Medical Knowledge

Endovascular Stroke Thrombectomy for Patients With Large Ischemic Core – A Review

Importance  Recently, 6 randomized clinical trials—RESCUE-Japan-LIMIT (Recovery by Endovascular Salvage for Cerebral Ultra-Acute Embolism—Japan Large Ischemic Core Trial), ANGEL-ASPECT (Trial of Endovascular Therapy for Acute Ischemic Stroke With Large Infarct), SELECT2 (Trial of Endovascular Thrombectomy for Large Ischemic Strokes), TESLA (Thrombectomy…

Perioperative Management of Patients Taking Direct Oral Anticoagulants – A Review

Importance  Direct oral anticoagulants (DOACs), comprising apixaban, rivaroxaban, edoxaban, and dabigatran, are commonly used medications to treat patients with atrial fibrillation and venous thromboembolism. Decisions about how to manage DOACs in patients undergoing a surgical or nonsurgical procedure are important to…

Genital Herpes

This JAMA Insights examines the history, diagnosis, prevention, and stigma of genital herpes infection in the US and explores treatments such as suppressive therapy.

Providing a Safe Pregnancy Experience for Surgeons – A Review

Importance  Childbearing has been a particular barrier to successful recruitment and retention of women in surgery. Pregnant surgeons are more likely to have major pregnancy complications, such as preterm delivery, intrauterine growth restriction, infertility, and miscarriage, compared with nonsurgeons. The average…

Sudden Hearing Loss and Vertigo After Sinus Occlusion

A 67-year-old patient presented with persistent vertigo and pulsatile tinnitus in the left ear for the past 3 months, and 5 days after treatment he experienced acute hearing loss of the left ear and vertigo. What is your diagnosis?

Enhancing Postmarketing Surveillance of Medical Products With Large Language Models

Importance  The Sentinel System is a key component of the US Food and Drug Administration (FDA) postmarketing safety surveillance commitment and uses clinical health care data to conduct analyses to inform drug labeling and safety communications, FDA advisory committee meetings, and…

Whole-of-Life Inclusion in Bayesian Adaptive Platform Clinical Trials

Importance  There is a recognized unmet need for clinical trials to provide evidence-informed care for infants, children and adolescents. This Special Communication outlines the capacity of 3 distinct trial design strategies, sequential, parallel, and a unified adult-pediatric bayesian adaptive design, to…