tbuckley/cabot-search huggingface dataset:
Physicians and patients in the occupational setting: the rules of the game
Authors: B. J. Schuman
Journal: JAMA (1980)

THE WORKPLACE is receiving increasing attention as a proper site for the cost-effective delivery of health care and related health information. With proper planning, more than 105 million working Americans, representing almost as many families, can be reached readily by health professionals. This imposes special responsibilities on the physicians functioning in this environment, with whom many workers share a common employer. It was precisely the credibility gap created by this relationship that, in July 1976, inspired the American Occupational Medical Association (AOMA), to develop and adopt a new Code of Ethical Conduct for Physicians Practicing Occupational Medicine, binding on all members of the AOMA. This was a unique achievement in that it established a second code of ethical conduct for a group of physicians practicing a specialty, many of whom are members of and adhere as well to the Code of Ethics of the American Medical Association. <h3>The 12 Guidelines</h3>
Renaler und insulärer Diabetes.
Journal: JAMA (1930)

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
ETHER PERCENTAGES
Authors: WALTER M. BOOTHBY
Journal: JAMA (1913)

Surgical anesthesia depends on the establishment in the blood and tissues of a definite ether tension, corresponding to about 15 per cent, of ether vapor in the alveolar air. My experience with the Connell anesthetometer, as well as the physiologic observations of Waller of London University, has demonstrated the fact that the "anesthetic tension" varies very little in different patients—the strong, robust alcoholic requires little, if any, greater ether tension than does a child for the same degree of anesthesia. In order to induce anesthesia quickly, air containing approximately 30 per cent, of ether vapor should be administered for a period of from two to twelve minutes, depending on the size of the subject in relation to the rapidity of his circulation and respiration. By the early administration of strong ether vapor, diffusion occurs more rapidly from the inspired air, through the walls of the aveoli into the
Concentration of Organochlorines in Human Brain, Liver, and Adipose Tissue Autopsy Samples from Greenland
Authors: Eric Dewailly, Gert Mulvad, Henning S. Pedersen, Pierre Ayotte, Alain Demers, Jean-Philippe Weber, Jens C. Hansen
Journal: Environmental Health Perspectives (1999)

Organochlorines are persistent lipophilic compounds that accumulate in Inuit people living in circumpolar countries. Organochlorines accumulate as a result of the Inuits' large consumption of sea mammal fat; however, available data are limited to blood lipids, milk fat, and adipose tissue. We report results of organochlorine determination in liver, brain, omental fat, and subcutaneous abdominal fat samples collected from deceased Greenlanders between 1992 and 1994. Eleven chlorinated pesticides and 14 polychlorinated biphenyl congeners were measured in tissue lipid extracts by high-resolution gas chromatography with electron capture detection. Mean concentrations of polychlorinated biphenyls, 2, 2'-bis(4-chlorophenyl)-1,1-dichloroethylene, ss-hexachlorocyclohexane, hexachlorobenzene, mirex, trans-nonachlor, and oxychlordane in adipose tissue samples from Greenlanders were 3-34-fold higher than those measured using the same analytical method in samples from Canadians in Quebec City, Quebec. Brain lipids contained lower concentrations of all organochlorines than lipids extracted from other tissues. Organochlorine residue levels in lipid extracts from liver, omental fat, and subcutaneous abdominal fat samples were similar, with the exception of ss-hexachlorocyclohexane, which reached a greater concentration in liver lipids than in lipids from both adipose tissues (4-fold; p < 0. 05). Comparisons with available international data on adipose tissue levels reveal that the organochlorine body burden in the Inuit population of Greenland is presently among the highest resulting from environmental exposure.
Repair of Oro-Antral Fistulae
Journal: JAMA (1963)

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 effect of HIV and the modifying effect of antiretroviral therapy on body-mass index and blood pressure levels in rural South Africa
Authors: Andrea B Feigl, Frank Tanser, Till W Bärnighausen
Journal: The Lancet Global Health (2014)

