tbuckley/cabot-search huggingface dataset:
Human West Nile Virus Surveillance—Connecticut, New Jersey, and New York, 2000
Journal: JAMA (2001)

West Nile virus (WNV), a mosquitoborne arbovirus identified in New York in 1999, has become enzootic in the northeastern United States, affecting humans, birds, horses, and other mammals. Although no human WNV infection was identified in Connecticut or New Jersey in 1999, 62 persons with WNV illness, including seven deaths, were detected in New York City (NYC) and nearby New York counties. In 2000, these jurisdictions implemented active surveillance (AS) and enhanced passive surveillance (EPS) to detect human illness; 21 persons were identified with acute WNV infection (14 in New York, six in New Jersey, and one in Connecticut), including two deaths (one each in New York and New Jersey). This report summarizes the human WNV surveillance systems in Connecticut, New Jersey, New York, and NYC and recommends EPS for hospitalized patients with encephalitis of unknown etiology for the continental United States.
Who shall study medicine in the 1980s? One solution to the admissions predicament
Authors: A. Blum
Journal: JAMA (1980)

MORE than two thirds of the students who enter college aspiring to a career in medicine decide otherwise by senior year.<sup>1</sup>But can we be certain that those who survive the premedical science initiation rites make more capable and understanding physicians than those who do not? Could not the extreme competitiveness that makes acceptance to medical school an end to itself be excluding a more selfless and compassionate type of doctor? Such questions are worthy of discussion, for the premedical curriculum and medical admissions committee selection procedures appear to be under harsher attack than at any time since Flexner. Indeed, Chapman,<sup>2</sup>describing the premedical sciences as "redundant and stupefying" and "more punitive than enlightening," points out that they have gone unchanged for half a century. And Lewis Thomas goes so far as to suggest that the admissions requirements of medical schools have harmed<i>all</i>of liberal arts education.
Tratado Iberoamericano de Medicina Interna.
Journal: JAMA (1922)

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
VAGOTOMY IN THE TREATMENT OF PEPTIC ULCER
Authors: P. W. C.
Journal: Annals of Internal Medicine (1951)

Editorials1 September 1951VAGOTOMY IN THE TREATMENT OF PEPTIC ULCERP. W. C.P. W. C.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-35-3-743_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe recent revival of interest in vagotomy was stimulated largely by the studies of Dragstedt.1 The favorable clinical results reported by him in 19462 led to a trial in many clinics, and a fairly extensive literature on the subject has accumulated. In the earlier studies the number of cases was too small and the period of observation far too short to warrant any definite conclusions. Recently, however, several reports have appeared which are more adequate in these respects and present a clearer picture of the limitations and possibilities of vagotomy.3, 4, 5, 6, 7The clinical use of vagotomy is...1 Dragstedt LR: Pathogenesis of gastroduodenal ulcer, Arch. Surg. 44: 438-451, 1942. CrossrefGoogle Scholar2 Dragstedt LR: Section of the vagus nerves to the stomach in the treatment of gastroduodenal ulcer, Minnesota Med. 29: 597-604, 1946. MedlineGoogle Scholar3 Grimson KS: Vagotomy. Clinical experiences during four years, J. A. M. A. 139: 508-513, 1949. Ibid.: Surgery 27: 49-61, 1950. CrossrefMedlineGoogle Scholar4 Weinberg J: Vagotomy in the treatment of duodenal ulcer. Result in 350 consecutive cases, A. M. A. Arch. Surg. 62: 161-170, 1951. CrossrefGoogle Scholar5 WaltersBeldingLillie WHHWI: Physiological and clinical studies of vagotomized patients. A study of 331 patients, A. M. A. Arch. Surg. 62: 183-205, 1951. CrossrefGoogle Scholar6 Report of Subcommittee on Vagotomy for Peptic Ulcer, Fifty-First Annual Meeting, American Gastroenterological Assn., Atlantic City, N. J., April 29, 1950. Not yet published. Google Scholar7 Ibid.: Second report, Atlantic City, June 8, 1951. Not yet published. Google Scholar8 DragstedtCampFritz LREHJM: Recurrence of gastric ulcer after complete vagotomy, Ann. Surg. 130: 843-854, 1949. CrossrefMedlineGoogle Scholar9 Moore FD: Resection of the vagus nerves in peptic ulcer. Physiological effects and clinical results with a report of two years' experience, J. A. M. A. 133: 741-752, 1947. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 September 1951Volume 35, Issue 3Page: 743-747KeywordsClinical trial reportingPeptic ulcersVagotomy ePublished: 1 December 2008 Issue Published: 1 September 1951 PDF downloadLoading ...
Barrier contraceptive methods and preeclampsia
Authors: J. L. Mills
Journal: JAMA (1991)

