tbuckley/cabot-search huggingface dataset:
Dental dispute.
Authors: R A Followell
Journal: BMJ (1977)

units, which usually have an annual turnover of over 50 000 patients, should be run by a consultant in charge.As part of a training programme the career posts of registrar and senior house officer must be retained and if one takes an arbitrary figure of one doctor per 10 000 patients a department such as this one, which sees 75 000 patients a year, could best be staffed by having one consultant, two registrars, three full-time career-grade clinical assistants (or for want of a better though more out-ofdate description, medical assistants), as well as four senior house officers.This would allow a flexibility of staffing and enable a rota to be formed to cover the department at all times with both full-time career staff and training grades.From past discussions with Department of Health and Social Security representatives I get the impression that it is the opinion of the Department that accident and emergency departments of the country should be staffed with full-time permanent staff; surely, there- fore, the time is now ripe for a structure of medical staffing of these departments to be arranged and the future of departments throughout the country be guaranteed.
Prevention of torture and care of survivors. An integrated approach
Authors: M. Basoglu
Journal: JAMA (1993)

An analysis of the 1992 Amnesty International report demonstrates the nature and global distribution of reports of human rights violations. Systematic torture was reported in 93 of 204 countries. Reports of torture were more common from regions affected by political unrest, including mass demonstrations, riots, outbreaks of violence, killings, coup attempts, civil war, armed tribal conflict, rebellions, and conflicts with various opposition groups demanding social and political reform. These observations suggest that effective measures against torture require a multilevel analysis of underlying social, political, cultural, and psychological factors. Effective care of survivors of organized violence and torture is an indispensable component of the human rights struggle and needs more scientific attention. An integrated approach involving both preventive efforts and care of survivors can promote the human rights cause. (<i>JAMA</i>. 1993;270:606-611)
Inherited Disorder of Purine Metabolism
Authors: Frederick M. Rosenbloom
Journal: JAMA (1967)

Children with an X-linked neurological disease often classed as cerebral palsy show an absence of an enzyme of purine metabolism, hypoxanthine-guanine phosphoribosyltransferase (PRTase), in the brain, liver, fibroblasts, and erythrocytes. The absence in these patients of PRTase activity in the basal ganglia where the enzyme is normally of highest activity can be correlated with the fact that the major clinical symptoms are attributable to basal ganglia dysfunction. The concentration of oxypurines (hypoxanthine and xanthine) in the cerebrospinal fluid (CSF) was four times normal and was greater than in plasma, which suggests that the brain also has an increased purine synthesis. The possible role of high oxypurine concentration in CSF in development of the neurological disease has been discussed. Treatment with allopurinol produced a further increase in the concentration of oxypurines in CSF.
Mandatory National Health Service
Authors: Joseph W. Hayhurst
Journal: JAMA (1993)

<h3>To the Editor.</h3> —I believe Dr Johns<sup>1</sup>is wrong that there is a need for a higher percentage of physicians as generalists. There is no good evidence that a physician pool composed of a higher percentage of generalists will be more efficient or cost-effective than the current mix of specialists and generalists. Johns' idea of changing this mix by giving a financial incentive to those who pursue generalist training is the same old idea of socialistic central control and planning that has so often been shown to be inefficient and the ultimate undoing of socialism. Those making such recommendations generally feel that they themselves know what is best for others, and if they could direct people into the proper specialty, they could achieve the proper mix. Our free enterprise medical system has produced the best medical care in the world and it works best without meddling or central control.
&lt;TITLE&gt;Postpartum Depression&lt;/TITLE&gt;
Authors: Lise Stevens, Cassio Lynm, Richard Glass
Journal: JAMA (2002)

Although the exact cause of postpartum emotional changes is unknown, they can be treated.If you are feeling a mild case of the blues after having your baby, you can help yourself by getting plenty of rest, napping when your baby naps, asking for help from family and friends, showering and dressing each day, getting out for a walk, and getting a baby-sitter to watch your baby when you need a break.
Group Therapy
Authors: Myron F. Weiner
Journal: JAMA (1975)

