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621 Notes and News THE CIBA FOUNDATION WHEN the headquarters of the foundation at 41, Portland Place, London, W.1, were opened in June, 1949, Lord Beveridge, one of the trustees, described it as " a place where the people who are working on research can meet together to discuss their problems ... in pleasant and comfortable surroundings." The report of the foundation for 1951 tells how the work of promoting international cooperation in medical and chemical research is continuing. During the year visitors from 26 countries have been present at conferences, meetings, or lectures at Portland Place, or have been the guests of the foundation while attending to scientific work in London. Some of the visitors led informal discussions on subjects of their own choosing among guests interested in similar research. The subjects for the formal conferences of the year included Hormonal Influences on Water Meta- bolism, Isotopes in Biochemistry, and Visceral Circulation. The proceedings of 12 of the conferences held since the foundation opened have been or are being published by Messrs. J. & A. Churchill in London and by the Blakiston Company of Philadelphia in the United States. CHELSEA CLINICAL SOCIETY EACH of London’s many medical societies has its own particular characteristics and atmosphere. None has developed a happier individuality than the Chelsea Clinical Society. Even its name is something apart from the ordinary run ; for half its members are addressed not in S.W.3 but in W.1, and anyhow it meets not in Chelsea but South Kensington ; and furthermore its meetings are rarely clinical. Now in its 55th year, this society combines successfully convivial gatherings at the dinner table with not too energetic dis- cussion of medical, paramedical, and even frankly non- medical topics ; and lately the subjects have ranged from the goings-on at Scotland Yard to war-time adventures with the Maquis and a first-hand account of an Everest expedition (these last two both by members). On March 11 the speaker was Dr. R. E. Smith, erstwhile medical officer to Rugby School, who contrasted present-day conditions at public schools with those that prevailed half a century and more ago. Thanks largely to the late Dr. A. I. Simey and to Dr. G. E. Friend, schools now provide a sub- stantial evening meal ; and they are fortunate in obtaining the food for midday meals as an extra to the usual rations. Dr. Smith went on to suggest that the ordinary infectious diseases are largely inevitable, and that boys should have them as early as possible. One benefit from the improved nutrition is enhanced resistance to such infections. In a recent outbreak of measles, not one of 80 boys with the disease had catarrhal symptoms, and only 1 had otitis media. Similarly Sonne dysentery has become less serious, and there is less liability to fractures, boils, and heart-disease, and to disorders of the blood, kidney, and lung. Dr. Smith said that the school doctor must be firstly a physician, secondly a surgeon, and thirdly a psychologist. In one way he was more handicapped than the family doctor ; for he did not know the parents as he should. RESEARCH ON TWINS THE monograph,’ by Prof. Luigi Gedda, of Rome, on the study of twins, has been followed by the appearance of a new journal,2 under his editorship, dealing with medical genetics and the study of twins. This journal is to be published three times a year, and authors may choose the language in which their articles are printed ; but each article is to end with a summary in English, Italian, French, and German. The usefulness of twin studies for elucidating the nature-nurture problem, originally propounded by Galton, has sometimes been over-estimated, and comparison of monozygotic and dizygotic twins has often yielded trivial or ambiguous results. Nevertheless the difficulties of human genetics are so great that no path to knowledge should be neglected. Perhaps the concentration of twin studies in this lavish journal will inaugurate a new and more critical era in this field. 