POST-GRADUATE
MEDICAL JOURNALOFFICIAL ORGAN OF THE FELLOWSHIP OF MEDICINE
VOLUME XIV.NEW SERIES
I938
BRADBURY, WILKINSON & CO., LIMITED,i6-x8, EPWORTH STREET, LONDON, E.C.2 and NEW MALDEN, SURREY.
1938
INDEX TO VOLUME XIV. (NEW SERIES).
JANUARY TO DECEMBER, 1938.
PAGEABORTION, Debate on ... ... ... ... 72Acute otitis media. N. A. Jory ... ... 197Air raid precautions in relationship to the
general practitioner. W. C. Bentall ... 331Alexander, J. Browning. Mucous Colitis ... 5Annual Meeting of the Fellowship of
Medicine ... ... ... ... ... 133Appendicitis, The diagnosis of. J. I. Munro
Black ... ... ... ... ... 151Artificial anterior pneumomediastinum. Elio
Montuschi ... ... ... ... ... 216
BARBER, H. Stuart. The mercurialdiuretics ... ... ... ... ... 288
Bentall, W. C. Air raid precautions inrelationship to the general practitioner 331
Black, J. I. Munro. The diagnosis ofappendicitis ... .. ... ... 151
Blood diseases, Some remarks on differentialdiagnosis of. A. Piney ... ... 242grouping and the indications forblood transfusion, The technique of.H. F. Brewer ... ... ... ... 23
Body weight in health and disease. HughA. Dunlop ... ... ... ... 176
Brain, W. Russell. The diagnosis of epilepsybeginning in adult life ... ... ... 116
Bray, George W. Hay-fever and hay-asthma ... ... ... ... ... 110
Brewer, H. F. The technique of bloodgrouping and the indications for bloodtransfusion ...... ... ... 23
Bright's Disease, General considerationsconcerning the management and treat-ment of patients suffering from. A.Arnold Osman ...... ... ... 10
CARDIAC emergencies. (Part 1). CliffordHoyle ... ... ... ... ... 135emergencies. (Part II). Clifford Hoyle 184
Cardio-vascular system, Physical medicinein diseases of the. Basil Parsons-Smith 235
Cases demonstrated at the F.R.C.S. class,Report of. Harold Dodd ... ... 295
Cataract extraction, Some points in themodern technique of. H. B. Stallard 49
Central nervous system, Syphilis of the. B.Buckley Sharp ... ... .. ... 389
Climacteric, The male. Kenneth Walker ... 120Crawford, J. H. and O'Shaughnessy,
Laurence. The surgical treatment ofpulmonary tuberculosis ...... ... 38
PAGEDEBATE on abortion ... ... ... ... 72Diagnosis and treatment of empyema. R.
R. Trail ... ... ... .. ... 251and treatment of mental disorder,Important symptoms in relation to. W.Lindesay Neustatter ... ... ... 257
-of appendicitis. J. I. ;Munro Black... 151of blood diseases, Some remarks ondifferential. A. Piney ... ... 242of epilepsy beginning in adult life.W. Russell Brain ... ... ... 116
Differential diagnosis of haemoptysis. W.Ernest Lloyd ... ... ... ... 56
Diuretics, The mercurial. H. Stuart Barber 288Dodd, Harold. Report of cases demon-
strated at the F.R.C.S. class ... ... 295Dunlop, Hugh A. Body weight in health
and disease ... ... ... ... 176
EDITORIAL NOTES
Air raid precautions ... ... 309Artificial pneumomediastinum ... ... 193Mr. Aleck Bourne ... 229British Empire Cancer Campaign ... 1The British health services ... ... 33British Journal of Rheumatism ... 232Chartered Society of Massage andMedical Gymnastics ... ... ... 392
Congress of the Chartered Society ofMassage and Medical Gymnastics ... 267
Fats in the diet ...... ... 267Dr. Leonard Findlay ... ... ... 97On fracture clinics ... ... ... 161Heberden Lectureship and Medal ... 164Hospital follow-up departments ... 129Hunterian Society Gold Medal for
practitioners ... ... ... .. 129Jubilee of Sir Patrick Manson, 1878-
1938 ......... ... 309The law on abortion ... ... ... 67Neuro-syphilis ... ... ... ... 391Parents' National Education Union ... 164The present position in the treatment of
cancer of the breast ... ... ... 230The rheumatic diseases ... ... .. 162Ruthin Castle ... .. ... .. 391Surgery in pulmonary tuberculosis ... 34Surgery in the treatment of hyper-tension ... ... ... ... ... 194
Tenth International Medical Congressfor Psychotherapy ... .. ... 164
Tropical medicine ... ... ... 341
2 INDEX TO VOLUME XIV.
PAGEELLMAN, Philip and Lawrence, J. S. Gold
therapy in rheumatoid arthritis ... 275Elman, Claude. Simple spontaneous
pneumothorax ... ... ... 416Empyema, The diagnosis and treatment of.
