e5402be1c788f736dec697703e60bb13 JAMA_a2024v7n6.pdf 40ee930931950863f03ec4fc41bdfc54db3ef2eb JAMA_a2024v7n6.pdf b92a787619a38b6d0ce90642f28401d6043549d8477dfe45e410e735dd0066f4 JAMA_a2024v7n6.pdf Title: Subject: Keywords: The JAMA Network Author: American Medical Association Creator: XPP Producer: ; modified using iTextSharp 4.1.6 by 1T3XT CreationDate: Thu Jun 13 18:07:02 2024 CEST ModDate: Thu Jun 5 12:32:04 2025 CEST Custom Metadata: no Metadata Stream: yes Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 16 Encrypted: no Page size: 612 x 792 pts (letter) Page rot: 0 File size: 1403037 bytes Optimized: no PDF version: 1.4 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- GNBADN+GuardianSans-RegularIt Type 1C Custom yes yes yes 47 0 GNBADJ+GuardianSansGR-Regular Type 1C Custom yes yes yes 48 0 GNBADH+GuardianSans-Medium Type 1C Custom yes yes yes 49 0 GNBADG+GuardianSans-Semibold Type 1C Custom yes yes yes 50 0 KEMEYS+ArialMT TrueType WinAnsi yes yes no 1 0 GNBAPD+GuardianAgateSans1D-Bold Type 1C WinAnsi yes yes no 106 0 GNBAPB+GuardianAgateSans1GR-Regular Type 1C Custom yes yes yes 107 0 GNBCHI+GuardianAgateSans-MediumIt Type 1C Custom yes yes yes 135 0 GNBCHG+GuardianAgateSansGR-Medium Type 1C Custom yes yes yes 136 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-06-06 02:56:13 CEST RepresentationInformation: JAMA_a2024v7n6.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-06-05 12:32:46 CEST Size: 1403037 Format: PDF Version: 1.4 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 287 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Info: Title: Author: American Medical Association Subject: Keywords: The JAMA Network Creator: XPP Producer: ; modified using iTextSharp 4.1.6 by 1T3XT CreationDate: Thu Jun 13 18:07:02 CEST 2024 ModDate: Thu Jun 05 12:32:04 CEST 2025 ID: 0xe090c8063d2c4b5b9c7e080a149ed1a1, 0x34f9925ad37d91b9ac5ec21fa4c95670 Filters: FilterPipeline: FlateDecode Images: Image: NisoImageMetadata: FormatName: image/png ImageWidth: 11 ImageHeight: 11 ColorSpace: CMYK BitsPerSample: 8 BitsPerSampleUnit: integer Filter: FlateDecode Fonts: Type1: Font: BaseFont: GNBADJ+GuardianSansGR-Regular FontSubset: true FirstChar: 36 LastChar: 250 FontDescriptor: FontName: GNBADJ+GuardianSansGR-Regular Flags: Symbolic FontBBox: -175, -217, 1194, 1061 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: GNBADH+GuardianSans-Medium FontSubset: true FirstChar: 40 LastChar: 122 FontDescriptor: FontName: GNBADH+GuardianSans-Medium Flags: Symbolic FontBBox: -180, -219, 1240, 1072 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: GNBADG+GuardianSans-Semibold FontSubset: true FirstChar: 43 LastChar: 124 FontDescriptor: FontName: GNBADG+GuardianSans-Semibold Flags: Symbolic FontBBox: -185, -222, 1277, 1082 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: GNBCHI+GuardianAgateSans-MediumIt FontSubset: true FirstChar: 80 LastChar: 80 FontDescriptor: FontName: GNBCHI+GuardianAgateSans-MediumIt Flags: Symbolic, Italic FontBBox: -319, -204, 1060, 1036 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: GNBCHG+GuardianAgateSansGR-Medium FontSubset: true FirstChar: 37 LastChar: 118 FontDescriptor: FontName: GNBCHG+GuardianAgateSansGR-Medium Flags: Symbolic FontBBox: -260, -204, 1070, 1036 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: GNBAPD+GuardianAgateSans1D-Bold FontSubset: true FirstChar: 65 LastChar: 67 FontDescriptor: FontName: GNBAPD+GuardianAgateSans1D-Bold Flags: Nonsymbolic, ForceBold FontBBox: -271, -226, 1072, 1036 FontFile3: true Encoding: WinAnsiEncoding Font: BaseFont: GNBAPB+GuardianAgateSans1GR-Regular FontSubset: true FirstChar: 2 LastChar: 160 FontDescriptor: FontName: GNBAPB+GuardianAgateSans1GR-Regular Flags: Symbolic FontBBox: -250, -204, 1063, 1036 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: GNBADN+GuardianSans-RegularIt FontSubset: true FirstChar: 40 LastChar: 121 FontDescriptor: FontName: GNBADN+GuardianSans-RegularIt Flags: Symbolic, Italic FontBBox: -217, -217, 1106, 1061 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true TrueType: Font: BaseFont: KEMEYS+ArialMT FontSubset: true FirstChar: 32 LastChar: 121 FontDescriptor: FontName: KEMEYS+ArialMT Flags: Nonsymbolic FontBBox: -664, -324, 2000, 1039 FontFile2: true Encoding: WinAnsiEncoding XMP: 2024-06-13T16:07:02Z 2025-06-05T10:32:04+00:00 XPP The JAMA Network ; modified