IT IS tempting to begin by stating dramatically: there is no such thing as "group psychotherapy." The only common denominator between therapeutic groups is that the therapist deals with more than one patient during the therapeutic session. The worth of a group method depends on the therapist, the method itself, and the specific composition of a group at the time it begins or when a new member enters. Even more important, it depends on the interaction between these variables and the personality of the individual patient. <h3>Types of Groups</h3> There are three basic types of therapy groups. The<i>guidance</i>or didactic group is essentially a class in which the leader teaches patients to deal with conscious attitudes and concrete reality problems. This approach is frequently used to help people with "real" problems they have in common, such as delinquent or retarded children, or a psychiatrically hospitalized spouse. The<i>counseling</i>or
Biochemistry and Molecular Genetics of Cancer Metastasis—NIH Symposium
Journal: JNCI Journal of the National Cancer Institute (1985)

Biochemistry and Molecular Genetics of Cancer Metastasis—NIH Symposium Get access JNCI: Journal of the National Cancer Institute, Volume 74, Issue 1, January 1985, Page 265, https://doi.org/10.1093/jnci/74.1.265 Published: 01 January 1985
The Biocrats
Authors: Philip C. Anderson
Journal: JAMA (1971)

Local journalists, when attempting to inform the public about modern biology and its implications, often favor a familiar style of melodramatic accusations, exposures, threats, and dire predictions. Mr. Leach, who is British, has concern for interviewing, honest issues, and fair argument, which he brings unevenly to this very broad treatment of medical social issues. As former science editor of Penguin Books, he has experience and writing skill. Two chapters on artificial and transplanted organs are done very well, while others seem a decade out of date, and in some others, tiresome, old oversimplifications and concepts are introduced again. Mr. Leach never faces the problem of improving political responsibility because he never decides whether the public can know and express rational preferences on specific technical issues. Generally, the book is interesting, but avoids the valuable issues.
Immunologic aspects of cardiovascular disease
Authors: J. N. Fink
Journal: JAMA (1982)

<h3>ACUTE RHEUMATIC FEVER</h3><h3>Clinical Findings</h3> RHEUMATIC fever is an acute febrile illness characterized by inflammation of the heart, joints, and subcutaneous tissues. Characteristic diagnostic features have been grouped into so-called major and minor criteria. Among the major clinical manifestations of the disease are polyarthritis, carditis, subcutaneous nodules, erythema marginatum, and chorea. Minor manifestations include fever, arthralgia, a history of previous rheumatic fever or rheumatic heart disease and the presence of certain laboratory findings. Among these laboratory findings are an elevated erythrocyte sedimentation rate, prolongation of the PR interval on the ECG, leukocytosis, and the presence of acute phase reactants in the blood (such as C reactive protein). The criteria require, in addition, evidence of a preceding streptococcal infection detected by antibody studies, results of throat culture, or history of scarlet fever. Features of cardiac involvement consist of heart murmurs, cardiomegaly, congestive heart failure, pericardial friction rubs, or signs of effusion.
Bittersweet Nightshade
Authors: Floyd Skloot
Journal: JAMA (1995)

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
Potential Animal Models for Senile Dementia of Alzheimer's Type, with Emphasis on AF64A-Induced Cholinotoxicity
Authors: A Fisher
Journal: The Annual Review of Pharmacology and Toxicology (1986)

Due to the massive data sets available for drug candidates, modern drug discovery has advanced to the big data era. Central to this shift is the development of artificial intelligence approaches to implementing innovative modeling based on the dynamic, ...Read More
Sexual practices and risk of infection by the human immunodeficiency virus. The San Francisco Men's Health Study
Authors: W. Winkelstein
Journal: JAMA (1987)

