47-Year-Old Woman With Six-Week History of Lower Extremity Weakness and Eosinophilia

This discussion was selected from the Department of Medicine Morbidity and Mortality Conference held at the Stanford University Medical Center, Stanford, California, on January 9, 1991. The editor of the conference is Philip C. Lee, MD, Chief Resident, Department of Medicine.     

Cardiac Ischemia. Part II—Reperfusion and Treatment

An edited summary of an Interdepartmental Conference arranged by the Department of Medicine of the UCLA School of Medicine, Los Angeles. The Director of Conferences is William M. Pardridge, MD, Professor of Medicine.     

New Advances in Bone Research

An edited summary of an Interdepartmental Conference arranged by the Department of Medicine, UCLA School of Medicine, Los Angeles. William M. Pardridge, MD, Associate Professor of Medicine, is Director of Conferences.     

Chris Somerville

Chris Somerville is Director of the Carnegie Institution Department of Plant Biology and a professor of Biological Sciences at Stanford University. He grew up in the Canadian north and was educated at the University of Alberta. He was one of the early Arabidopsis enthusiasts and has used the plant to study a variety of topics in cell and molecular biology. He is currently exploring the complexities of plant cell wall biogenesis.     

Progress in complementary and alternative medicine research: Yale Research Symposium on Complementary and Integrative Medicine

Integrative Medicine at Yale and the Yale Center for Continuing Medical Education (CME) sponsored the Yale Research Symposium on Complementary and Integrative Medicine in March 2010 at the university's School of Medicine. Delivering the keynote address, Dr. Josephine P. Briggs, Director of the National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health (NIH), highlighted recent progress made in the field of complementary and alternative medicine (CAM).     

Recent Trends in the Management of Life-Threatening Ventricular Arrhythmias

An edited summary of an Interdepartmental Conference arranged by the Department of Medicine, UCLA School of Medicine, Los Angeles. William M. Pardridge, MD, Associate Professor of Medicine, is Director of Conferences.This study was supported in part by grants from the Public Health Service; the National Institutes of Health (HL-23970, 1978-1981); the Medical Research Service of the Veterans Administration, and the American Heart Association, the Greater Los Angeles Affiliate.     

Brain Cellular Injury and Recovery—Horizons for Improving Medical Therapies in Stroke and Trauma

An edited summary of an Interdepartmental Conference arranged by the Department of Medicine of the UCLA School of Medicine, Los Angeles. The Director of Conferences is William M. Pardridge, MD, Professor of Medicine.After ischemic and traumatic brain injury, many cells may be rendered dysfunctional but are not irreversibly damaged or disrupted. The brain tissue may become metabolically deranged, and neurons, while still alive, are paralyzed and cannot create an action potential or conduct an electrical impulse. This injured brain tissue is in a precarious state of increased vulnerability. If the milieu of the favorable, they may recover; if it is slightly unfavorable, they may die. There is now evidence that reversibly injured brain tissue will die from an ischemic or hypoxic insult ordinarily tolerated by the normal brain. The major challenge of modern research in stroke and trauma is to define the chemical and metabolic milieu in which the injured brain exists and to define an ideal milieu for healing.     

From Cyanotic Infant to Acyanotic Adult—The Odyssey of Blue Babies

An edited summary of an Interdepartmental Conference arranged by the Department of Medicine of the UCLA School of Medicine, Los Angeles. Director of Conferences: William M. Pardridge, MD, Associate Professor of Medicine.In the past two decades we have witnessed the maturing of diagnostic and surgical skills in the management of congenital heart disease. Although longevity and quality of life have improved, cures are few; varying degrees of postoperative medical supervision are therefore needed. This new patient population of adults requiring long-term medical care continues to increase. Proper management of such patients can be taxing, requiring knowledge not only of the preoperative disease but also of the nature and effects of surgical intervention and of the presence, type and extent of late postoperative residua and sequelae. The tetralogy of Fallot is taken as a model because it is well known in both pediatric and adult medicine, because intracardiac repair includes a wide range of techniques and because postoperative residua and sequelae comprise a broad spectrum of patient care concerns.     