1. Gedda, L. Studio Dei Gemelli. Rome, 1951. See Lancet, 1951, ii, 296. 2. Acta Geneticœ Medicœ et Gemellologiœ. Largo Amba Aradam 1, Rome. Subscription 5000 lire (£5) per annum, or 2500 lire for a single issue. WEEKEND DISEASES A SYMPOSIUM 1 by Dr. G. E. Beaumont’s clerks gives a useful picture of the conditions for which casualty treatment over the weekend is sought at a large London hospital. Dental emergencies form a large part of the casualty attendances ; for " most patients consider the doctor is the one to see at unusual hours, rather than the dentist." Rugby football is a potent source of casualties. Alcoholism may still produce the case of acute retention or the ruptured over-full bladder, and the need for careful examination to exclude other causes of coma is duly emphasised ; Saturday-night paralysis has a section to itself (it would be interesting to know whether this is common enough to warrant the attention it receives in textbooks). Hay-fever and urticaria from exposure to pollen, insect-bites, or " ingestion of shellfish at Southsea " are good examples of weekend risks run by the town-dweller who ventures into the country. Bronchial or cardiac asthma may come on after a late and heavy supper on Sunday. University of Cambridge On March 8 the following degrees were conferred : M.D.-C. F. Barwell, S. C. Gold, * J. P. Henry, A. S. Mason, * J. G. Selwyn. M.B., B. Chir.—* J. H. F. Batstone, T. H. Morgan. * By proxy. University of London Dr. W. D. M. Paton has been appointed to the readership in pharmacology and therapeutics at University College and University College Hospital Medical School. University of Glasgow On Wednesday, April 16, at 4.30 P.M., Dr. William Pickles will deliver the Noah Morris lecture. He is to speak on Epidemiology in Country Practice. University of Dublin Prof. S. P. Bedson, F.R.s., has been appointed John Mallet Purser lecturer for 1952. It is hoped that he will deliver the lecture in May. Royal College of Surgeons of England At a meeting of the council held on March 13, with Sir Cecil Wakeley, the president, in the chair, Mr. C. W. Flemming was admitted to the court of examiners. A Hunterian professorship was awarded to Mr. K. W. Starr. The Hallett prize was presented to Dr. J. C. N. Wakeley, and the award of a Streatfield research scholarship to Mr. A. T. Andreasen was reported. A diploma of fellowship was granted to A. 0. Parker, and a diploma* of membership to A. P. Coats Bacon. Royal Society of Medicine Mr. R. T. Hewitt, O.B.E., M.A. Oxfd, has been appointed secretary of the society. Royal Society of Edinburgh A David Anderson-Berry medal, with a prize of about :t:l00, will be awarded in 1953 by the society for work on the therapeutic effect of X rays on human diseases. Published and unpublished work may be submitted and should reach the general secretary of the society, 22, George Street, Edinburgh, 2, by March 31, 1953. Mental After Care Association The annual meeting will be held at the rooms of the Royal Society, Burlington House, Piccadilly, London, W.1, on Friday, March 28, when Sir Percy Barter, chairman of the Board of Control, and Dr. Henry Yellowlees, chairman of the association, will speak. General Practice in the Curriculum With the help of the local medical committee for Birming- ham, the board of the faculty of medicine of the University of Birmingham has arranged an experimental scheme by which students may gain experience of general practice. It is proposed that at a convenient time during the last two years of their clinical course students shall spend two weeks as assistant to a general practitioner. During this fortnight they will be excused from hospital work and university lectures, but not from courses at which attendance is com- pulsory. The scheme is a voluntary one ; but, as the students have often asked for it to be started, the board hopes for a good response. 1. Middlesex Hosp. J. 1952, 52, 7.
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Page 1: Notes and News

