1006 Notes and News INCREASES IN NURSES’ SALARIES THE Industrial Court has awarded salary increases for key grades of nurses, and has noted that the salaries of all the grades will be adjusted in the light of the award. The following are examples of the new scales, with the present rates in parentheses: student nurse (3rd year) E365 (E359), enrolled nurse t500-650 ( £ 486-621); staff nurse E600-750 ( £ 564-705); sister E800-1050 (E705-903); matron (training hospital) E1700-2000 (El695-1766). The Court made no award on the staff side’s claim for a responsibility allowance for matrons but recommended that the present unsatisfactory system of assessing a matron’s salary solely by the number of beds in the hospital should be dis- cussed by the management and staff sides of the Whitley Council to see if some better method can be devised. The Court has increased the present charges for board and lodging (which are still the same as in 1960). Examples of the new annual charges are: student nurse El 35; enrolled nurse El 77, staff nurse E200, ward sister E235; matron (1000 or more beds) E420. EMPIRE RHEUMATISM COUNCIL SiNCE the Empire Rheumatism Council was established twenty-six years ago, the study of rheumatic disease has emerged as a fully-fledged specialty. The expansion of the Council’s activities, both a cause and an effect of this meta- morphosis, is illustrated by figures given in the annual report for 1962.1 Expenditure for the year totalled E107.000 compared with E13.000 ten years ago, and 43 research projects are to receive financial support in the coming year, where 9 benefited in 1957. Rheumatological research ranges from the academic to the clinical over a variety of disciplines. One of the investigations promoted by the Council in 1962 has been an inquiry into the mechanism of action of salicylate. Workers at King’s College Hospital have been studying the incorporation of "C-labelled succinate into rat-liver mitochrondria. They found that the metabolism of malic and citric acids was blocked when sali- cylate was added to the medium, and this they have attributed to inhibition of malic and isocitric dehydrogenases through competition by salicylate with their coenzymes. Among the activities of the Council’s mobile field survey unit has been a five-year follow-up of people with rheumatoid factor in their serum. In 1954 and 1956 serum samples were obtained from members of the general population of Leigh, in Lancashire, and tested for rheumatoid factor by the sheep- cell agglutination method. Five years later, some of these people were re-examined to see whether possession of the rheumatoid factor indicated susceptibility to the disease. Of 20 people in whom the sheep-cell test was originally positive, clinical or radiological evidence of rheumatoid arthritis had developed in 8. This compared with 1 of 29 with doubtfully positive tests and 4 of 28 with negative tests. Thus, the risk of the disease developing was significantly greater in those who had the rheumatoid factor in their serum. The value of current surgical practice in the treatment of rheumatoid arthritis has been under scrutiny at a combined medical and orthopa:dic clinic in Edinburgh. Where pain, deformity, or loss of function had resisted conservative therapy, surgery was undertaken-often while the disease process was still active. This interference led to no exacerbation of the disease; moreover, in the course of a series of 220 operations, postoperative progress was found to be good even when the erythrocyte sedimentation-rate was high, and healing was satisfactory though the disease was active. To date, prolifera- tive tissue, once removed, has not reappeared, and its excision has apparently stopped local extension of the proliferative process. Early surgical treatment may therefore prove to have a place in preventing the development of gross deformity. 1. Empire Rheumatism Council: twenty-sixth annual report, 1962. Pp. 92. Obtainable from the Council at Faraday House, 8-10, Charing Cross Road, London, W.C.2. Over the next five years the Council is to give E100,000 to the new research institute-of rheumatology at Charing Cross Hospital. E50.000 is to be found for an institute of rheumato- logy at the Middlesex Hospital and E20,000 for a research department at St. Mary’s Hospital. With a deficit last year of E70,000 and projected expenditure greater than ever, funds are urgently needed. The research seems costly-until compared with the expense of the disease itself. In Scotland, for instance, 718,000 working days were lost through industrial disputes in 1962; but 2,000,000 were lost through rheumatism. NEW INDUSTRIAL HEALTH CLINIC ON April 30, Viscount Boyd opened the third clinic of the Central Middlesex Industrial Health Service. This non-profit-making company is a partnership between local industry and the Central Middlesex Hospital, and it is directed from the occupational