tbuckley/cabot-search huggingface dataset:
Moving On
Authors: D. L. Longworth
Journal: Annals of Internal Medicine (2012)

Ad Libitum2 October 2012Moving OnD. L. LongworthD. L. LongworthFrom Cleveland, OH 44195.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-7-201210020-00014 Audio Reading - “Moving On” Audio. Michael A. LaCombe, MD, Annals Associate Editor, reads "Moving On," by D.L. Longworth. Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Gone the rhythm of the dayAnd life's simplicityGone traditions loving keptWith sweet felicityGone the sunsets over fieldThis ballerina's barGone the Sunday violinsThis mud room door ajarGone complacency of heartPredictabilityInviting high adventureAnd possibilityD.L. LongworthCleveland, OH 44195 Author, Article, and Disclosure InformationAffiliations: From Cleveland, OH 44195.Current Author Address: D.L. Longworth, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195. PreviousarticleNextarticle Advertisement Audio Reading - “Moving On” Audio. Michael A. LaCombe, MD, Annals Associate Editor, reads "Moving On," by D.L. Longworth. Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ FiguresReferencesRelatedDetails Metrics 2 October 2012Volume 157, Issue 7Page: 526KeywordsHeart ePublished: 2 October 2012 Issue Published: 2 October 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
DOUBLE-BLIND STUDIES ON OBSTETRICAL ANALGESIA
Journal: JAMA (1962)

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
Intrapleural Corynebacterium parvum for malignant pleural effusions
Authors: Alistair Brewis, Fleming Carswell, Tim Clark, Michael Dunnill, Andrew Johnson, David Stableforth, Charles Stewart, Mr Andrew, Nunn Further, Ron Tucker
Journal: Thorax (1983)

Symposium on death from asthma A symposium entitled "Death from Asthma-Can We Prevent It?" that is to be held at East Birmingham Hospital Postgraduate Medical Centre on 13 July 1983 will be of interest to everyone concerned with the management of patients with asthma.The topics will include the recognition of asthma from a clinical and pathological viewpoint, a coroner's impression, lessons from the studies on deaths from asthma, patient education, emergency treatment, and self-referral schemes.Speakers will include Drs
ACTION OF ANTIGEN ON FIBROBLASTS IN VITRO. II
Authors: Albert Fischer
Journal: The Journal of Experimental Medicine (1922)

The action of human ascitic fluid and of dog serum on the immunization of fibroblasts in vitro was investigated. The toxic effect of ascitic fluid upon fibroblasts was slight, while that of dog serum was marked. When a small amount of antigen (1.5 to 2 per cent dog serum, or 8 per cent ascitic fluid) was present in the medium, the resistance of the fibroblasts slowly increased, reached its maximum after about 14 days, and gradually decreased. The curve expressing the phenomena closely resembles that of Jörgensen and Madsen showing the production of antibodies in an animal which received daily injections of antigen. When the antigen was present in the medium in a high concentration (from 5 to 8 per cent dog serum), the resistance reached its maximum in 4 days, and decreased rapidly. It may be concluded that: 1. In the immunization of fibroblasts in vitro against a foreign protein, there is a relation between the amount of antigen, the time of the appearance of immunization, and its duration. 2. When a small amount of antigen is used, immunization slowly reaches its maximum, and slowly decreases. 3. When a large amount of antigen is used, immunization reaches its maximum in a short time, but the protection is of equally short duration.
An Address Delivered at the Opening of the Section of Public Medicine
Authors: W. H. Michael
Journal: BMJ (1874)

The ward-history is as follows.In Ward No. I, there were I33 deliveries, and no death from zymotic disease.In Ward No. 2, ther-e were I34 deliveries, and two deaths from zymotic disease, one in March, and one in April.In Ward No. 3, there were I42 deliveries, and two deaths from zymotic disease, one in February, and one in March, with three sets of cases between.In Ward No. 4, there were I41 deliveries, and no death from zymotic disease.In Ward No. 5, there were I38 deliveries, and no death from zymotic disease.In Ward No. 6, there were I29 deliveries, and one death from zymotic disease.In Ward No. 7, there were 147 deliveries, and four deaths from zymotic disease: one in January, two in February (one of them was in the small off-ward, with one batch between the two), and one in March.In Ward No. 8, there were I39 deliveries, and two deaths from zymotic disease, one in November 1872, and one in October 1873.
EIGHTY-EIGHTH ANNUAL MEETING OF THE British Medical Association
Journal: BMJ (1920)

