tbuckley/cabot-search huggingface dataset:
Children with inflammatory bowel disease fail to have their growth or sexual development recorded
Journal: BMJ (1998)

Recovery is quicker after laparoscopic hernia repair-but there is a cost Repair of inguinal hernias is one of the most common surgical procedures.Surgeons are increasingly using a preformed synthetic mesh to cover the inguinal defect.On p 103 Wellwood et al evaluate the costs and outcomes (both clinical and patient based) of open and laparoscopic mesh repair in a randomised controlled trial of 400 patients.Patients undergoing laparoscopic hernia repair recovered faster and experienced less pain than patients who underwent standard open mesh repair.The laparoscopic procedure, however, was more costly.
The National Football Head and Neck Injury Registry. 14-year report on cervical quadriplegia, 1971 through 1984
Authors: J. S. Torg
Journal: JAMA (1985)

Data on cervical spine injuries resulting from participation in football have been compiled by a national registry. Analysis of epidemiologic data and cinematographic documentation clearly demonstrated that the majority of cervical fractures and dislocations were due to axial loading. On the basis of this observation, rule changes banning both deliberate "spearing" and the use of the top of the helmet as the initial point of contact in making a tackle were implemented at the high school and college level. Subsequently, a marked decrease in cervical spine injury rates has occurred. The occurrence of permanent cervical quadriplegia decreased from 34 in 1976 to five in the 1984 season. It is suggested that axial loading of the cervical spine is also responsible for the catastrophic injuries in diving, rugby, ice hockey, and gymnastics. Implementation of appropriate changes in playing techniques and/or equipment modifications could possibly reduce the incidence of cervical spine injuries in these activities. (<i>JAMA</i>1985;254:3439-3443)
Erratum for the Research Article: “Metastatic status of sentinel lymph nodes in melanoma determined noninvasively with multispectral optoacoustic imaging” by I. Stoffels, S. Morscher, I. Helfrich, U. Hillen, J. Lehy, N. C. Burton, T. C. P. Sardella, J. Claussen, T. D. Poeppel, H. S. Bachmann, A. Roesch, K. Griewank, D. Schadendorf, M. Gunzer, J. Klode
Journal: Science Translational Medicine (2015)
Assessment of Patient Pain at Colonoscopy: Are Nurses Better than Endoscopists?
Authors: S Ramakrishnan, J Y Yiannakou, W R Ellis, I Bain
Journal: Journal of the Royal Society of Medicine (2004)

The pain that patients recollect having experienced at colonoscopy is likely to influence uptake of the procedure. We used visual analogue scales to assess recollected pain shortly before discharge, and compared these scores with assessments by the endoscopist and the attending nurse. Data were complete for 426 procedures (90%). The mean perceived pain score for patients was 3.2, for endoscopists 2.8 and for nurses 3.1. On multivariate analysis, the endoscopists' assessments of pain had little predictive value over and above those of nurses, whereas nurses' assessments remained significant when adjusted for endoscopists' assessments. Nurses were more accurate than endoscopists in gauging the pain of colonoscopy. This may be because endoscopists are focused on the video monitor while nurses are focused on the patient. More active use of nurses' assessments might help keep pain to a minimum.
Financial Threats to Hospital Libraries
Authors: Joanne G. Marshall
Journal: JAMA (1991)

<h3>To the Editor.</h3> — Hospital libraries are continuing to be threatened as a result of a change in federal regulations passed in 1986 by the Health Care Financing Administration. This change eliminated the requirement that hospitals maintain a medical library in order to be eligible for Medicare and Medicaid funding.<sup>1</sup>As financial pressures on hospitals have increased, the New York State Department of Health has also eliminated the requirement for medical libraries. D.H. Philips, Jr, a representative of David Axelrod, MD, commissioner of the Department of Health, justified this decision to Jane Allen, president, Upstate New York and Ontario Chapter of the Medical Library Association, on the basis that the Department of Health could not find a "useful linkage" between the requirement for a hospital to maintain a medical library and any problems that occurred with the delivery of hospital patient care and services (written communication, March 20,1989). Professional
Leçons tirées de l’analyse anatomopathologique des récidives précoces des carcinomes épidermoïdes traité par radiofréquence
Journal: Endoscopy (2018)

