644

Notes and News

A SCHOOL FOR HANDICAPPED GIRLS

THERE were few residential schools for physically handi-capped children before 1939, but during the war some 500of them were evacuated to Peckforton Castle, near Cheshire,and this school remained in action for five years. Thanksto the successful experience gained there, similar schoolshave been established since ; and one of these, the LondonCounty C’omcil’s school at Stapleford Place, near HaywardsHeath, in Sussex, was opened by the Minister of Educationon Feb. 24. The house, built as a private residence in1911, has-been converted according to plans prepared bythe architect to the council. By August, 1950, it was readyto receive 32 girls and members of the staff who until thenhad been housed in requisitioned quarters near Sherborne.Now there are 49 girls in residence, between the ages ofa and 16.Some of the children are without homes of their own,

others come from homes which are not suitable for a disabledchild to live in, and most of them need more medical andnursing care than they could reasonably get in their ownhomes. Parents may visit every month, and the childrencan go home for holidays if they wish. The house is on the

village green, which places it well in the middle of thecommunity life, and the neighbours are already" taking afriendly interest in the children and in the life of the school.Stapleford Place has spacious gardens, plenty of trees andlawns, and a lake of its own-always a gratifying piece ofproperty to a child Its rooms are large and airy, and itswindows overlook a lovely stretch of country. The alterationshave been considerable-a new water-supply and sewagedisposal system, the installation of modern heating, lightingand cooking equipment, proper fire precautions and a generousincrease in bath and lavatory accommodation. The panellingand the broad oak staircase have been carefully repaired,and all has been done skilfully, and with the comfort of thechildren well in mind. The aim is to give these girls asnearly as possible a normal education and to fit them for asfull an adult life as their disabilities will allow. The newventure deserves every success.

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PORPHYRIN METABOLISM AND PORPHYRIA

WITH regard to Professor Watson’s article last week

(p. 539), further information has been received about someof the references, as follows : ,

chmid, R., Schwartz, S., Watson, C. J. (1950) Proc. Soc. exp.Biol., N.Y. 75, 705.

8chwartz, S., Zieve, L., Everts, C., Watson, C. J. (1951) J. Lab.clin. Med. (in the press.)

Sutherland, D. S., Watson, C. J. (1951) Ibid, 37, 29.Watson, C. J. (1950) Trans. Ass. Amer. Phys. 63, 219.- Hawkinson, V. E., Sutherland, D. S. (1951) J. Lab. clin. l11ed.

37, 8.A NEW NORWEGIAN JOURNAL

Norway has a new monthly in the Journal of the Oslo CityHospitals. Printed in English, this somewhat resembles inform and intention the Proceedings of the Staff Meetings ofthe Mayo Clinic. The journal, which will be sent withoutcharge to hospitals in Norway and other countries, is ptib-lished by Christian Plesner, Hospital and Medical Equipment,Oslo.

LYMPHATIC PATHWAYS

A FILM on the Lymphatic System made by the medical filmunit of Imperial Chemical Industries in conjunction withDr. J. M. Yoffey, professor of anatomy at Bristol University,has as its main purpose the instruction of medical students.Animated diagrams and beautiful colour cinematography ofanimal-injection experiments with indian ink and Evans blueshow in striking terms many features of the mammalianlymphatic system of which students can usually only read.Lymphatic trunks in the anaesthetised animals are well seen,and one particularly striking sequence illustrates the passageof substances instilled into the nose reaching the cervicallymphatic pathways. The approach of the film is that ofexperimental physiology, and there is nothing therefore ofimmediate clinical bearing on lymphatic problems in thehuman body.’ But as a demonstration of the way in whichlymphatic systems work it is a vivid and useful presentation.There are two small criticisms : the first- that some of theanimated diagrams go on too long, and the second that theRkin incision is shown in the making before each experiment-this might be taken as read after the first time or two.

The film, which was briefly reviewed in these columns lastyear when it was shown at the annual meeting of the BritishMedical Association,l runs for 45 minutes and is 16 mm.

University of CambridgeDr. F. G. J. Hayhoe has been appointed lecturer in medicine

for three years.On March 3 the following degrees were conferred :M.A.—G. K. Harrison.M.D.—P. F. Borrie, D. B. Cater, A. E. Flatt..11!l.B., B.Chir.-*Graham Harvey Evers, *Helen M. Rosevearc,

*I. M. Simmonds.. *By proxy.

