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1. Berglin, C. G. Svenska Lakartidn. March 11, 1960

Notes and News

FOR THE YOUNG

LAST Friday the King George’s Jubilee Trust launched asilver jubilee appeal-the first national appeal since its founda-

, uon. As the Duke of Gloucester, the chairman of its council,has explained, this jubilee " will provide the occasion, andthe means for reminding the adult community of their personaland individual responsibility for young people, and the youngpeople themselves of their responsibility, as good citizens, tothe community ". The object of the Trust is " the advance-ment of the physical, mental, and spiritual welfare of theyounger generation in the United Kingdom ". It has spentmore than El million in grants, but " the greatly increasednumber of young people and the practical effect of the declinein the value of money " have made its income of about E40.000"wholly inadequate to meet the growing needs ". A furtherM10,000 is wanted-particularly from contributions undercovenant, from regular subscriptions, and from increased

capital. Particulars may be had from the appeal secretary atSt. James’s Palace, London, S.W.I.The main object of the Trust is to help boys and girls who

leave school at 15. Many of these lack opportunities to developtheir good qualities, and these opportunities- "must be broughtwithin the reach of all, particularly those who are passingthrough the difficult time of transition from school to work "." Now, when increasing numbers of our boys and girls are entering

employment, when public attention is focused on the shortcomingsof at least some of them and when National Service is drawing to anend, is the opportune time to try imaginatively to arouse the interestof all young people in the qualities which make for good citizenship

NUFFIELD TRAVELLING FELLOWSHIPS FORGENERAL PRACTITIONERS

As part of its programme for the advancement of health, theNuffield Foundation has generously given about S50.000, and,together with the College of General Practitioners, a schemehas been devised to enable general practitioners to undertakepostgraduate study overseas during the next 4 years. Twelveawards are for men or women from Great Britain, and onesimilar award will be made in rotation each year for a doctorfrom Australia, New Zealand, Canada, or South Africa. Theexpenses of travelling and living will be met for the doctors (andtheir wives), and provision will be made for a locum for thegeneral practitioners from this country.The first awards to men and women of the United Kingdom

will be:Three fellowships (each for a period of 6 consecutive months) to

enable general practitioners of outstanding ability, preferably be-tween the ages of 35 and 45, to study overseas from July to December,1961, in some subject of importance to general practice. The fellow-ship will cover for the fellow (and for his wife) tourist return travel byair, and other fares at tourist rates, together with an adequate sub-sistence allowance.Three assistantships to enable doctors to gain experience as locum

tenens in the practices of the fellowship holders. The value of theassistantship award will be up to E750 for 6 months, in addition totravelling expenses.Applications for these awards must reach the Foundation by

Oct. 31, 1960. The conditions of the fellowships and assistant-ships, and application forms, may be had from Mr. L. Farrer-Brown, The Nuffield Foundation, Nuffield Lodge, Regent’sPark, London, N.W.I.

PROGNOSIS FOR ALCOHOLICS

WHAT can a systematic course of ’ Antabus’ (disulfiram)treatment achieve, and can the prognosis in a given case ofalcoholism be stated numerically ? Berglin 1 goes some waytowards answering both these questions. From some 650alcoholics given disulfiram treatment under the auspices of theGothenburg municipal authorities and other bodies he selected126 for an intensive statistical study made by a social workerwho visited the patient’s home with a questionary of 60 items.

A year after the completion of treatment, 31 % of the 126 hadachieved complete abstinence, and another 31 % some improve-ment. The remaining 38% were no better and most of themlater required institutional treatment. The answers to the 60questions, by the alcoholic himself, or his immediate contacts,yielded information about his past and present and thus gaveclues to his future. These clues are presented as so manypoints, good or bad, from which a numerical prognosis can bebuilt up. Minus points were earned by a history of drink beforethe age of 21 (25 points down). Other items on the minusside were a record of more than five bouts of drinking, theemployment of some alternative beverage such as methylatedspirits (19 points down), previous residence in some institution,a state of tension when sober, and a carefree attitude of psycho-infantile indifference to the problem of alcohol. The impor-tance attached to this last point was so great that it was down40. Factors earning the alcoholic plus points make morecheerful reading. If he had a record of sobriety during the firstforty years of his life he could be marked 11 points up. Asmany as 27 plus points could be allotted to the patient whoseoutput of work during treatment was satisfactory. Matrimonyimproved the prognosis by 13 points. Berglin ends on a hopefulnote by pointing out that all is not necessarily lost even whenminus points tot up to a formidable total.

