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Page 1: * APOSTGRADUATE MEDICAL JOURNAL VOLUME 32 NUMBER 374 DECEMBER 1956 CONTENTS PAGE EDITORIAL. 577 NUCLEI ANDSEX WilliamM.Davidson, M.B., Ch.B., andD. Robertson Smith, M.A

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Page 2: * APOSTGRADUATE MEDICAL JOURNAL VOLUME 32 NUMBER 374 DECEMBER 1956 CONTENTS PAGE EDITORIAL. 577 NUCLEI ANDSEX WilliamM.Davidson, M.B., Ch.B., andD. Robertson Smith, M.A

POSTGRADUATEMEDICAL JOURNAL

VOLUME 32 NUMBER 374 DECEMBER 1956

CONTENTSPAGE

EDITORIAL . 577NUCLEI AND SEX

William M. Davidson, M.B., Ch.B., and D. Robertson Smith, M.A., B.Ch., M.R.C.S. 578THE AETIOLOGY OF CHRONIC LEG ULCERS-PART I

S. T. Anning, T.D., M.A., M.D.(Cantab.), M.R.C.P. 584HERMAPHRODITISM-A CRITICAL SURVEY Hugh Jolly, M.D., M.R.C.P., D.C.H. 589TREATMENT IN ACUTE LARGE BOWEL OBSTRUCTION DUE TO CARCINOMA

Edward G. Muir, F.R.C.S. 60o

LEUKAEMOID RE-ACTION IN BRONCHOGENIC CARCINOMAA. W. Fawcett, F.R.C.S., and B. S. Dhillon, F.R.C.S. (England and Edinburgh) 605

TUBERCULOUS MENINGITIS TREATED WITH STREPTOMYCIN AND ISONIAZIDWITHOUT INTRATHECAL THERAPY S. Fazlullah, M.B., D.T.M. a H. 6o8

BOOK REVIEWS 6IMANUFACTURERS' NOTES 6iPOSTGRADUATE NEWS 6I6

All rights reserved. No part of this journal may be reproduced,.in any form without permission in writing from the publishers.

EDITORProf. C. G. Rob, M.C., M.CHIR., F.R.C.S.

ADVISORY EDITORIAL BOARDMichael Ashby, B.M., M.R.C.P. L. P. Le Quesne, D.M., F.R.C.S,R. i. S. Bayliss, M.D., F.R.C.P. David Levi, AM.S, F.R.C.S.J. W. D. Bull, M.D., F.R.C.P. A. A. G. Lewis, M.D., M.R.C.P.Maurice Davidson, D.M., F.R.C.P. K. I. Nissen, F.R.C.S.Colin Edwards, M.B., M.R.C.P. G. S. W. Organe, M.D., F.F.A.R.C.S. 'TiF. Dudley Hart, M.D., F.R.C.P. R. J. V. Pulvertaft, O.B.E., M.D., F.R.C.P..John Howkins, M.D., M.S., F.R.C.S., F.R.C.O.G. R. Bodley Scott, D.M.; F.R.CP. .

W. Somerville, M.D., M.R.C.P. - .Editorial Representative for Australia: Clive Fitts, M.D.(Melb.), F.R.C.P.(Ldbon), F.RA.C.P. .

Editorial Representative for Ceylon: M. M. A. Cader, M.S.(Lond)Editorial Representative for South Africa: Arthur ]. Helfet, M.D., F.R.C.S.

PUBLISHERSThe Fellowship of Postgraduate Medicine, 6o Portland Place, Londa, W.I.

Page 3: * APOSTGRADUATE MEDICAL JOURNAL VOLUME 32 NUMBER 374 DECEMBER 1956 CONTENTS PAGE EDITORIAL. 577 NUCLEI ANDSEX WilliamM.Davidson, M.B., Ch.B., andD. Robertson Smith, M.A

THE FELLOWSHIP. OF POSTGRADUATEMEDICINE

60 PORTLAND PLACE, LONDON, W.ITekphone: LANGHAM 4266

PresidentSIR GORDON GORDON-TAYLOR, K.B.E., C.B., M.S., F.R.C.S.

Chairman of Executive CommitteeMAURICE DAVIDSON, D.M., F.R.C.P.

Honorary TreasurerA. A. G. LEWIS, M.D., M.R.C.P.

Honorary SecretariesMAURICE DAVIDSON, D.M., F.R.C.P.

DAVID LEVI, M.S., F.R.C.S.Executive Committee

MICHAEL ASHBY, B.M., M.R.C.P. L. P. LE QUESNE, D.M., F.R.C.S.R. I. S. BAYLISS, M.D., F.R.C.P. K. I. NISSEN, F.R.C.S.J. W. D. BULL, M.D., F.R.C.P. G. S. W. ORGANE, M.D., F.F.A.R.C.S.COLIN EDWARDS, M.B., M.R.C.P. R. J. V. PULVERTAFT, O.B.E., M.D., F.R.C.P.F. DUDLEY HART, M.D., F.R.C.P. R. BODLEY SCOTT, D.M., F.R.C.P.JOHN HOWKINS, M.D., M.S., F.R.C.S., F.R.C.O.G. W. SOMERVILLE, M.D., M.R.C.P.

Editor: .Secretary: Assistant Secretary:Professor C. G. ROB, M.C., M.CHIR., F.R.C.S. Miss M. L. WORTH Miss P. MEDHURST SAUL

EDITORIAL REPRESENTATIVE FOR AUSTRALIA: Clive Fitts, M.D.(Melb.), F.R.C.P.(Lond), F.R.A.C.P.EDITORIAL REPRESENTATIVE FOR CEYLON: M. M. A. Cader, M.s.(Lond.)

EDITORIAL REPRESENTATIVE FOR SOUTH AFRICA: Arthur J. Helfet, M.D., F.R.C.S.

Only qualified medical practitioners may become Members of the Fellowship of Postgraduate Medicine.Instruction arranged by the Fellowship of Postgraduate Medicine is open only to Members on payment of therequisite fees. Postgraduates (whether Members or not) are not automatically included in the mailing lists, butmriust notify the Fellowship qf Postgraduate Medicine if they wish to be sent syllabuses as published, and must,peZ'fy the subjects in which they are interested. Information regarding courses can be obtained from the Office,Monday to Friday between Io a.m. and 5 p.m. Telephone: Langham 4266.

