581. Statin Therapy as Primary Prevention for Persons With HIV: A Synopsis of Recommendations From the U.S. Department of Health and Human Services Antiretroviral Treatment Guidelines Panel.
作者: Craig Beavers.;Alice K Pau.;David Glidden.;Emily Hyle.;Safia Kuriakose.;Seth S Martin.;Grace McComsey.;Melanie Thompson.;Salim Virani.;Jason V Baker.
来源: Ann Intern Med. 2025年178卷6期847-857页
REPRIEVE (Randomized Trial to Prevent Vascular Events in HIV) showed benefits of pitavastatin as preventive therapy for atherosclerotic cardiovascular disease (ASCVD) in people with HIV (PWH). In February 2024, the U.S. Department of Health and Human Services Panel for the Use of Antiretroviral Agents in Adults and Adolescents with HIV (ARV Guidelines Panel) developed statin therapy recommendations for PWH. These recommendations were issued in collaboration with representatives from the American College of Cardiology (ACC), the American Heart Association (AHA), and the HIV Medicine Association (HIVMA). This synopsis summarizes the development process, the recommendations, and how they supplement the AHA/ACC/multisociety cholesterol guidelines and outlines gaps in primary prevention of ASCVD for PWH.
584. Associations Between Unconditional Cash Transfers and Postpartum Outcomes in the United States : A Systematic Review.
作者: Sahar A Choudhry.;G Saradjha Brédy.;Cyerra Cruise.;Qai Hinds.;Margaret A McConnell.;Sumit Agarwal.;David B Flynn.;Mara E Murray Horwitz.
来源: Ann Intern Med. 2025年178卷7期1000-1011页
Unconditional cash transfers (UCTs) through social programs or direct cash transfers (DCTs) may address drivers of pregnancy-related morbidity and mortality.
586. Alcohol Use Disorder Treatment Initiation Among U.S. Adult Cancer Survivors With Commercial Insurance: A Cohort Study.
作者: Anton L V Avanceña.;Jyun-Heng Lai.;Corwin M Zigler.;Mary M Velasquez.;Christopher R Frei.;Michael Pignone.
来源: Ann Intern Med. 2025年178卷9期1361-1364页 596. Moderate- to Long-Term Effect of Dietary Interventions for Depression and Anxiety : A Systematic Review and Meta-analysis.
作者: Eman Abukmail.;Neeraj Koloth Pradeep.;Samantha Ahmed.;Loai Albarqouni.
来源: Ann Intern Med. 2025年178卷7期987-999页
Dietary interventions are a potential alternative treatment of depression and anxiety.
600. Medical, Societal, and Ethical Considerations for Directed Blood Donation in 2025.
作者: Jeremy W Jacobs.;Garrett S Booth.;Mithya Lewis-Newby.;Nabiha H Saifee.;Eamonn Ferguson.;Claudia S Cohn.;Meghan Delaney.;Sarah Morley.;Stephen Thomas.;Rachel Thorpe.;Sheharyar Raza.;Meaghann S Weaver.;Jennifer S Woo.;Deva Sharma.;Cynthia So-Osman.;Nalan Yurtsever.;Christopher A Tormey.;Allison Waters.;Mindy Goldman.;Matthew T S Yan.;Ross M Fasano.;Laura D Stephens.;Elizabeth S Allen.;Christian Erikstrup.;Laura Infanti.;Timothy D Schlafer.;Matthew A Warner.;Jeffrey L Winters.;Aaron A R Tobian.;Evan M Bloch.
来源: Ann Intern Med. 2025年178卷7期1021-1026页
In the United States and other high-income countries, blood donation primarily relies on anonymous, voluntary donors. However, directed blood donation-where people donate for a specific recipient-has resurged, particularly due to misinformation surrounding COVID-19 vaccination. Requests for "nonvaccinated" blood, driven by misconceptions about vaccine safety, have led to legislative attempts to mandate compliance. Historically, directed donation was used to mitigate the risk for transfusion-related infections before modern screening techniques rendered it largely unnecessary. Today, it presents important patient safety risks, including increased infectious disease transmission, immunologic complications, and logistic burdens. Directed donations also introduce inefficiencies, diverting resources from the community blood supply and exacerbating shortages. Moreover, directed donation for nonmedical indications lacks scientific justification. Blood safety is ensured through rigorous donor screening, pathogen testing, and processing measures. There is no evidence that blood from vaccinated donors poses risk. Requests for nonvaccinated blood, as well as other directed donation preferences based on personal beliefs, introduce biases that are not grounded in medical necessity. Accommodating such requests undermines public trust in blood safety protocols and legitimizes unfounded fears. Ethical concerns arise as non-medically justified requests reinforce discriminatory practices, such as selecting donors based on race or gender. Allowing such preferences risks politicizing blood donation, spreading misinformation, and straining health care systems. Although autonomy is a core ethical principle in medicine, it does not justify non-evidence-based interventions. Given the potential harm and societal impact, directed blood donations should be limited to rare, medically necessary cases. Ongoing legislative efforts to mandate these requests require unified opposition from the medical and scientific community to uphold ethical, evidence-based, blood allocation practices.
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