tbuckley/cabot-search huggingface dataset:
Current status of the physician's assistant and related issues
Authors: M. C. Todd
Journal: JAMA (1972)

Today in the United States, virtually all family practitioners and pediatricians, most internists, and some obstetricians serve as primary-care physicians to patients and their families. Nevertheless, a large number of people are living in areas that can be classified as "medically underserved" in that the services of physicians and other health professionals are not available in proportion to need. The problem is particularly acute in the slum and urban ghetto areas of cities as well as in many rural communities. While it may be true that more physicians are needed, maldistribution and less than optimum utilization of health manpower result from conditions which cannot be treated by simply increasing supply. In fact, the problem may be aggravated by that approach. A preferred approach is to foster more effective use of existing health manpower and to encourage use of new types of allied health personnel where their need has been adequately
Early Management of Bell's Palsy by Cervical Sympathetic Block
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
Ligamentous laxity in secondary school athletes
Authors: W. A. Grana
Journal: JAMA (1978)

An increase in ligamentous laxity has been said to predispose athletes to injury of the joint. To evaluate the usefulness of testing ligamentous laxity to predict a predisposition to injury in secondary school athletes, 166 male football players, 84 female basketball players, and 32 male basketball players were tested. The results were compared with those for 167 males and 223 females in high school but not involved in interscholastic sports. No correlation could be found between ligamentous laxity and the occurrence or type of injury. (<i>JAMA</i>240:1975-1976, 1978)
The frequency of 4977 base pair deletion of mitochondrial DNA in various types of liver disease and in normal liver*1
Authors: S FUKUSHIMA
Journal: Hepatology (1995)

Using a polymerase chain reaction (PCR) method, we tested for the hepatic mitochondrial DNA (mtDNA) deletion in 40 hepatic tumors (28 hepatocellular carcinomas [HCcs], 9 other malignant tumors, and 3 benign tumors) and in the livers of 71 patients, including 16 pediatric patients with end-stage liver disease who underwent living related donor liver transplantation and 16 liver donors. A 4977 base pair (bp) deletion of mtDNA was detected in 36 of 55 specimens of non-tumor portions of adult liver (65.5%). However, none of the specimens obtained from cirrhotic livers of the 16 pediatric patients younger than 13 years of age had the 4977 bp deletion. The frequency of mtDNA deletion was significantly decreased compared with normal liver in HCCs (7 of 28) and other malignant liver tumors (2 of 9). The frequency of this deletion was unrelated to the presence of liver cirrhosis, patient's gender, hepatitis B virus surface antigen status, and hepatitis C virus antibody status.
Diagnosis of Amoebiasis: Correction
Journal: BMJ (1946)

BRITISHthis case is not rate-aided) not living with relatives or friends may be placed under care by summary reception order mace by a judicial authority on the application of the constab!e, relieving officer, or officer of the parish.This does not apply to a rate-aided patient.A rate-aided per- son of unsound mind is placed under care by a summary recep- tion order made by a justice of the peace.This needs a statement of particulars and one medical certificate.The same procedure may be applied to a person of unsound mind, whether rate-aided or not, who is wandering at large, or to a person who is neither rate-aided nor wandering at large but is of unsound mind and either not under proper care and control or cruelly treated or neglected.A relieving officer or constable may place a rate-aided person of unsound mind or one wander- ing at large in the observation ward of an infirmary ; he is there visited by a justice, who may issue an order detaining him there for fourteen days.In all rate-aided cases the appli- cation for a summary reception order is made to a justice of the peace by the constable, relieving officer, or overseer of the parish in which the patient is found.The practitioner is recommended to read the 1890 Act, or the summary of procedure which will be found in the standard textbooks of forensic medicine.
Bornholm Disease
Authors: C. B. Lanyon
Journal: BMJ (1935)