A. I wish to become a Member of the Fellowship of Postgraduate Medicine; annual subscription Ios. 6d.(if syllabuses of courses are required, please state subjects of interest).

B. I wish to subscribe to the monthly POSTGRADUATE MEDICAL JOURNAL; annual subscription 36s. postfree. (All subscriptions from month of joining unless otherwise requested. Banker's Order form forsubscriptions to the JOURNAL are obtainable on application.)

Name (in full).........................................................

Address ........... . ............................

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Permanent address (if different from above)........................................

. .. ... ... .. .. .. . ... . .. ... ... . .. . ... .... .. .. . . .. ... .. . . . ... . ....

Applicants for Membership of the Fellowship must also complete the following:Medical qualifications, University or Medical School and year of graduation

December, 1956

Page 4: * APOSTGRADUATE MEDICAL JOURNAL VOLUME 32 NUMBER 374 DECEMBER 1956 CONTENTS PAGE EDITORIAL. 577 NUCLEI ANDSEX WilliamM.Davidson, M.B., Ch.B., andD. Robertson Smith, M.A

THE

POSTGRADUATE

MEDICAL JOURNALOFFICIAL ORGAN OF THE FELLOWSHIP OF POSTGRADUATE MEDICINE

VOLUME 32

1956

Page 5: * APOSTGRADUATE MEDICAL JOURNAL VOLUME 32 NUMBER 374 DECEMBER 1956 CONTENTS PAGE EDITORIAL. 577 NUCLEI ANDSEX WilliamM.Davidson, M.B., Ch.B., andD. Robertson Smith, M.A

INDEX TO VOLUME 32

PAGEAntibiotics annual, 1954-55. Edited by

Henry Welch and Felix Marti-lbanez .. 357-- ~-, 1955-56. 6th edition. Edited byHenry Welch and Felix Marti-Ibanez .. 449

-- monograph, No. 1: Erythromycin.Wallace E. Herrell .. .. .. .. 408

, No. 4: Antibiotics in nutrition.T. H. Jukes .. .. .. .. 161

No. 5: Polymyxin, neomycin andbacitracin. Ernest Jawetz .. 357

Antimetabolites and cancer. Edited by Cor-nelius P. Rhoads .. .. .. 161

An atlas of bone-marrow pathology. 2ndedition. M. C. G. Israels .. .. 215

of regional dermatology. G. H.Percival and T. C. Dodds .. 161

Assay methods of antibiotics, a laboratorymanual. Donald C. Grove and William A.Randall .. .. .. 408

Atlas zur spurenkunde der elektrizitat (Atlasof the traces of electricity). S. Jellinek .. 309

Body fluids in surgery. A. W. Wilkinson 162The boke of chyldren. Thomas Phaire .. 108Breast cancer and its diagnosis and treatment.Edward F. Lewinson .. .. .. 42

The British Encyclopaedia of medical practice.Cumulative supplement, 1955. Medicalprogress, 1955. 2nd edition. Edited bythe late Lord Horder .. .. .. 565

The British journal of tuberculosis and dis-eases of the chest. Golden Jubilee .. 162

Brompton Hospital Reports, Vol. XXIII,1954 .. .. .. .. .. 312

Cardiovascular innervation. G. A. G.Mitchell .. .. .. .. .. 262

Child health and development. 2nd edition.Edited by R. W. B. Ellis .. 262

Ciba Foundation colloquia on ageing. Vol. 1,General aspects. Edited by G. E. W.Wolstenholme and Margaret P. Cameron 41

_----endocrinology. VolumeIX--Internal secretions of the pancreas.Edited by G. E. W. Wolstenholme andCecilia M. O'Connor .. .. .. 501

The clinical approach in medical practice.G. E. Beaumont .. .. .. .. 310

Corneal grafts. Edited by B. W. Rycroft 42Developments in the Rorschach technique.Volume II. Edited by Bruno Klopfer 611

The diagnosis and management of urologicalcases. Bruce W. T. Pender, James O.Robinson and Sir W. Heneage Ogilvie 50

The diagnosis and treatment of haemophiliaand its related conditions. M.R.C.Memo 32. R. G. Macfarlane and R. Biggs 108

The diagnosis and treatment of posturaldefects. 2nd edition. Winthrop MorganPhelps, R. J. M. Kiphuth and Charles WeerGoff .. .. .. .. .. .. 501

Diagnosis and treatment of vascular disorders.Angiology. Edited by Saul S. Samuel .. 613

Differential diagnosis of internal diseases.2nd edition. Julius Bauer .. .. 308

l)iseases of the liver. Edited by Leon Schiff 502of the nervous system. 5th edition.

PAGESir Russell Brain, Bt. .. .. 161- of the nose, throat and ear. 6thedition. 1. Simson Hall .. .. .. 500

--- of the nose and throat. 6th edition. BySir St. Clair Thomson. Revised by V. E.Negus and G. H. Batemen .. .. 311

Essentials of forensic medicine. C. J. Polson 312Experimental tuberculosis. A Ciba Founda-

tion symposium. Edited by G. E. W.Wolstenholme and Margaret P. Cameron 160

First studies in anatomy and physiology.John Cairney and John Cairney .. .. 448

A follow-up study of war neuroses. V.A.Medical Monograph. Norman Q. Brill andGilbert W. Beebe .. .. .. .. 612

Fractures of the facial skeleton. N. L. Roweand H. C. Killey .. .. .. .. 358

The haemorrhagic disorders. M. Stefanini 159Handbook of pediatrics. Henry K. Silver 262Handbook of poisons. Robert H. Dreisbach 612Health in industry. A contribution to the

study of sickness absence. Published onbehalf of the London Transport Executive 357

High blood pressure. G. W. Pickering .. 307Hydrocortisone in orthopaedic medicine.James Cyriax .. .. . . 359

Introduction to hepatic surgery. Henry Gans 449Joint ligament relaxation treated by fibro-

osseus proliferation. George Stuart Hackett 502Sir William Arbuthnot Lane, Bt., C.B.,

