ARTICLE TITLE: Patient-controlled analgesia in postoperative
cardiac surgery.
ARTICLE SOURCE: Anaesth Intensive Care (Australia), Oct 1999, 27(5)
p464-70
AUTHOR(S): Tsang J; Brush B
AUTHOR'S ADDRESS: Intensive Care Unit, Vancouver General Hospital,
Vancouver, B.C., Canada.
PUBLICATION TYPE: CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED
CONTROLLED TRIAL
ABSTRACT: The purpose of this study was to assess, in the early
postoperative period of cardiac surgery, the efficacy of
patient-controlled analgesia (PCA) versus nurse-administered
intravenous morphine followed by oral acetaminophen with or without
codeine <snip> statistically different. It was concluded that
there was no significant advantage in using PCA routinely in the
early postoperative period after cardiac surgery. Furthermore,
repetition of PCA instructions was often required during the study
period.
ARTICLE TITLE: Intraoperative and postoperative analgesic efficacy
and adverse effects of intrathecal opioids in patients undergoing
cesarean section with spinal anesthesia: a qualitative and
quantitative systematic review of randomized controlled trials.
ARTICLE SOURCE: Anesthesiology (United States), Dec 1999, 91(6)
p1919-27
AUTHOR(S): Dahl JB; Jeppesen IS; Jorgensen H; Wetterslev J; Moiniche
S
AUTHOR'S ADDRESS: Department of Anaesthesiology, Herlev University
Hospital, Denmark. jbdahl@dadlnet.dk.
PUBLICATION TYPE: JOURNAL ARTICLE; REVIEW (29 references); REVIEW,
TUTORIAL
ARTICLE TITLE: Airway injury during anesthesia: a closed claims
analysis.
ARTICLE SOURCE: Anesthesiology (United States), Dec 1999, 91(6)
p1703-11
AUTHOR(S): Domino KB; Posner KL; Caplan RA; Cheney FW
AUTHOR'S ADDRESS: Department of Anesthesiology, University of
Washington School of Medicine, Seattle 98195-6540, USA.
kdomino@u.washington.edu.
PUBLICATION TYPE: JOURNAL ARTICLE
CONCLUSION: Patients in whom tracheal intubation has been difficult
should be observed for and told to watch for the development of
symptoms and signs of retropharyngeal abscess, mediastinitis, or
both.
ARTICLE TITLE: Does epidural anesthesia have general anesthetic
effects? A prospective, randomized, double-blind, placebo-controlled
trial.
ARTICLE SOURCE: Anesthesiology (United States), Dec 1999, 91(6)
p1687-92
AUTHOR(S): Hodgson PS; Liu SS; Gras TW
AUTHOR'S ADDRESS: Department of Anesthesiology, Virginia Mason
Medical Center, Seattle, Washington 98111, USA.
PUBLICATION TYPE: CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED
CONTROLLED TRIAL
CONCLUSIONS: Lidocaine epidural anesthesia reduced the MAC of
sevoflurane by approximately 50%. This MAC sparing is most likely
caused by indirect central effects of spinal deafferentation and not
to systemic effects of lidocaine or direct neural blockade. Thus,
lower concentrations of volatile agents than those based on standard
MAC values may be adequate during combined epidural-general
anesthesia.
MB. It is not surprising as they used patient movement to decide on
'MAC' dosage.
ARTICLE TITLE: Beneficial effects from beta-adrenergic blockade in
elderly patients undergoing noncardiac surgery.
ARTICLE SOURCE: Anesthesiology (United States), Dec 1999, 91(6)
p1674-86
AUTHOR(S): Zaugg M; Tagliente T; Lucchinetti E; Jacobs E; Krol M;
Bodian C; Reich DL; Silverstein JH
AUTHOR'S ADDRESS: Department of Anesthesiology, The Mount Sinai
School of Medicine, New York, New York 10029-6574, USA.
PUBLICATION TYPE: CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED
CONTROLLED TRIAL
CONCLUSION: Beta-blockade does not reduce the neuroendocrine stress
response, suggesting that this mechanism is not responsible for the
previously reported improved cardiovascular outcome. However, it
confers several advantages, including decreased analgesic
requirements, faster recovery from anesthesia, and improved
hemodynamic stability. The release of cardiac troponin I suggests the
occurrence of perioperative myocardial damage in this elderly
population, which appears to be independent of the neuroendocrine
stress response.
MB. Maybe everyone should be on beta blockers and ACE inhibitors
whether or not they are having an operation.
ARTICLE TITLE: Effects of crystalloid and colloid preload on blood
volume in the parturient undergoing spinal anesthesia for elective
Cesarean section [see comments]
COMMENTS: Comment in: Anesthesiology 1999 Dec; 91(6):1565-7
ARTICLE SOURCE: Anesthesiology (United States), Dec 1999, 91(6)
p1571-6
AUTHOR(S): Ueyama H; He YL; Tanigami H; Mashimo T; Yoshiya I
AUTHOR'S ADDRESS: Department of Anesthesiology, Osaka University
Medical School, Japan. ueyama@hp-op.med.osaka-u.ac.jp.
PUBLICATION TYPE: CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED
CONTROLLED TRIAL
ABSTRACT: BACKGROUND: The role of crystalloid preloading to prevent
hypotension associated with spinal anesthesia in parturients during
cesarean section has been challenged. Direct measurement of blood
volume should provide insight regarding the volume-expanding effects.
The aim of the current study was to clarify the effects of volume
preload with either crystalloid or colloid solution on the changes in
blood volume of parturients undergoing spinal anesthesia for cesarean
section. METHODS: Thirty-six healthy parturients scheduled for
elective cesarean section during spinal anesthesia were allocated
randomly to one of three groups receiving 1.5 l lactated Ringer's
solution (LR; n = 12), 0.5 l hydroxyethylstarch solution, 6% (0.5 l
HES; n = 12), and 1.0 l hydroxyethylstarch solution, 6% (1.0 l HES; n
= 12), respectively. Blood volume and cardiac output were measured
before and after volume preloading with indocyanine green (ICG), and
the indocyanine green blood concentrations were monitored by
noninvasive pulse spectrophotometry. RESULTS: After volume preload,
the blood volume significantly increased in all three groups (P <
0.01). The volume of infused solution remaining in the vascular space
in the LR, 0.5-l HES, and 1.0-l HES groups were 0.43+/-0.20 l,
0.54+/-0.14 l, and 1.03+/-0.21 l, respectively, corresponding to 28%
of lactated Ringer's solution and 100% of hydroxyethylstarch solution
infused. Significant increases in cardiac output were observed in the
0.5-l and 1.0-l HES groups (P < 0.01). A significant correlation
between the percentage increase in blood volume and that of cardiac
output was observed by volume preloading (r2 = 0.838; P < 0.001).