health unit in the hospital. The staff of the unit consists of a consultant (Dr. T. 0. Garland), a senior industrial sister, an information officer, a clerk, and a half-time almoner, who advise industrialists on health and safety at work. The service also offers prompt treatment for minor ailments and injuries. The clinic, which is in Twyford Abbey Road, N.W.10, has space for teaching and exhibits, and several courses for industrial first-aiders are held each year. Together, the three clinics have a staff of 2 full-time doctors, 8 sisters, 2 part-time clerks, and an honorary secretary. So that the doctors and nurses may know the manufacturing processes, and the personnel, they visit the factories regularly. At present 57 member firms pay E2 a year per employee, plus a 30s. fee for training each first-aider. The National Health Service pays the salaries of the hospital unit. The Nuffield Foundation, which has already given some E23,000 to the unit and the service, has made a further grant of E15,000 to build and equip the new clinic. INDIAN NUTRITION RESEARCH THE report for 1961-62 of the Nutrition Laboratories of the Indian Council of Medical Research at Hyderabad, Deccan, lists 31 papers published by the staff, which now numbers over 40 graduates. Their activities cover a wide field. The daily energy expenditure of labourers is being studied systematically by a combination of indirect calorimetry and time study. Stone-cutters have been shown to expend 3000 calories a day-a large figure for men whose average weight was only 46 kg. A study of the basal metabolic rate (B.M.R.) of Indian women showed that the mean values, expressed in terms of surface area, were less than those of men. This sex difference, however, disappeared if the B.M.R. was calculated per unit of lean body mass, derived from measurements of total body-water. Investigations of protein metabolism in man showed that sulphonamides (phthalylsulphathiazole) reduced the fxcal nitrogen, but increased nitrogen output in the urine. Plasma levels of vitamin B12 were estimated in a large number of subjects. The range in health was 45-193 g. per ml. Values in pregnant women also fell within this range. Slightly higher values were found in patients with pellagra and nutritional oedema and very much higher values-up to 1200 jjg. per ml.-in kwashiorkor. It is suggested that these high values in deficiency states may be due to failure of the liver to store vitamin synthesised in the gut and absorbed. In an investigation of iron metabolism it was found that menstrual losses lay between 7 and 26 mg. (average 15 mg.) per period; the total iron loss from the mother in a pregnancy was estimated to be 300 mg.-a figure significantly lower than most European estimates. Calcium balance studies were made on several men and women, most of whom were in balance on a daily intake of 400-450 mg.-a lower figure than is usually necessary for Europeans. An increase in dietary intake usually leads to an increase in urinary output. Supplementing chil- dren’s diets with calcium was not found to accelerate growth or the appearance of ossification centres. Serum-copper levels were found to be low iii kwashiorkor, as also were levels of cseruloplasmin, the copper-carrying pro- tein. Impaired synthesis of this protein may account for the
Transcript
1006
Notes and News
INCREASES IN NURSES’ SALARIES
THE Industrial Court has awarded salary increases for keygrades of nurses, and has noted that the salaries of all the
grades will be adjusted in the light of the award. The followingare examples of the new scales, with the present rates in
parentheses: student nurse (3rd year) E365 (E359), enrollednurse t500-650 ( £ 486-621); staff nurse E600-750 ( £ 564-705);sister E800-1050 (E705-903); matron (training hospital)E1700-2000 (El695-1766).The Court made no award on the staff side’s claim for a
responsibility allowance for matrons but recommended that thepresent unsatisfactory system of assessing a matron’s salarysolely by the number of beds in the hospital should be dis-cussed by the management and staff sides of the WhitleyCouncil to see if some better method can be devised.The Court has increased the present charges for board and
lodging (which are still the same as in 1960). Examples of thenew annual charges are: student nurse El 35; enrolled nurseEl 77, staff nurse E200, ward sister E235; matron (1000 ormore beds) E420.
EMPIRE RHEUMATISM COUNCIL
SiNCE the Empire Rheumatism Council was established
twenty-six years ago, the study of rheumatic disease has
emerged as a fully-fledged specialty. The expansion of theCouncil’s activities, both a cause and an effect of this meta-morphosis, is illustrated by figures given in the annual reportfor 1962.1 Expenditure for the year totalled E107.000 comparedwith E13.000 ten years ago, and 43 research projects are toreceive financial support in the coming year, where 9 benefitedin 1957.