in introducing the readers of the opening papers, said 'th"at 'he -did not think any excuse was needed from the officers of the Section for arranging such a discussion.The question of tlhe State and the future of medical practice was ever before tlhem.Although the State had long requ-ired the services of medicine, it was only within the last -few -years thlat the fact had been recognized by the majority-of the profession.And this fact would be further-recognized as the S-tate continued to assume more and more responsibility f6r communal health.He felt that he must mention that wwhen this subject was first chosen for discussion in the Section of Sociology the late Sir Robert Morant had consented to open it.The medical profession4 more almost than any other, recognized how great was the l8ss to the country occasioned by his death.It was a matter for congratulation that Sir George Newman had accepted the invitation to take his place tlhat morning, for lhe was the one person whicould ex'plain to the public the future requirements of the State so far as the medical profession was concerned.Knowing the different points of view from which this subject could be considered, the officers of the Section thought it well to select openers who slhould represent the various interests concerned.Any question -with regard to the health of the nation affected the wlhole commenity, and therefore it was essential that they should have the opinions of lay persons, whom that Section of the Association possessed the right of inviting to its discussions; and a lay voice, re-piresentative of labour, would also be heard that morning.If thb State was really going to build up any organization for a medical service to the community, all of them had much to learn.The State 'had to learn from the 'Medical professioii, and thle pro- fession had to learn from the State; and' both the profession and the department of the State concerned must receive the confidence of the public quite in- 12,000,000 insured persons into medical benefit, at present provided by 12,000 doctors and 10,000 clhemnists; systematic provision has been inlitiated for tuberculosis, venereal disease, and maternity and infant welfare; the organized 'treatment of early mental disease, oplhtlhalmology and tropical disease, and thle larae questions of ortlhopae(lics and the treatment of itidustrial diseases are nowv under discussion; and an ever-widening field of public dispensaries, clinics, and lhospitals, has opened before the profession.CONSEQUENT NEW RELATION BETWEEN STATE AND DOCTOR.These are profound changes.Tlley divert, in a handful of years, the whole course of applied medicine from its century old pathway.They do not abolish the _private medical practitioner, but tlley bring him iutI a different relation to the State.. Their present and future relation must be confirmed and made good on botlh sides, for, on the one hland, -tle profession is conscious of new obligations, both those imposed by law and those imposed by a [3 I o61 I
Pesticide Residue in Lanolin
Authors: Marsha A. Raebel
Journal: JAMA (1989)

<h3>To the Editor.—</h3> Reports of possible harmful effects of pesticide residues in lanolin in Australia<sup>1</sup>recently prompted us to question the pesticide content of lanolin used as both an absorbent ointment and an ointment base. The absorbent ointment (anhydrous lanolin) is frequently used to treat sore, cracked nipples in breast-feeding mothers. In addition, the ointment base is used in pharmaceuticals and cosmetics. Two lots (numbers 5922 and 6441) of United States Pharmacopeia anhydrous lanolin from a single manufacturer were analyzed by the Division of Colors and Cosmetics, Food and Drug Administration (FDA). The analysis (Table) by the FDA indicated that pesticide contamination varied significantly between lots and that dimpylate (Diazinon), DDE (a metabolite of chlorophenothane [DDT]), lindane (benzene hexachloride [BHC], gamma), and alpha- and beta-BHC (isomers of hexachlorocyclohexane) were found in one or both samples (J. A. Wenninger, written communication, March 1988). The two additional lanolin lots (numbers 5631
THE PUBLIC SERVICES.
Journal: JAMA (1893)

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
Pre-Columbian Leprosy.
Authors: Albert S. Ashmead
Journal: JAMA (1900)

New York City, Jan, 25, 1900. <h3>To the Editor:</h3> —In Dr. Kinyoun's able report on leprosy, as a delegate to the International Leprosy Conference, Berlin, published in the "Annual Report of the Supervising Surgeon-General of the Marine-Hospital Service of the United States," for the years ending 1897 and 1898, there are two errors to which I beg to call attention. On page 27 (1897 report), he says: Ashmead (New York) claims to have demonstrated that leprosy existed in America in the pre-Columbian period, and submits photographs of bone lesions which have been discovered in the ancient Peruvian graves. Further, this hypothesis is borne out by the specimens of Peruvian pottery of the Incan period." My position is directly contrary to all this, as Dr. Kinyoun might have found out by simply reading my article (The Question of Pre-Columbian Leprosy: Photographs of Three Columbian Skulls and Some Huacos Pottery) published in
Treatment of Convulsive Status Epilepticus
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 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
Pesticides in Household Dust and Soil: Exposure Pathways for Children of Agricultural Families
Authors: Nancy J. Simcox, Richard A. Fenske, Sarah A. Wolz, I-Chwen Lee, David A. Kalman
Journal: Environmental Health Perspectives (1995)

