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523 Obituary GILBERT EDWARD MOULD M.R.C.S. Gilbert Mould, who died at Sheffield on March 16, was a son of the late Dr. G. W. Mould, superintendent of Cheadle Royal, and he devoted himself to his father’s specialty. From Cambridge he went to St. Mary’s Hospital, London, where he qualified in 1894. After holding resident posts there, he became assistant medical officer at various mental institutions, before becoming superintendent of The Grange, near Rotherham, where he remained to the end of his life. For several years he was physician for mental diseases to the Sheffield Royal Hospital, and later to the Rotherham Municipal Hospital, and he was valued by his colleagues for his ripe experience and sound knowledge of mental diseases. A keen sportsman, he was well known in the hunting-field, and his holidays were always spent fishing in Scotland. BENJAMIN RIGBY JOHNSTON M.D. BRUX., M.R.C.S., L.R.C.P.I. Dr. B. R. Johnston, who died at Grasmere at the age of 84, was educated at Rossall School, Dublin, and Brussels. In 1884 he took the Irish and English con- joint qualifications, and six years later the M.D. of Brussels. After holding hospital appointments in Ireland and making a trip as ship’s surgeon to the Far East he came to England to act as assistant to Dr. Floyd, of Birkenhead. In 1888 he moved to Grasmere where he was still in practice at his death 58 years later. Outside medicine his interests were literary and archaeological, and he was secretary to Dove Cottage and the Words- worth museum. But he identified himself with every good.activity of the village, and in the words of the country folk "Dr. Ben was the most useful man in Grasmere for fifty years." His brother, Dr. G. Ainslie Johnston, of Ambleside, survives him. PROF. MAITLAND RAMSAY Prof. W. J. B. Riddell writes : Dr. Maitland Ramsay died in his 87th year. He was born a few years after the discovery of the ophthalmoscope and grew up during the period of intense intellectual activity resulting from the work of the great Victorians. He was old enough to have seen a cataract extraction performed prior to the introduction of cocaine and well remembered the first occasion upon which the drug was used. Many honours and distinctions were granted to him during his long life and he maintained the greatest interest in the work of his younger colleagues until the very end. I received many letters from him inquiring about the application of modern methods such as penicillin and sulphonamide drugs to the treatment of eye disease. All his life he was enthusiastically devoted to the search for remedies which might alleviate suffering and cure disease. He followed the great tradition of general physicians such as Clifford Allbutt, James Mackenzie, and William Osler, and he had an unbounded admiration for his own old teachers in the University of Glasgow. He delighted in the thought that his chosen subject received academic recognition in his own university almost 120 years ago when a lecture- ship was founded, whose first incumbent was the cele- brated William Mackenzie. When at a later date a chair was instituted he followed its fortunes with interest and understanding. On Active Service CASUALTIES MISSING, NOW PRESUMED DEAD Surgeon Commander THOMAS CRAIG STEVENSON, O.B.E., M.B. Camb., R.N.v.R. Commander Stevenson is officially presumed to have lost his life at the sinking of the S.S. Ban Ho Guan, on Feb. 28, 1942, in umatra waters. WOUNDED Captain S. J. T. MERRYFIELD, M.R.C.S., R.A.3i.C. AWARDS D.S.C. Surgeon Lieut.