621

Notes and News

THE CIBA FOUNDATION

WHEN the headquarters of the foundation at 41, PortlandPlace, London, W.1, were opened in June, 1949, Lord

Beveridge, one of the trustees, described it as " a place wherethe people who are working on research can meet togetherto discuss their problems ... in pleasant and comfortablesurroundings." The report of the foundation for 1951 tellshow the work of promoting international cooperation inmedical and chemical research is continuing. During the yearvisitors from 26 countries have been present at conferences,meetings, or lectures at Portland Place, or have been theguests of the foundation while attending to scientific workin London. Some of the visitors led informal discussions on

subjects of their own choosing among guests interestedin similar research. The subjects for the formal conferencesof the year included Hormonal Influences on Water Meta-bolism, Isotopes in Biochemistry, and Visceral Circulation.The proceedings of 12 of the conferences held since thefoundation opened have been or are being published byMessrs. J. & A. Churchill in London and by the BlakistonCompany of Philadelphia in the United States.

CHELSEA CLINICAL SOCIETY

EACH of London’s many medical societies has its ownparticular characteristics and atmosphere. None has developeda happier individuality than the Chelsea Clinical Society.Even its name is something apart from the ordinary run ;for half its members are addressed not in S.W.3 but in W.1,and anyhow it meets not in Chelsea but South Kensington ;and furthermore its meetings are rarely clinical. Now inits 55th year, this society combines successfully convivialgatherings at the dinner table with not too energetic dis-cussion of medical, paramedical, and even frankly non-

medical topics ; and lately the subjects have ranged fromthe goings-on at Scotland Yard to war-time adventures withthe Maquis and a first-hand account of an Everest expedition(these last two both by members).On March 11 the speaker was Dr. R. E. Smith, erstwhile

medical officer to Rugby School, who contrasted present-dayconditions at public schools with those that prevailed halfa century and more ago. Thanks largely to the late Dr. A. I.Simey and to Dr. G. E. Friend, schools now provide a sub-stantial evening meal ; and they are fortunate in obtainingthe food for midday meals as an extra to the usual rations.Dr. Smith went on to suggest that the ordinary infectiousdiseases are largely inevitable, and that boys should havethem as early as possible. One benefit from the improvednutrition is enhanced resistance to such infections. In arecent outbreak of measles, not one of 80 boys with thedisease had catarrhal symptoms, and only 1 had otitis media.Similarly Sonne dysentery has become less serious, and thereis less liability to fractures, boils, and heart-disease, and todisorders of the blood, kidney, and lung. Dr. Smith saidthat the school doctor must be firstly a physician, secondlya surgeon, and thirdly a psychologist. In one way he wasmore handicapped than the family doctor ; for he did notknow the parents as he should.

RESEARCH ON TWINS

THE monograph,’ by Prof. Luigi Gedda, of Rome, on thestudy of twins, has been followed by the appearance of a newjournal,2 under his editorship, dealing with medical geneticsand the study of twins. This journal is to be published threetimes a year, and authors may choose the language in whichtheir articles are printed ; but each article is to end witha summary in English, Italian, French, and German. Theusefulness of twin studies for elucidating the nature-nurtureproblem, originally propounded by Galton, has sometimesbeen over-estimated, and comparison of monozygotic anddizygotic twins has often yielded trivial or ambiguous results.Nevertheless the difficulties of human genetics are so greatthat no path to knowledge should be neglected. Perhaps theconcentration of twin studies in this lavish journal willinaugurate a new and more critical era in this field.

1. Gedda, L. Studio Dei Gemelli. Rome, 1951. See Lancet, 1951,ii, 296.

2. Acta Geneticœ Medicœ et Gemellologiœ. Largo Amba Aradam 1,Rome. Subscription 5000 lire (£5) per annum, or 2500 lire fora single issue.

WEEKEND DISEASES

A SYMPOSIUM 1 by Dr. G. E. Beaumont’s clerks gives auseful picture of the conditions for which casualty treatmentover the weekend is sought at a large London hospital. Dentalemergencies form a large part of the casualty attendances ;for " most patients consider the doctor is the one to see atunusual hours, rather than the dentist." Rugby football isa potent source of casualties. Alcoholism may still producethe case of acute retention or the ruptured over-full bladder,and the need for careful examination to exclude other causesof coma is duly emphasised ; Saturday-night paralysis has asection to itself (it would be interesting to know whetherthis is common enough to warrant the attention it receivesin textbooks). Hay-fever and urticaria from exposure topollen, insect-bites, or " ingestion of shellfish at Southsea "are good examples of weekend risks run by the town-dwellerwho ventures into the country. Bronchial or cardiac asthmamay come on after a late and heavy supper on Sunday.

