JAMA - Journal of the American Medical Association




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Effect of Remdesivir vs Standard Care on Clinical Status at 11 Days in Patients With Moderate COVID-19A Randomized Clinical Trial

Christoph D. Spinner, MD; Robert L. Gottlieb, MD, PhD; Gerard J. Criner, MD; et al.

doi : 10.1001/jama.2020.16349

JAMA. 2020;324(11):1048-1057. 

This open-label randomized trial compares the effect of remdesivir (5 or 10 days) vs standard care on clinical status 11 days after treatment initiation among patients with confirmed SARS-CoV-2 infection hospitalized with moderate pneumonia (room air oxygen saturation >94%).

Buy The Package and View The Article Online


Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest

Brian Grunau, MD, MHSc; Noah Kime, BS; Brian Leroux, PhD; et al.

doi : 10.1001/jama.2020.14185

JAMA. 2020;324(11):1058-1067.

This study of adult patients with out-of-hospital cardiac arrest compares rates of survival to hospital discharge for those receiving EMS transport vs continued on-scene resuscitation .

Buy The Package and View The Article Online


Association of Routine Infant Vaccinations With Antibody Levels Among Preterm Infants

Elsbeth D. M. Rouers, MD; Patricia C. J. Bruijning-Verhagen, MD, PhD; Pieter G. M. van Gageldonk, BSc; et al.

doi : 10.1001/jama.2020.12316

JAMA. 2020;324(11):1068-1077.

This cohort study evaluates IgG antibody concentrations in preterm infants after administration of combination diphtheria–tetanus toxoids–acellular pertussis–inactivated poliomyelitis–Haemophilus influenza type b–and hepatitis B (DTaP-IPV-Hib-HepB) and pneumococcal conjugate vaccines.

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Point Prevalence Testing of Residents for SARS-CoV-2 in a Subset of Connecticut Nursing Homes

Sunil Parikh, MD, MPH; Kevin O’Laughlin, MD; Hanna Y. Ehrlich, MPhil; et al.

doi : 10.1001/jama.2020.14984

JAMA. 2020;324(11):1101-1103.

This study describes the point prevalence of polymerase chain reaction tests positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among residents of a sample of Connecticut nursing homes in the first half of May 2020.

Buy The Package and View The Article Online


Association of Nursing Home Ratings on Health Inspections, Quality of Care, and Nurse Staffing With COVID-19 Cases

Jose F. Figueroa, MD, MPH; Rishi K. Wadhera, MD, MPP; Irene Papanicolas, PhD; et al.

doi : 10.1001/jama.2020.14709

JAMA. 2020;324(11):1103-1105.

This study evaluates COVID-19 case rates between high- and low-performing nursing homes based on CMS quality measures.

Buy The Package and View The Article Online


Policies Among US Pediatricians for Dismissing Patients for Delaying or Refusing Vaccination

Sean T. O’Leary, MD, MPH; Jessica R. Cataldi, MD, MSCS; Megan C. Lindley, MPH; et al.

doi : 10.1001/jama.2020.10658

JAMA. 2020;324(11):1105-1107.

This survey study assesses US pediatrician practices and office policies in response to parents who either refuse primary vaccinations or request to spread out individual vaccines in the primary series.

Buy The Package and View The Article Online


Determination of Brain Death/Death by Neurologic CriteriaThe World Brain Death Project

David M. Greer, MD, MA; Sam D. Shemie, MD; Ariane Lewis, MD; et al.

doi : 10.1001/jama.2020.11586

JAMA. 2020;324(11):1078-1097.

This Special Communication summarizes consensus recommendations from the World Brain Death project, an international collaborative created to establish minimum standards for diagnosing brain death/death by neurologic criteria (BD/DNC) in children and adults across a broad range of settings and clinical circumstances.

Buy The Package and View The Article Online


Recognition of Research Participants’ Need for AutonomyRemembering the Legacy of Henrietta Lacks

Carrie D. Wolinetz, PhD; Francis S. Collins, MD, PhD

doi : 10.1001/jama.2020.15936

JAMA. 2020;324(11):1027-1028.

In this Viewpoint, the NIH director and acting chief of staff discuss how Henrietta Lacks’ cervical cancer cells (HeLa) were used without her consent to create an immortal cell line used widely in modern medical research, and argue for development of policies to prevent unauthorized use of biological specimens to prevent the same thing from happening again.

Buy The Package and View The Article Online


Addressing Influenza Vaccination Disparities During the COVID-19 Pandemic

Lisa A. Grohskopf, MD, MPH; Leandris C. Liburd, PhD, MPH; Robert R. Redfield, MD

doi : 10.1001/jama.2020.15845

JAMA. 2020;324(11):1029-1030.