T. B. Layton .. .. .. .. 448Law relating to hospitals and kindred in-

stitutions. 3rd edition. S. R. Speller .. 448Lectures on the scientific basis of medicine.Volume 4, 1954-55. British PostgraduateMedical Federation .. .. .. 614

Lectures on the thyroid. J. H. Means .. 410Life of Sir John Bland Sutton. W. R. Bett 613Local analgesia, head and neck. Sir Robert

Macintosh and Mary Ostlere .. 359Management of life-threatening poliomyelitis.Edited by H. C. A. Lassen 612

Materia Medica. 3rd edition. Edited byJ. K. W. Ferguson and G. H. W. Lucas .. 357

The medical annual. Edited by Sir HenryTidy and R. Milnes Walker .. .. 42

Medical terms, their origin and construction.2nd edition. Ffrangcon Roberts .. .. 408

Medical writing: MiD. International Sym-posia No. 2. H. E. Segerist, H. Selye, H.Clegg, W. C. Alvarez and F. Marti-lbanez 614

Meditations on medicine and medicaleducation past and present. I. Snapper 613

Modern actinotherapy. R. H. Beckett .. 215Modern operative surgery. Volume I. 4th

edition. Edited by late G. Grey Turnerand Lambert C. Rogers .. .. .. 109

Modern public health for medical students.I. G. Davies .. .. .. .. 449

Modern treatment year book, 1956. Editedby Sir Cecil Wakeley, Bt. .. .. .. 311

Modern trends in obstetrics and gynaecology(second series). Edited by Kenneth Bowes 308

Modern trends in orthopaedics (second series).Edited by Sir Harry Platt .. .. .. 263

Mysterious waters to guard. Leslie Bourne 42

Page 6: * APOSTGRADUATE MEDICAL JOURNAL VOLUME 32 NUMBER 374 DECEMBER 1956 CONTENTS PAGE EDITORIAL. 577 NUCLEI ANDSEX WilliamM.Davidson, M.B., Ch.B., andD. Robertson Smith, M.A

INDEX TO VOLUME 32

PAGENeurology and psychiatry in childhood.

Proceedings of the Association for Researchin Nervous and Mental Disease. VolumeXXXIV. Edited by R. Mcintosh andC. C. Hare .. .. .. .. .. 613

New concepts in surgery of the vascularsystem. Emile Holman .. .. .. 310

Nursing care of the newly born infant. W. S.Craig .. .. .. .. .. 159

Ophthalmology: a textbook for diplomastudents. P. D. Trevor-Roper .. .. 359

Outline of orthopaedics. John CrawfordAdams .. .. .. .. .. 311

Paediatrics for the practitioner. Supplement1956. Edited by Wilfrid Gaisford andReginald Lightwood .. .. .. 502

Pain: its mechanisms and neurosurgicalcontrol. J. C. White and W. A. Sweet 160

The pathogenesis of poliomyelitis. HaroldK. Faber .. .. .. .. .. 108

The pathology and surgery of the veins of thelower limb. Harold Dodd and Frank B.Cockett .. .. .. .. .. 502

Peripheral vascular disorders. Edited byPeter Martin, R. Berverley Lynn, J. HenryDibble and Ian Aird .. .. .. 408

Personality changes following frontalleucotomy. P. McDonald Tow .. .. 43

Poliomyelitis. 2nd edition. W. RitchieRussell . . .. .. .. 358

Polycythemia. John H. Lawrence .. . 162Porphyrin biosynthesis and metabolism. Edit-ed by G. E. W. Wolstenholme and ElaineC. P. Millar .. .. .. .. 409

Postgraduate obstetrics and gynaecology.2nd edition. F. J. Browne and J. C.McClure Browne .. .. .. .. 160

The practice of medicine. Edited by John S.Richardson .. .. .. .. .. 448

Practical Urology. Alex E. Roche .. .. 409Premature infants. A nanual for physicians.2nd edition. Ethel C. Dunham .. .. 263

Principles and practice of antibiotic therapy.Henry Welch.. .. .. 309

Progress in clinical obstetrics and gynaeco-logy. T. L. T. Lewis .. .. .. 307

Psychological medicine: a short introductionto psychiatry. 4th edition. D. Curranand M. Partridge .. .. .. .. 43

PAGEPsychosomatics. Max Hamilton .. 109Pulmonary circulation and respiratory func-

tion. Symposium held at Queen's College,Dundee .. .. .. .. .. 410

Radium therapy: its physical aspects andextensions with radioactive isotopes.2nd edition. C. W. Wilson .. .. 309

Recent advances in pharmacology. 2ndedition. J. M. Robson and C. A. Keele 565

The Royal Northern Hospital, 1856-1956.Eric C. O. Jewsbury .. 503

Selection of anesthesia. John Adriani .. 263Sexual precocity. Hugh Jolly .. .. 310A short practice of surgery. 10th edition.

Hamilton Bailey and R. J. McNeill Love 358Sick Children: diagnosis and treatment.

7th edition. Donald Paterson. Revisedby Reginald Lightwood and F. S. W.Brimblecombe .. . .. .. 409

Stress. 5th Annual report, 1955-56. Editedby Hans Selye and Gunnar Heiner .. 565

Studies on the cerebral cortex. S. Ramony Cajal .. .. .. .. .. 308

Subarachnoid haemorrhage. John N.Walton .. .. .. .. .. 611

Subphrenic abscess. H. R. S. Harley .. 159Textbook of British surgery. Volume I:The Abdomen. Edited by Sir HenrySouttar .. .. .. .. .. 409

A textbook of clinical pathology. 5th edition.Edited by Seward E. Miller .. .. 503

Textbook of orthopaedic medicine. VolumeIt: Treatment by manipulation and massage.5th edition. James Cyriax .. .. 215

Thiopentone and other Thiobarbiturates.J. W. Dundee .. .. .. .. 565

Thoracic surgical management. 2nd edition.J. R. Belcher and I. W. B. Grant .. .. 160

The treatment of renal failure; therapeuticprinciples in the management of acute andchronic uraemia. John P. Merrill .. 312

Vascular patterns as related to function.Second conference on microcirculatory,physiology and pathology. Reprintedfrom Angiology,' August 1955. VolumeVI, No. 4 .. .. .. .. .. 502

Page 7: * APOSTGRADUATE MEDICAL JOURNAL VOLUME 32 NUMBER 374 DECEMBER 1956 CONTENTS PAGE EDITORIAL. 577 NUCLEI ANDSEX WilliamM.Davidson, M.B., Ch.B., andD. Robertson Smith, M.A

INDEX TO VOLUME 32

JANUARY TO DECEMBER, 1956

PAGEAbdominal emergencies, Acute post-operative.