using iTextSharp 4.1.6 by 1T3XT American Medical Association Pages: Page: Label: 1 Annotations: Annotation: Subtype: Link Rect: 430, 257, 499, 267 Annotation: Subtype: Link Rect: 430, 238, 504, 248 Page: Label: 2 Annotations: Annotation: Subtype: Link Rect: 178, 542, 289, 551 Page: Label: 3 Annotations: Annotation: Subtype: Link Rect: 339, 697, 370, 708 Page: Label: 4 Annotations: Annotation: Subtype: Link Rect: 246, 697, 295, 708 Annotation: Subtype: Link Rect: 166, 70, 215, 82 Page: Label: 5 Annotations: Annotation: Subtype: Link Rect: 269, 658, 318, 670 Annotation: Subtype: Link Rect: 277, 606, 326, 618 Annotation: Subtype: Link Rect: 221, 580, 270, 592 Page: Label: 6 Annotations: Annotation: Subtype: Link Rect: 55, 606, 104, 618 Annotation: Subtype: Link Rect: 315, 567, 364, 579 Annotation: Subtype: Link Rect: 187, 113, 236, 125 Page: Label: 7 Page: Label: 8 Page: Label: 9 Page: Label: 10 Page: Label: 11 Page: Label: 12 Annotations: Annotation: Subtype: Link Rect: 141, 272, 260, 282 Annotation: Subtype: Link Rect: 285, 258, 330, 268 Annotation: Subtype: Link Rect: 195, 233, 281, 243 Annotation: Subtype: Link Rect: 49, 222, 132, 232 Page: Label: 13 Annotations: Annotation: Subtype: Link Rect: 139, 158, 184, 168 Annotation: Subtype: Link Rect: 266, 81, 370, 91 Page: Label: 14 Annotations: Annotation: Subtype: Link Rect: 366, 713, 389, 723 Annotation: Subtype: Link Rect: 46, 702, 82, 712 Annotation: Subtype: Link Rect: 187, 677, 304, 687 Annotation: Subtype: Link Rect: 360, 652, 388, 662 Annotation: Subtype: Link Rect: 46, 641, 128, 651 Annotation: Subtype: Link Rect: 226, 616, 334, 626 Annotation: Subtype: Link Rect: 230, 591, 372, 601 Annotation: Subtype: Link Rect: 46, 580, 98, 590 Annotation: Subtype: Link Rect: 295, 566, 394, 576 Annotation: Subtype: Link Rect: 46, 556, 64, 565 Annotation: Subtype: Link Rect: 275, 542, 379, 552 Annotation: Subtype: Link Rect: 180, 517, 396, 527 Annotation: Subtype: Link Rect: 46, 506, 211, 516 Annotation: Subtype: Link Rect: 77, 481, 275, 491 Annotation: Subtype: Link Rect: 280, 467, 389, 477 Annotation: Subtype: Link Rect: 194, 431, 298, 441 Annotation: Subtype: Link Rect: 220, 406, 305, 416 Annotation: Subtype: Link Rect: 191, 381, 296, 391 Annotation: Subtype: Link Rect: 383, 356, 394, 366 Annotation: Subtype: Link Rect: 46, 345, 92, 355 Annotation: Subtype: Link Rect: 275, 320, 382, 330 Annotation: Subtype: Link Rect: 314, 295, 392, 305 Annotation: Subtype: Link Rect: 46, 284, 69, 294 Annotation: Subtype: Link Rect: 98, 259, 237, 269 Annotation: Subtype: Link Rect: 166, 234, 233, 244 Annotation: Subtype: Link Rect: 385, 209, 396, 219 Annotation: Subtype: Link Rect: 46, 198, 96, 208 Annotation: Subtype: Link Rect: 128, 162, 192, 172 Annotation: Subtype: Link Rect: 58, 126, 160, 136 Annotation: Subtype: Link Rect: 46, 91, 168, 101 Page: Label: 15 Annotations: Annotation: Subtype: Link Rect: 93, 713, 196, 723 Annotation: Subtype: Link Rect: 186, 688, 246, 698 Annotation: Subtype: Link Rect: 221, 663, 284, 673 Annotation: Subtype: Link Rect: 266, 638, 320, 648 Annotation: Subtype: Link Rect: 58, 602, 130, 612 Annotation: Subtype: Link Rect: 294, 577, 385, 587 Annotation: Subtype: Link Rect: 280, 553, 359, 563 Annotation: Subtype: Link Rect: 369, 528, 380, 538 Annotation: Subtype: Link Rect: 46, 517, 122, 527 Annotation: Subtype: Link Rect: 321, 492, 382, 502 Annotation: Subtype: Link Rect: 339, 467, 370, 477 Annotation: Subtype: Link Rect: 46, 456, 129, 466 Annotation: Subtype: Link Rect: 58, 420, 138, 430 Annotation: Subtype: Link Rect: 238, 395, 315, 405 Annotation: Subtype: Link Rect: 339, 370, 403, 380 Annotation: Subtype: Link Rect: 46, 359, 348, 369 Annotation: Subtype: Link Rect: 46, 348, 130, 358 Annotation: Subtype: Link Rect: 203, 312, 283, 322 Annotation: Subtype: Link Rect: 297, 287, 391, 297 Annotation: Subtype: Link Rect: 366, 262, 394, 272 Annotation: Subtype: Link Rect: 46, 251, 127, 261 Annotation: Subtype: Link Rect: 354, 226, 382, 236 Annotation: Subtype: Link Rect: 46, 215, 131, 225 Annotation: Subtype: Link Rect: 356, 190, 385, 200 Annotation: Subtype: Link Rect: 46, 179, 76, 189 Page: Label: 16 Checksum: f643fb9e Type: CRC32 Checksum: e5402be1c788f736dec697703e60bb13 Type: MD5 Checksum: 40ee930931950863f03ec4fc41bdfc54db3ef2eb Type: SHA-1 Checksum: b92a787619a38b6d0ce90642f28401d6043549d8477dfe45e410e735dd0066f4 Type: SHA-256