JAMA

Heat and Pregnancy

This JAMA Insights discusses current evidence about risks to the health of pregnant individuals from ambient heat (hot weather, high indoor temperatures, and occupational exposures) and how these risks can be managed.

Worldwide Radiation Dose in Coronary Artery Disease Diagnostic Imaging

Importance  In recent decades, there has been marked worldwide growth in diagnostic testing for coronary artery disease (CAD), with several common imaging modalities exposing patients to ionizing radiation. Objective  To examine worldwide radiation doses for patients undergoing noninvasive CAD diagnostic testing. Design,…

Does This Patient Have Volume Overload? – The Rational Clinical Examination

Importance  Accurate assessment of intravascular volume facilitates management decisions about fluid management in patients with volume overload. Objective  To identify the most accurate clinical examination, radiographic, and laboratory findings for assessing volume overload in nonintubated patients. Data Sources and Study Selection  MEDLINE was…

HIV During Pregnancy and Infant Feeding

This JAMA Insights discusses evidence-based updates to guidelines surrounding taking antiretroviral drugs during pregnancy and infant feeding for individuals with HIV.

Pertussis Infection in Adults

This JAMA Insights discusses the epidemiology, transmission, and risk factors for pertussis, also referred to as whooping cough, in adults.

Type 1 Diabetes – A Review

Importance  Type 1 diabetes is defined by hyperglycemia due to autoimmune destruction of the insulin-producing beta cells in the pancreas, leading to insulin deficiency, and accounts for 5% to 10% of all cases of diabetes. Type 1 diabetes affects approximately 2…

Coffee and Tea Intake, Dementia Risk, and Cognitive Function

Importance  Evidence linking coffee and tea to cognitive health remains inconclusive, and most studies fail to differentiate caffeinated from decaffeinated coffee. Objective  To investigate associations of coffee and tea intake with dementia risk and cognitive function. Design, Setting, and Participants  Prospective cohort study…

Cesarean Delivery on Maternal Request

This JAMA Insights discusses cesarean delivery on maternal request, including the need for counseling regarding maternal and infant risks, composite outcomes, and patient autonomy.

Opportunistic Salpingectomy for Prevention of Tubo-Ovarian Carcinoma – The European Society of Gynaecological Oncology Consensus Statements

Importance  The fallopian tube epithelium has been demonstrated to be an important source of tubo-ovarian carcinoma. Therefore, removal of the fallopian tubes during unrelated pelvic or abdominal surgery (opportunistic salpingectomy) can potentially lower future ovarian cancer risk. Objectives  To assess current evidence…

Management of Severe Refractory Asthma

This JAMA Insights explores the management of severe refractory asthma, including medications, access to specialists, and managing environmental triggers.