COVID-19 manifests with a wide spectrum of clinical phenotypes that are characterized by exaggerated and misdirected host immune responses<sup>1–8</sup>. While pathological innate immune activation is well documented in severe disease<sup>1</sup>, the impact of autoantibodies on disease progression is less defined. Here, we used a high-throughput autoantibody discovery technique called Rapid Extracellular Antigen Profiling (REAP) to screen a cohort of 194 SARS-CoV-2 infected COVID-19 patients and healthcare workers for autoantibodies against 2,770 extracellular and secreted proteins (the “exoproteome”). We found that COVID-19 patients exhibit dramatic increases in autoantibody reactivities compared to uninfected controls, with a high prevalence of autoantibodies against immunomodulatory proteins including cytokines, chemokines, complement components, and cell surface proteins. We established that these autoantibodies perturb immune function and impair virological control by inhibiting immunoreceptor signaling and by altering peripheral immune cell composition, and found that murine surrogates of these autoantibodies exacerbate disease severity in a mouse model of SARS-CoV-2 infection. Analysis of autoantibodies against tissue-associated antigens revealed associations with specific clinical characteristics and disease severity. In summary, these findings implicate a pathological role for exoproteome-directed autoantibodies in COVID-19 with diverse impacts on immune functionality and associations with clinical outcomes.
ELECTRICITY AND THE DEATH PENALTY
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
When does a surgeon retire?
Authors: I. A. Bunkin
Journal: JAMA (1983)

ONE DAY while driving to the Albuquerque Airport, my companion, a fellow surgeon, blurted out, "I'm retiring next year. Did you know that 95% of 'board certified' surgeons in the United States have retired from the operating room by the time they are 65?" I never bothered to verify that statistic. I was 60 and still "flying." A newcomer to Santa Fe, I was certain that my cerebral synapses were carbon free and that I was as technically dextrous as ever. I was relaxed, well informed, full of vigor. That was when I began to take an occasional look toward the dreaded horizon. Why had I not given retirement serious consideration before? Other than incapacitating illness, what are the circumstances that can bring the aging surgeon's career to a halt? Are there bylaws in hospital surgical departments fixing a retirement date regardless of the physician's health and technical and diagnostic
Finding Ping
Authors: Alexander C. McLeod
Journal: Annals of Internal Medicine (2003)

On Being a Doctor4 March 2003Finding PingAlexander C. McLeod, MD, MBAAlexander C. McLeod, MD, MBAFrom Nashville, Tennessee.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-138-5-200303040-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail No question about it. The very first book I can remember was about Ping, a little yellow duck that lived on the Yangtze River. I now know that the book is The Story about Ping, written by Marjorie Flack and illustrated by Kurt Wiese, first published in 1933. For some reason, Ping has stayed with me over the years, never quite out of mind. I made sure both of our children knew it. When we have grandchildren, I will ensure that they know it.I am also certain that Ping had drawn me to China, and in particular, the Yangtze ... Author, Article, and Disclosure InformationAffiliations: From Nashville, Tennessee.Corresponding Author: Alexander C. McLeod, MD, MBA, PO Box 50451, Nashville, TN 37205-0451; e-mail, [email protected]com. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoFinding Ping Alexander C. McLeod Metrics Cited byFinding PingAlexander C. McLeod, MD, MBA 4 March 2003Volume 138, Issue 5Page: 432-433KeywordsChinese peopleNursesOxygenPregnancyRenal transplantationResuscitationRiversSweatThoraxTouch ePublished: 4 March 2003 Issue Published: 4 March 2003 Copyright & PermissionsCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
AUTHOR'S REPLY
Authors: N J Douglas, K F Whyte
Journal: Thorax (1990)

