tbuckley/cabot-search huggingface dataset:
Injury prevention. A new perspective
Authors: R. Martinez
Journal: JAMA (1994)

In the United States, injuries are the leading cause of death in persons younger than 44 years and the leading cause of life-years lost because of premature death.<sup>1</sup>For each injury death, 19 other injured persons are hospitalized (National Center for Health Statistics, unpublished data, 1991) and 354 receive medical care.<sup>2</sup>Each year injuries affect one in four US citizens,<sup>2</sup>accounting for almost 10% of all physician office visits<sup>3</sup>and 35% of emergency department visits.<sup>4</sup>The lifetime cost of injuries in 1990 was estimated at $215 billion, including costs related to acute care, lost wages and productivity, and disability.<sup>5</sup>These economic costs are only one aspect of the consequences of injury. Persons injured often suffer physical pain and mental and emotional anguish beyond any kind of compensation. See also pp 1506 and 1535. Despite these astounding statistics, relatively few physicians recognize that injury is
Racquet Ear
Authors: John A. Davis
Journal: JAMA (1984)

<h3>To the Editor.—</h3> Facial and nonfacial injuries occur with similar frequency in racquetball participants. In reported series, eye injuries make up 10% to 15%<sup>1-3</sup>of the facial injuries, the remainder being preponderantly lacerations and contusions. Major factors contributing to injury include poor technique, lack of protective gear, aggressive play, and lack of experience.<sup>1</sup>Reports of ear injuries are conspicuously absent. Recently a novice player experienced acute onset of pain and loss of hearing after receiving a direct, openfaced racquet blow to her ear. Physical examination revealed two perforations of her tympanic membrane. Whereas further education in the use of protective equipment is obviously in order, perhaps redesign of currently available equipment<sup>4,5</sup>to indlude ear protection may be a more immediate priority.
Blizzards and Budgets
Journal: JAMA (1988)

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
Physician's Guide to the Occupational Safety and Health Act of 1970
Journal: JAMA (1972)

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
Can complementary medicine be evidence based?
Authors: Gavin Yamey
Journal: BMJ (2000)

Can complementary medicine be evidence-based?Yes, if it embraces standardization and conventional research tools Two years ago, the editors of the New England Journal of Medicine declared: "It is time for the scientific community to stop giving alternative medicine a free ride." 1 Here were the voices of orthodoxy, loud and clear, sounding the death knell of complementary and alternative medicine (CAM).Echoing a long history of medical tribalism, 2 CAM was once again under attack for being antiscientific and grounded in unproven narrative.Since that declaration, CAM practitioners and researchers have tried to defend their practices.They have begun to publish in peer-reviewed biomedical journals, and they recently held an international congress addressing research methodology and quality management. 3A Cochrane Collaboration will publish a series of papers critically appraising systematic reviews of 30 CAM therapies. 4ll this, despite minimal research funding or infrastructure.So, is the argument now over?Not quite, for there are still two fundamental conflicts between the "art" of CAM and the "science" of evidence-based medicine.Resolving these conflicts is the key to distinguishing evidence-based complementary medicine from practices based on anecdote.The first conflict is between standardization and individualization.Evidence-based medicine emphasizes reproducibility.It attempts to define a universal "best practice," based on large randomized controlled trials and metaanalyses.This is the antithesis of CAM, which focuses on the individual interaction between patient and practitioner.Within the personal framework of CAM, no two interactions can ever be the same.Its practitioners argue that the consultation, a complex interplay between two people, is itself therapeutic, and it necessarily defies empiric understanding.Using a randomized controlled trial to measure CAM would be analogous, with this argument, to measuring a delicate rose with a ruler.But this stance is no longer acceptable.A physician faced with a patient who has a particular disease manifestation needs to know precisely which orthodox or complementary treatment will help.The problem with CAM to date has been that the myriad therapies and their uses have not been adequately defined.David Eisenberg of the Center for Alternative Medicine Research at Harvard University told the congress that there are "so many labels, so little consensus."The first step to making CAM more evidence based must be to codify these treatments and to define their exact therapeutic indications.Once complementary therapies have been defined in
PRECISION IN DIAGNOSIS.
Journal: JAMA (1890)

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
Archives of Pathology, Chicago
Journal: JAMA (1967)

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 plutonium controversy
Authors: J. W. Gofman
Journal: JAMA (1976)

IF THE world chooses to seek a solution to the energy dilemma through nuclear energy, the element plutonium will become an article of commerce to be handled in quantities of thousands of tonnes annually. Plutonium is a uniquely potent inhalation carcinogen, the potential induction of lung cancer dwarfing other possible toxic effects. For reasons to be presented here, it is my opinion that plutonium's carcinogenicity has been very seriously underestimated. If one couples the corrected carcinogenicity with the probable degree of industrial containment of the plutonium, it appears that the commercialization of a plutonium-based energy economy is not an acceptable option for society. Sagan's statement<sup>1</sup>that "the experience of 30 years supports the contention that plutonium can be used safely" is manifestly indefensible. No meaningful epidemiological study of plutonium-exposed workers for that 30-year period has ever been done. Since thousands of those possibly exposed have left the industry and are
MISCELLANEOUS.
Journal: JAMA (1885)