University of CambridgeOn March 8 the following degrees were conferred :M.D.-C. F. Barwell, S. C. Gold, * J. P. Henry, A. S. Mason,

* J. G. Selwyn.M.B., B. Chir.—* J. H. F. Batstone, T. H. Morgan.

* By proxy.University of London

Dr. W. D. M. Paton has been appointed to the readershipin pharmacology and therapeutics at University College andUniversity College Hospital Medical School.

University of GlasgowOn Wednesday, April 16, at 4.30 P.M., Dr. William Pickles

will deliver the Noah Morris lecture. He is to speak onEpidemiology in Country Practice.

University of DublinProf. S. P. Bedson, F.R.s., has been appointed John Mallet

Purser lecturer for 1952. It is hoped that he will deliver thelecture in May.

Royal College of Surgeons of EnglandAt a meeting of the council held on March 13, with Sir

Cecil Wakeley, the president, in the chair, Mr. C. W. Flemmingwas admitted to the court of examiners. A Hunterianprofessorship was awarded to Mr. K. W. Starr. The Hallett

prize was presented to Dr. J. C. N. Wakeley, and the awardof a Streatfield research scholarship to Mr. A. T. Andreasenwas reported.A diploma of fellowship was granted to A. 0. Parker, and

a diploma* of membership to A. P. Coats Bacon.

Royal Society of Medicine ’

Mr. R. T. Hewitt, O.B.E., M.A. Oxfd, has been appointedsecretary of the society.Royal Society of EdinburghA David Anderson-Berry medal, with a prize of about

:t:l00, will be awarded in 1953 by the society for work on thetherapeutic effect of X rays on human diseases. Publishedand unpublished work may be submitted and should reachthe general secretary of the society, 22, George Street,Edinburgh, 2, by March 31, 1953.

Mental After Care Association

The annual meeting will be held at the rooms of the RoyalSociety, Burlington House, Piccadilly, London, W.1, on

Friday, March 28, when Sir Percy Barter, chairman of theBoard of Control, and Dr. Henry Yellowlees, chairman ofthe association, will speak.General Practice in the Curriculum

With the help of the local medical committee for Birming-ham, the board of the faculty of medicine of the Universityof Birmingham has arranged an experimental scheme bywhich students may gain experience of general practice.It is proposed that at a convenient time during the last twoyears of their clinical course students shall spend two weeksas assistant to a general practitioner. During this fortnightthey will be excused from hospital work and universitylectures, but not from courses at which attendance is com-pulsory. The scheme is a voluntary one ; but, as the studentshave often asked for it to be started, the board hopes fora good response.

1. Middlesex Hosp. J. 1952, 52, 7.

Page 2: Notes and News

622

Congress of Oto-neuro-ophthalmologyThis international congress will be held at Lisbon from

April 22 to 26. Further particulars may be had from thesecretary-general, Dr. Auguste Tournay, 58, rue Vaugirard,Paris, VI.

Queen’s CommendationFlying-Officer G. A. Faux, M.R.C.S., R.A.F., has received

the Queen’s commendation for brave conduct while caringfor an injured man in a burning aircraft.

Care of Old PeopleThe National Old People’s Welfare Committee will hold

a conference on this subject in Scarborough from April 3 to 5.The speakers will include Dr. T. S. Hall, Dr. Trevor Howell,and Dr. L. G. Norman. Further particulars may be had fromthe secretary of the committee, 26, Bedford Square, London,W.C.I.

Anglo-Danish Sanatorium Scheme for ChildrenThrough the generosity of the Anglo-Danish Society, a

first party of 25 British tuberculous children has left for treat-ment at Vordingborg Sanatorium, Denmark. The childrenhave been selected by the medical committee of the NationalAssociation for the Prevention of Tuberculosis. The British RedCross Society is cooperating in the arrangements for travel,escort, and welfare. Though the scheme is a private one it hasthe approval of the Ministry of Health. The ages of the childrenrange from eight to fifteen. There are 14 boys and 11 girls.Most of them come from the London metropolitan area and afew from Birmingham and Oxford.

