tbuckley/cabot-search huggingface dataset:
In-Training Assessment for Specialist Registrars: Views of Trainees and Trainers in the Mersey Deanery
Authors: John Bache, Jeremy Brown, David Graham
Journal: Journal of the Royal Society of Medicine (2002)

Annual review of specialist registrars and production of a record of in-training assessment (RITA) is a mandatory component of training that has attracted criticism. Mersey Deanery has established a system of review that includes wider evaluation of the trainee's needs and of training requirements. We conducted a survey to ascertain whether this broadened review process was thought beneficial. In one year 1093 questionnaires were distributed to trainees and trainers. 605 (81%) of 744 trainees and 309 (89%) of 349 trainers responded. At least 89% of both groups said that the procedure had been effective in reviewing the previous year and the most recent post and in identifying training requirements. More than 90% rated the overall process positively. Trainees particularly appreciated the advice on future training, on careers and on research. This form of review is expensive in consultant time but was valued by both trainees and trainers.
Adenocarcinoma of the Esophagus in Switzerland
Authors: Carlo La Vecchia
Journal: JAMA (1991)

<h3>To the Editor.—</h3> Blot et al<sup>1</sup>provide comprehensive data on an increasing incidence of adenocarcinomas of the esophagus and gastric cardia, confirming previous clinical and epidemiologic observations. The Cancer Registry of the Canton Vaud (covering approximately 530 000 inhabitants in the French-speaking part of Switzerland) has had a specific interest in esophageal adenocarcinomas derived from a privileged situation in terms of traditional attention and careful endoscopic and histopathologic examinations of esophageal lesions.<sup>2</sup>Average annual age-adjusted (on the world standard population) incidence rates for various histological types of esophageal cancers in two separate calendar periods (1976 through 1981 and 1982 through 1987) are given in the Table. In men, there was a decline for squamous cell carcinomas (from 7.2 to 5.2 per 100 000) but a significant rise for adenocarcinomas (from 0.4 to 1.6 per 100 000;<i>P</i>&lt;.01). Rates for other or unspecified cancers also are increasing. No
High familial prevalence of gallstones in the first-degree relatives of gallstone patients*1
Authors: S SARIN
Journal: Hepatology (1995)

Limited information is available on the prevalence of gallstones in the first-degree relatives of gallstone patients. Three groups of subjects were studied by realtime ultrasound examination: group A, 105 index gallstone patients (male/female; 20:85); group B, 330 first-degree relatives of index patients; group C, matched controls for group A (n = 105) and group B (n = 330) subjects. Dietary, anthropometric, and biochemical investigations were carried out. In 39 of 105 (37%) index cases, one or more additional family members had gallstones (positive-index case). The positive-index cases were younger than the remaining index cases (mean age, 33.1 ± 14 vs. 44.5 ± 13.1 years; P < .05). Fifty-one of 330 (15.5%) first-degree relatives had gallstones, nearly four and a half times (95% confidence interval [ci], 2.4 to 8.5) more often than in the matched control population (12 of 330 [3.6%]). Thirty-three of 51 (65%) positive relatives were women; mother (37.3%), sister (17.6%) or daughters (10%) to the index patients. There was no difference in the diet, physical activity, and serum lipid profile between the positive index patients and the remaining gallstone patients and positive relatives and their controls. Our results show that there is a strong familial predisposition for gallstone formation. Female relatives of young gallstone patients should be routinely screened for gallstones.
The AMA Specialty Journals: Everyone, Including Grunts, Squeals Unfair
Authors: Robert B. Sklaroff
Journal: JAMA (1990)

<h3>To the Editor.—</h3> It must be noted that the publication given "gratis" to non-AMA members<sup>1</sup>is not provided to primary care physicians who are dues-paying AMA members. This contradictory policy was cited during the 1989 Pennsylvania House of Delegates meeting by those who were opposed to AMA unification: it should be rectified.
Reply
Authors: J.A Neder, L.E Nery, A Castelo, S Andreoni, M.C Lerario, A Sachs, A.C Silva, B.J Whipp
Journal: European Respiratory Journal (2000)

Prediction of metabolic and cardiopulmonary responses to maximum cycle ergometryTo the Editor:We were interested by the study of NEDER et al.[1] on maximal exercise in university staff at Sa Äo Paulo, Brazil.In particular, after allowing for age and fat-free mass, the authors reported a partial regression coefficient for maximal oxygen consumption (V'O 2 ) (V'O 2 ,max) and grade of leisure-time activity in males of 0.16 L .min -1 .grade -1 .This was the same as that observed in shipyard workers (7.1 mmol .min -1 .grade -1 ) [2] and in firemen before and after a course of physical training [3].The parameter is a useful reference value in its own right.We are less happy with the author's claim that the "normal" V'O 2 ,max is necessary for the clinical evaluation of respiratory patients.The reference V'O 2 ,max seems to us to be essential for evaluating disablement [4].However, patients with irreversible respiratory impairment cannot attain the same maximal work rates or V'O 2 as healthy control subjects; hence the values of these parameters are of limited importance.By contrast, reference values for ventilation, cardiac frequency and related variables at levels of exercise which are submaximal for healthy subjects, but which patients can attain, seem to us to be essential for proper management [5].We urge the authors to now address their submaximal data.A model for how the data might be presented has been reported [6].
Uncompensated care
Authors: L. R. Bristow
Journal: JAMA (1986)