BackgroundThe trajectory of body-mass index (BMI) in long-term HIV patients on antiretroviral therapy (ART) compared with the non-HIV population has been poorly studied.MethodsMethods In 2003 and 2010, height, weight, and blood pressure measurements were recorded in a subset (n=505) of the population in KwaZulu-Natal, South Africa—a region with a very high prevalence of HIV (30%) and intensive ART rollout since 2004. Difference analysis was used to study change in BMI and blood pressure over time in HIV-negative patients, HIV-positive patients who had been on ART for 0–<2 years (HIV+ART0–<2 years; n=62), HIV patients who had been on ART for 2–5 years (HIV+ART2–5 years; n=44), and HIV-positive patients who were not on ART (HIV+ART−; n=52). Multinomial logistic regression models were used to assess change in the risk of obesity and hypertension.FindingsThe HIV-negative and HIV-positive groups were both overweight at baseline (mean BMI 29·5, 95% CI 28·8–30·3; and 27·5, 25·9–29–3, respectively). The HIV-negative group was obese in 2010 (mean BMI >30); all other groups remained in the overweight range (25< BMI <30). The difference in change in BMI between the HIV-negative and the HIV-positive ART0–<2 years group was −5·21 (95% CI −7·53 to −2·89; p=0·001). This difference in change in BMI was attenuated by increased ART use, with a difference in BMI change between the HIV− and the HIV+ART2–5 group of −1·07 (95% CI −2·5 to 0·361; p=0·086), suggesting a U-shaped association of BMI with ART use. The difference in change in BMI between the HIV+ART− and the HIV+ART0–<2 years group was −4·14 (95% CI −6·76 to −1·53; p=0·002). The HIV+ART− group had the highest average systolic blood pressure in 2003. Compared with the HIV− group, the overall systolic blood pressure in the HIV+ART− group significantly declined by −7·55 mm Hg (95% CI −13·2 to −1.90; p=0·009). The effect of the dose of ART on systolic blood pressure change was not significant (p=0·853).InterpretationShort-term ART exposure (0–<2 years) was associated with a slight decline in BMI compared with all other populations, because patients are selected into ART on the basis of having advanced HIV disease. Long-term ART exposure (2–5 years) led to a return to a highly overweight BMI and an increased chance of being obese than normal weight by 2010.FundingNone.
Confluent monolayers of bile duct epithelial cells with tight junctions
Authors: H OKAMOTO
Journal: Hepatology (1995)

The culture of fully differentiated intrahepatic bile duct epithelial cells (IBDECs) to use as a model for the in vivo intrahepatic biliary tract has not been established. IBDECs from normal rat livers were grown on a collagen-coated permeable filter and formed a confluent monolayer 7 days after being plated. Positive reactions for cytokeratin-19 and retained gamma-glutamyl transpeptidase (GGTP) activity were shown. The transepithelial electrical resistance between the apical and the basolateral compartment culture chambers increased with the culture age and plateaued after the 7th day. The resulting cultured cells displayed a number of characteristics. (1) The cells formed a thin, continuous mono-layer and displayed microvilli on the apical surface and junctional complexes between the cells, consistent with in vivo IBDECs. (2) Cells cultured for more than 7 days prevented the passage of horseradish peroxidase (HRP) and ruthenium red through paracellular pathways. (3) Seven-day-old cultures displayed a mean transepithelial electrical resistance of 137.3 Ωcm<2>, which decreased by 27.1% from its initial level after cell treatment with ethylenediaminetetraacetic acid (EDTA). These results indicate that confluent IBDEC monolayers are well differentiated and polarized with tight junctions (TJs) between the cells. These cell monolayers can provide a useful and relevant model for the in vitro study of various in vivo bile duct phenomena. (HEPATOLOGY 1995; 22:153–159.)
IFP News Section
Authors: Masato Hattanmaru, Shinichi Minagoe, Chuwa Tei, A. Martínez-Arán, A. Benabarre, M. Comes, J. Sánchez-Moreno, Akinori Masuda, Yasuyuki Koga, Eriko Nakatani, Akiko Nakagawa, Tomohiro Nakao, Chika Yoshizato, Maiko Nabeyama, Kayoko Isomura, Naoko Kato, Kazuko Yoshioka, Midori Kawamoto, Angelo Picardi, Paolo Pasquini, Damiano Abeni, Giovanni Fassone, Eva Mazzotti, Giovanni A. Fava, E. Vieta, F. Colom, C. Torrent, M. Reinares, J.M. Goikolea, Sigrid Elsenbruch, Jost Langhorst, Kalina Popkirowa, Twyla Müller, Rainer Luedtke, Ulla Franken, Anna Paul, Günther Spahn, Andreas Michalsen, Onno E. Janssen, Manfred Schedlowski, Gustav Dobos, Akiko Kudo, Dietmar Winkler, Edda Pjrek, Siegfried Kasper, Philipp Hammelstein, Reinhard Pietrowsky, Martin Merbach, Elmar Braehler, Fedra Ottolini, Maria Grazia Modena, Marco Rigatelli, Noam Chomsky
Journal: Psychotherapy and Psychosomatics (2005)

