888 PANEL PRACTICE.-MEDICAL NEWS.
PANEL PRACTICE
The London Public Medical Service.
FIGURES presented at the annual meeting of theService made it clear that on the balance of gainsand losses the number of subscribers has increasedduring the year by about 7 per cent., as much perhapsas could be expected when the class served is economic-ally so depressed. The tendency to withdraw evenin the winter months indicates there is a category ofsubscriber who joins for the purpose of securingtreatment whilst ill and who discontinues as soon asnormal health returns. It was suggested thatmembership is likely to gain in stability by attentionto infant welfare. The central committee of theService has taken pains to foster such work byissuing to members at cheap rates leaflets of instruc-tions on breast-feeding, bottle-feeding, and feedingof weanlings. One member who started an infantwelfare clinic on the committee’s recommendationfound it soon grow to considerable dimensions, witha resulting increase in the number of his subscribers.A mother who wants advice on how to keep herinfant or her children well is a regular subscriber.With the help of the leaflets members of the Servicecan advise the whole family from the start, andforestall much childish illness. Such families are
usually grateful and do not tend to drop out later.The rates adopted in Kensington and Paddington
have been found workable. In these areas the
payment per week for a family of one member hasbeen 4d. (or 6d.) ; of two members 8d.; of threemembers lld.; of four or more members Is. Id.The yield per subscriber per week in Kensington is3-96 d., or after an administrative deduction of 25 percent. 2-97 d., distinctly more than the return in otherareas on the older basis. A letter has been sent toindividual members of hospital staffs, pointing outhow their out-patient departments could be relievedof some of their work through the activities of theService, with the avoidance of overlapping betweenspecialists and general practitioners. As a resultof this letter several consultants have become honorarymembers of the Service.The Service is still not as well known as it might
be, and the central committee is considering thequestion of publicity in the press. It seems speciallydesirable that insured persons who drop out ofbenefit should be aware of the advantages offered,and it has been the practice of some panel practitionersto send them notices drawing their attention to theService. Since insured patients who are notifiedto their doctor as ceasing to be entitled to benefitnevertheless remain on his list until the end of the
quarter, there is no possibility of such a notice beingsent to any who are already on the list of anotherdoctor. We may believe that the early difficultiesin administering a new service of this kind are beingsurmounted and that the future is assured.
NATIONAL HOSPITAL, QUEEN-SQUAEE.-A post-graduate course on diseases of the nervous system will beheld at this hospital from May 4th to June 26th, con-sisting of clinical lectures and demonstrations at 3.30 P.M.each week-day, except Wednesday and Saturday, with out-patient teaching at 2 P.M. daily, except on Saturday, andpathological lectures at noon on Mondays. Clinicaldemonstrations, chiefly on methods of examination of thenervous system, will be given at 5 P.M. on Tuesdays andThursdays, and, if there are enough applicants, lectures onanatomy and physiology at noon on Wednesdays andFridays. Applications should be made to the Secretary,National Hospital, Queen-square, London, W.C.I.
MEDICAL NEWS
Royal College of Surgeons of England.A meeting of the council was held on April 9th with Lord
Moynihan, the President, in the chair. The followingdiplomas were granted :F.R.C.S.-K. H. Pridie (Bristol and Guy’s)./.7i’.C.<S’.—Inez E. Banner (Punjab and Royal Free) ; William
Dodd (Liverpool) ; and Margaret M. White (Royal Free).L.D.S.—M. A. B. Brito-Mutunayagam.The Diploma in Tropical Medicine and Hygiene was
granted, jointly with the Royal College of Physicians, tothe 30 candidates whose names were given on p. 783 of ourissue of April 4th.
Mr. G. E. Edington, of Glasgow, and Mr. E. F. Neve, ofKashmir, being Members of 20 years’ standing, were electedto the Fellowship.The Jacksonian prize for 1930 was awarded to Mr. E. S. J.
