tbuckley/cabot-search huggingface dataset:
International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Africa
Authors: Fidelis Oguejiofor, Daniel S. Kiggundu, Aminu K. Bello, Charles R. Swanepoel, Gloria Ashuntantang, Vivekanand Jha, David C.H. Harris, Adeera Levin, Marcello Tonelli, Abdou Niang, Nicola Wearne, Mothusi Walter Moloi, Ifeoma Ulasi, Fatiu A. Arogundade, Syed Saad, Deenaz Zaidi, Mohamed A. Osman, Feng Ye, Meaghan Lunney, Timothy O. Olanrewaju, Udeme Ekrikpo, Theophilus I. Umeizudike, Aliyu Abdu, Aisha M. Nalado, Muhammad Aliyu Makusidi, Hamidu M. Liman, Aminu Sakajiki, Hassane M. Diongole, Maryam Khan, Mohammed Benghanem Gharbi, David W. Johnson, Ikechi G. Okpechi
Journal: Kidney International Supplements (2021)
Health Centres
Authors: C. Taylor
Journal: BMJ (1965)

BRMTSH 1553 direct effect on renal tubular handling of calcium).The hypercalciuria may itself then lead to a compensatory intestinal over- absorption as follows: Sarcoid hypercalcaemia 4, or -hypercalciuria-FhY ercalciuria] hypercalciuria renal damage increased increased intestinal intestinal absorption absorptionThese authors produce a good deal of evidence that this sequence of events may occur in other conditions, such as in the pharmacological state of vitamin-D over- dosage.' a " Intestinal compensation" for high urinary-calcium loss must normally be occur- ring all the time, since different normal adults may have consistently different urinary calcium outputs, ranging from 50 mg.in some cases to 400 mg.per day in others.These great individual variations of urinary calcium in normal adults, the relative constancy of urinary-calcium excretion in each subject over long periods under normal conditions, and the extremely small changes produced in urinary calcium by great changes in calcium intake, have been fully attested on a large scale by Knapp,6 Nicolaysen et al.,' and Hodgkinson and Pyrah.' Yet, whatever the natural level of urinary calcium may be, each normal adult maintains a net bodily balance for calcium when considered over long periods.Thus his intestinal absorption must be naturally compensating and attuning itself to the level of urinary loss.The absorptive calcium " barrier " is therefore controlled by the urinary output.However good or poor this general theory may turn out to be, it must surely be clear that over-absorption cannot be the primary lesion of calcium metabolism in sarcoidosis.We believe it to be a compensatory phenomenon.-Weare, etc.,
Book Review The Ghost Map: The Story of London's Most Terrifying Epidemic — And How It Changed Science, Cities, and the Modern World By Steven Johnson. 299 pp., illustrated. New York, Riverhead Books, 2006. $26.95. 978-1-59448-925-9 The Strange Case of the Broad Street Pump: John Snow and the Mystery of Cholera By Sandra Hempel. 321 pp., illustrated. Berkeley, University of California Press, 2007. $24.95. 978-0-520-25049-9
Authors: Richard A. Finkelstein
Journal: New England Journal of Medicine (2007)
Preventing Twists, Turns on Road to Medical Education From Becoming Permanent Detours
Journal: JAMA (1989)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
WHAT OF THE FUTURE?
Journal: JAMA (2002)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
National Latino AIDS Awareness Day — October 15, 2017
Journal: MMWR Morbidity and Mortality Weekly Report (2017)

National Latino AIDS Awareness Day is observed each year on October 15 to focus attention on the continuing disproportionate impact of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) on the Hispanic or Latino population in the United States.As of July 2015, the population of Hispanics or Latinos was estimated at 56.6 million, or approximately 18% of the U.S. population (1).However, in 2015, Hispanics or Latinos accounted for 24% of all new HIV diagnoses (2).At the end of 2014, an estimated 235,600 Hispanics or Latinos were living with HIV infection in the United States.In 38 jurisdictions with complete reporting of CD4 and viral load data, 75.4% were linked to care within 1 month of diagnosis, 70.2% received HIV medical care, and 58.2% were virally suppressed (3).National Latino AIDS Awareness Day is an opportunity to encourage increased HIV prevention activities, such as HIV testing, for Hispanics or Latinos.CDC supports testing, linkage to, and engagement in care and treatment, and a range of other efforts to reduce the risk for acquiring or transmitting HIV infection among Hispanics or Latinos.Additional information is available at https:// www.cdc.gov/Features/LatinoAIDSAwareness.
Aluminum in Acidic Surface Waters: Chemistry, Transport, and Effects
Authors: Charles T. Driscoll
Journal: Environmental Health Perspectives (1985)

