tbuckley/cabot-search huggingface dataset:
Competition, regulation, and hospital costs, 1982 to 1986
Authors: J. C. Robinson
Journal: JAMA (1988)

We used data on 5490 nonfederal, short-term general hospitals to evaluate the relative effectiveness of regulatory and market-oriented cost-control policies on hospital cost inflation between 1982 and 1986. All-payer rate-regulation programs reduced inflation rates by 16.3% in Massachusetts, 15.4% in Maryland, and 6.3% in New York, compared with the control hospitals in 43 states with neither all-payer rate regulation nor an aggressive market-oriented strategy. New Jersey hospitals experienced a rate of cost inflation similar to the control hospitals. Given the effectiveness of its regulatory program in the 1970s, however, New Jersey began and ended the period from 1982 to 1986 with the lowest costs, controlling for wages and patient mix. California's market-oriented cost-control policy reduced inflation rates by 10.1%. Hospitals with large percentages of patients insured by Medicare's prospective payment system experienced cost inflation rates 16.1% lower than hospitals with small percentages of Medicare patients. Investor-owned hospitals experienced rates of cost increase 11.6% higher than private nonprofit hospitals and 15.0% higher than public hospitals. (<i>JAMA</i>1988;260:2676-2681)
Diagnose, Differentialdiagnose und Behandlung der Haut- und Geschlechtskrankheiten.
Journal: JAMA (1931)

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
VERY LONG-TERM PROGNOSIS OF PATIENTS WITH TYPE B AORTIC INTRAMURAL HEMATOMA
Authors: Kenichi Ishizu, Shuichiro Kaji, Yasuhiro Sasaki, Mitsuhiko Ota, Kitae Kim, Takeshi Kitai, Takafumi Yamane, Atsushi Kobori, Natsuhiko Ehara, Makoto Kinoshita, Yutaka Furukawa
Journal: Journal of the American College of Cardiology (2018)
Philadelphia Neurological Society.
Journal: JAMA (1926)

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
PRELIMINARY PROGRAMME
Journal: JAMA (1892)

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
Language and the physician's art. Changes in the meaning of the term 'physician'
Authors: S. Louis
Journal: JAMA (1979)

OUR goal is to characterize the alteration in attitudes toward physicians during the last 20 to 30 years as reflected in some of the patterns of language usage regarding "the physician." Much of the world is perceived through the categories of our language, and the realities in that world are bound up in a nexus of words. The words we use to mark off the reality of the physician set up linkages with ideas and images and hence may come to re-create in our belief, thought, and action new realities and a new vocabulary of the physician. These new words and the new reality to which the physician is bound reflect the many social, cultural, and historical changes that have occurred since World War II and have already come to modify behavior and patterns of expectation regarding the physician. <h3>The Physician as Healer</h3> The<i>Random House Dictionary</i>defines "physician" as
Abstracts
Journal: Annals of the Rheumatic Diseases (1966)

This 10-year report of a joint study from centres in the United States, Canada, and Great Britain contains much detailed information which cannot be summarized.It is clear that under all regimens of treatmentsalicylates, corticosteroids, and corticotrophin-cases of rheumatic fever presenting without carditis have an excellent prognosis.In 94 per cent.there was no residual heart disease.Mitral stenosis, uncommon at 5 years, was diagnosed in eighteen of the 347 cases examined at 10 years, and in seven of the nineteen deaths from rheumatic fever and rheumatic heart disease.This complication was com- moner in females than males.It is clear from this study that the status of the heart at the start of treatment, the rate of recurrence of acute rheumatic fever, and the sex must be taken into account in the evaluation of any treatment of rheumatic fever.Oswald Savage.
MEASUREMENT OF MYOCARDIAL CONTRACTILITY
Journal: Thorax (1972)

Proceedings of the Thoracic Society and pressure measurements were obtained before giving the frusemide intravenously and the changes were followed over a six-hour period in 20 patients.Measurement of dead space-tidal volume ratio and venous admixture was made in 11 patients.Changes in gas exchange were correlated with change in cardiac output.
Hyperinsulinemia in preascitic cirrhosis: Effects on systemic and renal hemodynamics, sodium homeostasis, forearm blood flow, and sympathetic nervous activity
Authors: F WONG
Journal: Hepatology (1996)

