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June 2024 - July 1883

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Issue

January 24/31, 2023, Vol 329, No. 4, Pages 273-350

In This Issue of JAMA

Audio Highlights

Abstract Full Text
free access online only has audio
JAMA. 2023;329(4):e2215773. doi:10.1001/jama.2022.15773
Original Investigation

Effect of Fluvoxamine vs Placebo on Time to Sustained Recovery in Outpatients With Mild to Moderate COVID-19: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2023;329(4):296-305. doi:10.1001/jama.2022.24100

This randomized, placebo-controlled platform trial compares the use of low-dose fluvoxamine (50 mg twice daily) for 10 days compared with placebo in outpatients with mild to moderate COVID-19.

Predictive Accuracy of Stroke Risk Prediction Models Across Black and White Race, Sex, and Age Groups

Abstract Full Text
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JAMA. 2023;329(4):306-317. doi:10.1001/jama.2022.24683

This retrospective cohort study compares stroke-specific algorithms with pooled cohort equations developed for atherosclerotic cardiovascular disease for the prediction of new-onset stroke across different subgroups (race, sex, and age) and the added value of novel machine learning techniques.

Estimated Prevalence and Clinical Manifestations of UBA1 Variants Associated With VEXAS Syndrome in a Clinical Population

Abstract Full Text
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JAMA. 2023;329(4):318-324. doi:10.1001/jama.2022.24836

This retrospective observational study evaluates UBA1 variants in exome data from individuals in the Geisinger MyCode Community Health Initiative.

Research Letter

Trends in Sexual Assault Against Detainees in US Immigration Detention Centers, 2018-2022

Abstract Full Text
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JAMA. 2023;329(4):338-339. doi:10.1001/jama.2022.22938

This study examines sexual assault allegations perpetrated against individuals detained across US Immigration and Customs Enforcement (ICE) detention facilities from 2018 to 2022.

Association Between Billing Patient Portal Messages as e-Visits and Patient Messaging Volume

Abstract Full Text
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JAMA. 2023;329(4):339-342. doi:10.1001/jama.2022.24710

This study evaluates the adoption of clinician billing for patient portal messages as e-visits, prompted by significant increases in patient messaging after the onset of the COVID-19 pandemic.

Special Communication

Organization and Performance of US Health Systems

Abstract Full Text
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JAMA. 2023;329(4):325-335. doi:10.1001/jama.2022.24032

This Special Communication examines health systems in the United States, assesses differences between physicians and hospitals in and outside of health systems, and compares quality and cost of care delivered by physicians and hospitals in and outside of health systems.

Viewpoint

Prevention of Bias and Discrimination in Clinical Practice Algorithms

Abstract Full Text
JAMA. 2023;329(4):283-284. doi:10.1001/jama.2022.23867

This Viewpoint discusses a proposed DHHS rule to address discrimination in clinical algorithms and the need for additional considerations to ensure the burden of liability for biased algorithms is not disproportionately placed on health care professionals.

Clinical Algorithms, Antidiscrimination Laws, and Medical Device Regulation

Abstract Full Text
JAMA. 2023;329(4):285-286. doi:10.1001/jama.2022.23870

This Viewpoint discusses recent legal directives by the DHHS and FDA that could increase health care entities’ liability for possible discriminatory biases of clinical algorithms and the need for additional legal clarity to avoid adverse effects on algorithm development and use.

Disentangling the Role of Health Care Systems in Producing High-Quality Care

Abstract Full Text
JAMA. 2023;329(4):287-288. doi:10.1001/jama.2022.24728

This Viewpoint examines in-depth 5 features of health care systems that may influence quality of care: pooled resources, centralization, standardization, interprovider coordination, and cross-practice learning.

A Piece of My Mind

Next Year

Abstract Full Text
JAMA. 2023;329(4):289-290. doi:10.1001/jama.2022.24056

In this narrative medicine essay, a pediatrician whose youngest child will start college next fall contemplates how she will shift focus on her career without competing interests.

