Actions of the A.M.A. House of Delegates

This summary from the Executive Vice-President's office of the American Medical Association covers only a few of the many important subjects dealt with by the House and is not intended as a detailed report on all actions taken.     

A.M.A. Denver Meeting

This summary covers only a few of the many important subjects dealt with by the A.M.A. House of Delegates at its Denver meeting and is not intended as a detailed report on all actions taken.     

A.M.A. Meeting

The following summary of actions of the House of Delegates at the American Medical Association''s Thirteenth Clinical Meeting, held December 1-4, 1959, in Dallas, is not intended as a detailed report on all actions taken. It has been composited from reports by Mr. Ed Clancy, director of public relations of the California Medical Association, and by Dr. F. J. L. Blasingame, executive vice-president of the American Medical Association.     

Continuing Education and Scientific Activities: Some Abstracts of the Report of the C.M.A. Ad Hoc Committee on Continuing Education and Scientific Activities,Appointed by the Council,September 4, 1959

The report from which the material here presented was abstracted was approved in principle by the Council and is now being studied as to detail by several committees of the C.M.A. and must be acted upon by the Council and the House of Delegates before final implementation.     

A review of the endoparasites of wild House Mice Mus domesticus

A tabular checklist of the parasites of wild House Mice Mus domesticus is presented, with data on prevalence rates and geographic location. Parasites most often recorded are: Syphacia obvelata, Taenia taeniformis, Aspiculuris tetraptera, Hymenolepis diminuta and Trichuris maris. The near-global distribution of House Mice and their ability to survive in a wide range of conditions render House Mouse parasites ideal for the study of environmental influences on parasites and transmission of parasites to new hosts.     

How house officers cope with their mistakes.

We examined how house officers coped with serious medical mistakes to gain insight into how medical educators should handle these situations. An anonymous questionnaire was mailed to 254 house officers in internal medicine asking them to describe their most important mistake and their response to it; 45% (N = 114) reported a mistake and completed the questionnaire. House officers experienced considerable emotional distress in response to their mistakes and used a variety of strategies to cope. In multivariate analysis, those who coped by accepting responsibility were more likely to make constructive changes in practice, but to experience more emotional distress. House officers who coped by escape-avoidance were more likely to report defensive changes in practice. For house officers who have made a mistake, we suggest that medical educators provide specific advice about preventing a recurrence of the mistake, provide emotional support, and help them understand that distress is an expected concomitant of learning from the experience.     

Comments on the report of the House of Lords Select Committee on Animals in Scientific Procedures

This commentary comprises our responses to each of the seven conclusions and twenty-four recommendations made in the report of the House of Lords Select Committee on Animals in Scientific Procedures, published in July 2002.     

Impact of Urbanization on House Sparrow Distribution: A Case Study from Greater Kolkata,India

House Sparrow was the most abundant bird species near human habitat until few years back. But from the mid of twentieth century, the declining trend of House Sparrow has been reported from various countries. It has already been red listed in Netherlands and UK. Researches indicate the declining trend of House Sparrow in different cities of India like Delhi, Mumbai and Bengaluru. A 3-month wide survey has been conducted to get a preliminary idea about the distributional trend of House Sparrow in greater Kolkata. Depending on nature of urbanization and human habitat, greater Kolkata, has been subdivided into four regions (Planned City, Highly dense city, Medium dense city and Low dense city regions). In high density urban region the avian density recoded was highest, although avian diversity was maximum in medium and low dense city regions and minimum in planned city. Among 20 observational units of planned city region, House Sparrow has been noticed in 6 units and crow in all units. Among 115 observational units of rest of the regions of greater Kolkata, House Sparrow was observed in 79 units and crow in 98 units. The preliminary information revealed from this survey indicates towards negative relationship between urbanization and House Sparrow population in greater Kolkata and this negative influence is maximum in planned urban region. The presence of sufficient number of House Sparrow in any region indicates environmental stability of that region. So the declining trend of House Sparrow population in greater Kolkata, particularly in planned city region, indirectly gives the evidence of serious environmental degradation.     