Jean-Jacques Brossy .. 398ACTH and cortisone in the treatment of

systemic lupus erythematosus, The role of.J. N. Harris-Jones .. .. .. 145- therapy, Thromboembolic complicationsduring and after cortisone and. S. Fazlullah 444

Acute porphyria with epileptiform convulsions.I. M. P. Smeed .. 401

-- post-operative abdominal emergencies.Jean-Jacques Brossy .. .. 398

Aetiology of chronic leg ulcers, The-Part 1.S. T. Anning .. .. 584

Agranulocytosis, Chronic idiopathic. I. M.Librach .. .. 401

Amador, L. V., and Hankinson, John ':'Stereo-taxic neurosurgery .. 28

Anaesthetics in skin disorders, Topical; asurvey of the literature. W. R. Bett .. 196

Analgesia in obstetrics and gynaecology, Extra-dural. C. J. Massey Dawkins .. .. 544

Anorexia nervosa, The clinical diagnosis, prog-nosis and treatment of. R. W. Emanuel .. 238

Andrew, J. D.: The colposcopic diagnosis ofearly carcinoma .. 560

Angiography. J. Norman Pattinson .. 56Ankylosing spondylitis. J. P. Baird .. .. 140Anning, S. T.: The aetiology of chronic leg

ulcers-Part 1 .. .. .. .. .. 584Antibiotic resistant organisms. Editorial .. 421

therapy, Principles and problems ofcombined. Stephen D. Elek .. .. 324

Anticoagulant therapy, An evaluation of long-term. M. M. Suzman .. .. .. 178

Aorta, Dissecting aneurysm of the. D. A. Pyke 7Aortic insufficiency by the Hufnagel valve with

four illustrative cases, Treatment of. A. W.Fawcett and B. S. Dhillon .. .. .. 438

Artery, Thrombosis of the internal carotid.G. E. Smyth .. .. .. .. .. 122

Ascites in liver disease. Michael Atkinson .. 482Atkinson, Michael: Ascites in liver disease 482

Baird, J. P.: Ankylosing spondylitis .. .. 140Bamforth, J.: The vaginal smear in the diag-

nosis of malignancy 538Bates, D. V.: The place of respiratory function

tests in clinical medicine .. .. .. 274Beam, A. G. Wilson's disease .. 477Beattie, John: Stress incontinence .. .. 527Bett, W. R.: Topical anaesthetics in skin dis-

orders; a survey of the literature .. .. 196Bladder drainage and prostatism. StephenPower .. .. .. .. .. .. 332

in traumatic paraplegia, The care of. A. G.Hardy .. .. .. .. .. .. 328

PAIbEBlood transfusion, The hazards of. H. F.Brewer .. .. .. .. .. .. 279

Bowel obstruction due to carcinoma, Treatmentin acute large. Edward G. Muir .. .. 601

Brewer, H. F.: The hazards of blood transfusion 279Bronchogenic carcinoma, Leukaemoid re-action

in. A. W. Fawcett and B. S. Dhillon .. 605Brossy, Jean-Jacques: Acute post-operative

abdominal emergencies .. 398Burt, C. C.: Thromboangiitis obliterans .. 232Butler, E. C. B. Right-sided colitis .. 25

Carcinoma of the cervix, The place of surgery inthe treatment of. John Howkins .. .. 522

The colposcopic diagnosis of early.J. D. Andrew .. .. .. 560

C,o-existent pulmonary tuberculosis andbronchogenic. A. D. Isaacs . ..... 213

in hiatus herniae. A. M. Wiley .. 259Leukaemoid re-action in bronchogenic.

A. W. Fawcett and B. S. Dhillon .. .. 605of the prostate, A case of lymphangitis

carcinomatosa of the lung from. (Clinico-pathological conference) .. .. .. 243

, Treatment in acute large bowel obstructiondue to. Edward G. Muir .. .. .. 601

Cardiac risk in anaesthesia and surgery, The.Graham W. Hayward .. .. .. .. 104

Carr, T. L.: The orthopaedic aspects of onehundred cases of spina bifida .. 201

Carter, A. E.: Post-operative pancreatitis 248Cerebral lesions, Tactile perceptual rivalry and

tactile-amorphosynthesis in the localizationof. S. Fazlullah .. .. .. .. 338

Cervix, The place of surgery in the treatment ofcarcinoma of the. John Howkins .. .. 522

Cholangiography, operative. A. W. Nurick .. 388Chronic idiopathic agranulocytosis. 1. M.

Librach .. .. .. .. .. 404Chronic leg ulcers-Part 1, The aetiology of.

S. T. Anning . .. .. .. 584Cirrhosis of the liver with terminal haemor-

rhage from oesophageal varices .. .. 191Cleland, W. P.: Surgical treatment of congenital

heart disease .. .. .. .. .. 69Clinico-pathological conference, No. 16: A case

of cirrhosis of the liver with terminal haemor-rhage from oesophageal varices .. .. 191

, No. 18: A case of lymphangitiscarcinomatosa of the lung from carcinoma ofthe prostate .. .. .. .. 243

----, No. 19: A case of myelomatosis withterminal uraemia. Westminster Hospital .. 347

Colitis, right-sided. E. C. B. Butler .. 25Collagen diseases, Pulmonary manifestations in

the systemic. Philip Ellman ...... 370

Page 8: * APOSTGRADUATE MEDICAL JOURNAL VOLUME 32 NUMBER 374 DECEMBER 1956 CONTENTS PAGE EDITORIAL. 577 NUCLEI ANDSEX WilliamM.Davidson, M.B., Ch.B., andD. Robertson Smith, M.A

INDEX TO VOLUME 32

PAGEColposcopic diagnosis of early carcinoma, The.