Rheumatological research ranges from the academic to theclinical over a variety of disciplines. One of the investigationspromoted by the Council in 1962 has been an inquiry into themechanism of action of salicylate. Workers at King’s CollegeHospital have been studying the incorporation of "C-labelledsuccinate into rat-liver mitochrondria. They found that themetabolism of malic and citric acids was blocked when sali-
cylate was added to the medium, and this they have attributedto inhibition of malic and isocitric dehydrogenases throughcompetition by salicylate with their coenzymes.Among the activities of the Council’s mobile field survey
unit has been a five-year follow-up of people with rheumatoidfactor in their serum. In 1954 and 1956 serum samples wereobtained from members of the general population of Leigh,in Lancashire, and tested for rheumatoid factor by the sheep-cell agglutination method. Five years later, some of thesepeople were re-examined to see whether possession of therheumatoid factor indicated susceptibility to the disease. Of20 people in whom the sheep-cell test was originally positive,clinical or radiological evidence of rheumatoid arthritis haddeveloped in 8. This compared with 1 of 29 with doubtfullypositive tests and 4 of 28 with negative tests. Thus, the risk ofthe disease developing was significantly greater in those whohad the rheumatoid factor in their serum.The value of current surgical practice in the treatment of
rheumatoid arthritis has been under scrutiny at a combinedmedical and orthopa:dic clinic in Edinburgh. Where pain,deformity, or loss of function had resisted conservative therapy,surgery was undertaken-often while the disease process wasstill active. This interference led to no exacerbation of thedisease; moreover, in the course of a series of 220 operations,postoperative progress was found to be good even when theerythrocyte sedimentation-rate was high, and healing wassatisfactory though the disease was active. To date, prolifera-tive tissue, once removed, has not reappeared, and its excisionhas apparently stopped local extension of the proliferativeprocess. Early surgical treatment may therefore prove to havea place in preventing the development of gross deformity.1. Empire Rheumatism Council: twenty-sixth annual report, 1962. Pp. 92.
Obtainable from the Council at Faraday House, 8-10, Charing CrossRoad, London, W.C.2.
Over the next five years the Council is to give E100,000 tothe new research institute-of rheumatology at Charing CrossHospital. E50.000 is to be found for an institute of rheumato-logy at the Middlesex Hospital and E20,000 for a researchdepartment at St. Mary’s Hospital. With a deficit last year of
E70,000 and projected expenditure greater than ever, funds areurgently needed. The research seems costly-until comparedwith the expense of the disease itself. In Scotland, for instance,718,000 working days were lost through industrial disputes in1962; but 2,000,000 were lost through rheumatism.
NEW INDUSTRIAL HEALTH CLINIC
ON April 30, Viscount Boyd opened the third clinic of theCentral Middlesex Industrial Health Service.
This non-profit-making company is a partnership betweenlocal industry and the Central Middlesex Hospital, and it isdirected from the occupational health unit in the hospital. Thestaff of the unit consists of a consultant (Dr. T. 0. Garland), asenior industrial sister, an information officer, a clerk, and ahalf-time almoner, who advise industrialists on health andsafety at work. The service also offers prompt treatment forminor ailments and injuries. The clinic, which is in TwyfordAbbey Road, N.W.10, has space for teaching and exhibits, andseveral courses for industrial first-aiders are held each year.Together, the three clinics have a staff of 2 full-time doctors,8 sisters, 2 part-time clerks, and an honorary secretary. So thatthe doctors and nurses may know the manufacturing processes,and the personnel, they visit the factories regularly. At present57 member firms pay E2 a year per employee, plus a 30s. fee fortraining each first-aider. The National Health Service pays thesalaries of the hospital unit. The Nuffield Foundation, whichhas already given some E23,000 to the unit and the service, hasmade a further grant of E15,000 to build and equip the newclinic.
INDIAN NUTRITION RESEARCH
THE report for 1961-62 of the Nutrition Laboratories ofthe Indian Council of Medical Research at Hyderabad,Deccan, lists 31 papers published by the staff, which nownumbers over 40 graduates. Their activities cover a wide field.The daily energy expenditure of labourers is being studiedsystematically by a combination of indirect calorimetry andtime study. Stone-cutters have been shown to expend 3000calories a day-a large figure for men whose average weightwas only 46 kg. A study of the basal metabolic rate (B.M.R.)of Indian women showed that the mean values, expressed interms of surface area, were less than those of men. This sex
difference, however, disappeared if the B.M.R. was calculatedper unit of lean body mass, derived from measurements oftotal body-water.
Investigations of protein metabolism in man showed thatsulphonamides (phthalylsulphathiazole) reduced the fxcal
nitrogen, but increased nitrogen output in the urine. Plasmalevels of vitamin B12 were estimated in a large number ofsubjects. The range in health was 45-193 g. per ml. Valuesin pregnant women also fell within this range. Slightly highervalues were found in patients with pellagra and nutritionaloedema and very much higher values-up to 1200 jjg. perml.-in kwashiorkor. It is suggested that these high valuesin deficiency states may be due to failure of the liver to storevitamin synthesised in the gut and absorbed.