R. R. Trail .. ... ... ... 251Epilepsy beginning in adult life, The
diagnosis of. W. Russell Brain ... 116Factors in painless tonsillectomy. C.
Hamblen-Thomas ... ... ... 147
FITZWILLIAMS, Duncan C. L. Rupturedspleen ... ... ... ... ... 271
Fracture clinics in Europe and America,The organisation of. H. E. Griffiths ... 167
Frayworth, E. A. Thrombosis of theinferior vena cava ...... ... 300
GALL-BLADDER, Non-surgical drainage ofthe. T. Joekes ... ... ... ... 204
General considerations concerning themanagement and treatment of patientssuffering from Bright's Disease. A.Arnold Osman ... ... ... ... 10
Glaucoma. J. G. Milner ... ... ... 405Gold therapy in rheumatoid arthritis. Philip
Ellman and J. S. Lawrence ... ... 275Griffiths, H. E. The organisation of
fracture clinics in Europe and America 167
HAEMATEMESIS, The treatment of. Cecil A.Joll ... ... ... ... 17
Haemoptysis, The differential diagnosis of.W. Ernest Lloyd ... ... ... ... 56
Hamblen-Thomas, C. Factors in painlesstonsillectomy ... ... ... ... 147
Hay-fever and hay-asthma. George W.Bray ... ... . .. ... 110
Heart, The X-ray examination of the. D.Waldron-Smithers ... ... ... 312
Hoskin, T. Jenner. Left ventricular failure 100Hoyle, Clifford. Cardiac emergencies.
(Part I) ... .. . .. . .. 135Cardiac emergencies. (Part II) ... 184
Hygiene, Modem tropical. Sir MalcolmWatson ... ... ... ... ... 378
Hyperthyroidism, The value of testosteronepropionate. S. Levy Simpson ... ... 144
IMPORTANT symptoms in relation to diagnosisand treatment of mental disorder.W. Lindesay Neustatter ... ... 257
JOEKES, T. Non-surgical drainage of thegall-bladder ... ... .. ... 204
Joll, Cecil A. The treatment of haemate-mesis. ... ... .. . .. . 17
jory, N. A. Acute otitis media ... 197Jubilee of Sir Patrick Manson. Philip
Manson-Bahr .. ... ... ... 345
LAWRENCE, J. S. and Ellman, Philip. Goldtherapy in rheumatoid arthritis ... 275
Left ventricular failure. T. Jenner Hoskin 100Liston, W. Glen. The plague ...... 367Lloyd, W. Ernest. The differential
diagnosis of haemoptysis ...... 56
PAGE
MALE climacteric, The. Kenneth Walker ... 120Manson, The Jubilee of Sir Patrick. Philip
Manson-Bahr ... ... ... ... 345Manson-Bahr, Philip. The Jubilee of Sir
Patrick Manson ... ... ... ... 345Mercurial diuretics, The. H. Stuart Barber 288Milner, J. G. Glaucoma ...... ... 405Montuschi, Elio. Artificial anterior pneu-
momediastinum ... ... ... ... 216Mucous Colitis. J. Browning Alexander ... 5
NEUSTATTER, W. Lindesay. Importantsymptoms in relation to diagnosis andtreatment of mental disorder ... ... 257
Non-surgical drainage of the gall-bladder.T. Joekes ... ... .. ... 204
ORGANISATION of fracture clinics in Europeand America. H. E. Griffiths ... ... 167
O'Shaughnessy, Laurence and Crawford, J.H. The surgical treatment of pul-monary tuberculosis ... ... ... 38
Osman, A. Arnold. General considerationsconcerning the management and treat-ment of patients suffering from Bright'sDisease ... ... ... ... ... 10
Otitis media, Acute. N. A. Jory ... ... 197
PANCREAS, Surgery of the. T. HolmesSellors ... ... ... ... 211
Parsons-Smith, Basil. Physical medicine indiseases of the cardio-vascular system 235
Physical medicine in diseases of the cardio-vascular system. Basil Parsons-Smith 235
Piney, A. Some remarks on differentialdiagnosis of blood diseases ... ... 242
Plague, The. W. Glen Liston ... ... 367Pneumomediastinum, Artificial anterior.
Elio Montuschi ... ... ... ... 216Pneumothorax, Simple spontaneous. Claude
Elman ... ... ... ... ... 416Prognosis in pulmonary tuberculosis. W.
E. Snell ... ... ... ... .. 324Pulmonary tuberculosis, Prognosis in.
W E. Snell ... ... ... ... 324.The surgical treatment of. LaurenceO'Shaughnessy and J. H. Crawford ... 38
REVIEWS-Actinomycosis. Zachary Cope ... ... 222Adrenal cortex and intersexuality, The.
