Mark S. Lachs, MD, MPH; Jeanne A. Teresi, EdD, PhD; Mildred Ramirez, PhD; Kimberly van Haitsma, PhD; Stephanie Silver, MPH; Joseph P. Eimicke, MS; Gabriel Boratgis, MPH; Gail Sukha, BA; Jian Kong, MS; Alexandra M. Besas, RN; Maria Reyes Luna, AS; Karl A. Pillemer, PhD
Mistreatment of nursing home residents by staff is a well-known phenomenon, and policies and initiatives have been developed to detect, prevent, and prosecute such abuse. In an observational study, mistreatment committed by other residents, including threats and physical, verbal, and sexual actions, was determined and compared with that committed by staff.
Ann Intern Med. 2016;165(4):229-236. doi:10.7326/M15-1209
John N. Mafi, MD, MPH; Christina C. Wee, MD, MPH; Roger B. Davis, ScD; Bruce E. Landon, MD, MBA, MSc
This study tested the idea that nurse practitioners and physician assistants might provide relatively lower-value care than physicians in the primary care setting. The study was limited to patients with upper respiratory infections, back pain, and headache; outcome measures included the use of guideline-discordant antibiotics, radiography, computed tomography or magnetic resonance imaging, and referrals to other physicians.
Ann Intern Med. 2016;165(4):237-244. doi:10.7326/M15-2152
Phillip O. Coffin, MD, MIA; Emily Behar, MA; Christopher Rowe, MPH; Glenn-Milo Santos, PhD, MPH; Diana Coffa, MD; Matthew Bald, MD; Eric Vittinghoff, PhD
Unintentional overdose involving opioid analgesics is a leading cause of death in the United States. This study evaluates the feasibility and impact of prescribing naloxone prescription to patients receiving opioids for chronic pain in 6 safety net primary care clinics in San Francisco.
Ann Intern Med. 2016;165(4):245-252. doi:10.7326/M15-2771
Nick van Es, MD; Tom van der Hulle, MD; Josien van Es, MD, PhD; Paul L. den Exter, MD; Renée A. Douma, MD, PhD; Robbert J. Goekoop, MD; Inge C.M. Mos, MD, PhD; Javier Galipienzo, MD, PhD; Pieter W. Kamphuisen, MD, PhD; Menno V. Huisman, MD, PhD; Frederikus A. Klok, MD, PhD; Harry R. Büller, MD, PhD; Patrick M. Bossuyt, PhD
This review contributes new information on use of the Wells rule with D-dimer testing to make decisions about imaging in patients with suspected pulmonary embolism.
Ann Intern Med. 2016;165(4):253-261. doi:10.7326/M16-0031
Cynthia Feltner, MD, MPH; Kristina Peterson, PhD; Rachel Palmieri Weber, PhD; Laurie Cluff, PhD; Emmanuel Coker-Schwimmer, MPH; Meera Viswanathan, PhD; Kathleen N. Lohr, PhD
The Total Worker Health program was created in 2011 to focus attention on integrated approaches to worker health and safety. This review evaluates evidence about the benefits of integrated health programs for workers.
Ann Intern Med. 2016;165(4):262-269. doi:10.7326/M16-0626
Richard Simon, DSc
New designs for precision medicine in oncology clinical trials are being developed to utilize our greater understanding of the molecular heterogeneity of human cancer types. The author describes some of the newer trial designs, cites examples of such trials, and presents detailed schematics to highlight their important features.
Ann Intern Med. 2016;165(4):270-278. doi:10.7326/M15-2413
Cathy J. Bradley, MPA, PhD; David C. Grossman, MD, PhD; Rebecca A. Hubbard, PhD; Alexander N. Ortega, PhD; Susan J. Curry, PhD
This position paper from the National Institutes of Health Pathways to Prevention program highlights 8 recommendations critical for advancing the science of integrated interventions to improve the total health of workers.
Ann Intern Med. 2016;165(4):279-283. doi:10.7326/M16-0740
Gillian J. Buckley, PhD, MPH; Brian L. Strom, MD, MPH
Highlighting recent findings of a National Academies of Sciences, Engineering, and Medicine report, this commentary addresses the feasibility of eliminating hepatitis B and C viruses in the United States.
Ann Intern Med. 2016;165(4):284-285. doi:10.7326/M16-0772
Joseph A. Lewnard, MPhil; Gregg Gonsalves, MPhil; Albert I. Ko, MD
Concerns have been raised over possible expansion of the Zika virus epidemic by infected travelers returning from the 2016 Olympics in Brazil. A modeling study was performed to assess this risk, and the authors present its findings.
