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POST-GRADUATE MEDICAL JOURNAL OFFICIAL ORGAN OF THE FELLOWSHIP OF MEDICINE VOLUME XIII. NEW SERIES I937 BRADBURY, WILKINSON & CO., LIMITED, 16-i8, EPWORTH STREET, FINSBURY, LONDON, and NEW MALDEN, SURREY. '937
Transcript

POST-GRADUATE

MEDICAL JOURNALOFFICIAL ORGAN OF THE FELLOWSHIP OF MEDICINE

VOLUME XIII.NEW SERIES

I937

BRADBURY, WILKINSON & CO., LIMITED,16-i8, EPWORTH STREET, FINSBURY, LONDON, and NEW MALDEN, SURREY.

'937

INDEX TO VOLUME XIII. (NEWV SERIES).

JANUARY TO DECEMBER, 1937.

PAGEABEL, A. Lawrence. Comfort after laparo-

tomy ... ... ... ... ... 435Acute intestinal obstruction. Herbert J.

Paterson ... ... ... ... ... 455- and sub-acute nephritis. Robert Platt 45Addison's disease, Recent advances in the

treatment of. George Graham ... 88Ainsworth-Davis, J. C. The diagnosis and

treatment of ureteric calculi ... ... 413Alcohol and the motorist. Report of a

Mock Trial ... ... ... ... 129Annual Meeting ... ... ... ... 168Appendicitis, Some observations on acute.

A. Cameron MacLeod ... ... ... 170Arthropathies, The. C. Worster-Drought 445

BEATTIE, John. The use of hormones inobstetrics and gynaecology ... ... 234

Bennett, T. Izod. Nephrosis ... ... 60Bourne, Geoffrey. Some practical points

in the diagnosis and treatment ofanaemia ... ... ... ... ... 203

Bristow, VV. Rowley. Injuries and displace-ments of the semilunar cartilage ... 366

Browne, Denis. Talipes equino varus ... 349Buckley, Charles W. The problem of

chronic rheumatism ... ... ... 303Burgess, Norman. Physiotherapy in diseases

of the skin ... ... ... ... 209

CANCER of the stomach. R. W. Raven ... 251Carbuncles, The treatment of. R. H.

Franklin ... ... ... ... ... 284Cardio-vascular syphilis. Bertram H. Jones 451Causes of sudden death. F. Temple Grey 16Cholecystectomy combined with choledo-

chostomy in cases of chronic cholecys-titis associated with gall-stones, A pleafor. Rodney Maingot ... ... ... 278

Choledochostomy in cases of chronic chole-cystitis associated with gall-stones, Aplea for cholecystectomy combined with.Rodney Maingot ... ... ... 278

Chronic atrophy of the Liver, A case of.H. V. Morlock ... ... ... ... 22

--nephritis. A. G. Gibson ... 54Classification of nephritis. John Gray ... 39Comfort after laparotomy. A. Lawrence

Abel ... ... ... ... ... 435Copeman, W. S. C. and Tegner, W.

Rheumatoid arthritis ... ... ... 306Correspondence. The nursing profession.

Harold Balme ... ... ... ... 458

DE WESSELOW, 0. L. V. Essential hyper-tension ... ... ... ... ... 67

Diagnosis in splenomegaly, The differential.Leonard Howells ... ... ... 241

PAGEDiagnosis and treatment of anaemia, Some

practical points in. Geoffrey Bourne ... 203ureteric calculi, The. J. C. Ainsworth-Davis ... ... ... ... ... 413

Dodd, Harold.. Renal sympathetico-tonus 105Dodds, E. C. and Robertson, J. D.

Renal function tests in nephritisand allied conditions ... ... ... 73

Dunn, Naughton. The surgery of muscleand tendon in relation to paralysis andinjury ... ... ... ... ... 374

Duodenal ulcer, The radiology of. G. Simon 273

EDITORIAL-Alcohol and the motorist: Mock Trial 119Chronic rheumatic diseases ... ... 297Congress of the Chartered Society ofMassage and Medical Gymnastics ... 299

Criminal abortion ... ... ... 200Debates on voluntary euthanasia ... 1Family doctor and preventive medicine,The ... ... ... ... ... 431

Fourth International Paediatric Con-gress ... ... ... ... 300

High altitudes ... ... ... ... 231International Leprosy Conference ... 199Marriage Bill, The ... ... 269Medical Classics ... ... ... ... 5Milk-drinking habits of school children,The ... ... ... ... 4

Mind versus matter ... ... ... 2Ministry of Health Grants for post-

graduate instruction ... ... ... 299Nephritis ... ... ... ... 35Nursing Profession, The ... ... 399Orthopaedics ... ... ... ... 337Physical fitness ... ... ... ... 165Plastic Surgery Congress ... ... 299Raw versus pasteurized milk ... ... 267Refresher courses for Public Health

officers ... ... ... ... 338Royal Medical Benevolent Fund ... 122Seventh annual report of the NationalRadium Trust and Radium Com-mission ... ... ... ... ... 83

Tomography ... ... ... ... 401Tubercle Bacilluria ... ... ... 298

ELMSLIE, R. C. Manipulative surgery ... 344Endocrinology, The present position of.

Sir Walter Langdon Brown ... ... 9Essential Hypertension. 0. L. V. de

Wesselow ... ... ... ... 67

FAIRBANK, H. A. T. Some recent advancesin the treatment of fractures ... ... 341

Familial spontaneous pneumothorax.F. E. Saxby Willis ... ... ... 288

Fibrositis. Ernest Fletcher ... ... ... 324Flat-feet. S. L. Higgs ... ... ... 354Fletcher, Ernest. Fibrositis ... ... 324

2 INDEX TO VOLUME XIII.

PAGEForfarshire Medical Association. Tubercle

Bacilluria and its significance ... ... 330Fractures, Some recent advances in the

treatment of. H. A. T. Fairbank ... 341Franklin, R. H. The treatment of car-

buncles ... ... ... ... ... 284Future of speech therapy, The. H. St. John

Rumsey ... ... ... ... 215

GIBSON, A. G. Chronic nephritis ... ... 54Glycosuria, The treatment of. T. H.

Oliver ... ... ... ... ... 185Gout. George Graham ... ... 321Graham, George. Gout ... .. .

