The presence of α-amylase inhibitors in wheat and kidney beans has been recognized since 1943.^{1 , 2} In 1975 Marshall and Lauda purified and characterized the amylase inhibitor in the kidney bean, Phaseolus vulgaris, and named it phaseolamin.³ At 37°C this ...

Experimental data have long indicated that some anti-cancer drugs, particularly the alkylating agents, are carcinogenic in laboratory animals.¹ Until recently, evidence that these agents have similar effects in human beings has been anecdotal. During the ...

Fasting hypoglycemia often presents difficulties in differential diagnosis because of the multiplicity of causes. Since it may be difficult to diagnose insulinoma unequivocally, it is important to rule out alternative diagnoses before submitting the ...

A recent paper in the Journal drew attention to "the new medical-industrial complex" in the United States.¹ It set forth the great growth of the private profit-making enterprise in the provision of health-care services and pointed to some problems ...

The Supreme Court of the United States has instructed the state courts and legislatures that they must not be "arbitrary and capricious" in applying the death penalty in capital cases. This instruction was part of the background when in 1972 the Court ...

A platelet-agglutinating factor has been detected in the plasma of some patients during episodes of thrombotic thrombocytopenic purpura (TTP).^{1 , 2} Agglutination induced in vitro by this plasma factor is inhibited by normal plasma and does not require ...

AN acquired immune deficiency in male homosexuals that is manifested by infection with one or more opportunistic microorganisms has recently been recognized. These agents have included cytomegalovirus, Toxoplasma gondii, Pneumocystis carinii, Candida ...

Presentation of Case

A four-year-old girl was admitted to the hospital because of recurrent pancreatitis.

The child, who was of Egyptian and Irish descent, was born of an uncomplicated pregnancy and delivery. Her growth and development were normal until ...

The report by Bo-Linn et al.¹ in this issue of the Journal, showing that one of the leading preparations of "starch blockers" had no demonstrable effect on the absorption of starch calories, raises a number of challenging questions about marketing, ...

A Courting Couple

In the past two decades few biologic disciplines have influenced clinical medicine more profoundly than immunology. In the remote past, clinicians regarded the body's immune responses as entirely protective and certainly not harmful. ...

In 1924 Dr. Eli Moschcowitz admitted a 16-year-old girl to Beth Israel Hospital in New York City because of weakness, joint pain, and fever to 40°C.¹ The patient had spent Labor Day weekend at Rockaway Beach and had become ill thereafter. Physical ...

DEATHS

Clifford — Randall Clifford, M.D., formerly of Brookline, died on September 28. He was in his 94th year.

Dr. Clifford received his degree from Harvard Medical School in 1917. He was a member of the American College of Physicians and a 50-year ...

[CONTINUED)

To the Editor: The number of letters in the July 29 issue of the Journal concerning radioactivity in cigarette smoke attests to a wide interest in carcinogens in tobacco.¹ The hypothesis we proposed,² which was subsequently extended by others,...

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To the Editor: Lebwohl and colleagues¹ performed M-mode echocardiography on 14 patients affected by pseudoxanthoma elasticum and found mitral-valve prolapse in 11 (71 per cent) (July 22 issue). We are conducting a multidisciplinary assessment of ...

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To the Editor: Australian Aboriginal people have a very high prevalence of chronic ear disease.¹ Although this condition rarely leads to surgical complications,^{2 , 3} we have studied it because of the effects of poor hearing on education.⁴ A survey was ...

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Despite the advent of antibiotic therapy the prevention of perioperative infection and the surgical management of sepsis remain challenging clinical problems. In this context the management of anesthesia in such patients has considerable impact, and the ...

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Dworken's fine new book is an attractive addition to the existing general textbooks on gastroenterology. He has expanded his previous effort, published in 1974, which was directed mainly to the second-year medical student. The current work is aimed at ...

Health Services and Social Topics

Chinese Medical Modernization: Comparative policy continuities, 1930s–1980s. By AnElissa Lucas. 188 pp. New York, Praeger, 1982. $24.95.

The Chronically Mentally III: Assessing community support programs. By Richard C. ...

TUTORIALS AT NEW YORK UNIVERSITY MEDICAL CENTER

The Center offers "One-on-One Tutorials" throughout the year: "Cytopathology"; "A Total Medical Information System"; "Modern Blood Bank Management: Theory and Practice"; "Renal Biopsy Interpretation"; "...

Prompt delivery of appropriate care is of great importance in the management of medical emergencies. The necessity for adequate, efficient resuscitation and rapid transportation of patients has been most clearly demonstrated in patients with severe ...