L. R. Broster, C. Allen, H. W. C.Vines, J. Patterson, A. W. Green-wood, G. F. Marrian, G. C. Butler 303
Anatomy and physiology of physicaltraining. R. W. Galloway ... ... 224
Artificial fever. Clarence A. Neymann 422Avitaminoses, The. W. H. Eddy and
G. Dalldorf ... ... ... ... 29British Encyclopaedia of medical prac-
tice, The. Vol. V and Vol. VI.Edited by Sir Humphry Rolleston ... 26
British Encyclopaedia of medical prac-tice, The. Vol. VII. Edited by SirHumphry Rolleston ......... 385
INDEX TO VOLUME XIV. 3
REVIEWS (contd.)- PAGEBritish Encyclopaedia of medical prac-
tice, The. Vol. VIII. Edited by SirHumphry Rolleston ... ... ... 421
Chronic streptococcal infection as adisease. J. D. Hindley-Smith ... 61
Civilisation and disease. C. P.Donnison ... ... ... ... 263
Clinical chemistry in practical medicine.(2nd edition). C. P. Stewart and D.M. Dunlop ... .. ... ... 306
Clinical contraception. (2nd edition).Gladys M. Cox ... ... ... ... 222
Collected papers on tuberculosis. SirRobert Philip ... ... ... ... 337
Concise pharmacology, A. F. G.Hobart and G. Melton ... ... 304
Digestive Tract, The. (2nd edition).A. E. Barclay ... ... ... ... 60
Diseases of the newborn. AbrahamTow ... 61
Diseases of the Skin. (4th edition).Robert W. McKenna ... ... ... 27
Diseases of the throat, nose and ear.J. Douglas McLaggan ... ... ... 62
Diseases of women. (6th edition). TenTeachers ... ... ... ... 386
Eden's manual of obstetrics. (8thedition). Revised by EardleyHolland ... ... ... ... 63
Electrocardiography. (2nd edition).Chauncey C. Maher ... ... ... 262
Elements of orthopaedic surgery. H.Ross Smith ... ... ... ... 190
Emanotherapy. Leonard Williams andHoward Humphris ... ... 190
Endocrines in obstetrics and gynae-cology, The. Raphael Kurzrok ... 28
Essentials of pharmacology, materiamedica and therapeutics for medicalstudents. D. M. MacDonald ... 304
Fundamentals of Anatomy. Carl C.Francis ... ... ... 26
Genital abnormalities, hermaphroditismand related adrenal diseases. H. H.Young ... ... ... ... 124
Hair and scalp, The. (2nd edition).Agnes Savill ... ... ... ... 27
Handbook of diets. (2nd edition) .Rose M. Simmonds ... ... ... 157
Handbook of practical bacteriology.(5th edition). T. J. Mackie and J.E. Macartney ... .. ... ... 384
Health and fitness. Ethel Browning ... 422Historical notes on psychiatry. J. R.Whitwell ...... 263
Ideal weight. A practical handbook forpatients. W. F. Christie ... ... 336
Infant, The; a handbook of moderntreatment. Eric Pritchard ... ... 307
Introduction to bacteriologicalchemistry, An. C. G. Anderson ... 157
Major endocrine disorders. S. LevySimpson ...... 421
Management of the pneumonias, The.J. G. M. Bullowa ... ... ... 156
Manual of surgery for nurses, A. CharlesWells ... ... ... ... ... 335
Manual of tuberculosis, A. (2nd,edition)., E.,Ashworth Underwood... 91
PAGE
Medico-legal aspects of the Ruxtor. case.John Glaister & James Couper Brash 223
Modern discoveries in medicalpsychology. Clifford Allen ... ... 306
Neuro-ophthalmology. R. Lindsay Rea 305New dictionary for nurses, A. (5th
edition). Compiled by Lois Oakesand T. B. Davie ... ... ... 336
Obesity; a practical handbook forphysicians. W. F. Christie ... ... 60
Orthopaedic surgery. Walter Mercer ... 225Paget's disease of the nipple. Keith
Inglis ... ... ... ... ... 335Pathology of high altitude climate,
The. A. Loewy and E. Wittkower 262Physiological basis of medical practice,
The. C. H. Best and N. B. Taylor 28Physiological chemistry of the bile.Harry Sobotka ... ... ... ... 264
Pocket medical dictionary, A. (3rdedition). Compiled by Lois Oakesand T. B. Davie ... ... 336
Poison; the history, constitution, usesand abuses of poisonous substances.Hugo Glaser ... ... 92
Post-graduate surgery. Vol. III. Editedby Rodney Maingot ... ... ... 26
Poulsson's textbook of pharmacologyand therapeutics (2nd edition). Re-vised by Stanley Alstead ... ... 304
Practical methods in biochemistry.(2nd edition). Frederick C. Koch ... 91
Practical talks on kidney disease. E.Weiss ... ... ... ... ... 62
Pre-natal and post-natal management.J. St. George Wilson ... . ... 91
Pulmonary tuberculosis in practice: Amodern conception. R. C. Wingfield 64
Radiology of pulmonary tuberculosis.J. E. Bannen ... ... ... 63
Rheumatic diseases, The. Edited bySir Leonard Hill and Philip Ellman 386
St. Thomas's Hospital Reports, Vol.II, 2nd series. O. L. V. S. deWesselow, C. Max Page, N. R.Barrett, J. St. C. Elkington, A. J.Wrigley ... ... ... ... 385
Survey of chronic rheumatic diseases,A. Compiled by R. G. Gordon, J.Barnes Burt, G. R. P. Aldred-Brown,F. J. Poynton, G. D. Kersley ... 223
Synopsis of gynecology. (2nd edition).H. S. Crossen and Robert J. Crossen 190
Textbook of experimental surgery. J.Markowitz ... ... ... ... 305
Therapeutic problem in bowel obstruc-tions, The. Owen H. Wangensteen 190
Treatment by diet. (3rd edition).Clifford J. Barborka ... ... ... 423
Treatment of. some chronic and "in-curable" diseases. A. T. Todd ... 92
Tropical nutrition and dietetics. LuciusNicholls .. ... ... ... 384
Truth about vivisection, The. SirLeonard Rogers ... ... ... 302
Wheeler and Jack's "Handbook ofMedicine." (10th edition). Revisedbv John Henderson ... ... ... 225
