tbuckley/cabot-search huggingface dataset:
REFERENCE COMMITTEES of the House of Delegates
Journal: JAMA (1969)

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A DIPLOMA-MILL ALL RIGHT IN TEXAS.
Journal: JAMA (1900)

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Life, death, and the dollar sign. Medical ethics and cost containment
Authors: D. E. Johnson
Journal: JAMA (1984)

A NEW set of abbreviations is rapidly becoming part of the practicing physician's vocabulary. DRGs, HMOs, PPOs—the letters that denote the strategies developed to contain rising medical costs also connote a profound and rapid shift in the manner in which medical care is delivered. The extent to which these abbreviations pervade the medical and lay press leaves little doubt of their certain effects on the routine practice of medicine. However, these proposals also have the potential to insidiously alter the factors considered in making life-and-death decisions for individual patients. That these difficult decisions on whether to withhold or provide costly life-sustaining support may be based strongly on financial considerations may soon become a realistic possibility, if not a probability. How does one factor life and death in the new ledger of economic restraint? Cost-containment mechanisms will not only strain the financial acumen of physicians and medical administrators but may test
Ophthalmology
Authors: Donald R. Sanders
Journal: JAMA (1987)

During the last year, advances have been made in intraocular lens implantation, in refractive surgery, and in the development of corneal wound—healing agents. There has also been concern over the effect of efforts to decrease Medicare reimbursements for cataract surgery. Implantation of an intraocular lens (IOL) continues to be the preferred method of visual rehabilitation after cataract extraction, with an estimated 1 million IOLs being implanted in 1986. Eighty-six percent of these lenses are placed in the posterior chamber (PC) and 14% in the anterior chamber (AC). Only five years earlier, the proportions of PC and AC implantations were nearly equal (40% and 35%, respectively).<sup>1</sup>Recently, attention has been focused on evaluating new lens designs. Past and present problems in AC lens design and manufacture,<sup>2</sup>such as those with closed-loop AC IOLs,<sup>3</sup>have been discovered, and a number of AC lenses have been withdrawn from the market
Motor-Vehicle—Related Deaths Involving Intoxicated Pedestrians—United States, 1982-1992
Journal: JAMA (1994)

Pedestrians account for 14% of all motor-vehicle-related deaths and approximately 3% of all motor-vehicle-related injuries in the United States. In 1992, a total of 5546 pedestrians were killed as a result of motor-vehicle crashes, and 96,000 suffered nonfatal injuries. Because of the effects of alcohol on attention, perception, vision, judgment, and motor control, intoxicated pedestrians are at increased risk for unintentional injury. Although alcohol consumption by pedestrians is an important contributing factor to motor-vehicle crashes in which pedestrians are injured, characteristics of intoxicated pedestrians who are killed as a result of such crashes have not been well defined. This report uses data from the National Highway Traffic Safety Administration's (NHTSA) Fatal Accident Reporting System for 1982-1992 to characterize intoxicated pedestrians aged > 14 years who were killed as a result of motor-vehicle-related crashes.
Undergraduate medical education
Authors: H. S. Jonas
Journal: JAMA (1990)

The decade of the 1980s was a time of reappraisal for medical education. A number of significant reports, including "Future Directions for Medical Education" from the American Medical Association and "Physicians for the Twenty-First Century" (the GPEP Report) from the Association of American Medical Colleges (AAMC) called for changes in the structure and process of medical education. These reports grew out of the desire to ensure that medical school graduates be able to fit into the changing health care provision system and to meet the health care needs of the future. It is perhaps too early to assess the effect such calls for reform have had on the medical school curriculum and on the graduate. Curriculum changes, such as an increase in small-group, student-centered instructional formats, have been adopted by many schools. Whether the educational product of the medical school, that is, the medical school graduate, is different as a
接受生物疗法的银屑病患者的患癌风险:系统综述
Authors: E. Peleva, L.S. Exton, K. Kelley, C.E. Kleyn, K.J. Mason, C.H. Smith
Journal: British Journal of Dermatology (2018)

