tbuckley/cabot-search huggingface dataset:
Safety first
Authors: J. Feinmann
Journal: BMJ (2009)

Hundreds of patients are harmed unnecessarily while receiving NHS care. Jane Feinmann reports on a campaign that hopes to make this much rarer The recent alert from the National Patient Safety Agency to implement the World Health Organization’s safer surgery checklist1 is just one element in a far more ambitious campaign to reduce the incidence of avoidable harm and death in the NHS. More than 80% of acute trusts—and a growing number of primary care and mental health trusts—have already signed up to the Patient Safety First campaign since its launch last July. The goal is to “change the culture of the NHS to one that makes the safety of patients the highest priority and makes all avoidable death and harm unacceptable.” The campaign contains five interventions to reduce avoidable harm (box). But although the WHO checklist is set to become mandatory for theatre staff by February 2010, participation in the rest of the campaign is voluntary. In the place of regulation, the campaign, sponsored by National Patient Safety Agency, the Health Foundation, and the NHS Institute for Innovation and Improvement, builds on the passion of its leaders and their experience of this transformational approach. #### Campaign’s five interventions (www.patientsafetyfirst.nhs.uk)
Acute iron intoxication in an adult
Authors: M. K. Wallack
Journal: JAMA (1974)

ACUTE poisoning from the ingestion of iron salts is common in children; there are more than 2,000 cases annually, with a mortality in untreated patients as high as 45%.<sup>1</sup>However, acute intoxication is rarely seen in adults. There are only two previously reported cases; in both, the ingestion proved fatal.<sup>1,2</sup>In the present case, an overdose of ferrous sulfate, taken in an apparent suicidal gesture, resulted in a moderately severe toxic reaction to iron. The illness progressed through classic stages similar to those noted in children. Of particular interest was a hitherto-unreported electrocardiographic abnormality: deep inversions of precordial T waves. These changes probably represent one of the many metabolic alterations resulting from iron poisoning. <h3>Report of a Case</h3> A 24-year-old black woman was admitted to Montefiore Hospital, University of Pittsburgh Health Center, following an apparent suicide attempt in which she ingested a large dose of ferrous sulfate. She
The Husband's Sexual Performance And the Infertile Couple
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
Commission on the Cost of Medical Care
Journal: JAMA (1961)

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
Homozygous type II hyperlipoproteinemia treatment. Partial ileal bypass in two children
Authors: J. F. Balfour
Journal: JAMA (1974)

Dietary treatment was minimally effective in two children with homozygous type II hyperlipoproteinemia who had no evidence of atherosclerosis. Neither patient could tolerate cholestyramine resin in therapeutic doses. A partial ileal bypass operation was performed on each child, aged 10 and 8 years old. Although plasma cholesterol levels were not reduced to accepted normal values, they were reduced by 42% and 33%, respectively, below the average preoperative postdietary levels. Three years after the operations, neither child shows adverse effects on health and growth, and there is still no evidence of atherosclerosis.
Hemodialysis in small children
Authors: C. M. Grushkin
Journal: JAMA (1972)

Eighteen children, aged 1 1/2 to 9 years and weighing 5 to 25 kg (11 to 55 lb), were hemodialyzed for three weeks to 11 months in preparation for renal homotransplantation. Technical problems encountered during dialysis were few and easily overcome. Normal linear growth occurred in five patients. Psychological and social adjustment of the children and families to the treatment program was good. We believe it has resulted from a team approach with nephrologists, psychologically oriented pediatricians, public health nurse, social worker, and personnel of the dialysis unit working closely together to orient, prepare, and support the children and families during each step of the treatment program. If transplantation facilities are available to offer the prospect of full rehabilitation, extended hemodialysis should be offered to young small children.
Board Questions
Authors: Michael A. LaCombe
Journal: Annals of Internal Medicine (1992)

On Being a Doctor1 September 1992Board QuestionsMichael A. LaCombe, MDMichael A. LaCombe, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-117-5-432 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptI can't exactly tell you when it was she entered the room. It was, I think, sometime between Infectious Disease and Rheumatology. We were hard at it, pounding out another certifying examination, and I can tell you this: Nineteen of us sitting around the table were stopped in our tracks by her entry. Nineteen of us set aside the nuances of synthesis and judgment, of multiple choice and true-and-false, and stared. (There was a twentieth, who was himself so tangled up in a particularly convoluted question that he remained oblivious to her.)She walked in as if she owned the... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Michael A. LaCombe, MDAffiliations: Norway, ME 04268 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 September 1992Volume 117, Issue 5Page: 432-433KeywordsInfectious diseasesRheumatology ePublished: 1 December 2008 Issue Published: 1 September 1992 PDF downloadLoading ...
The Drifters
Authors: Marjorie C. Meehan
Journal: JAMA (1968)