The incidence of hypotension was 75% for the LR group, 58% for the
0.5-l HES group, and 17% for the 1.0-l HES group, respectively.
CONCLUSIONS: The incidence of hypotension developed in the 1.0-l HES
group was significantly lower than that in the LR and 0.5-l HES
groups, showing that greater volume expansion results in less
hypotension. This result indicates that the augmentation of blood
volume with preloading, regardless of the fluid used, must be large
enough to result in a significant increase in cardiac output for
effective prevention of hypotension.
MB. Why not give GAs. They were alright. It is apparent for UK
obstetric mortality studies that the obstetric anaesthetic have
become deskilled. If they are convinced that regional essential and
that hypotension is important then real monitoring during any loading
would be required. The study should have at least measured CVP. If a
SG catheter had been used more modern methods of measuring cardiac
output could have been combined with mixed venous saturation etc.
ARTICLE TITLE: Spinal hypotension associated with Cesarean
section: will preload ever work? [editorial; comment]
COMMENTS: Comment on: Anesthesiology 1999 Dec; 91(6):1571-6
ARTICLE SOURCE: Anesthesiology (United States), Dec 1999, 91(6)
p1565-7
AUTHOR(S): Rout C; Rocke DA
PUBLICATION TYPE: COMMENT; EDITORIAL
MB. They despair of finding a rational solution to the previous
articles. If they learnt to give GAs without aspiration it might
help. When I did caesarian anaesthetics I always thought the whole
thing was easy including the intubation. I introduced endothracheal
anaesthesia in my great institution. I was a junior registrar then. I
often intubated the patients already in the lithotomy in an
old-fashioned labour ward bed lying across the bed above the
patient's head. It was a breeze.
ARTICLE TITLE: Assessment of the patient with cardiac disease: an
anesthesiologist's paradigm.
ARTICLE SOURCE: Anesthesiology (United States), Nov 1999, 91(5)
p1521-6
AUTHOR(S): Mangano DT
AUTHOR'S ADDRESS: San Francisco Veterans Affairs Medical Center,
California 94121, USA. dennis_mangano@quickmail.ucsf.edu.
PUBLICATION TYPE: JOURNAL ARTICLE; REVIEW (18 references); REVIEW,
TUTORIAL
ARTICLE TITLE: Supplemental oxygen reduces the incidence of
postoperative nausea and vomiting.
ARTICLE SOURCE: Anesthesiology (United States), Nov 1999, 91(5)
p1246-52
AUTHOR(S): Greif R; Laciny S; Rapf B; Hickle RS; Sessler DI
AUTHOR'S ADDRESS: Department of Anesthesia and Perioperative Care,
University of California-San Francisco, 94143-0648, USA.
sessler@anesthesia.ucsf.edu.
PUBLICATION TYPE: CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED
CONTROLLED TRIAL
CONCLUSIONS: Supplemental oxygen reduced the incidence of
postoperative nausea or vomiting nearly twofold after colorectal
surgery. The mechanism by which oxygen administration reduces the
incidence of these postoperative sequelae remains unknown but may be
related to subtle intestinal ischemia. Because oxygen is inexpensive
and essentially risk-free, supplemental oxygen appears to be an
effective method of reducing postoperative nausea and vomiting.
MB. This contains some authors of the group which claimed that
hypothermia increases wound infection. That was not confirmed. This
claim would require confirmation too.
I must declare an interest. I am very interested in preventing
hypothermia during the operative period but do not use forced heated
air to achieve normothermia
ARTICLE TITLE: Perflubron emulsion delays blood transfusions in
orthopedic surgery. European Perflubron Emulsion Study Group [see
comments]
COMMENTS: Comment in: Anesthesiology 1999 Nov; 91(5):1185-7
ARTICLE SOURCE: Anesthesiology (United States), Nov 1999, 91(5)
p1195-208
AUTHOR(S): Spahn DR; van Brempt R; Theilmeier G; Reibold JP; Welte M;
Heinzerling H; Birck KM; Keipert PE; Messmer K; Heinzerling H; Birck
KM; Keipert PE; Messmer K
AUTHOR'S ADDRESS: Department of Anesthesiology, University Hospital
Zurich, Switzerland. donat.spahn@ifa.usz.ch.
PUBLICATION TYPE: CLINICAL TRIAL; JOURNAL ARTICLE; MULTICENTER STUDY;
RANDOMIZED CONTROLLED TRIAL
CONCLUSIONS: Perflubron emulsion (1.8 g/kg) combined with 100% oxygen
ventilation is more effective than autologous blood or colloid
infusion in reversing physiologic transfusion triggers.
ARTICLE TITLE: Perfluorochemical "blood substitutes"
[editorial; comment]
COMMENTS: Comment on: Anesthesiology 1999 Nov; 91(5):1195-208
ARTICLE SOURCE: Anesthesiology (United States), Nov 1999, 91(5)
p1185-7
AUTHOR(S): Tremper KK
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: Barbiturates and the brain [editorial;
comment]
COMMENTS: Comment on: Anesthesiology 1999 Nov; 91(5):1329-41
ARTICLE SOURCE: Anesthesiology (United States), Nov 1999, 91(5)
p1190-2
AUTHOR(S): Pearce RA
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: Risk factors of delayed extubation, prolonged
length of stay in the intensive care unit, and mortality in patients
undergoing coronary artery bypass graft with fast-track cardiac
anesthesia: a new cardiac risk score [see comments]
COMMENTS: Comment in: Anesthesiology 1999 Oct; 91(4):911-5
ARTICLE SOURCE: Anesthesiology (United States), Oct 1999, 91(4)
p936-44
AUTHOR(S): Wong DT; Cheng DC; Kustra R; Tibshirani R; Karski J;
Carroll-Munro J; Sandler A
PUBLICATION TYPE: CLINICAL TRIAL; JOURNAL ARTICLE
ABSTRACT: BACKGROUND: Risk factors of delayed extubation, prolonged
intensive care unit (ICU) length of stay (LOS), and mortality have
not been studied for patients administered fast-track cardiac
anesthesia (FTCA). The authors' goals were to determine risk factors
of outcomes and cardiac risk scores (CRS) for CABG patients
undergoing FTCA. METHODS: Consecutive CABG patients undergoing FTCA
were prospectively studied. Outcome variables were delayed extubation
> 10 h, prolonged ICU LOS > 48 h, and mortality. Univariate
analyses were performed followed by multiple logistic regression to
derive risk factors of the three outcomes. Simplified integer-based
CRS were derived from logistic models. Bootstrap validation was
performed to assess and compare the predictive abilities of CRS and
logistic models for the three outcomes. RESULTS: The authors studied
885 patients. Twenty-five percent had delayed extubation, 17% had
prolonged ICU LOS, and 2.6% died. Risk factors of delayed extubation
were increased age, female gender, postoperative use of intraaortic
balloon pump, inotropes, bleeding, and atrial arrhythmia. Risk
factors of prolonged ICU LOS were those of delayed extubation plus
preoperative myocardial infarction and postoperative renal
insufficiency. Risk factors of mortality were female gender,
emergency surgery, and poor left ventricular function. CRSs were
modeled for the three outcomes. The area under the receiver operating
characteristic curve for the CRS-logistic models was not
significantly different: 0.707/0.702 for delayed extubation,
0.851/0.855 for prolonged ICU LOS, and 0.657/0.699 for mortality.