Complications of Gastroesophageal Reflux

An edited summary of an Interdepartmental Conference arranged by the Department of Medicine of the UCLA School of Medicine, Los Angeles. The Director of Conferences is William M. Pardridge, MD, Professor of Medicine.Several specialists have recently recognized that gastrointestinal reflux causes complications resulting in significant disease. It causes discomfort, indigestion, esophagitis, Barrett''s esophagus, and carcinoma of the esophagus. Pediatricians attribute many early pulmonary problems, and even some sudden deaths in infants, to the reflux of gastric contents. Otolaryngologists now recognize that many cases of nonbacterial, nonspecific pharyngitis and laryngitis are due to the reflux of gastrc acid secretions. Contact granuloma and cancer of the larynx may, in some instances, be secondary to nocturnal reflux. Thoracic surgeons and pulmonologists believe chronic tracheobronchitis and some cases of pulmonary disease are attributable to recurrent bathing of the respiratory epithelium by aspirated gastric contents. An awareness of the many complications of gastrointestinal reflux should lead to a multidisciplined attack on the factors responsible for these diseases.     

In memoriam Professor Enrique Ega?a, MD (1912-1997).

Enrique Ega?a-Barahona. Born Santiago, Chile, 10 March 1912. Deceased Santiago, Chile, 23 November 1997. MD, University of Chile, 1936. Rockefeller Foundation Fellow at Harvard University Medical School, 1940-1944. Professor of Pathophysiology, 1963; Director, Institute of Experimental Medicine, Faculty of medicine, University of Chile. Author of a Textbook on General Pathophysiology (1963) and of many scientific articles in Chilean and American medical journals. Strong supporter of evidence-based medicine as well as of medical education by involving students in short research projects.     

Q & A

Gregory A. Petsko is Gyula and Katica Tauber Professor of Biochemistry and Chemistry and Director of the Rosenstiel Basic Medical Sciences Research Center at Brandeis University. He did his undergraduate work at Princeton and his graduate work as a Rhodes Scholar at Oxford University. He held faculty positions at Wayne State University School of Medicine and MIT before moving to Brandeis in 1990. A structural biologist, he is best known for his work, together with his colleague Dagmar Ringe, on the structural basis of enzyme catalytic power and the role of protein dynamics in protein function. He writes a regular opinion column for the journal Genome Biology.     

In memoriam Dr Marlene Deluca

The untimely death of Marlene DeLuca in 1987 has deprived the scientific community of an outstanding expert on bioluminescence. Earlier in that year she was honoured as thethirty-ninth recipient of the Otto Mitchell Smith Lectureship Award at Oklahoma State University, Stillwater, Oklahoma. On 20 March 1987 Dr DeLuca presented a scientific lecture entitled ‘Firefly Luciferase-Mechanism of Action, Cloning, and Expression of the Active Enzyme’ and a popular lecture at the banquet that evening entitled ‘Light and Life’. She was selected for her excellence in research, her oral presentation ability, and her personableness. Marlene was the first woman so honoured. To honour Dr Otto M. Smith the Alpha Delta Chapter of Phi Lambda Upsilon, a national chemistry honorary organization, inaugurated The Otto Mitchell Smith Lectureship in 1948 at Oklahoma State University. Former awardees include Nobel Laureates H. C. Brown, Stanford Moore, and Arthur Kornberg and the following prominent biochemists/molecular biologists: Robert A. Alberty, University of Wisconsin; Daniel E. Koshland, Brookhaven National Laboratory; Sol Spiegelman, University of Illinois; Carl Djerassi, Stanford University; and John T. Edsall, Harvard University. The lectureship honours Dr O. M. Smith, who was Director of the Research Foundation, professor, and Head of the Departments of Chemistry and Chemical Engineering. As a tribute to Dr DeLuca's outstanding contibution to bioluminescence we reproduce here the edited text of her Otto Mitchell Smith Lectureship and a selected bibliography of her work on firefly bioluminescence.     

Fluorescent method for the detection of excreted ribonuclease around bacterial colonies

Lanyi, Janos K. (Stanford University School of Medicine, Palo Alto, Calif.), and Joshua Lederberg. Fluorescent method for the detection of excreted ribonuclease around bacterial colonies. J. Bacteriol. 92:1469-1472. 1966.-A test for the release of extracellular ribonuclease by Bacillus subtilis colonles was developed. The method consists of incorporating acridine orange and ribonucleic acid into nutrient agar plates and viewing the grown bacterial colonies under ultraviolet light. Regions of ribonuclease secretion appear as dark halos around the colonies on a green fluorescent background. The theoretical basis and the utility of this test are discussed.     

The current status of cardiovascular surgery in the People's Republic of China

Dr. David Bregman was invited to participate in a thirteen-physician American Teaching Delegation led by Dr. Tsung O. Cheng, Professor of Medicine at George Washington University Medical Center in Washington, D.C. The trip was sponsored by the American College of Physicians. Deputy Director of the delegation was Dr. Samuel Asper, Deputy Executive Vice President of the American College of Physicians and Professor of Medicine at Johns Hopkins University. The American Teaching Delegation was the first of its kind to be invited to lecture and impart new medical-surgical techniques throughout the People's Republic of China. The trip lasted approximately one month, from September to October, 1979, and included the September 30 to October 1 celebrations in Peking commemorating the 30th Anniversary of the founding of the People's Republic of China. Principal cities visited were Peking and Shanghai, as well as Chengtu, Chungking, and Wuhan. Dr. Bregman demonstrated, for the first time in the People's Republic of China, intraaortic balloon pumping, a new percutaneous intraaortic balloon, and other cardiac assist techniques.     