Recent investigations have suggested that women who use barrier methods of contraception may be at increased risk for preeclampsia. We used data from two prospective pregnancy studies to examine the relationship between contraceptive use before conception and preeclampsia. The preeclampsia rates among women using barrier contraceptives were not significantly higher than the rates in women using nonbarrier contraceptives or the rates in women using no contraceptives in either study. The odds ratios for preeclampsia in barrier contraceptive users in the two studies were 0.89 (95% confidence interval [CI], 0.71 to 1.12) and 0.85 (95% CI, 0.49 to 1.45) compared with nonbarrier contraceptive users and 0.91 (95% CI, 0.71 to 1.16) and 0.81 (95% CI, 0.48 to 1.35) compared with women using no contraceptives. After adjusting for other risk factors, we found no association between preeclampsia and barrier contraceptive use. Additional studies are needed to resolve this issue; however, we would recommend that women not be advised to avoid barrier contraceptives unless more data linking their use to preeclampsia appear. (<i>JAMA</i>. 1991;265:70-73)
Posttraumatic transient cerebral blindness. Association with migraine and seizure diatheses
Authors: S. H. Greenblatt
Journal: JAMA (1973)

Four of five patients with the benign syndrome of posttraumatic transient cerebral blindness were found to have migraine or seizure diatheses. All four were in the early adolescent age group (9 to 15 years old), and three had the typical variety of the syndrome that is seen in this group, with a delay of many minutes to hours between the trauma and the onset of the blindness. The association with migraine and seizures suggests that vasomotor and neuronal instability may be important factors in the pathogenesis of the syndrome.
Renal Cysts
Authors: Richard B. Merlo
Journal: JAMA (1977)

<h3>To the Editor.—</h3> It is unfortunate that Drs Melicow and Uson do not favor needling benign renal cysts (236:2546, 1976). Cyst puncture combined with pathologic examination of the aspirate is a simple, safe, and extremely accurate method of differentiating a benign renal cyst from renal carcinoma. Benign cysts are quite common (5% in some autopsy series), and much unnecessary surgery could be avoided if more cysts were punctured.
Medical diagnostic ultrasound instrumentation and clinical interpretation. Report of the ultrasonography task force. Council on Scientific Affairs
Journal: JAMA (1991)

Over the past 20 years, there has been a dramatic increase in the use of ultrasonography as an imaging modality. The introduction of real-time ultrasonography and Doppler units for the measurement of blood flow in the 1970s, recent advances in transducer design, signal processing, and miniaturization of electronics, along with the lack of radiation exposure, have been primarily responsible for the increased use of ultrasound. However, although ultrasonography can provide diagnostic information safely and easily, interpretation of the information requires an understanding of the physics behind ultrasound, how that physics is translated into ultrasound instrumentation, recognition of artifacts that are associated with the various types of ultrasonography, and identification of these artifacts in specific anatomic locations.
General surgery
Authors: P. Twomey
Journal: JAMA (1993)

Innovations in the broad field of general surgery are dominated today by advances in "minimally invasive surgery," ie, laparoscopic, thoracoscopic, and similar procedures. Using modifications of earlier gynecologic and endoscopic techniques, these developments are revolutionizing major aspects of general surgery (and many subspecialties) at a rate that defies up-to-date cataloging. Examples beyond cholecystectomy and appendectomy include colectomy, gastrectomy, nephrectomy, splenectomy, pulmonary resections, and even total esophagectomy and pancreaticoduodenectomy (Whipple procedure). A nagging question remains: Granting that these techniques are feasible, how does one know they are better than those previously used? The touchstone of prospective, randomized trials has not yet been applied. In some cases such rigor is moot. For example, laparoscopic cholecystectomy has been found to be equally effective, generally safe, and much better tolerated than the open procedure. Outpatient or 1-day-stay procedures are common, and with a suitably experienced team, complications are similar to or less than those
Acute adenopathy in a young man
Authors: L. S. Gottlieb
Journal: JAMA (1973)