CONCLUSION: In CABG patients undergoing FTCA, the authors derived and
validated risk factors of delayed extubation, prolonged ICU LOS, and
mortality. Furthermore, they developed a simplified CRS system with
similar predictive abilities as the logistic models.
:
ARTICLE TITLE: Fast tracking into the new millennium: an evolving
paradigm [editorial; comment]
COMMENTS: Comment on: Anesthesiology 1999 Oct; 91(4):936-44
ARTICLE SOURCE: Anesthesiology (United States), Oct 1999, 91(4)
p911-5
AUTHOR(S): London MJ; Shroyer AL; Grover FL
PUBLICATION TYPE: COMMENT; EDITORIAL
MB. How come the FDA did not have to approve fast tracking. I can
recall when EVERY patient was fast tracked. That is ALL patients were
extubated at the end of ALL operations. Extubation by 10 hours is
pretty slow. I think I could give them some lessons in rapid
recovery.
ARTICLE TITLE: Anticoagulation monitoring during cardiac surgery:
a review of current and emerging techniques.
ARTICLE SOURCE: Anesthesiology (United States), Oct 1999, 91(4)
p1122-51
AUTHOR(S): Despotis GJ; Gravlee G; Filos K; Levy J
AUTHOR'S ADDRESS: Department of Anesthesiology, Washington University
School of Medicine, St. Louis, Missouri 63110, USA.
despotig@notes.wustl.edu.
PUBLICATION TYPE: JOURNAL ARTICLE; REVIEW (326 references); REVIEW,
TUTORIAL
ABSTRACT: The literature does not consistently support the importance
of anticoagulation monitoring techniques during CPB. This is best
reflected by studies that have evaluated the impact of the ACT method
on blood loss and transfusion outcomes. Inconsistent findings from
studies that evaluated the impact of ACT monitoring may be related to
either suboptimal study design (i.e., retrospective, unblinded,
nonrandomized) or possibly the diagnostic inprecision of the ACT
method used in these studies. There are a small number of
well-controlled studies, some of which suggest that bleeding and
transfusion outcomes can be improved by refining heparin monitoring
techniques, either by sustaining better anticoagulation during CPB or
by optimizing protamine doses (i.e., when empiric protocols result in
excessive protamine doses). More well-controlled studies are needed
to better define the importance of anticoagulation management during
CPB.
MB. That means real tests done by haematologists.
ARTICLE TITLE: Developments in cardioprotection: "polarized"
arrest as an alternative to "depolarized" arrest.
ARTICLE SOURCE: Ann Thorac Surg (United States), Nov 1999, 68(5)
p1960-6
AUTHOR(S): Chambers DJ; Hearse DJ
AUTHOR'S ADDRESS: Department of Cardiac Surgical
Research/Cardiothoracic Surgery, The Rayne Institute, St. Thomas'
Hospital, London, England. david.chambers@kcl.ac.uk.
PUBLICATION TYPE: JOURNAL ARTICLE; REVIEW (48 references); REVIEW,
TUTORIAL
ABSTRACT: During cardiac surgery or cardiac transplantation, the
heart is subjected to varying periods of global ischemia. The heart
must be protected during this ischemic period to avoid additional
injury, and techniques have been developed that delay ischemic injury
and minimize reperfusion injury. Almost universally, this involves
using a hyperkalemic cardioplegic solution and these solutions have
become the gold standard for myocardial protection for more than 20
years. Despite the extensive and continued research aimed at
improving these basic hyperkalemic cardioplegic solutions, patients
undergoing surgery almost invariably experience some degree of
postoperative dysfunction. It is likely that this relates to the
depolarizing nature of hyperkalemic solutions, which results in ionic
imbalance caused by continuing transmembrane fluxes and the
consequent maintenance of high energy phosphate metabolism, even
during hypothermic ischemia. A potentially beneficial alternative to
hyperkalemic cardioplegia is to arrest the heart in a
"hyperpolarized" or "polarized" state, which maintains the membrane
potential of the arrested myocardium at or near to the resting
membrane potential. At these potentials, transmembrane fluxes will be
minimized and there should be little metabolic demand, resulting in
improved myocardial protection. Recent studies have explored these
alternative concepts for myocardial protection. The use of compounds
such as adenosine or potassium channel openers, which are thought to
induce hyperpolarized arrest, have demonstrated improved protection
after normothermic, or short periods of hypothermic, ischemia when
compared to hyperkalemic (depolarized) arrest. Similarly, studies
from our own laboratory, in which the sodium channel blocker,
tetrodotoxin, was used to induce polarized arrest (demonstrated by
direct measurement of membrane potential during ischemia) was also
shown to provide better recovery of function after 5 hours of
long-term hypothermic (7.5 degrees C) storage. These promising
initial studies need to be consolidated before experimental promise
becomes clinical reality.
ARTICLE TITLE: Cost-effectiveness of minimally invasive coronary
artery bypass surgery.
ARTICLE SOURCE: Ann Thorac Surg (United States), Oct 1999, 68(4)
p1562-6
AUTHOR(S): Arom KV; Emery RW; Flavin TF; Petersen RJ
AUTHOR'S ADDRESS: Minneapolis Heart Institute, Minnesota 55407, USA.
karom@csa-heart.com.
PUBLICATION TYPE: JOURNAL ARTICLE
CONCLUSIONS: Off pump procedures currently reflect acute
episode-of-care cost savings over conventional coronary artery bypass
(CCAB).