1 2 2 1 of Population Censuses and Surveys, we calculate that in the last 10 years the ratio of the number of deaths from tuberculosis per 100 notifications in the 15-29 age group is 0 75.In other words, one death apparently results from 140 notified cases.On the basis of the figures of Drs Springett and Sutherland for the increased numbers of notifications which are likely to result from discontinuing BCG, the table above shows an estimate of the number of "preventable" deaths in the 15-29 age group which may result in the next 30 years.The possible increase in mortality is obviously another important factor which should be borne in mind when we are considering discontinuation of routine BCG vaccination.
Aids to diagnosis in closed abdominal trauma.
Journal: BMJ (1973)

oestrogens in low doses, or orchidectomy, appears still to be the best treatment.7According to a recent report by a re- search group the average patient with prostatic cancer derives no benefit from immediate treatment with sitil- boestrol or by orchidectomy unless the cancer is causing serious symptoms.7The excess mortality associated with oestrogen therapy, even when the dose is restricted to 5 mg daily by mouth, shows that this treatment should be given only to patients whose growth is causing serious clinical symptoms.There appears to be no point in combining oestogen therapy with orchidectomy.Adrenalectomy offers no clinical improvement, and hypophysectomy, though practised in some centres, is not generally recommended by this reserch group.Perhaps one of the most heartening reports was that from the radiotherapists, who were able to show that in certain hands radiotherapy can produce survival rates at 5 and 10 years comparable with other methods of treatment.8In very advanced cases some benefit may be derived from chemotherapy, particularly with aniline mustard.It was suggested that those tumours respond best which produce f- glucuronidase, and this may form the basis of a predictive test.This agent is known to circulate in the body as a glucuronide, and it is assumed its activation will occur preferentially in tissue with a high 8-glucuronidase activity.
Archives Disease in Childhood, London
Journal: JAMA (1964)

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
X-ray Analysis of Hair Reveals Breast Cancer
Authors: J. Stephenson
Journal: JAMA (1999)

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
AUTHORS REPLY
Authors: S. Grzybowski
Journal: Thorax (1992)

<h3>Background</h3> Neighbourhood resources may preserve functional independence in older adults, but little is known about whether benefits differ for individuals with normal and impaired memory. We evaluated the extent to which neighbourhood context was related to onset of instrumental and basic activities of daily living (I/ADL) limitations and whether relationships were modified by memory impairment. <h3>Methods</h3> Health and Retirement Study participants 50+ years of age without baseline I/ADL limitations (n=8726 for IADL and n=8345 for ADL models) were interviewed biennially for up to 8 years. Self-reported neighbourhood characteristics were scaled from 0 (worst) to 1 (best). Memory, assessed by direct and proxy cognitive assessments, was dichotomised at the 20th centile. We used pooled logistic regression models, adjusted for demographics and individual characteristics. <h3>Results</h3> Low neighbourhood physical disorder (OR=0.51 (95% CI: 0.37 to 0.69)), high social cohesion (OR=0.46 (0.34 to 0.62)), and high safety (OR=0.59 (0.46 to 0.76)) were associated with reduced incidence of IADL limitations. These neighbourhood characteristics were also associated with lower incidence of ADL limitations (disorder OR=0.59 (0.43 to 0.81)); social cohesion OR=0.60 (0.45 to 0.81)); safety OR=0.74 (0.58 to 0.93)). High social ties were not related to ADLs (OR=1.01(0.80 to 1.28)) or IADLs (OR=0.93(0.74 to 1.17)). The benefits of these neighbourhood characteristics for ADLs were similar among those with and without memory impairment but primarily observed among those without memory impairment for IADLs. <h3>Conclusions</h3> Older adults living in neighbourhoods with low physical disorder, high social cohesion and high safety experience lower incidence of IADL and ADL limitations. Memory status modified the estimated effects of neighbourhood characteristics on IADL but not ADL limitations.
Manuscripts Approved for JNCI, December 1, 1965, to January 1, 1966
Journal: JNCI Journal of the National Cancer Institute (1966)

Manuscripts Approved for JNCI, December 1, 1965, to January 1, 1966 Get access JNCI: Journal of the National Cancer Institute, Volume 36, Issue 2, February 1966, Pages 353–354, https://doi.org/10.1093/jnci/36.2.353-a Published: 01 February 1966
Travelers Need Hepatitis and Other Immunizations
Authors: M. Mitka
Journal: JAMA (2000)