Many attempts are being made to break a repetitive cycle—disorganized parents bring up maladjusted children who grow up to be parents of another maladjusted generation. Unfortunately the most disorganized families, in the greatest need, are hardest to reach. They are too confused, disturbed, and suspicious to make adequate use of the available institutions—clinics, casework agencies, schools, nurseries. They misunderstand what is said to them, miss appointments, antagonize the staff. Usually, they are "multiproblem families" with physical, mental, social, and economic difficulties. One impressive attempt to help such families, made in Boston from 1955 to 1965, is the subject of this book. Directed by child psychiatrists, a team composed of social workers, a nurse, a psychologist, an anthropologist, a sociologist, and a nurseryschool teacher worked intensively with 13 multiproblem families which included 45 preschool children. They sought out these families and spent years working patiently to develop friendship and trust. They
Signed editorials
Authors: S. Lock
Journal: BMJ (1981)

Therapeutic system forms of nitroglycerin are being developed and undergoing clinical evaluation, though no data have yet been published.Current technological methods make transdermal systems of reasonable size practicable for drugs active at a daily parenteral dose of 10 mg or less.25 Development of such dosage forms should complement the traditional route for advancement of treatment-namely, the new chemical structure.26The therapeutic system will broaden the charter for new drug seekers, for they now can think in terms of drugs with short biological half lives or narrow therapeutic indices.
The Thyroid Gland
Authors: Milton W. Hamolsky, A. Stone Freedberg
Journal: New England Journal of Medicine (1960)

(Continued)* Step 5. Entry of thyroid hormone into the tissues. This facet — the course of events between the circulation of the protein-bound hormones and their entry into the cells — represents one of the major unsolved parameters. The various approaches to this problem may be outlined as follows:Administration of I131-labeled compounds (iodide, thyroxine, triiodothyronine, tyrosines and so forth) to a patient or laboratory animal with or without functioning thyroid tissue, followed by:Quantitative determination of the amount and rate of its exit from the plasma, its biliary, salivary, urinary and fecal excretion and over-all turnover orQualitative . . .
Traumatic Separation of the Epiphysis.
Journal: JAMA (1898)

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
Correction
Journal: BMJ (1949)

ANY QUESTIONS?MnBRTISrHnRNAL paper, wave-setting lotion, hair dye, face powder, dog hair, cold cream, sulphur ointment, ammoniated mercury, and soap powder.Premenstrual exacerbations of allergic reactions are not unusual, and are presumably due to increased oedema of the tissues at this time.Hormonal therapy is in general dis- appointing, but stilboestrol is worth a trial.Symptomatically, one of the other antihistaminic drugs, such as "phenergan " (" 3277 R.P.") or "anthisan " (pyranisamine maleate), might be worth trying.Medical Treatment of Myopia Q.-Is the-e aniy evidence that calcium lactate and parathyroid extract are of use in preventing the progress of myopia in children?If so, what dosage should be given, and for how long should treatment be continued?Is the parathyroid extract likely to cause any glandular disturbance ?A.-The medicinal treatment of myopia was in vogue several years ago but is not now much used.It would appear that the results in the past with calcium and parathyroid extract have not been encouraging.In these days chief reliance is placed on ordering a full correction at as early an age as possible.The glasses should be worn all day long.
The serum levels of sE-selectin are increased in patients with bullous pemphigoid or pemphigus vulgaris. Correlation with the number of skin lesions and recovery after corsticosteroid therapy
Authors: L. D'AURIA, P.CORDIALI FEI, M. PIETRAVALLE, C. FERRARO, A. MASTROIANNI, C. BONIFATI, B. GIACALONE, F. AMEGLIO
Journal: British Journal of Dermatology (1997)
Potential miRNAs involved in molecular pathways mediating the anticancer effects of short term starvation in breast cancer cells treated with doxorubicin
Authors: D. Fanale, L. Incorvaia, R. Maragliano, N. Barraco, A. Listì, A. Galvano, S. Rizzo, V. Calò, V. Bazan, A. Russo
Journal: Annals of Oncology (2017)
Tacrine for Alzheimer's Disease
Authors: Adolph Wolferman
Journal: JAMA (1994)

<h3>To the Editor.</h3> —The reading of the two articles on tacrine in Alzheimer's disease<sup>1,2</sup>left me with a bitter aftertaste. To me, it demonstrated a decline of the ethical standards of the American Medical Association, or at least of<i>JAMA</i>. The principal authors of the articles are employees of the pharmaceutical establishment producing tacrine, and it is quite obvious that the article is a promotion of their product, the value of which is far from being established. I am not a neurologist, a psychiatrist, or a biochemist, and I do not pretend to have any qualifications to evaluate the articles scientifically. However, I have cared for a wife with Alzheimer's disease for many years, and I have experienced personally the horror of this dreadful disease. I have associated with many other desperate persons who cared for a beloved spouse or parent with Alzheimer's disease through support groups. Therefore, I
Physician bias in cesarean section
Authors: R. Goodlin
Journal: JAMA (1983)