In an investigation of iron metabolism it was found thatmenstrual losses lay between 7 and 26 mg. (average 15 mg.)per period; the total iron loss from the mother in a pregnancywas estimated to be 300 mg.-a figure significantly lower thanmost European estimates. Calcium balance studies were madeon several men and women, most of whom were in balanceon a daily intake of 400-450 mg.-a lower figure than is usuallynecessary for Europeans. An increase in dietary intake usuallyleads to an increase in urinary output. Supplementing chil-dren’s diets with calcium was not found to accelerate growthor the appearance of ossification centres.
Serum-copper levels were found to be low iii kwashiorkor,as also were levels of cseruloplasmin, the copper-carrying pro-tein. Impaired synthesis of this protein may account for the
1007
low levels of copper in the hair of such patients. Manganeselevels in both blood and cerebrospinal fluid were found to behigher in patients with lathyrism than in healthy subjects.Lathyrus grain from endemic areas also had a high man-ganese content. The significance of these findings is uncertain,and attempts to produce neurological lesions in laboratoryanimals with excess dietary manganese have been unsuccessful.A sociological survey of family expenditure on religious and
other ceremonies in a poor rural community showed thatexpenditure on a marriage ceremony amounts to between 117and 192% of the annual cash income of the family. A funeralcosts up to 60%, the cradle ceremony up to 10%, the hair-cutting ceremony up to 12%, and ceremonies at the menarcheabout 20% of annual income. These findings emphasise theimportance of these social customs in causing rural poverty.The extent to which they actually lead directly to a diminishedfood intake in a farming community is uncertain, but clearlythe ceremonies must effectively remove any savings that mightbe utilised for agricultural improvements.There are also accounts of new studies on pellagra, lipid
metabolism in monkeys, growth and development, and foodanalysis. An annual training course in nutrition, which lastedfor three months, was attended by over 30 persons. The
library has been greatly extended, and now 129 periodicalsare taken.
COMMUNITY MENTAL-HEALTH CENTRE IN PLYMOUTH
THE idea of a community mental-health centre run jointlyby the local authority and the mental-hospital staff is implicitin the Mental Health Act of 1959. Some centres are alreadypartly run on these lines, but the Nuffield clinic which theMinister of Health opened in Plymouth on April 26 wasdesigned for this purpose from the start. It has been builtwith money given by the Nuffield Provincial Hospitals Trust.The clinic has three aims. The first is to improve the
efficiency of the present mental-health services by gatheringunder one roof all departments, including the child-guidanceclinic-an arrangement which has not been tried elsewhere.
Frequent informal discussions among the staff and coordinationof records should make it easier for patients to be treated asmembers of a family. The nucleus of the clinic is the dayhospital, which has a geriatric section, a section for patientswith psychotic illnesses, and another for those with severe andchronic neuroses. With its support, treatment in hospital willbe shortened or even avoided. The coordination of social
workers, whether employed by the local authority or hospital,will relieve patients of the confusion of a battery of visitorsfrom different departments. Social workers will be members ofa team and will discuss their work together at case-conferences.The clinic’s second aim is preventive psychiatry, which it
will approach through the work of its child-guidance clinic,and by the education in mental hygiene of groups of pro-fessional people. A series of seminars for general practitionershas already been held in the area; and this service is to beextended to other groups concerned with the mental health ofthe community, such as magistrates, probation officers, clergy,teachers, health visitors, and social workers. The third aimof the centre is research, and its own long-term effect on themental health of the area will make an interesting initial study.The clinic is housed in a well-designed building, close to the
centre of the city and the general hospitals, and its decoration ischeerful and pleasing. It does not stand on its own, but is partof a larger unit consisting of the maternity and child-welfareand school medical and dental clinics. Perhaps this is a symbolthat the care of its mentally ill is as much the duty of thecommunity as the care of its mothers, babies, and school-children.
University of EdinburghDr. Julius Lipetz and Dr. D. C. Morrell have been appointed
lecturers in the general-practice teaching unit, Dr. D. 1. C.Finlayson has been appointed lecturer in the department ofpathology, and Dr. Michael George assistant lecturer in thedepartment of medicine.
University of LondonProfessor W. J. H. Butterfield, who has held the chair of
experimental medicine at Guy’s Hospital Medical School since1958, has been appointed to the newly instituted chair ofmedicine at that school from Oct. 1.The title of professor of pathology has been conferred on
Dr. Imrich Friedmann, in respect of his post at the Institute ofLaryngology and Otology.