Ann Intern Med. 2016;165(4):286-287. doi:10.7326/M16-1628
XinQi Dong, MD, MPH
Lachs and colleagues examined the prevalence and correlates of resident-to-resident elder mistreatment. The editorialist discusses the study results and calls for strategies to better prevent, screen for, monitor, and manage elder abuse in nursing homes.
Ann Intern Med. 2016;165(4):288-289. doi:10.7326/M16-1161
Eugene C. Rich, MD
Mafi and colleagues examined the role of nurse practitioners and physician assistants in the delivery of high-quality, cost-effective primary care. The editorialist discusses the findings and believes that questions remain on how to ensure ready availability of the deep clinical competencies required for diagnosis and management of medically complex patients.
Ann Intern Med. 2016;165(4):290-291. doi:10.7326/M16-1326
Alexander Y. Walley, MD, MSc; Traci C. Green, PhD, MSc
Coffin and colleagues evaluated the implementation of overdose education and naloxone rescue kit prescriptions among patients in safety net community health centers treated with opioid therapy for chronic pain. The editorialists describe why this study is a critical step forward in integrating interventions to reduce opioid overdose in primary care settings.
Ann Intern Med. 2016;165(4):292-293. doi:10.7326/M16-1348
Robert K. McLellan, MD, MPH
Two articles present perspectives on the current science of the effectiveness of Total Worker Health interventions—employer-based interventions to promote health; disease management; control costs; and maintain a healthy, productive workforce. The editorialist discusses potential advantages and disadvantages.
Ann Intern Med. 2016;165(4):294-295. doi:10.7326/M16-0965
John Howard, MD; Chia-Chia Chang, MPH, MBA; Anita L. Schill, PhD, MPH, MA; L. Casey Chosewood, MD, MPH
This editorial discusses the National Institute for Occupational Safety and Health response to the National Institutes of Health Pathways to Prevention workshop, “Total Worker Health—What's Work Got to Do With It?”
Ann Intern Med. 2016;165(4):296-297. doi:10.7326/M16-0904
Ann Intern Med. 2016;165(4):298-299. doi:10.7326/L16-0073
Ann Intern Med. 2016;165(4):298. doi:10.7326/L16-0074
Ann Intern Med. 2016;165(4):299. doi:10.7326/L16-0105
Ann Intern Med. 2016;165(4):299-300. doi:10.7326/L16-0106
Ann Intern Med. 2016;165(4):300-301. doi:10.7326/L15-0469
Ann Intern Med. 2016;165(4):301-304. doi:10.7326/M15-3066
Ann Intern Med. 2016;165(4):304. doi:10.7326/L16-0375
Paul Shekelle, MD
Ann Intern Med. 2016;165(4):JC14. doi:10.7326/ACPJC-2016-165-4-014
Eric R. Bates, MD
Ann Intern Med. 2016;165(4):JC15. doi:10.7326/ACPJC-2016-165-4-015
Robert H. Fletcher, MD, MSc
Ann Intern Med. 2016;165(4):JC16. doi:10.7326/ACPJC-2016-165-4-016
Ann Intern Med. 2016;165(4):JC17. doi:10.7326/ACPJC-2016-165-4-017
Miriam L. Priglinger, MD
Ann Intern Med. 2016;165(4):JC18. doi:10.7326/ACPJC-2016-165-4-018
David Barer, MD
Ann Intern Med. 2016;165(4):JC19. doi:10.7326/ACPJC-2016-165-4-019
Michael Tanner, MD
Ann Intern Med. 2016;165(4):JC20. doi:10.7326/ACPJC-2016-165-4-020
Kim A. Eagle, MD; Richard L. Weinberg, MD, PhD
Ann Intern Med. 2016;165(4):JC21. doi:10.7326/ACPJC-2016-165-4-021
Patrick G. O’Malley, MD, MPH, FACP
Ann Intern Med. 2016;165(4):JC22. doi:10.7326/ACPJC-2016-165-4-022
Graeme J. Hankey, MD
Ann Intern Med. 2016;165(4):JC23. doi:10.7326/ACPJC-2016-165-4-023
Geno J. Merli, MD; Howard H. Weitz, MD
The Consult Guys bring a new perspective to the art and science of medicine with lively discussion and analysis of real-world cases and situations.
Ann Intern Med. 2016;165(4):CG1. doi:10.7326/W16-0008
Darren B. Taichman, MD, PhD
Ann Intern Med. 2016;165(4):ED4. doi:10.7326/AFED201608160
David H. Wesorick, MD; Vineet Chopra, MD, MSc
Ann Intern Med. 2016;165(4):HO1. doi:10.7326/AFHO201608160
Sushant Govindan, MD; Theodore J. Iwashyna, MD, PhD
Ann Intern Med. 2016;165(4):HO2-HO3. doi:10.7326/M16-1507
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