321Recent advances in the treatment ofAddison's disease ... ... ... 88

Gray, John. Classification of nephritis ... 39Grey, F. Temple. Causes of sudden death 16Gynaecology, The use of hormones in obstet-

rics and. John Beattie ... ... 234

HIGGS, S. L." Flat feet ... ... ... 354Hormone therapy, and its rationale, Some

indications for. S. Levy Simpson ... 405Hormones in obstetrics and gynaecology, The

use of. John Beattie ... ... ... 234Howells, Leonard. The differential diag-

nosis in splenomegaly ... ... ... 241Hunter, William. The principles of treat-

ment of post-partum haemorrhage ... 419Hypertension, Essential. 0. L. V. de

Wesselow ... ... ... ... ... 67

INJURIEs and displacements of the semi-lunar cartilage. W. Rowley Bristow ... 366

Intestinal obstruction, Acute. Herbert J.Paterson ... ... ... ... ... 455

JOINTS, Tuberculous disease of. H. J.Seddon ... ... ... ... ... 387

Jones, Bertram H. Cardio-vascular syphilis 451

LANGDON BROWN, Sir Walter. The presentposition of endocrinology ... ... 9

Laparotomy, Comfort after. A. LawrenceAbel ... ... ... ... ... 435

Liver, A case of chronic atrophy of the..H. V. Morlock ... ... 22

Low back pain of obscure origin. WalterMercer ... ... ... ... ... 358

MCCULLAGH, W. McKim. Trichomoniasis ... 247Macleod, A. Cameron. Some observations

on acute appendicitis ... ... ... 170Maingot, Rodney. A plea for cholecystec-

tomy combined with choledochostomyin cases of chronic cholecystitis asso-ciated with gall-stones ... ... ... 278

Manipulative Surgery. R. C. Elmslie ... 344Mercer, Walter. Low back pain of obscure

origin ... ... ... ... ... 358

NEPHRITIS, Acute and sub-acute. RobertPlatt .. .. ... ... ... 45and allied conditions, Renal fuhctiontests in. E. C. Dodds and J. DouglasRobertson .. ... ... 73Chronic. A. G. Gibson ... ... ... 54Classification of. John Gray ... ... 39

Nephrosis. T. Izod Bennett ... ... 60

PAGEOBSTETRICS and gynaecology, The use of hor-

mones in. John Beattie ... ... 234Oliver, T. H. The treatment of glycosuria 185Osteitis. Matthew White .. ... ... 381Osteoarthritis. Matthew B. Ray ... ... 311

PAIN of obscure origin, Low back. WalterMercer ... ... ... ... ... 358

Paterson, Herbert J. Acute intestinalobstruction ... ... ... ... 455

Physiotherapy in diseases of the skin.Norman Burgess ... ... ... ... 209

Pituitary-adrenal-gonadal complex, TheS. Levy Simpson ... ... ... 96

Platt, Robert. Acute and sub-acutenephritis ... ... ... ... ... 45

Playfair, Kenneth. A note on two unusualcases of thrombopenic purpura ... 220

Pneumothorax, Familial spontaneous. F. E.Saxby Willis ... ... ... ... 288

Post-partum haemorrhage, The principles oftreatment of. William Hunter ... 419

Practical points in the diagnosis and treat-ment of aneemia, Some. GeoffreyBourne ... ... ... ... ... 203

Present position of endocrinology, The. SirWalter Langdon Brown ... 9

Principles of treatment of post-partumhaemorrhage, The. William Hunter . 419

Problem of chronic rheumatism, The.Charles W. Buckley ... ... ... 303

RADIOLOGY of duodenal ulcer, The. G. Simon 273Raven, R. W. Cancer of the stomach ... 251Ray. Matthew B. Osteoarthritis ... ... 311Recent advances in the treatment of

Addison's disease. George Graham ... 88--fractures. H. A. T. Fairbank ... 341Renal function tests in nephritis and allied

conditions. E. C. Dodds and J. DouglasRobertson ... ... ... ... 73- sympathetico-tonus. Harold Dodd ... 105

REVIEWS-Aids to the treatment of diseases of

children (7th edition). F. M. B. Allen. 226Antenatal and postnatal care (2nd

edition). Francis J. Browne ... ... 423Appendicitis; when and how to operate.W. J. Stewart McKay ... ... ... 25

Arthritis in women. Fortescue Fox ... 26British Encyclopaedia of medical prac-

tice, The: Vol. 1. 2, 3, 4. Edited bySir Humphry Rolleston ... ... 423

Brompton Hospital reports. Volume V.1936 ... ... ... ... ... 227

Charterhouse Rheumatism Clinic originalpapers. Volume I ... ... ... 162

Chronic miliary tuberculosis. CliffordHoyle and Michael Vaizey ... ... 397

Clinical Roentgenology of the cardio-vascular system. Hugo Roesler ... 334

Clinical use of digitalis, The. DrewLuten ... ... ... ... ... 30

Common neuroses, The. (2nd edition).T. A. Ross ... ... ... ... 226

Control of tuberculosis in England-past and present, The. Gregory Kane 334

Control of tuberculosis in man, The.Nathan Raw ... ... ... ... 195

INDEX TO VOLUME XIII. 3

REVIEWS (contd.) PAGEDeafness and commonsense. J. KerrLove ... ... ... ... ... 113

Dental surgery for medical practitioners.B. A. Kopkin ... ... ... 113

Diagnosis of some delusional insanitytypes in general practice. E. HopewellAsh ... ... ... ... ... 429

Diagnosis of nervous diseases, The.Sir James Purves-Stewart ... ... 428

Diagnosis and non-operative treat-ment of diseases of the colon andrectum. Gottwald Schwarz, JacquesGoldberger and Charles Crocker ... 257

Diathermy. (3rd edition). E. P.Cumberbatch ... ... ... ... 224

Diseases of the nose throat and ear.J. Simson Hall ... ... ... 260

Drug addiction. E. W. Adams ... 425Electrical engineering and radiology.

L. G. H. Sarsfield ... ... ... 29Essentials of modern medical treatment.

Vincent Norman ... ... ... 28Facial neuralgias, The. Wilfred Harris 193Failure of the heart and circulation.

Terence East ... ... ... ... 333Food and the principles of dietetics.

Robert Hutchison and V. H. Mottram. 27Fundamentals of electro-cardiographic

interpretation, The. T. Bailey Carter 258Handbook of diseases of children (2nd

edition). Bruce Williamson ... 28High blood pressure. J. Harris, C. N.

Aldred, J. T. Ireland, G. V. James,A. I. C. Leverhulme and M. Stern 290

History of the acute exanthemata, The.J. D. Rolleston ... ... ... 228

History of modern morals, The. MaxHodann ... ... ... ... 194

Illustrations of regional anatomy. Sec-tions I-V (2nd edition). E. B.Jamieson ... ... ... ... 397

Inhalation therapy technique. W. E.Collison ... ... ... ... 114

Introduction to general practice, An.E. Kaye Le Fleming ... ... ... 113

Kidney pain, its causation and treat-ment. J. Leon Jona ... ... 333

Lung, The. Wm. Snow Miller ... 258Manual of practical tropical sanitation.

