tbuckley/cabot-search huggingface dataset:
Occupational Safety and Health Implications of Increased Coal Utilization
Authors: Kenneth Bridbord, Joseph Costello, John Gamble, Dennis Groce, Marilyn Hutchison, William Jones, James Merchant, Carl Ortmeyer, Robert Reger, William L. Wagner
Journal: Environmental Health Perspectives (1979)

An area of major concern in considering increased coal production and utilization is the health and safety of increased numbers of workers who mine, process, or utilize coal. Hazards related to mining activities in the past have been especially serious, resulting in many mine related accidental deaths, disabling injuries, and disability and death from chronic lung disease. Underground coal mines are clearly less safe than surface mines. Over one-third of currently employed underground miners experience chronic lung disease. Other stresses include noise and extremes of heat and cold. Newly emphasized technologies of the use of diesel powered mining equipment and the use of longwall mining techniques may be associated with serious health effects. Workers at coal-fired power plants are also potentially at risk of occupational diseases. Occupational safety and health aspects of coal mining are understood well enough today to justify implementing necessary and technically feasible and available control measures to minimize potential problems associated with increased coal production and use in the future. Increased emphasis on safety and health training for inexperienced coal miners expected to enter the work force is clearly needed. The recently enacted Federal Mine Safety and Health Act of 1977 will provide impetus for increased control over hazards in coal mining.
Abstract 17492: Extent and Pattern of Late Gadolinium Enhancement Predict Arrhythmic Events in Patients With Nonischemic Dilated Cardiomyopathy
Authors: Dong Geum Shin, Hye-Jeong Lee, Junbeom Park, Young Jin Kim, Jae-Sun Uhm, Hui-Nam Park, Moon-Hyoung Leee, Boyoung Joung
Journal: Circulation (2015)

Background: Late gadolinium enhancement (LGE) by cardiac MR (CMR) has been related to adverse clinical outcomes in patients with nonischemic dilated cardiomyopathy (NIDC). But, a statistically significant association between LGE and arrhythmic risk in NIDC has not been demonstrated consistently. This study evaluated the impact of the presence, location and pattern of LGE on arrhythmic risk prediction in NICM. Methods: This study included 365 patients (54±15years) with NICM who underwent CMR. The extent, location and pattern of LGE were categorized. We analyzed for the primary outcome of ventricular arrhythmia (VA) including sustained or nonsustained ventricular tachycardia (VT), appropriate implantable cardioverter-defibrillator (ICD) intervention and ventricular fibrillation (VF). Cardiac death and hospitalization for heart failure (HF) were evaluated as secondary outcomes. Results: LGE was seen in 267 (73 %) patients. During median follow-up of 44±36 months, patients with LGE had higher incidence of cardiac death (15 % vs. 2 %, p&lt;0.001), hospitalization for HF (40 % vs. 15 %, p&lt;0.001) and VA (14% vs. 6%, p=0.03). In multivariable analysis, the presence of LGE (HR 2.78; 95% CI 1.10-7.02; p=0.03) was the independent predictor of arrhythmias. Patients with extensive LGE had higher VA (32% vs. 10%, p&lt;0.001) with lower cumulative survival free of VA than those without extensive LGE (p=0.001). The frequent LGE location was as follows: LV septum 64%, LV-RV junction 42% and inferior 10%. VA was lower in patients with than without localized LGE limited to LV-RV junction (21% vs. 46%, p=0.005). Interestingly, while the incidence of ventricular arrhythmia was higher in patients with transmural LGE (29% vs. 10%, p=0.003), it was lower in those with patch LGE (2% vs. 16%, p=0.02) than the other patients. Conclusions: In patients with NICM, the LGE was an independent prognostic predictor of VA. Extensive LGE and specific location of LGE was related with the arrhythmic events.
Flood-Related Mortality—Missouri, 1993
Journal: JAMA (1994)

