Introduction

This is the jama editor's summary, a review of important research and review articles appearing in the latest jamma issue. In this week's issue there are three original research investigations. An accompanying editorial discusses clinical considerations when deciding whether to surgically s a patent for ramino valley or patients who have experienced a stroke related to the patent forramino valley. A related jamma article looks at the association between preserved ratio impaired spirometry and clinical outcomes in adults in the united states.