J. D. Andrew .. .. .. .. .. 560Cor pulmonale, The management of. J. F.Goodwin .. .. .. .. .. 98

Cortisone and ACTH therapy, Thromboemboliccomplications during and after. S. Fazlullah 444

in the treatment of systemic lupus erythe-matosus, The role of ACTH and. J. N.Harris-Jones .. .. .. .. .. 145

Davidson, Esther, and Summerskill, W. H. J.:Psychiatric aspects of liver disease .. 487--, William M., and Robertson Smith, D.:Nuclei and sex .. .. .. .. .. 578

Dawkins, C. J. Massey: Extra-dural analgesiain obstetrics and gynaecology .. 544

Diagnosis of early carcinoma, The colposcopic.J. D. Andrew .. .. .. .. .. 560

-- of pregnancy, The laboratory. HertaSchwabacher .. .. .. .. .. 392

, prognosis and treatment of anorexianervosa. The clinical. R. W. Emanuel .. 238

Dhillon, B. S., and Fawcett, A. W.: Leukaemoidre-action in bronchogenic carcinoma .. 605--- --: Pulmonary arterio-

venous fistula .. . .. .. .. 353Treatment of aortic

insufficiency by the Hufnagel valve with fourillustrative cases . . .. .. 438

Diagnosis of malignancy, The vaginal smear inthe. J. Bamforth .. .. .. .. 538

Eclampsia. Leslie B. Patrick ..... 554Ectopic pregnancy. Robert C. Percival .. 550Editorial:

Antibiotic resistant organisms .. .. 421Arteriography .. ........ 577Carcinoid tumours .. .. .. 273Cardiac disease. Walter Somerville. .. 55Diseases of the liver .. .. .. 459Registrars in teaching and non-teaching

hospitals .. .. .. .. .. 121A symptom or a diagnosis .. .. 369The exchange fellowship .. .. 225The letters after a doctor's name .. .. 173The new pharmacy .. .. .. .. 323Volunteers .. .. .. ... 1

Elek, Stephen D.: Principles and problems ofcombined antibiotic therapy .. .. .. 324

Ellman, Philip: Pulmonary manifestations inthe systemic collagen diseases .. .. 370

Emanuel, R. W.: The clinical diagnosis, prog-nosis and treatment of anorexia nervosa 238

Endocarditis, Treatment of bacterial. I. G. W.Hill .. .. .. .. .. .. 92

Endometriosis. R. M. Feroze .. .. .. 532Enteritis, Post-operative. Michael R. Williams 430Epileptiform convulsions, Acute porphyria with.

I. M. P. Smeed .. .. .. .. 401

Fawcett, A. W., and Dhillon, B. S.: Leukaemoidreaction in bronchogenic carcinoma .. 605-, - -- ·--: Pulmonary arterio-venous fistula .. .. .. .. .. 353

PAGE--, : Treatment of aortic

insufficiency by the Hufnagel valve with fourillustrative cases .. .. . .. 438

Fazlullah, S.: Landry-Guillain-Barre syndrome 150: Tactile perceptual rivalry and tactile-

amorphosynthesis in the localization ofcerebral lesions .. .. .. .. 338

: Thromboembolic complications duringand after cortisone and ACTH therapy 444

: Tuberculous meningitis treated withstreptomycin and isoniazid without intrathecaltherapy .. .. .. .. .. 608

Vertebral artery aneurysm-case report 40Female genital tuberculosis. J. A. Stallworthy 517Feroze, R. M.: Endometriosis .. .. .. 532

Genital tuberculosis, Female. J. A. Stallworthy 517Goodwin, J. F.: The management of cor

pulmonale.. .. .. 98Gorrill, R. H.: Some practical aspects of

medical statistics .. .. .. .. 287Gray, Charles. Porphyria .. .. .. 186Gunn, William: The control of acute polio-

myelitis by immunization .. .. .. 174Gynaecology, Extra-dural analgesia in obstetrics

and. C. J. Massey Dawkins .. .. 544

Hammond, J. D. S.: Uraemia and haemor-rhagic complications of phenylbutazonetherapy .. .. .. .. . .. 13

Hankinson, John, and Amador, L. V.: Stereotax-ic neurosurgery .. 28

Hardy, A. G.: The care of the bladder intraumatic paraplegia ... 328

Harris-Jones, J. N.: The role of ACTH andcortisone in the treatment of systemic lupuserythematosus .. 145

Harrison, R. J.: Multiple pseudo-cystic tuber-culosis of bone in an aged adult 301

Hayward, Graham W.: The cardiac risk inanaesthesia and surgery .. 104

Heart disease, Bedside diagnosis of congenital.Walter Somerville .. .. .. .. 62

, Pregnancy and rheumatic. SamuelOram .. .. .. .. .. .. 76

, Surgical treatment of congenital.W. P. Cleland .. .. .. .. .. 69

Henry, L., and Meynell, M. J.': Oral administra-tion of phenoxymethyl penicillin (distaquaineV) .. .. .. .. .. .. 297

Hepatic coma. J. M. Walshe .. .. 467Hermaphroditism-A critical survey. Hugh

Jolly .. .. .. .. .. .. 589Hill, Ian G. W.: Treatment of bacterial

endocarditis .. .. .. .. .. 92Hospital medical officer, The. C. J. L. Wells 33Howkins, John: Introduction (Obstetrics andGynaecology) .. .. .. .. .. 515

-, : The place of surgery in the treat-ment of carcinoma of the cervix .. .. 522

Hufnagel valve with four illustrative cases,Treatment of aortic insufficiency by the.A. W. Fawcett and B. S. Dhillon .. .. 438

Hydrocortisone locally in the treatment of softtissue lesions, The use of. C. E. Quin .. 2

Page 9: * APOSTGRADUATE MEDICAL JOURNAL VOLUME 32 NUMBER 374 DECEMBER 1956 CONTENTS PAGE EDITORIAL. 577 NUCLEI ANDSEX WilliamM.Davidson, M.B., Ch.B., andD. Robertson Smith, M.A

INDEX TO VOLUME 32

PAGEHypertension, Lone pulmonary. D. S. Short 422

, Drug treatment of. E. G. McQueen andF. H. Smirk .. .. .. .. 85

, Primary pulmonary. J. H. Swallow 155, Surgical treatment of portal. A. I. S.

