JAMA: 2008-05-14, Vol. 299, No. 18, Author in the Room ™ Audio Interview
Interview with Wendie A. Berg, MD, PhD, author of Combined Screening With Ultrasound and Mammography vs Mammography Alone in Women at Elevated Risk of Breast Cancer. Summary Points: 1. Adding a single screening ultrasound examination to screening mammography in women at increased risk of breast cancer with at least heterogeneously dense breasts increases the cancer detection rate from 50% to 78%. 2. The risk of a biopsy for a benign lesion in our series was 1 in 40 for women undergoing mammography versus 1 in 10 for women undergoing mammography combined with ultrasound screening. 3. Using the standardized technique and int...
Source: JAMA Author in the Room - May 23, 2008 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2008-04-09, Vol. 299, No. 14, Author in the Room ™ Audio Interview
Interview with Barbara V. Howard, PhD, author of Effect of Lower Targets for Blood Pressure and LDL Cholesterol on Atherosclerosis in Diabetes: The SANDS Randomized Trial. Summary Points: 1. Both standard and aggressive targets for blood pressure and LDL cholesterol in individuals with diabetes can be achieved and are safe. 2. Aggressive targets were associated with regression in IMT and greater decrease in LV mass, but long term data are needed to determine if they will result in improvement in clinical events. 3. Aggressive targets for blood pressure and LDL cholesterol may be considered on an individual basis. (Source: ...
Source: JAMA Author in the Room - May 23, 2008 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2008-05-14, Vol. 299, No. 18, Author in the Room™ Audio Interview
Interview with Wendie A. Berg, MD, PhD, author of Combined Screening With Ultrasound and Mammography vs Mammography Alone in Women at Elevated Risk of Breast Cancer. Summary Points: 1. Adding a single screening ultrasound examination to screening mammography in women at increased risk of breast cancer with at least heterogeneously dense breasts increases the cancer detection rate from 50% to 78%. 2. The risk of a biopsy for a benign lesion in our series was 1 in 40 for women undergoing mammography versus 1 in 10 for women undergoing mammography combined with ultrasound screening. 3. Using the standardized technique and int...
Source: JAMA Author in the Room - May 23, 2008 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2008-04-09, Vol. 299, No. 14, Author in the Room™ Audio Interview
Interview with Barbara V. Howard, PhD, author of Effect of Lower Targets for Blood Pressure and LDL Cholesterol on Atherosclerosis in Diabetes: The SANDS Randomized Trial. Summary Points: 1. Both standard and aggressive targets for blood pressure and LDL cholesterol in individuals with diabetes can be achieved and are safe. 2. Aggressive targets were associated with regression in IMT and greater decrease in LV mass, but long term data are needed to determine if they will result in improvement in clinical events. 3. Aggressive targets for blood pressure and LDL cholesterol may be considered on an individual basis. (Source: ...
Source: JAMA Author in the Room - May 23, 2008 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2008-03-12, Vol. 299, No. 10, Author in the Room ™ Audio Interview
Interview with Laura P. Svetky, MD, MHS, author of Comparison of Strategies for Sustaining Weight Loss: The Weight Loss Maintenance Randomized Controlled Trial. Summary Points: 1. Weight loss is feasible and long term weight loss is possible. 2. Ongoing personal contact and technology based interventions were effective but the overall benefits were small. 3. The role of clinicians is to reinforce the message that weight loss can prevent and treat multiple chronic conditions. Even small amounts of weight loss can lead to significant health benefits. 4. Our focus should be on long term healthy life style changes rather than ...
Source: JAMA Author in the Room - April 18, 2008 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2008-03-12, Vol. 299, No. 10, Author in the Room™ Audio Interview
Interview with Laura P. Svetky, MD, MHS, author of Comparison of Strategies for Sustaining Weight Loss: The Weight Loss Maintenance Randomized Controlled Trial. Summary Points: 1. Weight loss is feasible and long term weight loss is possible. 2. Ongoing personal contact and technology based interventions were effective but the overall benefits were small. 3. The role of clinicians is to reinforce the message that weight loss can prevent and treat multiple chronic conditions. Even small amounts of weight loss can lead to significant health benefits. 4. Our focus should be on long term healthy life style changes rather than ...
Source: JAMA Author in the Room - April 18, 2008 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2008-01-30, Vol. 299, No. 4, Author in the Room ™ Audio Interview
Interview with Stephen M. Shortell, PhD, MBA, MPH, author of Improving Patient Safety by Taking Systems Seriously. Summary Points: 1. To make real progress in patient safety will require redesigning the underlying system of care such that healthcare professionals and institutions providing a continuum of services from prevention to hospice can address multiple conditions and episodes over time. A "culture of systems" must be established. 2. Competing priorities, professional autonomy, solo and small physician practices, disciplinary silos, miss-aligned financial incentives, and inadequate feedback about performance all und...