J. Balfour Kirk ... ... ... 395Manual of radiological diagnosis, A.

Ivan G. G. Tchaperoff ... ... 115Medical diagnosis (some clinical aspects)

S. Levy Simpson ... ... ... 261Minor maladies (7th edition). LeonardWilliams ... ... ... ... 292

Modern dietary treatment. MarjorieAbrahams and E. M. Widdowson ... 261

Modern treatment in general practice.Vol 3. Edited by Cecil P. G. Wakeley 428

Morphine habit and its painless treat-ment, The. (2nd edition). G.Laughton Scott ... ... ... 227

Muir's Bacteriological atlas (2ndedition). C. E. van Rooyen ... 333

Nature and treatment of asthma, hayfever, and migraine, The. Alex.Gunn Auld ... ... ... ... 293

On the incidence of anaesthetic compli-cations and their relation to basalnarcosis. C. J. M. Dawkins ... ... 26

PAGEOperations of surgery, The. (8th

edition, Vol. 2). R. P. Rowlands andPhilip Turner ... ... ... 291

Operative obstetrics (4th edition). J. M.Munro Kerr ... ... ... ... 425

Operative surgery (2nd edition). Alex-ander Miles and D. P. D. Wilkie ... 262

Pathological physiology and clinicaldescription of the anaemias. WilliamBosworth Castle and George RichardMinot ... ... ... .. .. 30

Physiological principles in treatment(7th edition). Sir Walter LangdonBrown and Reginald Hilton ... ... 162

Practical orthoptics in the treatment ofsquint. Keith Lyle and SylviaJackson ... ... ... ... ... 163

Prevention and treatment of disease,The. W. M. Stevens ... ... 28

Principles of diagnosis prognosis andtreatment (2nd edition). RobertHutchison ... ... ... 114

Principles of medical statistics. Brad-ford Hill ... ... ... ... 424

Prognosis. Vol. 2 ... ... ... 292Protoformotherapy in treatment and

prevention. N. E. Ischlondsky ... 459Recent advances in allergy (3rd

edition). George W. Bray ... ... 30Recent advances in anasthesia and

analgesia, including oxygen therapy(2nd edition). C. Langton Hewer ... 161

Reports on chronic rheumatic diseases,Vol. III. Edited by C. W. Buckley 396

St. Thomas's Hospital Reports, 2ndseries, Volume I ... ... 161

Scientific basis of physical education,The. F. W. W. Griffin ... ,.. 426

Sick Children (2nd edition). DonaldPaterson ... ... ... ... 114

Skin disease in general practice (3rdedition). H. Haldin-Davis ... ... 291

A social problem group? Edited byC. P. Blacker ... ... ... ... 163

Surgery of the sympathetic nervoussystem, The (2nd edition). Geo. E.Gask and J. Paterson Ross ... ... 395

Synopsis of digestive diseases. John L.Kantor ... ... ... ... 396

Synthetic anatomy. J. E. Cheesman ... 26System of clinical medicine. A (1Oth

edition). Edited by Agnes Savilland E. C. Warner ... ... ... 27

Textbook of medicine by variousauthors (3rd edition). Edited by J. J.Conybeare ... ... ... ... 29

Textbook of mental deficiency(Amentia), A (6th edition). A. F.Tredgold ... ... ... ... 259

Textbook of ophthalmic operations, A.Harold Grimsdale and ElmoreBrewerton ... ... ... 460

Textbook of physiology, A (2nd edition).H. E. Roof ... ... ... ... 228

Trachoma. A. F. MacCallan ... ... 25Treatment of acute poisoning, The.H. L. Marriott ... ... ... 29

Vade mecum of medical treatment.W. Gordon Sears ... ... ... 227

Venereal Diseases (3rd edition). DavidLees ... ... ... ... ... 257

4 INDEX TO VOLUME XIII.

REVIEWS (contd.) PAGEWeight reduction, diet and dishes.

E. E. Claxton ... ... ... ... 161What is osteopathy? Charles Hill andH. A. Clegg ... ... ... ... 226

What is wrong with British diet?Harry Campbell ... ... ... 424

RHEUMATISM, The problem of chronic.C. W. Buckley ... ... ... ... 303

Rheumatoid arthritis. W. S. C. Copemanand W. Tegner ... ... ... ... 306

Robertson, J. Douglas and Dodds, E. C.Renal function tests in nephritis andallied conditions ... ... ... 73

Rumsey, H. St. John. The future of speechtherapy ... ... ... ... ... 215

SEDDON, H. J. Tuberculous disease of joints 387Simon, G. The radiology of duodenal ulcer 273Simpson, S. Levy. The pituitary-adrenal-

gonadal complex ... ... ... 96Some indications for hormone therapy,and its rationale ... ... ... 405

Skin, Physiotherapy in diseases of the.Norman Burgess ... ... ... 209

Speech therapy, The future of. H. St. JohnRumsey ... ... ... ... ... 215

Spence, A. W. Testes ... ... ... 101-Thymus ... ... ... ... ... 190

Splenomegaly, The differential diagnosis inLeonard Howells ... ... ... 241

Surgery of muscle and tendon in relation toparalysis and injury. Naughton Dunn 374

Syphilis, Cardio-vascular. Bertram H. Jones 451

PAGETALIPES equino varus. Denis Browne ... 349Tegner, W. and Copeman, W. S. C.

Rheumatoid arthritis ... ... ... 306Testes. A. W. Spence ... ... ... 101Thrombopenic purpura, A note on two

unusual cases of. Kenneth Playfair ... 220Thymus. A. W. Spence ... ... ... 190Treatment of Addison's disease, Recent

advances in the. George Graham ... 88anaemia. Some practical points in thediagnosis and. Geoffrey Bourne ... 203carbuncles, The. R. H. Franklin ... 284

--fractures, Some recent advances in.H. A. T. Fairbank ... ... ... 341glycosuria, The. T. H. Oliver... ... 185post-partum haemorrhage, The princi-ples of. William Hunter ... ... 419

--ureteric calculi, The diagnosis and.J. C. Ainsworth-Davis ... ... ... 413

Trichomoniasis. W. McKim McCullagh ... 247Tubercle bacilluria and its significance.

Forfarshire Medical Association ... 330Tuberculous disease of joints. H. J.

Seddon ... ... ... ... ... 387

URETERIC Calculi, The diagnosis and treat-ment of. J. C. Ainsworth-Davis ... 413

WHITE, Matthew. Osteitis ... ... ... 381Willis, F. E. Saxby. Familial spontaneous

pneumothorax ... ... ... ... 288Worster-Drought, C. The arthropathies ... 445

BRADBURY, WILKINSON & Co., LTD., Bond Court House, Walbrook, E.C.4, and New Malden, Surrey.

January, 1937 EDITORIAL NOTES 1

Editorial Notes.Debates on Voluntary Euthanasia.

The recent debate in the House of Lords, and the organized discussion inthe Hunterian Society of London, have afforded, on a considerable scale, anopportunity of judging both medical and non-nedical opinion on the proposalto authorize under certain conditions the practice of voluntary euthanasia. Thebroad effect of these discussions is, for anything like immediate purposes, to putthe proposal out of court, and the Society formed to advocate the practice hasevidently to face a volume and quality of opposition which, to judge fromearlier announcements, had been but little anticipated.

