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This Week in JAMA
JAMA. 2002;287:2323.
Breastfeeding Duration and Intelligence in Young Adults
Previous studies have suggested that breastfeeding is positively associated with cognitive development in early and middle childhood. In this analysis of data from 2 independent samples of young adults born between October 1959 and December 1961 who were part of a prospective birth cohort study, Mortensen and colleagues found that duration of breastfeeding was associated with higher scores on 2 different intelligence measures.
(SEE ARTICLE)
Cost-effectiveness of Cervical Cancer Screening Strategies
Cervical cytology techniques other than the Papanicolaou (Pap) smear are now available, as are methods to detect cervical infection with human papillomavirus (HPV). In a cost-effectiveness analysis, Mandelblatt and colleagues (SEE ARTICLE) found that screening with HPV plus Pap tests every 2 years appeared to save additional years of life at reasonable costs compared with Pap testing alone. Kim and colleagues (SEE ARTICLE) conducted a cost-effectiveness analysis to compare alternative strategies for the management of women with equivocal cervical cytology results. Reflex HPV testing using either residual liquid-based cytological specimens or samples collected at the same time as screening with conventional cytology provided the same or greater life expectancy benefits and was more cost-effective than other management strategies. In an editorial, Mark (SEE ARTICLE) provides a roadmap to understanding cost-effectiveness analyses.
Hemorrhagic Fever Viruses as Bioweapons
Recommendations for medical and public health management after use of hemorrhagic fever viruses as biological weapons are presented in this sixth consensus statement in the series from the Working Group on Civilian Biodefense.
(SEE ARTICLE)
Needlestick Transmission of Hepatitis C: Grand Rounds at the Johns Hopkins Hospital
Needlestick exposure to hepatitis C virus (HCV) is a serious occupational hazard for health care workers. There are no approved methods of preventing HCV infection after an occupational exposure, and the optimal strategy for diagnosing HCV infection after an exposure has not been determined. Sulkowski and colleagues discuss the case of a 29-year-old medical intern who developed acute HCV infection after sustaining a needlestick injury from a source patient known to be infected with both human immunodeficiency virus and HCV.
(SEE ARTICLE)
CLINICIAN'S CORNER
Glycemic Index
Ludwig reviews the glycemic index, a system for classifying carbohydrate-containing foods according to glycemic response, and the relationship between glycemic index and physiological mechanisms relating to obesity, diabetes, and cardiovascular disease.
(SEE ARTICLE)
A Piece of My Mind
"Physicians use literature to help them with medicine's art. And that's where I can help." From "Body English."
(SEE ARTICLE)
Contempo Updates
Review of the epidemiology, pathophysiology, and clinical features and management of Alzheimer disease.
(SEE ARTICLE)
Medical News & Perspectives
Concern about approval by the Accreditation Council for Graduate Medical Education of a proposed yearlong PGY5 fellowship designed to set uniform standards in dermatologic surgery has sparked controversy between the American Academy of Dermatology and the American College of Surgeons.
(SEE ARTICLE)
Careers in Translational Clinical Research
Nathan discusses new approaches to the recruitment and retention of patient-oriented translational clinical researchers.
(SEE ARTICLE)
JAMA Patient Page
For your patients: Information about human papillomavirus infection.
(SEE ARTICLE)
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