We have great pleasure in inviting you to the 19th World Congress of Psychotherapy that will be held in Kuala Lumpur, Malaysia, from 22 to 26 of August, 2006.The theme of the congress will be: 'Well-Being across Cultures: Psychotherapy in a Biological Era' .With this theme, we hope to bridge not only the cultural gaps that exist but also those introduced by reductionist approaches to human problems and illnesses.The congress will be cohosted by the International Federation for Psychotherapy and the Malaysian Psychiatric Association.It is designed to appeal not only to medical practitioners but also to all practitioners of the art and science of psychotherapy.Malaysia is a melting pot of three main Asian cultures -Malay, Chinese and Indian.It is a rapidly developing country of 25 million people.You may enjoy not only an invigorating scientifi c program but also sample the multiculturalism, the beauty of the tropics and the legendary hospitality of its people.We hope you will mark your calendars for this important event.
Consultations with Hom opaths
Authors: W. O. Markham
Journal: BMJ (1881)

<b><i>Objective:</i></b> To determine the frequency and etiologic significance of multiple acute ischemic lesions in stroke. <b><i>Background:</i></b> Although patients may have more than one stroke during the course of their lives, acute ischemic stroke is usually thought of as a single event. Using diffusion-weighted imaging (DWI), an MRI technique that detects ischemic injury within minutes after onset, we have often observed multiple acute ischemic lesions. <b><i>Methods:</i></b> The MRI scans of 59 consecutively studied patients were reviewed to determine the frequency and etiologic significance of multiple acute ischemic lesions on DWI. <b><i>Results:</i></b> Multiple acute ischemic lesions were present in 10 (17%) of 59 patients. The lesions usually occurred within one major circulation (anterior or posterior), but in two patients (3%), lesions occurred in both cerebral hemispheres or in the anterior and the posterior circulations. The lesions often were small and resulted from presumed multiple emboli or the break-up of an embolus. Two patients had internal carotid artery occlusive disease and four had a cardiac or aortic source. In the other four patients the source was not determined. Lesions larger than 1 cm in diameter progressed to infarction, but some smaller lesions were not seen on follow-up T2-weighted imaging. <b><i>Conclusions:</i></b> Multiple acute stroke lesions on DWI are common and could be caused by multiple emboli or the breakup of an embolus. In some cases it might become possible to make early inferences concerning the stroke mechanism that could be of use for immediately directing the clinical work-up and treatment of the patient.
Reply
Authors: J.-L. Malo
Journal: Thorax (1985)

Occupational asthma due to heated fr-eon Sir,-I read with interest the report of a case of occupa- tional asthma due to heated freon by Dr J-L Malo and others (August 1984;39:628-9).I recently treated a refrigeration mechanic who developed acute asthmatic symptoms in almost identical circumstances.He had no past history of asthma.His symptoms and clinical signs of airway narrowing gradually resolved over the next 24 hours.Fluorinated chlorohydrocarbon refrigerants decompose on exposure to a naked flame or hot surface and may evolve highly irritant gases such as hydrochloric acid, chlorine, and phosgene.'These gases all cause tissue dam- age in the bronchial tree if inhaled in sufficient concentra- tion.The clinical manifestations of tissue damage are often delayed and, in the case of phosgene, typically occur after a latent period of five to eight hours.2It seems probable that the bronchoconstriction observed by Dr Malo and others in their asthmatic patient was initially a reaction to non- specific irritation and later a reaction to damage to the bronchial mucosa.The dual reaction can therefore be explained on the basis of mucosal injury without the need to invoke antigenic or other hypersensitivity mechanisms.No reaction would be expected to unheated freon, which does not release these toxic decomposition products.
Textbook of Pediatric Emergency Medicine
Authors: Marc S. Nelson
Journal: JAMA (1989)

This is the second edition of a textbook, originally published in 1983, that was designed to meet the needs of those physicians responsible for the care of the acutely ill or injured pediatric patient. In so doing it fills a need that is nicely summarized by the authors in their preface to the first edition. They state, "Textbooks of Emergency Medicine relegated pediatrics to a single chapter, as if to suggest that small children had only a small number of problems.... All too often they dwelled on the intricate diseases at the expense of the common problems." The textbook is divided into six major sections and is replete with excellent illustrations and radiographs. The first section discusses pediatric resuscitation. The next is problem oriented and lists 46 common chief complaints ranging from cough and coma to red eye and vaginal bleeding. Sections III, IV, and V are disease oriented, encompassing
Painful Baker's cysts. Differential diagnosis by scintillation scanning with technetium Tc 99m
Authors: D. Alarcon-Segovia
Journal: JAMA (1969)

