tbuckley/cabot-search huggingface dataset:
Factitious feculent urine in an adolescent boy
Authors: P. Reich
Journal: JAMA (1977)

PATIENTS who pretend to be sick and willingly undergo intrusive procedures, including surgery, have been seen at every medical center. The motives for this bizarre behavior often remain obscure, even when the patient is studied thoroughly. Reviews of chronic factitious illness or Munchausen's syndrome emphasize the heterogeneity of the underlying psychiatric conditions, but also indicate a marked preponderance of patients with personality disorders, and with histories of early childhood trauma and deprivation.<sup>1,2</sup>In a study of factitious illness, Spiro identified three clinical types: sociopathic, hysterical, and schizophrenic.<sup>2</sup>Major factitious illness is rare in childhood and adolescence, although malingering with factitious fever<sup>3</sup>and other simulated symtoms can occur. We report the case of an adolescent boy who for nearly a year succeeded in simulating an enterovesicular fistula by contaminating his urine with feces and foodstuff, at times by retrograde injection of foreign substances into his bladder. The case
Inappropriate antidiuretic hormone secondary to a monamine oxidase inhibitor
Authors: J. C. Peterson
Journal: JAMA (1978)

SINCE first described by Schwartz et al<sup>1</sup>in 1957, the syndrome of inappropriate secretion of antidiuretic hormone (SIADH) has been recognized in a variety of pathologic processes. Its appearance as an untoward effect of therapeutic agents has recently been reviewed by Miller and Moses.<sup>2</sup>We report what we believe to be the first such case of SIADH secondary to a monamine oxidase inhibitor. <h3>Report of a Case</h3> A 66-year-old man was admitted to the Shands Teaching Hospital for the first time in August 1976 for severe depression. During the previous 18-month period, he had been treated with two courses of electroconvulsive shock therapy and various antidepressants, with only minimal improvement followed by relapse to his previous level of depression. Results of the physical examination showed a blood pressure of 150/90 mm Hg and a pulse rate of 80 beats per minute. The neck veins were flat and there
Total Suspended Particulate Matter and Daily Mortality in Cincinnati, Ohio
Authors: Joel Schwartz
Journal: Environmental Health Perspectives (1994)

Recent studies have associated particulate air pollution with daily mortality in a number of U.S. communities. This study sought to replicate those analyses in Cincinnati, Ohio, and to test the strength of the association to the deletion of days with extreme weather conditions and to sensitivity analyses in the analytical approach. This study demonstrates the use of graphical diagnostic procedures to assure adequate control for season and weather and to confirm that the risk is particularly elevated in the elderly and for deaths from pneumonia and cardiovascular disease. Daily total suspended particulate (TSP) concentrations were available in Cincinnati from 1977 to 1982. They were matched to daily counts of nonaccidental deaths, temperature, and dew point temperature. Poisson regression analysis controlled for seasonal and monthly variations and potentially nonlinear relationships to temperature and humidity. TSP was associated with increased risk of mortality. The relative risk for a 100 micrograms/m3 increase in TSP was 1.06 (95% CI = 1.03-1.10). The relative risk for the elderly was higher (1.09), as was the risk for pneumonia (1.18) and cardiovascular disease (1.08). The similarity to recently reported results in Philadelphia is striking. Given the consistent findings from multiple locations, the relationship should be considered causal.
Epidemiologic Approaches to Assessing Human Cancer Risk from Consuming Aquatic Food Resources from Chemically Contaminated Water
Authors: David Ozonoff, Matthew P. Longnecker
Journal: Environmental Health Perspectives (1991)

Epidemiologic approaches tohuman cancer risk fom nung fish from contaminated waters must con- front the problems oflong latency and rrity ofthe end point (cancer).The lateIcy prblem makes deter_nation ofdiet history more difficult, while the low frequency ofcancer as an end point reduces the satistcl power ofthe study.These factors are dissed in relation to the study desig most co y emplyed in epideogy.It is sted that the use ofbiomarkers for t is may be useful to mige the difficuly ofdeerngepsure, while the use of more prnt and timely end points, such as carcinogen-DNA adducts or oncogene proteins, may make the latency and rarity problems more tractable.
Pure RBC aplasia and diphenylhydantoin
Authors: Y. G. Jeong
Journal: JAMA (1974)