Source: JAMA Author in the Room - March 21, 2008 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2008-01-30, Vol. 299, No. 4, Author in the Room™ Audio Interview
Interview with Stephen M. Shortell, PhD, MBA, MPH, author of Improving Patient Safety by Taking Systems Seriously. Summary Points: 1. To make real progress in patient safety will require redesigning the underlying system of care such that healthcare professionals and institutions providing a continuum of services from prevention to hospice can address multiple conditions and episodes over time. A "culture of systems" must be established. 2. Competing priorities, professional autonomy, solo and small physician practices, disciplinary silos, miss-aligned financial incentives, and inadequate feedback about performance all und...
Source: JAMA Author in the Room - March 21, 2008 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2008-01-02, Vol. 299, No. 1, Author in the Room Audio Interview
Interview with Mark J. Pletcher, MD, MPH, author of Trends in Opioid Prescribing by Race/Ethnicity for Patients Seeking Care in US Emergency Departments. Summary Points: 1. Doctors appear to prescribe opioids less often to blacks and Hispanics/Latinos than they do to whites in the emergency department. 2. These differences do not appear to be explained by differences in type or severity of pain. To address these disparities, we would recommend: 1. Educating patients to make sure non-white patients expect good pain control and know how/when to ask for it. 2. Educating physicians and nurses about the existing disparities an...
Source: JAMA Author in the Room - February 26, 2008 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2007-12-05, Vol. 298, No. 21, Author in the Room Audio Interview
Interview with Ian G. Williamson, MD, author of Antibiotics and Topical Nasal Steroid for Treatment of Acute Maxillary Sinusitis. Summary Points: 1. Antibiotics are not so effective in the routine treatment of cases of acute sinusitis even when of probable bacterial origin, and should therefore be used more judiciously and with greater caution. 2. Expectations should not necessarily be for antibiotics but balanced risk assessments and symptom advice are still important. 3. Findings of lack of efficacy for antibiotics should drive a research agenda which aims to identify subgroups that might benefit from their use and/or ot...
Source: JAMA Author in the Room - January 22, 2008 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2007-11-21, Vol. 298, No. 19, Author in the Room Audio Interview
Interview with Dena M. Bravata, MD, MS, author of Using Pedometers to Increase Physical Activity and Improve Users' Health. Summary Points: 1. Pedometer users increase their physical activity. They walked 2000 steps per day more than people who do not use a pedometer. 2000 steps is equivalent to about 1 mile per day or about 100 calories per day. 2. Having a daily step goal is important for increasing physical activity with a pedometer. Pedometer users with any goal plus or minus either 10,000 steps per day or an individualized step goal plus or minus increase their physical activity whereas those pedometer users without a...
Source: JAMA Author in the Room - December 27, 2007 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2007-10-17, Vol. 298, No. 15, Author in the Room Audio Interview
Interview with R. Monina Klevens, DDS, MPH, author of Invasive Methicillin-Resistant Staphylococcus aureus Infections in the United States. Summary Points: 1. The magnitude of MRSA infection is significant, demonstrating that it is a major healthcare and public health issue. 2. The majority of invasive MRSA infections are healthcare associated; hospitals and other healthcare facilities should make MRSA prevention a priority. 3. MRSA skin infections are common in the community and rarely become life threatening or invasive. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - November 21, 2007 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2007-09-05, Vol. 298, No. 9, Author in the Room Audio Interview
Interview with Romsai T. Boonyasai, MD, MPH, author of Effectiveness of Teaching Quality Improvement to Clinicians. Summary Points: 1. Quality Improvement (QI) curricula are often effective in improving learners plus or minus QI-related participation, attitudes, and knowledge. 2. QI curricula are less often associated with clinical improvements. 3. Clinical improvements occur more often when learners engage in multiple small cycles of change, and when they have individualized coaching in QI, access to their performance data, and access to pre-developed QI tools. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - October 17, 2007 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2007-08-15, Vol. 298, No. 7, Author in the Room Audio Interview
Interview with Douglas R. Lowy, MD, author of Effect of Human Papillomavirus 16/18 L1 Viruslike Particle Vaccine Among Young Women With Preexisting Infection. Summary Points: 1. The HPV vaccine has been shown to work very well in preventing new (incident) infection and disease caused by the HPV types targeted in the vaccine. 2. The JAMA study shows that HPV vaccination does not hasten clearance of existing (prevalent) infection with the HPV types targeted by the vaccine (HPV16 and 18). 3. It is most cost-effective to administer the vaccine before patients are exposed to HPV, because the vaccine is effective in preventing n...
Source: JAMA Author in the Room - September 19, 2007 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2007-07-18, Vol. 298, No. 3, Author in the Room Audio Interview
Interview with Roy C. Ziegelstein, MD, author of Acute Emotional Stress and Cardiac Arrhythmias. Summary Points: 1. Episodes of emotional stress, especially when sudden, severe, and unexpected, may have significant adverse effects on the heart. 2. Acute emotional stress can increase sympathetic stimulation of the heart and can alter brain activity in a way that makes the heart more susceptible to rhythm disturbances. 3. Since episodes of emotional stress are almost inevitable in life, part of a healthy lifestyle is learning how to deal effectively with stress. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - August 15, 2007 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