Most physicians and hospitals have always provided needed medical care regardless of patients' ability to pay. While most patients do pay for the health care services they receive, there are many individuals who are unable to pay or pay fully for such services. Such uncompensated care, a phenomenon receiving increased concern in the health care sector, is represented by charges that have been reduced or eliminated for patients experiencing financial difficulties (charity care) and by unpaid bills or bad debt. While data on the total dollar amount of uncompensated care provided in the United States are not available, information from the American Medical Association's (AMA) Socioeconomic Monitoring System and the American Hospital Association provide some indication of its magnitude. Results from the AMA's Socioeconomic Monitoring System survey for the fourth quarter of 1983 indicate that, overall, 76.8% of physicians in fee-for-service practices provided some free or reduced-fee care in 1982.
Leads from the MMWR. Acquired immunodeficiency syndrome in correctional facilities: a report of the National Institute of Justice and the American Correctional Association
Journal: JAMA (1986)

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
Pulmonary Fibrosis
Authors: RICHARD A. DEREMEE
Journal: Annals of Internal Medicine (1977)

Comments and Correction1 May 1977Pulmonary FibrosisRICHARD A. DEREMEE, M.D., HOWARD A. ANDERSEN, M.D.RICHARD A. DEREMEE, M.D.Search for more papers by this author, HOWARD A. ANDERSEN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-86-5-662 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: We wish to make a few comments in reference to the NIH conference on idiopathic pulmonary fibrosis (1).Caution must be used in interpreting the lung biopsy. We have found changes similar to usual interstitial pneumonitis coexisting in patients with other conditions, for example, alveolar proteinosis. In these patients, it has been a variance in the clinical and laboratory features from those found on initial lung biopsy that has led us to go further in making a more specific diagnosis.In our paper on Classic Interstitial Pneumonitis-Fibrosis (2) we produced a classification that incorporates not only the...References1. CRYSTALFULMERROBERTS RJW: Idiopathic pulmonary fibrosis. Ann Intern Med 85:769-788, 1976 LinkGoogle Scholar2. DEREMEEHARRISONANDERSON REH: The concept of classic interstitial pneumonitis-fibrosis (CIP-F) as a clinicopathologic syndrome. Chest 61:213-220, 1972 CrossrefMedlineGoogle Scholar1. CRYSTALFULMERROBERTS RJW: Idiopathic pulmonary fibrosis. Ann Intern Med 85:769-788, 1976 LinkGoogle Scholar2. ROSENCASTLEMANLIEBOW SBA: Pulmonary alveolar proteinosis. N Engl J Med 258:1123-1142, 1958 CrossrefMedlineGoogle Scholar3. HUDSONHALPRINMILLER AGJ: Interstitial fibrosis following alveolar proteinosis. Chest 65:700-702, 1974 CrossrefMedlineGoogle Scholar4. PHILLIPSSIMONROBIN JLJ: Pulmonary alveolar proteinosis—respiratory medicine rounds. Stanford University School of Medicine. West J Med 124:29-35, 1976 MedlineGoogle Scholar5. DEREMEEHARRISONANDERSON REH: The concept of classical interstitial pneumonitis—fibrosis (CIP-F) as a clinicopathologic syndrome. Chest 61:213-220, 1972 CrossrefMedlineGoogle Scholar6. KRAVISAHMEDBROWN TAT: Pathogenic mechanisms in pulmonary fibrosis. J Clin Invest 58:1223-1232, 1976 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 May 1977Volume 86, Issue 5Page: 662-663KeywordsBiopsyClinical laboratoriesInterstitial lung diseasesLungsPneumonitisProteinsPulmonary fibrosisResearch laboratories Issue Published: 1 May 1977 PDF DownloadLoading ...
Guy's Hospital: Wound of the Abdomen
Journal: BMJ (1841)