Two patients developed pure red blood cell (RBC) aplasia while taking diphenylhydantoin sodium; one had concurrent acute viral hepatitis. Whether these patients had pure RBC aplasia secondary to diphenylhydantoin use or whether viral hepatitis or drugs other than diphenylhydantoin played a role cannot be decided. The facts that (1) the cases reported in association with acute viral hepatitis have all been a true aplastic anemia, (2) the drugs other than diphenylhydantoin used in these patients have never been reported to cause pure RBC aplasia, and (3) our patients recovered completely with cessation of diphenylhydantoin therapy and initiation of steroid therapy, led us to believe that diphenylhydantoin was the most likely cause. (<i>JAMA</i>229:314-315, 1974)
Synopsis of the Preparation and After-Care of Surgical Patients
Journal: JAMA (1942)

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
A heroin maintenance program in the United States?
Authors: E. Lewis
Journal: JAMA (1973)

In recent months, considerable enthusiasm has been expressed by a number of political and law-enforcement figures in the United States over the possible benefits of heroin maintenance in the treatment of the addict population and the potential benefits in reduction of crime and ultimate rehabilitation. Reference is frequently made to the so-called British system in which heroin is legitimately administered to addicts under legally controlled circumstances in the United Kingdom (unpublished data).<sup>1-4</sup> In March 1972, I was sent to London by the Director of the Bureau of Narcotics and Dangerous Drugs, John E. Ingersoll, to examine the British experience with heroin maintenance. This was an attempt to assist us in assuming a realistic posture regarding the applicability of the British technique in the United States. After a week in the United Kingdom and a number of meetings with knowledgeable officials, I returned with some definite impressions and made some
The American student abroad. Can we bring him back earlier?
Authors: W. A. Sodeman
Journal: JAMA (1971)

In 1968 the American Medical Association and the Association of American Medical Colleges adopted a joint statement on health manpower which included the following: To meet national expectations for health services, the enrollment of our nation's medical schools must be substantially increased.... National policy which would best meet this need and would be consistent with the American ideal of equal educational opportunity for all would provide such resources that every young person interested in, and qualified for entry to the study of medicine, would have this opportunity. Note that the words "interested" and "qualified" are used. In 1970 about 13,000 applicants applying to US medical schools were<i>not</i>admitted. How many were qualified? Without going into an analysis I might say that perhaps 5,000, or less than half, fit into this category, leaving about 8,000 with interest but<i>without</i>certainty of qualifications. An unknown number from each of the latter
Filing systems for medical literature
Authors: R. Gaeke
Journal: JAMA (1979)

<h3>To the Editor.—</h3> Neither the article by Novack et al (241:897, 1979) nor the accompanying editorial by Emil J Freireich, MD (241:928, 1979), refers to important considerations as to why the patient should be informed of the diagnosis of malignant neoplasms and, more important, the manner in which this information should be imparted. There is increasing evidence attesting to the importance of the patient's active participation in any therapeutic protocol, particularly with respect to carcinoma, and there is a great need for education in this area. The attitude of the public—and to a large extent, the medical profession—toward cancer has been shaped by societal and cultural factors. The diagnosis of cancer is still held in some circles to be a "death sentence," from no doubt many factors, including the fear of disfigurement, constant pain, and social ostracism. There is abundant evidence for this in such euphemisms as "moon children," which
Historical Note
Authors: M.G. Jacoby
Journal: JAMA (1973)

