tbuckley/cabot-search huggingface dataset:
Second opinions for patients recommended for coronary angiography
Authors: R. Feldman
Journal: JAMA (1993)

<h3>To the Editor.</h3> —The article by Graboys et al<sup>1</sup>brought forth a spate of dissenting Letters to the Editor in<i>JAMA</i>. The letter from Dr Schneider<sup>2</sup>inadvertently focuses on what I believe to be the major problem that leads to the overuse of coronary angiography and other high-tech procedures (which are also high-cost), such as magnetic resonance imaging, computed tomography, vascular laboratories, and special blood tests. He says, "Coronary angiography has become the cornerstone of both the accurate diagnosis and clinical management of patients suspected of having coronary artery disease." Few would deny that angiography is the criterion standard, but the cornerstone of diagnosis was, is, and shall always be a detailed history and careful physical. Appropriate noninvasive tests may be added, and only in the most unusual instance is angiography necessary for diagnosis. If it were reserved for those patients who were bona fide candidates for intervention
Babu
Authors: Mark S. Smith
Journal: JAMA (1993)

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
Bacterial Meningitis — a Review of Selected Aspects
Authors: Philip R. Dodge, Morton N. Swartz
Journal: New England Journal of Medicine (1965)

Subdural EffusionsIn 1950 McKay and his associates169 presented an important preliminary report concerning collections of fluid in the subdural space during the course of meningitis. Their initial experience concerned 9 infants with H. influenzae infections, but it was soon appreciated that subdural collections of fluid could occur in meningitis caused by other organisms.6, 170 171 172 173 174 McKay et al.169 stressed the point that the character of the subdural fluid was usually indistinguishable from that found in infants with chronic, traumatic subdural effusions, although during the acute stage of the meningitis, inflammatory cells could often be demonstrated and organisms occasionally cultured from the . . .
JAMA reference directories
Journal: JAMA (1981)

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
Thirteenth Annual Symposium for Referring Physicians
Journal: JNCI Journal of the National Cancer Institute (1978)

Journal Article Thirteenth Annual Symposium for Referring Physicians Get access JNCI: Journal of the National Cancer Institute, Volume 61, Issue 6, December 1978, Page 1547, https://doi.org/10.1093/jnci/61.6.1547 Published: 01 December 1978
Serum glucose concentrations
Authors: C. Cohn
Journal: JAMA (1966)

Glucose is the carbohydrate normally found in mammalian blood and is referred to as the "blood sugar." With few exceptions, it is equally distributed in the water of the extracellular fluids; as a result of the lower water content of the red blood cells, serum or plasma glucose values average 10% to 15% greater than those of whole blood. Because of variable results that accompany differences in hematocrit values in the multiphasic system of whole blood, and because plasma is the transport medium,<sup>1-2</sup>it appears desirable to determine glucose levels in serum or plasma. The concentration is optimally quantitated by specific methods, preferably one of the enzymatic glucose oxidase procedures, rather than those that have come back in vogue with at least one of the automated techniques that determines total reducing substances. <h3>Hypoglycemia and Hyperglycemia.—</h3> Serum glucose concentrations represent the resultant of a balance between the rate of ingress
Anterior Chordal Transection Impairs Not Only Regional Left Ventricular Function But Also Regional Right Ventricular Function in Mitral Regurgitation
Authors: Thierry Le Tourneau, Daniel Grandmougin, Claude Foucher, Eugene P. McFadden, Pascal de Groote, Alain Prat, Henri Warembourg, Ghislaine Deklunder
Journal: Circulation (2001)

Background Preservation of annuloventricular continuity through the chordae tendinae aims to maintain left ventricular (LV) function and thus improve postoperative prognosis. This study was designed to prospectively investigate the effect of anterior chordal transection on global and regional LV and right ventricular (RV) function in mitral regurgitation (MR). Methods and Results Sixty-five patients with severe MR underwent radionuclide angiography before and after either mitral valve (MV) repair (42 patients) or replacement with anterior chordal transection (23 patients). LV and RV ejection fractions (EF) were determined at rest. Both ventricles were divided into 9 regions to analyze regional EF and the effect of anteromedial translation related to surgery. After surgery there was a significant decrease in LVEF ( P =0.038) and an increase in RVEF ( P =0.036). However, LVEF did not change after MV repair (63.8±9.9% to 62.6±10.3%), whereas RVEF improved (40.7±10.1% to 44.5±8.1%, P =0.027). In contrast, LVEF decreased after MV replacement (61.7±10.1% to 57.2±9.9%, P =0.03), and RVEF was unchanged (40.9±10.9% to 41.3±9.1%). LVEF 4 and 5, in the area of anterior papillary muscle insertion, were impaired after MV replacement compared with MV repair (region 4, 77.6±16.7% versus 87.7±10.8%, P =0.005, and region 5, 73.9±19.3% versus 89.9±13.1%, P &lt;0.001). Moreover, anterior chordal transection led to a significant impairment in the apicoseptal region of the RV (RVEF 4, 50.3±15.6% versus 59.3±13.8%, P =0.02). Conclusions Anterior chordal transection during MV replacement for MR impairs not only regional LV function but also regional RV function.
Interstitial nephritis caused by trimethoprim-sulfamethoxazole in renal transplant recipients
Authors: E. J. Smith
Journal: JAMA (1980)