The San Francisco Men's Health Study is a prospective study of the epidemiology and natural history of the acquired immunodeficiency syndrome in a cohort of 1034 single men, 25 to 54 years of age, recruited by multistage probability sampling. At entry, June 1984 through January 1985, the seropositivity rate for human immunodeficiency virus (HIV) infection among homosexual/bisexual study participants was 48.5%. No heterosexual participants were HIV seropositive. Among homosexual/bisexual men reporting no male sexual partners in the two years before entry into the study, seropositivity was 17.6%. For those reporting more than 50 partners, seropositivity was 70.8%. Only receptive anal/genital contact had a significantly elevated risk of HIV infection. Douching was the only ancillary sexual practice that contributed significantly to risk of infection. (<i>JAMA</i>1987;257:321-325)
Diseases of the Intestines.
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
Emergency contraception.
Authors: Sheila Dunn, Edith Guilbert, Guylaine Lefebvre, Catherine Allaire, Jagmit Arneja, Colin Birch, Michel Fortier, John Jeffrey, George Vilos, Marie-Soleil Wagner, Lorna Grant, François Beaudoin, Donna Cherniak, Rosana Pellizzari, Leslie Sadownik, Rajni Saraf-Dhar, Valerie Turnbull
Journal: BMJ (1991)

To review current knowledge about emergency contraception (EC), including available options, their modes of action, efficacy, safety, and the effective provision of EC within a practice setting.The combined estradiol-levonorgestrel (Yuzpe regimen) and the levonorgestrel-only regimen, as well as post-coital copper intrauterine devices, are reviewed.Efficacy in terms of reduction in risk of pregnancy, safety, and side effects of methods for EC and the effect of the means of access to EC on its appropriate use and the use of consistent contraception.MEDLINE and the Cochrane Database were searched for English-language articles published from January 1998 through March 2003, to update the previous SOGC guidelines published in 2000. Clinical guidelines and position papers developed by health or family planning organizations were also reviewed. Key words used were: emergency contraception, post-coital contraception, emergency contraceptive pills, postcoital copper IUD.The studies reviewed were classified according to criteria described by the Canadian Task Force on the Periodic Health Exam and the recommendations for practice were ranked based on this classification.These guidelines are intended to help reduce unintended pregnancies by increasing awareness and appropriate use of EC.1. Women who have had unprotected intercourse and wish to prevent pregnancy should be offered hormonal EC up to 5 days after intercourse. (II-2A) 2. A copper IUD can be used up to 7 days after intercourse in women who have no contraindications. (III-B) 3. Women should be advised that the levonorgestrel EC regimen is more effective and causes fewer side effects than the Yuzpe regimen. (I-A) 4. Either 1 double dose of the levonorgestrel EC regimen (1.5 mg) or the regular 2-dose levonorgestrel regimen (0.75 mg each dose) may be used, as they have similar efficacy with no difference in side effects. (I-A) 5. Hormonal EC should be started as soon as possible after unprotected sexual intercourse. (II-2B)6. Women of reproductive age should be provided with a prescription for hormonal EC in advance of need. (I-A) 7. The woman should be evaluated for pregnancy if menses have not begun within 21 days following EC treatment. (III-A) 8. A pelvic examination is not indicated for the provision of hormonal EC. (III-A) Validation: These guidelines have been reviewed by the Clinical Practice Gynaecology and Social and Sexual Issues Committees of the Society of Obstetricians and Gynaecologists of Canada.The Society of Obstetricians and Gynaecologists of Canada.
Use of omentum for stroke: dream or reality?
Authors: William A. Check
Journal: JAMA (1982)

Medicine has little to offer patients who have long-standing neurological deficits as a result of stroke. Even most centers that do cerebral artery bypass surgery choose patients who have recently suffered a completed stroke and have no major residual deficits. In the last few years, Harry Goldsmith, MD, professor of surgery, Dartmouth Medical School, Hanover, NH, has stepped into this no-man's-land with an intriguing new brain revascularization procedure called omental transposition. In this operation, the abdomen is opened and the omentum freed from some of its attachments and extensively lengthened. The intact membrane is then passed through a subcutaneous tunnel along the chest and neck to just behind the ear, brought out under a skin flap, and applied to the surface of the brain through an opening in the skull. According to Goldsmith, the tremendous vascularity of the omentum makes it ideal for restoring blood supply to ischemic areas, such
Agenesis of the Lungs
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
Convulsions complicating colectomy in inflammatory bowel disease
Authors: J. A. Schulak
Journal: JAMA (1977)