ARTICLE TITLE: Should patients be normothermic in the immediate
postoperative period? [comment]
COMMENTS: Comment on: Ann Thorac Surg 1999 Oct; 68(4):1452-3
ARTICLE SOURCE: Ann Thorac Surg (United States), Oct 1999, 68(4)
p1454-5
AUTHOR(S): Jones T; Roy RC
AUTHOR'S ADDRESS: Department of Anesthesiology, Wake Forest
University School of Medicine, Winston-Salem, North Carolina
27157-1009, USA.
PUBLICATION TYPE: COMMENT; JOURNAL ARTICLE
ARTICLE TITLE: Outcomes '99. Conference on cardiac and vascular
surgery: neurobehavioral assessment, physiological monitoring and
cerebral protective strategies. Key West, Florida, USA. May 26-30,
1999. Proceedings and abstracts.
ARTICLE SOURCE: Ann Thorac Surg (United States), Oct 1999, 68(4)
p1445-69
PUBLICATION TYPE: CONGRESSES; OVERALL
ARTICLE TITLE: Public reporting of surgical mortality: a survey of
New York State cardiothoracic surgeons.
ARTICLE SOURCE: Ann Thorac Surg (United States), Oct 1999, 68(4)
p1195-200; discussion 1201-2
AUTHOR(S): Burack JH; Impellizzeri P; Homel P; Cunningham JN Jr
AUTHOR'S ADDRESS: Division of Cardiothoracic Surgery, State
University of New York, Health Science Center at Brooklyn, 11203,
USA. ejsd@erols.com.
PUBLICATION TYPE: JOURNAL ARTICLE
CONCLUSIONS: The public disclosure of surgical results may be based
on imperfect data and appears to have resulted in denial of surgical
treatment to high-risk patients.
ARTICLE TITLE: A randomized, controlled trial of the effects of
remote, intercessory prayer on outcomes in patients admitted to the
coronary care unit.
ARTICLE SOURCE: Arch Intern Med (United States), Oct 25 1999, 159(19)
p2273-8
AUTHOR(S): Harris WS; Gowda M; Kolb JW; Strychacz CP; Vacek JL; Jones
PG; Forker A; O'Keefe JH; McCallister BD
AUTHOR'S ADDRESS: Mid America Heart Institute, Saint Luke's Hospital,
Kansas City, MO, USA.
PUBLICATION TYPE: CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED
CONTROLLED TRIAL
ABSTRACT: CONTEXT: Intercessory prayer (praying for others) has been
a common response to sickness for millennia, but it has received
little scientific attention. The positive findings of a previous
controlled trial of intercessory prayer have yet to be replicated.
OBJECTIVE: To determine whether remote, intercessory prayer for
hospitalized, cardiac patients will reduce overall adverse events and
length of stay. DESIGN: Randomized, controlled, double-blind,
prospective, parallel-group trial. SETTING: Private,
university-associated hospital. PATIENTS: Nine hundred ninety
consecutive patients who were newly admitted to the coronary care
unit (CCU). INTERVENTION: At the time of admission, patients were
randomized to receive remote, intercessory prayer (prayer group) or
not (usual care group). The first names of patients in the prayer
group were given to a team of outside intercessors who prayed for
them daily for 4 weeks. Patients were unaware that they were being
prayed for, and the intercessors did not know and never met the
patients. MAIN OUTCOME MEASURES: The medical course from CCU
admission to hospital discharge was summarized in a CCU course score
derived from blinded, retrospective chart review. RESULTS: Compared
with the usual care group (n = 524), the prayer group (n = 466) had
lower mean +/- SEM weighted (6.35 +/- 0.26 vs 7.13 +/- 0.27; P=.04)
and unweighted (2.7 +/- 0.1 vs 3.0 +/- 0.1; P=.04) CCU course scores.
Lengths of CCU and hospital stays were not different. CONCLUSIONS:
Remote, intercessory prayer was associated with lower CCU course
scores. This result suggests that prayer may be an effective adjunct
to standard medical care.
MB. How will it be paid for?
ARTICLE TITLE: Reliability of self-reported blood pressure
measurements.
ARTICLE SOURCE: Arch Intern Med (United States), Dec 13-27 1999,
159(22) p2689-93
AUTHOR(S): Johnson KA; Partsch DJ; Rippole LL; McVey DM
AUTHOR'S ADDRESS: HealthAmerica of Pennsylvania, Inc, and Department
of Pharmaceutical Sciences, University of Pittsburgh, PA, USA.
johnsonka@msx.upmc.edu.
PUBLICATION TYPE: CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED
CONTROLLED TRIAL
CONCLUSIONS: Most self-reported BP and HR readings were identical to
electronically stored measurements. However, erroneous reporting
occurred significantly more often in cases of uncontrolled BP and HR,
which may misguide physicians in the optimal treatment of their
patients with hypertension.
ARTICLE TITLE: Association between alcohol consumption and
mortality, myocardial infarction, and stroke in 25 year follow up of
49 618 young Swedish men.
ARTICLE SOURCE: BMJ (England), Sep 25 1999, 319(7213) p821-2
AUTHOR(S): Romelsjo A; Leifman A
AUTHOR'S ADDRESS: Karolinska Institutet, Department of Public Health
Sciences, Centre for Alcohol and Drug Prevention, Novum, S-141 57
Huddinge, Sweden. anders.romelsjo@smd.sll.se.
MAJOR SUBJECT HEADING(S): Alcohol Drinking [mortality];
Cerebrovascular Accident [mortality]; Myocardial Infarction
[mortality]
MINOR SUBJECT HEADING(S): Follow-Up Studies; Incidence; Middle Age;
Sweden [epidemiology]
INDEXING CHECK TAG(S): Human; Male; Support, Non-U.S. Gov't
PUBLICATION TYPE: JOURNAL ARTICLE
MEDLINE INDEXING DATE: 200001
ISSN: 0959-8138
LANGUAGE: English
ARTICLE TITLE: AMA sets up "union" for employed doctors
[news]
ARTICLE SOURCE: BMJ (England), Sep 25 1999, 319(7213) p806
AUTHOR(S): Gottlieb S
PUBLICATION TYPE: NEWS
MB. The Australian Salaried Medical Officers Federation does it here.
I was a member for years. Our AMA is also a union and employs
"industrial officers"> I have had to use the services of both.
ARTICLE TITLE: Israel wants to abolish private medicine in public
hospitals [news]
ARTICLE SOURCE: BMJ (England), Sep 25 1999, 319(7213) p803
AUTHOR(S): Siegel-Itzkovich J
PUBLICATION TYPE: NEWS
That is one way of lowering the overall quality in both sectors.