Editorial

Lack of Benefit of Fluvoxamine for COVID-19

Abstract Full Text
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JAMA. 2023;329(4):291-292. doi:10.1001/jama.2022.23954

Health Systems—The Present and the Future

Abstract Full Text
JAMA. 2023;329(4):293-294. doi:10.1001/jama.2022.24141
JAMA Guide to Statistics and Methods

Sequential, Multiple Assignment, Randomized Trial Designs

Abstract Full Text
has active quiz has audio
JAMA. 2023;329(4):336-337. doi:10.1001/jama.2022.24324

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.

Editor's Note

Poetry and Medicine and New Poetry Commentaries in JAMA

Abstract Full Text
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JAMA. 2023;329(4):295. doi:10.1001/jama.2022.25105

Vagal Maneuvers

Abstract Full Text
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JAMA. 2023;329(4):345. doi:10.1001/jama.2022.24456
Medical News & Perspectives

Quick Uptakes

Study: Short Spurts of Vigorous Physical Activity During Daily Life Are Associated With Lower Mortality

Abstract Full Text
has audio
JAMA. 2023;329(4):275-276. doi:10.1001/jama.2022.24054

This Medical News article discusses a recent study that investigated the benefits of brief bursts of intense physical activity during daily life.

News From the Centers for Disease Control and Prevention

US Life Expectancy in 2021 Lowest Since 1996

Abstract Full Text
JAMA. 2023;329(4):280. doi:10.1001/jama.2022.23562

Fentanyl Drives Startling Increases in Adolescent Overdose Deaths

Abstract Full Text
JAMA. 2023;329(4):280-281. doi:10.1001/jama.2022.23563
Clinical Trials Update

Low-Carbohydrate, High-Fat Diet Improved Type 2 Diabetes Without Restricting Calories

Abstract Full Text
JAMA. 2023;329(4):278. doi:10.1001/jama.2022.23559

More Durable Pelvic Floor Muscle Training With Digital Device

Abstract Full Text
JAMA. 2023;329(4):278. doi:10.1001/jama.2022.23560

Ebola Vaccines Safe and Immunogenic in 2 Trials

Abstract Full Text
JAMA. 2023;329(4):278-279. doi:10.1001/jama.2022.23561

Novel Oral Polio Vaccine Safely Induces Antibodies Among Vaccine-Naive Infants

Abstract Full Text
JAMA. 2023;329(4):279. doi:10.1001/jama.2022.25137
Health Agencies Update

Government Accountability Office Examines Political Interference Among US Health Agencies

Abstract Full Text
JAMA. 2023;329(4):277. doi:10.1001/jama.2022.23556

Updated Demographics and Health Stats for Older Adults Released

Abstract Full Text
JAMA. 2023;329(4):277. doi:10.1001/jama.2022.23557

CMS Recommends Standardizing “Health Care Attachments”

Abstract Full Text
JAMA. 2023;329(4):277. doi:10.1001/jama.2022.23558
Poetry and Medicine

Viva Las Vagus

Abstract Full Text
JAMA. 2023;329(4):345. doi:10.1001/jama.2022.23802
JAMA Revisited

Efficiency in Medicine

Abstract Full Text
JAMA. 2023;329(4):346. doi:10.1001/jama.2022.15774
JAMA Patient Page

Rabies

Abstract Full Text
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JAMA. 2023;329(4):350. doi:10.1001/jama.2022.22254

This JAMA Patient Page describes rabies and its symptoms, diagnosis, and prevention measures.

Comment & Response

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

Abstract Full Text
JAMA. 2023;329(4):342. doi:10.1001/jama.2022.21349

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

Abstract Full Text
JAMA. 2023;329(4):342. doi:10.1001/jama.2022.21352

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

Abstract Full Text
JAMA. 2023;329(4):342-343. doi:10.1001/jama.2022.21356

Improvements in Adverse Event Rates Among Hospitalized Patients

Abstract Full Text
JAMA. 2023;329(4):343. doi:10.1001/jama.2022.21465

Improvements in Adverse Event Rates Among Hospitalized Patients—Reply

Abstract Full Text
JAMA. 2023;329(4):344. doi:10.1001/jama.2022.21468
Correction

Incorrect Affiliations

Abstract Full Text
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JAMA. 2023;329(4):344. doi:10.1001/jama.2022.24467
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2023;329(4):273-274. doi:10.1001/jama.2022.15772
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