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University of LondonAt recent examinations for the academic postgraduate

diploma in medical radiology (diagnosis) the following weresuccessful:

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Raghubar Baidya, A. T. Broadbridge, R. J. Callander, PhyllisA. M. Crozier, David Datt, Joseph Friedman, J. J. Geere, J. B. Hearn,Maurice Hurwitz, Philip Jacobs, Edward Mercieca, Victor Roseverne,Morris Simon, D. G. C. Whyte, Mary I. Wray.

Royal College of Surgeons of EnglandAt a meeting of the council on March 8, with Sir Cecil

Wakeley, the president, in the chair, a past president’s badgewas presented to Sir Holburt Waring.

Mr. A. Wallis Kendall and Mr. E. L. Farquharson wereelected members of the court of examiners.

Mr. C. D. Read was elected to the fellowship ad eundem.The Hallett prize was presented to Mr. M. W. Reece (St.Thomas’s Hospital). The council decided that the first awardof the James Berry prize would be made in 1952. Thesubject for essays will be the Treatment and Preservation ofthe Injured Hand. ’

Prof. H. H. Stones was appointed Charles Tomes lecturerfor 1951. It was reported that Dr. Loyal Davis (Chicago)will deliver a Moynihan lecture on Oct. 9. ,

Scottish Conjoint Board ’ The following candidates, having passed the final examina-

tion, were admitted on March 9 to the licentiateship of theRoyal Colleges of Physicians and Surgeons of Edinburgh andthe Royal Faculty of Physicians and Surgeons of Glasgow:

Patricia F. D. Anderson, John Boyd, G. McG. Campbell, C. MacP.Christie, Gordon Clarke, D. M. Cunningham, Anthony de Mello,J. Y. N. Devine, J. A. Eykelenboom, Hannah- Furman, JamesGoldie, A. E. D. J. Hellegers, D. W. Kidd, Ruth Kope, June M. Litt,J. T. Lunn, Rankin Martin, Joseph Minsky, M. H. Pinsky, ThomasRice, June Rosin, W. S. Thompson.

Royal Society LecturesProf. R. A. Peters, M.D., F.R.s., will deliver the Croonian

lecture on June 7 on Lethal Synthesis. Dr. C. H. Andrewes,F.R.S., will deliver the Leeuwenhoek lecture on Dec. 13.He is to speak on the Place of Viruses in Nature.

Postgraduate Course at Hampstead .

The Royal Free Hospital- group is holding a postgraduatecourse at the Hampstead General and North West LondonHospital, The Green, Haverstock Hill, N.W.3, on Thursdayof each week from April 5 to June 14. Lecture-demonstrationswill begin at 3 P.M. and 4.15 P.M. Sir Dan Davieswillgivetheinaugural lecture on April 5. Applications for enrolmentshould be sent to the secretary of the hospital.

Encephalitis and Rabbit Myxomatosis in AustraliaLast December the Australian Scientific and Industrial

Research Organisation released in rural New South Walesa virus causing myxomatosis in rabbits, to test its effectivenessin controlling the rabbit pest. B.U.P. reports that the dis-ease spread rapidly among rabbits in New South Wales,Victoria, South Australia, and Queensland ; but then severalpeople in these areas contracted encephalitis. More than30 cases have been reported in Victoria, and 11 are believedto have died of the disease in Victoria and New South Wales.Government scientists, supported by medical advisers, denyany connection between the release of the virus and thecases of encephalitis, pointing out that exhaustive tests showedthat only rabbits were susceptible to the virus, and that the1917 encephalitis outbreak in Queensland and New SouthWales attacked people in rural areas but not in large pities.Newspapers have, however, expressed continuing uneasiness,and have cited reports that kangaroos and at least one doghave been found dead with a disorder resembling myxomatosis.

1. See Lancet 1950, ii 223.

645

Congress at EvianAn international medical congress will be held at Evian

from Sept. 7 to 9 under the presidency of Prof. E. Chabrol.The topic chosen for discussion is L’eau en biologie et enclinique. Further particulars may be had from Prof. JeanHamburger, 29, Boulevard de Courcelles, Paris.