ARTICLE TITLE: Should cases of permanent vegetative state still go
to court?. Britain should follow other countries and keep the courts
for cases of dispute [editorial; comment]
COMMENTS: Comment on: BMJ 1999 Sep 25; 319(7213):841-4
ARTICLE SOURCE: BMJ (England), Sep 25 1999, 319(7213) p796-7
AUTHOR(S): Jennett B
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: Commentary: Competencies for informed shared
decision making.
ARTICLE SOURCE: BMJ (England), Sep 18 1999, 319(7212) p770
AUTHOR(S): Greenhalgh
PUBLICATION TYPE: JOURNAL ARTICLE
ARTICLE TITLE: Five year follow up of patients at high
cardiovascular risk who took part in randomised controlled trial of
health promotion.
ARTICLE SOURCE: BMJ (England), Sep 11 1999, 319(7211) p687-8
AUTHOR(S): Cupples ME; McKnight A
AUTHOR'S ADDRESS: Department of General Practice, Queen's University,
Belfast BT9 7HR. m.cupples@qub.ac.uk.
PUBLICATION TYPE: CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED
CONTROLLED TRIAL
ARTICLE TITLE: ACE inhibitor reduces cardiovascular events by 22%
[news]
ARTICLE SOURCE: BMJ (England), Sep 11 1999, 319(7211) p661
AUTHOR(S): Mayor S
PUBLICATION TYPE: NEWS
ARTICLE TITLE: Commentary: all women should have a choice
[comment]
COMMENTS: Comment on: BMJ 1999 Nov 27; 319(7222):1397-402
ARTICLE SOURCE: BMJ (England), Nov 27 1999, 319(7222) p1401
AUTHOR(S): Griffin A
MAJOR SUBJECT HEADING(S): Cesarean Section [psychology]
MINOR SUBJECT HEADING(S): Cesarean Section [statistics &
numerical data]; Great Britain; Pregnancy; Socioeconomic
Factors
INDEXING CHECK TAG(S): Female; Human
ARTICLE TITLE: Commentary: increase in cesarean sections may
reflect medical control not women's choice [comment]
COMMENTS: Comment on: BMJ 1999 Nov 27; 319(7222):1397-402
ARTICLE SOURCE: BMJ (England), Nov 27 1999, 319(7222) p1401-2
AUTHOR(S): Castro A
PUBLICATION TYPE: COMMENT; JOURNAL ARTICLE
ARTICLE TITLE: Rates and implications of caesarean sections in
Latin America: ecological study [see comments]
COMMENTS: Comment in: BMJ 1999 Nov 27; 319(7222):1401; Comment in:
BMJ 1999 Nov 27; 319(7222):1401-2; Comment in: BMJ 1999 Nov 27;
319(7222):1402
ARTICLE SOURCE: BMJ (England), Nov 27 1999, 319(7222) p1397-400
AUTHOR(S): Belizan JM; Althabe F; Barros FC; Alexander S
AUTHOR'S ADDRESS: Latin American Centre for Perinatology, Pan
American Health Organisation, World Health Organisation, Hospital de
Clinicas s/n, 11000 Montevideo, Uruguay.
belizanj@clap.ops-oms.org.
PUBLICATION TYPE: JOURNAL ARTICLE
CONCLUSIONS: The reported figures represent an unnecessary increased
risk for young women and their babies. From the economic perspective,
this is a burden to health systems that work with limited
budgets.
ARTICLE TITLE: Meeting the demand for donor organs in the US. It's
time for bold public policy, such as mandated choice or presumed
consent [editorial]
ARTICLE SOURCE: BMJ (England), Nov 27 1999, 319(7222) p1382-3
AUTHOR(S): Davis RM
PUBLICATION TYPE: EDITORIAL
ARTICLE TITLE: Big US health insurer gives doctors final say in
treatment [news]
ARTICLE SOURCE: BMJ (England), Nov 20 1999, 319(7221) p1323
AUTHOR(S): Charatan F
PUBLICATION TYPE: NEWS
ARTICLE TITLE: Revalidation in Australia and New Zealand: approach
of Royal Australasian College of Physicians [see
comments]
COMMENTS: Comment in: BMJ 1999 Oct 30; 319(7218):1145-6
ARTICLE SOURCE: BMJ (England), Oct 30 1999, 319(7218) p1185-8
AUTHOR(S): Newble D; Paget N; McLaren B
AUTHOR'S ADDRESS: Department of Medical Education, University of
Sheffield, Northern General Hospital, Sheffield S5 7AU.
PUBLICATION TYPE: JOURNAL ARTICLE; REVIEW (5 references); REVIEW,
TUTORIAL
ARTICLE TITLE: Revalidation is the answer [editorial;
comment]
COMMENTS: Comment on: BMJ 1999 Oct 30; 319(7218):1180-3; Comment on:
BMJ 1999 Oct 30; 319(7218):1183-5; Comment on: BMJ 1999 Oct 30;
319(7218):1185-8; Comment on: BMJ 1999 Oct 30; 319(7218):1188-90;
Comment on: BMJ 1999 Oct 30; 319(7218):1191-2
ARTICLE SOURCE: BMJ (England), Oct 30 1999, 319(7218) p1145-6
AUTHOR(S): Buckley G
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: NICE to rule on influenza flu drug zanamivir
[news]
ARTICLE SOURCE: BMJ (England), Oct 9 1999, 319(7215) p937
AUTHOR(S): Yamey G
PUBLICATION TYPE: NEWS
ARTICLE TITLE: Time to register randomised trials. The case is now
unanswerable [editorial]
ARTICLE SOURCE: BMJ (England), Oct 2 1999, 319(7214) p865-6
AUTHOR(S): Horton R; Smith R
PUBLICATION TYPE: EDITORIAL
ARTICLE TITLE: When are the seeds of postoperative pressure sores
sown?. Often during surgery [editorial]
ARTICLE SOURCE: BMJ (England), Oct 2 1999, 319(7214) p863-4
AUTHOR(S): Bliss M; Simini B
PUBLICATION TYPE: EDITORIAL
ARTICLE TITLE: Moderate alcohol intake and lower risk of coronary
heart disease: meta-analysis of effects on lipids and haemostatic
factors.
ARTICLE SOURCE: BMJ (England), Dec 11 1999, 319(7224) p1523-8
AUTHOR(S): Rimm EB; Williams P; Fosher K; Criqui M; Stampfer MJ
AUTHOR'S ADDRESS: Department of Nutrition, Harvard School of Public
Health, Boston, MA 02115, USA. eric.rimm@channing.harvard.edu.
