tbuckley/cabot-search huggingface dataset:
Therapeutic Endoscopy and Bleeding Ulcers
Journal: JAMA (1989)

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
Response to Letter Regarding Article, “Assessment of Microcirculatory Remodeling With Intracoronary Flow Velocity and Pressure Measurements: Validation With Endomyocardial Sampling in Cardiac Allografts”
Authors: Javier Escaned, Alex Flores, Fernando Alfonso, Rosana Hernández, Dominick J. Angiolillo, Pilar Jiménez-Quevedo, Camino Bañuelos, Carlos Macaya, Paloma Aragoncillo, Javier Segovia, Pablo García-Pavía, Jesús Jimenez, Luis Alonso-Pulpón, Clara Salas
Journal: Circulation (2010)
Post-mortem Examinations in France
Journal: BMJ (1842)

tle jaw could be niade with less restrainit aind pain than formerly.More thani a montlh after he had ceased in his attendailce, he called upoin me to show that hie could open his mllouth nlearly as freely, and that he could nlow masticate his food as efficienltly as he had cver done in.his lifetime ; all remains of effused blood h.ad beenl absorbed; the originial swellinig at the lower part of tlle masseter was much as whenl I first examiiined it, and though lie seemed delighted with the great improvement which had beeni effected, there was still, as it appeared to me, such a degree of rigidity, that lie couild not gape to such an extenlt as, doubtless, he could have done in his earlier days.I recommended him to move the jaw freely and fre- quently, aiid, having since heard nothing more of the case, presume that the improvement has beni permanient.
Cluster of Tick Paralysis Cases—Colorado, 2006
Journal: JAMA (2006)

Tick paralysis is a rare disease characterized by acute, ascending, flaccid paralysis that is often confused with other acute neurologic disorders or diseases (e.g., Guillain-Barré syndrome or botulism). Tick paralysis is thought to be caused by a toxin in tick saliva; the paralysis usually resolves within 24 hours after tick removal. During May 26-31, 2006, the Colorado Department of Public Health and Environment received reports of four recent cases of tick paralysis. The four patients lived (or had visited someone) within 20 miles of each other in the mountains of north central Colorado. This report summarizes the four cases and emphasizes the need to increase awareness of tick paralysis among health-care providers and persons in tick-infested areas.
Bone marrow biopsy in Hodgkin's disease and other neoplastic diseases
Authors: T. Han
Journal: JAMA (1971)

The larger bone marrow specimens obtained by the Jensen-Westerman needle are superior to those obtained by the Vim-Silverman needle. Such biopsy techniques are essential for recognition of marrow invasion of Hodgkin's disease; positive results are correlated with late anatomical stage, particularly in those with systemic symptoms. Biopsy is of occasional value in recognition of marrow invasion by myeloma and carcinoma. It may show evidence of adequate marrow cellularity in some patients with repeated hypocellular aspirates.
SOME RECENT OBSERVATIONS ON FAT-SOLUBLE VITAMINS
Journal: JAMA (1927)

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 Medical Consultant's Role in Caring for Patients with Hip Fracture
Authors: R. Sean Morrison
Journal: Annals of Internal Medicine (1999)

Letters5 January 1999The Medical Consultant's Role in Caring for Patients with Hip FractureR. Sean Morrison, MD, Mark R. Chassin, MD, MPP, MPH, and Albert L. Siu, MD, MSPHR. Sean Morrison, MDSearch for more papers by this author, Mark R. Chassin, MDSearch for more papers by this author, MPP, MPHSearch for more papers by this author, and Albert L. Siu, MD, MSPHSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-1-199901050-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Dr. Zaveri that on the basis of just the one study by Haentjens (1), weight-adjusted low-molecular-weight heparin does not seem to significantly reduce the incidence of thromboembolic events compared with fixed-dose low-molecular-weight heparin. Only the latter was used in the nine studies that we reviewed. The question about the timing of administration and duration of thromboembolic prophylaxis has yet to be answered satisfactorily. In the studies that we reviewed, therapy with most agents was started on hospital admission. Noble and colleagues' review (2) focuses only on patients undergoing joint replacement. Thus, it is questionable whether ...References1. Haentjens P. A comparison between a fixed dose and an individually adjusted dose of a low molecular weight heparin. Thromb Haemost. 1996; 75:239-41. Google Scholar2. Noble S, Peter DH, Goa KL. Enoxaparin. A reappraisal of its pharmacology and clinical applications in the prevention and treatment of thromboembolic disease. Drugs. 1995;49:338-410. Google Scholar3. Lin PP, Graham D, Hann LE, Boland PJ, Healey JH. Deep venous thrombosis after orthopedic surgery in adult cancer patients. J Surg Oncol. 1998;68:41-7. CrossrefMedlineGoogle Scholar4. Nightingale SL. From the Food and Drug Administration. JAMA. 1998;279:346. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Medical Consultant's Role in Caring for Patients with Hip Fracture R. Sean Morrison , Mark R. Chassin , and Albert L. Siu The Medical Consultant's Role in Caring for Patients with Hip Fracture Kiran G. Zaveri Metrics Cited ByTriaging Total Hip Arthroplasty During the COVID-19 PandemicAn analysis of postoperative hemoglobin levels in patients with a fractured neck of femur 5 January 1999Volume 130, Issue 1Page: 76-77KeywordsAnesthesiaDeep vein thrombosisFood and Drug AdministrationHemorrhageHeparinHip fracturesLow molecular weight heparinProphylaxisSigns and symptomsSpine Issue Published: 5 January 1999 CopyrightCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...
Treatment of bacteriuria in pregnancy.
Journal: BMJ (1970)