While doctors, as such, have necessarily a special word to say in the debate,alike as to the need for the proposal, the effect of its adoption, and the meansof carrying it into effect, they will naturally turn with particular interest tocontributions made outside the ranks of the profession. Certain ecclesiasticalauthorities, as was known in advance, have no words other than those of unquali-fied condemnation, and from these quarters the Bill was described as an attemptto legalise murder and suicide, and was met by the assertion that as a matterof moral principle no man was entitled voluntarily to take his own life. Not allclerical voices, however, affirm this principle; some indeed agree that an extremityof pain associated with the prospect of impending death may justify both a deter-mination to terminate life and the collaboration of the doctor to this end. Herearises an attempt to establish a subtle distinction between pain which has ethicalvalue and pain which has not this quality-a point which, together with othermoral and religious considerations, hardly comes within the competence of thisJournal.

More to the purpose is it to note the repeated appreciation of the distressingand serious responsibility which the Bill would impose upon members of themedical profession, and a decided shrinking from the intrusion of official personsand official forms into a privacy which in the highest measure claims reverenceand regard. In more than one quarter, too, it was recognized that while nomi-nally the initiative and the choice must be solely with the patient it would beimpossible to exclude other voices, and painful debates among famnilies andfriends would be more than probable. That is, relief to the patient from physicalpain might well mean increased mental doubt and distress for others. Relatedto this aspect of the question is the issue whether a patient in the circumstancescontemplated by the Bill can be regarded as competent to judge the moral andother issues involved.

Another feature of the House of Lords debate was 'the widespread and com-plete confidence expressed in the competence and trustworthiness of the medicalprofession to meet, in fact, the situations which actually arise, recognizing thesanctity of human life and the fallibility of human judgment while not forgettingthe claim that suffering must be relieved. Speaker after speaker expressed theconviction that no need had been shown for any legal or formal modification ofthe existing position, and even the advocates of euthanasia were ready torecognize that the conditions contemplated by the Bill would be of infrequentoccurrence. The medical speakers in the debate supported this view on the basisof personal experience without pretending to discuss certain ethical issues which

2 POST-GRADUATE MEDICAL JOURNAL January, 1937

from other points of view had been introduced quite naturally into the dis-cussion. And personally we have little doubt that the views thus expressed carrythe considered judgment of the large majority of the members of the medicalprofession. Put briefly, this judgment is that official regulations and procedurewould complicate and make difficult a situation which is at present adequatelymet by personal and competent judgment formed in each instance by a know-ledge of the actually existing situation.

Reference to the discussion in the Hunterian Society finds the well wornarguments both on the one side and on the other. The introducer claimedeuthanasia as one of the great reforms of the age, while a concluding speaker,having listened to the case presented on its behalf was, even more firmly thanbefore, strongly opposed to the practice. A philosopher joined in the condemna-tion while a supporter found comfort in the failure of opposition to cremation andother resisted changes. A certain measure of liveliness was introduced by theassertion of a member that ever since he had been in practice he had administeredeuthanasia and that, legally or illegally, he should continue to do so. Hints tothe same effect have appeared in other discussions and have been used byadvocates of the Bill to claim that as the practice exists it would be better thatit should be conducted under legal regulations rather than be left to personaldecision and initiative. The answer, as given in the course of the debate, isthat no doctor is justified in deliberately putting a patient to death. That hemay be compelled to run risks in the relief of pain is no doubt true, as he maybe compelled to run risks in other circumstances, as for example in persistentinsomnia during an acute illness, or in the administration of an anaesthetic for asurgical operation; and he must judge for himself whether the risk is necessaryor advisable. But that a practitioner of set determination should poison a patientis indefensible alike by the legal and the moral code. To relieve suffering whichis itself a danger to life is a professional duty and no practitioner should shrinkfrom it even though it means some peril; it is the lesser of two evils and needsno defence. The recent agitation has done nothing effective to disturb thisposition, and, at least for some time, the legal approval of voluntary euthanasia isoutside the field of practical politics.

Mind versus Matter.

We should have thought that at this period of our civilization mind wouldhave received more consideration than matter. Yet such does not seem to be thecase for the daily press, our politicians and even the majority of our education-alists are constantly preaching that an improved physique is the most importantdesideratum of the population of today, and, whatever they believe, they certainlysuggest that if this could be brought about all the troubles of the body, and of thebody politic as well, would disappear. The means by which it is suggested thatthis object may be attained are many and vary from time to time. There wasthe slogan " Eat More Fruit " which was later replaced by " Drink More Milk,"but today it is "Jerk Every Day " and no man is held to be doing himselfjustice unless he has every day a course of physical exercise.

January, 1937 ExDITORIAL NOTES 3

This call for general daily physical exercise seems somewhat uncalled forin view of the amount of walking which many individuals perform every day inthe course of their work. This often amounts to many miles, and that in the mostunexpected quarters, as shown by the recent tests with the pedometer. We alsofeel that the amount of physical exercise considered necessary for health is muchexaggerated. This question of exercise seems to us to be as much a psychicalas a physical matter. Some men and women think they do not feel well withouta habitual strenuous week-end on the golf course or on the highway, while othersagain never feel better than when they have had a lazy time and have had anopportunity of repaying some of the sleep which they have borrowed during theweek. No doubt, too, the amount of food and drink consumed is a factor whichdetermines the manner in which the interlude between the working weeks is spent.

But, apart from all this, is it true that the physical condition of our peopleis so deplorable? We learn every year from the Reports of the Chief SchoolMedical Officer that the children age for age are becoming taller and heavier andthat they present less disease, fewer deformities and more evidence of parentalcare. We have also just learned from the Chief Medical Officer of the Post Office")that, so far as London boys and girls are concerned, those seeking employmentin this service five years ago were much superior physically to those who pre-sented themselves for service twenty-five years ago. The boys on the averagewere i6 lbs. heavier and I1 inches taller and the girls IO lbs. heavier and i inchtaller. All this is surely ample evidence that the physical conditions of the peopleare steadily improving and hence it is difficult to understand the report that anexcessive number of young men are refused entrance to the Army because ofphysical unfitness. It may be, of course, that the standard of fitness set by theArmy is unreasonably high.

In the second place, is physical excellence the all-important matter that isbeing claimed for it today? Will this world progress and become a more desirableresidence for mankind in this way? We personally doubt it. We are not animalsbeing bred for the racecourse, but we are men. And it is the possession of anlind which differentiates us from the beasts, and it is the type of mind which wepossess which- will determine the future course of civilization. We do not fora moment decry physical fitness. It certainly engenders that comfortable feelingof well-being but it is very questionable if it will be the protection against disease,at least infectious disease, that it is generally credited with.

In any case, everything points to a general improvement in the physical fitnessof the people; there has been since the war a general rise in the standard of living(better food, better clothing and better housing) which could not fail to bear fruit,and we have no doubt that as social amenities are further improved greater materialbenefits will accrue. Can we, however, take the same optimistic view concerningthe intelligence of our race ? Intelligence is an hereditary characteristic andunfortunately it is among the more intelligent section of the community that thebirth rate shows the most marked decline. The late Dr. Shepherd Dawson drewattention to this point some years ago and quite recently Dr. R. B. Catell12) hasreturned to the same question. Like Shepherd Dawson, he finds that the mostprolific section of the population is the least intelligent, and, owing to the dis-appearance of the differential death rate, no doubt in part as a consequence of

(1 Post Office Medical Service, Green Paper, No. 31, A.(21 The Eugenics Review, 1936, xxviii, 181.