Dr. I. Friedmann, who is 55, graduated M.D. Prague in 1931, andbecame a specialist in pathology in 1936. He held the post of patho-logist to Bata Hospital, and in 1938 was appointed director of anepidemiological unit. Soon afterwards he came to this country,where he studied medicine at University College Hospital MedicalSchool. After taking the conjoint qualification in 1942 he was researchassistant and demonstrator in the department of pathology of theBritish Postgraduate Medical School and assistant bacteriologist toSt. George’s Hospital Medical School. In 1944 he took the D.C.P.,and later he served with a medical mission to Czechoslovakia and as
pathologist of the General Hospital (now Medical School) in Kosice.In 1949 he was appointed assistant pathologist at the Institute ofLaryngology and Otology and in 1951 reader in bacteriology in theUniversity of London. Since 1952 he has been director of thedepartment of pathology and bacteriology of the institute and con-sultant (honorary) pathologist to the Royal National Throat, Nose,and Ear Hospital. In 1960 and 1962 he lectured in the United States.His published work includes papers on the pathology of the ear, tissueculture of the otocyst, electron microscopic studies on ototoxicity, andthe application of electron microscopy in human pathology.The following have been recommended for higher degrees:M.D.-A. J. Bowdler, D. K. Brooks, Thomas Hargreaves, P. R. Norris.Ph.D. (in the faculty of medicine).-Srimantakumar Bandyopadhyay, Chan
Woon Cheung, M. L. Colonier, W. L. Dunn, K. E. Eakins, M. M. Fisher,Nishit Chandra Ganguli, Murul Hussain Hazarika, Khursheed NowrojeeJeejeebhoy, Venkatachalam Viraswami.
University of ExeterDr. David Mattingly, senior registrar and medical tutor at
the Postgraduate Medical School of London, has been
appointed director of the postgraduate medical institute whichis being set up at Exeter, initially for an experimental period.University of Leeds
Dr. Paul Fourman, reader in medicine at the Welsh NationalSchool of Medicine, has been appointed professor of clinicalinvestigation in the department of chemical pathology.
Dr. Fourman, who is 44 years of age, was educated at the LycdeFrançais in London. He qualified from Guy’s Hospital in 1941,graduating M.B. Lond. with honours in the same year. He wasmedical tutor at Guy’s Hospital before he became graduate assistantin the Nuffield Department of Clinical Medicine at Oxford, where heremained until 1952, except for a year as a Rockefeller Fellow inDr. Fuller Albright’s department. He then joined the department ofexperimental medicine in Cambridge for two years before taking uphis present appointment in 1954. He was elected F.R.C.P. in 1959,and took the D.sc. Lond. in 1960. His published work includespapers on intestinal absorption, on the effects of adrenal corticalhormones on salt metabolism, and on the experimental production ofdeficiency of potassium and magnesium in man. His book, CalciumMetabolism and Bone, appeared in 1960.
University of GlasgowThe degree of M.D. has been conferred on T. W. Baillie.
Royal College of Physicians of LondonAt a comitia of the college on April 25, with Sir Charles
Dodds, the president, in the chair, the following were electedto the fellowship:
R. G. ANDERSON, Cheltenham; FRANK GOLDBY, London; T. K. S.LYLE, London; MOHAMMAD MOHAMMAD GAAFAR, Cairo; C. N.
EvANS, London; A. D. S. WHYTE, Hastings, New Zealand; C. B.SANGSTER, Adelaide; A. L. WINGFIELD, London; H. E. S. PEARSON,London; WILLIAM McCARTAN, Holywood, Co. Down; D. G.FERRIMAN, London; L. E. GLYNN, Taplow, Bucks; J. P. HORAN,Melbourne; LoUIs GLICK, Halifax; A. J. M. SINCLAIR, Melbourne;W. R. TROTTER, London; R. F. WEST, Adelaide; SORAB BARJORKARANi, Bexley, Kent; B. 0. QuIN, Auckland; R. G. M. LONGRIDGE,Salisbury; PREM NATH WAHI, Agra; REGINALD BOLTON, Epsom;H. K. MELLER, Southampton; D. R. DAVIS, Bristol; W. N. PICKLES,Aysgarth, Yorks; R. R. HUGHES, Liverpool; D. R. HUMPHREYS,Birmingham; A. E. McGuiNNEss, Sydney; R. J. TwoRT, Notting-ham ; W. E. CLARKE, London; G. E. 0. WILLIAMS, Birmingham;J. R. TASKER, Northampton; FELIX PosT, London; J. N. AGATE,
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Ipswich; M. A. FLOYER, London; C. E. DAVIES, Sheffield;P. M. SMYTHE, Pietermaritzburg; P. B. S. FOWLER, London;SAMUEL OLEESKY, Manchester; MARCIA 1. P. WILKINSON, London;J. D. 0. KERR, Glasgow; SUJATA CHAUDHURI, Calcutta; P. D. SAMMAN,London; G. S. C. SowRY, Radlett, Herts; J. H. D. MILLAR, Belfast;T. M. L. PRICE, London; H. M. FOREMAN, Sully, Glamorgan; OLIVERGARROD, London; A. G. MACGREGOR, Aberdeen; W. B. MATTHEWS,Derby; W. H. TRETHOWAN, Birmingham; WILIIAM WHITAKER,Leeds; ANDREW MEIKL’EJOHN, Glasgow; J. N. WALTON, Newcastleupon Tyne; K. G. LowE, Dundee; J. W. McLAREN, London;R. A. K. HARPER, London; R. F. A. DEAN, Kampala; P. J. LAWTHER,London; P. M. DANIEL, London; J. W. HOWIE, Glasgow; F. R.HONE, Adelaide; JEAN LENEGRE, Paris; D. K. O’DONOVAN, Dublin;Sir THOMAS HOLMES SELLORS, London.The following, having satisfied the censors’ board, were
elected to the membership:Elaine M. Allen, M.B. Cantab., John Armstrong, M.B. Lond., Kulasekaram
Balakumaran, M.B. Ceylon, Alexander Brown, M.B. Edin., J. A. Corbett, M.B.Lond., A. B. Corrigan, M.B. Sydney, C. L. Crawford, M.B. N.Z., W. A. C.Douglas, M.B. Queensland, F. T. Falkner, L.R.C.P., R. B. Godwin-Austen,M.B. Lond., D. B. Grant, M.B. Cantab., J. J. F. Hamblin, M.B. Lond.,K. W. Heaton, M.B. Cantab., Julian Hirsh, M.B. Lond., E. J. Housley, M.B.Birm., Barry Hulme, M.B. Birm., Aaron Ezebuilo Ifekwunigwe, M.B. Lond.,L. S. Illis, M.B. Lond., D. H. W. Kelly, M.B. Lond., B. M. Kennelly, M.B.Cape Town, Muzrudeen Khan, M.B. Belf., S. C. Latham, M.B. Cantab.,Conn Lucey, M.D. N.U.I., A. D. McInnes, M.B. St. And., R. R. McSwiney,M.B. Lond., John Martin, M.B. Lond., Saurendra Nath Mukhopadhyay,M.B. Calcutta, P. A. Murphy, M.B. Lpool, Graham Neale, M.B. Brist.,Shabnam Pukhraj Niazi, M.B. Punjab, E. W. P. Noall, M.B. Lond., P. M.Olley, M.B. Lond., Nehkant Hamermall Rathod, M.B. Bombay, D. R.Redwood, M.B. Cantab., G. M. Rees, M.B. Lond., R. S. 0. Rees, M.B.Cantab., E. H. Reynolds, M.B. Wales, S. D. Roberts, M.D. Belf., RodolfoRodriguez-Arganaras, M.D. Buenos Aires, K. B. Saunders, M.B. Cantab.,M. M. Segall, M.B. Sheff., G. E. G. Sladen, B.M. Oxon., Julius Smith,M.B. Cape Town, Roger Smith, M.D. Cantab., Mahendra Somasundaram,M.B. Ceylon, B. H. R. Stack, M.B. Edin., A. S. Tavill, M.B. Manc., R. A.Thompson, M.B. Lond., J. A. Waddell, M.B. Edin., M. M. Webb-Peploe,M.B. Cantab., D. S. Wilson, M.B. Lond., P. L. Wright, M.B. Cantab.