-Commander S. E. L. Stening, M.D. Sydney, F.R.A.C.S., R.A.N.R. Notes and News NURSES AND THE BILL THE Royal College of Nursing says that it considers the National Health Service Bill an improvement on the original white-paper as far as nursing is concerned. It welcomes the fact that nursing will have its own standing advisory com- mittee at the national level, with direct access to the Minister ; but it will continue to press for adequate nurse representation at the regional and local levels. On the whole it approves the machinery for bringing the whole hospital service directly under the control of the Minister; " this should obviate overlapping, should lead to a more economic use of small hospitals, to improved institutional care of chronic and long- stay cases, and to closer coordination between the mental and physical health services." It welcomes the provision for an extended domiciliary nursing service, but holds that the local health authorities should be under statutory obligation, as in the domiciliary midwifery service, to consult with the voluntary agencies concerned, and wherever possible to provide the service through them. Finally, urging a com- plete overhaul of local-government machinery, the college advocates a public-health nursing department for each local health authority, under the direction of a chief nursing officer charged with coordinating the clinic, domiciliary, and welfare nursing services and preventing redundancy and overlapping. The head of the nursing department should have the status of a hospital matron, with access to appropriate hospital committees on all matters within her sphere. A NEW CAMPAIGN AGAINST DIPHTHERIA THE 1945 campaign for immunisation against diphtheria, supported by more than 300 local drives, was so successful that the Ministry of Health is continuing it this year, in the hope of reaching the target-protection of 3 out of every 4 children. Some 6 million children have already been ixnmu- nised, but at least 3 million are still unprotected ; and of course the numbers immunised each year need to keep pace with the numbers born. A well-designed brochure, issued for the Ministry of Health by the Ministry of Information and the Central Council for Health Education, has been distributed to local authorities. It advises them in planning local cam- paigns and describes or illustrates the help which can be given them. Posters, films, cinema slides, leaflets, and illustrations for press advertisements are ready for those who apply for them, and the brochure encloses specimens of various useful cards and leaflets-a parents’ consent form, a-health visitor’s card, a birthday card for the one-year-old, order forms for advertising material, a leaflet reprinting part of Sir Wilson Jameson’s broadcasts, and others setting out the important facts about diphtheria. The illustrations are mainly of healthy cheerful children : only one picture attempts to excite alarm and despondency, and even in that the child, since he appears to be attended by Dr. Guy Dain, probably has a good chance of recovery. For British propaganda, all the material is unusually pleasing and informative. " SAVE EUROPE NOW " WiTH the aim of relieving starvation in Europe, the promoters of this movement have issued a six-point programme. (1) Stocks of food in this country, estimated as 3,550,000 tons, should be reduced to the 3,000,000 tons at which they stood in September, 1939. (2) Bread should be rationed. (3) The extraction-rate of bread should be raised from 85% to 90% ; this would save about 250,000 tons of grain a year. (4) The amount of grain used for brewing beer should be reduced from the estimated annual total of 800,000 tons. (5) The making of cakes, biscuits, and confectionery should be temporarily decreased or discontinued. (6) Other proposals advanced last autumn, such as the surrender of coupons for meals in restaurants, should again be considered. The address of " Save Europe Now " is 14, Henrietta Street, London, W.C.2. IMPROVED FEEDING-BOTTLE TEAT Mr. B. THEODORE BERY writes : Owing to the necessity of transferring my baby from natural to artificial feeding I decided to attempt to overcome the obvious defects of ordinary bottle teats. The accompanying half-scale figure illustrates the design which has proved extremely satisfactory. It is modelled on the human breast and was produced from an impression taken from a well-formed breast in a hydro- colloid. A stone cast was made, and from this a wax teat, from which tin moulds were made. From these moulds the teats were processed in polyvinyl chloride resin devoid of
Transcript

