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doi: 10.1001/jamainternmed.2019.5930pmid: 31816039
This article presents 4 lessons derived from improvisational and standup comedy that the author believes will improve clinical care and reduce health disparities among marginalized populations.
Pytell, Jarratt D.; Sharfstein, Joshua M.; Olsen, Yngvild
doi: 10.1001/jamainternmed.2019.5731pmid: 31738376
This Viewpoint proposes updating federal regulations to conform to evidence-based practices in the management of opioid use disorder.
Epel, Elissa S.; Hartman, Alison; Jacobs, Laurie M.; Leung, Cindy; Cohn, Michael A.; Jensen, Leeane; Ishkanian, Laura; Wojcicki, Janet; Mason, Ashley E.; Lustig, Robert H.; Stanhope, Kimber L.; Schmidt, Laura A.
Wang, Yan-Yan; Yue, Ji-Rong; Xie, Dong-Mei; Carter, Patricia; Li, Quan-Lei; Gartaganis, Sarah L.; Chen, Jie; Inouye, Sharon K.
doi: 10.1001/jamainternmed.2019.4446pmid: 31633738
This randomized clinical trial evaluates the effectiveness of a delirium prevention intervention incorporating family and caregiver participation for reducing postoperative delirium and functional decline in older patients in China.
Persaud, Navindra; Bedard, Michael; Boozary, Andrew S.; Glazier, Richard H.; Gomes, Tara; Hwang, Stephen W.; Jüni, Peter; Law, Michael R.; Mamdani, Muhammad M.; Manns, Braden J.; Martin, Danielle; Morgan, Steven G.; Oh, Paul I.; Pinto, Andrew D.; Shah, Baiju R.;
Kagawa, Rose M. C.; Stewart, Susan; Wright, Mona A.; Shev, Aaron B.; Pear, Veronica A.; McCort, Christopher D.; Pallin, Rocco; Asif-Sattar, Rameesha; Sohl, Sydney; Kass, Philip H.; Cerdá, Magdalena; Gruenewald, Paul; Studdert, David M.; Wintemute, Garen J.
Showing 1 to 10 of 47 Articles
doi: 10.1001/jamainternmed.2019.4434pmid: 31657840
Key PointsQuestionWas a workplace sales ban on sugar-sweetened beverages (SSBs) associated with a reduction in employee intake of sugar-sweetened beverages and improvement in their cardiometabolic health? FindingsIn this before-after study and trial that included 214 adults who regularly drank SSBs, participants reported consuming less SSBs after a workplace sales ban and a reduction in waist circumference and sagittal diameter but no change in body mass index or insulin sensitivity. Those randomized to receive a brief motivational intervention had greater improvements. MeaningA workplace sugar-sweetened beverage sales ban, especially if combined with a brief intervention, may be a feasible and effective way to improve employee health.
doi: 10.1001/jamainternmed.2019.4472pmid: 31589276
Key PointsQuestionDoes providing a comprehensive set of essential medicines at no charge to primary care patients who have difficulty affording medicines improve treatment adherence? FindingsIn this randomized clinical trial of 786 primary care patients, free distribution of essential medicines vs usual access resulted in greater adherence to treatment with medicines (absolute risk difference, 11.6%). Control of type 1 and 2 diabetes was not significantly improved by free distribution of essential medicines (hemoglobin A1c, −0.38%), systolic blood pressure was reduced (−7.2 mm Hg), and low-density lipoprotein cholesterol levels were not affected (−2.3 mg/dL). MeaningDistributing essential medicines at no charge increased adherence to appropriately prescribed treatment with medicines and improved some disease-specific surrogate health outcomes.
doi: 10.1001/jamainternmed.2019.4491pmid: 31566654
This longitudinal cohort study investigates whether prior convictions for driving under the influence are associated with the risk of subsequent arrests for a violent crime among handgun purchasers in California aged 21 to 49 years at the time of purchase in 2001.