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Does clinical evaluation plus noninvasive cardiac testing improve outcomes?

(The JAMA Network Journals) Ordering coronary computed tomographic angiography (CCTA) or stress testing for patients with chest pain in the emergency department appeared to prolong their stay and increase use of hospital resources without benefit if the patients' history and physical exam, ectrocardiogram (ECG) and blood testing were already normal.

Brain structure, cognitive function in treated HIV-positive individuals

(The JAMA Network Journals) Adults with human immunodeficiency virus (HIV) and good viral suppression on combination antiretroviral therapy had poorer cognition and reduced brain thickness and volume on magnetic resonance imaging than adults without HIV, but changes over time in cognitive performance and brain structure were similar between the two groups over two years.

Program to reduce hospital readmissions linked with increased risk of death among HF patients

(The JAMA Network Journals) Implementation of a program designed to reduce hospital readmissions was associated with a reduction in the rate of readmissions, but also an increase in the rate of death among Medicare patients hospitalized with heart failure.

Opioid use by patients after rhinoplasty

(The JAMA Network Journals) Rhinoplasty patients used an average of nine of 20 to 30 hydrocodone-acetaminophen tablets prescribed for pain relief, suggesting that over-prescription of opioids after the common procedure could be a source available for diversion and misuse.

Marijuana extract products sold online often do not contain content as indicated

(The JAMA Network Journals) Products sold online containing cannabidiol, a chemical compound found in marijuana and thought to have medicinal benefits, often do not contain the amount of cannabidiol indicated on the label.

Is anticoagulant warfarin associated with lower risk of cancer incidence?

(The JAMA Network Journals) Bottom Line: Use of the blood thinner warfarin was associated with a lower risk of new cancers in people over 50.

Intake of pesticide residue from fruits, vegetables and infertility treatment outcomes

(The JAMA Network Journals) Eating more fruits and vegetables with high-pesticide residue was associated with a lower probability of pregnancy and live birth following infertility treatment for women using assisted reproductive technologies.

Cataract surgery in older women associated with decreased risk of death

(The JAMA Network Journals) In older women with cataracts in the Women's Health Initiative, cataract surgery was associated with a lower risk for overall and cause-specific death, although whether this association is explained by the intervention of cataract surgery is unclear, according to a study published by JAMA Ophthalmology.

Study finds increase of herbicide in older adults

(The JAMA Network Journals) Among a sample of older adults living in Southern California, average urine levels of the herbicide glyphosate and its metabolite increased between 1993 and 2016, as did the proportion of samples with detectable levels, according to a study published by JAMA.

Wealth-associated disparities in death, disability in older adults in US, England

(The JAMA Network Journals) Low wealth was associated with death and disability among older adults in both the United States and England, two countries with very different health care and safety-net systems, according to a new article published by JAMA Internal Medicine.

Changes in insurance coverage among patients with cancer under ACA

(The JAMA Network Journals) A new research letter published by JAMA Oncology examines changes in insurance coverage among patients with cancer under the Affordable Care Act.

Frailty associated with increased risk of complications following common, outpatient operations

(The JAMA Network Journals) Frailty was associated with an increased risk of complications among patients who underwent outpatient hernia, breast, thyroid or parathyroid surgery, with the findings suggesting that surgeons should consider frailty rather than age when counseling and selecting patients for elective ambulatory surgery, according to a study published by JAMA Surgery.

Research letter examines evolving standards of beauty

(The JAMA Network Journals) A new research letter published by JAMA Dermatology analyzes People magazine's World's Most Beautiful list to compare standards of beauty in 1990 with the present day.

Effect of stopping behavioral interventions on inappropriate antibiotic prescribing

(The JAMA Network Journals) In the 12 months after removing behavioral interventions, inappropriate antibiotic prescribing for acute respiratory infections increased relative to control practices, according to a study published by J...

Biomarkers indicating diminished reserve of eggs not associated with reduced fertility

(The JAMA Network Journals) Among women of older reproductive age attempting to conceive naturally, biomarkers indicating diminished ovarian reserve compared with normal ovarian reserve were not associated with reduced fertility, according to a study published by JAMA.

Insulin pumps associated with lower risk of serious complications among young patients with type 1 diabetes

(The JAMA Network Journals) Compared with insulin injections, insulin pump therapy among young patients with type 1 diabetes was associated with a lower risk of diabetic ketoacidosis and severe hypoglycemia, according to a study published by JAMA.

Study examines racial differences in quality of end-of-life care

(The JAMA Network Journals) An analysis of survey data found no significant racial differences in various aspects of the quality of end-of-life care, although survey respondents reported deficiencies in the quality of end-of-life care...Show More Summary

Global burden of disease study focuses on liver cancer

(The JAMA Network Journals) A new article published by JAMA Oncology reports the results of the Global Burden of Disease 2015 study on primary liver cancer incidence, death and years of healthy life lost in 195 countries or territories from 1990 to 2015.

Do delays in surgery for melanoma vary by insurance?

(The JAMA Network Journals) Timely treatment for cancer is important and a new article published by JAMA Dermatology examines how delays of surgery for melanoma vary by insurance type.

Exposure to childhood bullying and mental health

(The JAMA Network Journals) To what degree does childhood exposure to bullying contribute to mental health difficulties and do the direct contributions of exposure to bullying persist over time?

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