523

ObituaryGILBERT EDWARD MOULD

-

M.R.C.S.

Gilbert Mould, who died at Sheffield on March 16, was ason of the late Dr. G. W. Mould, superintendent of CheadleRoyal, and he devoted himself to his father’s specialty.From Cambridge he went to St. Mary’s Hospital, London,where he qualified in 1894. After holding resident poststhere, he became assistant medical officer at various mentalinstitutions, before becoming superintendent of TheGrange, near Rotherham, where he remained to the endof his life. For several years he was physician for mentaldiseases to the Sheffield Royal Hospital, and later to theRotherham Municipal Hospital, and he was valued byhis colleagues for his ripe experience and sound knowledgeof mental diseases. A keen sportsman, he was wellknown in the hunting-field, and his holidays were alwaysspent fishing in Scotland.

BENJAMIN RIGBY JOHNSTONM.D. BRUX., M.R.C.S., L.R.C.P.I.

Dr. B. R. Johnston, who died at Grasmere at theage of 84, was educated at Rossall School, Dublin, andBrussels. In 1884 he took the Irish and English con-joint qualifications, and six years later the M.D. ofBrussels. After holding hospital appointments in Irelandand making a trip as ship’s surgeon to the Far Easthe came to England to act as assistant to Dr. Floyd, ofBirkenhead. In 1888 he moved to Grasmere where hewas still in practice at his death 58 years later. Outsidemedicine his interests were literary and archaeological,and he was secretary to Dove Cottage and the Words-worth museum. But he identified himself with everygood.activity of the village, and in the words of thecountry folk "Dr. Ben was the most useful man inGrasmere for fifty years." His brother, Dr. G. AinslieJohnston, of Ambleside, survives him.

PROF. MAITLAND RAMSAY

Prof. W. J. B. Riddell writes : Dr. Maitland Ramsaydied in his 87th year. He was born a few years after thediscovery of the ophthalmoscope and grew up during theperiod of intense intellectual activity resulting from thework of the great Victorians. He was old enough tohave seen a cataract extraction performed prior to theintroduction of cocaine and well remembered the firstoccasion upon which the drug was used. Many honoursand distinctions were granted to him during his long lifeand he maintained the greatest interest in the work ofhis younger colleagues until the very end. I receivedmany letters from him inquiring about the application ofmodern methods such as penicillin and sulphonamidedrugs to the treatment of eye disease. All his life he wasenthusiastically devoted to the search for remedies whichmight alleviate suffering and cure disease. He followedthe great tradition of general physicians such as CliffordAllbutt, James Mackenzie, and William Osler, and hehad an unbounded admiration for his own old teachersin the University of Glasgow. He delighted in the thoughtthat his chosen subject received academic recognitionin his own university almost 120 years ago when a lecture-ship was founded, whose first incumbent was the cele-brated William Mackenzie. When at a later date achair was instituted he followed its fortunes withinterest and understanding.

On Active ServiceCASUALTIES

MISSING, NOW PRESUMED DEADSurgeon Commander THOMAS CRAIG STEVENSON, O.B.E.,

M.B. Camb., R.N.v.R.Commander Stevenson is officially presumed to have lost his lifeat the sinking of the S.S. Ban Ho Guan, on Feb. 28, 1942, inumatra waters. -

WOUNDED

Captain S. J. T. MERRYFIELD, M.R.C.S., R.A.3i.C.AWARDS

-

D.S.C.

Surgeon Lieut.-Commander S. E. L. Stening, M.D. Sydney,F.R.A.C.S., R.A.N.R.

Notes and News

NURSES AND THE BILLTHE Royal College of Nursing says that it considers the

National Health Service Bill an improvement on the originalwhite-paper as far as nursing is concerned. It welcomes thefact that nursing will have its own standing advisory com-mittee at the national level, with direct access to the Minister ;but it will continue to press for adequate nurse representationat the regional and local levels. On the whole it approvesthe machinery for bringing the whole hospital service directlyunder the control of the Minister; " this should obviateoverlapping, should lead to a more economic use of smallhospitals, to improved institutional care of chronic and long-stay cases, and to closer coordination between the mentaland physical health services." It welcomes the provision foran extended domiciliary nursing service, but holds that thelocal health authorities should be under statutory obligation,as in the domiciliary midwifery service, to consult with thevoluntary agencies concerned, and wherever possible to

provide the service through them. Finally, urging a com-plete overhaul of local-government machinery, the collegeadvocates a public-health nursing department for each localhealth authority, under the direction of a chief nursing officercharged with coordinating the clinic, domiciliary, and welfarenursing services and preventing redundancy and overlapping.The head of the nursing department should have the statusof a hospital matron, with access to appropriate hospitalcommittees on all matters within her sphere.

