Sur le Web, ces 30 derniers jours

mercredi 23 septembre 2020

  • Rentrée scolaire et reprise des activités : consommez en vous informant
    La rentrée scolaire de septembre et la reprise d’activité s’accompagnent souvent de nouveaux achats : vêtements, matériels scolaires pour les enfants et les étudiants, équipements sportifs, nouvelle décoration et équipements pour la maison ou le bureau… Pourtant, certains de ces objets peuvent contenir (...)

mardi 22 septembre 2020

  • L'Institut intervient en appui au Liban
    Suite à l’accident survenu à Beyrouth le 4 août dernier, Bernard Piquette expert de l’Ineris est actuellement en mission au Liban, en binôme avec le colonel Denis Royer, officier des sapeur-pompiers français, en appui aux autorités (...)

  • Pandemic’s Mental Health Toll Grows
    Considerable increases in mental health disorders since coronavirus disease 2019 (COVID-19) emerged demonstrate the need for specific screening tools to detect pandemic-related trauma and stress, according to a recent study.

  • Hand Sanitizer Poisoning and Deaths Reported in 2 States
    Fifteen people were hospitalized in Arizona and New Mexico after they drank hand sanitizer containing methanol. Four of the patients died and 3 experienced vision loss, according to a report from CDC investigators and state public health (...)

  • Health Policy and COVID-19
    In this Viewpoint, JAMA Health Forum’s editor reviews important policy issues that characterized the first 6 months of the COVID-19 pandemic, including personal protective equipment (PPE) shortages, health inequities among vulnerable populations, requests from patients for medical exemptions (...)

  • Ophthalmology and COVID-19
    In this Viewpoint, JAMA Ophthalmology’s editor reviews the known eye manifestations of COVID-19, the potential for ocular transmission of illness, and the effects of the pandemic on ophthalmologic practice and research.

  • Oncology and COVID-19
    This Viewpoint summarizes the clinical characteristics of patients with cancer as associated with increased mortality risk from COVID-19, and it highlights important areas where more research is needed.

  • Nephrology and COVID-19
    In this Viewpoint, JAMA’s nephrology associate editor and colleagues review how COVID-19 has affected the practice of nephrology, including the rise in incidence of acute kidney injury (AKI) in patients with more severe disease, shortages of supplies and staff to care for AKI patients, effects (...)

  • Otolaryngology and COVID-19
    In this Viewpoint, JAMA Otolaryngology–Head & Neck Surgery’s editor in chief reviews how the COVID-19 pandemic has affected the practice of otolaryngology–head and neck surgery in its first 6 months, including through a shift away from procedural management of head and neck disease toward (...)

  • Dermatology and COVID-19
    In this Viewpoint, JAMA Dermatology editors review the skin findings seen in association with coronavirus disease 2019 (COVID-19), how best to respond to those manifestations, and ways the pandemic has affected the practice of dermatology, including reassignment of specialists to COVID-19 care (...)

  • JAMA Network Open and COVID-19
    In this Viewpoint, JAMA Network Open editors review the journal's more important articles advancing scientific understanding of COVID-19 in the first 6 months of the pandemic, and discuss the importance of a global open access journal to meeting the public health (...)

  • Surgery and COVID-19
    In this Viewpoint JAMA Surgery’s editor reviews how the COVID-19 pandemic has affected the practice of general surgery in its first 6 months, including the need for universal precautions to mitigate the risks of infection transmission, the cessation and resumption of elective procedures, and (...)

  • Internal Medicine and COVID-19
    In this Viewpoint, JAMA Internal Medicine editors offer a broad review of the clinical science emerging from the first 6 months of the coronavirus disease 2019 (COVID-19) pandemic, including epidemiology of the infection, evidence that has influenced clinical care, and a discussion of workforce (...)

  • Cardiology and COVID-19
    In this Viewpoint, JAMA Cardiology editors review the journal's more inportant articles advancing the scientific understanding of COVID-19 and the heart in the first 6 months of the pandemic, including evidence of direct myocardial injury and indirect effects of the pandemic on outcomes for (...)

  • Pediatrics and COVID-19
    In this Viewpoint, the editor of JAMA Pediatrics summarizes the effect on children of the first 6 months of the COVID-19 pandemic, reviewing evidence for why they seem not to become ill or as sick as adults and discussing the pandemic’s likely long-term effects on child development and (...)

  • Psychiatry and COVID-19
    In this Viewpoint, JAMA Network’s psychiatry editors review how the coronavirus disease 2019 (COVID-19) pandemic has affected the practice of psychiatry in its first 6 months, for example, through disruptions of care provided in group settings, provision of telehealth, and widespread anxiety and (...)