A26-year-old Portuguese man was brought to Boston City Hospital in a delirious and febrile state. He had painful inguinal swellings of twoweeks' duration. His history was obtained through interpreters. The patient had emigrated from his native Portugal to Angola six years prior to admission and had worked there as a farm laborer. Nine months ago, he entered the United States and has worked since as a machinist. The patient's health was excellent until two weeks prior to admission, when he reported to the emergency area of Boston City Hospital after the abrupt appearance of a tender mass in his right groin. Penicillin tablets were prescribed, and he was referred to the outpatient department for follow-up. He was seen there twice, once when he noted fever, chills, and the appearance of a similar mass in his left inguinal region, and again on the day of admission. On each occasion he was
Asklepios
Authors: Stephen L. Banks
Journal: Annals of Internal Medicine (1996)

Letters1 August 1996AsklepiosStephen L. Banks, MDStephen L. Banks, MDShawnee Medical Center Clinic, Shawnee, OK 74801Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-125-3-199608010-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Dr. Bailey [1] asserts in his recent article that western medical ethics originate largely from ancient Greece. He suggests that by understanding these origins we can understand the basis for our current medical ethics. I respectfully disagree.As humans, we find that a rather curious law operates within our conscience. This law tells us that we should behave in a certain manner, whether or not it personally benefits us. It is not so much an impulse to do good as it is a standard by which we evaluate our impulses. The Greeks did not create this law. ...References1. Bailey J. Asklepios: ancient hero of medical caring. Ann Intern Med. 1996; 124:259-63. Google Scholar2. Newton I. General scholium. In: Hutchins RM, ed. Mathematical Principles of Natural Philosophy. Great Books of The Western World Series. Chicago: Encyclopedia Britannica. Google Scholar Author, Article, and Disclosure InformationAuthors: Stephen L. Banks, MDAffiliations: Shawnee Medical Center Clinic, Shawnee, OK 74801 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 August 1996Volume 125, Issue 3Page: 253KeywordsMedical ethics ePublished: 15 August 2000 Issue Published: 1 August 1996 Copyright & PermissionsCopyright © 1996 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
LP23 : Daclatasvir plus sofosbuvir with or without ribavirin in patients with HIV–HCV co-infection: interim analysis of a French multicenter compassionate use program
Authors: H. Fontaine, K. Lacombe, C. Dhiver, E. Rosenthal, S. Metivier, T. Antonini-Michelle, M.A. Valantin, L. Cotte, J. Botero, S. Harent, D. Batisse, G.-P. Pageaux, H. Aumaitre, S. Dominguez, V. De Ledinghen, V. Leroy, F. Dabis, L. Wittkop, A. Filipovics, M.H. Barlet, Y. Bennai, D. Salmon
Journal: Journal of Hepatology (2015)
Fanconi's anemia and malignancies
Authors: Blanche P. Alter
Journal: American Journal of Hematology (1996)

Patients with Fanconi's anemia (FA) are at a high risk for development of malignancies.It is well-known that leukemia occurs in -10% of cases, with increasing risk with age.Less commonly recognized is the risk for myelodysplastic syndromes (-5%); the relationship between myelodysplasia and evolution to leukemia remains speculative.What also needs to be emphasized is that older patients have an ever-increasing risk for development of solid tumors, with at least 5% reported to have liver tumors (ma1e:female ratio, 2:l) and an equal number of other cancers (fema1e:male ratio, 3 1 , even afler exclusion of gynecologic malignancies).Hematologists have tended to focus on aplastic anemia and leukemia.As FA patients live longer, more of the other malignancies will occur, perhaps related to cord blood or bone marrow transplant, or treatment with cytokines.This review identifies the types of tumors for which patients with Fanconi's anemia are at risk.
Historical Error
Authors: Christopher Wren
Journal: JAMA (1964)

of architecture and one of the founders of British science, neither practiced medicine nor devoted any significant portion of his time to the medical sciences.Never- theless, his contributions to anatomical drawing and experimental physiology have been firmly in- scribed in the archives of medical history.Line drawings for Thomas Willis' Cerebri Anatome and infusion experiments on a dog are highlights in this category.He assisted Scarburgh in anatomical ex- periments, prepared anatomical models of the muscles of the body, and designed an artificial eye.with the humors accurately and dioptrically made.
Editorial board
Authors: Andrew Schachat, Henry Jampel, Douglas Miami, James Brandt Sacramento, Wiley Chambers, I Washington, Thomas Chang, Los Angeles, Susan Day, San Francisco, William Freeman, La Jolla, Glenn Durham, Yoshiaki Kitazawa, Ronald Madison, Richard Alan, Lewis Houston, Maureen Maguire Philadelphia, Steven Mccormick, New York, Joel Mindel, Arthur Mueller, David Musch, Ann Arbor, Steven Charlottesville, Joan O'brien, Denis O', Day Nashville, Roger Steinert Boston, Richard Stone Philadelphia, Alan Sugar, M Rohit, Varma Los, Thomas Weingeist, Richard Wormald, Veronica Doyle, Miranda Walker, Tom Juhasz, Richard Zorab Vp, Ophthalmic Knowledge, Hal Straus
Journal: Ophthalmology (2004)
Pattern of X-Chromosome Deoxyribonucleic Acid Synthesis in Two Women with Abnormal Sex-Chromosome Complements.
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
Health
Authors: Brian C. Reed
Journal: JAMA (2005)