Public health surveillance documented the impact of flood-related morbidity following the floods in the midwestern United States during the summer of 1993 (1,2). Because of extensive flooding of the Missouri and Mississippi rivers and their tributaries, the Missouri Department of Health (MDH) initiated surveillance to monitor flood-related mortality. This report summarizes epidemiologic information about deaths in Missouri that resulted from riverine flooding and flash flooding during the summer and fall of 1993.
Highlights
Journal: JAMA Oncology (2017)

Research 12-vs 4-Weekly Zoledronic Acid in Metastatic Breast Cancer 906The OPTIMIZE-2 randomized clinical trial explored whether zoledronic acid every 12 weeks was noninferior to zoledronic acid every 4 weeks in patients with breast cancer metastatic to bone who had previously received a standard regimen of zoledronic acid and/or pamidronate.In 416 women, at 1 year of follow-up there was no diff erence between groups in skeletal-related events or time to fi rst skeletal-related event, and the safety profi les were similar.Hortobagyi et al concluded that the every 4 weeks regimen was noninferior for patients experiencing 1 or more skeletal-related events and may be convenient and cost-eff ective.Fornier provides an Editorial.
Nature, London
Journal: JAMA (1966)

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
Injuries Associated With Use of Snowmobiles-New Hampshire, 1989-1992
Journal: JAMA (1995)

Recreational use of snowmobiles is popular in New Hampshire during the winter months; from 1982 to 1992, the annual number of registered snowmobiles ranged from approximately 21,200 to 42,500. During this period, 26 deaths associated with use of snowmobiles in New Hampshire accounted for 822 years of potential life lost before age 65 years. To assist in the development and evaluation of injury-prevention programs for users of off-highway recreational vehicles (OHRVs) (e.g., all-terrain vehicles, trail bikes, and snowmobiles), the State of New Hampshire Department of Fish and Game (DFG) and the New Hampshire Department of Health and Human Services examined reports of injuries resulting from OHRV use in New Hampshire from January 1989 through February 1992. This report summarizes information about snowmobile-associated fatal and nonfatal injuries during this period.
Creation of the Physician-Patient Relationship
Authors: Angela Roddey Holder
Journal: JAMA (1974)

THE FORMAL arrangements made by employers for physicians to examine prospective employees or by institutions to employ physicians to treat their resident populations were discussed in the first article in this series. Third-party contracts of a more informal nature are often the origin of a physician-patient relationship. One member of a family commonly will request the services of a physician for another family member. In general, the same relationship is created between the physician and this patient as when the patient himself arranges for the physician's services. <h3>Children</h3> A physician-patient relationship may well be established between a physician and an unborn child. If a physician is caring for a woman he knows (or should know) is pregnant and negligently he causes prenatal injuries, in some states he may be liable to the baby if it is born alive. In 1946, a court in the District of Columbia was the first
Wrong Title
Journal: JAMA (1981)

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
Neuronal Damage in Autoimmune Neuroinflammation Mediated by the Death Ligand TRAIL
Authors: Orhan Aktas, Alina Smorodchenko, Stefan Brocke, Carmen Infante-Duarte, Ulf Schulze Topphoff, Johannes Vogt, Timour Prozorovski, Susanne Meier, Venera Osmanova, Elena Pohl, Ingo Bechmann, Robert Nitsch, Frauke Zipp
Journal: Neuron (2012)
Reply
Authors: Elfriede Fasal, Ralph S. Paffenbarger
Journal: JNCI Journal of the National Cancer Institute (1977)

Journal Article Reply Get access Elfriede Fasal, M.D., Elfriede Fasal, M.D. Cancer Control Department of Health State of California—Health and Welfare Agency 2151 Berkeley Way Berkeley, California 94704 Search for other works by this author on: Oxford Academic PubMed Google Scholar Ralph S. Paffenbarger, Jr., M.D. Ralph S. Paffenbarger, Jr., M.D. Cancer Control Department of Health State of California—Health and Welfare Agency 2151 Berkeley Way Berkeley, California 94704 Search for other works by this author on: Oxford Academic PubMed Google Scholar JNCI: Journal of the National Cancer Institute, Volume 58, Issue 1, January 1977, Page 12, https://doi.org/10.1093/jnci/58.1.12-a Published: 01 January 1977
Trends in cigarette smoking in the United States. Projections to the year 2000
Authors: J. P. Pierce
Journal: JAMA (1989)

