Journal of the American Medical Association最新文献

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Translational Science Reviews-A New JAMA Review. 转化科学评论--《美国医学会杂志》新评论。
Journal of the American Medical Association Pub Date : 2024-12-10 DOI: 10.1001/jama.2024.21146
Mary M McDermott, Kristin L Walter, Kirsten Bibbins-Domingo
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引用次数: 0
Intratracheal Budesonide Mixed With Surfactant for Extremely Preterm Infants: The PLUSS Randomized Clinical Trial. 气管内布地奈德与表面活性物质混合用于极早产儿:PLUSS 随机临床试验。
Journal of the American Medical Association Pub Date : 2024-12-10 DOI: 10.1001/jama.2024.17380
Brett J Manley, C Omar F Kamlin, Susan M Donath, Kate L Francis, Jeanie L Y Cheong, Peter A Dargaville, Jennifer A Dawson, Susan E Jacobs, Pita Birch, Steven M Resnick, Georg M Schmölzer, Brenda Law, Risha Bhatia, Katinka P Bach, Koert de Waal, Javeed N Travadi, Pieter J Koorts, Mary J Berry, Kei Lui, Victor S Rajadurai, Suresh Chandran, Martin Kluckow, Elza Cloete, Margaret M Broom, Michael J Stark, Adrienne Gordon, Vinayak Kodur, Lex W Doyle, Peter G Davis, Christopher J D McKinlay
{"title":"Intratracheal Budesonide Mixed With Surfactant for Extremely Preterm Infants: The PLUSS Randomized Clinical Trial.","authors":"Brett J Manley, C Omar F Kamlin, Susan M Donath, Kate L Francis, Jeanie L Y Cheong, Peter A Dargaville, Jennifer A Dawson, Susan E Jacobs, Pita Birch, Steven M Resnick, Georg M Schmölzer, Brenda Law, Risha Bhatia, Katinka P Bach, Koert de Waal, Javeed N Travadi, Pieter J Koorts, Mary J Berry, Kei Lui, Victor S Rajadurai, Suresh Chandran, Martin Kluckow, Elza Cloete, Margaret M Broom, Michael J Stark, Adrienne Gordon, Vinayak Kodur, Lex W Doyle, Peter G Davis, Christopher J D McKinlay","doi":"10.1001/jama.2024.17380","DOIUrl":"10.1001/jama.2024.17380","url":null,"abstract":"<p><strong>Importance: </strong>Bronchopulmonary dysplasia (BPD) is a common adverse outcome in extremely preterm infants born at less than 28 weeks' gestation. Systemic corticosteroids are effective against BPD but may be associated with adverse outcomes. Corticosteroids given directly into the lungs may be effective and safer.</p><p><strong>Objective: </strong>To investigate the effectiveness of early intratracheal corticosteroid administration on survival free of BPD in extremely preterm infants.</p><p><strong>Design, setting, and participants: </strong>Double-blind randomized clinical trial conducted in 21 neonatal units in 4 countries (Australia, New Zealand, Canada, and Singapore), enrolling infants born at less than 28 weeks' gestation and less than 48 hours old who were mechanically ventilated (regardless of ventilator settings or oxygen requirements) or who were receiving noninvasive respiratory support and had a clinical decision to treat with surfactant. Recruitment occurred from January 2018 to March 2023. The last participant was discharged from the hospital in August 2023.</p><p><strong>Interventions: </strong>Infants were randomly allocated (1:1) to receive budesonide, 0.25 mg/kg, mixed with surfactant (poractant alfa), administered via an endotracheal tube or thin catheter, or surfactant only.</p><p><strong>Main outcomes and measures: </strong>The primary outcome was survival free of BPD at 36 weeks' postmenstrual age. There were 15 secondary outcomes, including the 2 components of the primary outcome (survival at 36 weeks and BPD among survivors), and 9 predefined safety outcomes (adverse events).</p><p><strong>Results: </strong>The primary analysis included 1059 infants, 524 in the budesonide and surfactant group and 535 in the surfactant-only group. Overall, infants had a mean gestational age of 25.6 weeks (SD, 1.3 weeks) and a mean birth weight of 775 g (SD, 197 g); 586 (55.3%) were male. Survival free of BPD occurred in 134 infants (25.6%) in the budesonide and surfactant group and 121 infants (22.6%) in the surfactant-only group (adjusted risk difference, 2.7% [95% CI, -2.1% to 7.4%]). At 36 weeks' postmenstrual age, 83.2% of infants were alive in the budesonide and surfactant group and 80.6% in the surfactant-only group. Of these, 69.3% and 71.9% were diagnosed with BPD, respectively.</p><p><strong>Conclusions and relevance: </strong>In extremely preterm infants receiving surfactant for respiratory distress syndrome, early intratracheal budesonide may have little to no effect on survival free of BPD.</p><p><strong>Trial registration: </strong>anzctr.org.au Identifier: ACTRN12617000322336.</p>","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":"1889-1899"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Selective vs Standard Obstetric Thromboprophylaxis Protocol. 选择性产科血栓预防方案与标准产科血栓预防方案的对比。