Insulin has been shown to be vasodilatory and antinatriuretic and to stimulate sympathetic nervous activity independent of hypoglycemia in healthy normal subjects. It is hypothesized that hyperinsulinemia, which is commonly observed in cirrhosis, may in part be responsible for the systemic vasodilatation, sympathetic activation, and sodium retention in these patients. The aims of this study, in preascitic cirrhotics, were as follows: (1) to document baseline hyperinsulinemia and its effects on sodium handling, forearm and renal circulations, and sympathetic nervous activity; (2) to determine if pharmacological increases in plasma insulin levels would result in an exaggeration of these physiological effects. Seven male, nonobese, well-compensated, preascitic cirrhotic patients were studied, after being maintained on a 150 mmol sodium per day diet for 7 days, firstly at baseline level, followed by increasing doses of insulin from 10 to 1,200 mU/m2/min using the euglycemic clamp technique. Systemic and renal hemodynamics, urinary sodium excretion, plasma norepinephrine, and forearm blood flow (FBF) were measured at the end of baseline and each hyperinsulinemic period. Baseline measurements in the cirrhotics, when compared with our laboratory standards obtained from a comparable group of male healthy normals, showed significant hyperinsulinemia (P=.01), associated with significantly higher FBF (P=.02), and glomerular filtration rate (GFR) (P=.02), as well as significantly reduced urinary volume (P=.04) and fractional excretion of sodium (P=.04). Insulin infusions in the cirrhotics produced no further sodium retention, but further forearm vasodilatation occurred at doses > or = 10 mU/m2/min. In contrast, there was no further renal vasodilatation except at very high pharmacological levels of insulin together with an unchanged GFR, natriuresis, and diuresis. Hyperinsulinemia produced no significant effects on the sympathetic nervous activity. In conclusion, these results suggest that hyperinsulinemia may be implicated in the glomerular hyperfiltration and sodium retaining tendency of preascitic cirrhotic patients with glucose intolerance. The ability of the kidneys to escape from the sodium retaining effects may serve as an in-built physiological regulatory mechanism on sodium homeostasis.
Childhood Immunizations
Authors: Jane F. Desforges, Georges Peter
Journal: New England Journal of Medicine (1992)

ONE of the most important medical developments in the 20th century has been the control of once common childhood infectious diseases by the administration of highly effective vaccines. In the United States, the reported number of cases of diphtheria, measles, mumps, pertussis, poliomyelitis, rubella, and tetanus has declined by 97 percent or more (Table 1).1 In the past five years, the introduction in the United States of vaccines against Haemophilus influenzae type b has had a substantial impact on such infections.1 The eradication of smallpox in 1977 and the current near-eradication of poliomyelitis in the Western Hemisphere, as a result . . .
Value of lymph node biopsy in unexplained lymphadenopathy in homosexual men
Authors: R. K. Brynes
Journal: JAMA (1983)

The acquired immune deficiency syndrome (AIDS) manifested by severe opportunistic infections, Kaposi's sarcoma, or lymphoma often has a prodrome of lymphadenopathy accompanied by constitutional symptoms. We studied the histopathologic findings of lymph node biopsy specimens and peripheral blood immunologic parameters of 24 clinically indistinguishable homosexual men with chronic generalized lymphadenopathy. Two different morphological patterns were observed: (1) lymph nodes with follicular and paracortical hyperplasia in 21 patients who had had no clinical deterioration and (2) an atypical pattern of lymphoid proliferation in three patients who experienced rapid development of non-Hodgkin's lymphoma and/or opportunistic infections. Several immunologic laboratory results paralleled these changes. Lymph node morphological findings seem to be a useful predictor of outcome in homosexual men with generalized lymphadenopathy. (<i>JAMA</i>1983;250:1313-1317)
Prospective ten-year patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery Steven Goldman, Karen Zadina, Thomas Moritz, Theron Ovitt, Gulshan Sethi, Jack Copeland, William Henderson, VA Cooperative Study #364. Southern Arizona VA Healthcare System, Tucson, AZ, Edward Hines, Jr., VA Hospital, Hines, IL
Journal: Journal of the American College of Cardiology (2001)
The doctor and the detective story
Authors: N. Y. Hoffman
Journal: JAMA (1973)

The classical detective story narrates a crime, almost always murder, which confounds and puzzles those most intimately involved with the victim. Official investigators often are equally puzzled by too many—or too few—clues. But the superintelligent, unofficial detective sees the reality beneath appearance and can defend his every deduction with minutely detailed proofs. He then exposes the criminal and reasserts the viability of the threatened social order. In the formal detective story, doc tors make excellent protagonists as detectives because, occupationally, they are trained in drawing inferences: diagnosis is the fine art of medical sleuthing. And the rise of the detective story, supposedly first articulated by Edgar Allan Poe in 1841, is linked to the rise of modern medical science, so that scientifically substantiated proofs, resting on medical evidence, frequently are essential to the mystery story. Vincent Starrett once asserted, "The peoples of the earth are divided into four classes: criminals,
MULTIPLE BLADE RETRACTOR
Journal: JAMA (1921)

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
Uvulopalatopharyngoplasty may compromise nasal CPAP therapy in sleep apnea syndrome.
Authors: D I Loube
Journal: American Journal of Respiratory and Critical Care Medicine (1997)

"Uvulopalatopharyngoplasty may compromise nasal CPAP therapy in sleep apnea syndrome.." American journal of respiratory and critical care medicine, 155(6), pp. 2112–2113
From Army book collection to largest medical library
Authors: K. Simmons
Journal: JAMA (1984)