THE COMBINATION drug trimethoprim-sulfamethoxazole is widely used in renal transplant recipients to treat urinary tract infections and opportunistic infections with organisms such as<i>Pneumocystis carinii</i>and<i>Nocardia</i>, and has recently been recommended as prophylaxis against<i>Pneumocystis</i>pneumonitis. To our knowledge, deterioration of renal allograft function from interstitial nephritis in association with trimethoprim-sulfamethoxazole administration has been recorded only once.<sup>1</sup>The following reports suggest that interstitial nephritis caused by trimethoprim-sulfamethoxazole may occur more frequently and that the drug should be used with caution in renal transplant recipients. <h3>Report of Cases</h3><h3>Case 1.—</h3> A 50-year-old woman with chronic glomerulonephritis received a renal transplant from a cadaver donor on Sept 28, 1975. Initial renal function was good. In November 1975 she had a rejection episode that responded to intravenous administration of methylprednisolone, 30 mg/kg. On Jan 14, 1976, a staphylococcal septicemia developed and was treated with nafcillin sodium. Ten days later she again
Marihuana Reconsidered
Authors: Leo E. Hollister
Journal: JAMA (1971)

Discussing the marihuana question, or writing about it, seems to make everyone an advocate of some sort. The present book is still another which views marihuana as a relatively innocuous social drug which merits the same status accorded to alcoholic beverages. Such books have by now a familiar cast of "bad guys" (the AMA, medical "authorities," Harry Anslinger, and anyone else loath to endorse marihuana whole-heartedly) as well as "good guys" (the turned-on youth of Woodstock and any medical or social scientist who expostulates on the glories of consciousness III). Most books on marihuana to date have been written by "instant experts," unencumbered by any direct scientific experience with the subject. Thus, dialectic takes precedence over factual exposition and critical analysis. Dr. Grinspoon conceals his bias well for the first half of the book. After spending more than 100 pages recounting historical, anecdotal, and experimental accounts of marihuana intoxication, much
Now is the time to emphasize the autopsy in quality assurance
Authors: G. D. Lundberg
Journal: JAMA (1988)

The Joint Commission on Accreditation of Healthcare Organizations has adopted a revised standard that includes changes in the autopsy policy, which will become effective for survey on Jan 1,1989. The new standard reads as follows: MS.8.1.7.3 The medical staff, with other appropriate hospital staff, develops and uses criteria that identify deaths in which an autopsy should be performed. MS.8.1.7.3.1 Findings from autopsies are used as a source of clinical information in quality assurance activities. MR.2.2.15.9 When an autopsy is performed, provisional anatomic diagnoses are recorded in the medical record within three days, and the complete protocol is made part of the record within sixty days, unless exceptions for special studies are established by the medical staff. Dennis O'Leary, MD, Joint Commission president, has stated: "The Joint Commission has always emphasized the importance of the autopsy as a valuable aid in evaluation of the quality of care and in continuing professional
Simplified Induction of Labor for the Patient with a Dead Baby in Utero
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
REPORT OF COMMITTEE ON OTORHINOLOGIC HYGIENE OF SWIMMING
Authors: H. M. Taylor
Journal: JAMA (1926)

The Committee on Otorhinologic Hygiene of Swimming begs leave to submit the following report: The healthfulness of swimming as an exercise is undeniable, but the human body lacks adaptation to sojourn in water, and means for its protection are, therefore, necessary. Public health authorities, in most of the states, have promulgated adequate rules for the construction, maintenance and bacteriologie examination of swimming pools and bathing places. In certain states, notices are now suggested or prescribed, "warning persons with colds, head infections, running noses or ears or catarrh, that swimming or diving tends to force infection into the sinuses or ears, resulting in serious, if not fatal, consequences." The use of such notices should be suggested to the public health authorities of all the states. It is suggested that oiled wool or other effective methods of closing the external auditory meatus be advised, in order to prevent external otitis.
Effects of Corn and Coconut Oil in Dietary Cirrhosis of Rats
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
Retention of a Fetus in the Abdominal Cavity for Forty Years
Authors: E. Weatherhead
Journal: BMJ (1911)

