tbuckley/cabot-search huggingface dataset:
TREATMENT OF GOITRE BY THYROID EXTRACT.
Journal: JAMA (1896)

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
Electroneurogiaphic Investigation of the Cochleorecurrential Reflex
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
Retropsoas and subgluteal abscesses following paracervical and pudendal anesthesia
Authors: W. Svancarek
Journal: JAMA (1977)

Retroperitoneal abscesses are uncommon in obstetrics and gynecology. Recently, seven reported cases of retropsoas-subgluteal abscesses following paracervical-pudendal anesthesia have been reported, and we have seen two additional cases. The infrequent occurrence and diagnostic difficulties make these abscesses especially dangerous. They can result in substantial patient morbidity and mortality. They must be suspected in patients receiving paracervical-pudendal anesthesia prior to vaginal delivery in whom hip pain subsequently develops. Therapy consists of prompt surgical exploration and drainage and appropriate antibiotic therapy. (<i>JAMA</i>237:892-894, 1977)
Implantable venous access devices
Authors: C R Pennington
Journal: BMJ (1991)

suffer from greater underascertainment than we estimated the incidence of childhood diabetes would be correspondingly increased throughout the British Isles, indicating an even greater dif- ference between the incidence in 1988 compared with that reported by Bloom et al for 1973-4.2The cause for public concern remains: urgency is added to the case for further national studies such as ours and multinational studies such as EURODIAB.
Interim Within-Season Estimate of the Effectiveness of Trivalent Inactivated Influenza Vaccine—Marshfield, Wisconsin, 2007-08 Influenza Season
Journal: JAMA (2008)

During clinical trials, the efficacy of vaccination with inactivated influenza vaccines for the prevention of serologically confirmed influenza infection has been estimated as high as 70%-90% among healthier adults. However, the effectiveness of annual influenza vaccination typically is lower during those influenza seasons when a suboptimal match between the vaccine strains and circulating influenza strains is observed. For example, in a 4-year randomized study of influenza vaccine among healthy persons aged 1-65 years, the predominant strain was drifted from the vaccine strain in 2 of the 4 years. Inactivated vaccine effectiveness (VE) against culture-confirmed influenza ranged from 71% to 79% when the vaccine and circulating strains were suboptimally matched to 74% to 79% when the matches were well matched. In contrast, a 2-year study of inactivated influenza vaccine among healthy adults aged 18-64 years found no measurable VE during a year when a poorly matched strain circulated, but found VE of 86% against laboratory-confirmed influenza during the following year when the vaccine and circulating strains were well matched. Although laboratory data on the antigenic characteristics of circulating influenza viruses compared with vaccine strains are available during influenza seasons, estimates of VE usually have not been made until months after the conclusion of the season. This report summarizes interim results of a 2008 case-control study to estimate the effectiveness of trivalent inactivated influenza vaccine for prevention of medically attended, laboratory-confirmed influenza during the 2007-08 influenza season, when most circulating influenza A (H3N2) and B viruses were suboptimally matched to the vaccine strains. Despite the suboptimal match between two of three vaccine strains and circulating influenza strains, overall VE in the study population during January 21-February 8, 2008, was 44%. These findings demonstrate that, in any season, assessment of the clinical effectiveness of influenza vaccines cannot be determined solely by laboratory evaluation of the degree of antigenic match between vaccine and circulation strains.
Medicolegal.
Journal: JAMA (2002)

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
developmental therapeutics
Authors: J Soria, E Smit, D Khayat, B Besse, J Burton, X Yang, M Hsu, A Braun, D Reese, F Blackhall, K Fizazi, L Bosserman, G Gao, T Skacel, R Markus, S Faivre, S Deprimo, A Cheng, S Lanzalone, M Lechuga, C Harmon, X Lin, E Raymond
Journal: Annals of Oncology (2008)
ALCOHOLIC STIMULANTS NOT A NECESSITY.
Journal: JAMA (1900)

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
Book Reviews
Authors: Hajime Tamai, Masahiro Esaki, Kohichiro Takeno, Sunao Matsubayashi, G. Vaslamatzis, P. Kanellos, V. Tserpe, S. Verveniotis, Siri Gullestad, George Iatrakis, Nikos Haronis, Gerasimos Sakellaropoulos, Anthony Kourkoubas, Manolis Gallos, Tetsuya Nakagawa, Michael C. Okimura, Robert M. Walter, Jr., Lindy F. Kumagai, Hajime Tamai, Nobuyuki Kobayashi, Shuji Fukata, Yoshihiko Hirota, Sunao Matsubayashi, Tetsuya Nakagawa, Michael C. Okimura, Robert M. Walter, Jr., Lindy F. Kumagai, Hajime Tamai, Kenji Mori, Sunao Matsubayashi, Kayoko Kiyohara, Tetsuya Nakagawa, Michael C. Okimura, Robert M. Walter, Jr., Lindy F. Kumagai, Shigenobu Nagataki, Diego De Leo, Stefano Caracciolo, Fiorenza Berto, Pia Mauro, Guido Magni, Giuseppe Miraglia, Hector Warnes, Jay E. Harris, Guido Magni, Francesco Di Mario, Giorgio Trinciarelli, Patrick Conlon, Giovanna Donzella
Journal: Psychotherapy and Psychosomatics (1986)
Insulin-like growth factor and apolipoprotein B
Authors: R. E. Ostlund
Journal: JAMA (1991)