Minister on Economy in PrescribingMr. Harry Crookshank, the Minister of Health, speaking

at the annual dinner of the Lincoln division of the BritishMedical Association on March 14, said that the most worryingof all the items of expenditure in the National Health Servicewas the drug bill. " It is surely out of all proportion thatout of a total expenditure on the whole service in GreatBritain ... one-eighth, or over 1:50 million a year, should bespent on the drugs prescribed by general practitioners anddispensed by chemists." The most alarming feature of thisexpenditure was that it had increased steadily every yearsince the service started. The increase had been a doubleone-an increase both in the number of prescriptionsand in the average cost of each prescription. Last

year the number of prescriptions in England and Walesalone was just on 230 million, and the estimatecjr averagecost was over 3s. 8d. The drug bill had in fact got out ofcontrol, and it was for this reason that the Government

proposed a shilling charge on prescriptions, as announcedby the Chancellor of the Exchequer in January. " I appreciatethat this will involve certain difficulties for certain doctors,especially in rural areas, but these I hope to discuss with theBritish Medical Association next week. The wider questionraised by what has happened is whether all this prescribingis really necessary. Most doctors, when speaking generally,seem to say No, but it is much more difficult to apply thismaxim to the individual case, where many factors come into

play. There may be pressure by the patient, convincedthat he cannot get better without a bottle,’ or high-poweredsalesmanship by the travelling representatives of the drugmanufacturers, or the difficulties today experienced by thedoctor in ascertaining the cost of prescribing.... To patientsI would say: ’Your doctor knows best what is good foryou ; do not press him for any particular medicine you mayfancy ; pay more attention to what he advises ; surely in thepresent educated age we should have outgrown the " bottle

"

habit ; and, anyhow, you really have no right to ask thedoctor for remedies intended for self-medication, and thedoctor is under no obligation to supply such remedies.’To doctors I would say: ’Your best protection against high-powered and sometimes over-enthusiastic salesmanship is

knowledge of the cost of prescribing.’ ... We are producinga short bulletin, to be issued periodically, which is intendedto convey to doctors in a brief and readable form outstandingfacts about the cost of prescribing. The first number isnow about to be distributed."

EMERGENCY BED SERVICE.—In the week ended lastMonday applications for general acute cases numbered 989.The proportion admitted was 87-0%.

Diary of the Week

MARCH 23 To 29Monday, 24thSOCIETY OF ENDOCRINOLOGY

5.30 P.M. (1, Wimpole Street, W.1.) Dr. Dwight Ingle: Roleof the Adrenal Cortex in Homeostasis.

MEDICAL SOCIETY OF LONDON, 11, Chandos Street, W.18.30 P.M. Pathological meeting.

MANCHESTER MEDICAL SOCIETY5 P.M. (University of Manchester.) Section of Odontology.

Mr. F. T. Monks : Study of the Innervation of theDeveloping Tooth-germ with Reference to the Innervationof Dentine.

9 P.M. Section of General Practice. Dr. C. E. S. Lynch: PepticUlceration in General Practice.

Tuesday, 25thROYAL COLLEGE OF SURGEONS, Lincoln’s Inn Fields, W.C.2

5 P.M. Mr. Cuthbert Dukes : Familial Intestinal Polyposis.(Hunterian lecture.)

ROYAL SOCIETY OF MEDICINE. 1, Wimpole Street, W.l5.30 P.M. Section of Experimental Medicine. Dr. W. L. R.

. James, Dr. C. N. Fletcher, Dr. J. C. Gilson : Diagnosis ofPulmonary Emphysema.