La radiofréquence œsophagienne est une option thérapeutique pour les carcinomes épidermoïdes de l’œsophage mais les données de suivi à long terme sont encore insuffisantes en particulier concernant le risque de cellules tumorales enfouies.
IMPACT OF BODY MASS INDEX ON MAJOR BLEEDING AFTER PCI: ONE-YEAR RESULTS FROM THE MULTICENTER PROSPECTIVE PARIS REGISTRY
Authors: Kleanthis Theodoropoulos, Annapoorna Kini, Thomas Stuckey, Peter Berger, Alaide Chieffo, Fayaz Shawl, Ioannis Iakovou, James Hermiller, David Antoniucci, Ron Waksman, Raj Vadde, Samantha Sartori, Usman Baber, Roxana Mehran
Journal: Journal of the American College of Cardiology (2013)
Polycythemia and chorea.
Authors: Ahmad Feroze, Asimi Ravouf, Rasool Sakeena
Journal: BMJ (1967)

Leading Articles MEDISALJOuRNAL partial thyroidectomy, but that if thyroidectomy is carried out careful follow-up is obligatory.R. N. Smith and G. M. Wilson reviewed their long-term experience of radioactive iodine therapy for thyrotoxicosis.Using half the conven- tional dose of iodine-131 (about 3,500 rads) reduces the hypothyroid rate to 7% after five years but by itself is insufficient to control hyperthyroidism within a year in the majority of patients, who require additional therapy with antithyroid drugs.S. C. Werner described the use of prednisone in the treatment of the severe eye changes of Graves's disease.There appears to be a critical dosage which must be exceeded before benefit ensues, and it varies from patient to patient.Total thyroidectomy, a procedure difficult to achieve, did not arrest the progression of active severe eye changes in five patients.The symposium embodied much that is new in relation to the pathogenesis, diagnosis, and treatment of thyrotoxicosis, but the enigma of Graves's disease remains to stimulate research worker and clinician alike.
Reply
Authors: Elliott M. Antman, Daniel T. Anbe, Paul W. Armstrong, Eric R. Bates, Lee A. Green, Mary Hand, Judith S. Hochman, Harlan M. Krumholz, Frederick G. Kushner, Gervasio A. Lamas, Charles J. Mullany, Joseph P. Ornato, David L. Pearle, Michael A. Sloan, Sidney C. Smith
Journal: Journal of the American College of Cardiology (2005)
Correction
Journal: BMJ (1960)

Any Questions ?We puiblish below a selection of those questions and answers which seem of general interest.It is regretted that it is not possible to supply answers to all questions submitted.Blood for Emergency Transfusion Q.-When an immediate replacementt transfusion is needed for obstetric haemorrhlage, is it preferable to give blood of the patient's own grolup, but not cross-matchled, or group 0 Rh-negative blood?A.-There is always some risk in giving blood which has not been cross-matched, and this risk is, of course, increased in a woman who has undergone a pregnancy.Therefore it is most desirable to make a cross-matching test of some kind and to keep the patient going meanwhile with an infusion of plasma or a plasma substitute, such as dextran.If it is thought that blood must be given immediately to save the patient's life, then on the whole it is safer to give O Rh-negative blood.One must assume that, if there is no time to cross-match blood, there is also no time to determine the patieht's ABO and Rh group by carefu l procedures.Ocular Effects of Ultra-violet Light
Pregnancy outcome and maternal infection: the need for comprehensive studies
Authors: M. G. Gravett
Journal: JAMA (1983)

The perinatal mortality rate has declined dramatically in the United States during the last three decades. Prematurity accounts for 70% to 80% of all perinatal deaths that are not caused by severe congenital malformations,<sup>1</sup>yet the rate of prematurity has not declined in the last 30 years. Thus, the decline in perinatal mortality is attributable to improved neonatal care, which has been achieved only at great cost. The estimated cost of term and premature neonatal care in the United States in 1980 was $460 million. If all neonates treated in neonatal intensive care units had instead been delivered as healthy term babies, the estimated cost for all neonatal care would have been only $50 million.<sup>2</sup>The additional cost of subsequent neurological morbidity in premature newborns who survive is difficult to assess. Further reduction of the perinatal death rate and the cost of neonatal care and of subsequent morbidity
Council on Pharmacy and Chemistry and the Council on Physical Therapy
Journal: JAMA (1941)

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
Medical Records That Guide and Teach
Authors: Lawrence L. Weed
Journal: New England Journal of Medicine (1968)

Implementation of More Comprehensive Care through the medical record and the ComputerThe organization of the record described above forms a framework that easily accommodates psychiatric, social and demographic problems. Usually these are not documented and followed in an organized manner.Psychiatric ProblemsIn the practice of medicine for many physicians, nonorganic problems have been neither challenging nor interesting. Because of this they have never been listed — even though they easily could have been — with the physician using clear descriptive formulations such as "cries easily" or "family difficulties" if he could not use sophisticated psychiatric jargon. Until all . . .
WHY IS THE ABILITY OF MOTHERS TO NURSE THEIR CHILDREN DISAPPEARING?
Journal: JAMA (1904)