Gerontological CongressThe second International Gerontological Congress will be

held at St. Louis, Missouri, from Sept. 9 to 14 under the

presidency of Dr. E. V. Cowdry. Further information maybe had from the secretary of the congress, WashingtonUniversity Medical School, 660, South Kingshighway, St. Louis10, Mo.

European Congress on RheumatismThe Sociedad Espaiiola de Reumatismo is organising the

second European Congress on Rheumatism, which is to takeplace at Barcelona from Sept. 24 to 27. The English speakerswill include Dr. W. S. C. Copeman, Dr. R. M. Mason, andDr. L. G. C. Pugh. Further particulars may be had fromthe general secretary, Via Layetana, 31, Barcelona, Spain.Medical Research- Council Publications

The list of Medical Research Council publications is broughtup’to date at March 31, 1950, by a new Stationery Officepamphlet (Government publications, sectional list no. 12).This catalogue does not include publications in scientificjournals, which are listed in the Council’s annual reports.Those wishing to be notified when new M.R.C. publicationsappear should notify the director of publications (P. 2),H.M. Stationery Office, 429, Oxford Street, London, W.I.Those ordering by post may, if they wish, open depositaccounts with the Stationery Office ; deposits (minimum £1)should be sent to P.O. box 569, London, S.E.I.

Institute of BiologyA symposium on Freeze-drying will be held in London on

June 29 and 30. Provisional arrangements have been madeto hold four sessions. At the first there will be discussions onPhysical Principles including freezing and drying of proteinsand protein-containing materials such as plasma and food-stuffs, and Dr. R. I. N. Greaves will be in the chair. At thesecond the Drying of Bacteria and Antibiotics will be dis-cussed (chairman Sir Alexander Fleming, F.R.S.), at the thirdthe Drying of Viruses and Vaccines (chairman Dr. C. H.Andrewes, F.R.S.), at the fourth the Drying of Tissues andTissue Sections (chairman Prof. J. F. Danielli, D.sc.). Atten-dance will not be limited to members of the institute, andthose who are interested are invited to apply to the generalsecretary of the institute, Tavistock House South, TavistockSquare, W.C.1.Medical Society of LondonAt this society’s 171st anniversary dinner, on March 8,

Lord Woolton spoke genially of medicine past and present.He recalled that just after the society was founded Guy’sHospital-the hospital of the society’s president, Dr. A. H.Douthwaite-was well known for the number of bugs and ver-min that it harboured. There had been great changes. Asto present-day medical practice : " You are such experts onsuch small parts of the anatomy that I wonder what chancethe human being has of being understood as a whole."Speaking of his own experience as war-time Minister of Food,he said that he had deliberately attempted to preserve thehealth of the country’s children ; and the public, havinggrasped this aim, cooperated whole-heartedly. Lord Wooltonwas proposing’ The Society ; and in reply the Presidentpaid tribute to his policy of fair shares for all. Some, he said,had been confused by the expedients of war ; one nursingcandidate had described rose hips as the first indication of athreatening bedsore. Turning to the National Health Service,the President suggested that this could be a success if the

cleavage between specialist and practitioner were ended, andif the practitioner received a just reward. As to the societyitself, its special features were friendliness and the habit ithad of drawing together those working in different fields.The President went on to speak gratefully of the gift fromColchester Medical Society of an antique wax medallion ofJohn Coakley Lettsom, the Quaker physician and philanthro-pist, who founded both societies. The Guests were toasted byMr. H. R. Thompson, and Dr. W. Russell Brain, P.R.C.P.,replied.

Pneumoconiosis as a Prescribed Disease

The Industrial Injuries Advisory Council is consideringfurther the method of prescribing. pneumoconiosis as an

industrial disease under the National Insurance (IndustrialInjuries) Act, 1946. Those interested are invited to, submit,by May 1, written evidence to the council’s secretary, Mr. S. E.Waldron, o.B.E., Ministry of National Insurance, 30, EustonSquare, London, N.W.I. An explanatory memorandum maybe had on request.