PUBLIC HEALTH REPORT: Increase in Arthropod-Borne Encephalitis a Possibility

THE COMMUNICATION below is the first of what is intended as a continuing series of reports from the State of California Department of Public Health on topics of interest to physicians in private practice. On a number of occasions in the past, Dr. Malcolm H. Merrill, Director of Public Health, has appeared before the Council of the California Medical Association with intensely interesting reports on matters of public health and the attitudes and functions of the department. Since the minutes of the meetings of the Council give only the briefest of notes on such communications, Dr. Merrill was asked—and has agreed—to make use of this section of California Medicine for public health reports that can be informative and useful to all members.     

Innovative levers for sustainable integration of gender medicine into medical school curricula

Efforts to integrate gender medicine into medical school curricula have focused largely on the work of individual champions. Online sex and gender materials for undergraduate courses have also been developed and disseminated. Success has been sporadic, with varying uptake across schools within and between countries. International trends in medical school accreditation processes and the growing force of the millennial student voice offer untapped opportunities to promote more systematic integration of gender medicine on a national and international level. In this commentary, the president and CEO of the Association of Faculties of Medicine of Canada and the Scientific Director of the Institute of Gender and Health of the Canadian Institutes of Health Research jointly reflect on top-down and bottom-up levers for sustainable innovation in gender medicine for undergraduate medical training.     

Workmen's Compensation Act; some aspects of interest to California physicians

This article was prepared by Mr. William M. Whelan, Director of Special Services, California Medical Association, under the supervision of Dr. Francis J. Cox, Chairman of the Medical Services Commission of the Association, and Mr. Howard Hassard, the Association's Legal Counsel. It is intended as a brief synopsis of the California Workmen's Compensation Law as it applies to the physician in private practice. It is not an exhaustive treatment of the subject. A physician who desires to acquaint himself in detail with California industrial practice should consult the article entitled "The Physician's Role in Workmen's Compensation," California Medicine, 82:352-362, April, 1955. Inquiries regarding industrial medicine should be addressed to Mr. William M. Whelan, California Medical Association, 450 Sutter St., San Francisco 8.     

An interview with Dr. Zbigniew Darzynkiewicz on his highly cited paper published in Cell Cycle

Zbigniew Darzynkiewicz is the Director of the Brander Cancer Research Institute and Professor of Pathology and Medicine at the New York Medical College. He received his M.D. (with the highest honors) and Ph.D. degrees from the Medical University of Warsaw in Warsaw, Poland and completed post-graduate studies at the State University of New York at Buffalo and at the Medical Nobel Institute of Karolinska Institute, Stockholm, Sweden. His research is focused on the regulatory mechanisms associated with cell proliferation, apoptosis and sensitivity to anti-tumor drugs. He published over 550 original articles in peer-reviewed journals, over 100 chapters and reviews, authored/edited 12 books and holds 7 US patents. His publications were cited over 23,000 times and 79 of them have over 79 citations each, which ranks him at number 79 in Hirsch’s impact “h-index.”     

China's Century: Fast Forward with Historical Baggage

Private Life under Socialism: Love, Intimacy, and Family Change in. Chinese Village 1949–1999 . Yan Yunxiang. Stanford: Stanford University Press, 2003. 289 pp.
Only Hope: Coming of Age under China's One-Child Policy . Vanessa Fong. Stanford: Stanford University Press, 2004. 242 pp.
On the Move: Women in Rural-to-Urban Migration in Contemporary China . Arianne M. Gaetano and Tamara Jacka, eds. New York: Columbia University Press, 2004. 355 pp.     

Searching for the Secrets of Nature: The Life and Works of Dr. Francisco Hernández

Searching for the Secrets of Nature: The Life and Works of Dr. Francisco Hernández. Simon Varey. Rafael Chabrán. and Dora B. Weiner. eds. Stanford: Stanford University Press, 2000. xvi. 229 pp.
The Mexican Treasury: The Writings of Dr. Francisco Hernández. Simon Varey. ed. Rafael Chabrán. Cynthia L. Chamberlin. and Simon Varey. trans. Stanford: Stanford University Press, 2000. xix. 281 pp.