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
THE PURITY OF THE GREAT LAKES.
Journal: JAMA (2008)

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
Highlights
Journal: JAMA (2019)

Many indexes can be derived from conventional and ambulatory blood pressure recordings.In a longitudinal population-based cohort study of 11 135 adult participants, Yang and colleagues for the International Database on Ambulatory Blood Pressure in Relation for Cardiovascular Outcomes Investigators found that higher 24-hour and nighttime blood pressures were associated with mortality and a composite cardiovascular end point.Editor's Note 420 CME jamanetwork.com/learning Patient Assistance Programs for Prescription Drugs 422Patient assistance programs subsidize out-of-pocket costs for prescription drugs.Kang and colleagues conducted a descriptive cross-sectional study of the 6 largest independent charities off ering 274 disease-specifi c patient assistance programs and found that most programs required insurance coverage for eligibility.In an Editorial, Kraschel and Curfman explain how patient assistance programs drive up health care costs by providing support for more expensive specialty drugs in lieu of less expensive alternatives.
Patients presenting with lung cancer in south east Scotland. Edinburgh Lung Cancer Group.
Authors: Simon Capewell, S Cameron, J Capewell, G Choo-Kang, A Crompton, N Douglas, J Gaddie, A Greening, D Lamb, A Leitch, Rcf Leonard, L Matheson, W Middleton, M Mcintyre, Gjr Mchardy, G Newaishy, G Petrie, J Smyth
Journal: Thorax (1987)

Information was recorded prospectively on 2586 unselected patients with lung cancer seen in hospital during 1981-4. Twenty eight per cent were female and 97% were current smokers or ex-smokers. Two thirds were aged under 70 at the time of diagnosis. The cell type was known in 2117 patients (82%). In the 579 women there was a larger proportion with small cell carcinoma (29% v 21%) and adenocarcinoma (18% v 11%) but a smaller proportion with squamous cell carcinoma (38% v 52%; p less than 0.01) than among the men. The women were also significantly younger. Small cell carcinoma was also more common and squamous cell carcinoma less common in patients aged less than 60 years (p less than 0.01). Only 47 (7%) of the 651 patients diagnosed in 1981 were alive at five years; 35 of the 116 highly selected patients who underwent surgical treatment survived (30%), compared with 17% (7/42) of patients given radical radiotherapy and 1% (5/493) in the patients given palliative radiotherapy, chemotherapy, or symptomatic treatment only. The current outlook for patients with lung cancer remains very poor and the major emphasis must clearly be on prevention.
Retrospective Time-Trend Study of Polybrominated Diphenyl Ether and Polybrominated and Polychlorinated Biphenyl Levels in Human Serum from the United States
Authors: Andreas Sjödin, Richard S. Jones, Jean-François Focant, Chester Lapeza, Richard Y. Wang, Ernest E. McGahee, Yalin Zhang, Wayman E. Turner, Bill Slazyk, Larry L. Needham, Donald G. Patterson
Journal: Environmental Health Perspectives (2004)

Six polybrominated diphenyl ethers (PBDEs), one hexabromobiphenyl [polybrominated biphenyl (PBB)], and one hexachlorobiphenyl [polychlorinated biphenyl (PCB)] were measured in 40 human serum pools collected in the southeastern United States during 1985 through 2002 and in Seattle, Washington, for 1999 through 2002. The concentrations of most of the PBDEs, which are commercially used as flame retardants in common household and commercial applications, had significant positive correlations with time of sample collection, showing that the concentrations of these compounds are increasing in serum collected in the United States. In contrast, PCB and PBB levels were negatively correlated with sample collection year, indicating that the levels of these compounds have been decreasing since their phaseout in the 1970s.
Erratum for Euro Surveill. 2019;24(13)
Journal: Eurosurveillance (2019)

© This work is licensed under a Creative Commons Attribution 4.0 International License. Closure This is a corrected article applying to the following content: Increased prevalence of Escherichia coli strains from food carrying blaNDM and mcr-1-bearing plasmids that structurally resemble those of clinical strains, China, 2015 to 2017
Abstract 19638: A High Percentage of Patients Referred for Invasive Coronary Angiography Found to Have No Obstructive Coronary Artery Disease are Referred for Appropriate Indications
Authors: Michelle Ouellette, Virginia Workman, Adrian Loffler, George A Beller, Jamieson M Bourque
Journal: Circulation (2015)