Council Meeting Minutes, 453rd Meeting,October 31, 1959

This summary from the Executive Vice-President''s office of the American Medical Association covers only a few of the many important subjects dealt with by the House and is not intended as a detailed report on all actions taken.     

C.M.A. President Testifies in Forand Bill Hearings

Following is the testimony of T. Eric Reynolds, M.D., President of the California Medical Association, before the Ways and Means Committee of the U. S. House of Representatives concerning H.R. 4700 (the Forand bill) July 14, 1959:     

Helen House--a hospice for children: analysis of the first year.

Helen House, a hospice for children, opened in Oxford in November 1982. From then until December 1983 care was provided for 52 children with terminal illness, progressive and incurable illness, and very severe handicap. The children came from a wide area of the United Kingdom, and eight died during the year. The style of care provided in Helen House is based on that of the families in their own homes, with a minimum of rules, regulations, and routines. Terminal care follows the principles developed by hospices experienced in the care of adults. Despite the great sadness and distress associated with every child admitted, Helen House is neither a sombre nor a depressing place.     

Creatine phosphokinase isoenzymes and Trypanosoma cruzi infections.

1. Substantial increases in total creatine phosphokinase (CPK) and in isoenzymes from heart (CPK-MB) and skeletal muscle (CPK-MM) were observed during acute infections with the House 510 and House 11 strains of Trypanosoma cruzi. 2. In infections with the reticulotropic Tulahuen strain total CPK levels were lower and the isoenzyme pattern was essentially normal. 3. Gamma-glutamyl transpeptidase was considerably increased in the Tulahuen but not in the House 510 and House 11 infections. 4. These findings are useful in assessing tissue damage during T. cruzi infections and they also demonstrate differences between myotropic and reticulotropic strains which may aid in their taxonomic classification.     

A possible effect of electromagnetic radiation from mobile phone base stations on the number of breeding house sparrows (Passer domesticus)

A possible effect of long-term exposure to low-intensity electromagnetic radiation from mobile phone (GSM) base stations on the number of House Sparrows during the breeding season was studied in six residential districts in Belgium. We sampled 150 point locations within the 6 areas to examine small-scale geographic variation in the number of House Sparrow males and the strength of electromagnetic radiation from base stations. Spatial variation in the number of House Sparrow males was negatively and highly significantly related to the strength of electric fields from both the 900 and 1800 MHz downlink frequency bands and from the sum of these bands (Chi(2)-tests and AIC-criteria, P<0.001). This negative relationship was highly similar within each of the six study areas, despite differences among areas in both the number of birds and radiation levels. Thus, our data show that fewer House Sparrow males were seen at locations with relatively high electric field strength values of GSM base stations and therefore support the notion that long-term exposure to higher levels of radiation negatively affects the abundance or behavior of House Sparrows in the wild.     

Challenges: Clinical applications of oncogene research

The following is adapted from the testimony, on 6 June 1984, of Dr T. G. Krontiris before the U.S. House Science and Technology Subcommittee on Investigations and Oversight, on the subject of oncogene research. In a previous report (BioEssays, 1, 3), the testimony of Dr C . J. Sherr, describing the molecular biology of oncogene action was given. Here, Krontiris describes the challenges in applying the new5ndings in diagnosis and therapy.     

Cloning and expression of Der f 6, a serine protease allergen from the house dust mite, Dermatophagoides farinae.

House dust mite allergen is thought to be a major cause of asthma. Characterization of these allergen molecules is therefore an important step for the development of effective diagnostic and therapeutic agents against mite-associated allergic disorders. Here we report molecular cloning and expression of the group 6 (chymotrypsin-like) allergen from the house dust mite, Dermatophagoides farinae. Sequencing analysis indicates that cloned cDNA, designated Der f 6, encodes a 279 amino acid polypeptide which conserves a primary structure characteristic for chymotrypsin-like serine proteases found in mammals. Recombinant Der f 6 expressed in Escherichia coli bound IgE in a pool made of 20 sera, and induced histamine release from patients' peripheral blood cells.     

