JAMA : the journal of the American Medical Association
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To assess the measles vaccine coverage of 2-year-old children living in Mississippi during the national measles epidemic of 1989 and 1990. ⋯ A high rate of measles immunization is attainable among 2-year-olds living in a rural state with a large black minority population and limited economic resources.
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To describe the process and outcomes of withdrawing life-sustaining interventions in a medical intensive care unit (MICU). ⋯ Patients and their surrogates willingly considered outcomes in addition to mortality when considering withdrawal of life-sustaining interventions. Finding an accommodation between physician judgments and patient preferences took time and effort but was an effective means of limiting ineffective life-sustaining efforts. Withdrawing futile or unwanted care was not always fatal.