Convulsions have complicated the surgical management of life-threatening inflammatory bowel disease in five patients. These patients experienced a transient, generalized convulsive disorder and toxic amblyopia. Results of neurological examination were unremarkable. Treatment included metabolic stabilization along with the administration of oxygen and anticonvulsive medication. Various factors, such as hypoxia, fluid overload, cerebral edema, steroid administration, and deficits in calcium, magnesium, and potassium, may have contributed to the cause of this complication. (<i>JAMA</i>237:1456-1458, 1977)
Cluster of hepatitis A cases among travellers returning from Egypt, Germany, September through November 2008
Authors: H Bernard, C Frank
Journal: Eurosurveillance (2009)

From September to November 2008, 34 cases of hepatitis A imported from Egypt were reported to the German public health authorities. Investigations point to a continuing common source of infection, most likely linked to Nile river cruises. The patients affected had not been vaccinated, which emphasises the need for more effective travel advice before trips to hepatitis A endemic countries.
HERMAN BOERHAAVE
Journal: JAMA (1968)

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
Sentinel Lymph Node Biopsy for Patients With Early-Stage Breast Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update
Authors: Gary H. Lyman, Mark R. Somerfield, Linda D. Bosserman, Cheryl L. Perkins, Donald L. Weaver, Armando E. Giuliano
Journal: Journal of Clinical Oncology (2017)

Purpose To provide current recommendations on the use of sentinel node biopsy (SNB) for patients with early-stage breast cancer. Methods PubMed and the Cochrane Library were searched for randomized controlled trials, systematic reviews, meta-analyses, and clinical practice guidelines from 2012 through July 2016. An Update Panel reviewed the identified abstracts. Results Of the eight publications identified and reviewed, none prompted a change in the 2014 recommendations, which are reaffirmed by the updated literature review. Conclusion Women without sentinel lymph node (SLN) metastases should not receive axillary lymph node dissection (ALND). Women with one to two metastatic SLNs who are planning to undergo breast-conserving surgery with whole-breast radiotherapy should not undergo ALND (in most cases). Women with SLN metastases who will undergo mastectomy should be offered ALND. These three recommendations are based on randomized controlled trials. Women with operable breast cancer and multicentric tumors, with ductal carcinoma in situ, who will undergo mastectomy, who previously underwent breast and/or axillary surgery, or who received preoperative/neoadjuvant systemic therapy may be offered SNB. Women who have large or locally advanced invasive breast cancer (tumor size T3/T4), inflammatory breast cancer, or ductal carcinoma in situ (when breast-conserving surgery is planned) or are pregnant should not undergo SNB.
A Question of Conscience
Authors: Elena O. Nightingale
Journal: JAMA (1986)

ACCOUNTS of torture and other human rights abuses reach us daily through the news media. Amnesty International, the recipient of the 1977 Nobel peace prize for its human rights efforts, reports that in the past four years alone governments in one third of the world's countries have systematically practiced or tacitly condoned torture or ill-treatment to interrogate, punish, and intimidate political opponents. The techniques they use may include electric shock, prolonged beatings, sham executions, sensory and sleep deprivation, cigarette burns, water submersion, and, more recently, mind-altering drugs.<sup>1</sup>For the victims—whether imprisoned in a secret detention center in Santiago or in a special psychiatric hospital in Moscow—such brutality knows no ideology because its goal is the same: to silence dissent through the destruction of healthy bodies and minds. The problem of torture should be a concern of medical professionals worldwide for several reasons.<sup>2</sup>First, torture defies the most fundamental
Phospholipase C-γ2 and Vav cooperate within signaling microclusters to propagate B cell spreading in response to membrane-bound antigen
Authors: Michele Weber, Bebhinn Treanor, David Depoil, Hisaaki Shinohara, Naomi E. Harwood, Masaki Hikida, Tomohiro Kurosaki, Facundo D. Batista
Journal: The Journal of Experimental Medicine (2008)