Licences to practise were conferred on the following whohave passed the final examination of the Conjoint Board:
Elisabeth Abbott, J. M. Adams, A. M. Addison, Abdulla Salim Albeedh,Pamela W. Aldis, Peter Allen, Homayoun Amir-Ahmadi, J. C. Anderson,J. C. Angel, Jacqueline R. Ashby, R. J. Aubrey, A. J. Austin, R. J. Bag-shaw, D. G. Bancroft, Sarah E. Barker, Anita Barltrop, Maureen A.Bartlett, D. W. Baskett, Katherine P. J. Beale, J. N. Bean, A. H. Beeley,C. M. A. Bell, Elizabeth A. Binsted, Alan Birch, Diana Bishop, J. A. H.Bootes, Janet M. Boulton, Ann R. Bowdler, Cynthia M. Britton, Rose-mary E. Brough, Barbara G. Burgess, Patricia M. Butterworth, N. E.Cameron, Anne Campbell, J. McK. Cannon, K. S. Cliff, Anne M. Clover,Olive A. Coates, W. B. Cole, Roger Cooper, Anne P. L. Crocker, D. P.Curran, Anand Dalal, John Darracott, R. H. J. Darvell, D. R. Davies,N. M. Davies, Timothy Davies, P. B. Deaner, R. M. Deans, AdedayoDoherty, N. E. Dudley, D. B. Duff-Miller, P. C. Dupre, Jennifer L.Dyson, John Fenton, D. G. Fife, Patience A. Forman, M. W. Forth,D. G. W. Fosbery, Alison M. Galbraith, D. A. Gardner, Zoe N. C. Gardner,R. I. Gleadle, M. E. Godfrey, B. M. Gompels, Pamela E. Gould, J. A. H.Grunstein, B. H. Gurry, Judith S. Haddleton, Margaret A. Hall, T. B.Hall, J. D. Hardy, M. J. Harley, C. L. Harmer, J. E. Harrison, J. B.Hawkins, Anna M. Hay, G. W. Hepner, R. E. Herbert, A. M. B. Hilton,D. A. G. Ho-A-Yun, Christina A. Hole, A. D. Holliday-Rhodes, F. J.Holmes, Jetske Hooykaas, Roger Hornby, Sylvia H. Houghton, E. L.Howells, Ann C. M. Hughes, D. M. Hughes, J. F. Hughes, John Hurley,Elizabeth J. Iliff, B. T. Jackson, P. M. L. James, J. E. Jellis, M. C. Jen-nings, P. M. Johnson, C. A. B. Johnston, E. L. Jones, E. W. Jones, D. S.Josephs, E. J. King, A. H. Knight, M. J. Knight, Jeanette K. Kremer,S. B. Kuku, Terence Lawlor, Deanna C. Layton, P. K. Leaver, D. A.Lees, Susan Legg, R. K. Levoi, A. A. M. Lewis, David Lewis, R. M.Lloyd, Djamchid Lotfi, Susan V. Lucas, Ann C. McAra, J. B. McCaw,Rosalind McCrink, Miriam A. McKenna, J. J. McKessack, Denise M.Magauran, Neville Marsden, P. R. Millard, C. H. Miller, R. A. Mills,E. J. G. Milroy, Sheila A. Minns, Ann J. Monkhouse, C. H. F. Morrish,F. D. Moynihan, J. J. Murray, R. A. Nicholson, S. N. Ofole, E. G. Ostler,T. P. Owen, Vivian M. Pain, Ann Parker, J. C. Parker, John Patrick,J. R. Pearson, W. G. H. Peskett, K. S. S. Peterson, J. C. Postlethwaite,S. J. A. Powis, Susan H. Poynder, Gwenda R. G. Pritchard, J. H. Pusey,D. C. Raymond-Jones, Jennifer A. Rees, Celia C. Ridge, D. M. Roberts,J. E. S. Robson, Michael Rolfe, C. F. Ruoss, G. J. Rushton, R. C. G.Russell, C. A. Samson, E. J. Scholfield, D. G. Schooling, J. M. Seary,E. A. Shinebourne, William Singer, Surjeet Singh Sira, David Skelton.Gillian Sleigh, B. L. Smith, R. J. 0. Smith, Margaret F. Spittle, RoseE. Stein, A. D. Stephens, A. J. Stevens, P. G. H. Summers, Saadat AliShah Syed, Stephen Talbot, Yuen Dick Tam, Jasmine K. Tateossian,P. B. O. Taylor, D. R. B. Thomson, A. J. Thornton, P. F. Tidnam,Patricia A. Tobun, Janet Todd, P. J. H. Tooley, J. U. Tuke, Judy A.Vand der Werff, R. 1. Varnam, R. H. C. Vaux, J. E. S. Walker, J. 0. deW. Waller, D. J. R. Warburton, Elizabeth A. S. Ware, A. C. Watson,Eric Watton, Margaret F. Watts, R. M. A. Weinstein, Diane H. Weston,N. D. Whyatt, G. A. Williams, N. J. Y. Woodhouse, D. G. Wright,M. G. Wright, Faysal Saeed Zeerah.
The following diplomas and those mentioned in our issueof April 27 (p. 957) were conferred jointly with the RoyalCollege of Surgeons:D.A.-Margaret L. Birtwistle, K. A. T. W. P. Jayawardene, Daoud
Kandela, Sukamal Ray.D.I.H.-Nazir Ahmad, John Barnes, L. K. A. Derban, Vibhakar
Moreshwar Joglekar, R. L. Renton, D. M. Stainton-Ellis, V. H. Turnbull.D.Phys.Med.-L. J. Brunton, M. J. Crow, Sembukuttiaratchige
Priyadarsin De Silva, Annetta, E. A. Gillies, D. N. Golding, KishinHingorani, R. G. Howes, A. K. Irvine, Mohamed’Anwar Ismail, J. A. Moncur.D.P.M.--W. E. Bazzoui, B. H. Burns.