8 P.M. Section of Medicine. Sir Henry Cohen, Dr. A. H. T.Robb-Smith, Dr. G. B. Dowling: Collagen VascularDiseases.

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

5.30 P.M. Prof. R. H. S. Thompson : Enzymic Mechanisms inSkin.

WEST END HOSPITAL FOR NERVOUS DISEASES, 40, MaryleboneLane, W.1

5.30 P.M. Dr. Douglas Gordon: When the Electroencephalo-graph Helps.

Wednesday, 26thROTfAL SOCIETY OF MEDICINE

5 P.M. Section of Endocrinology. Dr. Ingle : ExperimentalDiabetes.

ROYAL INSTITUTE OF PUBLIC HEALTH AND HYGIENE, 28, PortlandPlace, W.1

3.30 P.M. Miss Rosamond Caseley, F.D.s. R.c.s. : Malformationsand Irregularities of the Teeth and Jaws in Children.

INSTITUTE OF DERMATOLOGY5.30 P.M. Dr. J. 0. Oliver : Animal Parasites in Dermatology.

Thursday, 27thROYAL COLLEGE OF SURGEONS

5 P.M. Mr. T. Levitt : Status of Lymph Adenoid Goitre,Hashimoto’s and Riedel’s Disease. (Hunterian lecture.)

INSTITUTE OF CHILD HEALTH, The Hospital for Sick Children,Great Ormond Street, W.C.1

5 P.M. Prof. R. S. Pilcher : Surgery of Chest Disease.INSTITUTE OF PSYCHIATRY, Maudsley Hospital, Denmark Hill, S.E.5

3 P.M. Prof. L. van der Horst (Amsterdam) : Affective Epilepsy.LONDON JEWISH HOSPITAL MEDICAL SOCIETY

8.30 P.M. (11, Chandos Street, W.1.) Prof. M. L. Rosenheim:Acute Nephritis.

ST. JOHN’S HOSPITAL DERMATOLOGICAL SOCIETY, 5, Lisle Street,W.C.2

4.15 P.M. Demonstration and discussion of clinical cases.LIVERPOOL MEDICAL INSTITUTION, 114, Mount Pleasant, Liverpool, 3

8 P.M. Mr. R. H. Hannah : Cerebral Abscess.

Friday, 28thPOSTGRADUATE MEDICAL SCHOOL OF LONDON. 2 P.M. (London School of Hygiene, Keppel Street, W.C.I.)

Sir Geoffrey Jefferson, F.R.S.: Teaching Teachers. (Firstlecture in two-day conference-course on the Technique ofMedical Teaching.)

ROYAL SOCIETY OF MEDICINE5 P.M. Section of Pcediatrics. Dr. Brian Thompson, Mr. Dilwyn

Thomas : The Fate of the Primary Complex.INSTITUTE OF DERMATOLOGY

5.30 P.M. Dr. H. Gordon : Benign New Growths.INSTITUTE OF DISEASES OF THE CHEST AND INSTITUTE OF CAR

DIOLOGY5.30 P.M. (London School of Hygiene.) Dr. William Evans,

Mr. Vernon C. Thompson : Constrictive Pericarditis.INSTITUTE OF LARYNGOLOGY AND OTOLOGY, 330-332, Gray’s Inn

Road, W.C.l4.30 P.M. Prof. F. C. Ormerod : Cancer of the Larynx.

MEDICAL SOCIETY FOR THE STUDY OF VENEREAL DISEASES,11, Chandos Street, W.1

7.30 P.M. Dr. G. L. M. McElligott, Prof. W. D. Newcomb:Fatal Syphilis.

Saturday, 29thLONDON ASSOCIATION OF THE MEDICAL WOMEN’S FEDERATION

2.30 P.M. (Middlesex Hospital, W.I.) Clinical meeting.POSTGRADUATE COURSE ON RHEUMATIC DISEASES

10 A.M. (St. Stephen’s Hospital, Fulham Road, S.W.10.) SirAdolphe Abrahams : General Medicine in Relation to theRheumatic Diseases. (Introductory address to week-endcourse.)

DISABLED IN THE MODERN WORLD.—Under this title theCentral Council for the Care of Cripples has published theproceedings of the World Congress of the InternationalSociety for the Welfare of Cripples held in Stockholm lastyear. (Post-free 15s. 6d., from the council, 34, Eccleston

Square, London, S.W.I.)


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