Child of agriculture families are likely to be exposed to agricultural chemicals, even if they are not involved in farm activities. This study was designed to determine whether such children are exposed to higher levels of pesticides than children whose parents are not involved in agriculture and whose homes are not close to farms. Household dust and soil samples were collected in children's play areas from 59 residences in eastern Washington State (26 farming, 22 farmworker, and 11 nonfarming families). The majority of the farm families lived within 200 feet of an operating apple or pear orchard, whereas all reference homes were located at least a quarter of a mile from an orchard. Four organophosphorous (OP) insecticides commonly used on tree fruit were targeted for analysis: azinphosmethyl, chlorpyrifos, parathion, and phosmet. Samples were extracted and analyzed by gas chromatography/mass selective detection. Pesticide concentrations in household dust were significantly higher than in soil for all groups. OP levels for farmer/farm-worker families ranged from nondetectable to 930 ng/g in soil (0.93 ppm) and from nondetectable to 17,000 ng/g in dust (17 ppm); all four OP compounds were found in 62% of household dust samples, and two-thirds of the farm homes contained at least one OP above 1000 ng/g. Residues were found less frequently in reference homes and all levels were below 1000 ng/g. Household dust concentrations for all four target compounds were significantly lower in reference homes when compared to farmer/farmworker homes (Mann Whitney, U test; p < 0.05). These results demonstrate that children of agricultural families have a higher potential for exposure to OP pesticides than children of nonfarm families in this region. Measurable residues of a toxicity, I compound registered exclusively for agricultural use, azcnphosmettyl were found in household dust samples from all study homes, suggesting that low level exposure to such chemicals occurs throughout the region. Children's total and cumulative exposure to this pesticide class from household dust, soil, and other sources warrants further investigation.
Resuscitating the scientific paper
Authors: H. R. Kuehn
Journal: JAMA (1973)

Somerset Maugham once remarked that he could think of no better training for an aspiring writer than to spend a few years in medicine. Nowadays, more and more voices are heard claiming that a medical education and a few years in practice are certain to squelch, or more likely to ruin, any creative talent, particularly the talent to write. Medicine, preoccupied as it has become with science and technology, may no longer be the same territory where Maugham found human nature without disguise and was creatively stimulated by the experience. Yet with its strict demands for observation and precise description, medicine is still a profession uniquely suited for cultivating the skills fundamental to the art of self-expression. Contemporary scientific literature is not lacking in the exceptional piece that reflects the art of medicine without being short on science and that shows that smoothness of style, depth of perception, and elegance
JournalScan
Authors: R Charnley
Journal: Gut (2003)

▴ Kolby L , Persson G, Franzen S, et al . Randomised clinical trial of the effect of interferon alpha on survival in patients with disseminated midgut carcinoid tumours. Br J Surg2003:90;687–93. [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] Current treatment for midgut carcinoid includes radical surgery of the primary tumour, resection of lymph node metastases and resection of liver metastases. In the presence of disseminated disease however, cure is unusual. Palliative liver resection and hepatic artery embolisation are also recognised to decrease hormone secretion and reduce tumour volume. Somatostatin analogues reduce the synthesis and secretion of neuropeptides so reducing hormonal symptoms in up to 80% of patients. Alpha interferon has been previously shown to reduce urinary 5HIAA levels in carcinoid patients. In a previous Norwegian study a survival advantage was shown for patients treated with alpha interferon in combination with hepatic arterial embolisation. This present study was therefore carried out to identify the effect of alpha interferon added to a somatostatin analogue on survival and tumour progression after initial tumour reduction by surgery and embolisation for disseminated mid gut carcinoids. Sixty eight patients were treated with maximum tumour reduction and underwent hepatic artery embolisation followed by randomisation to either treatment with octreotide or a combination of octreotide and alpha interferon. All patients had liver metastases. The overall five year survival rate was 66%. Although there was no significant difference in survival between patients treated with octreotide alone (five year survival rate 37%) and those given octreotide in combination with alpha interferon (five year survival rate 57%), patients treated with alpha … [1]: {openurl}?query=rft.jtitle%253DThe%2BBritish%2Bjournal%2Bof%2Bsurgery%26rft.stitle%253DBr%2BJ%2BSurg%26rft.aulast%253DK%25C3%25B6lby%26rft.auinit1%253DL.%26rft.volume%253D90%26rft.issue%253D6%26rft.spage%253D687%26rft.epage%253D693%26rft.atitle%253DRandomized%2Bclinical%2Btrial%2Bof%2Bthe%2Beffect%2Bof%2Binterferon%2Balpha%2Bon%2Bsurvival%2Bin%2Bpatients%2Bwith%2Bdisseminated%2Bmidgut%2Bcarcinoid%2Btumours.%26rft_id%253Dinfo%253Adoi%252F10.1002%252Fbjs.4149%26rft_id%253Dinfo%253Apmid%252F12808615%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1002/bjs.4149&link_type=DOI [3]: /lookup/external-ref?access_num=12808615&link_type=MED&atom=%2Fgutjnl%2F52%2F11%2F1653.atom [4]: /lookup/external-ref?access_num=000183615800007&link_type=ISI
Radioactive Fallout
Authors: J. F. Loutit
Journal: BMJ (1966)