Data from National Health Interview Surveys from 1974 through 1985 are used to project cigarette smoking prevalence to the year 2000. Smoking prevalence in the United States has declined at a linear rate since 1974. If this trend continues, in the year 2000,22% of the adult population (40 million Americans) will be smokers. By the year 2000, the major inequalities in prevalence will occur among educational categories. At least 30% of those who have not proceeded beyond a'high school education will be smokers, whereas less than 10% of college graduates will smoke. Among the other sociodemographic subgroups, smoking prevalence is expected to decrease by the year 2000 to 20% among men, to 23% among women, to 25% among blacks, and to 21% among whites. Between 1974 and 1985, approximately 1.3 million persons per year became former smokers, indicating considerable success in public health efforts to encourage people to stop smoking. However, in the early 1980s, approximately 1 million new young persons per year were recruited to the ranks of regular smokers. This is equivalent to about 3000 new smokers each day. Public health efforts need to focus more on preventing young people from starting to smoke, and such prevention efforts should particularly target less educated socioeconomic groups. (<i>JAMA</i>1989;261:61-65)
Sensitivity of rapid antigen detection tests for Chlamydia trachomatis screening
Authors: D. G. Ferris
Journal: JAMA (1995)

<h3>In Reply.</h3> —Pyrazinamide is one of the most important drugs in modern chemotherapy of tuberculosis; its inclusion in treatment regimens has made possible the shortening of therapy to 6 months. The recent increase in tuberculosis with several nosocomial outbreaks of multidrug-resistant strains has challenged the public health system. New recommendations by the CDC and the American Thoracic Society<sup>1,2</sup>require in vitro drug susceptibility testing of<i>M tuberculosis</i>isolates for all five first-line drugs (pyrazinamide included) from all patients and reporting of these results to the local health department. Unfortunately, testing the susceptibility of tubercle bacilli to pyrazinamide is problematic since pyrazinamide is active only at an acid pH. After a series of reports regarding susceptibility testing (available from the author on request), 100 μg of pyrazinamide per milliliter at pH 6.0 is now the recommended test concentration.<sup>3</sup> The results of Dr Hewlett and coworkers are so unexpectedly divergent
Possible anaphylactic reaction to intravenous cyclophosphamide. Report of a case
Authors: R. K. Karchmer
Journal: JAMA (1977)

THE COMMON side effects and toxicity of cyclophosphamide include nausea, vomiting, immunosuppression, myelosuppression, sterility, and hemorrhagic cystitis.<sup>1</sup>Rarer toxic reactions include the inappropriate secretion of antidiuretic hormone.<sup>1</sup>We have recently observed a patient who had a hypotensive episode and respiratory arrest immediately following an intravenous injection of cyclophosphamide. <h3>Report of a Case</h3> A 66-year-old woman experienced headaches, cervical adenopathy, and bilateral papilledema in September 1971. At surgery, she was found to have a poorly differentiated lymphocytic lymphoma invading the membranous tissue, dura, and bone of the skull. Postoperatively, she received radiation therapy to the skull and the cervical and supraclavicular lymph nodes. The patient was then referred to the University of Utah Medical Center in May 1972. Although her physical examination and bone marrow biopsy specimen showed no evidence of lymphoma, a bipedal lymphangiogram was positive. In June 1972, intermittent chemotherapy was begun. Each course consisted of cyclophosphamide,
Herb Teas
Journal: JAMA (1976)

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
ORGANIZATION SECTION
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 Journals 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 2024 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
Medical care for the poor: no magic bullets
Authors: E. Ginzberg
Journal: JAMA (1988)