In this Viewpoint, CDC scientists discuss the public health urgency of increasing influenza vaccination uptake early in the 2020-2021 season to ameliorate the threat to patients and hospitals of overlapping outbreaks, and urges clinicians to strongly recommend the vaccine and administer it to patients whenever and wherever possible.

Buy The Package and View The Article Online


Ethical Considerations for COVID-19 Vaccine Trials in Correctional Facilities

Emily A. Wang, MD, MAS; Jonathan Zenilman, MD, PhD; Lauren Brinkley-Rubinstein, PhD

doi : 10.1001/jama.2020.15589

JAMA. 2020;324(11):1031-1032.

This Viewpoint discusses the importance of studying coronavirus disease 2019 (COVID-19) vaccine candidates in prisoners, and proposes a framework for considering how to include them safely, ethically, and without coercion in future phase 3 vaccine trials.

Buy The Package and View The Article Online


Effect of Remdesivir vs Standard Care on Clinical Status at 11 Days in Patients With Moderate COVID-19A Randomized Clinical Trial

Christoph D. Spinner, MD; Robert L. Gottlieb, MD, PhD; Gerard J. Criner, MD; et al.

doi : 10.1001/jama.2020.16349

JAMA. 2020;324(11):1048-1057. 

This open-label randomized trial compares the effect of remdesivir (5 or 10 days) vs standard care on clinical status 11 days after treatment initiation among patients with confirmed SARS-CoV-2 infection hospitalized with moderate pneumonia (room air oxygen saturation >94%).

Buy The Package and View The Article Online


Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest

Brian Grunau, MD, MHSc; Noah Kime, BS; Brian Leroux, PhD; et al.

doi : 10.1001/jama.2020.14185

JAMA. 2020;324(11):1058-1067.

This study of adult patients with out-of-hospital cardiac arrest compares rates of survival to hospital discharge for those receiving EMS transport vs continued on-scene resuscitation .

Buy The Package and View The Article Online


Association of Routine Infant Vaccinations With Antibody Levels Among Preterm Infants

Elsbeth D. M. Rouers, MD; Patricia C. J. Bruijning-Verhagen, MD, PhD; Pieter G. M. van Gageldonk, BSc; et al.

doi : 10.1001/jama.2020.12316

JAMA. 2020;324(11):1068-1077.

This cohort study evaluates IgG antibody concentrations in preterm infants after administration of combination diphtheria–tetanus toxoids–acellular pertussis–inactivated poliomyelitis–Haemophilus influenza type b–and hepatitis B (DTaP-IPV-Hib-HepB) and pneumococcal conjugate vaccines.

Buy The Package and View The Article Online


Point Prevalence Testing of Residents for SARS-CoV-2 in a Subset of Connecticut Nursing Homes

Sunil Parikh, MD, MPH; Kevin O’Laughlin, MD; Hanna Y. Ehrlich, MPhil; et al.

doi : 10.1001/jama.2020.14984

JAMA. 2020;324(11):1101-1103.

This study describes the point prevalence of polymerase chain reaction tests positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among residents of a sample of Connecticut nursing homes in the first half of May 2020.

Buy The Package and View The Article Online


Association of Nursing Home Ratings on Health Inspections, Quality of Care, and Nurse Staffing With COVID-19 Cases

Jose F. Figueroa, MD, MPH; Rishi K. Wadhera, MD, MPP; Irene Papanicolas, PhD; et al.

doi : 10.1001/jama.2020.14709

JAMA. 2020;324(11):1103-1105.

This study evaluates COVID-19 case rates between high- and low-performing nursing homes based on CMS quality measures.

Buy The Package and View The Article Online


Policies Among US Pediatricians for Dismissing Patients for Delaying or Refusing Vaccination

Sean T. O’Leary, MD, MPH; Jessica R. Cataldi, MD, MSCS; Megan C. Lindley, MPH; et al.

doi : 10.1001/jama.2020.10658

JAMA. 2020;324(11):1105-1107.

This survey study assesses US pediatrician practices and office policies in response to parents who either refuse primary vaccinations or request to spread out individual vaccines in the primary series.

Buy The Package and View The Article Online


Determination of Brain Death/Death by Neurologic CriteriaThe World Brain Death Project

David M. Greer, MD, MA; Sam D. Shemie, MD; Ariane Lewis, MD; et al.

doi : 10.1001/jama.2020.11586

JAMA. 2020;324(11):1078-1097.

