tbuckley/cabot-search huggingface dataset:
Comparison of warfarin and external pneumatic compression in prevention of venous thrombosis after total hip replacement
Authors: C. W. Francis
Journal: JAMA (1992)

<h3>Objective.</h3> —To compare the effectiveness and safety of warfarin and external pneumatic compression (EPC) in prevention of venous thrombosis after total hip replacement. <h3>Design.</h3> —Prospective, randomized trial in consecutive patients, with blinded assessment of the primary end point. <h3>Setting.</h3> —University medical center and large community hospital. <h3>Patients.</h3> —Patients over age 18 years scheduled for elective primary total hip replacement were eligible. Of 254 patients interviewed, 232 were randomized, 220 patients had surgery and received prophylaxis, and 201 had venography. <h3>Interventions.</h3> —Patients were randomly assigned to prophylaxis with a device providing bilateral sequential EPC to both the calf and thigh or to receive warfarin in a low-intensity regimen beginning 10 to 14 days preoperatively. Prophylaxis was continued until venography. <h3>Main Outcome Measures.</h3> —Venous thrombosis was diagnosed by venography between postoperative days 6 and 8. Bleeding was assessed by surgical blood loss, transfusion requirements, changes in hematocrit, and clinically identified bleeding complications. <h3>Results.</h3> —The total incidence of venous thrombosis was virtually the same in the warfarin and EPC groups (31% vs 27%), but the distribution of thrombi was different. Proximal thrombosis occurred in 12% of patients in the EPC group compared with only 3% in the warfarin group (<i>P</i>=.012, 95% confidence interval for difference, 2% to 18%). In contrast, calf vein thrombosis was more frequent in the warfarin group (21%) than in the EPC group (12%) (<i>P</i>=.021,95% confidence interval for difference, 0% to 18%). Most proximal thrombi in EPC-treated patients were located within 15 cm of the femoral head and were not continuous with thrombi in deep calf veins. The high incidence of proximal thrombosis in the EPC group resulted in termination of the study by the safety monitoring committee. Blood loss and bleeding complications were similar in the two groups. <h3>Conclusion.</h3> —Warfarin therapy is significantly more effective than EPC in preventing serious proximal vein thrombosis after total hip replacement. The greater effectiveness of warfarin therapy in preventing proximal vein thrombi and of EPC in preventing thrombosis in the calf suggests that there are differences in the pathogenesis of thrombosis in these two locations. (<i>JAMA</i>. 1992;267:2911-2915)
A NATIONAL MEDICAL SCHOOL.
Journal: JAMA (1997)

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 Legal Scope of Nursing Practice
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 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
LAMBLIA INTESTINALIS
Authors: C. McA. Wassell
Journal: JAMA (1928)

<h3>To the Editor:</h3> —InThe Journal, Dec. 17, 1927, p. 2135, the results of treatment of infestation with<i>Lamblia intestinalis</i>are said to be unsatisfactory. I did quite a little work under the late Dr. Simon at Hopkins, in 1920, on this little beast, and worked with it for several years at Wuchang and at Kiukiang, China. I found that cases of diarrhea in which it could not be proved that<i>Lamblia intestinalis</i>was the cause were often relieved by the use of oil of chenopodium. I have treated several hundred cases of diarrhea in which<i>Lamblia intestinalis</i>was the only thing that could be found, and we had good results with oil of chenopodium. But it will not give good results in all cases. I gave a magnesium sulphate purge, one ounce, in the early morning. A light breakfast, but always something to eat, was taken. At 9, 10
Bhopal tragedy's repercussions may reach American physicians
Authors: C. Marwick
Journal: JAMA (1985)

The A. he Bhopal, India, tragedy has stimulated moves in the United States that could alter handling of toxic chemicals and dissemination of information about them to the medical profession and public. Bhopal, of course, came to world attention when methyl isocyanate gas escaped from the Union Carbide Corporation plant there (which now is closed and may be torn down). Some 100,000 persons were exposed to the gas, and—while 1,048 deaths have been confirmed—it is believed that at least 2,500 died. In the United States, Rep Donald K. Pease (D-Ohio) is putting a bill before Congress that—while directed at banning importation of a suspected carcinogen— contains a clause encouraging international regulation of industrial facilities. At the moment, a company's adherence to any set of international standards is voluntary. In the meantime, also in the United States, chemical industry leaders admit that the Bhopal tragedy has stimulated a re-examination of practices
Oxytocin Administration Under Nurse Supervision
Authors: Michael Newton
Journal: JAMA (1971)