PointersWhooping Cough: Comparison of serological tests with isolation of Bordetella pertussis in suspected disease in 223 children (p.637). Streptokinase in ArterialThrombosis: A retrospective review from Belgium of 85 patients treated with streptokinase for thromboembolic occlusion of limb arteries or the abdominal aorta suggests that the sooner the drug is given the higher the frequency of artery clearance (p.639).Folic Acid in Epilepsy: A double blind trial using folic acid in folate-deficient epileptics showed the drug to have little effect on incidence of seizures (p.644).Identical Twins of Diabetics: Glucose tolerance and insulin assay on 24 unaffected twins showed higher glucose and lower insulin values than in controls.However, assumption that such twins are prediabetic is probably erroneous (p.649).Single-dose Treatment of Pregnancy Bacteriuria: Four different regimens of single-dose antibiotic in a series of 163 patients compared (p.651).Leader this page.
The clinical utility of the perinatal autopsy
Authors: D. N. Saller
Journal: JAMA (1995)

<h3>Objective.</h3> —To evaluate the clinical utility of the perinatal autopsy in determining the cause of a perinatal death. <h3>Design.</h3> —Retrospective observational survey. <h3>Setting.</h3> —University-affiliated, private, tertiary care hospital, limited to obstetrics, gynecology, and neonatology. <h3>Subjects.</h3> —All fetal deaths and neonatal deaths from 1990 and 1991 at Women and Infants Hospital, Providence, RI, were reviewed. Fetal deaths with a gestational age of less than 20 weeks and neonatal deaths occurring more than 48 hours after birth were excluded. <h3>Main Outcome Measures.</h3> —A clinical medical record review assessed the clinical diagnosis. Pathology records were reviewed independently. The clinical and autopsy diagnoses were compared and categorized as follows: (1) confirm (clinical and autopsy diagnoses concordant); (2) change (clinical and autopsy diagnoses discordant); (3) add (significant unexpected findings noted on the autopsy although the clinical diagnosis was not altered); (4) autopsy inconclusive; (5) autopsy not done or not available. <h3>Results.</h3> —Of 168 perinatal deaths, an autopsy was not obtained in 26.2% and was inconclusive in 24.2% of cases with an autopsy. Of 94 patients with conclusive autopsies, in 55.3%, the pathologic diagnosis confirmed the clinical diagnosis, and in 44.7%, it changed or significantly added to the clinical diagnosis. <h3>Conclusions.</h3> —These findings support the clinical relevance of the perinatal autopsy. As few published reports directly address the specific yield of the autopsy among fetal and neonatal deaths, these results may be useful in counseling patients who are considering a perinatal autopsy. (<i>JAMA</i>. 1995;273:663-665)
Neurology
Authors: William K. Jordan, H. Houston Merritt
Journal: New England Journal of Medicine (1954)

WE have attempted to select for discussion, from the many papers bearing on neurologic problems that have appeared since our last review, studies increasing understanding of the normal function of the nervous system or making clearer the nature of the biochemical derangement in certain neurologic disorders, as well as others that describe new procedures of value in diagnosis and therapy of neurologic diseases.Physiology Cerebral Cortex Additional criticism of the notion of a rigid point-to-point representation of muscles or movement in the cortex has been advanced by Walshe.1 His criticism is supported by the observation of Liddell and Phillips,2 who, . . .
Percussion and gram-negative bacteremia
Authors: D. J. Moylan
Journal: JAMA (1976)

