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#jama

3 posts2 participants0 posts today

And this will he how they turn physical disability into evidence of psychopathy. Awesome. #LimaFromAura is salivating over this. This is how she gets conservatorship over people to force them into her “treatment center”/data broker program.

From the link:

“Similarly, if smartphone sensors detect a notable increase in time spent at home (via GPS), decreased physical activity (via accelerometer), and reduced initiation and response to communication (via call and text meta-data), this could trigger a brief assessment of depressive symptoms or anhedonia. If symptoms are elevated, the system could deliver a targeted, smartphone-delivered behavioral activation or cognitive behavioral intervention.”

jamanetwork.com/journals/jaman

Housing First actually solves the problem of homelessness, and like the one doctor commenting says, it’s a lot easier to achieve sobriety when someone has safe & secure shelter.

From the link:

“ Of the interventions that have been tested and implemented, helping people into stable housing without precondition of sobriety, otherwise known as the Housing First model, is a compassionate way to decrease homelessness, reduce health care use, and possibly improve health outcomes. Although the Housing First model previously received broad bipartisan support, the Trump administration appears ready to abandon this approach. Doing so would have grave consequences for the health of the US.”

There are paragraphs and paragraphs talking about the cost savings of housing people, how it saves lives because homelessness causes people to die 30 years before their peers would, and that substance misuse or abuse decreased drastically after housing vets with substance abuse issues.

jamanetwork.com/journals/jama/

“Question  Is SARS-CoV-2 infection and/or severity associated with acceleration in changes in cognitive function among older adults after accounting for important prepandemic confounders, including genetic risk for cognitive decline?
Findings  In this cohort study of 3525 participants, cognitive function decreased more rapidly among participants hospitalized for a SARS-CoV-2 infection when compared with participants not infected with SARS-CoV-2. These findings were evident after robust multivariable adjustment for confounders.
Meaning  These findings suggest that avoiding severe SARS-CoV-2 infection could help preserve cognitive function among older adults.”
jamanetwork.com/journals/jaman

“A landmark within-patient study in Sweden found that ADHD medication was associated with a 41% reduction in criminal convictions in women and a 32% reduction in men. In the US, MarketScan insurance data demonstrated that adolescents and adults had a 31% lower risk of substance-related emergency events in women and a 35% lower risk in men during months on ADHD medication. Similarly, Chang and colleagues reported a 42% lower rate of motor vehicle crashes in women and a 38% lower rate in men in medicated months. This real-world benefit extends even further. A meta-analysis by Boland et al demonstrated protective effects similar to those found by Li and colleagues, showing 25% to 35% within-group improvement during the active treatment period and nearly 50% improvement between treated and never-treated groups across mood disorders, substance use disorders, accidents, crime, injuries, and educational outcomes.”

jamanetwork.com/journals/jamap

#ADHD#JAMA#study

It reminds me of #AtlasShrugged.

“We are probably going to stop publishing in the Lancet, the New England Journal of Medicine (#NEJM), #JAMA and those other journals because they are all corrupt."

Kennedy said agencies within the #HHS will create their own “in-house” journals. “They are going to become the preeminent journals, because if you get #NIH funding it is anointing you as a good, legitimate scientist,” he said.

thehill.com/policy/healthcare/

What is happening in South Dakota? Noem’s poor leadership caused drug overdoses?? So it wasn’t Biden’s fault people were overdosing on fentanyl? Weird.
“Drug overdose deaths decreased almost 27% in the US, from approximately 110 000 deaths in 2023 to 80 400 in 2024, provisional data from the US Centers for Disease Control and Prevention (CDC) indicate.
Almost all states experienced declines, the National Center for Health Statistics reported, excluding South Dakota and Nevada.”
jamanetwork.com/journals/jama/

Oh look- providing housing to people who can’t afford it actually saves money.

From the link:

Question  To what extent does a Medicaid housing benefit pilot program address the housing needs of participants, and what are the financial implications of implementing the program?
Findings  In this cohort study, 517 individuals were enrolled; top needs were rent and utility support, and service utilization mirrored these needs. Overall, the mean (SD) cost per member per month was $2225 ($1586).
Meaning  The findings of this study of a pilot program highlight a critical need for housing supports among Medicaid members and offer lessons for design and implementation of similar programs, including a key insight on the necessity of cross-sector collaboration between health care and housing organizations.
jamanetwork.com/journals/jaman

Yeah, idk about this one.