Association of Workers and Schools for MaladjustedChildren

The inaugural meeting of this society was held earlier in theyear. A second meeting, to which all who are interested areinvited, will be held on Monday, March 19, at the LondonSchool of Hygiene, Keppel Street, W.C.1, at 5.15 P.M. The

purpose of the meeting is to receive the report of the interimcommittee, draft rules, and appoint the officers of a permanentcommittee. The main objects of the association are to findmeans by which all maladjusted children may be treated,educated, and reabled; to provide a professional body whoseopinion would have weight with other bodies; and to encourageresearch and experiment. ’ ,

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Prescribing and Dispensing in ScotlandThe Department of Health for Scotland has told executive

councils that in future a’ selection of prescription formsdispensed each month will be scrutinised centrally to detectand deal with extravagant prescribing under the NationalHealth Service, in the light of the Cohen Committee’s recom-mendations. Executive councils will be notified, for considera-tion in the first place by the local medical committee, of prescrip-tions which seem extravagant either : (a) because they containproprietary preparations for which less expensive standardequivalents may be had, which are not of recognised thera-peutic value, or which are advertised direct to the public ;or (b) because they relate to unduly large quantities of drugsor other items such as lint and cotton-wool. The GeneralMedical Services Subcommittee is urging local medical com-mittees to consider very seriously apparent instances of

extravagance. These committees will communicate with

practitioners concerned, where necessary invite them toattend for discussion with the committee, and in. the case ofserious or repeated extravagance recommend. to. executivecouncils the recovery of appropriate sums. Brief .reportsof action taken will be furnished by local medical committeesto executive councils, which are asked to forward reportsto the Department. In appropriate instances, the Depart-ment will publicise this action (omitting particùlarsldentify-ing the doctor concerned) ; and executive councils are askedto supplement, as necessary, such publicity. ,

Scottish pharmacists have now completed their case forabolishing the 8 % cut on earnings imposed last September.

Doctors in the U.S.A. !.

In 1954 the U.S.A. will have 22,000 fewer doctors thanit needs. This estimate was made by Dr. Howard Rusk,chairman of the health resources advisory committee of theU-S. National Security Resources Board, at a meeting inChicago of the Federation of State Medical Boards. Accordingto B.U.P., Dr. Rusk based his estimate on a military strengthof 5 million ; if the Forces were not increased beyond 31/2million the deficit would be some 20,000. Dr. Rusk wassupported by Dr. Joseph Hinsey, of Cornell UniversityMedical College, who declared : " The nation needs more

physicians today." Dr. Stockton Kimball, dean of the

University of Buffalo Medical College, told the meeting thatduring the past ten years medical schools had increased theirintake to an extent equal to the opening of fifteen new medicalschools. Today, he said, there were 26,913 students in medicalschools-1090 more than last year and almost 5000 morethan ten years ago. The need for more doctors was denied

by Mr. Frank Dickinson, PH.D., economist and statisticianof the American Medical Association. Medical progresshad, he claimed, brought about an increase in

"

output "

of at least one-third by each doctor. No-one could foreseethe duration of the present emergency ; and doctors " cannotbecome war surplus after a war." Dr. Dickinson pointedout that during the late war about 40% of the active U.S.doctors joined the Forces, but, under the care of the remaining60% the 90% of the total population that was still civiliancontinued to improve in health.

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646

Merchant-shipping Medical ScalesFrom April 1, penicillin, chloramphenicol, anti-venereal-

disease outfits, and other items will be added to merchant-shipping medical scales 1 and 2.

Malayan Artificial Limbs for South- east AsiaMalaya-now makes its own artificial limbs and orthopaedic

appliances, and also supplies other countries in South-eastAsia. A grant of:E7500 from the government of the Federationresulted in the building of a modern factory where 25 craftsmenare employed.How to Look After the OldA 3-4 months’ course, for men and women who wish to

become wardens or matrons of homes for old people, will beheld in London in October. Where necessary some grantsare available towards the cost of training. Further particularsmay be had from the secretary. National Old People’s WelfareCommittee, 26, Bedford Square, W.C.I.

Society for the Study of Fertility ..The annual conference of this society is to be held at

Cambridge on June 20 and 21. The hon. secretaries are :Dr. G. I. M. Swyer, University College Hospital, London,W.C.1; and Mr. A. Walton, PH.D., A.R.C. unit of animalreproduction, Animal Research Station, Cambridge. Thefirst issue of the society’s, Proceedings, dealing with the

Edinburgh conference in 1949, has been published by Messrs.W. Heffer & Sons Ltd., Cambridge, at 10s.