4 POST-GRADUATE MEDICAL JOURNAL January, 1937

child welfare activities, he predicts a steady and indeed a rapid increase in theproportion of individuals of subnormal intelligence, as gauged by the standardsof today. According to Catell there will be a 24 per cent. increase in thirty yearsand, if present conditions are not changed, more than one half of the populationwill be mentally defective within 300 years. There is no doubt that there is muchtruth in Dr. Catell's thesis and his warning is timely. Foltunately, as some com-pensation for such a gloomy picture, Dr. Catell suggests a remedy which wouldgo some way to delay, if not to hinder, the decline and fall of our race and whichmay be summarized as follows:-

(i) Adequate birth-control facilities for poor as well as rich.(2) Subsidize the intelligent child, no matter the social status, and thus

encourage the parents to provide it with brothers and sisters.(3) Increase the income-tax allowances for children and diminish those

for marriage.(4) Education of the community in eugenics and bring home necessity

for parenthoQd.

The Milk-Drinking Habits of School Children.()Dr. Norman Wright of the Hannah Dairy Research Institute has just

published the account of a novel and ingenious method of attempting to gaininformation regarding the frequency with which the school child obtains milk,in short the milk-drinking habit of the child. The information was obtained bysetting the child at school a memory exercise in which he was asked to answercertain questions concerning the food which he had received on the previousday. The questions included what he had for breakfast, e.g.-porridge and milk,at dinner-milk or tea, at tea time and at bed time; if he had milk between hismeals and if he got milk at school or at home, and finally what did he like .bestto drink, e.g. cocoa, coffee, milk, tea or water. The test was set in September1935, i.e., about one year after the milk-at-school scheme was started but beforeit had become general, and it was given to I4,555 children in the State-aidedschools in rural, mining and urban districts of Scotland, those in the latterincluding poor, artisan and suburban classes of children. It was thought thatin this way the habits of the child with regard to milk-drinking could be dis-covered, and further, that if the test were repeated after some five years, thesuccess of the various measures instituted to stimulate milk consumption wouldbe learned.

As Dr. Wright states, "The outstanding fact revealed in the enquiry is thesmall extent to which milk is normally drunk by children of school age." NIorethan half of the children never drank milk at all, and roughly two thirds of theremainder only took it once; only 3 per cent. of the children drank milk threetimes or more daily. On the other hand, it was found that only 5 per cent. of thechildren failed to take tea once and 50 per cent. took it three or more times perday.

It was rather a revelation to find that in Scotland only 25 per cent. of schoolchildren took porridge to breakfast and even when those who got porridge atsome other meal were included this proportion was only raised to 33 per cent.

(1) An Enquiry into the Drinking Habits of Children of School Age with Special Reference to MilkDrinking. By Norman C. Wright, M.A., Ph.D. Published by Hannah Dairy ResearchInstitute, Keikhill, Ayr. 1936.

January, 1937 EDITORIAL NOTES 5

that the milk-in-school scheme may, however, have a beneficial effect andencourage the child's taste for milk is suggested by the fact that the childrenwho most frequently take milk at school are those of the suburban (best social)class who are more in the habit of receiving it at home and thus have acquiredthe taste for it. However, against this optimistic feature it is to be recorded thatduring the last i8 months there has been a definite falling-off in the amount ofmilk consumed in the schools. This may be " due to the wearing off of novelty"but that such is not the whole explanation is suggested by the fact that thisfalling-off is most marked in the best schools. Hence Dr. Wright believes thatif the scheme is " ultimately to achieve the success- envisaged at its inception,the only course will be to provide free milk to all school children."

It is to be hoped that Dr. Wright will be given facilities for repeating thisenquiry in the same schools in a few years' time, and that he will be able to recordthat the expense incurred by the country in financing the milk-in-school schemehas been worth while.

Medical Classics.There has just appeared a new medical periodical with the above title which

we are sure will be welcomed by the profession and which is bound to increaseinterest in the history of medicine. The pages in this new journal published inBaltimore are to be devoted to biographical sketches of the pioneers in medicinewith reprints of the original articles in which these masters have described thediscoveries and views which have made their names immortal.

It will be pleasant news to our compatriots to learn that the first number(September I936) of this new journal is devoted to Sir James Paget. There is areproduction of the well-known portrait by Millais, a short biographical sketch,a chronological list of all his publications with reprints of his original articles on"Osteitis Deformans" and "Disease of the Mammary Areola Preceding Cancer of theMammary Gland." Photographic reproductions of the first pages of these articlesand of the plates illustrating the original article on Osteitis Deformans are alsoincluded.

The second issue (October I936) was devoted to the work of Sir Charles Belland in future issues the life and work of Addison, Banti, Brodie, Colles, Fowler,Hodgkin and Pott will be reviewed.

The whole Journal has a pleasing appearance, the paper is good, the typeclear and dignified, and the illustrations on special art paper are magnificentlyreproduced. As already mentioned, it is an American publication from the Pressof thfe Williams & Wilkins Company, Baltimore, and is edited by Emerson CrosbyKelly, M.D. Messrs. Bailliere Tindall & Cox, 8, Henrietta Street, W.C.2, arethe agents for the British Empire. There will be ten numbers per year, appearingmonthly except during August and September, and the annual subscription is47 / - (post free).

6 POST-GRADUATE MEDICAL JOURNAL January, 1937

Special Nephritis Number.It will be of interest to our readers to learn that it has been decided to

devote the February issue of the Journal exclusively to the question of Nephritis,a subject on which much investigation has been carried out within recent years.For this special issue we have been fortunate in obtaining the collaboration ofmany of the original workers and, from the list of articles as shown below, itwill be seen that an attempt has been made to make the symposium as compre-hensive as possible

(i) Experimental Nephritis and its Lessons for the Disease in Man, byProf. John Shaw Dunn, Glasgow.

(2) Renal Physiology and Tests of Efficiency, by Prof. E. C. Dodds andDr. Robertson, London.

(3) The Classification of Nephritis, by Dr. John Gray, London.

(4) Acute Nephritis, by Dr. Robert Platt, Sheffield.(5) Chronic Nephritis, by Dr. A. G. Gibson, Oxford.(6) Nephrosis, by Dr. T. Izod Bennett, London.

(7) Hypertension, by Prof. 0. L. V. de Wesselow, London.

Fever-Therapy.The first international congress of Pyreto-therapy will take place at Columbia

University, New York, U.S.A., on March 2gth, 30th and 3Ist, I937.There will be reports and discussions on the action of the different pyretogenic

agents and the clinical results obtained.Visits will be paid to Philadelphia and Washington where the delegates will

be received by President Roosevelt.The British Committee is as follows:-Dr. Cameron, Dr. G. Graham, Dr.

