Journal of the American Medical Association最新文献

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Cold-Related Deaths in the US. 美国与感冒相关的死亡
Journal of the American Medical Association Pub Date : 2025-02-04 DOI: 10.1001/jama.2024.25194
Michael Liu, Vishal R Patel, Rishi K Wadhera
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引用次数: 0
Trends in Buprenorphine Dispensing Among Adolescents and Young Adults in the US. 丁丙诺啡在美国青少年和年轻人中的分配趋势。
Journal of the American Medical Association Pub Date : 2025-02-04 DOI: 10.1001/jama.2024.24121
Eileen Lee, S Michaela Rikard, Gery Guy, Andrew Terranella
{"title":"Trends in Buprenorphine Dispensing Among Adolescents and Young Adults in the US.","authors":"Eileen Lee, S Michaela Rikard, Gery Guy, Andrew Terranella","doi":"10.1001/jama.2024.24121","DOIUrl":"10.1001/jama.2024.24121","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":"425-427"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Axial Spondyloarthritis: A Review. 轴性脊柱炎:综述。
Journal of the American Medical Association Pub Date : 2025-02-04 DOI: 10.1001/jama.2024.20917
Mohamad Bittar, Atul Deodhar
{"title":"Axial Spondyloarthritis: A Review.","authors":"Mohamad Bittar, Atul Deodhar","doi":"10.1001/jama.2024.20917","DOIUrl":"10.1001/jama.2024.20917","url":null,"abstract":"<p><strong>Importance: </strong>Axial spondyloarthritis is an immune-mediated inflammatory condition involving the sacroiliac joints, spine, and peripheral joints. It affects approximately 1% of adults in the US and is associated with impaired physical function and reduced quality of life.</p><p><strong>Observations: </strong>Inflammatory chronic back pain characterized by gradual onset starting before age 45 years, prolonged morning stiffness, improvement with exercise, and lack of improvement with rest is the most common symptom of axial spondyloarthritis and affects more than 80% of patients. Patients with axial spondyloarthritis may also have inflammatory arthritis in large peripheral joints (most commonly knees) in an oligoarticular, asymmetric fashion; inflammation at tendon insertions (enthesitis); inflammatory eye disease (uveitis); psoriasis; and inflammatory bowel disease. The pathogenesis of axial spondyloarthritis may involve genetic predisposition, gut microbial dysbiosis, and entheseal trauma, with immune cell infiltration of the sacroiliac joints and entheseal insertion areas in the spine. There are currently no diagnostic criteria for axial spondyloarthritis. The diagnosis, often delayed 6 to 8 years after symptom onset, is based on history (ie, inflammatory back pain [sensitivity, 74%-81%; specificity, 25%-44%]), laboratory findings (human leukocyte antigen B27-positive [sensitivity, 50%; specificity, 90%] and elevated C-reactive protein level [sensitivity, 35%; specificity, 91%]), and imaging findings consisting of sacroiliitis on plain radiography (sensitivity, 66%; specificity, 68%) or magnetic resonance imaging (sensitivity, 78%; specificity, 88%). First-line treatments are physical therapy and nonsteroidal anti-inflammatory drugs (NSAIDs). However, less than 25% of patients achieve complete symptom control with NSAIDs. Approximately 75% of patients require biologic drugs (tumor necrosis factor inhibitors [anti-TNF agents], interleukin 17 inhibitors [anti-IL-17 agents]) or targeted synthetic disease-modifying antirheumatic agents (Janus kinase [JAK] inhibitors) to reduce symptoms, prevent structural damage, and improve quality of life. Clinical trials reported that anti-TNF agents significantly improved ASAS20 (measure of pain, function, and inflammation) in 58% to 64% of patients compared with 19% to 38% for placebo. Similar outcomes were attained with anti-IL-17 agents (48%-61%, vs 18%-29% with placebo) and JAK inhibitors (52%-56%, vs 26%-29% with placebo). Anti-TNF agents, anti-IL-17 agents, and JAK inhibitors have been associated with reduced radiographic progression of axial spondyloarthritis.</p><p><strong>Conclusions: </strong>Axial spondyloarthritis predominantly affects the sacroiliac joints and spine but is also associated with extraskeletal manifestations such as uveitis, psoriasis, and inflammatory bowel disease. Physical therapy and NSAIDs are first-line treatments, but most patients require therapy with biologic","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":"408-420"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bird Flu Case Analysis Calls for Balancing Heightened Vigilance and Routine Practice.