Ecologically significant concentrations of Al have been reported in surface waters draining "acid-sensitive" watersheds that are receiving elevated inputs of acidic deposition. It has been hypothesized that mineral acids from atmospheric deposition have remobilized Al previously precipitated within the soil during soil development. This Al is then thought to be transported to adjacent surface waters. Dissolved mononuclear Al occurs as aquo Al, as well as OH-, F-, SO4(2-), and organic complexes. Although past investigations have often ignored non-hydroxide complexes of Al, it appears that organic and F complexes are the predominant forms of Al in dilute (low ionic strength) acidic surface waters. The concentration of inorganic forms of Al increases exponentially with decreases in solution pH. This response is similar to the theoretical pH dependent solubility of Al mineral phases. The concentration of organic forms of Al, however, is strongly correlated with variations in organic carbon concentration of surface waters rather than pH. Elevated concentrations of Al in dilute acidic waters are of interest because: Al is an important pH buffer; Al may influence the cycling of important elements like P, organic carbon, and trace metals; and Al is potentially toxic to aquatic organisms. An understanding of the aqueous speciation of Al is essential for an evaluation of these processes.
<i>QuickStats:</i>Age-Adjusted Percentage* of Adults with Chronic Joint Symptoms,<sup>†</sup>by Sex and Race/Ethnicity — National Health Interview Survey, United States 2013–2014<sup>§</sup>
Journal: MMWR Morbidity and Mortality Weekly Report (2016)

With 95% confidence interval.† Based on responses to a question that asked sample adults, "During the past 30 days, have you had any symptoms of pain, aching, or stiffness in or around a joint?"Respondents were asked to exclude the back or neck.Respondents who answered affirmatively were then asked a follow-up question, "Did your joint symptoms first begin more than 3 months ago?"Only respondents with affirmative answers to both questions were included in the analysis.Chronic pain is pain lasting >3 months.§ Estimates are based on household interviews of a sample of the U.S. civilian, noninstitutionalized population aged ≥18 years.Persons for whom chronic pain was unknown were not included in the denominators when calculating percentages.Percentages were age-adjusted to the projected 2000 U.S. population as the standard population, using four age groups: 18-44, 45-64, 65-74, and ≥75 years.
Risk stratification usign technetium-99m sestamibi SPECT imaging with IV dobutamine stress Michael S. Fowler, Deborah M. Katten, Jeffrey F. Mather, Alan W. Ahlberg, Carol C. McGill, William Hudson, Lynne L. Johnson, Gary V. Heller. Hartfrod Hospital, Hartford, CT, Rhode Island Hospital, Providence, RI
Journal: Journal of the American College of Cardiology (2001)
A sixth mass extinction? Why planetary health matters
Authors: None The Lancet Planetary Health
Journal: The Lancet Planetary Health (2017)

For many decades, scientists have warned that human activity is pushing life on our planet beyond the point of no return. In the Earth's history there have been five mass extinction events, most recently the Cretaceous–Tertiary mass extinction that occurred almost 65 million years ago and was thought to have been caused by the massive impact of an asteroid on Planet Earth. In the 21st century, we face a sixth mass extinction. According to an article published in July by Gerardo Ceballos and colleagues, the Earth is experiencing a huge decline in species' populations and a great reduction in their range that could have profound effects on the ecosystems on which human civilisation depends.
Most Nocturnal Asthma Symptoms Occur Outside of Exacerbations and Associate with Morbidity
Authors: C.C. Horner, D. Mauger, R.C. Strunk, N.J. Graber, R.F. Lemanske Jr., C.A. Sorkness, S.J. Szefler, R.S. Zeiger, L.M. Taussig, L.B. Bacharier
Journal: Journal of Allergy and Clinical Immunology (2011)
Incorrect Information
Authors: Eli Cahan, Amanda Chawla, Kevin Shea, Cassandra Thiel, Leora Horwitz
Journal: JAMA (2020)