Macpherson .. ... 474

Idiopathic agranulocytosis, Chronic. 1. M.Librach .. .. .. .. .. 401

Introduction (Obstetrics and Gynaecology)John Howkins .. .. .. 515

Isaacs, A. D.: Co-existent pulmonary tuber-culosis and bronchogenic carcinoma .. .. 213

Isoniazid without intrathecal therapy, Tuber-culous meningitis treated with streptomycinand. S. Fazlullah .. .. ... . 608

Jaundice. Sheila Sherlock .. .. 460Jolly, Hugh: Hermaphroditism-A critical

survey .. 589Jones, A. Thelwall, and Stanley, W. J.: Tuber-

culosis of the spine associated with pneumo-coniosis complicated by massive fibrtsis .. 211

Joules, Horace: Tobacco and smoking .. 226

Laboratory diagnosis of pregnancy, The.Herta Schvabacher .. .. .. . 392

Landry-Guillain-Barre syndrome. S. Fazlullah 150Leukaemoid re-action in bronchogenic car-cinoma. A. W. Fawcett and B. S. Dhillon 605

Librach, I. M.: Chronic idiopathic agranu-locytosis.. .. 404

Liver disease, Ascites in. Michael Atkinson 482, psychiatric aspects of. Esther A.

Davidson and W. H. J. Summerskill .. 487Lupus erythematosus, The role of ACTH and

cortisone in the treatment of. J. N. Harris-Jones .. .. .. .. .. .. 145

Mackay, R. I.: The zoonoses and paediatrics.. 16Macpherson, A. I. S.: Surgical treatment of

portal hypertension .. 474McQueen, E. G., and Smirk, F. H.: Drug treat-ment of hypertension .. ..... 85

Malignancy, The vaginal smear in the diagnosisof. J. Bamforth .. .. .. .. 538

Meningitis treated with streptomycin andisoniazid without intrathecal therapy, Tuber-culous. S. Fazlullah . .. .. 608

Meynell, M. J., and Henry L.: Oral administra-tion of phenoxymethyl penicillin (distaquaineV) .. .. .. .... 297

Muir, Edward G.: Treatment in acute largebowel obstruction due to carcinoma .. 601

Murley, R. S.: The treatment of venousthrombosis .. .. .. .. 133

Myelomatosis with terminal uraemia, a case of.Clinico-Pathological Conference No. 19 .. 347

Neuro-surgery, Stereotaxic. John Hankinsonand L. V. Amador .. 28

Nuclei and sex. William M. Davidson andD. Robertson Smith .. .. .. .. 578

Nurick, A. W.: Operative Cholangiography .. 388

PAGEObstetrics and gynaecology, Extra-dural anal-

gesia in. C. J. Massey Dawkins .. 544Oram, Samuel: Pregnancy and rheumatic heart

disease .. ... 76Orthopaedic aspects of one hundred cases of

spina bifida, The. T. L. Carr .. .. 201

Paediatrics, The zoonoses and. R. I. Mackay 16Pancreatitis, Post-operative. A. E. Carter .. 248Paraplegia, The care of the bladder in traumatic.

A. G. Hardy .... .. . 328Patrick, Leslie B.: Eclampsia .. .. .. 554Pattinson, J. Norman: Angiography .. .. 56Penicillin (Distaquaine V), Oral administration

of phenoxymethyl. L. Henry and M. J.Meynell.. .. .. .. .. 297

Percival, Robert C.: Ectopic pregnancy .. 550Percutaneous portal venography. David Sutton 495Phenylbutazone therapy, Uraemia and haemor-

rhagic complications of. J. D. S. Hammond 13Pneumonoconiosis complicated by progressive

massive fibrosis, Tuberculosis of the spineassociated with. W. J. Stanley and A.Thelwall Jones .. .. .. .. 211

Poliomyelitis by immunization, The control ofacute. William Gunn .. .. .. 174

Porphyria. Charles Gray .. .. .. 186Porphyria with epileptiform convulsions, acute.

1. M. P. Smeed .. .. .. .. 401Post-operative enteritis. Michael R. Williams 430Power, Stephen: Bladder drainage and pro-

statism .. .. .. .. .. .. 332Pregnancy, Ectopic. Robert C. Percival .. 550Pregnancy, The laboratory diagnosis of. HertaSchwabacher .. .. .. .. .. 392

and rheumatic heart disease. Samuel Oram 76Principles and problems of combined antibiotic

therapy. Stephen D. Elek .. .. .. 324Prostatism, Bladder drainage and. StephenPower .. .. .. .. .. .. 332

Psychiatric aspects of liver disease. Esther A.Davidson and W. H. J. Summerskill .. 487

Pulmonary arterio-venous fistula. A. W. Faw-cett and B. S. Dhillon .. .. .. 353

hypertension, Lone. D. S. Short .. 422Primary. J. H. Swallow .. .. 155

manifestations in the systemic collagendiseases. Philip Ellman .. .. .. 370

tuberculosis and bronchogenic carcinoma,Co-existent. A. D. Isaacs .. .. 213

Pyke, D. A.: Dissecting aneurysm of the aorta 7

Quin, C. E.: The use of hydrocortisone locallyin the treatment of soft tissue lesions .. 2

Ranger, D.: The investigation and treatment ofvertigo .. .... ..1..27

Respiratory function tests in clinical medicine,The place of. D. V. Bates .. .. 274

Rheumatic heart disease, Pregnancy and.Samuel Oram .. .. .. .. .. 76

Schwabacher, Herta: The laboratory diagnosisof pregnancy .. .. .. .. .. 392

Scott, John E. S.: Torsion of the testis .. 435

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INDEX TO VOLUME 32

PA(iFSex, Nuclei and. William M. Davidson andD. Robertson Smith .. .. .. 578

Sherlock, Sheila: Jaundice .. .. .. 460Short, D. S.: Lone pulmonary hypertension .. 422Skin disorders, Topical anaesthetics in; a survey

of the literature. W. R. Bett .. .. 196Smeed, I. M. P.: Acute porphyria with epilepti-form convulsions .. .. .. .. 401