<h3>To the Editor.—</h3> Goodlin's letter refers to the<i>Standards for Obstetric-Gynecologic Hospital Services</i>, published by the American College of Obstetricians and Gynecologists in 1969. He indicated that the College's publication recommends that only physicians be allowed responsibility for administration of oxytocin intravenously and that the College permits nurses to administer oxytocin bucally or intramuscularly. The definitive statement is as follows: Oxytocic agents should not be used during labor unless a qualified observer can stay with the patient and unless a physician qualified to conduct the delivery and to deal with any complications that may result from the use of oxytocic is constantly available in the labor area. The infusion should be started by a physician who should remain with the patient until the desired contraction pattern has been established. This position was reemphasized in a statement made by the Committee on Professional Standards in September 1970, indicating the advisability of
Schizophrenia.
Authors: Lawrence C. Parish
Journal: JAMA (1963)

In as controversial a field as psychiatric illness, a discussion of the subject is often so biased, that the new student in the field is prejudiced upon his introduction and the more advanced reader is immediately antagonized. Even if the material is presented in an objective manner, the style of writing generally would make Quiller Couch writhe with anger. This monograph falls into neither of these pitfalls. It is the "presentation of the ideas of the classical German-speaking psychiatrists." The author has paid particular attention to the historical concepts of Freud, Bleuler, and Kraepelin, to the clinical descriptions of Kleist and Leonhard, and to the theoretical considerations of Jaspers, Schneider, and Conrad. Although any writer naturally takes sides, the ideas of these men are presented in as unbiased a manner as possible before the views of the author are given. He synthesizes the past and offers a worthwhile opinion. Schizophrenia
Mediastinal Cysts: A Clinicopathological Study on Twenty Cases
Journal: JAMA (1963)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
The Blossoming
Authors: George Young
Journal: Annals of Internal Medicine (1997)

Ad Libitum15 February 1997The BlossomingGeorge Young, MDGeorge Young, MDBoulder Medical Center, Boulder, CO 80304Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-126-4-199702150-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Genevievein my office, ancient, her fat chart in my hands …psoriasis, arthritis, Crohn's disease, two husbands (long gone)and nowsmall cell carcinoma of the lung.“Howwas the chemo?” I ask.She has on redhigh-heels, a full white dress,a green silk scarf tied carefully around her neck,just a hintof perfume, and on her heada huge straw hat with a scarlet feather …to hide her baldness.Everythingbecomes clearer when I stand besidethis one flower. Author, Article, and Disclosure InformationAffiliations: Boulder Medical Center, Boulder, CO 80304Corresponding Author: George Young, MD, 2315 Hawthorn Avenue, Boulder, CO 80304. Previousarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 February 1997Volume 126, Issue 4Page: 326KeywordsAdipocytesArthritisChartsCrohn's diseaseFatsPsoriasisSmall cell lung cancer ePublished: 15 August 2000 Issue Published: 15 February 1997 Copyright & PermissionsCopyright © 1997 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
Penicillin Resistant Bacteria in the Mouths and Throats of Children on Continuous Prophylaxis Against Rheumatic Fever
Journal: JAMA (1963)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Serratia Arthritis
Authors: Bonnie B. Dorwart
Journal: JAMA (1973)

<i>We treated a patient with</i>Serratia<i>pyarthrosis who also had rheumatoid arthritis. With prompt diagnosis, vigorous needle aspiration of joint exudate, intravenous but not intra-articular administration of antibiotics, and appropriate splinting, surgical treatment may not be necessary in all cases of</i>Serratia<i>joint infection</i>.
Pathogenesis of Thrombotic Microangiopathies
Authors: X. Long Zheng, J. Evan Sadler
Journal: Annual Review of Pathology Mechanisms of Disease (2007)

Profound thrombocytopenia and microangiopathic hemolytic anemia characterize thrombotic microangiopathy, which includes two major disorders: thrombotic thrombocytopenic purpura (TTP) and hemolytic uremic syndrome (HUS). TTP has at least three types: congenital or familial, idiopathic, and nonidiopathic. The congenital and idiopathic TTP syndromes are caused primarily by deficiency of ADAMTS13, owing to mutations in the ADAMTS13 gene or autoantibodies that inhibit ADAMTS13 activity. HUS is similar to TTP, but is associated with acute renal failure. Diarrhea-associated HUS accounts for more than 90% of cases and is usually caused by infection with Shiga-toxin-producing Escherichia coli (O157:H7). Diarrhea-negative HUS is associated with complement dysregulation in up to 50% of cases, caused by mutations in complement factor H, membrane cofactor protein, factor I or factor B, or by autoantibodies against factor H. The incomplete penetrance of mutations in either ADAMTS13 or complement regulatory genes suggests that precipitating events or triggers may be required to cause thrombotic microangiopathy in many patients.
Blue rubber-bleb nevus syndrome
Authors: S. J. Morris
Journal: JAMA (1978)