PUBLICATION TYPE: JOURNAL ARTICLE; META-ANALYSIS
RESULTS: 61 data records were abstracted from 42 eligible studies
with information on change in biological markers of risk of coronary
heart disease. An experimental dose of 30 g of ethanol a day
increased concentrations of high density lipoprotein cholesterol by
3.99 mg/dl (95% confidence interval 3.25 to 4.73), apolipoprotein A I
by 8.82 mg/dl (7.79 to 9.86), and triglyceride by 5.69 mg/dl (2.49 to
8.89). Several haemostatic factors related to a thrombolytic profile
were modestly affected by alcohol. On the basis of published
associations between these biomarkers and risk of coronary heart
disease 30 g of alcohol a day would cause an estimated reduction of
24.7% in risk of coronary heart disease. CONCLUSIONS: Alcohol intake
is causally related to lower risk of coronary heart disease through
changes in lipids and haemostatic factors.
ARTICLE TITLE: Medical errors kill almost 100000 Americans a year
[news]
ARTICLE SOURCE: BMJ (England), Dec 11 1999, 319(7224) p1519
AUTHOR(S): Charatan F
PUBLICATION TYPE: NEWS
ARTICLE TITLE: Vaccination policies: individual rights v community
health. We can't afford to be half hearted about vaccination
programmes [editorial; comment]
COMMENTS: Comment on: BMJ 1999 Dec 4; 319(7223):1462-7
ARTICLE SOURCE: BMJ (England), Dec 4 1999, 319(7223) p1448-9
AUTHOR(S): King S
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: Treatment of sleep apnea: unmet needs
[editorial; comment]
COMMENTS: Comment on: Chest 1999 Dec; 116(6):1511-8
ARTICLE SOURCE: Chest (United States), Dec 1999, 116(6) p1501-3
AUTHOR(S): Lavie P
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: Impact of blood transfusions on inflammatory
mediator release in patients undergoing cardiac surgery [see
comments]
COMMENTS: Comment in: Chest 1999 Nov; 116(5):1149-50
ARTICLE SOURCE: Chest (United States), Nov 1999, 116(5) p1233-9
AUTHOR(S): Fransen E; Maessen J; Dentener M; Senden N; Buurman W
AUTHOR'S ADDRESS: Department of Cardiopulmonary Surgery, University
Hospital Maastricht, Maastricht, Netherlands.
PUBLICATION TYPE: JOURNAL ARTICLE
ABSTRACT: STUDY OBJECTIVES: This study was conducted to investigate
whether intraoperative blood transfusions affect the release of
proinflammatory mediators in patients undergoing cardiac surgery.
Therefore, we measured plasma levels of bactericidal permeability
increasing protein (BPI) as a marker of neutrophil activation,
interleukin-6 (IL-6), lipopolysaccharide binding protein (LBP), and
C-reactive protein (CRP). In addition, these mediators, except CRP,
were also measured in packed red cell units (PCs) administered to
these patients. DESIGN: Prospective study. SETTING: Cardiopulmonary
surgery department in a university hospital. PATIENTS: One hundred
fourteen consecutive patients undergoing cardiac surgery.
INTERVENTIONS: Blood samples were taken at induction of anesthesia,
at the start of aortic cross-clamping, at aortic unclamping, and at
0.5, 4, 8, and 18 h thereafter. RESULTS: Thirty-six patients received
PC intraoperatively. BPI levels in patients who received transfusions
were significantly higher at 0.5 and 4 h after aortic unclamping than
in patients without transfusions (p < 0.05), and increased with
the number of PC administered. IL-6 levels at 0.5, 4, and 18 h after
aortic unclamping were also significantly higher in patients who
received transfusions (p < 0.01). BPI was found in all units of
packed red cells tested at concentrations up to 15 times preoperative
plasma levels in patients. However, PC IL-6 could be detected in none
of the samples. Plasma levels of LBP and CRP were similar in both
patient groups. LBP was found in very low concentrations in all PC.
Patients who received intraoperative transfusions had a worse
postoperative performance. CONCLUSIONS: Intraoperative PC
transfusions do contribute to the inflammatory response after cardiac
surgery both by enhancing part of the response and by directly
changing plasma concentrations of inflammatory mediators.
Furthermore, these data show that intraoperative PC transfusion is
associated with a worse postoperative performance.
MB. The result could be due to the reason the blood was
transfused
ARTICLE TITLE: Blood transfusion: first, do no harm!
[editorial; comment]
COMMENTS: Comment on: Chest 1999 Nov; 116(5):1233-9
ARTICLE SOURCE: Chest (United States), Nov 1999, 116(5) p1149-50
AUTHOR(S): Corwin HL
PUBLICATION TYPE: COMMENT; EDITORIAL; REVIEW (19 references); REVIEW,
TUTORIAL
MEDLINE INDEXING DATE: 200002
ARTICLE TITLE: Do no harm [editorial; comment]
COMMENTS: Comment on: Chest 1999 Nov; 116(5):1218-23
ARTICLE SOURCE: Chest (United States), Nov 1999, 116(5) p1147-8
AUTHOR(S): Barst RJ
PUBLICATION TYPE: COMMENT; EDITORIAL; REVIEW (7 references); REVIEW,
TUTORIAL
ARTICLE TITLE: Asthma hospitalizations and mortality in Chicago:
an epidemiologic overview.
ARTICLE SOURCE: Chest (United States), Oct 1999, 116(4 Suppl 1)
p135S-141S
AUTHOR(S): Thomas SD; Whitman S
AUTHOR'S ADDRESS: Epidemiology Program, City of Chicago Department of
Public Health, IL 60604, USA. sandrathomas@worldnet.att.net.
PUBLICATION TYPE: JOURNAL ARTICLE
ABSTRACT: STUDY OBJECTIVES: To characterize the patterns and
correlates of asthma hospitalizations and mortality in Chicago.