Smiddy, F. G.: The management of right supra-hepatic abscess .. .. .. .. .. 292

Smirk, F. H., and McQueen, E. G.: Drug treat-ment of hypertension .. 85

Smith, D. Robertson, and William M. David-son: Nuclei and sex .. .. .. .. 578

Smyth, G. E.: Thrombosis of the internal carotidartery .. .. .. .. .. .. 122

Somerville, Walter: Bedside diagnosis of con-genital heart disease .. .. .. . 62- --.: Cardiac disease (editorial) .... 55

Spina bifida, The orthopaedic aspects of onehundred cases of. T. L. Carr .. .. 201

Spondylitis, Ankylosing. J. P. Baird .. 140Stallworthy, J. A.: Female genital tuberculosis 517Stanley, W. J., and Jones, A. Thelwall: Tuber-

culosis of the spine associated with pneumo-coniosis complicated by progressive massivefibrosis .. .. .. .. .. .. 211

Statistics, Some practical aspects of medical.R. H. Gorrill .. .. .. .. .. 287

Stereotaxic neurosurgery. John Hankinson andL. V. Amador .. .. .. .. .. 28

Strange, S. L.: Spontaneous rupture of umbilicalhernia in an infant .. .. .. .. 39

Streptomycin and isoniazid without intrathecaltherapy, Tuberculous meningitis treated with.S. Fazlullah .. .. .. .. .. 608

Stress incontinence. John Beattie .. .. 527Summerskill, W. H. J., and Davidson, Esther:

Psychiatric aspects of liver disease .. .. 487Suprahepatic abscess, The management of right.

F. G. Smiddy .. .. .. .. .. 292Surgery in the treatment of carcinoma of the

cervix, The place of. John Howkins .. 522Surgical treatment of congenital heart disease.W. P. Cleland .. .. .. .. .. 69

-- - of portal hypertension. A. I. S.Macpherson .. .. .. .. .. 474

Sutton, David: Percutaneous portal venography 495Suzman, M. M.: An evaluation of long-term

anticoagulant therapy .. .. .. .. 178Swallow, J. H.: Primary pulmonary hyper-

tension .. .. .. .. .. .. 155

Tactile perceptual rivalry and tactile-amorpho-synthesis in the localization of cerebrallesions. S. Fazlullah .. .. .. 338

Testis, Torsion of the. John E. S. Scott .. 435Thromboangiitis obliterans. C. C. Burt .. 232Thromboembolic complications during and

after cortisone and ACTH therapy. S. Faz-lullah .. .. .. .. .. .. 444

Thrombosis of the internal carotid artery.G. E. Smyth .. .. .. 122

, The treatment of venous. R. S. Murley 133Tobacco and smoking. Horace Joules .. 226Torsion of the testis. John E. S. Scott .. 435

PAGI(Treatment in acute large bowel obstruction due

to carcinoma. Edward G. Muir .. .. 601of aortic insufficiency by' the Hufnagel

valve with four illustrative cases. A. W.Fawcett and B. S. Dhillon 438

of anorexia nervosa, The clinical diagnosis,prognosis and. R. W. Emanuel .. .. 238

of bacterial endocarditis. I. G. W. Hill 92of carcinoma of the cervix, The place of

surgery in the. John Howkins .. .. 522of congenital heart disease, Surgical.

W. P. Cleland .. .. .. .. .. 69of hypertension, Drug. E. G. McQueen

and F. H. Smirk .. .. .. .. 85of portal hypertension, Surgical. A. 1. S.

Macpherson .. .. .. .. .. 474-- of soft tissue lesions, The use of hydro-

cortisone locally in the. C. E. Quin 2-- of systemic lupus erythematosus, The roleof ACTH and cortisone in the. J. N. Harris-Jones .. .. .. .. .. .. 145

of venous thrombosis, The. R. S. Murley 133of vertigo, The investigation and. D.

Ranger .. .. 127Tuberculosis of bone in an aged adult, Multiple

pseudo-cystic. R. J. Harrison .. .. 301and bronchogenic carcinoma, Co-existent

pulmonary. A. D. Isaacs .. .. .. 213Female genital. J. A. Stallworthy .. 517of the spine associated with pneumo-

coniosis complicated by progressive massivefibrosis. W. J. Stanley and A. ThelwallJones .. .. .. .. .. .. 211

Tuberculous meningitis treated with strepto-mycin and isoniazid without intrathecaltherapy. S. Fazlullah.. .. .. .. 608

Ulcers-Part i: The aetiology of chronic leg.S. T. Anning .. ... .. 584

Umbilical hernia in an infant, Spontaneousrupture of. S. L. Strange .. 39

Uraemia and haemorrhagic complications ofphenylbutazone therapy. J. D. S. Hammond 13

Vaginal smear in the diagnosis of malignancy,The. J. Bamforth .. .. .. .. 538

Venography, Percutaneous portal. DavidSutton .. .. .. .. .. .. 495

Vertebral artery aneurysm--case report. S. Faz-lullah .. .. .. .. .. .. 40

Vertigo, The investigation and treatment of.D. Ranger .. .. .. .. .. 127

Viruses, The A.P.C. Elisabeth Zaiman .. 426

Walshe, J. M.: Hepatic coma .. 467Wells, C. J. L.: The hospital medical officer .. 33Wiley, A. M.: Carcinoma in hiatus herniae .. 259Williams, Michael R.: Post-operative enteritis 430Wilson's disease. A. G. Bearn .. .. 477

Zaiman, Elisabeth: The A.P.C. viruses .. 426Zoonoses and paediatrics, The. R. 1. Mackay 16

Reviews:Allergy in childhood. Jerome Glaser .. 503

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615

A/Iat"ac1tet Illotei

' HYDROMYCIN'Boots Pure Drug Company announce the

availability of Hydromycin Ointment and Eye/EarOintment, containing hydrocortisone acetate andneomycin sulphate in suitable bland bases. Theointment is ideal for treating secondarily-infecteddermatoses, whilst the eye/ear ointment is indicatedin the various forms of otitis externa and forpreventing the development of infection duringthe treatment of inflammation in the eye.Hydromycin ointment contains I per cent. of

hydrocortisone acetate and 0.5 per cent. of neo-mycin sulphate in an anhydrous base; it is suppliedin tubes of 5 G and 15 G.Hydromycin eye/ear ointment contains I.5 per

cent. of hydrocortisone acetate and 0.5 per cent. ofneomycin sulphate in an anhydrous base; it issupplied in tubes of 3 G.