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
Periodontal Disease
Authors: Irving Glickman
Journal: New England Journal of Medicine (1971)

THE two most common oral diseases are dental caries (tooth decay) and periodontal disease. Periodontal disease is a general term that refers to all diseases of the tissues surrounding and supporting the teeth in the jaws. It is used in the same way as such terms as "liver disease" and "kidney disease."Periodontal disease is divisible into two principal groups: diseases confined to the gingiva — called gingivitis, and those affecting the underlying supporting periodontal tissues — called periodontitis (pyorrhea). Inflammation is the predominant if not the sole pathologic process in periodontal disease except for infrequently occurring conditions that are . . .
Complementary and Alternative Medical Education
Authors: Mary P. Guerrera
Journal: Annals of Internal Medicine (2004)

Letters6 January 2004Complementary and Alternative Medical EducationMary P. Guerrera, MDMary P. Guerrera, MDFrom University of Connecticut School of Medicine, Hartford, CT 06105.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-1-200401060-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I read with great interest the Academia and Clinic article “Complementary and Alternative Medical Therapies: Implications for Medical Education” (1) and applaud the authors for succinctly summarizing the key issues of this very important topic. As we have embarked upon such curricular developments at our home institution, fellow colleagues and I who are interested in CAM education concur with the advice and guidelines that were presented. I wish to share with your readership an additional, excellent resource for those pursuing curricular developments in CAM. The Educational Development for Complementary and Alternative Medicine (EDCAM) Project, sponsored by the ...References1. Wetzel MS, Kaptchuk TJ, Haramati A, Eisenberg D. Complementary and alternative medical therapies: implications for medical education. Ann Intern Med. 2003;138:191-6. [PMID: 12558358] LinkGoogle Scholar2. Educational Development for Complementary and Alternative Medicine Project. Accessed at www.amsa.org/humed/cam/resources.cfm on 24 November 2003. Google Scholar Author, Article, and Disclosure InformationAffiliations: From University of Connecticut School of Medicine, Hartford, CT 06105. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoComplementary and Alternative Medical Therapies: Implications for Medical Education Miriam S. Wetzel , Ted J. Kaptchuk , Aviad Haramati , and David M. Eisenberg Complementary and Alternative Medical Education Miriam S. Wetzel , Ted J. Kaptchuk , David M. Eisenberg , and Aviad Haramati Complementary and Alternative Medical Education Samuel Neff Complementary and Alternative Medical Education Peter Manu Complementary and Alternative Medical Education Edzard Ernst Metrics 6 January 2004Volume 140, Issue 1Page: 68KeywordsComplementary and alternative medicineMedical education ePublished: 6 January 2004 Issue Published: 6 January 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
AIDS and suicide
Authors: R. M. Glass
Journal: JAMA (1988)

The acquired immunodeficiency syndrome (AIDS) epidemic has clearly involved the extremes of human emotions—for both its victims and the general public struggling to come to terms with it. The acquired immunodeficiency syndrome has fostered panic, hatred, and hopelessness, as well as instances of love and compassion in the face of fear and dread. Visual images of these emotional extremes have varied from the distorted faces of parents with ill-informed rage and fear about the presence of a child who is seropositive for human immunodeficiency virus (HIV) antibodies in their children's school to the Pope embracing a child with AIDS on his recent tour of the United States. Although any serious illness can involve strong feelings, the intensity of emotional responses to AIDS may be at least partially due to its linkage of two of life's most powerful experiences—sex and death. See also p 1333. In this issue of THE JOURNAL,
PNEUMOCYSTIS CARINII
Authors: GERALD L. BAUM
Journal: Annals of Internal Medicine (1969)

Letters and Comments1 July 1969PNEUMOCYSTIS CARINIIGERALD L. BAUM, M.D., WALLACE J. MULLIGAN, M.D.GERALD L. BAUM, M.D.Search for more papers by this author, WALLACE J. MULLIGAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-71-1-212_3 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editor:In a previous letter (Ann. Intern. Med. 68: 1373, 1968) we raised the question ofPneumocystis cariniibeing found outside of the lung and the need to use special stains to demonstrate the organism. Dr. S. Jarnum and associates, about whose case report (Ann. Intern. Med. 68: 138, 1968) we had raised the question, were kind enough to send the slides and a block of tissue for our examination. We consulted Dr. Jan Schwarz of the Jewish Hospital, Cincinnati, Ohio, and he agrees with us that the case of Dr. Jarnum and associates is exactly what they... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Veterans Administration Hospital 10701 E. Boulevard Cleveland, Ohio 44106 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 July 1969Volume 71, Issue 1Page: 212-212KeywordsLungsPneumocystis Issue Published: 1 July 1969 PDF DownloadLoading ...
Lectures on the Infective Processes of Disease
Authors: J. B. Sanderson
Journal: BMJ (1878)