University of GlasgowOn April 30 the degree of M.D. was conferred on I. A. Porter.

Royal College of Physicians of LondonAt a comitia of the college on April 28, with Sir Robert

Platt, the president, in the chair the following were electedto the fellowship:W. S. WHIMSTER, Nottingham; J. C. J. McENTEE, London; L. G.

NORMAN, London; W. A. HAwx, Canada; P. W. HUTTON, Uganda; RUSTOMJAL VAKIL, India; BRIAN McARDLE, London; Lord TAYLOR of HARLow,London; N. F. COGHILL, London; Brigadier MOHAMMAD SARWAR, Pakistan;ROBERT MowBRAY, Durham; E. B. FRENCH, Edinburgh; Sir STANFORD CADE,London; A. A. G. LEWIS, London; THOMAS PARKINSON, Harpenden;ARTHUR JORDAN, Sheffield; L. L. REES, London; R. B. THOMPSON, New-castle upon Tyneji M. E. MACGREGOR, Warwick; D. A. R. POND, London;W. E. HENLEY, New Zealand; B. D. R. WILSON, London; Major-GeneralA. N. T. MENECES, R.A.M.C., Chester; C. W. M. WHITTY, Oxford; R. R. H.LOVELL, Australia; LENNOX EALES, South Africa; C. H. EDWARDS, London;J. M. JEFFERSON, Birmingham; P. F. BORRIE, London; J. L. FREW, Aus-tralia ; J. P. SHILLINGFORD, London; H. L. ELLIS, Oxford; J. D. S. CAMERON,Edinburgh; A. E. MOURANT, London; HAROLD SCARBOROUGH, Cardiff;D. F. CAPPELL, Glasgow; R. G. MACFARLANE, Oxford; Sir CLEMENT PRICETHOMAS, London; ARVID WALLGREN, Stockholm.The following having satisfied the censors’ board were

elected to the membership:June P. Arnold, M.D. Lpool, Bryan Ashworth, M.B. St. And., B. W. D.

Badley, M.B. Lond., Michael Barry, M.B. Cantab., Michael Brown,M.B. Lond., A. A. Buchanan, M.B. Lond., Devendra Nathan Chanmugam,M.B. Ceylon, M.B. Lond., R. D. Cohen, M.B. Cantab., J. S. Comaish,M.B. Lpool, Joseph Connolly, M.B. Lond., G. H. Cooray, M.D. Lond.,A. H. Dimond, M.B. Cantab., C. G. B. Downie, M.B. Edin., Amal KumarDutta, M.B. Calcutta, A. T. T. Forrester, M.B. Lond., Lionel Fry, M.B. Lond.,Malay Bhushan Ghosh, M.B. Calcutta, Binod Kumar Gupta, M.B. Lucknow,H. M. Hodkinson, B.M. Oxon., E. E. Jones, M.B. Lond., Abdel SalamRafiq Kamhawi, M.D. Beirut, H. J. Liebeschuetz, B.M. Oxon., D. R. London,B.M. Oxon., J. N. MacCaig, M.B. Manc., A. G. Malleson, M.B. Lond.,Valerie J. Marrian, M.B. Edin., P. D. Marsden, M.B. Lond., N. M. C.Mayne, M.B. Birm., G. A. H. Miller, B.M. Oxon., M. G. Miller, M.B. Lond.,R. O. Moore, M.B. N.z... P. M. J.O’Brien, M.B. Lond., A. T. Otaki, MoB. Londo,M. S. N. Pathy, M.R.C.P.E., 0. H. D. Portsmouth, M.B. Lond., A. I. Rae,M.B. Lond., Gordon Ross, M.B. Lond., Leo Stimmler, M.B. Lond., FredStratton, M.D. Mane., Mailoo Visuvaratnam, M.B. Ceylon, J. G. Walker, M.B.Lond., J. M. Walker, M.B. Birm., R. E. 0. Williams, M.D. Lond., PoiKwong Wong, M.B. Malaya, E. G. Wooster, M.B. Cantab.