A NEW CAMPAIGN AGAINST DIPHTHERIA

THE 1945 campaign for immunisation against diphtheria,supported by more than 300 local drives, was so successfulthat the Ministry of Health is continuing it this year, in thehope of reaching the target-protection of 3 out of every 4children. Some 6 million children have already been ixnmu-nised, but at least 3 million are still unprotected ; and of coursethe numbers immunised each year need to keep pace withthe numbers born. A well-designed brochure, issued for theMinistry of Health by the Ministry of Information and theCentral Council for Health Education, has been distributedto local authorities. It advises them in planning local cam-paigns and describes or illustrates the help which can be giventhem. Posters, films, cinema slides, leaflets, and illustrationsfor press advertisements are ready for those who apply forthem, and the brochure encloses specimens of various usefulcards and leaflets-a parents’ consent form, a-health visitor’scard, a birthday card for the one-year-old, order forms foradvertising material, a leaflet reprinting part of Sir WilsonJameson’s broadcasts, and others setting out the importantfacts about diphtheria. The illustrations are mainly of healthycheerful children : only one picture attempts to excite alarmand despondency, and even in that the child, since he appearsto be attended by Dr. Guy Dain, probably has a good chanceof recovery. For British propaganda, all the material isunusually pleasing and informative.

" SAVE EUROPE NOW "WiTH the aim of relieving starvation in Europe, the

promoters of this movement have issued a six-point programme.(1) Stocks of food in this country, estimated as 3,550,000tons, should be reduced to the 3,000,000 tons at which theystood in September, 1939. (2) Bread should be rationed.(3) The extraction-rate of bread should be raised from 85%to 90% ; this would save about 250,000 tons of grain a year.(4) The amount of grain used for brewing beer should bereduced from the estimated annual total of 800,000 tons.(5) The making of cakes, biscuits, and confectionery shouldbe temporarily decreased or discontinued. (6) Other proposalsadvanced last autumn, such as the surrender of coupons formeals in restaurants, should again be considered. The addressof " Save Europe Now " is 14, Henrietta Street, London,W.C.2.

IMPROVED FEEDING-BOTTLE TEATMr. B. THEODORE BERY writes : Owing to the necessity

of transferring my baby from natural to artificial feeding Idecided to attempt to overcome the obvious defects ofordinary bottle teats. The accompanying half-scale figureillustrates the design which has proved extremely satisfactory.It is modelled on the human breast and was produced froman impression taken from a well-formed breast in a hydro-colloid. A stone cast was made, and from this a wax teat,from which tin moulds were made. From these moulds theteats were processed in polyvinyl chloride resin devoid of

524

toxic plasticisers, the thickness varying according to theresistance required. This resin is better for the purpose thanrubber, the principal advantage being that it can be boiledfor long periods without any appreciable alteration in sub-stance or shape. It is inert to acids, alkalis, and sunlight, iseasily cleansed, and offers the same resistance to pressure asdoes the human breast. -

The teat is designed with two sides slightly flattened andsofter ; if the baby is a slow feeder, the teat is turned so that

he grasps these sides which offer less resistance to pressure.If the infant is a fast feeder, the chin presses against thebulbous portion of the teat, thus inhibiting the movementof the mandible.Four or more small holes are pierced in the nipple of the

teat, which is attached to the end of a wide-necked feeding-jar, without a valve at the end. The reason for using a bottlewith only one opening is that the milk is expressed by theaction of the muscles of mastication on the body of the teat.The atmospheric pressure inside is maintained by holdingthe bottle upright periodically to enable air to enter throughthe nipple, or by lifting the rim of the teat away from theside of the bottle.

If the breast-fed baby derives any assistance in bone

development from the munching or chewing action and fromthe force exerted on the facial bones by the body of the breastduring feeding, the bottle-fed baby should obtain similaradvantages frorn this teat.

