Reducing risk factors for patients with vascular disease can reduce the subsequent incidence of cerebro-cardiovascular disease. While physicians have had extensive training in the importance of atherosclerotic vascular disease risk factor modification, evidence suggests that they systematically miss opportunities for clinical prevention during routine practice. The aim of this study was to identify whether physicians felt confident in their knowledge and effectiveness regarding counseling patients to reduce cardiovascular risk and to determine barriers to prevention interventions in the office setting. Surveys were mailed to 509 physicians affiliated with an academic community hospital. Nonrespondents were sent reminders and a second survey. Comparisons were made using chi-square analysis. Two hundred and five surveys were returned (40.3%). Thirty-six percent of physicians felt knowledgeable about weight management techniques, compared to 3% who were confident that they succeeded in their practice (p < 0.001). Similar patterns were found for Tobacco Cessation (62% versus 14%, p = 0.001), Alcohol Reduction (46% versus 7%, p < 0.001), Stress Management (35% versus 5%, p < 0.001), Exercise (53% versus 10%, p < 0.001), Nutrition (36% versus 8%, p < 0.001), Diabetes Management (48% versus 23%, p < 0.001), Blood Pressure Management (57% versus 43%, p < 0.001) and Lipid Management (59% versus 38%, p < 0.001). We identified a significant gap between physician confidence in their knowledge about risk factors and their effectiveness at providing counseling and obtaining results in their office. Most physicians felt that the routine office follow-up visit was an ineffective method for instituting vascular risk factor reduction. Alternate settings for risk factor reduction may be needed for improving atherosclerosis prevention.

The colonization, distribution, population density, and species diversity of amoebae on leaves of Oak Leaf lettuce, Lactuca sativa var. crispa. and Boston lettuce, L. sativa var. capitata, were investigated. The role of soil in the colonization of Oak Leaf lettuce was determined by comparing numbers of amoebae present on basal leaves (those that pass through soil) with numbers on wrapped leaves (those that do not pass through soil). Amoebae were present in ten samples of basal leaves and ranged from 154-15 1O/g of leaf tissue. Wrapped leaves failed to yield amoebae in seven of ten trials and contained <4 amoebaelg of tissue. Mean values for the population density of amoebae on Oak Leaf basal leaves and Boston lettuce leaves were 484 ? 133 and 453 f 93, respectively. The distribution of amoebae on green and white parts of leaves from both kinds of lettuce was studied. The occurrence of amoebae on rinsed, unrinsed, visibly clean, and visibly dirty samples of Boston lettuce leaves was established.LTHOUGH the appearance of amoebae on edible vege-2. Napolitano, J. J. 1982. Isolation of amoebae from edible mushrooms.

Isolation of amoebae from the surface and internal tissues of edible mushrooms was investigated. Samples tested over a 3-year period included mushrooms cultivated from six geographic localities. Of 168 mushroom surfaces tested, 161 (96%) yielded amoebae. Of 166 samples of internal stalk and cap tissues tested, only 1 yielded amoebae.

ABSTRACT. Studies performed with the basidiomycete Laccaria trullisata collected from the sandy beach at the Hempstead Lake State Park, Long Island, New York, during the growing seasons of 1979 and 1980, have demonstrated a carposphere (equivalent to rhizosphere) effect. This region exerts a positive influence on the population density of amoebae when numbers are compared with those obtained in the bare sand 5 cm away. Moreover, amoebae have been shown to exist in, and have been recovered from, internal tissue of the cap (72%) and stalk (91%) of these mushrooms. A partial characterization of three strains of amoebae isolated from the internal tissue of L. trullisata and established in clonal culture is presented.

SYNOPSIS. An amoeboflagellate isolated from common soil is described. The amoeboid stage is typically limax and contains a well differentiated uroid region. The flagellate has 2 flagella, which emerge anteriorly and are equal in length. It has a ventral cytostome near the anterior border. The cyst is helmet‐shaped and without opercula. Polar masses are present during nuclear division.