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To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed-and what has not-over the past 3 decades and what's next for managed care. The January issue features a conversation with longtime editorial board member Jan E. Berger, MD, MJ, the CEO of Health Intelligence Partners.

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Unlabelled: The past decade has seen remarkable progress in identifying genes that, when impacted by deleterious coding variation, confer high risk for autism spectrum disorder (ASD), intellectual disability, and other developmental disorders. However, most underlying gene discovery efforts have focused on individuals of European ancestry, limiting insights into genetic risks across diverse populations. To help address this, the Genomics of Autism in Latin American Ancestries Consortium (GALA) was formed, presenting here the largest sequencing study of ASD in Latin American individuals (n>15,000).

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Occasioned by the publication of , the text represents exchanges held in the summer of 2024 at the invitation of . It addresses the genesis and the history of the project, and its impact on psychoanalytic rethinking, formation, and practice. While exploring the potential and the limits of revisioning, it also raises questions about the nature of transmission of psychoanalytic knowledge and about the field's relation to the state of its own standards in the age of Anthropocene.

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Article Synopsis
  • There is an increasing interest in vasectomies following the Supreme Court's Dobbs decision, highlighting their safety and cost-effectiveness compared to tubal sterilization.
  • Health care providers from Title X-funded clinics were interviewed to understand the cultural, gender, and political influences on men's decisions to seek vasectomies.
  • Key barriers identified included income challenges, language barriers, medical distrust, and traditional gender roles, but many men expressed a strong desire to take responsibility for contraception and contribute to reproductive health equity.
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Background: Adolescents with substance use problems (SUP) constitute a group expected to face increased mental health problems (MHP). SUP can exacerbate mental health issues while also serving as a coping mechanism. Understanding the interplay between psychological, substance-related, and social factors is crucial for shaping effective interventions for this demographic.

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