University of CambridgeOn March 16 the following degrees were conferred :M.D.-A. S. Hollins, J. C. P. Grey, G. B. Leyton, A. M. Lester,

and Ralph Kauntze.M.B., B.Chir.-F. S. Hubbersty, D. G. Davidson, P. P. Philip,

R. E. Gruchy, J. E. Pitts, P. H. Walker (all by proxy), T. A.Evershed, and R. 1. G. Coupland.

M.B.—W. E. Tucker.

University of LondonSir Francis Fraser, professor of medicine in the university,

has been appointed director of the British PostgraduateMedical Federation, which is being set up to coordinate anddevelop the facilities for postgraduate medical education inLondon.

Dr. Alexander Haddow has been appointed to the universitychair of experimental pathology, tenable at the Royal CancerHospital (Free) as from Oct. 1.

Dr. Haddow was educated at Broxburn High School and theUniversity of Edinburgh, where he graduated M.B. in 1929. Heproceeded to the PH.D. and M.D. (for which he was awarded a goldmedal) in 1937, and the D.se. in 1938. After qualifying, he actedas house-physician at the Royal In,firmary, Edinburgh, and held aCarnegie research studentship in bacteriology, a Davidson fellowshipin immunity, and the Laura de Saliceto studentship of the Univer-sity of London. In 1931 he was appointed lecturer in bacteriologyin the University of Edinburgh. He published a number of paperson the pathology of growth, and on the phenomena of dissociationand variation of bacteria. In 1935 he described a growth-retardingproperty characteristic of many carcinogenic compounds, and morerecently he has reported on the carcinogenic activity of derivativesof aminostilbene, the effects of synthetic oestrogens in malignantdisease, and the role of various iso-alloxazines in the artificialinduction of animal pigmentation. Dr. Haddow has carried outmuch of his research with the support of the British Empire CancerCampaign, and since 1940 has been a member of the staff of theChester Beatty Research Institute of the Royal Cancer Hospital(Free), London.

Dr. A. C. Stevenson has been appointed to the universityreadership in public health, tenable at the London School ofHygiene and Tropical Medicine. Dr. Stevenson has beendeputy medical officer of health at Wakefield since 1937.The title of reader in pharmacology in the university has

been conferred on Dr. H. 0. Schild, in respect of the post nowheld by him at University College.

THE Central Medical War Committee announces thatMr: C. DEE SHAPLAND, F.B.c.s., has resumed civilian practiceat 15, Devonshire Place, W.l (Welbeck 5656).

University of SheffieldAt recent examinations the following were successful:

M.D.Harry Cullumbine.

M.B., CH.B.D. E. Hobday, S. M. Patel, and Pamela M. Smith.

Medical DiaryAPRIL 7 TO 13

Monday, 8thROYAL COLLEGE OF SURGEONS, Lincoln’s Inn Fields, W.C.2

5 P.M. Mr. L. E. C. Norbury : Surgery o f the Rectum, withspecial reference to Malignant Disease.

ROYAL SOCIETY OF MEDICINE, 1, Wimpole Street, W.I5 P.M. Odontology. Mr. Edgar Manley, Dr. Margaret Murray,

Dr. Paul Pincus : Dental Structure and Dental Caries.

Tuesday, 9thROYAL SOCIETY OF MEDICINE

5 P.M. Psychiatry. Discussion : Prefrontal Leucotomp withspecial reference to Indications and Results.

CHELSEA CLINICAL SOCIETY6.30 P.M. (South Kensington Hotel, Queen’s Gate Terrace,

S.W.7.) Dinner meeting. Dr. Charles HIU: Medicineand the State.