4 INDEX TO VOLUME XIV.
REVIEWS (contd.)- PAGERHEUMATOID arthritis, Gold therapy in.
Philip Ellman and J. S. Lawrence ... 275Ruptured spleen. Duncan C. L. Fitz-
williams ... ...... ... ... 271
SELLORS, T. Holmes. Surgery of thepancreas ... ... . ... ... 211
Sharp, B. Buckley. Syphilis of the centralnervous system ... .. ... ... 395
Simple spontaneous pneumothorax. ClaudeElman ... ... ... ... ... 416
Simpson, S. Levy. The value of testosteronepropionate in hyperthyroidism ... ... 144
Snell, W. E. Prognosis in pulmonarytuberculosis ... ... ... ... 324
Some points in the modern technique ofcataract extraction. H. B. Stallard ... 49remarks on differential diagnosis ofblood diseases. A. Piney ... ... 242
Spleen, Ruptured. Duncan C. L. Fitz-williams ... ... ... ... 271
Stallard, H. B. Some points in the moderntechnique of cataract extraction ... 49
Surgery of the pancreas. T. Holmes Sellors 211Surgical treatment of pulmonary tuber-
culosis. Laurence O'Shaughnessy andJ. H. Crawford ... ... ... ... 38
Sutton and District Medical Society ... 423Syphilis of the central nervous system.
B. Buckley Sharp ... ... ... 395
TECHNIQUE of blood grouping and the indi-cations for blood transfusion. H. F.Brewer ... ... ... ... ... 23
Thrombosis of the inferior vena cava.E. A. Frayworth ... ... ... 300
PAGE
Tonsillectomy, Factors in painless.C. Hamblen-Thomas ... .. ... 147
Trail, R. R. The diagnosis and treatmentof empyema ... ... ... ... 251
Treatment of empyema. The diagnosisand. R. R. Trail ... ... ... 251hamatemesis. Cecil A. Joll ... ... 17mental disorder, Important symptomsin relation to diagnosis and. W.Lindesay Neustatter ... ... ... 257patients suffering from Bright's Disease,General considerations concerning themanagement and. A. Arnold Osman 10pulmonary tuberculosis, The surgical.Laurence O'Shaughnessy and J. H.Crawford ... ... ... ... ... 38
Tropical hygiene, Modern. "'Sir M'alcolmWatson ... ... ... ... ... 378
Trypanosomiasis. Warrington Yorke ... 358
VALUE of testosterone propionate in hyper-thyroidism. S. Levy Simpson ... ... 144
WALDRON-SMITHERS, D. The X-ray examina-tion of the heart ... ... ... ... 312
Walker, Kenneth. The male climacteric ... 120Watson, Sir Malcolm. Modern tropical
hygiene ... ...... 378
X-RAY examination of the heart. D.Waldron-Smithers ... ... ... 312
YORKE, Warrington. Trypanosomiasis ... 358
BRADBURY. WILKINSON & Co., LTD., Bond Court House. Walbrook, E.C.4, and New Malden, Surrey.
January, 1938. EDITORIAL NOTES 1
Editorial Notes.British Empire Cancer Campaign.
Fourteenth Annual Report.The Fourteenth Annual Report of the British Empire Cancer Campaign has
been issued recently. The Report illustrates the rapid growth of the large sphereof influence of the Campaign and the progress which results when an organizedattack is made on such an intricate problem as Cancer. It is gratifying to knowthat Britain is in the forefront of the battle against this dread disease of humanity.Owing to the influence of the Campaign close co-operation between the numerousworkers and organizations is being achieved and barriers to inter-communicationare being broken down. A significant step forward has been made by the formationof the Union Internationale Contre le Cancer and the Campaign is represented onits Council.