<h3>To the Editor.—</h3> In view of your article "Big New Centrifuge Has Unique Characteristics" (224:1341, 1973), it is interesting to recall the report of Sir Benjamin Brodie, the great English surgeon (1783-1861). "It was in 1843 that the remarkable case of Mr. Brunel occurred. This gentleman (the engineer of the Great Western Railway, and designer of the monster steamship<i>Great Eastern</i>) was unlucky enough to inhale a halfsovereign with which he was playing conjuring tricks to amuse some children. Brodie gives in the<i>Med Chir Trans</i>(vol 26), a clear and concise history of the various steps taken to extract this small, slippery, heavy body from its position deep in the chest, in or near the right lung. These measures were ultimately crowned with success. First, the patient was put into a revolving frame, and his whole body inverted, head downwards. This caused the coin to drop into the larynx;
Increasing the power of public awareness campaigns
Authors: None The Lancet Neurology
Journal: The Lancet Neurology (2015)

Barely a month seems to go by without a public awareness effort focused on a disorder of the nervous system. May 2015 alone saw American Stroke Month, UK Dementia Awareness Week (May 17–23), UK National Epilepsy Week (May 17–23), and World MS Day (May 27) among others. Raising public awareness and understanding is a crucial part of efforts to reduce the global burden of neurological disorders. But as the number and variety of campaigns has increased, from community-based education programmes to global initiatives, so too has our appreciation of the challenges of bringing about changes in behaviour that have a real impact on the lives of people living with or at risk of developing a neurological disorder.
THE TECHNICAL EXPOSITION
Journal: JAMA (1933)

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
Amoxapine overdose. Coma and seizures without cardiotoxic effects
Authors: K. Kulig
Journal: JAMA (1982)

Amoxapine is a tricyclic antidepressant that seems to lack the cardiovascular toxic effects associated with other tricyclics when taken as an overdose. Central nervous system depression and seizures are the primary manifestations of toxic reactions to amoxapine. Because amoxapine seems to be as effective an antidepressant as other tricyclics, the lack of cardiotoxic effects may make it the drug of choice for certain psychiatric disturbances. Five cases of amoxapine overdose are discussed. (<i>JAMA</i>1982;248:1092-1094)
Cerebral Phosphate Metabolism in First-Degree Relatives of Patients With Schizophrenia
Authors: S. Klemm
Journal: American Journal of Psychiatry (2001)

OBJECTIVE: Most phosphorus-31 magnetic resonance spectroscopy (31P-MRS) studies have described measures of lower membrane anabolism or greater catabolism in the frontal lobes of patients with schizophrenia. The purpose of the present study was to evaluate whether these findings can also be detected in young subjects at genetic risk for schizophrenia. METHOD: Fourteen children and siblings of patients with schizophrenia (mean age=16.7 years) and 14 comparison subjects (mean age=16.9 years) were included in a 31P-MRS study of the frontal lobe. RESULTS: The high-risk subjects had significantly lower mean ratios of phosphomonoesters to phosphodiesters (0.25 versus 0.31) and higher mean phosphodiester values (37.59% versus 34.87%) than comparison subjects. CONCLUSIONS: These findings suggest greater phospholipid breakdown even in young first-degree relatives of patients with schizophrenia. This suggestion is discussed with respect to the membrane phospholipid hypothesis of schizophrenia.
Traumatic vertebral arteriovenous fistula in a child
Authors: L. M. Linde
Journal: JAMA (1970)

Angiographic demonstration of a traumatic arteriovenous fistula of the first part of the left vertebral artery in a 7-year-old child was followed by its successful operative repair. Unusual characteristics include the age of the patient, the location of the lesion in the first portion of the vertebral artery, and the additional complication of spinal cord injury.
Outbreak of Measles—San Diego, California, January-February 2008
Journal: JAMA (2008)