Wednesday, 10th -

ROYAL COLLEGE OF SURGEONS ’

5 P.M. Prof. H. J. Seddon : Peripheral Nerve Lesions.ROYAL SOCIETY OF MEDICINE

4.30 P.M. Physical Medicine. Dr. P. Bauwens, Dr. W. Beau.mont, Dr. C. E. Iredell : Evaluation of Aotinotherapy.

ROYAL INSTITUTE OF PUBLIC HEALTH AND HYGI1!:NE, 28, PortlandPlace, W.1 ,

3.30 P.M. Mr. A. H. Mclndoe: Surgical Responsibility inRelation to Injury.

ROYAL SANITARY INSTITUTE, 90, Buckingham Palace Road, S.W.12.30 P.M. Dr. J. Greenwood Wilson, Miss Dorothy Manchee:

Compulsory Notification and Treatment of VenerealDisease.

UNIVERSITY OF GLASGOW8 P.M. (Department of Ophthalmology.) Dr. I. C. Michaelson:

Kerato-conjunctivitis.Thursday, llth

ROYAL COLLEGE OF SURGEONS5 P.M. Surgeon Rear-Admiral Sir Gordon Gordon-Taylor: Sur.

gery of the Colon.ROYAL SOCIETY OF MEDICINE

5 P.M. Ophthalmology. Dr. Noelle Chome: Behaviour andMirror Writing in Twins (film). Mr. Ferdinand Kayser,Mr. John Foster: Optical Control of Sharp OphthalmicInstruments. Cases will be shown (at 4.30 P.M.).

Friday, 12thROYAL SOCIETY OF MEDICINE

5 P.M. Clinical. (Cases at 4 P.M.)Saturday, 13thMIDDLESEX COUNTY MEDICAL SOCIETY

3 P.M. (Hillingdon County Hospital.)

Births, Marriages, and DeathsBIRTHS

ALEXANDER.—On March 28, at Cheltenham, the wife of Dr. AngusFraser Alexander, R.A.M.c.-a son.

CAVE.—On March 23, at Crediton, the wife of Dr. Mark Cave,Gold Coast-a daughter. ’

CHESHIRE.—On March 26, at Wolverhampton, the wife of SurgeonLieutenant A. H. Cheshire, R.N.v.R., of Brewood, Staffs—a son.

COOPER.-On March 28, in London, the wife of Dr. J. F. Cooper—a son.

FAIRLIE-CLARKE.—On March 23, at Newbury, the wife of Mr. G. A.Fairlie-Clarke, F.R.C.S.—a son.

FRANKLIN.—On March 24, in London, the wife of Dr. A. WhiteFranklin—a daughter.

HERBERT.—On March 23, the wife of Dr. George Herbert, ofWorksop-a daughter.

JAMES.—On March 19, the wife of Mr. Kenneth L. James, M.S., ofCroydon-a daughter.

MCCARTER.—On March 27, in London, the wife of Dr. G. R. B.McCarter-a daughter.

MuRCHISOoN.-On March 25, at Southampton, the wife of SurgeonLieutenant-Commander Murchison-a son.

SMITH.-On March 22, in London, the wife of Dr. W. H. RoderickSmith-a daughter.

SWAN.-On March 23, at Shawford, the wife of Flight-LieutenantJ. F. Swan, M.R.C.S.—a daughter.

= MARRIAGESHALE—GANGE.—On March 19, at Kiambu, Kenya, George Samuel

Hale, M.B., to Gwendoline Maud Gange.HARRISON—EDEY.—On March 23, at Guildford, Thomas Bennett

Harrison, major R.A.M.C., to Nicolette Edey.PAREINSON—OVERTON.—On Feb. 16, at Kimpton, Charles

Frederick Colville Parkinson, surgeon lieutenant R.N.v.R., toHelen Grace Overton.

DEATHSCOOKE.—On March 28, at Hendon, Ebenezer Hunt Cooke, M.A.,

M.B. Camb., aged 82.EZARD.—On March 25, at Farnham, Surrey, Edward Henry Ezard,

M.A. Camb., M.D., D.SC. Edin., aged 81.JOHNSTON.—On March 17, Benjamin Rigby Johnston, M.D. Brux.,.

M.R.C.S., L.R.C.P.I., aged 84.


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