银屑病是一种可致炎症、发红及鳞状皮肤的皮肤病。生物疗法在治疗银屑病方面疗效显著,但遗憾的是,此类疗法会严重影响免疫系统,进而增加患癌概率。该研究的作者分析了 2016 年 8 月之前的研究,旨在了解接受生物疗法的银屑病患者的患癌概率是否高于其他患者。一些研究表明,某些类型的皮肤癌的发病率增加,如非黑瘤皮肤癌 (NMSC)。在研究中,任何其他类型的癌症的发病率都未增加。但是,作者发现研究中存在多处可能影响结果的薄弱环节。需要开展更多的研究,以了解接受生物治疗是否确实会增加皮肤癌患病风险。参加类似英国皮肤科医师协会生物介入登记 (BADBIR) 这样长期研究的患者将有助于解答这个非常重要的问题。
Clinical Instruction and the Cook County Hospital.
Journal: JAMA (1892)

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
ACIDOSIS, ALKALOSIS, AND WATER BALANCE
Journal: JAMA (1928)

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Effectiveness of Right Heart Catheterization: Time for a Randomized Trial
Authors: Scott W. Sharkey
Journal: JAMA (1997)

<h3>To the Editor.</h3> —The study by Dr Connors and colleagues<sup>1</sup>has reignited the controversy surrounding the use of the PA catheter in critically ill patients. I do not argue with the results of this well-conducted study, but I wonder why the authors have restricted their focus to the procedure of RHC. Would the results be similar if the authors had tested other procedures commonly performed in the critically ill such as central venous catheterization, intubation and mechanical ventilation, and catheterization of the urinary bladder? Perhaps it is the insertion of a central venous catheter (not the RHC itself) that is associated with increased mortality. The 30-day survival curves shown in Figure 2<sup>1</sup>are of interest. The curves begin to diverge at hospital day 5 and diverge even further between days 5 and 30. Do the authors propose that RHC on day 1 is somehow responsible for this progressive difference in survival?
THE BLOOD IN INFANCY.
Journal: JAMA (1998)

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 LOMB PRIZE ESSAY AND THE NEW YORK HERALD
Journal: JAMA (1989)

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Effects of Mycotoxins in Health and Disease
Authors: Curtis D. Malloy
Journal: JAMA (1997)

<h3>To the Editor.</h3> —In the Medical News &amp; Perspectives article by Mr Marwick,<sup>1</sup>the threat of a "toxic mold" hazard associated with flooding in the Midwest underscores a much larger threat posed by mycotoxins. The Centers for Disease Control and Prevention report<sup>2</sup>noted numerous illnesses and deaths attributed the<i>Stachybotrys atra</i>mycotoxins in the United States as a relatively recent phenomenon. We have postulated that exposure to<i>S atra</i>explains the mystery surrounding the 10th plague mentioned in Exodus.<sup>3</sup> Unfortunately, literature on plant pathology and veterinary science is not routinely accessible through medical search engines, and the extent of human and animal mycotoxin pathology is largely unknown to the medical community. Mycotoxins are ubiquitous, extremely potent, biologically active toxins, which in trifling amounts cause numerous diseases in animals and humans.<sup>4</sup>Mycotoxins may be the "purloined letter" we have been looking for to explain other human disease
Correction
Journal: BMJ (1950)

Unilateral Recurrent Irritation of the Tongue Q.-1 should be grateful for an indication of the possible causation and treatment of unilateral recurrent irritation of the tongue.The condition has been said to be possibly aphthous ulceration, but few textbooks seem to have much detail on the subject.A careful routine physical examination has not revealed any abnormality and I wonder whether the condition
Correction
Journal: BMJ (1951)

CORRESPONDENCE MEDICALJOURNALthe treatment of whooping-cough, there is one point which should be borne in mind when prescribing it.We have already had one case of atropine poisoning in an 18-month- old baby who swallowed the contents of a 10-ml.bottle.If eumydrin is prescribed it would be safer, for home use, in the aqueous solution.-I,am, etc., Colchester.
Molluscum Contagiosum
Journal: JAMA (1963)

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Long-term treatment with different regimens of recombinant interferon alfa in chronic hepatitis C , , , , ?, ?, ?, *, U, UU, Depts. of Internal Medicine, University of Milan and of UBrescia; ?Fatebenefratelli, Milan, ?Vigevano, *Piacenza, and UUS.Orsola, Brescia Hospitals
Journal: Hepatology (1995)
Say 'Ah!'
Authors: Irwin H. Friedman
Journal: JAMA (1984)