  • Neurology and COVID-19
    In this Viewpoint, JAMA Neurology editors review the journal’s more important articles advancing scientific understanding of COVID-19 in the first 6 months of the pandemic, including surveys of neurologic manifestations of the infection and identification of potential direct viral involvement in (...)

  • JAMA
  • The Exact Shade of Code Grey—Sutter Psych Hospital
    What anomalous culture were we, the thinning pebbles under a river, or amethyst-black pearls? The shade of code meant women, a girls’ fight on cold stone cement, or stainless steel sink, silver slicked with shad scales, surfaces we shrank from so that hearing it PA’d we’d back into shared rooms (...)

  • Patient Information: High Blood Pressure
    This JAMA Patient Page explains what high blood pressure is, why it is important to control, the difference between the top (systolic) and bottom (diastolic) numbers, and how it is best treated and prevented.

  • Negative Pressure Wound Therapy vs Standard Dressing and Infection in Obese Women After Cesarean Delivery
    This open-label randomized trial compares the effects of preventive negative pressure wound therapy vs standard wound dressing on surgical site infection among obese women after cesarean delivery.

  • Mixed Results for Progesterone for Miscarriage Prevention
    Progesterone therapy in the first trimester of pregnancy did not result in a greater rate of live births among women with a high risk of miscarriage, according to a trial in Health Technology Assessment. Women with previous miscarriages, however, benefited from progesterone (...)

  • Intravenous Ibuprofen Caldolor Reduces Opioids After Orthopedic Trauma
    Intravenous (IV) ibuprofen adequately relieved acute pain and minimized opioid use in the first 48 hours after an orthopedic trauma, a trial in the Journal of Orthopaedic Trauma reported.

  • Shared Decision-making Doesn’t Change Anticoagulation Treatment
    Physician satisfaction and patient engagement improved when they used a shared decision-making (SDM) tool for anticoagulant treatment. But their treatment decisions didn’t differ from patients receiving standard care, a trial in JAMA Internal Medicine (...)

  • Baloxavir Protects Against Household Influenza Spread
    Baloxavir marboxil, a polymerase acidic protein endonuclease inhibitor, prevented influenza from spreading in households with a confirmed case, a trial in The New England Journal of Medicine reported. Baloxavir is approved as treatment for uncomplicated influenza A and B and for patients at (...)

  • Novel Device Improves Barrett Esophagus Diagnosis in Primary Care
    Testing with a spongy device that’s swallowed to collect esophageal cells and retrieved via a thread attached to it improved general practitioners’ detection of Barrett esophagus among patients with gastroesophageal reflux, according to a trial in The (...)

  • Physicians and Social Determinants of Health—Reply
    In Reply We are heartened to see that all 3 letters agree in various ways with the principle expressed in our Viewpoint that the social determinants of health should not be overmedicalized and that the drivers of poor health largely sit outside the health care system, rooted in societal (...)

  • CME Quality Measure Development—Reply
    In Reply In response to our study, Dr Duseja and colleagues assert that CMS value-based programs, which link quality measures to reimbursement, have led to declines in hospital-acquired conditions, readmissions, and “significant improvements and cost savings.” Although we agree that CMS’s focus (...)

  • Physicians and Social Determinants of Health
    To the Editor The perspective offered by Drs Maani and Galea regarding physicians’ role in social determinants of health highlights the limitations and potential unintended consequences of physicians’ attempts to interface with them. While their conclusion that “[p]hysicians’ most enduring effect (...)

  • Physicians and Social Determinants of Health
    To the Editor Drs Maani and Galea argued that physicians must engage more heavily in addressing the social determinants of health because these factors significantly drive patients’ health. The authors focused on 2 major areas: policy action and physician training. Of course, health and health (...)

  • Physicians and Social Determinants of Health
    To the Editor In their Viewpoint, Drs Maani and Galea considered how physicians can most effectively support societal efforts to alleviate adverse social determinants of health to improve the health of individuals in the United States. The authors suggested that physician-level interventions (...)

  • CMS Quality Measure Development
    To the Editor The study by Dr Wadhera and colleagues stated that the Centers for Medicare & Medicaid Services (CMS) has invested more than $1.3 billion in quality measure development of more than 2300 measures, of which 788 are being used in CMS quality, reporting, and payment programs, (...)

  • Geographic Distribution of US Cohorts Used to Train Deep Learning Algorithms
    This study describes the US geographic distribution of patient cohorts used to train deep learning algorithms in published radiology, ophthalmology, dermatology, pathology, gastroenterology, and cardiology machine learning articles published in (...)