<h3>To the Editor.—</h3> Urinary tract infections are implicated as the source for about two thirds of all cases of bacteremia caused by enteric bacteria.<sup>1</sup>As Shubin and Weil (235:421, 1976) point out, the majority of cases of bacteremic shock is precipitated by some manipulative procedure; they mention insertion of a catheter into the bladder, genitourinary and gastrointestinal surgery, and manipulation of infected wounds. In our experience as medical students, yet another procedure, percussion in the costovertebral angles in patients with pyelonephritis, has been associated with Gram-negative bacteremia and shock. <h3>Report of Cases. Case 1.—</h3> A 60-year-old woman entered the hospital complaining of right flank pain, nausea, vomiting, fever, shaking chills, and malaise. She was essentially well until three days prior to admission, and before this episode had not been under the care of a physician for the last 20 years. Before admission, she had received cephalexin monohydrate, but she
Surgeons perform transatlantic operation using fibreoptics
Authors: S. Gottlieb
Journal: BMJ (2001)

4.2%), the mean length of stay (11.7, 13.4, and 12.6 days), or the incidence of postoperative myocardial infarction (4.5%, 3.4%, and 4.2%)," concludes the study."The total cost of coronary artery bypass grafting per patient did not differ significantly between the three groups." David Spurgeon QuebecSmoking may mimic effect of antidepressants
S19 Role of CT in Assessing Pleural Malignancy Prior to Thoracoscopy
Authors: N Hassan, H Rostom, M Nagendran, D Srikantharajah, E Brown, A Manuel, M Maruthappu, NM Rahman
Journal: Thorax (2012)

<h3>Introduction</h3> The definitive diagnosis of pleural malignancy depends upon histological proof obtained via pleural biopsy. CT is reported to have a high sensitivity and specificity for the diagnosis of malignant pleural disease, and is part of the routine diagnostic work up of these patients. However, studies assessing the sensitivity of CT for pleural malignancy were carried out in relatively small cohorts of patients, and there remains a need for further data. The aim of this study was to assess the sensitivity and specificity of CT in detecting pleural malignancy (both primary and metastatic) prior to definitive histology obtained via thoracoscopy in a large cohort of patients with suspected malignant pleural disease. <h3>Methods</h3> Retrospective review of thoracoscopy procedures carried out between 2010 and 2012 at the Churchill Hospital, Oxford, comparing histological results from thoracoscopy with the CT reported diagnosis before the procedure. <h3>Results</h3> A total of 136 procedures were assessed. Thoracoscopic pleural biopsies were successfully obtained for histological analysis in 121 (89%) cases. Of these, 87 (72%) had CT chest scans prior to the procedure for which reports were available, and were included in this analysis. A total of 45/87 (52%) cases had a diagnosis of malignant pleural disease on the basis of the thoracoscopic biopsies. In those with a final histological diagnosis of malignancy, 25/45 had a prior CT report indicating malignant pathology, whereas 20/45 had a CT reporting no evidence of pleural malignancy (sensitivity of CT for a diagnosis of malignant pleural disease=55.6%, 95% CI 41.0% to 70.1%). Of the 42 cases with a thoracoscopic biopsy demonstrating benign pathology, 9 had CTs reporting malignant pathology (specificity for CT=78.6%, 95% CI 66.1% to 90.9%). <h3>Conclusion</h3> CT appears to be less sensitive (56%) than previously reported, with a specificity (79%) similar to the previous literature. This difference may reflect changing patterns of disease or changes in the use of invasive biopsy techniques. The data suggests that the use of CT alone in determining which patients should have invasive pleural biopsies should be re-evaluated, and further studies to define the diagnostic pathway are now required.
Sound, shock waves shatter kidney stones
Authors: E. Blume
Journal: JAMA (1983)

Surgical treatment of kidney stones is undergoing "very exciting" changes, according to Lynwood H. Smith, MD, professor of medicine at the Mayo Clinic in Rochester, Minn. Speaking at a National Kidney Foundation symposium in Washington, DC, Smith, a nephrologist, summarized recently reported results using two new procedures: percutaneous ultrasonic lithotripsy (PUL) and extracorporeal shock wave lithotripsy (ESWL). Both procedures are used only for stones that otherwise would have to be removed surgically. In PUL, a radiologist, using local anesthesia, first introduces a guide wire percutaneously through the flank into the kidney. The next day, using general anesthesia, dilators are placed over the guide wire. Once dilation is sufficient, a tube resembling a small cystoscope is inserted into the kidney's collecting system and up against the stone. An ultrasoundgenerating instrument developed by European urologists Peter Alkin, MD, and Michael Marberger, MD, is then passed through the tube and used to shatter
Cadmium, Lead and Zinc in Growing Rats Fed Corn Leaf Tissue Grown on Soil Amended with Sewage Sludge or Heavy Metal Salts
Authors: Josephine Miller, Fred C. Boswell
Journal: Environmental Health Perspectives (1981)