Measles, once a common childhood disease in the United States, can result in severe complications, including encephalitis, pneumonia, and death. Because of successful implementation of measles vaccination programs, endemic measles transmission has been eliminated in the United States and the rest of the Americas. However, measles continues to occur in other regions of the world, including Europe. In January 2008, measles was identified in an unvaccinated boy from San Diego, California, who had recently traveled to Europe with his family. After his case was confirmed, an outbreak investigation and response were initiated by local and state health departments in coordination with CDC, using standard measles surveillance case definitions and classifications. This report summarizes the preliminary results of that investigation, which has identified 11 additional cases of measles in unvaccinated children in San Diego that are linked epidemiologically to the index case and include two generations of secondary transmission. Recommendations for preventing further measles transmission from importations in this and other U.S. settings include reminding health-care providers to 1) consider a diagnosis of measles in ill persons who have traveled overseas, 2) use appropriate infection-control practices to prevent transmission in health-care settings, and 3) maintain high coverage with measles, mumps, and rubella (MMR) vaccine among children.
ARTIFICIAL RIPENING OF IMMATURE CATARACTS.
Journal: JAMA (1993)

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
NEW BOOKS
Journal: JAMA (1968)

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
Tenth International Symposium of the Ludwig Boltzmann Research Institute for Infections and Tumors of the Urinary Tract
Journal: JNCI Journal of the National Cancer Institute (1986)

Journal Article Tenth International Symposium of the Ludwig Boltzmann Research Institute for Infections and Tumors of the Urinary Tract Get access JNCI: Journal of the National Cancer Institute, Volume 77, Issue 4, October 1986, Page 991, https://doi.org/10.1093/jnci/77.4.991-e Published: 01 October 1986
Epidemiologic characteristics of breast cancer (BC) in Asian Indian and Pakistani population living in the US compared to US white population in SEER database from 1988 to 2002
Authors: J. Abraham, A. Hossain, A. Sehbai
Journal: Journal of Clinical Oncology (2006)

10657 Background: It is estimated that South East Asian population comprises about 1.5% of the total US population and is rapidly growing. BC is the most common cancer in the US-based Indian/Pakistani female population (38%) as reported in the SEER database. This is the first study reporting different epidemiologic characteristics of BC in this population. Methods: From 1988, Indian and Pakistani population with cancer diagnosis was reported separately. Frequency sessions were performed and epidemiologic parameters for BC were calculated regarding age, marital status, stage, grade, laterality, nodal involvement, menopausal status and hormone receptor status. Results: BC comprises about 19% of all cancers reported in US-based Indian and Pakistani population from SEER database. A total of 804 cases of BC were reported in this group in SEER database from 1988 to 2002. BC is the most common cancer (38%) in US-based Indian and Pakistani female population. In comparison, WHO data from 2002 shows that it is the leading cancer in Pakistani females (34%) and second leading cancer in Indian females (19%). BC is more common in this ethnic group than White female (38% vs 32%, p &lt; 0.01) as reported in SEER database. Table shows the comparative studies of different variables of BC between Indian/Pakistani and US White female reported in SEER database. Conclusion: US-based Indian and Pakistani female population is diagnosed with BC at a younger age than US White population. BC tends to express more receptor positivity. A significant number of females are under 50 at the time of diagnosis. More studies in this subset of patients will help in developing screening and educational intervention in this rapidly growing population. [Table: see text] No significant financial relationships to disclose.
Raynaud Phenomenon
Authors: Ray W. Gifford
Journal: JAMA (1976)

<h3>To the Editor.—</h3> In response to a question about Raynaud phenomenon during pregnancy (233:283,1975), Dr Edmund Dubois stated that a ten-year history of "Raynaud disease" in a 30-year-old woman first raises the question whether the term "Raynaud phenomenon" would not be more appropriate. Analyses of the course of these patients have usually shown the eventual appearance of an underlying connective tissue or vascular disorder in almost all. We do not agree that almost all patients with Raynaud phenomenon will ultimately manifest signs of a systemic disorder. In our experience, many patients have Raynaud phenomenon for long periods without ever manifesting serious systemic disease.<sup>1</sup>Unless Dr Dubois can present more convincing data than those cited, his contention represents a serious disservice to the countless numbers of patients with the minor disability of Raynaud phenomenon. Indeed, a fundamental cornerstone of therapy in these cases is strong reassurance that the likelihood of
PUBLIC INSTRUCTION IN SEXUAL HYGIENE.
Journal: JAMA (1906)

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