Belgian Society of Gastro-EnterologyThis society are once more asking their colleagues from other

countries to take part in their annual meeting, which they areholding this year at 9 A.M. on Sunday, June 3, at the Instituteof Tropical Medicine, 155, rue Nationale, Antwerp. The

subject chosen for discussion is Diseases of the Blood andAffections of the Digestive Tract. Further particulars maybe had from the secretary-general Dr. G. Brohée, 64, rue de laConcorde, Brussels.

United Hospitals Festival ChoirMore- than fifty London hospitals are taking part in this

choir which is to sing Mendelssohn’s Elijah, accompanied bythe London Symphony Orchestra and conducted by Mr.Joseph Krips; in the Albert Hall, on Wednesday, May 30,at 7.30 P.M. The concert is in aid of the Royal College ofNursing Educational Fund. Tickets may be obtained fromMr. Colin H. Ratcliffe, the chorus master, 10, WaldegrovePark, Twickenham, Middlesex. Some more male voices,particularly tenors, are still needed.

The M.O.H. and Mental HealthThis year the National Association for Mental Health is

again arranging,a course for medical officers of health or theirdeputies: The course, which will be held at the LondonSchool of Hygiene, Keppel Street, W.C.1, from June 4 to 9,will deal with preventive aspects of mental-health work andwith provisions for the mentally handicapped, especially thoseliving in the community who are the responsibility of the localauthorities. It is hoped to arrange some visits of observationin connection with the course. Further particulars may behad from the education department of the association, 39,Queen Anne Street, W.1. -

Prof. W. Melville Arnott is visiting Cyprus from March 17to April 7 on behalf of the British Council.

CoitRfGErTnA a Stccndardisation of . X-ray Films.—Ourannotation last week should have stated that the committee’srecommendations appeared in the British Journal of Radiology(1950, 23, 272, 500).

Alkali-dissolved Diphtheria Toxoid-antitoxin Floccules.-Inthis article by Mr. J. H. Mason (March 3) the units of antitoxinper ml. of serum before immunisation in each of the first threemembers of the institute staff who were immunised shouldhave been given as < 0-005.

Treatrraent of Burns in Large Numbers.&mdash;In our account ofthe discussion of this subject by the Royal Society of Medicine(Lancet, Feb. 24, p. 449) remarks were wrongly attributed toSurgeon Captain S. G. Rainsford. In fact, Captain Rainsfordsaid that he thought that the present neglect of antisera wasunwise.

Diary of the WeekMARCH 18 To 24

T-

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Monday, 19th ’

INSTITUTE OF OPHTHALMOLOGY, Judd Street, W.C.1 ,

5.30 P.M. Mr. F. W. Law : Radiology of the Lacrimal Apparatus.Tuesday, 20thROYAL COLLEGE OF SURGEONS, Lincoln’s Inn Fields, W.C.2

5 P.M. Mr. B. N. Brooke: Surgery of Ulcerative Colitis. (Hunterianlecture.)

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BRITISH POSTGRADUATE FEDERATION5.30 P.M. (London School of Hygiene, Keppel Street, W.C.1.)

Dr. E. E. Pochin : Application of Radioactive Isotopesto Medical Research Problems.

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INSTITUTE OF DERMATOLOGY, St. John’s Hospital, Lisle Street,W.C.2

.

5 P.M. Dr. W. R. Bett: Medical Writing.INSTITUTE OF LARYNGOLOGY AND OTOLOGY, 330, Gray’s Inn Road,

W.C.1 .

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5.30 P.M. Dr. Hallowell Davis (St. Louis) : Effects of Noiseupon the Ear.

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Wednesday, 21stROYAL COLLEGE OF SURGEONS

3.45 P.M. Dr. L. W. Proger : Recent Additions to the Museum.(Erasmus Wilson demonstration.) ,

INSTITUTE OF NEUROLOGY, National Hospital, Queen Square, W.C.15.30 P.M. Dr. Hallowell Davis : Recent Work on the Neuro-

physiology of the Cochlear Mechanism and its Bearingupon Clinical Problems.

,

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INSTITUTE OF OPHTHALMOLOGY ’

5.30 P.M. Mr. B. W. Rycroft: Surgical Reconstruction of theOrbit.

LONDON ASSOCIATION OF THE MEDICAL WOMEN’8 FEDERATION8.30 P.M. (Royal Free Hospital School of Medicine, W.C.I.)