N. B. Graham, Sir Ernest Graham-Little, Dr. D. T. Harris, Dr. G. W. C. Kaye,Mr. Ambrose King, Dr. W. V. Mayneord, Dr. F. J. Nattrass, Dr. B. D. H.Watters and Dr. W. Kerr Russell (Hon. Sec.), I26, Harley Street, W.i.

0:

January, 1937 POST-GRADUATE MEDICAL JOURNAL 7

General Post-Graduate News.It should be noted that instruction arranged by the Fellowship of Medicine is open only toMembers and Associates unless otherwise stated. A copy of each detailed syllabus is sent toevery Member and Associate.

To ensure admission or to avoid cancellation of the Courses application must be made by thedate given on each syUabus.

ADVANCED COURSES.M.R.C.P. (Tuberculosis): Saturday, January 2. Preston Hall, near Maidstone, Kent. Special

demonstrations, l1.0 a.m. to 6.0 p.m. Fee lOs. 6d. (Limited to 8.) If sufficientdemand, the demonstrations will be repeated for a second class of 8 on Saturday,January 9.

M.R.C.P. (Fundus Oculi Demonstration): Tuesday, January 5. West End Hospital for NervousDiseases (I.P. Dept., Gloucester Gate, Regents Park), at 8.30 p.m., by Mr. LindsayRea. Fee 15s. 6d. (Limited to 12).

F.R.C,S. (Final): Surgical Tutorial Class. January 12 to March 4. National TemperanceHospital Lecture Room. Tuesdays and Thursdays at 8.30 p.m. Fee £4 4s Od,or 7s. 6d. per evening.

Urology: January 18 to January 30. St. Peter's Hospital. All day. Fee £5 5s. (Limitedto 8). Men only.

Cardiology: January 11 to January 22. National Hospital for Diseases of the Heart. Allday. Fee £7 7s. (Limited to 20).

Chest Diseases: January 25 to January 30. Brompton Hospital. All day. Fee £3 3s.Proctology: February 1 to February 6. St. Mark's Hospital. All day. Fee £3 3s.Gynaecology: February 8 to February 20. Chelsea Hospital for Women. All day. Fee £5 5s.

(Limited to 15).M.R.C.P.: February 9 to February 23. National Temperance Hospital. Tuesday and Thursday

evenings at 8.0 p.m. Clinical and pathological. Fee £6 6s. (Limited to 24).M.R.C.P. (Chest): February 22 to March 20. Brompton Hospital. Two days weekly, 5-6.30

p.m. Fee £3 13s. 6d. (Limited to 6 per class).M.R.C.P. (Chest and Heart): March 1 to March 20. Royal Chest Hospital. Mondays,

Wednesdays, Fridays, 8.0-10.0 p.m. Fee £4 14s. 6d. (non-Members £5 15s. 6d.).Orthopaedics: March 8 to March 20. Royal National Orthopaedic Hospital. All day. Fee £3 3s.Infants Diseases (for D.C.H. Candidates): March 8 to March 13. The Infants' Hospital. All

day. Fee £3 3s.

OTHER COURSES.Children's Diseases (week-end): February 20 and Febmary 21. Princess Elizabeth of York

Hospital. All day, Saturday and Sunday. Fee £1I Ils. 6d.Urology (week-end) : March 20 and March 21. All Saints Hospital. All day, Saturday and

Sunday. Fee £1 l Is. 6d.

STANDING ARRANGEMENTS.Anaesthetics: Practical tuition for a fortnight or a month can be arranged. Limited to two

Post-Graduates at a time.Ante-Natal Clinics: (For Women Post-Graduates only). East Islington Mothers and Babies

Welfare Centre. Tuesdays 10.30 a.m. to 12.30 p.m. Two Post-Graduates onlyper clinic. Fee 5/- a time. Arrangements must be made in advance with theFellowship of Medicine.

8 GENERAL P'OST-GRADUArE NEWS January, 1937

Children's Diseases: The Hospital for Sick Children. Three terms of ten to twelve Weeks.Instruction consists of out-patient work every morning in general medicine andsurgery, and in the special skin, ophthalmic, and ear, nose and throat departments:Ward Visits in the afternoons, and on Wednesday a special lecture from 2.0 to3.0 p.m., followed by clinical pathology from 3.0 to 4.0 p.m. Fees: One week,£1 lls. 6d.; two weeks, £3 3s.; one month, £5 5s.; two months, £7 17s. 6d.;three months or the full term, £10 10s. Special courses in Practical Pathology,consisting of six demonstrations, fee £3 3s. Tickets and full information may beobtained from the Fellowship of Medicine. (Open to non-Members).

Clinical Assistantships: Hospital for Consumption, Brompton: Tenable for 3 months; eligiblefor re-appointment. Candidates (men or women) will be attached to anIn-Patient Physician and the corresponding Out-Patient Physician, to a Surgeonand/or to a Member of the Staff in charge of any Special Dept. They will beresponsible for the performance of their duties to the Members of the Hon. Staff towhom they are attached, and may be required to undertake any special workwhich is considered desirable. Fees £5 5s. per 3 months or portion thereof. (Opento non-Members).

Radiology: Instruction in the Screening and Interpretation of radiographs can be arrangedcovering 2 hours daily. Fee £3 3s. a week. Limited to 2 Post-Graduates at atime.

Tuberculosis: Preston Hall, near Maidstone, Kent. By arrangement with the Fellowship ofMedicine. Tuesdays: practical demonstrations in collapse therapy, includingindications and pre-operative investigations used in assessing patients' suitabilityfor such treatment, in the morning, followed in the afternoon by operations anda demonstration of interesting surgical cases. Thursdays: Clinical work to suitindividual requirements, moming and afternoon. No fee.

At Preston Hall all stages in the treatment of Pulmonary Tuberculosis may bestudied, including hospital treatment, surgical collapse therapy, sanatorium regime,occupational therapy and the management of the quiescent case and his familyin the settlement from the medical, economic and sociological aspects.

Venereal Disease: (For Women Post-Graduates only). Royal Free Hospital. Special Courseextending over twelve weeks (not less than 130 hours attendance) entitling thePost-Graduate to a certificate which the Ministry of Health requires for anypractitioner who desires to be in charge of a recognized V.D. Centre. Fee £21.(Open to non-Members).

Wellcome Museum of Medical Science: 183, Euston Road, N.W.1. Open daily 10.0 a.m. to5.30 p.m. (Saturdays 10.0 to 12.30 p.m.) The whole range of medicine is set outin this museum, illustrated by drawings, charts and specimens. A copy of theguide-book and an introduction card may be obtained from the Fellowship ofMedicine.

Panel of Teachers: Details of the daily clinics may be obtained from the Fellowship ofMedicine. Fee 5/- per clinic.

A new and enlarged edition of the Guide Book, giving details of how to reach the variousLondon Hospitals by tube, tram, or 'bus can now be obtained from the Fellowship. Price Gd.(Members and Associates, 3d.).

January, 1937 FORTHCOMING MEDICAL BOOKS 31

Forthcoming Medical Books.BAILLIERE TINDALL & COX,

7/8, Henrietta Street, W.C.2.

