JAMA : the journal of the American Medical Association
-
Randomized Controlled Trial Clinical Trial
Early inpatient rehabilitation after elective hip and knee arthroplasty.
Inpatient rehabilitation after elective hip and knee arthroplasty is often necessary for patients who cannot function at home soon after surgery, but how soon after surgery inpatient rehabilitation can be initiated has not been studied. ⋯ These data showed that high-risk individuals were able to tolerate early intensive rehabilitation, and this intervention yielded faster attainment of short-term functional milestones in fewer days using less total cost.
-
The spread of antibiotic-resistant bacteria is associated with antibiotic use. Children receive a significant proportion of the antibiotics prescribed each year and represent an important target group for efforts aimed at reducing unnecessary antibiotic use. ⋯ Antibiotic prescribing for children diagnosed as having colds, URIs, and bronchitis, conditions that typically do not benefit from antibiotics, represents a substantial proportion of total antibiotic prescriptions to children in the United States each year.
-
Biography Historical Article
Effect of Nancy Reagan's mastectomy on choice of surgery for breast cancer by US women.
While the actions of popular figures are believed to influence the behavior of the general public, including health care decisions, little research has examined such an effect. ⋯ Celebrity role models can influence decisions about medical care. The influence appears strongest among persons who demographically resemble the celebrity, and those of lower income and educational status.