LESS than a quarter of a century ago, at the time of the Great Society programs of President Lyndon Johnson, many believed that with the passage of Medicare and Medicaid a single standard of superior medical care for all Americans was at hand. Governmentally funded entitlement for the elderly and the poor, the two major groups that lacked private health insurance, promised that the problem of access would soon be history. Clearly, that expectation has not been fulfilled. Rather, developments in the 1980s suggest that the numbers at risk because of lack of insurance coverage for health care are increasing. It should be noted that the United States is unique among the developed economies in having based its general health insurance system on employer benefits, while providing coverage for the elderly and the poor as extensions of the Social Security system. What lies back of the serious miscalculation, what can
Letter: Doctors' pay.
Authors: Herbert Bonkowsky, Donald Tschudy
Journal: BMJ (1974)

thidine, and mecamylamine, the patient was given 10 mg of propranolol twice, six hours apart.She had no apparent response to the first dose; however, within two hours of the second dose her pulse rate fell from 120 to 60/min and her blood pressure from 240/120 to 90/50 mm Hg, and she became unresponsive.An intravenous infusion of isoprenaline was required for several hours to restore and maintain pulse rate and blood pressure at noraml levels.Within a day thereafter, without additional medication, the patient's tachycardia and hyper- tension returned.She had no symptomatic or objective response of visceral or peripheral neuropathy to propranolol.Several days later the patient developed bleeding due to "stress" ulceration of the gastric mucosa.While receiving fluid and blood replacement she developed acute congestive heart failure and pulmonary oedema at a time when her blood pressure was low and clinically it was felt her intravascular volume depletion had not been corrected entirely.We interpret these events as indicating that our patient was compensat-ing haemodynamnically for elevated blood pressure (before and during her acute attack) by fl-adrenergic stimulation of cardiac function.This increase in /3-adrenergic activities may have resulted from physiological reflex mechanisms and/or from an influence of acute intermittent porphyria on the sympathetic nervous system.Irn any event the positive chronotropic and inotropic effects of endogenous catecholamines appeared essential to cardiovascular homoeostasis, which was adversely and severely affected even by a ma'lll amou-nt of ipropranolol.While propranolol is of benefit in some patients in poriphyric relapsse, it is not with- out risk in oatients with incipient cardiac failure.It may also be of risk in the pro- nounced hypovolaemic states which have been observed in patients with acute inter- mittent porphyria8 in the absence of apparent excessive volume loss.Beta-adrenergic stimulation in some episodes of porphyria may provide haemodynaniic compensation ra:her than being simply a manifestation of acute relapse.-Weare, etc.,
The debt and the cash flow of residents: I. The grim present
Journal: JAMA (1990)

<h3>To the Editor.—</h3> The article regarding student loan indebtedness<sup>1</sup>overlooked several issues we "new" physicians must face. Having attended school from 1981 through 1985, I was influenced in my borrowing by several factors that later changed. Foremost among these were income averaging and tax deductibility of student loans. When my residency was complete and all deferments were past, so too was any hope of obtaining any tax breaks from the huge debt incurred for obtaining my degree. It seems paradoxical to penalize students and starting practitioners with ever-increasing tuition and longer residencies, while eliminating methods of off-setting debts our predecessors enjoyed. At least the present trainees know not to expect any break from the federal government. It's a sad day when a board-certified internist in his second year of practice is turned down by four banks (including the one holding my Health Education Assistance Loan [HEAL]) for a car
A Correction
Journal: BMJ (1911)

MARCH I8, zgu.tumour began to appear as the scar was healing.Mr. G. CONSTABLE HAYES showed a case of Dieeae of the ear and nose.The patient was a woman aged 24 who had had a discharge from both ears from childhood.She had suffered from sinuffles and sores around the mquth as a baby (marked scarring at angles of mouth).The right ear
PLUMBIC PARALYSIS.
Journal: JAMA (1900)

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