tbuckley/cabot-search huggingface dataset:
Appraisal, Assessment and Career Development for Doctors in Training: The Mersey Deanery Personal Development Portfolio
Authors: J S Sprigge, J Higgins, B Rice, L Tofield, D Graham
Journal: Journal of the Royal Society of Medicine (2006)

To develop a robust valid and exportable appraisal and assessment process for doctors in training which is portfolio based and works at all hospitals within the deanery. It is called the personal development portfolio.For every senior house officer, there was a recorded meeting with his or her supervisor, at the beginning, midterm and at the end of the post. An outside assessor witnessed the exit assessment meeting.The Wirral Hospital, a District General Hospital with 72 senior house officers in 10 different specialties was used as a pilot site to develop the process. Then the process was exported and implemented at the other 12 trusts of the deanery.Records were kept of the induction, midterm and exit assessment meetings. A record was kept of the number of senior house officers succeeding and failing at their exit assessments. Also, the number promoted to the specialist registrar grade was recorded.The process was performed every 6 months on 11 occasions between 2000 and 2005. It involved 72 senior house officers in 10 different specialties. On each occasion, participation usually exceeded 70%: 623 were appraised and assessed and 609 of them (97.8%) had satisfactory exit assessments. For 14 doctors (2.2%), the process identified a cause for concern, which was usually accepted by the doctor and sometimes allowed remedial action to be taken. Twenty-six (4.2%) were promoted to the specialist registrar grade in this period. The process also identified the strengths and weaknesses of the senior house officer posts in the 10 different specialties that had such posts, and was used to encourage good medical teaching practice in them. Over 4 years, we exported the process to all the other 12 Trusts in the Mersey Deanery. Once established, the process was easy to use for both trainees and trainers, although it was time consuming.It was possible to develop and implement a portfolio based appraisal and assessment process, which was accepted by senior house officers and their trainers in all specialties at all hospitals within the deanery. Now that the senior house officer grade has been superseded by the Foundation and the training grade years, the principles of the personal development portfolio are being used to appraise and assess doctors in these grades too.
Another Selective Estrogen-Receptor Modulator for Osteoporosis
Authors: Bruno Vincenzi, Sankhala Kk, Pandya Dm, Soefje Sa
Journal: New England Journal of Medicine (2010)

corrections of 125 mg and 80 mg.Weekly follow-up visits with each patient showed that pruritus was prevented in both patients (score on the visual-analogue scale, 0 in one patient and 1 in the other).After 2 months of treatment with erlotinib as well as aprepitant prophylaxis, no further episodes of severe pruritus were recorded (though the rash remained present).Both patients now are waiting for tumor response to be assessed.It is not yet clear whether aprepitant influences antitumor responses.Further clinical data are necessary to confirm our conclusion that aprepitant may be useful to treat and prevent pruritus in patients with cancer who are receiving erlotinib.
Gallium citrate Ga 67 accumulation in pseudomembranous colitis
Authors: F. J. Tedesco
Journal: JAMA (1976)

THE TENDENCY for gallium citrate Ga 67 to localize in inflammatory lesions can provide an extremely useful, noninvasive test in the septic patient.<sup>1-4</sup>As with any diagnostic test, associated conditions that can compromise the diagnostic value of<sup>67</sup>Ga scanning should be known. We recently had a patient with pseudomembranous colitis with a colonic accumulation of<sup>67</sup>Ga, which to our knowledge, has not been previously reported. <h3>Report of a Case</h3> A 71-year-old man was in good health until 24 hours prior to admission, when he first had abdominal pain and vomiting. There was no history of hematemesis, diarrhea, melena, or bright red blood originating from the rectum. On physical examination, the patient had a temperature of 38.5 C (101.3 F) and a distended abdomen with left lower quadrant rebound tenderness. Results of the rest of the examination were unremarkable. All laboratory values were within normal limits. An abdominal
Long-term clinical and virological outcome after liver transplantation for cirrhosis caused by chronic delta hepatitis
Authors: D SAMUEL
Journal: Hepatology (1995)

Liver transplantation for liver diseases related to hepatitis B virus (HBV) and hepatitis delta virus (HDV) remains problematic because of the risk of viral recurrence. We report here the long-term virological outcome of patients transplanted for HDV-related liver cirrhosis (HDV cirrhosis). From December 1984 to December 1990, 76 patients with HDV cirrhosis underwent liver transplantation. Before transplantation, all the patients were HBsAg-positive/anti-HDV positive, and all but one were HBV DNA-negative by dot blot hybridization. HDV RNA was detected by HDV RT-PCR and liver HDAg by fluorescent HDV Ab. After transplantation, all the patients except four received continuous long-term anti-HBs passive immunoprophylaxis. The actuarial 5-year survival was 88%. All patients who did not receive anti-HBs immunoprophylaxis remained HBsAg-positive and developed hepatitis. Among the 68 patients receiving anti-HBs immunoprophylaxis with a minimum follow-up of 2 months, HBsAg reappeared in 7 (10.3%) after a mean of 17 months. These seven patients developed hepatitis, with simultaneous HBV and HDV replication; and four cleared later HBsAg. Patients without HBV reinfection were studied for HDV reinfection: liver HD Ag or serum HDV RNA were present in 88% of the patients during the first year, without developing hepatitis; however, they were no longer detectable after 2 years in 95% of the patients. In conclusion, liver transplantation for HDV cirrhosis gives good results, with a 5-year actuarial survival of 88%. Reappearance of HBsAg occurred in 13.2% and was associated with HBV and HDV reactivation and hepatitis. Among patients who remained HBsAg negative, HDV markers were detectable during the first year, without the development of hepatitis, but disappeared in the long term in most cases. (HEPATOLOGY 1995;21:333–339.)
Contents
Authors: C De Moraes, Donald Hood, Abinaya Thenappan, Christopher Ba, Felipe Girkin, Robert Weinreb, Linda Zangwill, Jeffrey Liebmann, Victoria Tseng, Carole Kim, Pablo Romero, Fei Yu, Kenneth Robertson-Brown, Lam Phung, Daniel Raygoza, Joseph Caprioli, Anne Coleman, Joong Shin, Kyung Sung, Gary Lee, Mary Durbin, Daniel Cheng, Peter Hersh, R Stulting, David Muller, Daniel Durrie, Rajesh Rajpal, Daniel Godefrooij, Marie-Josee Mangen, Elsie Chan, David O'brart, Saskia Imhof, G De Wit, Robert Wisse, Nakul Shekhawat, Michael Stock, Elizabeth Baze, Mary Daly, David Vollman, Mary Lawrence, Amy Chomsky, Victor Perez, Ella Leung, Audina Berrocal, Thomas Albini, Jean Parel, Guillermo Amescua, Eduardo Alfonso, Tayyeba Ali, Allister Gibbons, Jan De Jong, Juan Vigueras-Guillén, Tiarah Simon, Reinier Timman, Tunde Peto, Koenraad Vermeer, Jan Van Meurs, Carol Shields, Emil Anthony, T Say, Murat Hasanreisoglu, Jarin Saktanasate, Brendan Lawson, Jeffrey Landy, Anjali Badami, Meera Sivalingam, Alexander Hauschild, Robert House, Zachary Daitch, Arman Mashayekhi, Jerry Shields, Arupa Ganguly, P Blair, Michael Shapiro, William Good
Journal: Ophthalmology (2017)
"ETIOLOGY OF THE COMMON COLD"
Journal: JAMA (1921)

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
Resident Forum
Authors: Mark H. DeLegge
Journal: JAMA (1990)

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
ECDC and WHO/Europe joint report on tuberculosis surveillance and monitoring in Europe
Authors: None Eurosurveillance editorial team
Journal: Eurosurveillance (2014)

Preview this article: ECDC and WHO/Europe joint report on tuberculosis surveillance and monitoring in Europe, Page 1 of 1 < Previous page | Next page > /docserver/preview/fulltext/eurosurveillance/19/11/art20741-en-1.gif
Errors in the Table and Results
Authors: Chujun Wu, Dongsheng Fan
Journal: JAMA Neurology (2018)

tricular areas.Although it is not typical for patients with adult MLD, we think that the diagnosis of MLD cannot be excluded, considering the heterogeneity of imaging manifestations in patients with MLD.Other clinical data should be considered together for final diagnosis.Second, residual ARSA activity is highly variable between patients with MLD with similar presentations and for individual patients at repeated testing because of the limitations of assays and the contributions of other genetic or environmental factors. 5The levels of ARSA activity in patients with MLD from East Asia seem much higher than that of patients with MLD from other areas.In a review that included 11 patients with MLD from East Asia, the levels of ARSA activity ranges from 14.50% to 30.75% of the normal controls. 6In addition, Lorioli et al 5 have described a presymptomatic patient with MLD with an ARSA activity equal to 50% of normal values, which is similar to a carrier in this family.Therefore, we still advised the patient in our case report 1 (a Chinese patient) to undergo an ARSA gene test although his ARSA activity was half of the normal lower limit.Considering the presence of ARSA pseudodeficiency and the variety of the ARSA activity among patients with MLD, the diagnosis or exclusion of MLD should be based not only on the ARSA activity but also on other clinical data, such as genetic analyses.Moreover, other causes of leukoencephalopathies, including cobalamin C disease, should be considered even though lower ARSA enzyme activity was found.
Does inappropriate use explain small-area variations in the use of health care services?
Authors: L. L. Leape
Journal: JAMA (1990)

We studied the relationship of the appropriateness of the use of coronary angiography, carotid endarterectomy, and upper gastrointestinal tract endoscopy to their rates of use in 23 adjacent counties in one state. We measured appropriateness by means of a detailed review of the medical records of Medicare beneficiaries who had the procedures performed in 1981, using preset criteria derived by an expert panel. Use rates per 10 000 Medicare enrollees in a county varied from 13 to 158 for coronary angiography, 5 to 41 for carotid endarterectomy, and 42 to 164 for upper gastrointestinal tract endoscopy. Inappropriate use varied by county from 8% to 75% for coronary angiography, from 0% to 67% for carotid endarterectomy, and from 0% to 25% for endoscopy. For coronary angiography, inappropriate use accounted for 28% of the variance in the county rate. For the other two procedures, no significant correlations were found between inappropriateness of use and rate of use. We conclude that little of the variation in the rates of use of these procedures can be explained by inappropriate use. (<i>JAMA</i>. 1990;263:669-672)
Missing Additional Contributions Section
Authors: Torrey Schmidt, Ronald Maag, Andrew Foy
Journal: JAMA Internal Medicine (2017)

the oculostenotic reflex is strong as evidenced by the patient in our Teachable Moment, 3 and the incentive structure in the US system promotes overuse. 4,5 Other harms from overdiagnosis may include fear and anxiety related to being labeled with CAD, as well as risks associated with medication changes targeted at primary prevention.While overdiagnosis carries risks, the possibility of benefit exists as well.The meta-analysis 2 cited by Singh et al found that CCTA lowered the risk of myocardial infarction by 42%.The absolute reduction is small (0.3%) and corresponds to a number of patients needed to scan of 333 to prevent 1 myocardial infarction. 2 Conversely, only 36 patients need to be scanned to lead to an excess revascularization procedure. 2All-cause death was unchanged between groups.Singh et al believe that CCTA improves patient care by promoting the use of aspirin, statins, and healthy lifestyle changes.Whether this actually improves clinical outcomes is uncertain.The FACTOR 64 trial 6 randomized patients with diabetes to screening with CCTA or standard care; CCTA identified incidental CAD in 69% of patients and led to a change in management in more than two-thirds, but there was no improvement in patient outcomes.The trial 6 has been criticized for being underpowered but, to our knowledge, is the best randomized data available at present.We do agree with Singh et al that in an era of increasingly sensitive diagnostic tests, the importance of teaching critical thinking skills cannot be overemphasized.But we also think it is important to recognize the tradeoffs that are associated with increased disease detection, most importantly, overdiagnosis and its consequences.
Coelenterate Sting
Authors: Patricia J. Garcia
Journal: Annals of Internal Medicine (1994)

Letters15 December 1994Coelenterate StingPatricia J. Garcia, Roland M. H. Schein, and Joseph W. BurnettPatricia J. GarciaSearch for more papers by this author, Roland M. H. ScheinSearch for more papers by this author, and Joseph W. BurnettSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-121-12-199412150-00044 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We initially considered the possibility of a bacterial infection with Vibrio. Multiple blood cultures and a skin culture were negative. In addition, this patient's presentation was not consistent with V. vulnificus infection, which has been associated with three very different clinical syndromes: primary septicemia, wound infections, and gastrointestinal illness without septicemia or wound infection [1]. Patients with primary septicemia have a preexisting liver disease, and some have reported a recent history of consuming raw oysters. Patients with wound infections often have fever, pain and swelling at the wound site, and cellulitis. In a study of the clinical and ...REFERENCE1. Klontz K, Spencer L, Schreiber M, Janowski HT, Baldy LM, Gunn RA. Syndromes of Vibrio vulnificus infections. Clinical and epidemiologic features in Florida cases, 1981–1987. Ann Intern Med. 1988; 109:318-23. Google Scholar Author, Article, and Disclosure InformationAuthors: Patricia J. Garcia; Roland M. H. Schein; Joseph W. BurnettAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 December 1994Volume 121, Issue 12Page: 985-986KeywordsBloodCellulitisGastrointestinal infectionsInflammationLesionsLiverLiver diseasesSepsisSkin infectionsVibrio ePublished: 15 August 2000 Issue Published: 15 December 1994 Copyright & PermissionsCopyright © 1994 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
Dichotomous Disservice
Authors: Richard A. Carleton
Journal: Annals of Internal Medicine (1997)

Letters1 December 1997Dichotomous DisserviceRichard A. Carleton, MDRichard A. Carleton, MDMemorial Hospital of Rhode Island; Pawtucket, RI 02860Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-127-11-199712010-00034 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Ferris correctly points out that physicians are humans and that “like all humans, often prefer to think dichotomously about phenomena that are clearly continua.” He also correctly points that many classifications require arbitrary distinctions. They do not, however, require artificial and arbitrary dichotomies. In the example of myocardial infarction, an understanding of the impact of that infarction on subsequent cardiac function and subsequent risk is better obtained by assessing the electrocardiogram, enzyme results, imaging results, and clinical presentation as continua rather than a simplistic “Q-wave/no Q-wave” system. Even, as Dr. Ferris suggests, a different dichotomy based on ... Author, Article, and Disclosure InformationAffiliations: Memorial Hospital of Rhode Island; Pawtucket, RI 02860 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byReclaiming the Diaspora: Law and the Problems of Cultural Identity 1 December 1997Volume 127, Issue 11Page: 1044KeywordsElectrocardiographyEnzymesInfarctionMyocardial infarction ePublished: 15 August 2000 Issue Published: 1 December 1997 Copyright & PermissionsCopyright © 1997 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
Giant ameloblastomas
Authors: V. B. Rambo
Journal: JAMA (1977)