ABDOMINAL CAVITY. [DEC.30, I91II equal frequency.The ages of those attacked ranged from ten nmonths to eight years, three and four years being by far the commonest age.The mode of onset was mostly with fever, malaise, and symptoms of pulmonary catarrh.Some cases began very suddenly and went on with remarkable rapidity to a fatal issue.Constipation was a marked feature; prominent among the symptoms were great tenderness and pain over the spine and the back of the legs, and the presence of Kernig's sign.Deep reflexes were lost early, but in 2 cases of the encephaloid type the knee-jerks were at first exaggerated.In 1 case a papular rash was present over the face, neck and shoulders; the papules were isolated, superficial and shot-like, and had a small inflammatory base.Thev were not painful to touch.Of the 25 cases 5 were of the encephaloid type, and proved fatal, death being due to respiratory paralysis early in the disease-in 1 case six hours after the onset.In the remaining 20 cases-of the spinal type-death occurred in 3, and was due to respiratory paralysis in 2. The remaining death occurred a month after onset from acute bronchopneumonia.This gives a total mortality of 8, or 32 per cent.Several cases, which were open to doubt, have been omitted from this analysis.The paralysis affected one leg in 11 cases, both legs in 4 cases, one arm in 2 cases, one arm and one leg in 1, and all four limbs in 2 cases.Som-ie of the cases bore a great resemblance to sunstroke, and I am convinced that exposure to the sun or unaccustomed excessive heat is an important etiological factor.In most of the cases under my observation, there was no proper means of isolation, and in many there were large families of young children who escaped, though they canme into more or less intimate contact with the victim.There was no evidence to show in what way the virus was transnlitted in any case.
Directory lists service opportunities abroad
Authors: K. Glasbrenner
Journal: JAMA (1984)

The following directory, entitled<i>Physician Service Opportunities Overseas</i>, lists more than 170 organizations that recruit US physicians for both long- and short-term assignments in a host of countries around the world. It includes information from a similar roster, originally planned by the AMA's Department of Physicians' Placement Service. Facts about each program were obtained through telephone interviews with organization representatives by Kimberly Glasbrenner, Marsha Goldsmith, Kathryn Simmons, and Terra Ziporyn of the<i>JAMA</i>Medical Newsstaff. Categories of information provided by the directory include which countries each organization serves, the length of assignment, whether or not participating physicians receive a salary or stipend, whether transportation and housing are available and paid for by the organization, whether medical facilities and equipment are located in the vicinity of service, which types of physician specialists are most needed, whether there are prerequisites for service (a "yes" in this category means interested persons should
Adverse Effects of Niacin In Emergent Psychosis
Authors: George R. Heninger
Journal: JAMA (1968)

<h3>To the Editor:—</h3> Since 1962, several reports have described the apparently successful treatment of schizophrenia with repeated large doses (up to 3 gm daily) of niacin, either as niacin or niacinamide.<sup>1-5</sup>All of these studies used a reduction in length of hospitalization as the indicator of drug effect, and although the niacin-treated patients spent fewer days in the hospital, the use of only this one measure of outcome and the lack of replication by other investigators limit the general applicability of the studies. In the<i>New York Times</i>(March 31, 1966), there was a report of successful treatment in three to five days of 13 out of 17 (acute and chronic) schizophrenic patients by administering orally 1 to 2 gm of nicotinamide adenine dinucleotide (NAD), better known as nadide. Subsequently there have been two published reports which fail to demonstrate any therapeutic effects of this compound.<sup>6,7</sup> Even though
Mistakes
Authors: Michelle Kittleson
Journal: JAMA (2019)

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
"Private Colleges."
Journal: JAMA (1895)

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
Design of Models for Screening of Therapeutic Agents
Journal: JNCI Journal of the National Cancer Institute (1980)

Journal Article Design of Models for Screening of Therapeutic Agents Get access JNCI: Journal of the National Cancer Institute, Volume 64, Issue 1, January 1980, Page 207, https://doi.org/10.1093/jnci/64.1.207-b Published: 01 January 1980
Lewis Johnman
Authors: A. McNeill
Journal: BMJ (2011)

Serum levels of albumin, transferrin, α<sub>2</sub>-macroglobulin, β<sub>1</sub>C/β<sub>1</sub>A, IgA, IgG, and IgM have been determined in 73 patients with primary biliary cirrhosis and in age- and sex-matched controls. A highly significant fall in albumin was demonstrated, and there were highly significant increases in α<sub>2</sub>-macroglobulin and all three immunoglobulin levels. Transferrin and β<sub>1</sub>/Cβ<sub>1</sub>A levels were unchanged. No significant correlations were found between the titre of antimitochondrial antibody, the duration of symptoms, and any of the serum proteins estimated. A highly significant positive correlation was present between serum albumin and transferrin levels in both patient and control groups.
Pretibial Myxoedema
Authors: T. M. D. Gimlette
Journal: BMJ (1960)

MEDICBA JOURNALwhich the great majority of patients were cared for at home.Given the lack of trained personnel, it was felt expedient not to concentrate upon training an inevitably small number of specialists, but to guide the future physicians in understanding and forwarding the mental health programme and to instruct them to treat mild psychiatric problems competently.To this end the teaching of psychiatry in the Medical School was intensified; a total of 330 hours, of which 300 consist of clinical clerkship training both in outand in-patient departments, with direct contact with patients, case-conferences, seminars, etc., was devoted to it for all students, with, moreover, half the students spending six to seven weeks as interns in the final year.Psychiatry was taught: (a) as a specialty of medicine in treating mentally sick persons; (b) as an introduc- tion to psychosomatic medicine and the psychology of the physically ill; (c) as a part of the basic philosophy of medical education in presenting the concepts of man as a bio-psycho-social unit and of sound doctor-patient relationships; and (d) from the point of view of its part in community health programmes.Possible criteria for evaluating the success of this teaching programme are discussed.