It is impossible to deal with all the excellent accounts furnished to the Reportby the various institutions which are working on the problem of Cancer, but thereare certain features which call for attention.
Work continues to be carried out at The Research Institute of the RoyalCancer Hospital (Free) on Cancer-producing Compounds. In connection with thiswork Professor E. L. Kennaway and Professor J. W. Cook were given an awardfor conspicuous merit in Cancer research at the first Congress held under theauspices of the Union Internationale Contre le Cancer. The discovery of certaincancer-producing compounds has opened up an immense field of research whichmay eventually yield the secret of the cause of Cancer. Work is being done con-cerning the effect of the introduction of oxygen into these cancer-producingcompounds. Although the hydrocarbon, methylcholanthrene, is the most potentcancer-producing compound known, its hydroxy derivative has proved quitedevoid of cancer-producing activity. The same is true for certain other compounds.Attention is called to the importance of this observation as it implies that if it betrue that cancer may be caused by the abnormal transformation in vivo of a bileacid into a cholanthrene derivative, then there must be complete conversion intomethylcholanthrene, with elimination of the oxygen. This inactivation may bedue to the position of the oxygen-containing groups in the molecules of carcino-genic compounds and, if this is true, it may be possible to synthesize newcarcinogenic compounds with oxygen-containing groups present in other positionsof the molecule. Experiments are in progress aiming at the synthesis of suchcompounds.
In the report from the Cancer Research Institute, Royal Victoria Infirmary,Newcastle-on-Tyne, an account is given of research carried out on the Action ofShort Wireless Waves. Experiments showed that a single application of fourminutes' duration and of such current intensity that the final temperature reachedabout 50o°C. gave a good percentage of satisfactory results in cancer of animals.The immediate effect of the treatment is intense hyperaemia throughout the tumour,followed 24 hours later by pyknosis and shrinkage of the cell cytoplasm whichbecomes eosinophilic. After a week an inflammatory exudate is formed and theskin and subcutaneous tissues covering the tumour become necrotic. If this slough-ing area separates infection follows and the necrotic tumour then disappears more
2 POST-GRADUATE MEDICAL JOURNAL January, 1938.
rapidly. The merit of short waves is that the heating which is produced is uniform,penetrative and easily controlled. Further results from this research will beawaited with interest.
The Campaign is developing educational propaganda along well thought-outlines. It is hoped that at the end of five years, the public in 33 Counties in Englandwill have had the opportunity of attending the free lectures arranged to be givenby local medical practitioners. This scheme of work is expected to result in anadvance in the earlier diagnosis of Cancer.
Debate on Law on Abortion.
The debate noted in our last issue on "Does the Law on Abortion requireReform? ", will be held on the evening of Wednesday, February 9th, I938, at8.30 p.m. in the Barnes Hall, I, Wimpole Street, W.I.
Sir Beckwith Whitehouse will move that some modification of the present lawis desirable and Dr. W. H. F. Oxley will oppose the motion. The HonourableMr. Justice Humphreys has kindly consented to act as Chairman.
Only members of the medical profession will be admitted, and as a large atten-dance is expected, and accommodation will be limited, admission will be by ticket(until January x9th issued only to Members and Associates of the Fellowshipof Medicine, in priority of application). Application should be made to theSecretary, Fellowship of Medicine, i, Wimpole Street, W.i.
:o:
January, 1938. GENERAL POST-GRADUATE NEWS 3
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. Information regarding the various Courses can always beobtained from the Office daily between 10 a.m. and 5.30 p.m. and on Saturdays between 10 a.m.and 12.30 p.m. (Telephone: Langham 4266.)
To ensure admission or to avoid cancellation of the Courses application must be made by thedate given on each syllabus.
PROVISIONAL LIST OF COURSES I938.Dermatology: January 3 to 31 and February 1 to 28. St. John's Hospital. Afternoons.
Fee £1 ls. Od. per month. (Practical Pathology arranged. Fee £4 4s. Od.).
Cardiology: January 10 to January 22. National Hospital for Diseases of the Heart. Allday. Fee £7 7s. Od. (Maximum of 20).
M.R.C.P. (Tuberculosis): January 8. Preston Hall, Maidstone. All day, 11.0 a.m. to 6.0 p.m.Fee 10Os. 6d. (Maximum of 8).
M.R.C.P. (Fundus Oculi): Tuesday, January 4. West End Hospital for Nervous Diseases(I.P. Dept., Gloucester Gate, Regents Park), at 8.30 p.m., by Mr. Lindsay Rea.Fee 15s. 6d. (Maximum of 12).
Urology: January 17 to January 29. St. Peter's Hospital All day. Fee £5 5s. Od.(Maximum of 8).
Chest Diseases: January 24 to January 29. Brompton Hospital. All day. Fee £3 3s. Od.
Children's Diseases (week-end): February 5 and February 6. Princess Elizabeth of YorkHospital. All day. Saturday and Sunday. Fee £1 Ils. 6d.