Dr. Keith Simpson : Murder. -

MEDICO-LEGAL SOCIETY ., ,

8.15 P.M. (26, Portland Place, W.1.) Mr. J. A. F. Wilson, J.P.: :Juvenile Delinquency.

AppointmentsCOPE, EDWARD, M.D. Leeds, M.R.C.O.G. : consultant obstetrician and

gynaecologist, Birmingham group of hospitals. ’

HENNEBRY, T. M., M.B., M.CH. N.U.I., F.R.C.S.I., D.M.R.E. : consultantorthopsedic surgeon, North Middlesex Hospital.

HERD, J. A., M.D. Mane., D.P.M., D.I.M. : consultant inmental health,public-health department, London County Council. -

HURFORD, F. R., M.B. Brist., F.R.C.S.: consultant surgeon., Liohneld,Sutton, and Tamworth group of hospitals. ’

,

MCSHANE, EILEEN, M.B. Birm., D.A.: consultant - anrest1!etjst,Dudley and Stourbridge group of hospitals. -’

PARKINSON, RoY, M.B. Lond., F.R.C.S. : consultant general surgeon,Mildmay Mission Hospital, London.

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SCRASE, W. H., M.B.Birm., M.CH.ORTH:Lpool, F.R.C.S.E.: asst.orthopsedio surgeon, Birmingham group of hospitals.

WILSON, W. C. M., M.D. Belf., D.P.H. : consultant pathologist,Coventry group of hospitals.

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WOOD, B. S. B., B.M. Oxfd, M.R.C.P." D.C.H.: consultant paediatrician,Birmingham group of hospitals. .

University College Hospital, London .

&deg;

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COUCHMAN, J. M., D.S.C., M.A., B.M. Oxfd senior hospital M.o.,veneral diseases department.

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GOODDY, W. W., M.D. Lond., M.R.C.P.: consultant neurologist.HARRIES, B. J., M.B. Lond., F.R.C.S. : consultant general surgeon.SWYER, G. I. M., M.A., D.M., D.PHIL. Oxfd, M.R.C.P.: consultant

endocrinologist to obstetric department. ’ -

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Births, Marriages, and DeathsBIRTHS

BORRIE.&mdash;On March 4, in Newcastle ,upon Tyne, the wife of Mr.John Borrie, M.B.E., F.R.C.S.&mdash;a son.

FISK.&mdash;On March 6, at Cambridge, to Dr. Susan Airey, wife ofMr. Geoffrey Fisk, F.R.C.S.&mdash;a son. -

HALLE.-On Feb. 20, in Sheffi&eacute;ld, the wife of Dr. H. M. Halle-a son.

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McDoNALD.-On Feb. 24, at Beckenham, Kent, the wife of Dr.Donald M. McDonald-a son.

MCGOWAN.&mdash;On March 7, at Bristol, to Dr. Rosalind McGowan(nee Barclay), wife of Dr. G. K. McGowan-a daughter.

MANNING.-On March 5, in London, the wife of Dr. Geoffrey C.Manning-a son. ’

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PRATT.-On March 3, at Cambridge, the wife of Dr. C. L. G. Pratt-a daughter.

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MARRIAGES i -

MCFADYEAN&mdash;CASS.&mdash;On March 3, at South Ascot, - KennethMichael McFadyean, M.R.C.S., to Barbara Marjorie Joan Cass.

DEATHSDAVIES.&mdash;On March 5, in Manchester, Evan Sherrah Davies,

M.R.C.S. ’

DRAPER.&mdash;On March 3, at Croydon, John Robert Draper, M.B. Camb.,aged 73.

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GILL.&mdash;On Feb. 28, at Oldham, Lanes, Harry Gill, M.B. R.U.I. ’

HAMER.&mdash;On March 2, at Chorlton-cum-Hardy, Lanes, WilliamMyring- Hamer, L.M.S.S.A.

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MONTGOMERY.&mdash;On March 4, - at Chichester, Edwin Cecil Mont-gomery, M.R.o.s., aged 79.

PENNELL.&mdash;On March 7, at Findon, Sussex, Alice Maude Peimell,’- O.B.E., M.B. Lond.TOMLINSON.&mdash;On March 6, at Hove, Percy Stanley Tomlinson,

K.B.E., C.B., D.S.O., F.R.C.P., aged 66.