A CLINICAL STUDY OF MALNUTRITION IN JAPANESE PRISONERS OF WAR
Authors: M A SCHNITKER, P E MATTMAN, T L BLISS
Journal: Annals of Internal Medicine (1951)

Article1 July 1951A CLINICAL STUDY OF MALNUTRITION IN JAPANESE PRISONERS OF WARMAURICE A. SCHNITKER, M.D., F.A.C.P., PAUL E. MATTMAN, M.D., THEODORE L. BLISS, M.D., F.A.C.P.MAURICE A. SCHNITKER, M.D., F.A.C.P.Search for more papers by this author, PAUL E. MATTMAN, M.D.Search for more papers by this author, THEODORE L. BLISS, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-35-1-69 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDuring World War I the famine and starvation that occurred in certain parts of central Europe prompted some studies,1, 2, 3particularly concerning the associated edema. The events of World War II, especially the lengthy periods of starvation that occurred in various prison camps, further stimulated numerous researches on the effects of starvation in the human subject.4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23The majority of these studies centered their attention on the edema, but a few included such phases as the burning feet syndrome, the neuropathy,...Bibliography1. Mason CC: German nutrition, 1914-1919, Bull. Johns Hopkins Hosp. 31: 66, 1920. Google Scholar2. Hehir P: Effects of chronic starvation during siege of Kut, Brit. M. J. 1: 865, 1922. CrossrefMedlineGoogle Scholar3. Mery H: Undernourished children during war and since, Bull. Acad. de méd., Paris 88: 47, 1922. Google Scholar4. AdolphGreavesLawneyRobinson WHAVJCHL: Nutritional disorders in Japanese internment camps, War Med. 5: 349, 1944. Google Scholar5. BloomMeryTaylor SMEHWW: Nutritional amblyopia in American prisoners of war liberated from Japanese, Am. J. Ophth. 29: 1248, 1946. CrossrefMedlineGoogle Scholar6. Brennan DJ: Burning feet syndrome; observations of cases among prisoners of war in Manchuria, M. J. Australia 2: 232, 1946. CrossrefMedlineGoogle Scholar7. ButlerRuffinSniffenWickson AMJMMDME: Nutritional status of civilians rescued from Japanese prison camps, New England J. Med. 233: 639, 1945. CrossrefMedlineGoogle Scholar8. CartwrightWintrobe GEMM: Hematologic survey of repatriated American military personnel, J. Lab. and Clin. Med. 31: 886, 1946. MedlineGoogle Scholar9. ClarkeSneddon CAIB: Nutritional neuropathy in prisoners of war and internees from Hong Kong, Lancet 1: 734, 1946. MedlineGoogle Scholar10. Dunlop EE: Clinical lessons from prisoner of war hospitals in the Far East, M. J. Australia 1: 761, 1946. CrossrefMedlineGoogle Scholar11. Gupta LM: Malnutrition in recovered prisoners of war and internees; report of 10 cases evacuated from Thailand, Brit. M. J. 1: 643, 1946. CrossrefGoogle Scholar12. Harrison GF: Nutritional deficiency, painful feet, high blood pressure in Hong Kong, Lancet 1: 961, 1946. CrossrefMedlineGoogle Scholar13. Hibbs RE: Beriberi in Japanese prison camp, Ann. Int. Med. 25: 270, 1946. LinkGoogle Scholar14. KarkAitonPease RHFED: Nutritional status of Japanese prisoners of war, Burma, 1945, Ann. Int. Med. 25: 266, 1946. LinkGoogle Scholar15. Lang WR: Vitamin B deficiency in ex-prisoners of war from Japan, New Zealand M. J. 45: 296, 1946. MedlineGoogle Scholar16. McDanielWhiteThompson FLBVCM: Malnutrition in repatriated prisoners of war, U. S. Nav. M. Bull. 46: 793, 1946. MedlineGoogle Scholar17. Mollison PL: Observations on cases of starvation at Belsen, Brit. M. J. 1: 4, 1946. CrossrefGoogle Scholar18. Musselman MM: Nutritional diseases in Cabanatuan, War. Med. 8: 325, 1945. Google