Gynaecology (suitable for M.C.O.G.): February 7 to February 19. Chelsea Hospital for Women.All day. Fee £5 5s. Od. (Maximum of 15).
Children's Diseases (suitable for D.C.H.): February 14 to February 19. Princess Elizabeth ofYork Hospital. All day. Fee £3 3s. Od. (Maximum of 15).
Children's Diseases (suitable for D.C.H.): February 21 to February 26. The Infants' Hospital.All day. Fee £3 3s. Od. (Maximum of 15).
M.R.C.P.: February 22 to March 10. National Temperance Hospital, Tuesday and Thursdayat 8.0 p.m. Clinical and Pathological. Fee £6 6s. Od. (Maximum of 24).
Heart and Lung Diseases (week-end): February 26 and February 27. London Chest HospitalVictoria Park. All day Saturday and Sunday. Fee £1 1ls. 6d.
Medicine, Surgery and Gynaecology: February 28 to March 12. Royal Waterloo Hospital.All day. Fee £3. 3s. Od.
4 POST-GRADUATE MEDICAL JOURNAL January, 1938.
STANDING ARRANGEMENTS.Anesthetics: 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 BabiesWelfare 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..
Children's Diseases: The Hospital for Sick Children, Great Ormond Street. Three terms of tento twelve Weeks Instruction consists of out-patient work every morning in generalmedicine and surgery, and in the special skin, ophthalmic, and ear, nose and throatdepartments Ward Visits in the afternoons, and on Thursday a special lecturefrom 2.0 to 3.0 p.m., followed by clinical pathology from 3.0 to 4.0 p.m. Fees:One week, £1 I1s. 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 PracticalPathology, consisting of six demonstrations, fee £3 3s. Tickets and full informa-tion may be obtained from the Fellowship of Medicine. (Open to non-Members).Next term begins January, 10th.
Chest: CLINICAL ASSISTANTSHIPS: Brompton Hospital. 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).
ARTIFICIAL PNEUMO-THORAX COURSE. Brompton Hospital. A Practical Course oftwelve lessons, covering two to three weeks. Certificates will be given on;completion qf Cour e. Fee £5 5s. Od. Limited to 3 per class. (Open tonon-Members).
Venereal Disease: (For Women Post-Graduates only). Royal Free Hospital. Special Course' extending over.twelve weeks (not less than 130 hours attendance) entitling the
Post-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 noriMembers).
Wellcone Museum of Medical Science: 183, Euston Road, N.W.1. Open daily 10.0 a.m. to" 5.30 p.m. (Saturdays 10.0 to 12.30 p.m.) The whole range of medicine is set out
in this museum, illustrated by drawings, charts and specimens. A copy of theguide-book and an introduction card may be obtained from the Fellowship
' of Medicine. ;
Panel of Teachers: Details of the daily clinics may be obtained from the Fellowship ofMedicine. Fee 5? per clinic..
Ships Surgeons: Residential facilities available between voyages for those serving, or whohave served, as Ship Surgeon to observe daily practice in wards and specialdepartments of ' ,Dreadnought" Hospital, Greenwich. No fees, nominal chargefor board-residence. Apply the Secretary, Seamen's Hospital Society, Green-wich, S.E.10.
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. Priie 6d.(Members and Associates, 3d.).
30 POST-GRADUATE MEDICAL JOURNAL January, 1938.
Miscellaneous.This Section deals with New Drugs, Preparations, Surgical Instruments, etc. The description of each article issupplied by the Producer. Particulars regarding insertions, whitch are free of cost, may be obtained from the
Business Manager, Fellowship of Medicine and Post-Graduate Journal, 404, Grand Buildings, W.C.2.
The principal difference between humanmilk and cow's milk is the comparativelyNestles high protein and low carbo-Milk hydrate content of the latter.
Products. In Lactogen, although a full-cream dried milk, this natural
disadvantage has been overcome by modify-ing the proportions of the constituents soas to approximate to those of breast milk.This is achieved by adding to the freshmilk the amount of lactose necessary torectify the natural deficiency and to reducethe excess of protein. This simple proce-dure reduces also the percentage of fat, andat the same time sufficient cream is addedto restore the fat content to the originalfigure.
The composition of ' Lactogen,' which isalways strictly uniform, is shown by thefollowing figures, both in the original stateand when reconstituted with seven parts ofwater:
Lactogen Reconstitutedper cent. per cent.
Fat ... ... 25.0 3.12Protein ... ... 16.2 2.03Lactose ... ... 53.3 6.66Mineral Salts ... 3.5 .44Water ... ... 2.0 87.75Calorific value per
ounce ... ... 147.0 18.5
In the preparation of Lactogen, there isa carefully controlled drying process, whichinvolves an exposure of only a few secondsto a minimum heat and ensures the pre-servation of the vitamins and the retentionof mineral salts in the natural assimilableform. Again, the cream enriched milk iscompletely emulsified-thus making the fatglobules even smaller than those of maternalmilk, whilst the milk protein is so modifiedthat the resulting curd is fine and flocculent
similar to that of the natural diet. Underthese conditions, digestion is hastened andthe possible retention in the stomach ofirritating acid products is avoided.