Licences to practise were conferred on the 178 candidateswho have passed the final examination of the Conjoint Board:M. F. A’Brook, A P. Adams, E. J. J. Almeida, J. ]. R. Almeyda,

Elisabeth M. Appleby, Jean Arnold, Keith Arthur, N. H. Atkinson, RaphaelBalcon, M. A. Barnett, John Barrett, J. M. Barry, Ann A. Barton, Aref Sa’dBataineh, Brian Batten, Pauline J. Begley, H. E. Berry, Delia A. M.Bickerton, John Bienenstock, Jean M. Bird, R. C. Bland, Gerald Blandford,Barbara M. Bonner-Morgan, P. N. Booth, W. J. Boyle, F. E. Bruckner,Jill A. Bullimore, M. J. Campbell, P. C. Cann, D. McD. Cardwell, A. A.Carrasco, J. A. Carter, P. G. Cassell, It. N. Challacombe, H. M. Clink,C. L. Colton, A. R. Cook, D. E. Cooksley, Dorothy J. Cooper, T. B. Cork,Sheila A. Corrin, Helena M. J. Cotter, J. E. Crockett, J. C. Cummins, M. F.Cuthbert, D. J. W. Darby, R. N. Davies, Jill Dean, P. B. Deverall, Sybil B.Diggle, Ewa M. Dragowska, B. R. Duncan, E. C. Emelife, A. W. G. English,J. D. Eustace, C. E. Evans, P. 0. Fasan, R. E. Faulkner, I. T. Field, H. M.Fisher, T. R. Fisher, D. M. Flanagan, Sally E. Flew, K. G. E. Frohnsdorf,Janet K. Gambell, D. H. Georgelin, B. E. Gilliver, Sharron H. Gilmour,J. C. Gingell, P. L. Girolami, Akude Gletsu, R. A. Goldfinch, R. J. Green,Susan R. Greenwood, R. N. Grunerberg, A. D. G. Gunn, Pamela M.Haigh, T. R. Hailstone, J. E. Hale, J. M. Hawkins, Alethea B. Heal, JosephHerbert, Rosemary E. Heron, R. D. Hill, B. L. Houghton, R. H. Hughes,G. A. Hunter, I. M. James, M. L. James, Cecily A. Jenkins, B. D. Jones,

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H. H G. Jones, H. D. Kaufman, M. J. Kestle, Edvina M. King,-ThillaKrikler, D. A. H. Langman, Alan Levine, D. J. Lightman, M. J. Lipton,J. S. P. Lumley, Lawrence Lupin, Leonie M. McEwen, M. T. MacMahon,I. F. Macrae, D. J. Martin, M. H. J. Martin, R. C. Martin, C. A. S. Mason,J. R. Massy, C. D. Matthews, Labhshanker Sukhlal Mehta, G. M. Michael,B. S. Michaels, J. S. Musgrove, Daphne M. Newman, May Ning, E. R.Norton, V. B. Odunlami, M. J. Oliver, J. D. Parry, Catherine S. Peckham,M. J. Pemberton, Jean P. Pettavel, Sally J. Phillips, Dianne E. Philp,Jeremy Pilcher, C. J. F. Pool, David Prothero, A. R. Reece, G. M. Rees,Gunnar Reiman, D. S. Restall, Christine E. Riley, I. E. W. Robertson,R. E. Robinson, N. C. Roles, Wendy Roles, J. B. Sales, Naguib AbdelmalekSamaan, Elizabeth Shindler, A. J. Simmonds, G. W. Simonds, D. H.Smith, Joanna South, P. E. Spicer, Charmian R. L. Stephens, Patricia S.Stephenson, Anne K. Stewart, K. E. Tanner, W. H. Thomas, Ada A.Thornton, C. J. Todes, D. A. Toms, L. N. Travis, K. L. K. Trick, Irene J.Tufft, William Ursell, J. A. S. Vick, H. Wagman, A. E. Walker, D. E.Walter, M. M. Watkins, W. N. D. Watson, J. L. Wearn, P. C. Weaver,C. L. W. Webb, Paul Wentworth, B. W. Whalley, N. R. Whiting, J. N.Whittaker, A. R. F. Williams, Wendy E. Williams, R. A. Wiseman, BridgetM. Wood, R. B. Woodd-Walker, M. W. G. Wren, C. H. Young.The following diplomas and those mentioned in our issue