<h3>To the Editor.</h3> —Apolipoprotein B (apo B) is the principal protein component of the atherogenic lipoproteins low-density (LDL) and very-low-density (VLDL). The factors that regulate plasma apo B levels are of particular interest since in some data apo B is more closely related to coronary heart disease than LDL or VLDL cholesterol.<sup>1</sup>We wondered whether insulin-like growth factor I (IGF-I) might be such a factor since the infusion of recombinant IGF-I recently was reported to lower plasma cholesterol levels.<sup>2-4</sup>Indeed, previous work had shown that IGF-I deficiency states were accompanied by hypercholesterolemia.<sup>5-7</sup>Our hypothesis was that apo B—containing lipoproteins were inversely related to circulating IGF-I in normal subjects. Insulin-like growth factor I,<sup>8</sup>insulin-like growth factor II (IGF-II),<sup>9</sup>and apo B<sup>10</sup>were measured in serum frozen at —70° obtained from 148 well-characterized, healthy men and women between the ages of 60 and 70 years for
Pulmonary Embolism
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 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
High plasma atrial natriuretic peptide independent of sodium balance in SIADH
Authors: H. Sakamoto
Journal: JAMA (1986)

<h3>To the Editor.—</h3> After de Bold et al<sup>1</sup>reported a rapid and a potent natriuretic response induced by intravenous injection of atrial myocardial extract in rats, the capacity of atrial natriuretic peptide (ANP) as a hormone to induce natriuresis has been confirmed by the research of many workers. It has been reported that the secretion of this hormone depends on volume balance.<sup>2</sup>However, it has yet to be determined whether this volume dependency results from an increased extracellular fluid (ECF) volume per se or is associated with a high intake of salt.<sup>3</sup>In this study, an examination was carried out on dependency of the plasma level of human ANP on volume and sodium balance in a patient with the syndrome of inappropriate secretion of antidiuretic hormone (SIADH) possibly related to both these factors. <h3>Report of a Case.—</h3> A 74-year-old man was admitted to our hospital because of
ABSTRACTS
Authors: STANFORD WESSLER
Journal: Circulation (1964)

In a period of 312 years, 17 infants and children (2 to 3 per 1,000 admissions) suffering from pericarditis with effusion were studied at the Uni- versity of Oklahoma Medical Center.The etiology was rheumatic fever, four cases; purulent infection, three; virus infection, one; metastatic tumor, one; uremia, one; rheumatoid arthritis, one; fibrocystic disease, one; and postcardiotomy syndrome, five.Technics used to diagnose pericardial effusion in the absence of a friction rub include cardiac catheterization, angiocardiography, and pericar- dial paracentesis, which the authors regard as re- liable but difficult, tedious, and potentially haz- ardous, and also fluoroscopy, kymography, and isotope scanning, which, although safe, they re- gard as unreliable.Since accuracy of diagnosis is essential for satisfactory management, the choice of diagnostic procedures requires astute clinical judgment.
Books Received
Journal: JNCI Journal of the National Cancer Institute (1973)