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
Role of superoxide in the reduced nitric oxide activity associated with aging in the pulmonary vascular bed of the mouse: Influence of gene transfer of superoxide dismutase in vivo Hunter C. Champion, Trinity J. Bivalacqua, Donald D. Heistad, Albert L. Hyman, Philip J. Kadowitz. Johns Hopkins Hospital, Baltimore, MD, Tulane University, New Orleans, LA
Journal: Journal of the American College of Cardiology (2001)
Compensating Physicians for Telephone Calls
Authors: Peter G. Churgin
Journal: JAMA (1995)

<h3>To the Editor.</h3> —In response to the Commentary by Dr Sorum,<sup>1</sup>I would like to provide a corroborating observation of physicians' telephone encounter frequency. At our primary care health maintenance organization (HMO) clinic, six family practice clinicians have used a computerized patient record for the past 14 months, documenting all of their clinical activities on the system.<sup>2-4</sup>We document nearly all of our telephone calls to or from patients on the computerized patient record, and we can easily report the frequency of use of this communication method. Of 22 616 patient-physician encounters in 1994, there were 18 527 clinic visits and 4089 telephone encounters (18%). This percentage agrees well with the earlier references in Sorum's Commentary. (The range was 6% to 29% in our clinic.) The Table indicates various types of patient encounters in 1994 for three of our family physicians. Salaried physicians often struggle with the concept
Phthalate Ester Testing in the National Toxicology Program's Environmental Mutagenesis Test Development Program
Authors: Errol Zeiger, Stephen Haworth, William Speck, Kristien Mortelmans
Journal: Environmental Health Perspectives (1982)

A number of phthalate esters and related chemicals were tested for mutagenicity in Salmonella typhimurium. The chemicals were tested blind in three laboratories by a preincubation modification of the Ames Salmonella/mammalian microsome test using S-9 prepared from Aroclor-induced rats and Syrian hamsters. All chemicals tested were judged to be nonmutagenic.
Commentaire du travail de Vanbiervliet G. et al., pp. 1063
Journal: Endoscopy (2014)

See also: Core biopsy needle versus standard aspiration needle for endoscopic ultrasound-guided sampling of solid pancreatic masses: a randomized parallel-group studyEndoscopy 2014; 46(12): 1056-1062DOI: 10.1055/s-0034-1377558
Chest percussion
Authors: JC Yernault, AB Bohadana
Journal: European Respiratory Journal (1995)

The direct method of chest percussion, first described by Auenbrugger but disseminated by Corvisart, has rapidly been replaced by the indirect or digitodigital method. Chest percussion has not been evaluated by modern acoustic means, so that our present knowledge of the method does not consistently differ from the 19th century approach. Auscultatory percussion is not superior to conventional percussion.
Does This Patient Have Deep Vein Thrombosis?
Authors: Sonia S. Anand
Journal: JAMA (1998)

Objective.—To review the validity of the clinical assessment and diagnostic tests in patients with suspected deep vein thrombosis (DVT).Methods.—A comprehensive review of the literature was conducted by searching MEDLINE from 1966 to April 1997.Results.—Individual symptoms and signs alone do not reliably predict which patients have DVT. Overall, the diagnostic properties of the clinical examination are poor; the sensitivity of the clinical examination ranges from 60% to 96%, and the specificity ranges from 20% to 72%. However, using specific combinations of risk factors, symptoms, and physical signs for DVT, clinicians can reliably stratify patients with suspected DVT into low, moderate, or high pretest probability categories of actually suffering from DVT. This stratification process in combination with noninvasive testing, such as compression ultrasonography, simplifies the management strategies for patients with suspected DVT.Conclusions.—Use of a clinical prediction guide that includes specific factors from both the history and physical examination in combination with noninvasive tests simplifies management strategies for patients with suspected DVT.