Journal of the American Medical Association Pub Date : 2024-12-10 DOI: 10.1001/jama.2024.20498
Wei-Zhen Tang, Tai-Hang Liu, Xia Lan
{"title":"Selective vs Standard Obstetric Thromboprophylaxis Protocol.","authors":"Wei-Zhen Tang, Tai-Hang Liu, Xia Lan","doi":"10.1001/jama.2024.20498","DOIUrl":"10.1001/jama.2024.20498","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":"1945"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623100","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
Early COVID-19 Infections Linked With Higher Heart Attack, Stroke Risk. 早期 COVID-19 感染与心脏病发作和中风风险升高有关。
Journal of the American Medical Association Pub Date : 2024-12-10 DOI: 10.1001/jama.2024.23045
Samantha Anderer
{"title":"Early COVID-19 Infections Linked With Higher Heart Attack, Stroke Risk.","authors":"Samantha Anderer","doi":"10.1001/jama.2024.23045","DOIUrl":"10.1001/jama.2024.23045","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":"1872"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638781","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
Bystander Use of Opioid Overdose Antidote Naloxone Is on the Rise. 阿片类药物过量解毒剂纳洛酮的旁观者使用率正在上升。
Journal of the American Medical Association Pub Date : 2024-12-10 DOI: 10.1001/jama.2024.23046
Samantha Anderer
{"title":"Bystander Use of Opioid Overdose Antidote Naloxone Is on the Rise.","authors":"Samantha Anderer","doi":"10.1001/jama.2024.23046","DOIUrl":"10.1001/jama.2024.23046","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":"1872"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638868","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: BMI May Underestimate Obesity-Linked Breast Cancer Risk. 研究:体重指数可能低估了与肥胖有关的乳腺癌风险。
Journal of the American Medical Association Pub Date : 2024-12-10 DOI: 10.1001/jama.2024.23049
Samantha Anderer
{"title":"Study: BMI May Underestimate Obesity-Linked Breast Cancer Risk.","authors":"Samantha Anderer","doi":"10.1001/jama.2024.23049","DOIUrl":"10.1001/jama.2024.23049","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":"1873"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638808","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: Prenatal Cannabis Use Not Associated With Developmental Delays. 研究:产前吸食大麻与发育迟缓无关
Journal of the American Medical Association Pub Date : 2024-12-10 DOI: 10.1001/jama.2024.23050
Samantha Anderer
{"title":"Study: Prenatal Cannabis Use Not Associated With Developmental Delays.","authors":"Samantha Anderer","doi":"10.1001/jama.2024.23050","DOIUrl":"10.1001/jama.2024.23050","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":"1873"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638810","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
Trial Supports Acupuncture for Chronic Sciatica Pain. 试验支持针灸治疗慢性坐骨神经痛。
Journal of the American Medical Association Pub Date : 2024-12-10 DOI: 10.1001/jama.2024.23051
Samantha Anderer
{"title":"Trial Supports Acupuncture for Chronic Sciatica Pain.","authors":"Samantha Anderer","doi":"10.1001/jama.2024.23051","DOIUrl":"10.1001/jama.2024.23051","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":"1873"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638813","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
Intratracheal Budesonide Combined With Surfactant in Extremely Preterm Infants. 气管内布地奈德联合表面活性物质治疗极早产儿
Journal of the American Medical Association Pub Date : 2024-12-10 DOI: 10.1001/jama.2024.19641
Erik A Jensen
{"title":"Intratracheal Budesonide Combined With Surfactant in Extremely Preterm Infants.","authors":"Erik A Jensen","doi":"10.1001/jama.2024.19641","DOIUrl":"10.1001/jama.2024.19641","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":"1885-1887"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623088","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
Obstetric Care Access at Rural and Urban Hospitals in the United States.
Journal of the American Medical Association Pub Date : 2024-12-04 DOI: 10.1001/jama.2024.23010
Katy B Kozhimannil, Julia D Interrante, Caitlin Carroll, Emily C Sheffield, Alyssa H Fritz, Alecia J McGregor, Sara C Handley
{"title":"Obstetric Care Access at Rural and Urban Hospitals in the United States.","authors":"Katy B Kozhimannil, Julia D Interrante, Caitlin Carroll, Emily C Sheffield, Alyssa H Fritz, Alecia J McGregor, Sara C Handley","doi":"10.1001/jama.2024.23010","DOIUrl":"10.1001/jama.2024.23010","url":null,"abstract":"","PeriodicalId":17196,"journal":{"name":"Journal of the American Medical Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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