RSS Medical Articles

Pharmaceutical Industry–Sponsored Meals and Prescribing Patterns
Δευτέρα, 08.01.2016, 03:00am
This study explores whether receipt of pharmaceutical industry-sponsored meals by physicians is associated with their prescribing the promoted brand-name drug at higher rates to Medicare beneficiaries.
Consumption of Subsidized Foods and Cardiometabolic Risk in US Adults
Δευτέρα, 08.01.2016, 03:00am
This cross-sectional analysis of the National Health and Nutrition Examination Survey data investigates whether higher consumption of foods derived from subsidized food commodities is associated with adverse cardiometabolic risk in the adult general population.
Association of Dietary Fats and Total and Cause-Specific Mortality
Δευτέρα, 08.01.2016, 03:00am
This cohort study examines the associations of specific dietary fats with total and cause-specific mortality in 2 large ongoing cohort studies of men and women.
Socioeconomic Status and Mortality in Patients With Diabetes
Δευτέρα, 08.01.2016, 03:00am
This population-based study examines the incidence of all-cause mortality, cardiovascular disease, and cancer in individuals with type 2 diabetes based on socioeconomic status.
ω-3 Polyunsaturated Fatty Acid Biomarkers and Coronary Heart Disease
Δευτέρα, 08.01.2016, 03:00am
This study evaluates biomarkers of seafood-derived eicosapentaenoic acid, docosapentaenoic acid, and docosahexaenoic acid and plant-derived α-linolenic acid for incident coronary heart disease.
Association Between Accountable Care Organization Implementation and Spending
Δευτέρα, 08.01.2016, 03:00am
This cohort study estimates the effect of Medicare accountable care organization contracts on spending and high-cost institutional use for all Medicare beneficiaries and for clinically vulnerable beneficiaries.
Bleeding and Thrombotic Risk in Vitamin K Antagonist Users Aged ≥90 Years
Δευτέρα, 08.01.2016, 03:00am
This study examines the association between age and the risk of bleeding and thrombosis in patients older than70 years who were treated with a vitamin K antagonist.
Partial Codes—A Symptom of a Larger Problem
Δευτέρα, 08.01.2016, 03:00am
In this issue ofJAMA Internal Medicine, Rousseau describes the case of an elderly man with metastatic cancer who underwent a so-called partial code in which clinicians could do “everything but intubation” during an attempt at cardiopulmonary resuscitation. He further describes the efficacy of these partial codes and suggests that code status should never involve a litany of options such as “everything but intubation” or “everything but defibrillation.” Instead, he argues that code status decisions should be a simple dichotomy between all efforts at resuscitation or none at all. While a policy change that does not allow for partial codes seems reasonable, it does not address the greater issue of failure in communication between physicians and patients that frequently sets the stage for these adverse outcomes. Partial codes, by their very nature, represent a lack of shared decision-making that is too frequently seen in discussions with patients with severe illness.
The Team Approach to Advanced Cancer Care—Redefining the Gold Standard
Δευτέρα, 08.01.2016, 03:00am
We empathize greatly with Dr Klepper for his loss. His compelling reflection on his wife’s care for peritoneal cancer highlights the struggles many cancer patients and their families face when battling incurable cancer. Dr Klepper advances 2 themes in his thought-provoking essay; the first addresses what is high-quality cancer care and the second is how best to inform and involve patients in shared decisions while planning their care.
Exercise for Nonalcoholic Fatty Liver Disease
Δευτέρα, 08.01.2016, 03:00am
Long-term nutritional excess coupled with reduced physical activity has fueled the rise of obesity-related metabolic conditions. In many countries with high population density, overnutrition is now responsible for more morbidity than undernutrition. Nonalcoholic fatty liver disease (NAFLD) is 1 of the consequences of the imbalance between caloric intake and expenditure and is a leading cause of chronic liver disease, affecting up to 30% of the world’s population. Nonalcoholic fatty liver disease is associated with significant morbidity, particularly for those with the progressive version nonalcoholic steatohepatitis. Nonalcoholic steatohepatitis may progress to cirrhosis, with mortality primarily driven by cardiovascular disease and malignant tumors. Nonalcoholic fatty liver disease is strongly associated with visceral obesity and may contribute independently to the development of other metabolic conditions, such as diabetes, cardiovascular disease, and hyperlipidemia.
  » Cardiac Conduction System Disease
  » Family Assessment of Quality of Care in the Last Month of Life
  » How Society Subsidizes Big Food and Poor Health
  » Habitual Prescribing of Laxatives
  » Low-Density Lipoprotein Cholesterol Levels and Statin Treatment
  » Industry Payments to Physicians and Prescribing of Brand-name Drugs
  » Anticoagulation in the Very Old
  » Policy Framework for Covering Preventive Services
  » Percutaneous Coronary Intervention in Stable Ischemic Heart Disease
  » Aspirin for Primary Prevention of Atherosclerotic Cardiovascular Disease