Lateral scintillation scanning of the knees after intravenous administration of technetium Tc 99m was performed in two patients in whom the differential diagnosis between Baker's cyst and sural thrombophlebitis was considered. One of them turned out to have a Baker's cyst, while the other had a large popliteal fat pad and thrombophlebitis of small veins overlying the sural nerve. These findings correlated well with the findings made on the respective scintillation scans.
AMERICAN MEDICAL ASSOCIATIONProceedings of the Fifty-fifth Annual Session, held at Atlantic City, N. J., June 7-10, 1904. (Continued from Page 1582.)
Journal: JAMA (1904)

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
Cytogenetic Disorders
Authors: John L. Hamerton
Journal: New England Journal of Medicine (1984)

Over the past few years the importance of both acquired and constitutive cytogenetic disorders has become apparent, and we have begun to understand the nature of some of the acquired chromosomal abnormalities consistently found in various forms of cancer.In this issue of the Journal Han et al.1 suggest that patients with chronic lymphocytic leukemia who have B-cell clones with abnormal chromosomes have a poorer prognosis than those who have B-cell clones with normal karyotypes. The most frequent abnormality was found to be trisomy 12, either alone or in association with other chromosomal abnormalities. Prognosis as measured by duration of . . .
Treatment of Acid-Peptic Diseases by Inhibition of Gastric H+,K+-ATPase
Authors: K. McArthur
Journal: Annual Review of Medicine (1986)

CD40 is a cell-surface member of the TNF (tumor necrosis factor) receptor superfamily. Upon activation, CD40 can license dendritic cells to promote antitumor T cell activation and re-educate macrophages to destroy tumor stroma. Numerous agonist CD40 ...Read More
New preventive care guidelines may have more impact than predecessors
Authors: P. Cotton
Journal: JAMA (1991)

NEW GUIDELINES on preventive care may have much greater impact than others before, because they are backed by both those who do and those who pay for the procedures. The Blue Cross and Blue Shield Association, the nation's largest private insurer, and the American College of Physicians, one of the largest medical specialty societies, collaborated for 3 years to produce guidelines that they say constitute a model preventive services insurance benefit package. The guidelines were first presented in the<i>Annals of Internal Medicine</i>(1991; 144:758-783) and are now in a book,<i>Common Screening Tests</i>, which is available from the American College of Physicians in Philadelphia, Pa. The guidelines recommend specific screening strategies for heart disease, hypertension, diabetes, thyroid disease, osteoporosis, and cancer of the breast, colon, cervix, and lung. Interventions such as exercise stress and thyroid disease tests in asymptomatic people are not recommended. Emphasis is given to selective screening
Les Ptoses Viscerales (Estomac-Intestin-Rein-Foie-Rate) Diagnostic et Nosographie (Enteroptose-Hepatisme).
Journal: JAMA (1899)

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
Biochemical and hematologic correlates of alcoholism and liver disease
Authors: R. S. Ryback
Journal: JAMA (1982)

Quadratic multiple discriminant analysis of 25 commonly ordered laboratory tests resulted in correct classification of 100% of nonalcoholics without overt liver disease, 98% of alcoholism treatment program patients with presumed mild liver involvement, 96% of alcoholics with liver disease, and 89% of nonalcoholics with liver disease. Direct comparison of the biopsy-verified alcoholic and nonalcoholic liver disease groups resulted in 100% discrimination, and removal of traditionally evaluated liver tests from the battery of 25 tests did not substantially alter the original classification accuracy. Alcoholic and nonalcoholic liver disease was still 100% differentiable when equated for number of patients with cirrhosis, hepatitis, and hepatitis combined with cirrhosis or fibrosis. Additional utility of the quadratic discriminant approach was demonstrated when 83% alcoholic and 83% nonalcoholic liver disease cases were diagnosed correctly in a prospective manner. In contrast, use of aspartate aminotransferase to alanine aminotransferase ratios (ie, SGOT to SGPT) identified correctly 75% and 33% of patients, respectively. (<i>JAMA</i>1982;248:2261-2265)