Scholar19. Page JA: Painful feet syndrome among prisoners of war in Far East, Brit. M. J. 2: 260, 1946. CrossrefGoogle Scholar20. Simpson J: "Burning feet" in British prisoners of war in the Far East, Lancet 1: 959, 1946. CrossrefMedlineGoogle Scholar21. Stapleton T: Oedema in recovered prisoners of war, Lancet 1: 850, 1946. CrossrefMedlineGoogle Scholar22. Youmans JB: Nutrition and war, New England J. Med. 234: 773, 1946. CrossrefMedlineGoogle Scholar23. YoumansPatten JBEW: The laboratory diagnosis of nutritional deficiencies, Clinics 1: 303, 1942. Google Scholar24. YoumansBellDonleyFrank JBADH: Endemic nutritional edema. I. Clinical findings and dietary studies. II. Serum proteins and nitrogen balance, Arch. Int. Med. 50: 843, 1932; ibid. 51: 45, 1933. CrossrefGoogle Scholar25. YoumansWellsDonleyMiller JBHSDDG: Effect of posture (standing) on serum protein concentration and colloid osmotic pressure of blood from foot in relation to formation of edema, J. Clin. Investigation 13: 447, 1934. CrossrefMedlineGoogle Scholar26. Youmans JB: Nutritional edema, Internat. clin. 4: 120, 1936. Google Scholar27. KeysTaylorMickelsenHenschel AHLOA: Famine edema and the mechanism of its formation, Science 103: 669, 1946. CrossrefGoogle Scholar28. HenschelMickelsenTaylorKeys AOHLA: Plasma volume and thiocyanate space in famine edema and recovery, Am. J. Physiol. 150: 170, 1947. CrossrefMedlineGoogle Scholar29. BeattieHerbert JPH: The estimation of the metabolic rate in the starvation state, Brit. J. Nutrition 1 :185, 1948. CrossrefGoogle Scholar30. BeattieHerbertBell JPHDJ: Famine oedema, Brit. J. Nutrition 2: 47, 1948. CrossrefMedlineGoogle Scholar31. Kingsley GR: Rapid method for separation of serum albumin and globulin, J. Biol. Chem. 133: 731, 1940. CrossrefGoogle Scholar32. SchoenheimerSperry RWM: Micromethod for determination of free and combined cholesterol, J. Biol. Chem. 106: 745, 1934. CrossrefGoogle Scholar33. Snapper I: Chinese lessons to Western medicine: a contribution to geographical medicine from the clinics of Peiping Union Medical College, 1941, Interscience Pub., New York. Google Scholar34. HawkBergeim GBO: Practical physiological chemistry, 1937, P. Blakiston & Sons Co., Philadelphia, p. 720. Google Scholar35. Goldberger E: A simple method of determining abnormalities of the Q-T interval, Am. Heart J. 36: 141, 1948. CrossrefMedlineGoogle Scholar36. MalloyEvelyn HTKA: Determination of bilirubin with photoelectric colorimeter, J. Biol. Chem. 119: 481, 1937. CrossrefGoogle Scholar37. Maclagan NF: Thymol turbidity test; new indicator of dysfunction of the liver, Brit. J. Exper. Path. 25: 234, 1944. Google Scholar38. HawkinsonWatsonTurner VCJRH: A modification of Harrison's test for bilirubin in the urine especially suited for mass and serial usage, J. A. M. A. 129: 514, 1945. CrossrefGoogle Scholar39. Keefer CS: The beriberi heart, Arch. Int. Med. 45: 1, 1930. CrossrefGoogle Scholar40. WeissWilkins SRW: The nature of the cardiovascular disturbances in nutritional deficiency states, Ann. Int. Med. 11: 104, 1937. LinkGoogle Scholar41. Blankenhorn MA: Diagnosis of beriberi heart disease, Ann. Int. Med. 23: 398, 1945. LinkGoogle Scholar42. Spillane JD: Nutritional disorders of the nervous system, 1947, Williams & Wilkins, Baltimore. Google Scholar43. Golden R: Roentgen ray examination of the small intestine in nutritional disturbances, Virginia M. Monthly 68: 1, 1941. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication December 2, 1949. 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