of April 30 (p. 988) were conferred jointly with the RoyalCollege of Surgeons:D.L.O.-Maung Maung Myint.D.O.-P. W. E. Downes.D.T.M. & H.-Johannes Olafsson.

On Tuesday, June 21, at 5 P.M., at the college, Pall MallEast, S.W. 1, Dr. J. G. Scadding will give the Mitchell lecture.He will speak on Mycobacterium tuberculosis in the aetiology ofsarcoidosis.

Royal College of Surgeons in IrelandFaculty of Anaesthetists.- This faculty has been instituted

by the college and the following have been elected to theboard:

Dean, Dr. T. J. Gilmartin; vice dean, Dr. V. 0. McCormick;Dr. P. Drury Byrne, Dr. P. Nagle, Dr. S. Kenny, Dr. P. Murray,Dr. J. A. Woodcock, Dr. R. Davys, Dr. J. W. Dundee, Dr. S. H.Love; council representative, Mr. D. J. Riordan; ex-officio, Mr.T. G. Wilson, Mr. S. F. Heatley.The president and council of the college will give

Carmichael prizes of C150 and E100 for the best essays onthe state of the medical profession in its different depart-ments of physic, surgery, and pharmacy in Great Britain andIreland, the state of the hospitals and schools of medicine,surgery, and pharmacy, and the state and mode of examinationor of testing the qualifications of candidates of the differentlicensing colleges or corporations of medicine, surgery, andpharmacy. Further particulars may be had from the registrarof the college, Dublin.

British Association of Physical MedicineProposing the health of The Association at its annual dinner

held at Apothecaries’ Hall on April 29, Mr. Derek Walker-Smith, the Minister of Health, spoke of the steadily growinginterest in disorders of the locomotor system, dating from thefirst world war. The medical progress made has been greatlyhelped by the Association with its specialised forum. Now thatpeople live longer they must not be passive survivors but mustpursue positive health and active wellbeing.

Dr. Hugh Burt, the president, said that physicians practisingphysical medicine are having more and more cases referredto them for diagnosis, not merely for treatment; and thoseentering the specialty need a sound knowledge of medicine asa whole. When the National Health Service started, there were45 consultants in the subject but now there are 100, and acommittee at present sitting may well propose that there shouldbe more. For a time orthopxdic surgeons regarded practitionersof physical medicine with some suspicion, just as they them-selves were once regarded with suspicion by general surgeons.But bridging of the gulf " is of vital importance to the patientswhom we both see "; and as evidence of it he welcomed thepresence at this dinner, for the first time, of the president ofthe British Orthopaedic Association, Mr. H. J. Seddon.

Squadron-leader C. B. Wynn Parry, in his amusing account of TheGuests, also welcomed Mr. Seddon, whom he described as " lateinstructor in surgery in the University of Michigan ". Dr. F. DudleyHart, responding, showed the wide range of interests suitable to apresident of the Heberden Society. The later phases of the eveninghad, he noted, induced a look of distaste on the face of James I,whose portrait hangs behind the high table, and whose Counterblast toTobacco appeared 350 years before Doll and Bradford Hill.

I Royal Society of Medicine’ Richard Kovacs prize ( £ 50).-This prize is awarded triennially for work in physical medicine. Applications should reach the hon.

secretary of the section of physical medicine, 1, Wimpole Street,London, W.1, by Sept. 30.

