Parker, Lewis G Sandy, Leonard D Schaeffer, Glenn D Steele, Pamela Thompson, Elias Zerhouni
Importance: Recent discussion has focused on questions related to the repeal and replacement of portions of the Affordable Care Act (ACA). However, issues central to the future of health and health care in the United States transcend the ACA provisions receiving the greatest attention. Initiatives directed to certain strategic and infrastructure priorities are vital to achieve better health at lower cost. Objectives: To review the most salient health challenges and opportunities facing the United States, to identify practical and achievable priorities essential to health progress, and to present policy initiatives critical to the nation's health and fiscal integrity...
March 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28322416/effect-of-intensive-vs-moderate-alveolar-recruitment-strategies-added-to-lung-protective-ventilation-on-postoperative-pulmonary-complications-a-randomized-clinical-trial
#6
Alcino Costa Leme, Ludhmila Abrahao Hajjar, Marcia S Volpe, Julia Tizue Fukushima, Roberta Ribeiro De Santis Santiago, Eduardo A Osawa, Juliano Pinheiro de Almeida, Aline Muller Gerent, Rafael Alves Franco, Maria Ignez Zanetti Feltrim, Emília Nozawa, Vera Regina de Moraes Coimbra, Rafael de Moraes Ianotti, Clarice Shiguemi Hashizume, Roberto Kalil Filho, Jose Otavio Costa Auler, Fabio Biscegli Jatene, Filomena Regina Barbosa Gomes Galas, Marcelo Britto Passos Amato
Importance: Perioperative lung-protective ventilation has been recommended to reduce pulmonary complications after cardiac surgery. The protective role of a small tidal volume (VT) has been established, whereas the added protection afforded by alveolar recruiting strategies remains controversial. Objective: To determine whether an intensive alveolar recruitment strategy could reduce postoperative pulmonary complications, when added to a protective ventilation with small VT...
March 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28322415/association-between-us-norepinephrine-shortage-and-mortality-among-patients-with-septic-shock
#7
Emily Vail, Hayley B Gershengorn, May Hua, Allan J Walkey, Gordon Rubenfeld, Hannah Wunsch
Importance: Drug shortages in the United States are common, but their effect on patient care and outcomes has rarely been reported. Objective: To assess changes to patient care and outcomes associated with a 2011 national shortage of norepinephrine, the first-line vasopressor for septic shock. Design, Setting, and Participants: Retrospective cohort study of 26 US hospitals in the Premier Healthcare Database with a baseline rate of norepinephrine use of at least 60% for patients with septic shock...
March 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28322414/effect-of-dexmedetomidine-on-mortality-and-ventilator-free-days-in-patients-requiring-mechanical-ventilation-with-sepsis-a-randomized-clinical-trial
#8
Yu Kawazoe, Kyohei Miyamoto, Takeshi Morimoto, Tomonori Yamamoto, Akihiro Fuke, Atsunori Hashimoto, Hiroyuki Koami, Satoru Beppu, Yoichi Katayama, Makoto Itoh, Yoshinori Ohta, Hitoshi Yamamura
Importance: Dexmedetomidine provides sedation for patients undergoing ventilation; however, its effects on mortality and ventilator-free days have not been well studied among patients with sepsis. Objectives: To examine whether a sedation strategy with dexmedetomidine can improve clinical outcomes in patients with sepsis undergoing ventilation. Design, Setting, and Participants: Open-label, multicenter randomized clinical trial conducted at 8 intensive care units in Japan from February 2013 until January 2016 among 201 consecutive adult patients with sepsis requiring mechanical ventilation for at least 24 hours...
March 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28322413/optimizing-the-settings-on-the-ventilator-settings-high-peep-for-all
#9
Ary Serpa Neto, Marcus J Schultz
No abstract text is available yet for this article.
March 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28322412/national-shortages-of-generic-sterile-injectable-drugs-norepinephrine-as-a-case-study-of-potential-harm
#10
Julie M Donohue, Derek C Angus
No abstract text is available yet for this article.
March 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28319245/reassessing-the-data-on-whether-a-physician-shortage-exists
#11
Emily Gudbranson, Aaron Glickman, Ezekiel J Emanuel
No abstract text is available yet for this article.
March 20, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28319233/addressing-the-physician-shortage-the-peril-of-ignoring-demography
#12
Darrell G Kirch, Kate Petelle
No abstract text is available yet for this article.
March 20, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28306757/effect-of-moderate-intensity-exercise-training-on-peak-oxygen-consumption-in-patients-with-hypertrophic-cardiomyopathy-a-randomized-clinical-trial
#13
Sara Saberi, Matthew Wheeler, Jennifer Bragg-Gresham, Whitney Hornsby, Prachi P Agarwal, Anil Attili, Maryann Concannon, Annika M Dries, Yael Shmargad, Heidi Salisbury, Suwen Kumar, Jonathan Herrera, Jonathan Myers, Adam S Helms, Euan A Ashley, Sharlene M Day
Importance: Formulating exercise recommendations for patients with hypertrophic cardiomyopathy is challenging because of concern about triggering ventricular arrhythmias and because a clinical benefit has not been previously established in this population. Objective: To determine whether moderate-intensity exercise training improves exercise capacity in adults with hypertrophic cardiomyopathy. Design, Setting, and Participants: A randomized clinical trial involving 136 patients with hypertrophic cardiomyopathy was conducted between April 2010 and October 2015 at 2 academic medical centers in the United States (University of Michigan Health System and Stanford University Medical Center)...
March 17, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28306756/recreational-exercise-in-hypertrophic-cardiomyopathy
#14
Anjali T Owens, Thomas P Cappola
No abstract text is available yet for this article.
March 17, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28301642/the-hyde-amendment-at-40-years-and-reproductive-rights-in-the-united-states-perennial-and-panoptic
#15
Eli Y Adashi, Rachel H Occhiogrosso
No abstract text is available yet for this article.
March 16, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28296999/resetting-the-circadian-clock-might-boost-metabolic-health
#16
Bridget M Kuehn
No abstract text is available yet for this article.
March 15, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28288264/enhancing-transparency-at-the-us-food-and-drug-administration-moving-beyond-the-21st-century-cures-act
#17
Joshua M Sharfstein, Michael Stebbins
No abstract text is available yet for this article.
March 13, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28288260/adding-protective-genetic-variants-to-clinical-reporting-of-genomic-screening-results-restoring-balance
#18
Marci L B Schwartz, Marc S Williams, Michael F Murray
No abstract text is available yet for this article.
March 13, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28278326/the-dash-diet-20-years-later
#19
Dori Steinberg, Gary G Bennett, Laura Svetkey
No abstract text is available yet for this article.
March 9, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28278320/medicaid-block-grants-and-federalism-lessons-from-canada
#20
Benjamin D Sommers, C David Naylor
No abstract text is available yet for this article.
March 9, 2017: JAMA: the Journal of the American Medical Association
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