It seems to me it’s more likely that reducing migraines reduced the symptoms that led to the patient being labeled depressed, than this medication helping depression by itself.

It would be great if it helped with depression in itself, but I know for a fact that because of my chronic illness when I answer those depression screening questions honestly the symptoms of my chronic illness make that screening in indicate I have depression when I absolutely do not. I have an energy limiting neurological disorder. And migraines lol

“Fremanezumab for the Treatment of Patients With Migraine and Comorbid Major Depressive Disorder
The UNITE Randomized Clinical Trial”
jamanetwork.com/journals/jaman

Addressing the Double Bind of Women’s Anger After Trauma

“Compounding recovery from problem anger after trauma is that healthy anger in women is pathologized. Societal forces, some universal and others culturally specific, include the perceived values of femininity, motherhood, and inappropriateness of anger in women. This is not an outdated notion—contemporary research has shown that women’s anger is unacceptable to 94% of individuals.”

jamanetwork.com/journals/jamap

Conversion therapy causes cardiovascular issues according to science:

Question  Are exposures to sexual orientation and gender identity change efforts (SOGICE) associated with increased risk of cardiovascular disease?
Findings  In this cohort study of 703 sexual and gender minority young adults assigned male at birth, SOGICE exposure was associated with elevated blood pressure, increased systemic inflammation, and higher odds of self-reported hypertension diagnosis.
Meaning  These results suggest that exposure to SOGICE may increase the risk of adverse cardiovascular health outcomes, underscoring the need for enforcement of bans and affirmative care approaches.
jamanetwork.com/journals/jaman

I was afraid to read this because I’m really sick of the stigma of chronic pain.

I got one of those “did you know there are other treatments for pain besides opioids” letters from medicare yesterday. Seems like a tolling attempt when the stuff they list (like massage and acupuncture) aren’t usually covered by Medicare. None of us can afford regular out of pocket massage.

This is a regular thing that they send, but the terrifying difference is that this letter had a paragraph about how part D plans can change the formulary at any time throughout the year.

I think they’re warning me that they’re going to stop covering pain medication for chronic pain. And the timing of this article being sent out again makes me even more suspicious.

“Editorial
February 17, 2025
Integrating Buprenorphine Into Chronic Pain Treatment—Putting the Choice in VOICE”
jamanetwork.com/journals/jamai

I was afraid to read this one. I thought it would tell me horrible things. But it’s not bad.

Incidence and Prevalence of Reported Euthanasia Cases in Belgium, 2002 to 2023
“Meaning  These findings suggest that the euthanasia safeguards implemented in Belgium appear effective, as patterns in euthanasia reflect the initial effects of legislation, harmonization across subgroups, and the impact of an aging population.”

jamanetwork.com/journals/jaman

RIP #CDC

“Fleming noted that he was particularly concerned that #HIV prevention efforts had been “substantially cut,” that the National Institute for Occupational Safety and Health (#NIOSH ) is ‘essentially gone,’ and that staff members who worked on cancer clustershad been fired.”
“The April 2 letter also listed asthma, tobacco use, violence prevention, lead poisoning, reproductive health, global health threats, birth defects, and #disability and injury prevention as CDC programs affected by the firings.”
jamanetwork.com/journals/jama/

Continued thread

Update. An editorial in #JAMA and the #JAMANetwork.
jamanetwork.com/journals/jama/

"Some authors of scientific works in process have had to remove their names from publications for these publications to proceed; others have chosen to pause or withdraw their publications. While some of these actions are directly related to the executive order to #HHS employees to cease communications, many have been undertaken preemptively by authors who are not subject to the order but are presumably fearful of the challenges of communicating complex findings in this current environment. Some authors are engaging in anticipatory compliance by scrubbing from their manuscripts words they fear may be deemed, in the moment, politically unacceptable…We remain steadfast in our guidance to authors and readers across the JAMA Network journals and endorse and adhere to the standards set by the International Committee of Medical Journal Editors [#ICMJE]…We will act flexibly, where appropriate, to ensure that censoring efforts will not silence the integrity of the scientific process or clear communication of scientific information important for health."