Although the value of foods of vegetableorigin is well known and it is the practice
Neses of pediatricians to advocate aHomogenised daily ration of vegetable soups,
Foods. purees and fruit juices as soonFoods. as these can be tolerated bythe child, up to the present there has beenone serious drawback-that of indigestibility.The elimination of this objection of indigesti-bility has been the subject of patient researchwith a wholly successful outcome-the per-fection of the process by which NestlesHomogenised Foods are prepared. Theprocess is carried out by passage of the foodunder high pressure through a restrictedorifice, causing a breaking down of indiges-tible membranes and the release of cellcontents into microscopic particles. Thusthe actual constituents are exposed to theimmediate action of the digestive juices, andthis, together with the vast surface area oftiny particles permits of easy digestion andtheir subsequent assimilation.
It is recognized that one of the merits ofvegetable supplements is the provision ofbulk or roughage which assists normalelimination. In Nestles Foods althoughnatural bulk is still present it is in a formwhich can have no irritating effect on thedelicate alimentary tract.
The number of people who go abroad forthe worst of the English winter is increasing,
but many persons of moderateBlue means, who nevertheless likeFunel to travel first class, apparently
Lne. do not take the opportunity ofLine. spending the winter in warmer
and drier climes than oursbecause of the idea that first class traveloverseas is very expensive. Some of theattractive voyages by the Blue Funnel Lines,at reasonable rates, should dispel this.
There is a winter return to the CanaryIslands--available from October 1 to April30-for £20, and valid for return within twomonths of the date of arrival in the CanaryIslands.
January, 1938. MISCELLANEOUS 31
There are sailings to the south of France,at a first class return rate of £22 enablingpassengers to have twelve days at sea andthirteen days in the south of France, or theperiod may be extended as desired.
Fares for Egypt and Palestine aremoderate. The return journey can be madein less than four weeks giving twenty-twodays at sea. For long sea voyages there areattractive trips to Ceylon (at first class fare
of £95 return) Malaya, South Africa andAustralia.
There are special return tickets offered atreduced fare to enable passengers to visitSydney in connection with the 150th Anni-versary Celebrations. These cost £130 andare available for outward ships reachingSydney after Christmas, 1937, with returnfrom Fremantle not later than February 28,1938, or by ships leaving Sydney betweenMay 1 and June 30, 1938.
Verba Volant,. Scripta Manent" EGBOARD IENG DBY THE
ROYAL COLLEGE OF PHYSICIANS OF LONDONAND TE
ALL CLASSES OF ROYAL COLLEGE OF SURGEONS OF ENGLAND.MEDICAL AND COMMERCIALPR I NTI N G U N D E RTAKEN Notice is hereby given that the folloing Examinationtill commence on the date stated below:.-
DIPLOMA IN OPHTHALMICMEDICINE AND SURGERY
BRADBURY, WILKINSONBRADBRY,VILKNSONFRIDAY, FEBRUARY 4th.AND COMPANY, LIMITED, FRIDAY, FEBRUARY h.
16/18, Epworth Street, Finsbury, E.C.216/18,Epworth Street, Finsbury, E.C.2 Candidates who have fulfilled the necessary conditionsand who desire to present themselves for Examination,must give notice in writing, to the Secretary. Examination
Phone: MET. 5421 (4 lines) Hall, 8-11 Queen Square, London, W.C.I at leasttwenty-one days before the date of the Examination,transmitting at the same time such certificates as may be
Regd. Offico: NEW MALDEN, SURREY required by the Regulations of the Board.
HORACE H. REW, Secretary.
ROYAL WESTMINSTER OPHTHALC HOSPiTAL MEDICAL SCHOOL.(Founded 1816.)
Telephone: TEMPLE BAR 1457-9. HIGH HOLBORN, W.C.1. Near Holborn tKingsway) Station.
The Hospital has 100 beds, indcluding 14 private rooms for paying patients. The new Building has been speciallydesigned tor clnlmcal teaching and post-graduate study.
Classes will commence for the D.O.M.S. Examination, Parts I and II, in March, 1938.Out-Patients are seen daily at 1.30 o'clock. Operations are performed at 3 p.m.Qualified medical practitioners and registered students may Join at any time. For particulars, apply to the Dean
or Secretary at the Hospital.The Pathological and Bacteriological Departments will be pleased to report on specimens sent in by Hospitals or
Ophthalmic Surgeons.
32 POST-GRADUATE MEDICAL JOURNAL January, 1938.
LIST OF OVERSEAS MEMBERS OF THE FELLOWSHIP OFMEDICINE AT PRESENT IN ENGLAND.