Buchanan's Manual of Anatomy," 6thEdition. By Prof. J. E. Fraser, D.Sc.,F.R.C.S. A new and very thoroughlyrevised edition of this classic textbookof Anatomy will shortly be published,in which the New British Nomencla-ture is employed. Many new andoriginal illustrations have been intro-duced while a number of the old illus-trations have been replaced. This newedition will comprise,about 1,800 pagesand will contain over 1,000 illustrations.

Practical Anatomy." By Prof. J. E.Frazer, D.Sc., F.R.C.S., and R. H.Robbins M.A., M.D. An entirely newdissection guide in two handy volumes,which covers the whole body. The firstvolume, which consists of about 550pages, deals with the upper and lowerlimbs, the abdomen and the pelvis.The second volume which is veryslightly smaller, deals with the thorax,the head and neck, the eye, theauditory apparatus and the centralnervous system. The whole workcontains some 500 illustrations andthe price of the two volumes will belOs. 6d. each.

Stedman's Medical Dictionary."Thirteenth revised edition. This finework now gives the definition, deriva-tion and pronunciation of over 80,000words. All synonyms are given andmore than 450 illustrations and anumber of useful tables are included.This contains 1,300 pages and costs35s.

Sale Childbirth." By KathleenVaughan, M. B. A most interestingand practical book to which ProfessorHoward Kelly has contributed a fore-word. The author's object has beento simplify attendance on childbirth,while making it a safer and easierprocess for both mother and child.The book is beautifully illustrated andcosts 7s. 6d.

Among other new publications arerevised editions of three well-knownbooks in the Students Aids Series,"Aids to Pathology" Seventh Edition,by Harry and Kenneth Campbell,"Aids to Physiology" Second Edition,by H. Dryerre, and "Aids to theTreatment of Diseases of Children"Seventh Edition, by F. M. B. Allen.The prices of each of these most usefullittle books remain unchanged at4s. 6d., 3s. 6d. and 4s. 6d. respec-tively.

HENRY KIMPTON,

263, High Holborn, London, W.C. 1.

"Essentials of Oral Surgery." By VilrayPapin Blair, A.M., M.D., F.A.C.S.,Professor of Clinical Surgery in theSchool of Medicine and Professor ofOral Surgery in the School ofDentistry, Washington University,St. Louis and Robert Henry Ivy,M.D., D.D.S., F.A.C.S., Professorof Maxillo-Facial Surgery in theGraduate School of Medicine and Pro-fessor of Clinical Maxillo-Facial Sur-gery in the School of Dentistry,University of Pennsylvania, Phila-delphia. With the Collaboration ofJames Barrett Brown, M.D., F.A.C.S.Associate Professor of Clinical Surgeryin the School of Medicine, Washing-ton University, St. Louis. SecondEdition. In one royal octavo volumeof 606 pages, illustrated. Cloth. Price30s. net.

"Modern Urology." In Original Con-tributions by American Authors.Edited by Hugh Cabot, M.D., LL.D.,C.M.G., F.A.C.S. Professor of Sur-gery, The Mayo Foundation, GraduateSchool of the University of Minnesota,and Consulting Surgeon to the MayoClinic, Rochester, Minnesota,Formerly Dean and Professor of Sur-gery in the Medical School of theUniversity of Michigan, Ann Arbor,Michigan. Third Edition, thoroughly

32 POST-GRADUATE MEDICAL JOURNAL January, 1937

revised. In Two royal octavo volumesof 1,813 pages, with 920 illustrationsand 21 plates. Cloth. Price £4. 10. 0.net.

"X-Ray Technic and Interpretation ofDental Roentgenograms." By A. L.Greenfield, D.D.S., New York City.Associate Professor of Roentgenologyat the New York University College ofDentistry, Lecturer on Dental Radio-logy at the New York UniversityCollege of Medicine, Dental Radio-grapher at the Montefiore Hospital,Author of "Interpretation of DentalRadiographs" and " Das LesenDentaler Rontgenbilder," LieutenantUnited States Naval Reserve (SpecialService). In one royal octavo volumeof xiv+254 pages, illustrated. Cloth.Price 28s. net.

Dental Surgery for Medical Practi-tioners. By B. A. Kopkik, L.D.S.,(R.C.S.) Eng., Consulting DentalSurgeon to St. George-in-the-EastHospital. With a Foreword by SirNorman G. Bennett, M.A., M.B.,B.Ch. Camb., L.D.S. (Eng.). In onecrown octavo volume of about 104pages, with 36 illustrations. Cloth.Price approx. 6s. net.

" Diseases of the Venous System."Their 2Etiology and Treatment by In-jection. By P. Kennedy Murphy,M.A., M.D., B.Ch., B.A.O. (T. C.Dub.). In one crown octavo volumeof about 100 'pages. Cloth. Priceapprox. 5s. net.

Urological Roentgenology." AManual for Students and Practi-tioners. By Miley B. Wesson, M.D.,Ex-President American UrologicalAssociation and Howard E. Ruggles,M.D., Roentgenologist to Universityof California Hospital, St. Luke'sHospital, and Clinical Professor ofRoentgenology, University of Cali-fornia Medical School. In one Royaloctavo volume of 769 pages, illustratedwith 227 engravings. Cloth. Price22s. 6d. net.

To be published monthly beginningJanuary 1937. A monthly magazinedevoted to the Art and Science ofSurgery. Editors: Alton Ochsner andOwen H. Wangensteen. Subscriptionprice, 42/- per annum.

H. K. LEWIS & CO. LTD.,136, Gower Street, London, W.C. 1.

Historical Notes on Psychiatsy ":(Early Times-End of 16th Century).By J. R. Whitwell, M. B., Hon.Librarian, Royal Medico-PsychologicalAssociation, Late Medical Superin-tendent St. Audry's Hospital, Melton,Suffolk. Cloth bound. Pp. xii + 252.Demy 8vo. PricelOs. 6d. net.

" 'he Prevention and Treatment ofDisease." A Preliminary Communi-cation. By W. Mitchell Stevens,M.D., F. R.C.P., Consulting Physicianto the Cardiff Royal Infirmary, etc.Pp. vi + 26. Demy 8vo., paper covers.Price 2s. net.

Comparative Anatomy." By HerbertV. Neal, Professor of Zoology, Tuft'sCollege, and Herbert W. Rand, Asso-ciate Professor of Zoology, HarvardUniversity. Pp. xx + 740. With 540Illustrations. Royal 8vo. Price 21s.net.

Practical Orthoptics in the Treatmentof Squint." By Keith Lyle, M.A.,M.D., M.Chir. (Cantab.), etc., Assist-ant Surgeon, Royal WestminsterOphthalmic Hospital and SylviaJackson, S.R.N., Senior Orthoptist,Royal Westminster OphthalmicHospital. Pp. xvi + 220. With illus-trations. Demy 8vo. Cloth bound.Price, 12s. 6d. net.

