JAMA

Continued Treatment With Tirzepatide for Maintenance of Weight Reduction in Adults With Obesity – The SURMOUNT-4 Randomized Clinical Trial

Importance  The effect of continued treatment with tirzepatide on maintaining initial weight reduction is unknown. Objective  To assess the effect of tirzepatide, with diet and physical activity, on the maintenance of weight reduction. Design, Setting, and Participants  This phase 3, randomized withdrawal clinical…

Risk Assessment and Prevention of Falls in Older Community-Dwelling Adults – A Review

Importance  Falls are reported by more than 14 million US adults aged 65 years or older annually and can result in substantial morbidity, mortality, and health care expenditures. Observations  Falls result from age-related physiologic changes compounded by multiple intrinsic and extrinsic risk…

Common Oral Conditions – A Review

Importance  Dry mouth, oral candidiasis, and recurrent aphthous ulcers are 3 of the most common oral conditions that may be associated with patient discomfort, decreased quality of life, and morbidity. Observations  In a meta-analysis of 26 population-based cohort and cross-sectional studies, the…

Clinical, Biomarker, and Research Tests Among US Government Personnel and Their Family Members Involved in Anomalous Health Incidents

Importance  Since 2015, US government and related personnel have reported dizziness, pain, visual problems, and cognitive dysfunction after experiencing intrusive sounds and head pressure. The US government has labeled these anomalous health incidents (AHIs). Objective  To assess whether participants with AHIs differ significantly from…

Skin Biopsy Detection of Phosphorylated a-Synuclein in Patients With Synucleinopathies

Importance  Finding a reliable diagnostic biomarker for the disorders collectively known as synucleinopathies (Parkinson disease [PD], dementia with Lewy bodies [DLB], multiple system atrophy [MSA], and pure autonomic failure [PAF]) is an urgent unmet need. Immunohistochemical detection of cutaneous phosphorylated α-synuclein…

A Patient With Type 1 Diabetes and Acute Rhinosinusitis

A 41-year-old with type 1 diabetes had generalized weakness, muffled voice, and slurred speech. Neck computed tomography showed soft-tissue gas in the nasopharynx and prevertebral fascia; examination of sinus mucosal samples identified numerous broad, nonseptate right-angled hyphae and fruiting bodies….

Tilt Table Testing

This Diagnostic Test Interpretation uses a patient case to illustrate tilt table testing, useful for evaluating patients with syncope of unknown cause or postural orthostatic tachycardia syndrome (POTS).

Falls Prevention for Older Adults

This article summarizes a 2022 clinical practice guideline on falls prevention and management in older adults from the World Falls Guidelines Initiative.

Eosinophilic Gastrointestinal Disease

This JAMA Insights Clinical Update discusses the symptoms, diagnosis, and management of eosinophilic gastrointestinal diseases.