IN 1860, Gascoyen<sup>1</sup>reported an association between cutaneous nevi, intestinal lesions, and gastrointestinal (GI) bleeding. Bean<sup>2</sup>separated the blue rubber-bleb nevus syndrome (BRBNS) from other cutaneous vascular lesions and gave the syndrome its name. Demonstration of these lesions has been performed by way of angiography, laparotomy, and autopsy. This case is an example of the BRBNS in which the diagnosis of the GI lesion was made by endoscopy. <h3>Report of a Case</h3> A 23-year-old man was well until three weeks before admission, when he noted the onset of melena, weakness, and fatigue. He denied nausea, vomiting, hematemesis, or hematochezia. There was no history of abdominal pain or peptic ulcer disease. He denied aspirin ingestion and admitted to drinking six beers each week. Physical examination revealed pallor. Vital signs were normal except for a resting tachycardia rate. No mucosal lesions were seen. The skin (Figure) demonstrated several blue rubber-bleb
Current Comment
Journal: JAMA (1930)

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
Treatment of hepatic coma with exchange transfusion and peritoneal dialysis
Authors: R. Krebs
Journal: JAMA (1967)

HEPATIC COMA, when associated with acute viral hepatitis, has a high mortality rate,<sup>1</sup>and the usual methods of therapy<sup>2</sup>are helpful only when the coma is due to some exogenous factor such as gastrointestinal hemorrhage which precipitates decompensation of the injured liver. Any therapeutic technique which will improve the general condition of the acutely ill patient with hepatitis may procure the time necessary for liver regeneration. Hepatic coma due to acute viral hepatitis has recently been successfully treated by exchange transfusion with fresh, heparinized blood.<sup>3,4</sup>Since fresh blood is at times difficult to obtain in the necessary quantities, it would be of value if this procedure could be safely performed with stored acid-citrate-dextrose (ACD) blood. The following case report illustrates the course of a patient with acute hepatitis treated successfully with exchange transfusion. Stored ACD blood, with an average age of about seven days, was used. In
BOOK REVIEWS
Authors: C. A. SCHIFFER
Journal: JNCI Journal of the National Cancer Institute (1990)

Journal Article BOOK REVIEWS Get access Leukemia, 5th Edition Edward S. Henderson , T. Andrew Lister , eds. Philadelphia : W. B. Saunders , 1990 , 848 pp. $150. CHARLES A. SCHIFFER CHARLES A. SCHIFFER University of Maryland School of Medicine, University of Maryland Cancer Center, 22 S. Greene St., Baltimore, MD 21201 Search for other works by this author on: Oxford Academic PubMed Google Scholar JNCI: Journal of the National Cancer Institute, Volume 82, Issue 16, 15 August 1990, Page 1356, https://doi.org/10.1093/jnci/82.16.1356 Published: 15 August 1990
Environmental Illness
Authors: DonnaE. Stewart
Journal: JAMA (1991)

<h3>To the Editor. —</h3> The study by Black et al<sup>1</sup>on 26 patients suffering from EI is an important addition to the literature on this controversial condition. The use of a standardized psychiatric interview schedule, the inclusion of reliable, valid psychometric instruments, and the provision of a control group further add to the credibility of the study findings. Moreover, the source of recruitment, chiefly from nonpsychiatric origins, removes the commonly asserted criticism that the high rate of psychiatric diagnosis in patients with EI is due only to their selection from psychiatric clinics. Although our studies<sup>2,3</sup>of 18, and later 42, patients with EI from a psychiatric consultation-liaison clinic found a higher prevalence of psychiatric diagnosis than did that of Black et al, the demographic characteristics and psychiatric diagnosis distributions were strikingly similar. In addition to EI, 90% of our patients endorsed one or more other media-popularized conditions (chronic
Industrial Exhibits
Journal: JAMA (1969)

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
Erratum: Vol. 42, Nos. 51 &amp;amp; 52
Journal: JAMA (1994)

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
Structural Changes in Miosis and Mydriasis of Monkey Eye
Journal: JAMA (1963)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal