tbuckley/cabot-search huggingface dataset:
Reduced blood product utilization via implementation of an anemia clinic and consult service in a large health system hospital.
Authors: Reid Christian Bowers, Sandra Tomany Korman, Michael A. Thompson, Sherjeel Sana, Manish Krishna Pant, Federico Augusto Sanchez
Journal: Journal of Clinical Oncology (2021)

e18654 Background: An Anemia Clinic program was started Sept. 2016 as part of system wide implementation of Patient Blood Management (PBM) initiated in 2015. Methods: The Anemia Clinic accepted referrals for non-cancer anemia, predominantly preoperative cardiovascular surgery (CVS) Pts. Hgb thresholds were &lt;13 g/dL in men and &lt;12 g/dL in women. Non-anemia cytopenias triggered Hematology referral. All Pts were screened for iron, B12, folate, and reticulocyte. Nutrient deficiencies were supplemented. Pts with CKD or chronic disease were considered for erythropoiesis stimulating agents. Results: PBM implementation resulted in a drop in packed red blood cell (PRBC) usage (Table). Of CVS Pts pre-operatively anemic in 2020, 181 were referred to the Anemia Clinic and 259 were not. The percentage of Pts who received PRBCs after Anemia Clinic referral was not statistically different from those who were not referred (52.5% vs. 43.6% Chi-Square p=0.07). Of preoperatively anemic Pts who were transfused in 2020, an average of 1.49 PRBCs were used in the referred group vs. an average of 2.12 PRBCs in those in the not referred group (Poisson Means p=0.0009). Length of stay (LOS) which was a median 9d ( P 25 =6d, P 75= 16d) in the referred group vs a median 10d ( P 25 =6d, P 75= 16d) in the non-referred group was not statistically different between groups (Smirnov p=0.99). LOS analyses of observed-to-expected (O/E) ratios used the Premier Healthcare Providers Alliance Database (PHD) which contains data on approximately 45% of US hospital discharges. For 2020 through Nov. the referred group had an O/E = 0.89 (observed LOS μ geo = 9.97 days, expected LOS μ geo = 11.17 days, N=159). The not referred group had an O/E = 0.94 (observed LOS μ geo = 10.14 days, expected LOS μ geo = 10.83 days, N=232). Conclusions: PBM decreased PRBC use through systematization of best practices during the initial year. Subsequent addition of Anemia Clinic services did not decrease PRBC use further at first but appears to have contributed to this past year’s decrease. There is a trend toward shorter LOS for patients referred to Anemia Clinic but it is not statistically significant. Our methods improved nutrient deficiency identification which may improve both later health outcomes not detected here and access to treatment for hematologic malignancies.[Table: see text]
Total parenteral nutrition: value of a standard feeding regimen.
Authors: John Hospital, Peter Harper, Gavin Royle, Andrew Mitchell, J Greenall, Andrew Grant, Brian Winsley, Susan Atkins, Elizabeth Todd, Michael Kettlewell, M Mr
Journal: BMJ (1983)

In 1978 an unofficial total parenteral nutrition service was established in a regional hospital. For simplicity, safety, and economy patients needing this form of treatment were supplied, whenever possible, with a standard feeding regimen containing 14 g of nitrogen and equicaloric amounts (4.2 MJ) of non-nitrogen calories as fat and glucose. From May 1979 to April 1982 179 patients received 190 courses of total parenteral nutrition, and 134 (70.5%) of these courses were the standard regimen throughout. A positive nitrogen balance was maintained, and complications were mostly minor. One hundred and forty patients left hospital alive. One death was related to the total parenteral nutrition. Parenteral nutrition is an effective method of nourishing selected patients and a simple standard regimen can safely provide the total nutritional requirements for the majority. The value of a nutrition team and close supervision of the feeding is emphasised.
Münchener Medizinische Wochenschrift, Munich
Journal: JAMA (1964)

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
Pathology
Authors: K. M. Brinkhous
Journal: JAMA (1980)

What is new and what is important? These are questions an editor continually asks himself in assessing his specialty. The first question—what is new—would seem relatively easy to determine, but is it? There are always antecedent discoveries and technologies on which the so-called new is based. And giving proper credit and perspective to advances may be most difficult. As to the second—what is important—this may be evident from the impact that recent discoveries are having on understanding mechanisms of disease, or on improved diagnosis, or on monitoring of disease. Here, selection from the many advances poses a difficult judgmental task. However, two topics, somewhat interrelated, stand out in the decade just past. One is use of new immune markers in studying disease. The other is Legionnaires' disease. <h3>Legionnaires' Disease</h3> In mid-1976 the medical profession and the public became aware of a "new" type of pneumonia through television and news coverage
Deaths
Journal: JAMA (1949)

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JAMA Reference Directories
Journal: JAMA (1968)

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LAW AND MEDICINE
Authors: Howard N. Morse
Journal: JAMA (1968)

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Culture
Journal: JAMA (2001)

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Nonclinical factors and repeat C-section
Authors: Nancy W. Dickey
Journal: JAMA (1991)

<h3>In Reply. —</h3> The risk that an HIV-infected physician doing significant invasive procedures would infect a patient has been identified and confirmed as a small but a real one. Lederman and Mehlman are right in that it has not been precisely quantified However, when there is a known but as yet unquantified risk of patient death that is avoidable, physicians should not engage in unnecessary procedures. It is true that the look-back study of the infected physician Lederman and Mehlman identify, and studies of two other physicians, have failed to document a case of transmission, but few scientists place much weight on this evidence. These studies failed to test a majority of the patients of each of the physicians involved, and, in any event, only a small number of percutaneous injuries—the most likely transmission-causing event—will occur in studies of just a few physicians. Three is just too small a number
Paul Wellings
Journal: BMJ (2005)

Medical microbiologist who became a pioneer of hospital infection controlRobert Blowers had a lifelong interest in Staphylococcus aureus and hospital infection.From the mid-1950s onwards he produced a succession of publications on the prevention of hospital infections, particularly those following surgery.These ranged across the design of operating theatres, isolation rooms, and surgical clothing, and the prevention of the airborne spread of infection and clinical protocols for wound management.He co-produced the seminal textbook Hospital Infection: Causes and Prevention, which became the "bible" on infection control for nearly 20 years.In 1959 he was a key member of the Ministry of Health working group that produced a report on staphylococcal infections in hospitals.At a Department of Health workshop in December 2004, just a week before Robert's death, his major contribution was recalled by the department's inspector of microbiology and infection control, who had that week sent him a Christmas card with the message "you will be pleased to know that we are at last trying to implement your 1959 recommendations!"
Domestic Abstracts
Journal: JAMA (1993)

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From the NIH: Adding sucrose polyester to food may offer a way of lowering cholesterol level without altering diet
Journal: JAMA (1979)

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Archives of General Psychiatry, Chicago
Journal: JAMA (1964)

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THE PROPOSED CONSTITUTION AND BY-LAWS FOR COUNTY SOCIETIES.
Journal: JAMA (1902)

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
Hypocalcemic Hypotension
Authors: C. Chaimovitz
Journal: JAMA (1972)

<h3>To the Editor.—</h3> We report here a child with severe renal failure, in whom a uremic pericardial effusion and profound hypocalcemia were associated with marked hypotension. Intravenous administration of calcium promptly corrected the hypotension, while the pericardial effusion remained unchanged. This led us to believe that the hypotension in our patient was related to the low serum calcium level. To the best of our knowledge, no such case has been previously reported. <h3>Report of a Case.—</h3> An 11-year-old girl, suffering from chronic pyelonephritis, was admitted to the dialysis unit because of advanced uremia. On admission, the pulse rate was 98 beats per minute, respirations were 44 per minute, and blood pressure was 140/110 mm Hg. The neck veins were congested. A pericardial friction rub was heard. The lungs were clear and the liver was palpable 6.0 cm below the right costal margin. Moderate ankle edema was present. The blood urea
Tacalcitol ointment in the treatment of psoriasis vulgaris:a multicentre, placebo-controlled, double-blind study on efficacy and safety
Authors: P.C.M. KERKHOF, T. WERFEL, U.F. HAUSTENIN, T. LUGER, B.M. CZARNETZKI, R. NIEMANN, V. PLÄNITZ-STENZEL
Journal: British Journal of Dermatology (1996)

S u m m a r yTacalcitol is a vitamin D analogue which has been developed for the therapy of psoriasis vulgaris.treatment with a twice daily application of 2 ug/g ointment randomized left comparison ition of a 4 wg/g ointm ent male and female d desquamation was influenced significantly more by tacalcitol ointment than by placebo < 0-0001) at every control point, starting from week 2. With regard to the individual symptoms desquamation, infiltration and erythema, the treatment with tacalcitol was also superior to cebo treatment beginning at week 2. Qualitatively, the same results were obtained with the iference assessment of both treated body sides and also the global assessments of efficacy and lefit.Symptoms of local skin irritation which may be related to the active compound or the ointment base were reported by 12-3% of patients.In only one patient, irritation required discontinuation of tacalcitol treatment.Laboratory criteria, including serum calcium, serum phosphate and serum levels of calcitonin, parathormone, 1 a,24-dihydroxy vitamin 1) , and 25hydroxyvitamin D3, did not reveal Furthermore, the dob al assesvsment treatment.c \ r\ demonstrate that the once daily application of a 4 /tg/g an efficacious therapy for psoriasis vulgaris in Caucasian patients, and that its tolerance is good, wherever the lesion is located, including on the face.Several antiproliferative or immunomodulatory drugs, such as dithranol, topical corticosteroids, methotrexate, cyclosporin A, or psoralens with UVA, 0
Tropical Medicine
Journal: JAMA (2000)

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