Journal of the American Medical Association Pub Date : 2025-01-31 DOI: 10.1001/jama.2024.28814
Samantha Anderer
{"title":"Bird Flu Case Analysis Calls for Balancing Heightened Vigilance and Routine Practice.","authors":"Samantha Anderer","doi":"10.1001/jama.2024.28814","DOIUrl":"https://doi.org/10.1001/jama.2024.28814","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
FDA Approves Generic Liraglutide to Address GLP-1 Drug Shortage.
Journal of the American Medical Association Pub Date : 2025-01-31 DOI: 10.1001/jama.2024.28813
Samantha Anderer
{"title":"FDA Approves Generic Liraglutide to Address GLP-1 Drug Shortage.","authors":"Samantha Anderer","doi":"10.1001/jama.2024.28813","DOIUrl":"https://doi.org/10.1001/jama.2024.28813","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Study Finds People Prefer AI Over Clinician Responses to Questions in the Electronic Medical Record.
Journal of the American Medical Association Pub Date : 2025-01-31 DOI: 10.1001/jama.2024.24065
Roy Perlis, Nora Collins
{"title":"Study Finds People Prefer AI Over Clinician Responses to Questions in the Electronic Medical Record.","authors":"Roy Perlis, Nora Collins","doi":"10.1001/jama.2024.24065","DOIUrl":"https://doi.org/10.1001/jama.2024.24065","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Does the Rise of GLP-1 Drugs Mean for Bariatric Surgery?
Journal of the American Medical Association Pub Date : 2025-01-31 DOI: 10.1001/jama.2024.25968
Kate Schweitzer
{"title":"What Does the Rise of GLP-1 Drugs Mean for Bariatric Surgery?","authors":"Kate Schweitzer","doi":"10.1001/jama.2024.25968","DOIUrl":"https://doi.org/10.1001/jama.2024.25968","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Should Health Care and Public Health Respond to the New US Administration?
Journal of the American Medical Association Pub Date : 2025-01-31 DOI: 10.1001/jama.2025.1218
Steven H Woolf
{"title":"How Should Health Care and Public Health Respond to the New US Administration?","authors":"Steven H Woolf","doi":"10.1001/jama.2025.1218","DOIUrl":"https://doi.org/10.1001/jama.2025.1218","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolocumab Achieves Low LDL Cholesterol Without Long-Term Cognitive Risks.
Journal of the American Medical Association Pub Date : 2025-01-31 DOI: 10.1001/jama.2024.28817
Samantha Anderer
{"title":"Evolocumab Achieves Low LDL Cholesterol Without Long-Term Cognitive Risks.","authors":"Samantha Anderer","doi":"10.1001/jama.2024.28817","DOIUrl":"https://doi.org/10.1001/jama.2024.28817","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CDC Advises Expedited Influenza Subtyping in Hospitalized Patients to Help Identify Bird Flu Cases Sooner.
Journal of the American Medical Association Pub Date : 2025-01-31 DOI: 10.1001/jama.2025.0679
Anna Bock
{"title":"CDC Advises Expedited Influenza Subtyping in Hospitalized Patients to Help Identify Bird Flu Cases Sooner.","authors":"Anna Bock","doi":"10.1001/jama.2025.0679","DOIUrl":"https://doi.org/10.1001/jama.2025.0679","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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