Most physicians know it for its monthly publication,<i>Index Medicus</i>, but they may not draw the connection between the publication and its source, the National Library of Medicine (NLM). Says Deputy Director Kent A. Smith, MPA: "Unfortunately, all too often we find that people who use our services—whether they be printed products or whether they be on-line retrieval services—are unaware that they emanate from the National Library of Medicine." (In the case of<i>Index Medicus</i>, the publication actually has emanated from the library and the AMA at various times in its history. The NLM is now the sole publisher.) With 3.1 million items (including books, journals, manuscripts, technical reports, microfilms, and pictorial materials) in its collection, the NLM stands as the world's largest medical library. It also has one of the world's finest collections of old (pre-1871) and rare medical texts, manuscripts, and incunabula. Furthermore, says Smith, the NLM has
Cyclosporin A: Drug discontinuation for the management of long-term toxicity after liver transplantation
Authors: C Chan
Journal: Hepatology (1996)

After liver transplantation, long-term cyclosporin A (CsA) administration is commonly complicated by renal insufficiency and other side effects. To manage these problems, 1.5 to 2.0 mg · kg-1 · day-1 of azathioprine for at least 6 weeks was prescribed; CsA was then discontinued or reduced to < or = 2.5 mg · kg-1 · day-1 for several months. The dose of prednisone was kept constant. CsA was discontinued in 14 patients because of nephrotoxicity (three or more serum creatinine levels of > or = 1.5 mg/dL), in 1 patient because of headaches and in 1 patient because of a generalized sensory neuropathy; 1 patient refused to continue taking the drug. The CsA dose was reduced in 13 patients, 12 because of nephrotoxicity and 1 because of headaches. One patient in whom administration of CsA was stopped developed azathioprine hepatotoxicity, whereas 1 patient whose dose was reduced developed acute cellular rejection. These complications were controlled by discontinuing azathioprine and reinitiating CsA. In the patients in whom CsA was discontinued, the mean serum creatinine level decreased from 2.42 +/- 0.48 to 1.72 +/- 0.39 mg/dL (P = .00004); in the patients in whom CsA was reduced, the mean serum creatinine level decreased less markedly. This report suggests that discontinuation of CsA along with increased doses of azathioprine is safe for some patients and may be effective in managing CsA-related nephrotoxicity and other side effects after liver transplantation. Additional studies are needed to determine whether this approach is safe and effective for the growing number of post-transplantation patients who may be candidates for such therapy.
Quantitation and typing of serum hepatitis C virus RNA in patients with chronic hepatitis C treated with interferon-β
Authors: Y Kobayashi
Journal: Hepatology (1993)

We quantified serum hepatitis C virus RNA titers and determined hepatitis C virus subtypes in chronic hepatitis C patients treated with interferon-β to investigate relationships among serum ALT response, serum hepatitis C virus titer and hepatitis C virus subtype. Of 146 chronic hepatitis C patients who received interferon-β therapy, 24 patients with sustained serum ALT normalization (complete responders) and 26 patients without serum ALT normalization (nonresponders) were randomly selected. Detection, typing and quantitation of hepatitis C virus were performed by means of the "single-tube" polymerase chain reaction method. Of the 24 complete responders, 21 (87.5%) became negative for hepatitis C virus RNA, whereas 21 (80.8%) of the 26 nonresponders remained positive. Hepatitis C virus infections with types I, II, III, IV, II + III and III + IV occurred in 0 (0%), 22 (51.2%), 10 (23.3%), 1 (2.3%), 7 (16.5%) and 3 (7.9%) patients, respectively. The mean pretreatment hepatitis C virus RNA titer of complete responders (0.4 ± 2.0 × 104 CID50/ml) was significantly lower than that of nonresponders (3.8 ± 4.5 × 104 CID50/ml) (p < 0.01). Regardless of HCV subtype, patients with more than 104 CID50/ml of HCV did not show serum ALT normalization, whereas complete serum ALT response was seen in most cases with less than 102 CID50/ml HCV. These results show that mixed infections with different hepatitis C virus subtypes appear to be more common than previously reported and that the pretreatment serum level of hepatitis C virus RNA is a more important predictor of outcome of interferon therapy than is virus genotype. (HEPATOLOGY 1993;18:1319–1325.)
CANCER CLINICS: Diagnosis and Management of the Chronic Leukemias
Journal: CA A Cancer Journal for Clinicians (1957)

CAN Nitrogenmustard (methyl-bis(J3.chlorethyi)amine) Chlorambucil (CB1348)â€"0.1.0.2 mg./Kg.IdayACTH50.100mg./day (l.M. or l.V.)Prednisone Hydrocortisone Cortisone50-100 mg./day 100.300mg./day;(100 mg./dayl.V.) 100.300 mg./day 0.5.1 mc./wk.fortotalp32Roentgen rayof 5 mc.(l.V.)Dosage
Two surgeons who dared are still chasing their dreams
Journal: JAMA (1989)

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
OUR DUTY REGARDING "PATENT-MEDICINE" LEGISLATION.
Journal: JAMA (1906)

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