Rats were fed, from weaning through 11 weeks of age, dried leaf tissue of corn plants grown on soil amended with regular NPK fertilizer (150-22-62), with 33.6 ad 67.2 metric ton/ha of sewage sludge or with salts of cadmium (10kg/ha), lead (25kg/ha), and/or zinc (50kg/ha). A very high proportion of the cadmium (cd) consumed was eliminated in feces. Only in rats fed diets containing leaf tissue from plants grown on soil to which CdCl2 salt or the high level of sludge had been added did the metal accumulate in significantly greater quantity than in rats fed a standard diet without leaf tissue. Most of the carcass accumulation of Cd could be accounted for by that in the liver and kidneys. The proportion of dietary zinc (Zn) that was excreted in feces was less than that for Cd, indicating that more Zn was absorbed into the body. There was no correlation between intake and accumulation of Zn in the tissues, however, so that much of the absorbed Zn must have been eliminated in some way. Fecal elimination did not serve as a way to rid the body of excessive intake of lead (Pb). However, with intakes ranging from 2 to 11 mg total in this study, the carcass load did not exceed 1.1 mg of Pb. Thus absorbed Pb, like Zn, must also be eliminated efficiently. No gross signs of toxicity or of physiological impairment were observed in rats fed any of the plant tissue samples.
Prospective and retrospective searches for liver necrosis following halothane anesthesia. Serum enzyme study and case report
Authors: L. J. DeBacker
Journal: JAMA (1966)

During an eight-year period in which there were 20,232 administrations of halothane at the University of Iowa hospitals, only one case of massive hepatic necrosis following halothane anesthesia was found. A prospective study was designed to detect evidence of subclinical cases of hepatic damage following halothane anesthesia. Serum isocitric dehydrogenase activity was measured preoperatively and one and four days postoperatively in 233 patients who received general anesthesia with halothane or other agents. Frequency of postoperative elevations of enzyme activity and the amount of elevation in individual cases were analyzed in relation to the type of anesthesia. No significant difference was found between the group who had received halothane as opposed to the group who had received all other general anesthetics.
The Cover
Authors: Mary Mathews Gedo
Journal: JAMA (1985)

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
Rapid method for Tzanck preparations
Authors: R. J. Barr
Journal: JAMA (1977)

Use of the Paragon Multiple Stain for Frozen Sections (PMS) for Tzanck preparations of herpetic lesions has several distinct advantages over procedures previously described; the method is rapid, simple, inexpensive, and results in hematoxylin-eosin-like staining. This enables a diagnosis to be made from a single, affected cell. (<i>JAMA</i>237:1119-1120, 1977)
Suicide in male and female physicians
Authors: R. C. Steppacher
Journal: JAMA (1974)

The frequency of suicide among physicians in the United States over the 5 1/2-year period March 1965 to August 1970 was studied. Suicides and possible suicides were identified through the obituary listings in<i>JAMA</i>. Confirmation of suicide was attempted for equivocal cases where possible. Within this time period, 530 deaths by suicide were identified, 489 in men and 41 in women. Analysis indicated that the rate in male physicians was approximately 1.15 times that of the overall male population, whereas for female physicians the rate was fully three times that expected on the basis of population values. For physicians 45 years of age and over, suicide rates were somewhat higher for men. Below that age, there was a marked excess among the women. Twelve of the 41 women were in training. The findings are consistent with reports of high rates of suicide among females in other professions. (<i>JAMA</i>228:323-328, 1974)
Challenges facing islet transplantation for the treatment of type 1 diabetes mellitus
Authors: Kristina I. Rother, David M. Harlan
Journal: Journal of Clinical Investigation (2004)

Islet transplantation represents a most impressive recent advance in the search for a type 1 diabetes mellitus cure. While several hundred patients have achieved at least temporary insulin independence after receiving the islet "mini-organs" (containing insulin-producing β cells), very few patients remain insulin independent beyond 4 years after transplantation. In this review, we describe historic as well as technical details about the procedure and provide insight into clinical and basic research efforts to overcome existing hurdles for this promising therapy.