The afterbirth of the clinic: a Foucauldian perspective on "House M.D." and American medicine in the 21st century

Mirroring Michel Foucault's The Birth of the Clinic (1963), which describes the philosophical shift in medical discourse in the 19th and early 20th centuries, the Fox television series House M.D. illustrates the shift in medical discourse emerging today. While Dr. Gregory House is Foucault's modern physician made flesh -- an objective scientist who has perfected the medical gaze (le regard) and communicates directly with diseases instead of patients -- his staff act as postmodern foils. They provide a parable about the state of biomedicine, still steeped in modernity but forced into a postmodern, managed care world. House M.D., however, is more than a mere depiction of the modern-postmodern tension that exists in today's exam rooms. It is an indication of a transition period in American medicine. House M.D. nostalgically celebrates what once was and simultaneously questions what currently is, while what is about to be is in the midst of becoming.     

Temperature‐correlated shifts in the timing of egg‐laying in House Finches Haemorhous mexicanus

Although temperature‐correlated shifts in the timing of egg‐laying have been documented in numerous bird species, the vast majority of species examined to date have been those that breed in Europe and have an animal‐based diet during breeding. However, given that the timing of breeding can be driven, either in the proximate or in the ultimate sense, by seasonal fluctuations in food availability, the relationship between temperature and laying may differ with diet. Here, we report on patterns of reproductive timing in House Finches Haemorhous mexicanus, a North American species that breeds on a primarily seed‐based diet. Analysing nest records from House Finches in California spanning more than a century, we found that egg‐laying occurred significantly earlier in warmer springs. We also found that although the timing of egg‐laying does not show long‐term changes in most of California, in the hottest region of the state (the southeast desert basin) it has advanced significantly.     

Relationship between the presence of House Sparrows (<Emphasis Type="Italic">Passer domesticus</Emphasis>) and Neotropical bird community structure and diversity

Invasive exotic species pose an important threat to biodiversity worldwide. However, there is little information on the effects that specific exotic bird species have on native biota. The House Sparrow is an excellent ecological model to evaluate the effect that an invasive exotic species has on native bird communities. Our study describes the relationship of the presence and abundance of House Sparrows with the structure, diversity, and composition of native bird communities in West Mexico. We used two approaches to compare House Sparrow invaded and non-invaded bird communities: (1) at a small geographic-scale that allowed us to evaluate shifts in avian communities with presence of the House Sparrow under similar environmental conditions; and (2) at the landscape-level to evaluate the effect of this species under a scenario of greater environmental heterogeneity. Results from both approaches show that areas invaded by House Sparrows have heavily-dominated avian communities with low species richness, while non-invaded areas exhibit highly-even and species-rich bird communities. Species turnover analysis indicates that the decrease in the number of bird species in House Sparrow invaded areas is caused by species loss, rather than a shift in species composition. Our results indicate that the invasion of an area by the House Sparrow, through synergistic interactions with human activities, determines the composition, structure, and diversity of native bird communities.     

Interspecific competition between introduced house finch populations and two associated passerine species

Summary House Finches (Carpodacus mexicanus), natives of western North America, have expanded their range in the eastern United States since their 1940 release in New York City. Range and the relation of House Finch population growth to the population dynamics of House Sparrows (Passer domesticus) and Purple Finches (Carpodacus purpureus) were examined, using data from the Breeding Bird Survey and the Christmas Bird Count. The House Finch population grew exponentially throughout its eastern range. Significant negative relationships in population density, relative to spatial and temporal control populations, were found between House Finches and House Sparrows in summer and winter, and between House Finches and Purple Finches in summer. Purple Finch and House Sparrow populations outside of the House Finch range appeared to have no effect on each other throughout the study. Neither changes in 74 weather variables, nor changes in forest, field or developed habitat explained the observed trends in population density. The results indicate that House Finches compete with these two species, but winter migration complicates the picture.