<h3>Abstract</h3> A new species of cichlid fish, <i>Lethrinops atrilabris</i> is described from specimens collected by trawling at a depth of around 90m off Monkey Bay, southern Lake Malawi. It is assigned to the genus <i>Lethrinops</i> on the basis of its vertical flank barring, lack of enlarged cephalic lateral line canal pores and the form of the lower jaw dental arcade. It can be distinguished from congeneric species by its male breeding dress of contrasting flank barring and dark ventral surface, most strikingly on the lips, throat and chest, its relatively small known maximum size (&lt;75mm SL), large eyes (38-41% head length), laterally compressed body (depth 2.5-2.7 times max head width) and lower gillraker count (13-14).
HIV infection in the Dominican Republic
Authors: W. Robert Lange, Sidney D. Kreider
Journal: JAMA (1987)

<h3>To the Editor.—</h3> Koenig et al<sup>1</sup>recently described the epidemiology of human immunodeficiency virus (HIV) infection in the Dominican Republic. In that report, among the 1656 native Dominicans who were screened, 88 (5%) had HIV antibodies; however, of 259 Haitians residing in the Dominican Republic who were screened, 25 (10%) were seropositive. If 42 of the former group who were ill with acquired immunodeficiency syndrome (AIDS) or AIDS-related syndromes are excluded, the rate within healthy Dominicans drops to 3%. The Table describes further the distribution of HIV antibodies as well as the seroprevalence rate of hepatitis B virus (HBV) markers in both the Dominican Republic and Haiti (W. R. Lange, E. J. Cone, J. H. Jaffe, writtencommunication, March 1987).<sup>1-5</sup>The magnitude of disease penetration appears to be comparable in both countries, according to the overall prevalence of HBV markers (65%). However, in the presence of similar rates
Ethical, Social, and Legal Issues Surrounding Studies of Susceptible Populations and Individuals
Authors: Colin L. Soskolne
Journal: Environmental Health Perspectives (1997)

Calls for professional accountability have resulted in the development of ethics guidelines by numerous specialty and subspecialty groups of scientists.Indeed, guidelines among some health professions now address vulnerable and dependent groups; but these are silent on issues related to biomarkers.In parallel, attention has been drawn to human rights concerns associated with attempts to detect hypersusceptible workers, especially in democratic countries.Despite this, concern for vulnerable populations grows as advances in biomarker technology make the identification of genetic predisposition and susceptibility markers of both exposure and outcome more attainable.In this article, the principles derived from the ethical theory of utilitarianism provide the basis for principle-based ethical analysis.In addition, the four principles of biomedical ethics-respect for autonomy, beneficence, nonmaleficence, and social justice are considered for biomarker studies.The need for a context in which ethical analysis is conducted and from which prevailing social values are shown to drive decisions of an ethical nature is emphasized; these include statutory regulation and law.Because biomarker studies can result in more harm than good, special precautions to inform research participants prior to any involvement in the use of biomarkers are needed.In addition, safeguards to maintain the privacy of data derived from biomarker studies must be developed and implemented prior to the application of these new technologies.Guidelines must be expanded to incorporate ethical, social, and legal considerations surrounding the introduction of new technologies for studying susceptible populations and individuals who may be vulnerable to environmental exposures.