  • Life as It Is
    In the symposium entitled “Man and Life,” Barzun, writing on “the quality of life,” notes that the term “life” is imprecise and susceptible of varied interpretation. He bases his discussion of its quality principally on the question, “Is life worth living?”—a question that can be answered only (...)

  • Safely Recognizing and Responding to Intimate Partner Violence
    This JAMA Insights Clinical Update reviews clinical indicators of intimate partner violence (IPV) and ways that clinicians can ask about and begin to assist individuals who experienced IPV in phased, sensitive approaches that do not encourage patients to act before they are ready or compromise (...)

  • Audio Highlights
    Listen to the JAMA Editor’s Audio Summary for an overview and discussion of the important articles appearing in this week’s issue of JAMA.

  • VA Partners With OnStar to Increase Access to Suicide Prevention Services
    OnStar, perhaps best known for providing emergency services for people involved in motor vehicle crashes, recently partnered with the US Department of Veterans Affairs (VA) to improve access to suicide prevention services.

  • Buprenorphine Implants, Injections Are Underused
    Injectable and implantable forms of buprenorphine to treat patients with opioid use disorder (OUD) are less likely to be diverted than oral formulations but they’re rarely prescribed, according to a recent US Government Accountability Office (GAO) (...)

  • Declines in Lung Cancer Deaths Linked to Treatment Advances
    Mortality from non–small cell lung cancer (NSCLC) in the US decreased between 2013 and 2016, a period corresponding with the approval of several targeted therapies for the disease, National Cancer Institute (NCI) researchers recently (...)

  • The COVID-19 Pandemic and the JAMA Network
    Journal editors sit at the crossroads of new ideas and findings, deciding which are worth refining and making public in their journals and which are best saved for another time and place. The global arrival of coronavirus disease 2019 (COVID-19) has brought an increase in manuscript submissions (...)

  • Medical Schools in the United States, 2019-2020
    This Appendix presents data from the 2019-2020 Liaison Committee on Medical Education (LCME) annual questionnaire detailing information on the number of students, student demographics, curriculum content, and enrollment at US medical (...)

  • Graduate Medical Education, 2019-2020
    This Appendix presents 2019 National GME Census data detailing the numbers and types of ACGME-accredited training programs and the residents and fellows in them.

  • COVID-19 and mRNA Vaccines—First Large Test for a New Approach
    This Medical News article discusses the leading vaccine candidates against the novel coronavirus.

  • Running on Fumes
    In this narrative medicine essay, a hospitalist charts his emotional journey from March comparing the elation in seeing the once brightly colored signs that declared hospital workers as heroes with the now faded signs reflecting how the protracted intense work makes COVID-19 feel (...)

  • Effect of Upper Airway Surgery vs Medical Management on Obstructive Sleep Apnea
    This randomized clinical trial compares the effect of multilevel airway surgery (combined palatal and tongue surgery) vs ongoing medical management on apnea-hypopnea index (AHI) measures and daytime sleepiness symptoms in patients with obstructive sleep apnea (OSA) whose condition did not (...)

  • Upper Airway Surgery for Obstructive Sleep Apnea
    Obstructive sleep apnea (OSA) is characterized by repetitive upper airway collapse, hypoxemia, and sleep disruption; is strongly associated with cardiovascular disease; and is an important cause of excessive daytime sleepiness. In the US, the estimated prevalence in 2013 of moderate to severe (...)

  • Trends in Blood Pressure Control Among US Adults With Hypertension, 1999-2000 to 2017-2018
    This study uses US National Health and Nutrition Examination Survey data to characterize changes in blood pressure control among adults with hypertension between 1999-2000 and 2017-2018 overall and by age, race, insurance type, and health care (...)

  • Obesity and Hypertension in the Time of COVID-19
    In this issue of JAMA, 2 reports present cross-sectional data on the prevalence and trends for obesity and controlled hypertension from 1999 through 2018 based on data from the National Health and Nutrition Examination Survey, a federal program of nationally representative surveys designed to (...)

  • Treatment and Control of Hypertension in 2020
    The global burden of hypertension and diseases causally linked to it is substantial. In 2015, among 30 environmental, behavioral, and metabolic risk factors for diseases resulting in the highest levels of disability-adjusted life-years, high blood pressure ranked No. 1. Further analyses (...)

  • Trends in Obesity Prevalence by Race and Hispanic Origin—1999-2000 to 2017-2018
    This study uses NHANES data to assess trends in obesity and severe obesity stratified by race and Hispanic origin among US residents from 1999 to 2018.









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