Royal SocietyProf. Ragnar Granit, of Stockholm, has been elected a

foreign member of this society for his researches on the

physiology of vision and neurophysiology.

Glasgow Medical ExhibitionThe organisers of the London Medical Exhibition are to

hold their annual regional medical show this year in Glasgow.Mr. Arthur Jacobs, P.R.F.P.S., will open it in the St. Andrew’sHall, on Monday, May 23, at 2.45 P.M. It will remain opentill May 27.First International Congress of Histochemistry andCytochemistryThis congress will be held from Aug. 28 to Sept. 3 in Paris,

Further particulars may be had from the secretary-general,Dr. R. Wegmann, Institut d’Histochimie Medicale, 45, ruedes Saints-Peres, Paris (6e), France.

A weekend study course for those engaged in mental hospitaltherapeutic community work will be held at Burton Manor Resi.dential College for Adult Education, Wirral, Cheshire, from July 1 to3. The theme of the course will be Whither Psychiatry? Thespeakers will include Dr. Russell Barton, Dr. C. R. Lowe, Prof.Thomas McKeown, Dr. Richard Fox, Dr. Pamela Mason, Dr. IsaacFrost, and Dr. James Brown. Further particulars may be had fromDr. Frost, Deva Hospital, Liverpool Road, Chester, or Dr. GeorgeEgan, Liverpool Psychiatric Day Hospital, 10, Croxteth Road,Liverpool, 8.Mr. R. Y. Calne, Dr. Reginald Hall, and Dr. 1. C. Roddie have been

awarded Harkness fellowships of the Commonwealth Fund tenablein the United States.

Prof. Ian Aird has left for Athens to help in the study of the pro-jected school of postgraduate medicine at the Evangelismos Hospital.Later he is to visit Beirut as guest of the Middle East Conference ofSurgeons.The annual dinner of the Regional Hospitals’ Consultants and

Specialists Association was held at the House of Commons on

April 29. Mr. Harold Dodd was in the chair, and the speakersincluded Lord Moran, Sir John Charles, Sir Stephen King-Hall,and Mr. Robert Cooke, M.p.The International Endoscopy and Cineradiology Society will

hold its annual congress on Wednesday, May 25, at 2.15 P.M., at1, Wimpole Street, London, W. 1, under the presidency of Dr. FrankGreenwood. The speakers will include Mr. H. G. Hanley. Furtherparticulars may be had from the hon. secretary of the congress,Dr. Brian Stanford, 54, Upper Montagu Street, W.I.

The Older Worker and His Yob.-This short popular account ofrecent research on the skills and abilities of the elderly worker, and in

particular of the studies described by Mr. A. T. Welford in Ageingand Human Skill (see Lancet, 1958, ii, 1214), has been compiled byHilary M. Clay for the Department of Scientific and IndustrialResearch (Problems of Progress in Industry series no. 7. H.M.Stationery Office, Is. 5d. by post).The poliomyelitis unit at Rush Green Hospital, Romford, Essex,

have compiled a lively ward magazine, which has been typed by oneof their members " by foot ". Its title, Puffin, is typical of the courageand cheerfulness of this small company of frog-breathers and iron-lung breathers. They are appealing for E1000 to buy a motorvan totake some of them " out and about ".

Copies of a new British standard for pressure steam sterilisers ofsmall size (with independent steam supply) for unwrapped instru-ments and utensils (B.s. 3233: 1960) may be had (4s. each) from theBritish Standards Institution, Sales Branch, 2, Park Street, London,W.1.

CORRIGENDA: Electronic Monitoring Apparatus for Coil Kidney.-In the article by Mr. R. Brennand and Dr. N. V. Bunker (March 12,p. 578) footnote 3 should have read: Denison, A. B., Spencer, M. P.Rev. sci. Instrum. 1956, 27, 707.

Infantile Structural Scoliosis.-The last paragraph of Prof. J. I. P.James’ letter of April 16 should have begun: " Having seen well over200 patients in ten years ..."