OF ABDOMEN. 26. Vascularity of conjunctiva nearly gone; vision better, can distinguish objects pretty clearly; still com- plains of pain in the eye, especially towards night; mouth and gums sore, with salivary discharge.Blue pill, two grains, every second night; a pad wetted with wine of opium to be applied every night over the eye.30.Is free from pain; increased vascularity entirely gone, except near the line of ulceration, which is gradually diminishing in extent, vision much improved; lids look red and tender.Sulphate of zinc lotion.Feb. 21.Vision has gradually improved since last report;she can now distinguish colours; mouth and gums better.25. Inflammation entirely gone; cornea clear, except at its lower margin, where there is a white line, showing the seat of the ulceration, which is completely cicatrized;vision improved; she can now distinguish objects and colours distinctly; can read large pnt' with the effected eye.
Dear Mr. Mundy
Journal: JAMA (1970)

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
Abandonment. 1
Authors: A. R. Holder
Journal: JAMA (1973)

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
Thyroid Disease Guidelines
Journal: JAMA (1995)

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
Traité d'endocrinologie: Glandes surrénales et organes chromaffines.
Journal: JAMA (1929)

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
Metabolic Memory
Authors: George F. Cahill
Journal: New England Journal of Medicine (1980)

Sir Hans Krebs has emphasized that whenever there is a critical interconversion of two metabolic intermediates at a rate-limiting step in a metabolic pathway or at a branching point between two pathways, nature provides opposing unidirectional enzymatic reactions; these reactions produce a degree of control far beyond that provided by mass action through the equilibrium across a single bidirectional enzymatic process. Simply put, maintenance of blood glucose is not just a function of the level of glucose-6-phosphate in liver but, rather, of the levels of glucose and glucose-6-phosphate, and of the activities of two essentially opposed and unidirectional enzyme-catalyzed reactions: . . .
Otolaryngology—Head and Neck Surgery
Authors: Byron J. Bailey
Journal: JAMA (1985)

The specialty of otolaryngology—head and neck surgery has advanced on several exciting fronts during the past year. Last year, CONTEMPO highlighted the implanted cochlear prosthesis, and in November 1984 one version of the cochlear implant was approved for commercial marketing to adults with profound hearing loss. The device does not permit the user to understand spoken words, but generally allows environmental sounds and voices to be recognized and enhances lip reading. Laser surgery has been the focus of considerable attention. Over a decade ago, laryngologists began to explore the use of this versatile new surgical tool in combination with the operating microscope and an endoscopic portal of entry, a combination that provides a powerful, precise new approach to the management of some difficult problems within the larynx. For example, microsurgical laser vaporization and resection seems to provide safe and effective therapy for subglottic hemangioma in children. According to two separate
Successful treatment of posthypoxic action myoclonus with carbamazepine
Authors: G. Hirose
Journal: JAMA (1971)

A patient had action myoclonus resulting from an episode of acute hypoxia. This incapacitating, abnormal movement disorder has been found highly resistant to treatment with a wide spectrum of drugs, but therapeutic success was achieved after carbamazepine was added to a previously ineffective drug regimen. Although this drug is marketed in the United States exclusively for the treatment of trigeminal neuralgia, the present report suggests that further trials in cases of action myoclonus are indicated.
SIR WILLIAM HALE-WHITE (1857-1949)— MEDICAL BIOGRAPHER AND EDITOR
Journal: JAMA (1964)

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
Folk diseases among urban Mexican-Americans. Etiology, symptoms, and treatment
Authors: C. Martinez
Journal: JAMA (1966)

Acculturation and assimilation of persons of L Mexican origin in the Southwest has been slowed by various social mechanisms of the larger society which tend to keep these people separate, and by a tendency on their part to separate themselves from the larger community by living in<i>barrios</i>. One result of this sociocultural isolation is the preservation of many folk beliefs of Spanish and Hispanic-American origins. Most important among these from a medical point of view are the prescientific concepts of health and disease and the related practices. Prominent among the disease concepts are<i>mal ojo</i>(evil eye),<i>empacho</i>(surfeit),<i>susto</i>(magical fright),<i>caída de mollera</i>(fallen fontanelle), and<i>mal puesto</i>(hex). Gillin<sup>1</sup>gives a detailed account of<i>susto</i>in Guatemalan natives and draws parallels between folk and scientific (psychiatric) therapeutics. The existence of the first three concepts among Spanish-speaking Americans has been described by Saunders.<sup>2</sup>Clark's work
Lead Exposure in Young Children from Dust and Soil in the United Kingdom
Authors: I. Thornton, D. J. A. Davies, J. M. Watt, M. J. Quinn
Journal: Environmental Health Perspectives (1990)

A survey of metals in United Kingdom dusts and soils has confirmed widespread lead contamination with a geometric mean value for lead in surface (0-5 cm) garden soils of 266 micrograms/g and in housedusts of 561 micrograms/g (excluding old mining areas). A subsequent detailed survey of 97 householders in Birmingham with 2-year-old children showed dust lead loading in the home environment to be an important predictor of blood lead concentrations in young children, when both variables fell within the normal range for the U.K. The total estimated lead uptake by the young child was 36 micrograms/day of which 1 microgram was by inhalation and 35 micrograms by ingestion.