Medical Diagnosis ": Some ClinicalAspects. By S. Levy Simpson, M.A.,M.D. (Camb.), M.R.C.P. (London),Physician to Willesden GeneralHospital, Assistant Physician,Princess Louise Kensington Hospitalfor Children. Pp. xii + 256. Demy8vo. (General Practice Series). Price1Os. 6d. net.

January, 1937 FORTHCOMING MEDICAL BOOKS 33

CASSELL & CO. LTD.,La Belle Sauvage, London, E.C.4." Sick Children: Diagnosis and Treat-

mnent." A Manual for Students andPractitioners. By Donald Paterson,M.D., F.R.C.P., Physician to Out-Patients at the Hospital for SickChildren, Great Ormond Street. SecondEdition. Thoroughly Revised. Crown8vo, 600 pages. Illustrated. Price12s. Wd. net.

" Diseases of the Nose anrd T'hroat."Comprising Affections of the Tracheaand GEsophagus. By Sir StClairThomson, M.D., F.R.C.P., F.R.C.S.(Eng.), and V. E. Negus, M. S.,F.R.C.S. (Eng.). Fourth Edition.Completely revised and enlarged.Medium 8vo, 980 pages. With 13Colour Plates and 14 Black-and-WhitePlates and over 350 Text Illuistrations.Price 45s. Od.Diseases of the Eye: A Textbook forStuidents and Practitioners. By EugeneWo%lff, M.B., B.S., F.R.C.S. (Eng.).

Ophthalmic Surgeon, Royal NorthernHospital and the Western OphthalmicHospital. Crown 4to. 248 pages, with5 Colour Plates and over 100 TextIllustrations. Price 15s. Od. net.

J. B. LIPPINCOTT COMPANY,34, John Street, Adelphi, W.C.2.

First Aid in Emergencies." ByEldridge L. Eliason, M.D. EighthRevised Edition. General and ThumbIndex. Fits the pocket. 107 Illus-trations. Pp. 240. Price 7s. 6d.

"'Itreatment by Diet." By Clifford J.Barborka, M. D. Second Edition.615 Pages. Illustrated. Price 21s.Passive Vascular Exercises " (PavaexTherapy). By Louis G. Herrmann,M. D. The new method of treatingGangrene without amputation. Theconservative management of Oblitera-tive Arterial Diseases of the Extremi-ties. Illustrated with 80 Engravingsand 4 Coloured Plates. Subject Index.288 Pages. Price 20s.

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34 POST-GRADUATE MEDICAL JOURNAL January, 1937

LIST OF OVERSEAS MEMBERS OF THE FELLOWSHIP OFMEDICINE AT PRESENT IN ENGLAND.

AUSTRALIA:

Dr. DOUGLAS ANDERSON, London House, Caroline Place, W.C.1.Dr. N. J. BONNIN, London House, Caroline Place, W.C.1.Dr. R. G. BURNARD, c/o Fellowship of Medicine.Dr. E. L. CORLETTE, c/o Bank of New South Wales. 29, Threadneedle Street, E.C 2.Dr. KEVIN R. CUSSEN, C/o Commercial Bank of Australia, 17, Moorgate, E.C.Dr. DORA S. DAVIES, C/o E. S. & A. Bank, 5, Gracechurch Street, E.C.Dr. LORIMER DODDS, C/o Queensland National Bank, 8, Princes Street, E.C.Dr. F. G. FENTON, C/o Fe}lowship of Medicine.Dr. W. E. FITZGERALD, C/o National Bank of Australasia, Australia House,

Strand, W.C.2.Dr. W. H. FRASER, C/o Commonwealth Bank of Australia, Strand, W.C.2.Dr. ALAN GILROY, C/o Fellowship of Medicine.Dr. M. W. GINSBERG, C/O E. S. & A. Bank, 5, Gracechurch Street, E.C.3.Dr. K. T. HUGHES, C/o Bank of New South Wales, Threadneedle Street, E.C.2.Dr. R. E. JEFFERIS, C/O Commercial Banking Co. of Sydney, 18, Birchin Lane, E.C.Dr. W. W. S. JOHNSTON, 11, Stanley Gardens, W.11.Dr. J. LEON JONA, 80, Palace Court, W.2.Dr. J. L. KING, C/o Fellowship of Medicine.Dr. D. B. LOUDON, C/o Bank of New Zealand, 1, Queen Victoria Street, E.C.3.Dr. MURIEL B. MCILRATH, c/o Fellowship of Medicine.Dr. E. F. MAcKENZIE, C/o Bank of Australasia, 17, Northumberland Avenue, W.C.2.Dr. C. J. McTEIGUE, cdo National Bank of Australasia, Strand, W.C.2.Dr. H. A. MAUNDER, C/o Commercial Bank of Australia, 17, Moorgate, E.C.2.Dr. G. C. Moss, London House, Caroline Place, W.C.1.Dr. N. H. MUNDAY, C/o Bank of Adelaide, 11, Leadenhall Street, E.C.3.Dr. W. KEITH MYERS, London House, Caroline Place, W.C.1.Dr. A. E. NEWTON-TABRETT, C/o Australia House, Strand, W.C.2.Dr. R. OFFICER, London House, Caroline Place, W.C.1.Dr. L. J. T. PELLEW, London House, Caroline Place, W.C.1.Dr. R. M. RAWLE, C/o London House, Caroline Place, W.C.1.Dr. C. W. Ross, London House, Caroline Place, W.C.1.Dr. R. KAYE ScoTT, C/o Commercial Banling Co. of Sydney, 18, Birchin Lane,

Lombard Street, E.C.3.Dr. D. V. SHExL, London House, Caroline Place, W.C.1.Dr. H. J. SINN, 12, Ormonde Terrace, Primrose Hill N.W.8.Dr. S. E. L. STENING, c/o Overseas Farmers Co-op. Fedns., Ltd., 4, Fenchurch

Avenue, E.C.3.Dr. J. C. STEWART, London House, Caroline Place, W.C.1.Dr. R. A. STEWART, C/o National Bank of Australasia, Strand, W.C.2.Dr. 0. G. TUNICS, cdo Bank of New South Wales, 29, Threadneedle Street, E.C.2.Dr. W. D.WALKER, C/o National Bank of Australasia, Australia House, Strand, W.C.2.Dr. R. M. YEATRS, C/o Fellowship of Medicine.

CANADA:

Dr. F. G. S. CHRISTIE, Royal Bank of Canada, Cockspur St., S.W.1.Dr. GEORGE E. DARBY, 42, Cambridge Terrace, W.2.Dr. L. M. GOLDENBERG, C/O Fellowship of Medicine.Dr. G. KENT HARRISON, London House, Caroline Place, W.C.Dr. J. R. McARTHUR, 1, Roland House, Roland Gardens, S.W.7.Dr. Ross G. MAcKENZIE, 40, Queensborough Terrace, W.2.Dr. G. A. SIMPSON, Bentinck House, 3, Bolsover Street, W.1.Dr. W. I. B. STRINGER, Royal Northern Hospital, Holloway Road, N.7.


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