Avi ’s Love: The Importance of Abortion Rights for Everyone
This essay describes a physician ’s experience with terminating a wanted pregnancy and underscores the importance of access to abortion care. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - December 4, 2023 Category: Internal Medicine Source Type: research
Models to Predict Need for Nursing Home Level of Care in Older Adults With Dementia
This prognostic study leverages 2 nationally representative prospective cohorts, the Health and Retirement Study and the National Health and Aging Trends Study, to develop and validate models to predict need for nursing home level of care among older adults with probable dementia. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - December 4, 2023 Category: Internal Medicine Source Type: research
Photobiomodulation Therapy to Treat Snakebites Caused by Bothrops atrox
This randomized clinical trial investigates the feasibility, safety, and efficacy of low-level laser therapy in reducing the local manifestations of Bothrops atrox envenomations. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - December 4, 2023 Category: Internal Medicine Source Type: research
Decision-Making for Hospitalized Incarcerated Patients Lacking Decisional Capacity
This qualitative study of medical records examines how decision-making occurs for hospitalized incarcerated persons lacking decisional capacity. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - December 4, 2023 Category: Internal Medicine Source Type: research
Electrocardiogram Recording in the Prone Position —Reply
In Reply We would like to express our gratitude to Cobos Gil et al for their thought-provoking and insightful comments on our case report, which discussed how anterior leads ST-segment elevation might be missed on the findings of an electrocardiogram (ECG) recorded in the commonly used prone position. Their comments addressed a new prone ECG acquisition method based on the concept of the mirror image electrocardiogram reported by Kors and van Herpen. The ECG acquired by this method shows morphologic findings similar to those of the standard ECG, which makes the diagnosis of arrhythmias (eg, bundle-branch block) more conven...
Source: JAMA Internal Medicine - December 4, 2023 Category: Internal Medicine Source Type: research
Electrocardiogram Recording in the Prone Position
To the Editor When patients are prone, it is common to perform an electrocardiogram (ECG) by placing the precordial electrodes on the patient ’s back, which transposes the usual location of the precordial electrodes to the dorsum (anatomical mirror). The case reported by Zhang et al shows that a substantial anterior ST elevation can go unnoticed in the ECG recorded this way. In another article, based on a case series of 100 patients, C hieng et al demonstrated the limited diagnostic capacity of the ECG obtained in this way, and specifically, showed this method is “unreliable for the detection of anterior myocardial inj...
Source: JAMA Internal Medicine - December 4, 2023 Category: Internal Medicine Source Type: research
Consequences of a Health System Not Knowing Which Patients Are Deceased
This quality improvement study in a California health system investigates the proportion of active patients who were deceased but not noted as such in the electronic health record (EHR), as well as encounters after death. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - December 4, 2023 Category: Internal Medicine Source Type: research
Incapacitated and Incarcerated —Double Barriers to Care
Health Care Policy (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - December 4, 2023 Category: Internal Medicine Source Type: research
QR and ST-Segment Elevation in Lead V 1 With Chest Tightness
This case report describes a patient in their 50s with a 2-month history of worsening chest tightness and dyspnea after COVID-19 infection. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - December 4, 2023 Category: Internal Medicine Source Type: research
JAMA Internal Medicine
Mission Statement: To promote the art and science of medicine and the betterment of public health by publishing manuscripts of interest and relevance to internists practicing as generalists or as medical subspecialists. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - December 1, 2023 Category: Internal Medicine Source Type: research
The Hockey Stick
This essay describes the author ’s experience in interacting with a patient diagnosed with a serious illness and how focusing on the patient’s interests and making them happy was an example of a low-tech, high-touch intervention. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - November 27, 2023 Category: Internal Medicine Source Type: research
Cost of Exempting Sole Orphan Drugs From Medicare Negotiation
This cross-sectional study examines the costs of the exemption from Medicare price negotiation under the Inflation Reduction Act (IRA) for drugs approved solely for the treatment of a single rare disease. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - November 27, 2023 Category: Internal Medicine Source Type: research
Effect of Personalized Risk-Reduction Strategies on Cognition and Dementia Risk Profile
This randomized clinical trial aims to determine if a personalized, multidomain risk-reduction intervention improves cognition and dementia risk profile among adults 70 years and older. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - November 27, 2023 Category: Internal Medicine Source Type: research
Discrepancies in Estimating Excess Death by Political Party Affiliation —Reply
In Reply A letter from O ’Mahen provides valuable context and commentary on our article, “Excess Death Rates for Republican and Democratic Registered Voters in Florida and Ohio During the COVID-19 Pandemic.” (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - November 27, 2023 Category: Internal Medicine Source Type: research
Discrepancies in Estimating Excess Death by Political Party Affiliation
To the Editor Wallace et al claim excess mortality among Republican- vs Democratic-affiliated voters. We see 5 limitations. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - November 27, 2023 Category: Internal Medicine Source Type: research