AUSTRALIA:Dr. S. P. BELLMAINE, c/o Fellowship of Medicine.Dr. H. R. BRANSON, c/o Bank of New South Wales, 47, Berkeley Square, WV.1.Dr. P. F. R. BROWN, c/o Bank of Australasia, 17, Northumberland Avenue, W.C.2.Dr. S. W. BRYAN, c/o Fellowship of Medicine.Dr. W. S. CHARLTON, c/o E. S. & A. Bank Limited, 5, Gracechurch Street, E.C.3.Dr. E. P. CONNOLLY, c/o A. M. P. Society, 73, King William Street, E.C.4.Dr. F. R. COYNE, c/o Bank of New South Wales, 47, Berkeley Square, W.1.Dr. DORA S. DAVIES, c/o E. S. & A. Bank, 5, Gracechurch Street, E.C.Dr. R. B. DAVIS, Princess Elizabeth of York Hospital, Shadwell, E.1.Dr. F. L. FIRKIN, c/o Bank of N.S.W., 29, Threadneedle Street, E.C.2.Dr. G. I. HALLOWS, c/o Australia House, Strand, W.C.2.Dr. WV. G. HOLDSWORTH, London House, Caroline Place, W.C.1.Dr. L. J. HORN, c/o Bank of New South Wales, 29, Threadneedle Street, E.C.Dr. J. W. JOHNSTONE, C/O Australia House, Strand, W.C.2.Dr. A. R. K. KELLY, 81, St. George's Square, S.W.1.Dr. E. F. MACKENZIE, c/o Bank of Australasia, 17, Northumberland Avenue, W.C.2.Dr. P. J. McMAHON, C/O Bank of New South Wales, 47, Berkeley Square, W.1.Dr. W. J. R. MABIN, London House, Caroline Place, WV.C.1.Dr. R. OFFICER, London House, Caroline Place, W.C.1.Dr. E. M. ROSEN, c/o Commonwealth Bank of Australia, Strand, W.C.2.Dr. C. WALLACE Ross, Children's Hospital, Birmingham, 16.Dr. M. S. SCHREIBER, c/o Bank of New South Wales, 47, Berkeley Square, W.1.Dr. C. H. SELBY, c/o National Bank of Australasia, Australia House, Strand, W.C.2.Dr. J. E. SEWELL, c/o Fellowship of Medicine.Dr. P. F. STRATMAN, c/o Fellowship of Medicine.Dr. H. M. TRETHOWAN, London House, Caroline Place, W.C.1.Dr. W. D. WALKER, c/o National Bank of Australasia, Australia House, Strand, W.C.2.Dr. A. LESLIE WATSON, c/o Fellowship of Medicine.Dr. J. H. YOUNKMAN, c/o Bank of Australasia, Northumberland Avenue, \W.C.2.
CANADA:Dr. G. S. BARBER, c/o Fellowship of Medicine.Dr. H. G. CLAXTON C/o Canada House, Trafalgar Square, S.W.1.Dr. J. J. DINAN, 32, Tavistock Square, W.C.1.Dr. G. KENT HARRISON, London House, Caroline Place, W.C.Dr. A. F. HOLLINRAKE, c/o Canada House.Dr. E. S. JAMES, c/o Fellowship of Medicine.Dr. B. T. H. MARTEINSSON, c/o Canada House, Trafalgar Square, S.W.1.Dr. T. T. MONAGHAN, 4, Stanley Gardens, W.11.Dr. H. V. MORGAN, c/o Canada House, Trafalgar Square, S.W.1.Dr. HUGH NORMAN, c/o Lond6n House, Caroline Place, W.C.1.Dr. S. S. PEIKOFF, St. Peter's Hospital, Henrietta Street, Covent Garden, W.C.2.Dr. M. S. K. RUDD, Earl's Colne, St. Albans Road, Reigate, Surrey.Dr. A. H. SANGSTER, London House, Caroline Place, W.C.1.Dr. C. V. WARD, 32, Tavistock Square, W.C.1.Dr. J. C. WHYTE, 32, Tavistock Square, W.C.1.Dr. S. ADRIAN YAFFE, c/o Canada House, Trafalgar Square, S.W.1.
CONNAUGHT CLUB.The Cluborovides comfortable Head- The rooms are of many types andquarters in London for Medical Men vary in price according to 'size.attending Refresher Courses, Medical There ae the usual amenities of aSchool Dinners, etc.; or those who West End Club in the way of publicare obliged co spend time in London. woom, etc.
The subscriptions are:Connaught Club is especially for Pro- Town £3. 3. 0., Country £2. 2. 0.,fessionalmen and its serviceshavebeen Overseas £1. 1. O., diminishing asbuilt up to provide for their needs. the year progresses, or pro rata.Frtwer information c be obtai from the Secretary. Seymour Streed. mar Marble Arc W2.,or from the Offic of the FELLOWSHIP OF MEDICINE at 1, WIMPOL STREET. W.l