King, of Melbourne University, for his essay on the Pathologyof Ovarian Cysts and its bearing on their Treatment. ACertificate of honourable mention for an essay on the samesubject was granted to Wilfred Shaw, St. Bartholomew’sHospital. For the year 1931 the subject for the Jacksonianprize is the Surgery of the Sympathetic Nervous System,and for the year 1932 the Pathology, Diagnosis, and Treat-ment of Diverticula of the Large and Small Intestine.-The John Hunter medal and triennial prize for 1928-30 wasawarded to Mr. T. B. Layton, of Guy’s Hospital, for hiscontributions to otology, and for his valuable services tothe Museum. particularly in connexion. with the Onodicollection.-The Walker prize for work on the Pathologyand Therapeutics of Cancer for 1926-30 was awarded toSir G. Lenthal Cheatle.The following was the Report of the Committee recom-
mending the award.The work of Sir Lenthal Cheatle, continued over many years
and up to the present time, has been of great help to surgeons inthe elucidation and treatment of the precursory conditions ofcancer of the breast. 1t has shown that cancer is preceded bypapillomatous hypertrophies chiefly affecting the smaller ducts ofparticular lobes of the breast, and often associated with theformation of cysts due to distension of the duct system. Themethods employed have been laborious and systematic and have ecorrelated the microscopic and macroscopic anatomy of theconditions studied. This has involved the making of wholesections of the breast by means of the giant microtome, an instru-ment of which this work has shown the great value. TheCommittee consider that Sir Lenthal Cheatle has thus madea definite and important contribution towards the solution of theiological problem of cancer of the breast.
The Cartwright prize for 1926-30 was awarded to Dr. F. W.Broderick, L.D.S., of Bournemouth, for his essay on theEtiology, Pathology, and Treatment of Chronic GeneralPeriodontitis (Pyorrhoea Alveolaris). The subject for theCartwright prize for 1931-35 is " The relationship of pulplessteeth to general disease and their treatment with specialreference to periapical rarefaction."
Lord Moynihan was appointed the representative of theCollege on the governing body of the British Post-graduateHospital and Medical School to be established in London.
University of London.Forthcoming Lectures.-Dr. Otfrid Förster, professor of
neurology in the University of Breslau, will give threelectures on Neurology at University College Hospital MedicalSchool at 5.30 P.M. on April 29th and 30th, and on May lst.He will deal with the results of electrical stimulation of thecortex of the brain in man, and their relations to the resultsof experimental physiology, to architectonic structures, andto clinical symptomatology.-Two lectures on the Treatmentof Malignant Tumours by Radium Placed at a Distance willbe delivered by Dr. Max Cheval, of Brussels, at WestminsterHospital Medical School at 5.30 P.M. on May 4th and 5th.-At the same hour on May 13th and 15th, at St. Thomas’sHospital Mr. G. Grey Turner, professor of surgery in theUniversity of Durham, will give two lectures on Resectionof the Rectum.-Mr. Victor Cofman, D.Sc., will deliverthree lectures, on the Biophysical Chemistry of Colloids andProtoplasm, in the Biological Theatre of King’s College,Strand, at 5.30 P.M. on May 4th, llth, and 18th. Theywill be illustrated by experiments and lantern slides.
University College.-The annual dinner of the Fellows willbe held at the College on Thursday, April 30th, at 7.15 for7.30, with Sir John Rose Bradford, F.R.S., in the chair.
Red Cross Day.May 12th, the anniversary of Florence Nightingale’s
birthday, is to be celebrated this year as Red Cross Daythroughout the Empire. A flag day will be held in Londonin aid of the funds of the British Red Cross Society.
889MEDICAL NEWS.-MEDICAL DIARY.
Noise in London.
To-day, Friday, April 17th, at 5 P.M., the London Societyis holding a meeting in the Hall of the Royal Society ofArts, 18, John-street, Adelphi, when Dr. Dan McKenziewill read a paper entitled Noise : a Modern Plague ofLondon.
Infectious Diseases at Birmingham.Owing to the prevalence of diphtheria and measles in the
district, the resident medical officer of the Queen’s Hospital,Birmingham, has issued a notice that " it is consideredadvisable in the interests of the public to close the hospitalto all visitors until further notice," exception made of thenear relations of patients who are dangerously ill. It isofficially explained, however, that there is " nothingapproaching an epidemic."Indian Medical Service Dinner.The annual dinner of the Indian Medical Service will be
held at the Trocadero Restaurant, London, on Wednesday,June 17th. Colonel R. A. Needham has been invited to takethe cr.au*. Tickets and all particulars may be had from thejoint honorary secretary, Major Sir Thomas Carey Evans,31, Wimpole-street, W.1.
Fellowship of Medicine and Post-Graduate MedicalAssociation.An afternoon (and some evenings) course in venereal
diseases began at the London Lock Hospital on April 13th andwill continue until May 9th. From A]Uril 21st to May 30th anafternoon course in Psychological Medicine will be given atthe Maudsley Hospital. From April 27th to May 9th therewill be a morning course at the Hospital for Sick Children,and also one at the Infants Hospital, designed especially forthose engaged in infant welfare work. An intensive coursein diseases of the chest will be undertaken by the staff of theBrompton Hospital from April 20th to 25th, and an intensivecourse will be held at the Central London Throat, Nose, andEar Hospital from April 27th to May 23rd. This last isdivided into four classes.-clinical, operative, peroral, andpathological-and early application is desirable. Anevening course for the M.R.C.P. examination consisting of17 lectures and two demonstrations in ophthalmology willbe held at the rooms of the Medical Society of London at8.30 P.M. on Tuesdays and Fridays. Copies of all sylla-buses and particulars of the general course at hospitalsassociated with the Fellowship may be had from the Secreta ryat 1, Wimpole-street, London, W.I.British Empire Cancer Campaign.