<h3>To the Editor.—</h3> Phillips et al assumed that physicians on call might want more time off during weekends and may resort to abdominal deliveries sooner. Thus, they studied the incidence of the various indications for cesarean delivery and compared weekends and weekdays. They did not find any substantial difference between the deliveries on weekends and weekdays. I propose that physicians who are on call for weekends do not usually plan any other activities for those days and that this may have been the reason for the authors' findings. However, most persons who have a full-day schedule ahead prefer to rest after midnight, and this may be a more sensitive tool to detect physician bias on the decision-making process about abdominal deliveries. I assume that obstetric events (vaginal and nonelective abdominal deliveries) should have an even distribution during the 24 hours. However, when I reviewed these data in a community hospital
Diet and coronary heart disease. A council statement
Journal: JAMA (1972)

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 Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More 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) 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
Identifying adults at increased risk of coronary disease. How well do the current cholesterol guidelines work?
Authors: S. A. Grover
Journal: JAMA (1995)

<h3>Objective.</h3> —To assess the accuracy of lipid screening strategies to identify individuals at increased risk of coronary heart disease mortality. <h3>Patients.</h3> —The 15% random sample of adults recruited into the Lipid Research Clinic Prevalence and Follow-up Studies, which included 3678 men and women aged 35 to 74 years. Total plasma cholesterol levels, lipoprotein fractions, and other coronary risk factors at study entry were compared with subsequent coronary heart disease mortality (mean follow-up, 12.2 years). <h3>Main Outcome Measures.</h3> —The areas under receiver operating characteristic curves for blood lipids, lipid ratios, the screening guidelines proposed by the National Cholesterol Education Program, those of the Canadian Consensus Conference on Cholesterol, and a coronary risk model that used Framingham data. <h3>Main Results.</h3> —The current National Cholesterol Education Program guidelines (area under the curve, 0.74) were significantly (<i>P</i>=.03) more accurate than the old National Cholesterol Education Program guidelines (area, 0.72). The ratio of total plasma cholesterol level to high-density lipoprotein cholesterol level (area, 0.72) was as accurate as current National Cholesterol Education Program guidelines. The coronary risk model (area, 0.85) was superior (<i>P</i>&lt;.003) to all other screening maneuvers. Compared with the current National Cholesterol Education Program guidelines, the risk model demonstrated superior test sensitivity (70% vs 45%) with only slightly reduced specificity (82% vs 86%). <h3>Conclusion.</h3> —The ratio of total plasma cholesterol level to high-density lipoprotein cholesterol level is as accurate as current American screening guidelines. Future guidelines should better incorporate high-density lipoprotein cholesterol levels and nonlipid risk factors to target high-risk individuals accurately. (<i>JAMA</i>. 1995;274:801-806)
Foreword
Authors: Dirk H. Hellhammer
Journal: Psychotherapy and Psychosomatics (1993)

Other Types| February 18 2010 Foreword Subject Area: Psychiatry and Psychology Dirk H. Hellhammer Dirk H. Hellhammer Trier, FRG Search for other works by this author on: This Site PubMed Google Scholar Psychother Psychosom (1993) 60 (1): 5–7. https://doi.org/10.1159/000288674 Article history Published Online: February 18 2010 Content Tools Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Dirk H. Hellhammer; Foreword. Psychother Psychosom 1 January 1993; 60 (1): 5–7. https://doi.org/10.1159/000288674 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll JournalsPsychotherapy and Psychosomatics Search Advanced Search This content is only available via PDF. 1993Copyright / Drug Dosage / DisclaimerCopyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements. Article PDF first page preview Close Modal You do not currently have access to this content.
Breast cancer: treatment differences and survival
Authors: T. J. Williamson
Journal: JAMA (1994)

<h3>To the Editor.</h3> —The recent review of breast cancer treatment and end results in Orange County by Dr Lee-Feldstein and colleagues<sup>1</sup>may be shy on answers, but certainly raises provocative questions and broad new avenues for clinical investigation. We are heartened by evidence that shows superior survival in patients managed conservatively outside of the clinical trial environment. The implication that survival may relate to the type of treatment facility, while based on rather soft data, presents an opportunity for some interesting speculation. The radiation therapy component of conservative breast cancer management is in fact quite simple and straightforward with relatively little variation in practice around the country, and we doubt that it would be a significant factor. At least two other possible explanations exist. In our institution, as in many others, we are very quick to return the patient to the surgeon for reexcision at the primary site if