are present, one of which, the body indol,* distinguished by its peculiar T v r v IT D p IC odour recalling that of faeces, can be prepared in larger quantity and L X ES.TU X with greater facility by the action of septic bacteria on albumin than ON in any other way.All of the bodies I have mentioned, peptones, THE, INFECTIVE PROCESSES OF leucin and tyrosin, indol, and the rest, are known to occur in the small intestine as products of the action of the pancreatic ferment, so DISEASE.that there is a very striking resemblance between the action of the pancreatic ferment and putrefaction.The resembl.nce, however, by Delivered in the Theatre of the University of London.no means implies identity; for, although bacteria are always present, and must, therefore, in actual digestion, mix their fermentative influence By J BURDON SANDERS ON, M.D
Precocious Prioress
Authors: Robert H. Ivy
Journal: JAMA (1964)

<h3>To the Editor:—</h3> The legend of St. Patrick, St. Brigid, and Leap Year (<i>JAMA</i><b>187</b>:670 [Feb 29] 1964) makes a very pretty tale. But the facts of history hardly confirm its veracity. St. Patrick is said to have died in the year 461 AD when Brigid was a little girl 8 years old, an age rather precocious for her to be prioress of a convent, and, even in those days, for an interest in wedlock.
Epoxy Resins
Authors: G. Theophilus
Journal: BMJ (1961)

<h3>Background</h3> Despite increasing capacity to remotely monitor non-invasive ventilation (NIV), how remote data varies from day to day and person to person is poorly described. <h3>Methods</h3> Single-centre, 2-month, prospective study of clinically stable adults on long-term NIV which aimed to document NIV-device variability. Participants were switched to a ventilator with tele-monitoring capabilities. Ventilation settings and masking were not altered. Raw, extensible markup language data files were provided directly from Philips Respironics (EncoreAnywhere). A nested analysis of variance was conducted on each ventilator variable to apportion the relative variation between and within participants. <h3>Results</h3> Twenty-nine people were recruited (four withdrew, one had insufficient data for analyses; 1364 days of data). Mean age was 54.0 years (SD 18.4), 58.3% male with body mass index of 37.0 kg/m<sup>2</sup> (13.7). Mean adherence was 8.53 (2.23) hours/day and all participants had adherence &gt;4 hours/day. Variance in ventilator-derived indices was predominantly driven by differences between participants; usage (61% between vs 39% within), Apnoea–Hypopnoea Index (71% vs 29%), unintentional (64% vs 36%) and total leak (83% vs 17%), tidal volume (93% vs 7%), minute ventilation (92% vs 8%), respiratory rate (92% vs 8%) and percentage of triggered breaths (93% vs 7%). <h3>Interpretation</h3> In this clinically stable cohort, all device-derived indices were more varied between users than the day-to-day variation within individuals. We speculate that normative ranges and thresholds for clinical intervention need to be individualised, and further research is necessary to determine the clinically important relationships between clinician targets for therapy and patient-reported outcomes.
Isolated aortic valve replacement in patients older than 65 years
Authors: J. G. Copeland
Journal: JAMA (1977)

The results of 196 isolated aortic valve replacements in patients older than 65 years were analyzed. Eighty-four percent of patients were in New York Heart Association (NYHA) functional class III or IV preoperatively. The operative mortality was 12% for all cases and 9% for elective cases. Actuarial probability of five-year survival was 55% for the entire group and 61% for discharged patients. Myocardial failure and congestive heart failure were the most common causes of early and late postoperative death, respectively. Embolic strokes occurred in 16% of discharged patients and caused substantial disability in 9%. At the termination of the study, 94% of surviving patients were in NYHA class I or II, and none were in class IV. Aortic valve replacement in elderly patients entails reasonable operative risk, and results in satisfactory postoperative rehabilitation. (<i>JAMA</i>237:1578-1581, 1977)
Abstract 2875: Impact of Obesity on Characteristics of Atrial Fibrillation and Outcomes of Ablation
Authors: Yong-Mei Cha, Thomas M Munger, Samuel J Asirvatham, Win-Kuang Shen, Peter A Brady, Robert F Rea, Paul A Friedman, Kristi H Monahan, Bernard J Gersh, Douglas L Packer
Journal: Circulation (2006)
VIRAL MENINGITIS
Journal: JAMA (1965)

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
Fibrinogen Deposition at the Postischemic Vessel Wall Promotes Platelet Adhesion During Ischemia-Reperfusion In Vivo
Authors: Steffen Massberg, Georg Enders, Francine Cláudia de Melo Matos, Luciana Inês Domschke Tomic, Rosmarie Leiderer, Simone Eisenmenger, Konrad Messmer, Fritz Krombach
Journal: Blood (1999)