TUMORS of the jaw rarely go untreated for many years in the United States. This is not so in parts of Asia and Africa, where medical facilities are woefully inadequate and where folk medicine is practiced extensively. One of us (V. B. R.), as director of a 140-bed mission hospital in Central Africa, has treated two huge ameloblastomas during the past two years. They are reported because of their unusual size and their rarity in the Western world. <h3>Report of Cases</h3><h3>Case 1.—</h3> A man estimated to be 25 years old was admitted to the Good Shepherd Hospital (Hôpital du Bon Berger), Tshikaji, Kananga, Zaire, in May 1975. Progressive malnutrition had been noted at a mission food distribution center, and he had been persuaded to visit the mission hospital for treatment of a large tumor of the lower jaw that prevented chewing and made swallowing difficult (Fig 1). The patient
PSYCHIC MANAGEMENT OF PERSONS WITH CARDIAC DISORDERS IN FUNCTION OR STRUCTURE
Journal: JAMA (1921)

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
LICHEN PLANUS.*
Authors: E. GRAHAM LITTLE
Journal: British Journal of Dermatology (1920)

Clinical varieties.-Thismay perhaps be the most convenient place to discuss this important branch of our subject, for three of these varieties depend on their odd distribution for their differentiation.Two of these varieties, linearis and annularis^ are fairly frequent; one, lnoniliformis^ is extraordinarily rare.(1) Lichen planiis linearis.-Ihave had thirteen such cases in my own experience, of which five occurred in children under twelve years ; I have hesitated to include with these cases a girl, aged 18 months, Avhose picture I show, but Brocq (48) mentions as an undoubted lichen what seems an even younger case, a girl, aged 4 months, very like
125-I-labeled fibrinogen scanning. Use in the diagnosis of venous thrombosis
Authors: J. Hirsh
Journal: JAMA (1975)

Venous thrombosis is often asymptomatic in patients in whom major pulmonary embolism develops. When used expectantly, iodine 125-labeled fibrinogen scanning is a very sensitive method for detecting subclinical leg vein thrombi. Fibrinogen scanning is less useful for the diagnosis of established venous thrombosis, but is valuable for detecting extension of venographically diagnosed calf vein thrombosis. The technique is safe if fibrinogen is obtained from carefully screened donors. The limitations of the method include its inability to distinguish between superficial and deep venous thrombi, and its sensitivity to fibrin in hematoma and inflammatory exudates. Though the results agree closely with those of phlebography, scanning seems less reliable for detecting femoral vein than calf vein thrombi and is insensitive to thrombi above the inguinal ligament. Screening for these major thrombi may be improved by combining fibrinogen scanning with impedance plethysmography or ultrasonic examination.
Error in Institution Name in the Text
Journal: JAMA Oncology (2020)

Annette M. Molinaro, PhD; Shawn Hervey-Jumper, MD; Ramin A. Morshed, MD; Jacob Young, MD; Seunggu J. Han, MD; Pranathi Chunduru, MS; Yalan Zhang, MS; Joanna J. Phillips, MD, PhD; Anny Shai, PhD; Marisa Lafontaine, MS; Jason Crane, PhD; Ankush Chandra, BS; Patrick Flanigan, MD; Arman Jahangiri, MD, PhD; Gino Cioffi, MPH; Quinn Ostrom, PhD; John E. Anderson, MD; Chaitra Badve, MD; Jill Barnholtz-Sloan, PhD; Andrew E. Sloan, MD; Bradley J. Erickson, MD, PhD; Paul A. Decker, MS; Matthew L. Kosel, BS; Daniel LaChance, MD; Jeanette Eckel-Passow, PhD; Robert Jenkins, MD, PhD; Javier Villanueva-Meyer, MD; Terri Rice, MPH; Margaret Wrensch, PhD; John K. Wiencke, PhD; Nancy Ann Oberheim Bush, MD, PhD; Jennie Taylor, MD; Nicholas Butowski, MD; Michael Prados, MD; Jennifer Clarke, MD; Susan Chang, MD; Edward Chang, MD; Manish Aghi, MD, PhD; Philip Theodosopoulos, MD; Michael McDermott, MD; Mitchel S. Berger, MD