DESIGN: Cross-sectional analysis of discharge data for 1996 and
mortality time trend data for the period from 1990 to 1997. SETTING:
The city of Chicago, IL, with Cook County, IL, and US data employed
for comparisons. POPULATION STUDIED: People who were hospitalized
with a primary diagnosis of asthma and people whose underlying cause
of death was asthma. INTERVENTIONS: None. MEASUREMENTS AND RESULTS:
The 1996 asthma hospitalization rate for Chicago was 42.8 per 10,000,
more than twice as high as suburban Chicago or US rates. Medicaid
patients were overrepresented. Length of stay was longer for older
patients and Medicaid patients. Age-adjusted asthma mortality in
Chicago was 4.7 times higher in non-Hispanic blacks than in
non-Hispanic whites. The black/white asthma mortality ratio is 2.5:1
for the nation overall. Asthma mortality rates for Hispanics in
Chicago were between those of non-Hispanic whites and blacks but have
almost doubled during this decade. CONCLUSIONS: The rising asthma
mortality and high asthma hospitalization rates in Chicago constitute
a significant public health problem. Comorbidities more common in
urban environments, such as substance abuse, may play a unique role
in determining the distribution of adverse outcomes within Chicago's
population. Asthma hospitalizations and deaths may vary in their risk
profiles, and this should be taken into account when developing
research and intervention strategies.
ARTICLE TITLE: Asthma: we need to do better! [editorial;
comment]
COMMENTS: Comment on: Chest 1999 Dec; 116(6):1638-45
ARTICLE SOURCE: Chest (United States), Dec 1999, 116(6) p1509-10
AUTHOR(S): Poponick J
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: The dull-edged sword of inhaled corticosteroids
[editorial]
ARTICLE SOURCE: Chest (United States), Oct 1999, 116(4) p854-6
AUTHOR(S): Harding SM
PUBLICATION TYPE: EDITORIAL
ARTICLE TITLE: Diagnosing heart failure by the Valsalva maneuver :
Isn't It finally time? [editorial; comment]
COMMENTS: Comment on: Chest 1999 Oct; 116(4):861-7
ARTICLE SOURCE: Chest (United States), Oct 1999, 116(4) p851-3
AUTHOR(S): Zema MJ
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: Shared decision making in a publicly funded health
care system. Policies exist to reduce the risk of conflict between
individual and society [editorial]
ARTICLE SOURCE: BMJ (England), Sep 18 1999, 319(7212) p725-6
AUTHOR(S): Sculpher MJ; Watt I; Gafni A
PUBLICATION TYPE: EDITORIAL
ARTICLE TITLE: Paternalism or partnership? Patients have grown
up-and there's no going back [editorial; comment]
COMMENTS: Comment on: BMJ 1999 Sep 18; 319(7212):731-4; Comment on:
BMJ 1999 Sep 18; 319(7212):738-43; Comment on: BMJ 1999 Sep 18;
319(7212):753-6; Comment on: BMJ 1999 Sep 18; 319(7212):764-6;
Comment on: BMJ 1999 Sep 18; 319(7212):766-71
ARTICLE SOURCE: BMJ (England), Sep 18 1999, 319(7212) p719-20
AUTHOR(S): Coulter A
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: New noninvasive test alternative to Allen's test:
snuff-box technique.
ARTICLE SOURCE: J Thorac Cardiovasc Surg (United States), Oct 1999,
118(4) p756-8
AUTHOR(S): Kochi K; Sueda T; Orihashi K; Matsuura Y
AUTHOR'S ADDRESS: First Department of Surgery, Hiroshima University
School of Medicine, Hiroshima, Japan.
PUBLICATION TYPE: JOURNAL ARTICLE
ARTICLE TITLE: Because "it is necessary to affix right ideas to
words". Thomas Paine, The Age of Reason, 1794 [editorial]
ARTICLE SOURCE: J Neurosurg Anesthesiol (United States), Oct 1999,
11(4) p229-30
AUTHOR(S): Hartung J
PUBLICATION TYPE: EDITORIAL
ARTICLE TITLE: Recovery from anesthesia and postoperative
extubation of neurosurgical patients: a review.
ARTICLE SOURCE: J Neurosurg Anesthesiol (United States), Oct 1999,
11(4) p282-93
AUTHOR(S): Bruder N; Ravussin P
AUTHOR'S ADDRESS: Departement d'Anesthesie-Reanimation, CHU La
Timone, Marseille, France.
PUBLICATION TYPE: JOURNAL ARTICLE; REVIEW (81 references); REVIEW,
TUTORIAL
ARTICLE TITLE: Dopamine receptors--physiological understanding to
therapeutic intervention potential.
ARTICLE SOURCE: Pharmacol Ther (England), Nov 1999, 84(2) p133-56
AUTHOR(S): Emilien G; Maloteaux JM; Geurts M; Hoogenberg K; Cragg
S
AUTHOR'S ADDRESS: Laboratory of Pharmacology, Universite Catholique
de Louvain, Cliniques Universitaires Saint Luc, Brussels, Belgium.
gemilien@aol.com.
PUBLICATION TYPE: JOURNAL ARTICLE; REVIEW (259 references); REVIEW,
ACADEMIC
However, studies have been unable to demonstrate that DA can prevent
acute renal failure or reduce mortality. It appears that the
significant progress that is being made in the molecular
understanding of DA receptors will continue to have a tremendous
impact in the pharmacological treatment of neuropsychiatric,
cardiovascular, and renal diseases.
MB. Well I knew from the beginning that there was no shown effect on
renal failure so I am not expecting anything.
ARTICLE TITLE: Modern concepts of paediatric analgesia.
ARTICLE SOURCE: Pharmacol Ther (England), Jul 1999, 83(1) p1-20
AUTHOR(S): Lloyd-Thomas AR
AUTHOR'S ADDRESS: Department of Anaesthesia, Great Ormond Street
Hospital for Children NHS Trust, London, UK.
a.lloyd-thomas@dial.pipex.com.
PUBLICATION TYPE: JOURNAL ARTICLE; REVIEW (274 references); REVIEW,
ACADEMIC
ABSTRACT: Laboratory data, economic pressures, and the wish for
humane treatment have been some of the driving forces behind
improvements in paediatric pain management. Within the space of 10
years, there have been dramatic changes in the quality of treatment
received by children undergoing surgical operations. Moreover, those
receiving medical treatment, for example, sickle cell disease, have
also benefited from increased experience in pain management. Children
receiving care in specialised centres can now expect to benefit from
up-to-date techniques of pain management, such as patient-controlled
analgesia, nurse-controlled analgesia, and epidural infusions. They
will be managed by ward nurses experienced and trained in paediatric
pain relief, they will be attended by nurses whose special interest
and training is the management of children's pain, and they will be
provided with the techniques of analgesia by competent, trained
anaesthetic staff. Improved care, with close attention to pain
relief, is not only humane, but improves the patient turnaround by
enhancing rapid discharge. Further education is required to spread
these benefits to children being managed outside highly specialised
centres. Not only education, but investment, is needed also to ensure
that all children receive a standard of care second to none.
ARTICLE TITLE: Characteristics of female
obstetrician-gynecologists in the United States.
