JAMA Network Open

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In this cohort study, #prediabetes was associated with increased mortality among adults aged 20 to 54 years, highlighting the need for age-specific interventions aimed at young adults.

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An epidemiological association was identified between breast implants used in cancer-directed reconstruction and an increased risk of B-cell and T-cell non-Hodgkin lymphomas, including anaplastic large-cell lymphoma. ja.ma/4mshbYL

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The Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay #diet was associated with a reduced likelihood of hippocampal sclerosis, age-related neuronal loss, and lower risk of #dementia. ja.ma/3Hi5Vz6

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In older adults with structurally normal hearts, left bundle branch block was associated with a five times greater risk of #heartfailure and a decline in left ventricular function over five years. ja.ma/47bKFFJ

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Hospital-based addiction consult directors widely use novel practices like rapid methadone initiation, full-agonist #opioids for withdrawal, and low- and high-dose buprenorphine initiation in response to high-potency synthetic opioids. ja.ma/46C5D0n

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The 2023-24 #COVID19 mRNA booster #vaccine was cost-effective for adults over 65 and showed different levels of cost-effectiveness for younger adults, with results particularly influenced by vaccine price and efficacy. ja.ma/3HhrnUQ

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For children and adolescents with kidney and ureteral stones, shockwave lithotripsy had similar stone clearance rates to ureteroscopy, while ureteroscopy was associated with more pain and urinary symptoms after surgery. ja.ma/45ojwgx

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Implementation of a novel donation physician program was associated with a sustained reduction in missed organ donation opportunities among eligible potential donors, increased referrals, and a higher deceased donation rate. ja.ma/4fleW7b

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A brief contact intervention program in France reduced the risk of suicide reattempts by 38% over 12 months, particularly among female participants, and achieved a return on investment of €2.06 per euro spent. ja.ma/45o2L52

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Oxaliplatin was associated with improved overall survival in patients aged 70 years or younger with stage III #ColorectalCancer, and was associated with higher #chemotherapy discontinuation rates in older patients. ja.ma/40OUFko

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Displaced Lebanese women in Syria exhibit gaps in breast and #CervicalCancer awareness, with 22.5% having undergone breast imaging and 16.9% a Pap test. ja.ma/47cIBxc

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From @jama.com: The 2023 Maui wildfires were linked to an increase in suicide and overdose deaths, with a 97% increase in Maui and a broader 46% rise across all Hawaiian Islands.

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Adults affected by the 2023 Maui #wildfires experienced substantial midterm cardiopulmonary and psychological health burdens, with higher social support associated with improved #MentalHealth. ja.ma/3H5w2cB

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An interprofessional hospital #addiction consultation service in New York reduced emergency department visits but did not significantly affect hospital admissions or mortality among patients with #opioid use disorder. ja.ma/4mvQhPQ

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Changing sterile gloves and instruments before wound closure in abdominal surgeries was associated with a reduced #CO2 footprint and improved clinical outcomes. ja.ma/45krUxk

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Chest radiograph-guided treatment for early TB among household contacts was more effective than universal therapy in preventing TB cases and reducing resistance, but increased adverse events in older adults. ja.ma/4l8lXt9

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In Tennessee and Georgia adults, community-acquired #pneumonia hospitalizations occurred at 340 per 100,000, with pneumococcal pneumonia serotypes in the V116 vaccine causing 30 per 100,000 cases. ja.ma/4lffZH4

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Expanding supportive housing eligibility for Veterans with other-than-honorable (OTH) discharge increased support access for OTH Veterans without disrupting services for others. ja.ma/45x0R38

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Among those at clinical high risk for #psychosis, remission was dynamic, with symptoms-only remission more common than symptom-and-function remission and stability associated with higher functioning and fewer symptoms. ja.ma/4l74tNT

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Among women undergoing mammography, Black women were less likely than White women to qualify for supplemental screening insurance coverage due to lower breast density and lifetime risk estimates, despite their higher risk of #breastcancer. ja.ma/3UcVn7m

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In primary care practices, an electronic #sleep screener integrated into well-child visits was widely adopted and associated with improved identification and management of sleep problems. ja.ma/4mnSuwn

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Historically redlined areas in the US have less rapid access to emergency medical services compared to more desirable areas, underscoring disparities in prehospital care. ja.ma/4mmS4q1

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Physicians with higher Patient Advocacy Reporting System Index scores, indicating more unsolicited patient complaints, were more likely to accept higher general payments from industry, according to this cross-sectional study. ja.ma/3Hi0Re4

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RCT: Adding internet-based cognitive behavior therapy to usual care decreased bulimia symptoms in women with bulimia nervosa. ja.ma/4flQrGM

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Higher daily appointment density among physicians was associated with lower patient satisfaction across multiple domains, while faster response times to EHR messages improved perceived ease of clinic contact. ja.ma/4ffxeXj

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An analysis of individuals with depression identified four distinct profiles based on childhood maltreatment, brain volume, and DMN connectivity, suggesting targets for precision care. ja.ma/3Hf115V

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This cohort study found an inverse association between adolescent BMI and the risk of osteoporosis in adulthood, with the highest risk observed in individuals who remained underweight into adulthood. ja.ma/4lWJkak

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Nursing homes with higher proportions of Black or Hispanic residents were less likely to have #Alzheimer disease special care units, yet disparities narrowed or disappeared in states with higher #Medicaid payment-to-cost ratios. ja.ma/4lekd1H

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Patients with quadricuspid aortic valves had a similar incidence of aortic valve intervention, more coexisting cardiomyopathies, and an increased risk of heart failure compared to patients with bicuspid aortic valves. ja.ma/46yz9nJ

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Among #Medicare Advantage patients receiving home health care, those treated by more MA-specialized agencies had shorter stays and fewer visits but faced more hospitalizations and nursing home admissions after discharge. ja.ma/3IU1k6R