This Special Communication summarizes consensus recommendations from the World Brain Death project, an international collaborative created to establish minimum standards for diagnosing brain death/death by neurologic criteria (BD/DNC) in children and adults across a broad range of settings and clinical circumstances.

Buy The Package and View The Article Online


Recognition of Research Participants’ Need for AutonomyRemembering the Legacy of Henrietta Lacks

Carrie D. Wolinetz, PhD; Francis S. Collins, MD, PhD

doi : 10.1001/jama.2020.15936

JAMA. 2020;324(11):1027-1028.

In this Viewpoint, the NIH director and acting chief of staff discuss how Henrietta Lacks’ cervical cancer cells (HeLa) were used without her consent to create an immortal cell line used widely in modern medical research, and argue for development of policies to prevent unauthorized use of biological specimens to prevent the same thing from happening again.

Buy The Package and View The Article Online


Addressing Influenza Vaccination Disparities During the COVID-19 Pandemic

Lisa A. Grohskopf, MD, MPH; Leandris C. Liburd, PhD, MPH; Robert R. Redfield, MD

doi : 10.1001/jama.2020.15845

JAMA. 2020;324(11):1029-1030.

In this Viewpoint, CDC scientists discuss the public health urgency of increasing influenza vaccination uptake early in the 2020-2021 season to ameliorate the threat to patients and hospitals of overlapping outbreaks, and urges clinicians to strongly recommend the vaccine and administer it to patients whenever and wherever possible.

Buy The Package and View The Article Online


Ethical Considerations for COVID-19 Vaccine Trials in Correctional Facilities

Emily A. Wang, MD, MAS; Jonathan Zenilman, MD, PhD; Lauren Brinkley-Rubinstein, PhD

doi : 10.1001/jama.2020.15589

JAMA. 2020;324(11):1031-1032.

This Viewpoint discusses the importance of studying coronavirus disease 2019 (COVID-19) vaccine candidates in prisoners, and proposes a framework for considering how to include them safely, ethically, and without coercion in future phase 3 vaccine trials.

Buy The Package and View The Article Online


The Transformational Effects of COVID-19 on Medical Education

Catherine R. Lucey, MD; S. Claiborne Johnston, MD, PhD

doi : 10.1001/jama.2020.14136

AMA. 2020;324(11):1033-1034.

This Viewpoint discusses the ways medical schools adapted to the coronavirus disease 2019 (COVID-19) pandemic, allowing students to be part of the public health response, adapting curricula to educational opportunities, and modernizing means of instruction without losing time or compromising standards.

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Moving the Financing of Graduate Medical Education Into the 21st Century

Justin A. Grischkan, MD; Ari B. Friedman, MD, PhD; Amitabh Chandra, PhD

doi : 10.1001/jama.2020.15480

JAMA. 2020;324(11):1035-1036.

This Viewpoint challenges US hospital claims that government funding to train physicians is necessary to offset costs, maintain physician supply, and keep costs low for other payers, and proposes reforms to use the monies to target known problems, such as geographic disparities in physician workforce and inadequate primary care and public health physician supply.

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Legal Interventions to Address US Reductions in Life Expectancy

Lawrence O. Gostin, JD; James G. Hodge Jr, JD, LLM; Donna E. Levin, JD

doi : 10.1001/jama.2020.7715

JAMA. 2020;324(11):1037-1038. 

This Viewpoint discusses ways that evidence-based laws can address health disparities and halt the documented reduction of life expectancy across socioeconomic groups in the US, including through regulation of hazardous products, behavioral economic incentives, wage increases, and provision of public benefits.

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Finding His Voice

A. Rani Elwy, PhD

doi : 10.1001/jama.2020.16334

JAMA. 2020;324(11):1039-1040.

In this narrative medicine essay, a psychologist recounts how she found her voice through writing and in patient care advocacy and research and how she helped her son, who has Schwartz-Jampel syndrome, find his voice when young, but now he is taking over his own narrative as a young adult.

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Efficacy of Remdesivir in COVID-19

Erin K. McCreary, PharmD; Derek C. Angus, MD, MPH

doi : 10.1001/jama.2020.16337

JAMA. 2020;324(11):1041-1042. 

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Challenging the “Scoop and Run” Model for Management of Out-of-Hospital Cardiac Arrest

Alexander X. Lo, MD, PhD

doi : 10.1001/jama.2020.9245

JAMA. 2020;324(11):1043-1044. 