ARTICLE SOURCE: Obstet Gynecol (United States), Nov 1999, 94(5 Pt 1)
p659-65
AUTHOR(S): Frank E; Rock J; Sara D
AUTHOR'S ADDRESS: Department of Family and Preventive Medicine, Emory
University School of Medicine, Atlanta, Georgia 30303-3219, USA.
efrank@fpm.eushc.org.
PUBLICATION TYPE: JOURNAL ARTICLE
ARTICLE TITLE: Urinary incontinence in United States Air Force
female aircrew.
ARTICLE SOURCE: Obstet Gynecol (United States), Oct 1999, 94(4)
p532-6
AUTHOR(S): Fischer JR; Berg PH
AUTHOR'S ADDRESS: Department of Obstetrics and Gynecology, Methodist
Hospital, Indiana University School of Medicine, Indianapolis,
USA.
PUBLICATION TYPE: JOURNAL ARTICLE
CONCLUSION: The rate of urinary incontinence among female Air Force
aircrew is similar to rates found in other surveys of the general
population. Flying high-performance military aircraft did not affect
the rate of incontinence.
ARTICLE TITLE: The need for perspective in evidence-based
medicine.
ARTICLE SOURCE: JAMA (United States), Dec 22-29 1999, 282(24)
p2358-65
AUTHOR(S): Woolf SH
AUTHOR'S ADDRESS: Department of Family Practice, Medical College of
Virginia, Virginia Commonwealth University, Fairfax 22033, USA.
shwoolf@aol.com.
PUBLICATION TYPE: JOURNAL ARTICLE
ABSTRACT: Research advances are generating a growing body of clinical
trial and other data on the effects of tests and treatments on
outcomes, but there is no information resource within the health care
system that systematically puts that information in perspective.
Policy makers, clinicians, and individuals lack a ready means to
compare the relative effectiveness of various interventions in
prolonging survival or preventing the occurrence or complications of
a disease: information that is critical in setting priorities. A
crude analysis of preventable deaths suggests that evidence-based
primary prevention (getting the population to stop smoking, exercise,
lower cholesterol levels, and control blood pressure) would prevent
considerably more deaths per year than would various evidence-based
treatments for cardiovascular disease. Examining evidence from this
perspective calls attention to mismatched priorities-most health care
expenditures in the United States go toward treatment of diseases and
their late-stage complications and relatively few resources are
devoted to primary prevention and health promotion. Similar analyses
at the individual level can help patients put personal options in
perspective. This article proposes a bibliographic
evidence-collection center and simulation modeling program to
estimate potential benefits and harms of competing interventions for
populations and individuals. Such evidence-based projections would
enable policy makers, clinicians, and patients to judge whether they
give due priority to the interventions most likely to improve health.
With the steady growth in research data, the need for a system that
enables society and individuals to put evidence in perspective will
become progressively more urgent.
ARTICLE TITLE: Where does Helicobacter pylori come from and why is
it going away? [editorial; comment]
COMMENTS: Comment on: JAMA 1999 Dec 15; 282(23):2240-5
ARTICLE SOURCE: JAMA (United States), Dec 15 1999, 282(23)
p2260-2
AUTHOR(S): Blaser MJ
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: Economics, ethics, and end-of-life care
[editorial]
ARTICLE SOURCE: JAMA (United States), Dec 1 1999, 282(21) p2076
AUTHOR(S): Weiss SC
PUBLICATION TYPE: EDITORIAL
ARTICLE TITLE: Legal issues concerning electronic health
information: privacy, quality, and liability.
ARTICLE SOURCE: JAMA (United States), Oct 20 1999, 282(15)
p1466-71
AUTHOR(S): Hodge JG Jr; Gostin LO; Jacobson PD
AUTHOR'S ADDRESS: Georgetown University Law Center, Washington, DC
20013-6305, USA. hodgej@erols.com.
PUBLICATION TYPE: JOURNAL ARTICLE
ARTICLE TITLE: Tube feeding in patients with advanced dementia: a
review of the evidence [see comments]
COMMENTS: Comment in: JAMA 1999 Oct 13; 282(14):1380-1
ARTICLE SOURCE: JAMA (United States), Oct 13 1999, 282(14)
p1365-70
AUTHOR(S): Finucane TE; Christmas C; Travis K
AUTHOR'S ADDRESS: Division of Geriatric Medicine and Gerontology,
Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
tfinuc@jhmi.edu.
PUBLICATION TYPE: JOURNAL ARTICLE; REVIEW (77 references); REVIEW
LITERATURE
ARTICLE TITLE: Lack of evidence about tube feeding--food for
thought [editorial; comment]
COMMENTS: Comment on: JAMA 1999 Oct 13; 282(14):1365-70
ARTICLE SOURCE: JAMA (United States), Oct 13 1999, 282(14)
p1380-1
AUTHOR(S): McCann R
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: The unnatural nature of pain.
ARTICLE SOURCE: JAMA (United States), Jan 5 2000, 283(1) p117
AUTHOR(S): Henderson SW
AUTHOR'S ADDRESS: University of Illinois at Chicago College of
Medicine, USA.
PUBLICATION TYPE: JOURNAL ARTICLE
MEDLINE INDEXING DATE: 200003
ISSN: 0098-7484
LANGUAGE: English
ARTICLE TITLE: Pain, suffering, and meaning
[editorial]
ARTICLE SOURCE: JAMA (United States), Jan 5 2000, 283(1) p114
AUTHOR(S): Magid CS
MAJOR SUBJECT HEADING(S): Pain
PUBLICATION TYPE: EDITORIAL
ARTICLE TITLE: Fair conduct and fair reporting of clinical trials
[editorial; comment]
COMMENTS: Comment on: JAMA 1999 Nov 10; 282(18):1752-9
ARTICLE SOURCE: JAMA (United States), Nov 10 1999, 282(18)
p1766-8
AUTHOR(S): Rennie D
PUBLICATION TYPE: COMMENT; EDITORIAL
ARTICLE TITLE: Serving two masters: medical practice vs
administrative ethics.
ARTICLE SOURCE: JAMA (United States), Nov 3 1999, 282(17) p1678-9
AUTHOR(S): Webster G
AUTHOR'S ADDRESS: Stanford University School of Medicine, Calif,
USA.
PUBLICATION TYPE: JOURNAL ARTICLE
ARTICLE TITLE: Crash risk among older drivers studied
[news]
ARTICLE SOURCE: JAMA (United States), Nov 3 1999, 282(17) p1610-1
AUTHOR(S): Voelker R
PUBLICATION TYPE: NEWS