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
Bile acid induced increase in cell adhesion in human hepatocellular carcinoma and NIH 3T3 cell lines *Institute of Internal Medicine, University of Florence, and ?Institute of Medical Semeiotics, University of Parma, Italy
Journal: Hepatology (1995)

A high-performance liquid chromatography-positive electrospray ionization single quadrupole mass spectrometric (LC-ESI-MS) method for the determination of dexamethasone acetate in skin of nude mouse using triamcinolone acetonide acetate as the internal standard (I.S.) was developed and fully validated. Both compounds were precipitated from skin homogenate with methanol and were separated by HPLC on a Shimadzu Shim-pack VP-ODS C18 column (150 mm × 2.0 mm, 5 μm) with a mobile phase of methanol–water (80:20, v/v) at a flow rate of 0.2 mL/min. Calibration curves were linear over the range of 0.05–5 μg/mL. The intra-run relative standard deviations were less than 9.59%. The inter-run relative standard deviations were less than 7.82%. The mean recovery was in the ranges of 89.95–95.97%, respectively. The method was successfully applied to determinate the concentration of dexamethasone acetate in skin and study the percutaneous absorption process in skin of nude mouse.
Effect of a self-care education program on medical visits
Authors: D. M. Vickery
Journal: JAMA (1983)

A prospective, randomized, controlled trial of self-care educational interventions was conducted in a health maintenance organization to determine their effect on ambulatory care utilization. Statistically significant decreases in total medical visits and minor illness visits were found in each of three experimental groups as compared with a control group. These decreases averaged 17% and 35%, respectively. These results were most clearly linked to a system of written communications emphasizing personal decision making about the use of medical care. The addition of a nurse counseling session to the written materials may increase cost savings and appears to be attractive to "high utilizers." A telephone information service was offered but not used. It is estimated that the decreases in utilization could result in a savings of approximately $2.50 to $3.50 for each dollar spent on the educational interventions. Self-care education systems may have important effects on medical care costs, physician satisfaction, and patient confidence. (<i>JAMA</i>1983;250:2952-2956)
Failure of vancomycin treatment in Staphylococcus aureus endocarditis. In vivo and in vitro observations
Authors: V. Gopal
Journal: JAMA (1976)

In a case of staphylococcal endocarditis, we failed to eradicate<i>Staphylococcus aureus</i>from the blood stream with vancomycin hydrochloride therapy. The strain involved was sensitive to vancomycin by disk diffusion studies but showed a wide disparity between minimal inhibitory and minimal bactericidal concentrations. The lack of a bactericidal effect was probably responsible for the failure of treatment. A synergistic effect was demonstrated for the combination of gentamicin sulfate and methicillin sodium, and the patient was ultimately cured with this combination plus vancomycin. Bactericidal tests are important in choosing an antimicrobial agent for treatment of endocarditis. (<i>JAMA</i>236:1604-1606, 1976)
The Chemokine Receptor CXCR-4 Is Expressed on CD34+Hematopoietic Progenitors and Leukemic Cells and Mediates Transendothelial Migration Induced by Stromal Cell-Derived Factor-1
Authors: Robert Möhle, Frank Bautz, Shahin Rafii, Malcolm A.S. Moore, Wolfram Brugger, Lothar Kanz
Journal: Blood (1998)
Soap Colitis
Authors: Benjamin F. Pike, Paul J. Phillippi, Edwin H. Lawson
Journal: New England Journal of Medicine (1971)

ENEMAS are commonly used in medical practice, and the soap enema has been adopted for routine use by many obstetric units. Several adverse reactions associated with soap enemas have been well documented.1 2 3 An unusual complication of soap enema occurred in the following case.Case ReportA 23-year-old primipara was admitted to the delivery room in active labor at full-term. The prenatal course had been uncomplicated, and the past history was noncontributory. At 6:20 a.m. she was observed to be in active labor, with cervical effacement and dilatation to 5 cm. No abnormalities were noted, and a soapsuds enema was administered . . .