In Reply Mr Cahan and colleagues comment on our Viewpoint 1 on the importance of supply optimization in improving the value of health care delivery.We agree with the authors that reducing variability in surgical utilization can be accomplished through consolidating device vendors and integrating purchasing decisions in a way that does not inappropriately drive practice patterns.We only add a caveat that too much consolidation, for example to a single vendor, can increase risk of supply shortages and reduce the opportunity for effective price negotiations.There are many ways to increase value in health care by focusing on resource use and supply waste.Translational research that identifies and tests best practices for supply optimization in a variety of medical settings would enable more facilities to take advantage of this potential avenue for improvement.
MUSSEL POISONING
Authors: M J SEVEN
Journal: Annals of Internal Medicine (1958)

Case Reports1 April 1958MUSSEL POISONINGMARVIN J. SEVEN, M.D.MARVIN J. SEVEN, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-4-891 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPoisoning from shellfish has become a little known clinical entity in this country except in certain of the coastal areas, where sporadic cases appear. Not too many years ago it occurred occasionally in epidemic proportions, as in California in 1927,1but more recently it has been observed so infrequently that many persons have relegated it to the status of a myth or "old wives' tale." This form of food poisoning is seen most often on the Pacific Coast of this continent, but cases are reported from the Nova Scotia area, northern Europe and South Africa. Many of the details were...Bibliography1. MeyerSommerSchoenholz KFHP: Mussel poisoning, J. Prev. Med. 2: 365, 1928. Google Scholar2. Permewan W: A fatal case of poisoning by mussels, with remarks on the action of the poison, Lancet 2: 568, 1888. CrossrefGoogle Scholar3. Anderton C: Poisoning by mussels, Brit. M. J. 1: 500, 1882. Google Scholar4. Farrar J: Case of mussel poisoning: recovery, Brit. M. J. 1: 939, 1882. Google Scholar5. Todd GB: Case report, Brit. M. J. 2: 749, 1891. Google Scholar6. Rolfe R: Two cases of poisoning by mussels—one fatal, Lancet 2: 593, 1904. CrossrefGoogle Scholar7. SommerWhedonKofoidStohler HWFCAR: Relation of paralytic shell-fish poison to certain plankton organisms of the genus Gonyaulax , Arch. Path. 24: 537, 1937. Google Scholar8. Kellaway CH: The action of mussel poison on the nervous system, Australian J. Exper. Biol. and M. Sc. 13: 79, 1935. CrossrefGoogle Scholar9. CovellWhedon WPWF: Effects of the paralytic shell-fish poison on nerve cells, Arch. Path. 24: 411, 1937. Google Scholar10. PrinzmetalSommerLeake MHCD: The pharmacological action of "mussel poison," J. Pharmacol. and Exper. Therap. 46: 63, 1932. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Received for publication September 4, 1956.From the Medical Department, Beale Air Force Hospital, California.Requests for reprints should be addressed to Marvin J. Seven, M.D., Hahnemann Hospital, Philadelphia 2, Pennsylvania. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byMarine biotoxins in shellfish – Saxitoxin groupSeafood ToxidromesRESPIRATORY AND CIRCULATORY EFFECTS OF SAXITOXIN IN THE CEREBROSPINAL FLUIDTwo toxins from a poisonous sample of mussels Mytilus edulisPARALYTIC EFFECTS OF "PARALYTIC SHELLFISH POISON" ON FROG NERVE AND MUSCLEHistochemical Demonstration of the Mode of Action of the Alkaloid in Mussel PoisoningPHARMACOLOGICAL STUDY OF POISONS FROM SHELLFISH AND PUFFER FISH 1 April 1958Volume 48, Issue 4Page: 891-897KeywordsElectrocardiographyFood poisoningIngestionRespiration ePublished: 1 December 2008 Issue Published: 1 April 1958 PDF downloadLoading ...
Three-dimensional echocardiography. In vivo validation for right ventricular volume and function.
Authors: L Jiang, S C Siu, M D Handschumacher, J Luis Guererro, J A Vazquez de Prada, M E King, M H Picard, A E Weyman, R A Levine
Journal: Circulation (1994)