Journal Article Books Received Get access Archivio Italiano Di Patologia E Clinica Dei Tumori (De Gaetani G, Baserga A, Costa A., et al, eds.). Via Vanvitelli, 32-20129, Milano, Italy. Clinical Uses of Radionuclides: Critical Comparison With Other Techniques (Goswitz FA, Andrews GA, Viamonte MJr, et al, eds.). Springfield, Va., National Technical Information Service, U.S. Department of Commerce. Amalric R: Cesiumtherapie Curative Des Cancers Du Sein (breast neoplasms). Paris, Masson, 1973, 151 pp, $16.67. Ansfield FJ: Chemotherapy of Malignant Neoplasms. Springfield, Ill., Thomas, c 1973, 313 pp, $19.75. Appelqvist P.: Carcinoma of the Esophagus and Gastric Cardia: A Retrospective Study Based on Statistical and Clinical Material From Finland. Helsinki, Almqvist & Wilsell, Stockholm, 1972, 92 pp. Cell Surface Alteration as a Result of Malignant Transformation (Leclero JC, ed.). New York, MSS Information Corp., cl972, $15.00. Deutscher Hamatologenkongress (Gross R., Van de Loo J, eds.) (leukemia). Berlin, New York, Springer-Verlag, 1972, 700 pp. Embryonic and Fetal Antigens in Cancer (Anderson NG, Coggin JH, eds.). Oak Ridge, Tenn., USAEC Technical Information Center, 1972, 373 pp, $6.00. Golovin DI: Opukholi Nosi i Pridatochnykh Pazukh; Voprosy Gistologii i Gistogeneza (nose neoplasms). Leningrad, Meditsina, 1972, 95 pp, $.50. Issledovanie Putei Rasprostraneniia Leikoznykh i On-kogennykh Virusov; Materialy Vesesoiuznogo Simpo-ziuma 8–10 Iiunia 1970 goda (Lapin RB, ed.). Sukhumi, 1972, 115 pp. Neue Aspekte in Diagnose Und Therapie Des Genitalkarzinoms der Frau (Konig hrsg von PA., Pfleiderer AJr., von Bachmann B.FF., eds.). Stuttgart, Enke, 1973, 125 pp. Pauli HK: Krebsvorsorge Bei Der Frau; Eine Sozialmedizinische Utersuchung (gynecologic neoplasms). Heidelberg, Huthig, 1972, 121 pp, $4.93. Rokhlin DG: Ioniziruiushchee Izluchenia v Diagnostike i Lechenii Raka Shchitovidnoi Zhelezy (Rokhlin DG, Zadvornova VP, eds.). Leningrad, Meditsina, 1972, 194 pp, $1.35. Symposium on the Diagnosis and Treatment of Oral Cancer. Meharry Medical College, Nashville, 1969. Nashville, c 1973, 150 pp. Thomas C.: Neurologische Formen des Paraneoplastischen Syndroms (neoplasms). Stuttgart, New York, Schattauer. 1972, 108 pp. JNCI: Journal of the National Cancer Institute, Volume 51, Issue 3, September 1973, Page 1088, https://doi.org/10.1093/jnci/51.3.1088 Published: 01 September 1973
Recurrent pericarditis.
Authors: J. Robinson, W. Brigden
Journal: BMJ (1968)

The changing prevalence of the aetiological factors in disease is clearly seen in pericarditis.Tuberculosis, pyogenic infection, and rheumatic fever are now relatively rare causes of this con- dition in Great Britain.Nowadays pericarditis commonly occurs in a relatively benign isolated form, which is often recurrent and of obscure origin (idiopathic pericarditis): virus A married woman aged 48 complained of pain in the middle of her chest, which became severe on lying down, and aches in various joints two weeks after closed mitral valvotomy.Her temperature Bhny
DIPHTHERIA ANATOXIN
Authors: W. Illingworth Helie
Journal: JAMA (1928)

<h3>To the Editor:</h3> —In the Paris letter inThe Journal, March 24, an item on diphtheria anatoxin contained certain errors of appreciation which might be prejudicial to a method that has proved efficacious and beneficial in France since the first successful experiment at the end of 1923. Diphtheria anatoxin has been injected in France alone more than a million times without any fatal accidents occurring. In December, 1927, the Paris Academy of Medicine asserted both the security and the efficiency of this method and requested the French government to institute compulsory antidiphtheric vaccination. An executive committee elected by the French board of health pronounced in the<i>Bulletin of the Academy of Medicine</i>, March 6, 1928, the foregoing qualities of Ramon's anatoxin and suggested arrangements for a system of antidiphtheric vaccination. Not only does the French public no longer mistrust this method, but so many applications have been made that the
Long-term Cardiovascular Consequences of Diuretics vs Calcium Channel Blockers vs Angiotensin-Converting Enzyme Inhibitors
Authors: H. T. Ong
Journal: JAMA (2003)

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
Outbreaks of diarrheal disease: a ship is a ship
Authors: B. K. Bohnker
Journal: JAMA (1996)

<h3>To the Editor.</h3> —While Dr Koo and colleagues<sup>1</sup>should be complimented on their report of diarrheal disease outbreaks on cruise ships, the issues they note extend well beyond the civilian cruise ship industry. United States Navy aircraft carriers are quite different from cruise liners, but diarrheal disease outbreaks occasionally occur that can have military significance. After a visit to a North African port in 1988, a study from the USS<i>John F. Kennedy</i>(CV 67) supported the significance of onshore food-borne sources.<sup>2</sup>They detailed the impact on the ship's medical requirements and personnel availability. After a port visit in the Mediterranean in 1991, the medical department of the USS<i>Forrestal</i>(CV 59) treated more than 750 cases of diarrheal disease in a crew of 5000.<sup>3</sup>Another ship in the company treated 15% of the crew for diarrheal diseases, though no cause was established for either ship. During
Studies of Nickel Carcinogenesis: Subcellular Partition of Nickel in Lung and Liver Following Inhalation of Nickel Carbonyl
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
Clinical Chemistry, New York
Journal: JAMA (1967)

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