<h3>To the Editor.—</h3> I have been asking patients to stick out their tongues and say "ah!" for some 30 years. I still regard it as a diagnostic procedure of some worth. I have found that there are a considerable number of patients who gag when the tongue blade is pressed on their tongues. I have found that if the "ah!" is said in a high-pitched tone, a falsetto voice, the patient is unable to gag while essentially singing this note. It may seem like a small point; however, I have found that it has enabled me to visualize the throat on many occasions where previously the patient was unable to permit this examination.
DR. RIZAL, THE REVOLUTIONIST OF THE PHILIPPINES.
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 Journals 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 2024 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
Renin profiles. The unfulfilled promises
Authors: N. M. Kaplan
Journal: JAMA (1977)

ALL hypertension cannot be neatly divided into three renin levels—low, normal, and high—but the observant clinician cannot help but be impressed with the charm and simplicity offered by renin profiling.<sup>1,2</sup>The profile is attractive because it brings some order to the unstructured mosaic of essential hypertension. Unfortunately, the etiologic, prognostic, and therapeutic implications of renin profiling have not held up under scrutiny. The "volume-vasoconstriction" model for the maintenance of hypertension does not conform to actual hemodynamic measurements made in patients.<sup>3</sup>The prognostic promises of low renin levels have not been fulfilled,<sup>4</sup>and the choosing of therapy based on renin status does not appear to work.<sup>5</sup> Renin profiling, nonetheless, has a place in clinical hypertension, though a much more limited one than its proponents advocate. This review will consider briefly the problems with the promises made for renin profiling and then offer guidelines for the practitioner in
The role of state medical associations in continuing medical education
Authors: R. W. Opfell
Journal: JAMA (1973)

State medical associations must define the role they are to play in the continuing education of their members. The production or stimulation of more programs in continuing medical education—programs that are designed to transfer information—is unlikely to help a profession that is drowning in a flood of information. "Opening the floodgates further is unlikely to help a drowning man." The ultimate goal of continuing medical education is continually improving patient care. One cannot realistically design a program to improve patient care unless there is an agreement on exactly what there is about correct patient care that needs improving, and one cannot evaluate the effectiveness of the continuing medical education without measuring the impact on the quality of patient care. There is no expert, text, or other person that has a priori knowledge of what a physician should be doing to improve the quality of care he provides for his patients.
Sexual abuse of children
Authors: A. A. Rosenfeld
Journal: JAMA (1978)

In recent weeks, the sexual abuse of children has received intensive attention in the media. To a large extent, this concern has centered around congressional hearings into child pornography. While we deplore the existence of this industry and the abuse of children that it entails, we believe that the use of children in pornography is but one tangential aspect of a more general problem—the sexual misuse of children. Numerous authors have become increasingly aware that incest, sexual relations between adults and children, and rape of children are important and not uncommon problems. Most work until now has tried to place blame on a responsible adult. Thus, these situations are often characterized simplistically as violent acts done by an adult perpetrator against an innocent child victim. While this approach is sensible if a person wishes to ascertain legal culpability, it ignores the fact that the psychological situation is far more complex.
Correction
Authors: Surgeon Commanders, T Miles, L Norsworthy, T Froggatt, J Preston, W Robertson, J Bunting, J O'connell, J Babbage, A Webb, D Jagger, R Topping, Major Vincent, P Captain, Major Bretland, S Her Majesty', G Butler, H Chambers, Jamaica Franks, Jean Ritchie, J Currie
Journal: BMJ (1955)

AHEnot convince the family doctor or the relatives of patients in the category I have described.Do we really increase the sum total of human happiness when we improve our "turnover" by discharging a cantankerous old patient to his unwilling relatives ?The fact is that these difficLult old people form only a small fraction-less than 1%/-of the total aged population.I believe they are more expensive to maintain outside of hospital that within.In a recent case the patient in his home had the district nurse call twice daily, a session of home help, a daughter home from work, alternate daily visits from the doctor, not to mention additional extramural services from the local authority and voluntary organizations.On economic grounds alone I suggest we should have a surplus of institutional beds to accommodate these elderly patients and so relieve their relatives for productive work in industry.Not only would this allow us to give a better service from the humanitarian point of view but it would give us room for classification, research, and better treatment in the hospitals.Might I make one more practical suggestion ?The Sub- committee recognizes the existence of malnutrition in old people who live alone.Occasionally we see a case of scurvy, and recently I have seen a case of frank pellagra.Such cases are rare and do not necessarily signify a severe degree of widespread malnutrition in this age group.All the same I think there is enough malnutrition to justify cheaper milk and fruit juices for old people.It would not cost much to offer the same concessions already granted to infants and expectant mothers.-Iam, etc., Bristol.