BACKGROUND Current two-dimensional echocardiographic measures of right ventricular volume are limited by the asymmetrical and crescentic shape of the ventricle and by difficulty in obtaining standardized views. Three-dimensional echocardiographic reconstruction, which does not require geometric assumptions or standardized views, may therefore have potential advantages for determining right ventricular volume. Three-dimensional techniques, however, have not been applied to the right ventricle in vivo, where cardiac motion and contraction could affect accuracy. The purpose of this study was to determine the feasibility and accuracy of three-dimensional echocardiographic reconstruction for quantifying right ventricular volume and function in vivo. In particular, it was designed to test the accuracy of a newly developed system that provides rapid, efficient, and automated three-dimensional data collection (minimizing motion effects) and takes advantage of the full three-dimensional data set to obtain volume. METHODS AND RESULTS The three-dimensional system was applied to reconstruct the right ventricle and measure its volume and function during 20 hemodynamic stages created in five dogs. Actual instantaneous volumes were measured continuously by an intracavitary balloon connected to an external column. Hemodynamics were varied by volume loading and induction of ischemia. Three-dimensional reconstruction successfully reproduced right ventricular volume compared with actual values at end diastole (y = 1.0 chi-3.4, r = .99, SEE = 1.8 mL) and end systole (y = 1.0 chi+ 2.0, 4 = .98, SEE = 2.5 mL). The mean difference between calculated and actual volumes throughout the cycle was 2.1 mL, or 4.9% of the mean. Ejection fraction also correlated well with actual values (y = 0.96 chi-0.3, r = .98, SEE = 3.3%). CONCLUSIONS Despite the irregular crescentic shape of the right ventricle, this newly developed three-dimensional system and surfacing algorithm can accurately reconstruct its shape and quantitate its volume and function in vivo without geometric assumptions. The increased efficiency of the system should increase applicability to issues of clinical and research interest.
Long-term low-dose co-trimoxazole in prophylaxis of childhood urinary tract infection: bacteriological aspects.
Authors: R N Gruneberg, J M Smellie, A Leakey, W S Atkin
Journal: BMJ (1976)

The bacteriological consequences of giving long-term low-dose co-trimoxazole to children to prevent reinfection of the urinary tract were studied. Only six "break-through" infections occurred during 2637 child-months of prophylaxis. The children complied well with treatment. During prophylaxis the number of rectal coliform bacilli recovered was greatly and rapidly reduced, but at least 70% of the surviving coliform organisms remained sensitive to the two components of co-trimoxazole. Changes in sensitivity pattern were evident within a month of starting treatment and the proportion of rectal organisms resistant to sulphonamide or trimethoprim did not increase with time. After stopping co-trimoxazole prophylaxis the number of rectal organisms recoverable returned rapidly to normal, as did their sensitivities to trimethoprim and sulphonamide. Further episodes of urinary tract infection developing after prophylaxis was stopped were caused by organisms sensitive to a wide range of antimicrobial agents, including trimethoprim.
Clean Voided and Catheter Urine Specimens
Journal: JAMA (1963)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Youthful recollections
Authors: J. B. Langstaff
Journal: JAMA (1969)

To think of Sir William Osler is, for me, to recall England and America at their best. Others are better qualified to pay tribute to him as a great teacher and trailblazer of the medical profession whose vision opened the way into a new world of modern medicine. To me, however, was given the privilege of an intimate friendship during the latter years of Sir William's life. His magnetic optimism, humor, and generosity—which led many of his contemporaries into effective enterprises for public health and individual well-being—was to be an inspiration for me in another field of endeavor. Among the many British physicians who esteemed Sir William Osier was the Vice-Chancellor of London University, Philip Henry Pye-Smith, who died in 1914. In that year Dr. Pye-Smith's son—we were undergraduates together at Magdalen College, Oxford—took me to 13, Norham Gardens and introduced me to his late father's friend. Then something uncanny
The electrocardiogram and pericardial effusion
Authors: P. M. Nizet
Journal: JAMA (1966)

The electrocardiogram can play a significant role in suggesting or supporting the diagnosis of pericardial effusion. In common with most other lesions, pericardial effusion leaves no pathognomonic imprint on the tracing but produces three signs that are highly suggestive: low voltage, ST-segment elevation, and electrical alternans. Electrical alternans, especially if it involves all complexes ("total alternation"), is most diagnostic<sup>1-3</sup>; and the combination of these signs as a triad offers strong evidence of a substantial accumulation of exudative fluid in the pericardial sac. <h3>Low Voltage.—</h3> Generalized low voltage of all waves (Figure, top) results from the short-circuiting action of the fluid and is the most constant sign of pericardial effusion. It is generally due to the accumulation of fluid alone, since in most cases it disappears after tapping or spontaneous clearing of the effusion. When low voltage fails to disappear after pericardiocentesis, it may be due to the insulating action