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2023

Новости за 24.01.2023

Ebola Vaccines Safe and Immunogenic in 2 Trials

Jamanetwork.com 

Three vaccine regimens against Zaire Ebola virus disease safely produced immune responses for up to 12 months, according to 2 trials of adults and children reported in the New England Journal of Medicine.

More Durable Pelvic Floor Muscle Training With Digital Device

Jamanetwork.com 

The use of a motion-based digital therapeutic device to guide pelvic-floor muscle training led to greater improvement of urinary incontinence symptoms for up to 12 months compared with standard self-guided exercises a recent study reported.

Improvements in Adverse Event Rates Among Hospitalized Patients—Reply

Jamanetwork.com 

In Reply “The goal is zero harms” has resonated throughout patient safety. Two decades after To Err Is Human, health care continues to face recurrences of a multitude of preventable adverse events. No guideline, policy, or public health intervention has been able to eliminate adverse events.

Racial Differences in Detection of Fever Using Temporal vs Oral Temperature Measurements—Reply

Jamanetwork.com 

In Reply We thank the authors for their comments about our recent article exploring racial differences in the accuracy of temporal thermometers. We agree with Dr Newman that self-reported race is an imperfect proxy for skin color. If differences in skin color are the basis of the temperature differences observed between oral and temporal thermometers, the magnitude of the difference would be better measured using an objective measure of skin color in a prospective study rather than self-reported race in a retrospective data analysis.

Improvements in Adverse Event Rates Among Hospitalized Patients

Jamanetwork.com 

To the Editor I have some concerns about the Editorial that was written about our recent article. First, the Editorial stated that “…patients may be less convinced that risk-adjusted annual declines of 6% in the rates of acute myocardial infarction or pneumonia, for instance, imply that hospitals are adequately safer today.” However, our study did not address findings related to the rates of acute myocardial infarction or report a decrease of 6% in pneumonia. We addressed adverse events experienced by 5 groups of patients... Читать дальше...

Racial Differences in Detection of Fever Using Temporal vs Oral Temperature Measurements

Jamanetwork.com 

To the Editor A recent Research Letter reported that temperatures measured by temporal thermometers are lower than those measured orally in Black patients but not in White patients. However, I am concerned that this study used race as a proxy for skin color. Because people can have a range of skin colors despite their so-called race, the results of this study would have been more meaningful if it had used a biological parameter with one of the more objective measurements of skin color, such as a spectrophotometer or one of the visual scales.



Efficiency in Medicine

Jamanetwork.com 

In addition to the many profound changes in the living conditions of mankind which the World War served to bring about, the exigencies developed by the great conflict have helped in a large way to emphasize the possible significance of efficiency and organization in the conduct of human affairs. Prior to the war, considerable attention had already been devoted to the subject of industrial management, and the “system” introduced by Taylor and his followers had been widely introduced into the world of business. Читать дальше...

CMS Recommends Standardizing “Health Care Attachments”

Jamanetwork.com 

The Centers for Medicare & Medicaid Services (CMS) proposed a rule to standardize electronic signatures and health care attachment transactions, such as medical charts and x-rays. If finalized, the rule would also standardize notes documenting physician referrals and office and telehealth visits.

Updated Demographics and Health Stats for Older Adults Released

Jamanetwork.com 

The Administration for Community Living (ACL), through its Administration on Aging, released updated demographics for the US population aged 65 years or older. Data were sourced from the Bureau of Labor Statistics, the National Center for Health Statistics, and the US Census Bureau.

Sequential, Multiple Assignment, Randomized Trial Designs

Jamanetwork.com 

This JAMA Guide to Statistics and Methods explains sequential, multiple assignment, randomized trial (SMART) study designs, in which some or all participants are randomized at 2 or more decision points depending on the participant’s response to prior treatment.

Poetry and Medicine and New Poetry Commentaries in JAMA

Jamanetwork.com 

“I find that I cannot exist without poetry” proclaimed John Keats, the beloved English Romantic poet who many forget was trained as a physician. Keats practiced medicine for only 7 years before abandoning the profession. The medicine of his day, in early 19th-century London, faced dire challenges we might recognize as not unlike those of our times: long work hours, inadequate resources, harmful superstition and widespread misinformation, rampant and frequently fatal infectious disease. Keats himself... Читать дальше...

Health Systems—The Present and the Future

Jamanetwork.com 

For better or worse, independent medical practices and solo community hospitals are disappearing as they are acquired by hospital-based health systems. In this issue of JAMA, Beaulieu et al provide a detailed review of the current (2018) prevalence and performance of the 580 health systems they identified in the US. They found that 84% of general acute care hospital beds and 40% of physicians were part of health systems. These findings are compatible with those of Furukawa et al, who used a somewhat... Читать дальше...

Incorrect Affiliations

Jamanetwork.com 

In the Letter to the Editor titled “SARS-CoV-2 Reduction in Shared Indoor Air,” published in the December 6, 2022, issue of JAMA, the author affiliations were incorrectly listed. Mr Srikrishna’s affiliation is PatientKnowhow.com, San Mateo, California; Dr Karan’s affiliation is the Division of Infectious Diseases and Geographic Medicine, Stanford University, Palo Alto, California; and Dr Dhillon’s affiliation is the Division of Global Health Equity, Brigham and Women’s Hospital, Boston, Massachusetts. Читать дальше...





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