Introduction: The incidence of normal coronary arteries in patients referred for invasive coronary angiography (ICA) ranges from 30-60%. We sought to evaluate patterns of referral, assess the rate of appropriate catheterization and determine the prevalence of coronary artery disease (CAD) in our population by appropriateness and indication. Methods: Retrospective analysis was performed on 930 consecutive patients undergoing diagnostic ICA. Indications for ICA were reviewed and appropriate use criteria (AUC) were applied to the cohort retrospectively. Patients with known CAD, prior MI, CHF, or indication for pre-transplant workup or cardiac surgery were excluded. Rates of non-obstructive (21-49% stenosis) and obstructive CAD (≥50%) were compared by appropriateness status using Fisher’s Exact Testing. Results: Of the 930 patients studied, 55.6% were male with median age of 62 and 10-year ASCVD risk score of 17.7%. Acute coronary syndrome (ACS) was the most prevalent indication for referral (48.5%) with a 68.6% prevalence of obstructive CAD. A positive stress test was the indication in 18.9% with a 51.4% rate of obstructive CAD. The rates of the remaining referral indications are given in Figure 1. In those referred appropriately for angiography (n=923), the prevalence of obstructive disease was 55.9% (n=516), non-obstructive disease 13.6% (n=125), and normal coronaries 30.6%(n=282). Inappropriate referral was identified in only 7 patients (0.8%), all of whom had normal coronaries with p&lt;0.001. Conclusions: At a single quaternary care academic center the majority of coronary angiographies performed invasively are appropriate by AUC. Despite adherence to AUC, there continues to be a large number of patients with no evidence of obstructive disease, including in those with ACS. Further research is needed to further refine the AUC and its role in risk stratification for obstructive CAD.
From the editors
Authors: Lucy Bird, Kirsty Minton, Olive Leavy, Yvonne Bordon, Isabel Woodman, Man Tse, Lucie Wootton, Lewis Packwood, Simon Bradbrook, Susanne Harris, Vicky Summersby, Patrick Managing, Judith Shadwell, Simon Fenwick, Natalie Smith, Jacques Smit, Laura Corns, Deborah Anthony, Marketing Managers, Tim Redding, Leah Rodriguez
Journal: Nature reviews. Immunology (2010)
Spreading pigmented actinic keratoses
Authors: M.P. James, G.C. Wells, I.W. Whimster
Journal: British Journal of Dermatology (1977)

Journal Article Spreading pigmented actinic keratoses Get access M.P. James, M.P. James Department of Dermatology, St Thomas' Hospital Search for other works by this author on: Oxford Academic Google Scholar G.C. Wells, G.C. Wells Department of Dermatology, St Thomas' Hospital Search for other works by this author on: Oxford Academic Google Scholar I.W. Whimster I.W. Whimster Department of Dermatology, St Thomas' Hospital Search for other works by this author on: Oxford Academic Google Scholar British Journal of Dermatology, Volume 97, Issue s15, 1 December 1977, Page 12, https://doi.org/10.1111/j.1365-2133.1977.tb14292.x Published: 01 December 1977
Highlights
Journal: JAMA (2019)

Lefamulin for Community-Acquired Bacterial Pneumonia 1661Because of fl uoroquinolone-associated safety concerns and high rates of bacterial resistance, new treatment options are needed for patients with community-acquired bacterial pneumonia.Alexander and colleagues randomized 738 patients with community-acquired bacterial pneumonia and found that lefamulin was noninferior to moxifl oxacin for the outcome of early clinical response.
Letter by Kuller and Wong Regarding Article, “Comparative Effectiveness of Exercise Electrocardiography With or Without Myocardial Perfusion Single Photon Emission Computed Tomography in Women With Suspected Coronary Artery Disease: Results From the What Is the Optimal Method for Ischemia Evaluation in Women (WOMEN) Trial”
Authors: Lewis H. Kuller, Timothy C. Wong
Journal: Circulation (2012)
Disseminated Sporotrichosis
Authors: Terry K. Satterwhite
Journal: JAMA (1978)

EXTRACUTANEOUS sporotrichosis is an uncommon manifestation of this fungal infection. A patient with disseminated sporotrichosis had<i>Sporotrichum schenckii</i>in multiple sites, including skin, urine, bone marrow, and brain. <h3>Report of a Case</h3> A 60-year-old alcoholic man was admitted to the hospital with generalized weakness, progressive edema, ascites, and skin lesions. Two weeks before admission, he had noted painless erythematous lesions on his distal extremities that gradually became nodular and drained purulent bloody material. He had had no chills, fever, or headache. He drank a fifth of whiskey each day. During the previous five years, he had been found to have ascites, abnormal results of liver function studies, esophageal varices, enlarged liver with patchy isotope uptake shown by liver scan, and macrocytic anemia. He denied exposure to animals, gardening, or trips into fields or woods; there was no known trauma or insect bites to his skin. At the time of admission,