Sir John Bland-Sutton, vice-chairman, presided at thequarterly meeting of the Grand Council of the Campaign onApril 13th. It was stated that, including the grantsapproved at the meeting, the Campaign had now subsidisedresearch centres and independent workers to the extent of£157,000. Apart from this, a sum of over £500,000 has beensubscribed and is being administered by the branches andaffiliated organisations of the Campaign throughout theBritish Empire.The following grants were approved :—£2500 to the
Cancer Hospital (Free) for general research, together with£500 to meet the expense incurred by the Research Instituteby the appointment of its biochemist, Dr. J. W. Cook ;£650 for one year to St. Mark’s Hospital, City-road ; and£2500 to St. Bartholomew’s Hospital. For the sixth yearin succession the Council renewed the grant of t680 to theMedical Research Council towards the upkeep of the radoncentre at the Middlesex Hospital.
Mr. S. A. Courtauld and Mr. R. H. Jocelyn Swan, M.S.,were elected members of the Grand Council as representativesof the Middlesex Hospital and the Cancer Hospital respec-tively. Prof. W. S. Lazarus-Barlow was elected to fill avacancy on the Scientific Advisory Committee. TheCouncil acceded to the request that the Glasgow RoyalCancer Hospital should be affiliated officially to the Campaign.Although a considerable amount of cancer research inScotland has been aided by the Campaign this is the first
IScottish organisation to become affiliated.
Medical DiarySOCIETIES.
ROYAL SOCIETY OF MEDICINE, 1. Wimpole-street, W.TUESDAY, April 21st.-5.30 P.M., GENERAL MEETING OF IFELLOWS. Ballot for election to the Fellowship.WEDNESDAY.-.5 P.M., COMPARATIVE MEDICINE. Short
Papers will be read.THURSDAY. - 8.30 P.M., UROLOGY. Clinico - Pathological
Evening. ’
FRIDAY.—DISEASE ix CHILDREN. Clinical Meeting at the ’,Westminster Hospital, Broad Sanctuary, London, S.W4.15 P.M., Tea. 4.30 P.M., Cases will be shown. 5 P.M.
Discussion on Cases. 8 P.M., EPIDEMIOLOGY ANDSTATE MEDICINE. Paper : Colonel L. W. Harrison :Epidemiology of Venereal Diseases.
OPHTHALMOLOGICAL SOCIETY OF UNITED KINGDOM.THURSDAY, April 23rd (at University College, Gower-
street, London), Opening of annual congress. 9.30 A.M.,Mr. Foster Moore : Non-luetic Argyll RobertsonPupils. Dr. Gordon Holmes : Iridoplegia. Mr. E.W olft and Dr. Francis Davis ; Pathology of Papilloodema.Dr. N. H. Dott and Mr. A. H. Sinclair: (1) A Caseof Brain Tumour, and (2) Hydrocephalus SimulatingTumour. Mr. Herbert Fisher : Two Cases of Nystag-mus. Mr. A. W. Ormond : A Case of Osteitis Deformanswith Ocular Symptoms. 2.15 P.M., Discussion on
Affections of the Eye due to Virus. (Dr. J. A. Perdrau,Air. F. T. Ridley, Mr. F. A. Williamson-Noble, Mr.L. H. Savin, and Mr. Humphrey Neame.) Mr. A.MacRae : A Case of a Hole at the Macula. 7 for7.30 P.M.. annual dinner at Langham Hotel.
FRIDAY.—9.30 A.M., Mr. J. H. Doggart: EpithelialDystrophy of the Cornea. Miss Ida Mann : Develop-ment of the Cornea. Dr. A. J. Ballantyne : (1) Caseof Detachment and Reflection of the Retina and (2)Case of Congenital Cataract. Mr. Gordon Wright :New Method for Treatment of Gonococcal Conjunctiv-itis in Adult. Mr. M. S. Mayou : Treatment ofChronic Blepharitis. Mr. W. A. Gray : Retinal VesselChanges in Diabetes. Mr. R. C. Davenport : Case ofSpasm of the Central Retinal Artery. 2.15 P.M.,Mr. Bernard Chavasse : Nature and Antiquity ofStereopsis. Air Vice-Marshal Sir David Munro :Vision in Sport. Mr. J. R. Paterson : Eye Conditionsin Compensation Cases in Miners. Dr. Ritchie Russell :Hereditary Aspects of Leber’s Optic Atrophy. Mr.A. D. Griffiths : Squint and Binocular Vision. MissMaddox : Orthoptic Treatment of Strabismus.8.4S P.M., Sir Almroth Wright : Vaccine Therapy.Mr. A. H. Sinclair : Intracapsular Extraction ofCataract (with cinematograph illustrations).