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D.P.H.-Sathasivam Sahadeva.
The College of PathologistsAfter a postal ballot to the 1118 subscribers to the college,
the following office-bearers have been elected:President, Sir Roy Cameron; vice-presidents, Prof. D. F. Cappell,
Prof. J. W. Howie, Dr. A. G. Signy; hon. treasurer, Dr. F. Hampson;registrar, Prof. T. Crawford; assistant registrar, Dr. J. L. Stafford;members of council, Dr. E. N. Allott, Prof. N. H. Ashton, Prof. G. J.Cunningham, Dr. E. M. Darmady, Dr. J. S. Faulds, Prof. J. Gough,Prof. C. V. Harrison, Prof. N. H. Martin, Dr. Janet S. F. Niven,Prof. C. L. Oakley, Prof. R. W. Scarff, Prof. C. K. Simpson, Dr. G.Stewart Smith, Dr. Joan Taylor, and Prof. R. E. 0. Williams.
Royal SocietyDr. Emmanuel Faure-Fremiet, professor of comparative
embryology in the College de France, Paris, and Dr. SewallWright, professor emeritus of genetics in the University ofWisconsin, have been elected foreign members of the society.International Society of Blood Transfusion
This society is to create a prize (1000 Swiss francs) to encour-age research on blood-transfusion. It will be known as theJean Julliard prize to commemorate the society’s first secretarygeneral.Hospital EquipmentKing Edward’s Hospital Fund is sponsoring an investigation,
under the direction of Prof. Misha Black, into the selection anddesign of equipment for a new hospital. The hospital chosenfor the investigation, is the new West Middlesex Hospital.Deputising ServicesThe London executive council has given consent for 1168
doctors to use deputising services. 941 doctors wish to beable to call on a deputy occasionally; 178 wish to call on adeputy regularly for up to 2 nights per week, half days, oralternate weekends; 49, because of old age or infirmity, wishto use a deputy more frequently.B.M.A. Library
This week Sir Ian Fraser, the president, was opening thereconstructed and extended library of the British MedicalAssociation. Viscount Nuffield gave E50.000 towards the work,and the library, which has over 77,000 volumes, is to be calledafter him.New features of the Nuffield library include heated ceilings,
passenger and goods lifts, and a motorised form of compact shelvingin the basement, which has doubled the storage space. The reading-rooms have a loudspeaker system which can be used to summonmembers. A gallery on the ground floor is to be used for exhibitions.
On April 6 and 7 the National Deaf Children’s Society held aconference of research workers at Pembroke College, Oxford.Dr. L. Fisch, Dr. G. Pampiglione, Dr. K. Murphy, and Dr. J. Davisspoke on objective tests of hearing. Dr. C. 0. Carter, Mr. GavinLivingstone, Dr. L. Fisch, and Dr. Neville Butler discussed theadvantages and disadvantages of a national survey.The title of fellow of King’s College of the University of London
has been conferred on Mr. T. E. Cawthorne.
Sandoz Products Limited have endowed a lecture in neurology tobe held annually in the General Infirmary at Leeds, and Sir FrancisWalshe will give the first Sandoz Foundation lecture on Tuesday,May 7. The title of his lecture is to be Achievements and Ideals inBiology: a Contrast.The annual meeting of the Grey Turner Surgical Club will be held
in Oslo from May 7 to 9. Particulars may be had from the hon.secretary, Mr. G. N. Bailey, 2a, Lancaster Road, Harrogate, Yorks.At St. Thomas’s Hospital Medical School, London, S.E.1, at
noon on Tuesday, June 4, Dr. J. F. Mustard, from the blood andvascular disease research unit, University of Toronto, will speak onthe effect of adrenaline on platelet economy and thrombosis.An introductory course in family psychiatry will be held at the
department of child and family psychiatry, Ipswich and East SuffolkHospital, from June 24 to 28. Particulars may be had from thesecretary of the department at 23, Henley Road, Ipswich.
Clinical demonstrations will be held at the Institute of Diseases ofthe Chest, Brompton, London, S.W.3, on Fridays at 5 P.M. untilJuly 5. They will be arranged by Dr. L. H. Capel and are open with-out fee to all doctors. On Wednesdays there will be open lecturesat 5 P.M.