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Brain Death—Moving Beyond Consistency in the Diagnostic Criteria

Robert D. Truog, MD, MA; Kandamaran Krishnamurthy, MBBS, DM; Robert C. Tasker, MA, MD, MBBS

doi : 10.1001/jama.2020.11665

JAMA. 2020;324(11):1045-1047.

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Estimating Risk Ratios and Risk DifferencesAlternatives to Odds Ratios

Mathias J. Holmberg, MD, MPH, PhD; Lars W. Andersen, MD, MPH, PhD, DMSc

doi : 10.1001/jama.2020.12698

JAMA. 2020;324(11):1098-1099.

This JAMA Guide to Statistics and Methods explains the differences between risk ratios and odds ratios and when each is the more appropriate statistic to estimate measures of effect or association in research findings.

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Telehealth Success Spurs a Call for Greater Post–COVID-19 License Portability

Anita Slomski, MA

doi : 10.1001/jama.2020.9142

JAMA. 2020;324(11):1021-1022. 

This Medical News article examines the pros and cons of national medical licensure as physicians have grappled with seeing out-of-state patients via telemedicine during the coronavirus disease 2019 pandemic.

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CBD Drug Is Approved for a Third Form of Epilepsy

Mary Chris Jaklevic, MSJ

doi : 10.1001/jama.2020.16782

JAMA. 2020;324(11):1026.

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Phasing Out Potentially Hazardous Food Packaging

Mary Chris Jaklevic, MSJ

doi : 10.1001/jama.2020.16505

JAMA. 2020;324(11):1026. 

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Oral Drug Approved for Spinal Muscular Atrophy

Mary Chris Jaklevic, MSJ

doi : 10.1001/jama.2020.16783

JAMA. 2020;324(11):1026.

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New Rules for the Pandemic Era

David Cutler, PhD

doi : 10.1001/jama.2020.15526

JAMA. 2020;324(11):1023-1024.

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Nearly Half of Dementia Cases Could Be Prevented or Delayed

Bridget M. Kuehn, MSJ

doi : 10.1001/jama.2020.16210

JAMA. 2020;324(11):1025. 

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Interest in Global COVID-19 Vaccine Alliance Grows

Bridget M. Kuehn, MSJ

doi : 10.1001/jama.2020.16966

JAMA. 2020;324(11):1025. 

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Routine Vaccinations Decline During Pandemic

Bridget M. Kuehn, MSJ

doi : 10.1001/jama.2020.16968

JAMA. 2020;324(11):1025.

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Buoyancy

Ellen Zhang

doi : 10.1001/jama.2020.5898

JAMA. 2020;324(11):1112.

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Occultism and Insanity

doi : 10.1001/jama.2019.13620

JAMA. 2020;324(11):1113.

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Brain Death

Kristin Walter, MD, MS

doi : 10.1001/jama.2020.15898

JAMA. 2020;324(11):1116.

This JAMA Patient Page explains the current definition of brain death, characteristic causes, and the conditions under which the diagnosis can be made.

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Preemptive Therapy vs Antiviral Prophylaxis in Cytomegalovirus-Seronegative Liver Transplant Recipients With Seropositive Donors

Matthew B. Roberts, MBBS; Ronak G. Gandhi, PharmD; Camille N. Kotton, MD

doi : 10.1001/jama.2020.11862

JAMA. 2020;324(11):1107-1108.

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Preemptive Therapy vs Antiviral Prophylaxis in Cytomegalovirus-Seronegative Liver Transplant Recipients With Seropositive Donors—Reply

Nina Singh, MD; Ajit P. Limaye, MD

doi : 10.1001/jama.2020.11865

JAMA. 2020;324(11):1108-1109.

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Pharmacological Treatments for Tinnitus

Gregory M. Asnis, MD

doi : 10.1001/jama.2020.11851

JAMA. 2020;324(11):1109. 

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Pharmacological Treatments for Tinnitus—Reply

Jay F. Piccirillo, MD; Thomas L. Rodebaugh, PhD; Eric J. Lenze, MD

doi : 10.1001/jama.2020.11868

JAMA. 2020;324(11):1109-1110. 

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Benefits of Treating Obstructive Sleep Apnea

Mahadevappa Hunasikatti, MD

doi : 10.1001/jama.2020.11848

JAMA. 2020;324(11):1110. 

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Benefits of Treating Obstructive Sleep Apnea—Reply

Daniel J. Gottlieb, MD, MPH; Naresh M. Punjabi, MD, PhD

doi : 10.1001/jama.2020.11856

JAMA. 2020;324(11):1110-1111. 

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Incorrect Axis Alignment in Figure

doi : 10.1001/jama.2020.16387

JAMA. 2020;324(11):1111.

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