SATURDAY.—9.30 A.M., Mr. S. S. Meighan : Case of RetinitisPigmentosa treated by Cervical Sympathectomy.Mr. J. Tudor Thomas : Experimental Transplantationof Cornea in a Rabbit to replace Central Opacity.Mr. H. M. Traquair : Toti’s Operation. Mr. C. Shapland :Analysis of 100 cases of Retinal Detachment treated byCautery Puncture. 12 noon, annual general meeting.3 P.--Ni., Visit to National Institute of Medical Research,Hampstead.
BRITISH CONGRESS OF OBSTETRICS AND GYNÆ-COLOGY.WEDNESDAY, April 22nd, to FRIDAY the 24th.-Congress at
Royal Infirmary, Glasgow.HUNTERIAN SOCIETY.
MONDAY, April 20th.-7.30 r.M. (at Simpson’s Restaurant,Cheapside), Annual General Meeting. Cinema demon-stration of Plastic Operations, by Sir Harold Gillies.
MEDICO-LEGAL SOCIETY.THURSDAY, April 23rd.-8.30 P.M. (at 11, Chandos-street,
Cavendish-square, W.), Dr. Percy B. Spurgin : TheHarley-street Mystery. To be followed by a discussion.
ROYAL SOCIETY OF ARTS, John-street, Adelphi, W.C.WEDNESDAY, April 22nd.-8 P.lII., Prof. Major Greenwood :
The Work of the London School of Hygiene andTropical Medicine. The paper will be followed by ademonstration of a Malaria Film by Prof. John G.Thomson.
MEDICAL SOCIETY FOR THE STUDY OF VENEREALDISEASES, 11, Chandos-street, Cavendish-square, W.
FRIDAY, April 24th.-8.30 P.M., Mr. Kenneth Walker :Impotence. A discussion will follow.
CHELSEA CLINICAL SOCIETY.TUESDAY, April 21st.-7.15 P.M. (at the Hotel Rembrandt,
Thurloe-place, S.W.), Dinner followed by a discussionon the Treatment of Nervous Exhaustion, to beopened by Sir Farquhar Buzzard.
LECTURES, ADDRESSES, DEMONSTRATIONS, &c.CENTRAL LONDON THROAT, NOSE AND EAR HOS-PITAL, Gray’s Inn-road, W.C.
FRIDAY, April 24th.—4 P.M., Mr. N. Asherson : Otalgia.HOSPITAL FOR EPILEPSY AND PARALYSIS, Maida Vale.
THURSDAY, April 23rd.-3 P.M., Dr. F. L. Golla : Clinical.
Demonstration.HAMPSTEAD GENERAL AND NORTH-WEST LONDONHOSPITAL.WEDNESDAY, April 22nd.-4 P.M., Mr. H. Lawson Whale :
The Treatment of Cancer of the Upper Air Passagesand Œsophagus.
ST. JOHN’S HOSPITAL DERMATOLOGICAL SOCIETY.WEDNESDAY, April 22nd.—4.15 P.M., at St. John’s Hospital,
49, Leicester-square, W.C.) Dr. Mitman : The Intract-ability of Ulcerative Radio-Dermatitis.
UNIVERSITY OF SHEFFIELD POST-GRADUATE CLINIC.TUESDAY, April 21st.-3.30 P.M. (at the Jessop Hospital),
Mr. Stacey : Blood and Blood Pressure in Pregnancy.FRIDAY.-3.30 P.M. (at the Royal Hospital), Dr. Grout:
Radiology in the Investigation of CardiovascularDisease.
MANCHESTER ROYAL INFIRMARY POST-GRADUATECOURSE.TUESDAY, April 21st.-4.15 P.M., Mr. A. H. Southam :
The Undescended Testis.FRIDAY.-4.15 P.M., Dr. A. H. Holmes: Demonstration of
Medical Cases.MANCHESTER VICTORIA MEMORIAL JEWISH HOS-PITAL, Elizabeth-street, Manchester.WEDNESDAY, April 22nd.—4.30 P.M., Mr. S. Kropman :
The Relation of Dental Disease to Systemic Conditions.