Boots Pure Drug Company Limited, StationStreet, Nottingham. Tel. Nottingham 4550I.

'SOL-VIULES'CRYSTALLINE PENICILLIN G

0.5 mega units

Boots announce the availability of a joint pack ofPenicillin G in vials and aqueous solvent inaspirating Viules.

It is now possible for the Viule or MitrexSyringe, to be used for soluble penicillin injections,as well as for the many other drugs in the Viulerange.

Available in slide cartons each containing 2 vialsPenicillin 500,000 units per vial and 2 Viules ofsolvent.

Retail price per carton 3s. 9d., subject to theusual trade discounts.

'DISTAQUAINE'The Distillers Company (Biochemicals) Ltd.,

Speke, Liverpool, I9, announced the availability,as from September 29, of two new preparationscontaining acid-stable oral penicillin V.

' Distaquaine' V Elixir. A liquid preparation,particularly for children providing an alternativeto ' Distaquaine' V tablets. Each dose of thepleasantly flavoured suspension contains 30 mg.penicillin V. Children should receive one ormore doses of 30 mg. at four-hourly intervals.At least 6o mg. should be administered per doseto adults. A plastic spoon of i fl. dr. capacityto hold 30 mg. is provided with each pack.Issued in bottles of 2 fl. oz. (30 x 30 mg. doses).

'Distaquaine' V Sulpha. A balanced com-bination of penicillin V and two sulphonamideseffective against a wide range of organisms andmay be used with advantage in cases of pneu-monia, streptococcal throat infections, otitismedia, urinary tract infections, urethritis andcholecystitis. Adults should receive two tabletsinitially followed by one or two tablets at four-hourly intervals. Half this dosage is required forchildren. Each tablet contains 60 mg. penicillin Vplus 0.3 g. sulphadimidine and o.I4 g. sulpha-merazine. Bottles of 30 and 300 tablets.

'?MIGRIL'Burroughs Wellcome & Co. have issued

'Migril' brand Ergotamine Compound (Com-pressed) for the treatment of migraine. 'Migril'contains ergotamine tartrate 2 mg., cyclizine hydro-chloride 50 mg. and caffeine (alkaloid) ioo mg.The particularly high dose of ergotamine has beenmade possible by the inclusion of cyclizine, adrug which effectively counters the commonestside-effects, nausea and vomiting, of ergotaminetherapy. The cyclizine also counters nausea andvomiting due to migraine itself. The ergotamineand caffeine act synergistically to relieve both theheadache and the ocular disturbances of migraine.

'Migril' is available in bottles of io and Ioo.

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6i6

POSTGRADUATE NEWSDecember x956

The information contained in this section is published by courtesy of theorganizations concerned and no responsibility for any changes of detailor omissions can be accepted by the publishers. In all cases, applicationsfor enrolment or further information should be made direct to thesponsors of the course.

FELLOWSHIP OF POSTGRADUATEMEDICINEThe following courses are planned but the dates anddetails are subject to alteration.General Medicine (M.R.C.P.) Weekend. December8 and 9. All Saturday and Sunday. Queen Mary'sHospital for the East End. Limited. Fee ,3 3s. od.General Medicine (M.R.C.P.). February 4 to March8. Daily 5.30 to 8.30 p.m. (Saturdays 2 to 4 p.m.).Whittington Hospital, Archway Wing. Limited. Fee£23. (No entries accepted until syllabus is publishedand circulated.)Plastic Surgery (Weekend). February i6 and I7.All day Saturday and Sunday. Plastic Jaw Unit,Rooksdown House, Basingstoke. Limited. Fee £3 3s. od.(No entries accepted until syllabus is published andcirculated.)Obstetrics (D.Obst.R.C.O.G.). February I8 to 23.All day. West Middlesex Hospital. Limited. Fee£4 4s. od.Surgery (F.R.C.S.), General and Genito-Urinary.February 25 to March I3. Mondays and Wednesdaysat 5 p.m. Whittington Hospital, Archway Wing,Limited. Fee C5 5s. od. (No entries until syllabus ispublished and circulated.)Please note that instruction arranged by the Fellowshipof Postgraduate Medicine is open only to members (annualsubscription, from month ofjoining, Ios. 6d.). In the caseof 'limited' courses no entries are accepted in advanceof the detailed syllabuses being published and circulated;postgraduates (whether members or not) are not automatic-ally included in the mailing lists, but must notify theFellowship of Postgraduate Medicine, 6o Portland Place,London, W.I, if they wish to be sent syllabuses as pub-lished, and must specify the subjects in which they areinterested. Information regarding courses can be obtainedtrom the office daily between IO a.m. and 5 p.m. (Mondaysto Fridays). Telephone: Langham 4266.

ROYAL COLLEGE OF SURGEONS OFENGLANDThe following courses will be held:Basic Medical Sciences Course for DentalStudents. January I to February 23, 1957.Clinical Surgery. February I8 to April 12, 1957.Clinical Conferences and Surgery Lectures.April I to i9, 1957.Clinical Demonstrations and Lectures in DentalSurgery. November 5 to December 14, 1956, andApril 29 to June 2I, 1957.

Anaesthetic Course of Lectures and Tutorials.April 22 to May Io, I957.Pharmacology Course. November 26 to December 7,1956, and May 13 to 24, 1957.The following lectures will be given at the College.Otolaryngology LectureDecember6 5.30 p.m. Mr. E. J. Radley-Smith. Modem appli-

cation of the physiology of the pituitary gland.Moynihan LectureDecember12 2.30 p.m. Mr. I. S. Ravadin. (Title to be an-

nounced.)The lectures are open to those attending courses in theCollege and also to all other Medical Practitioners,Dental Surgeons and advanced students.Application for further information should be made toMr. W. F. Davis, Deputy Secretary, Royal College ofSurgeons, Lincolns Inn Fields, London, W.C.z.

SOCIETY OF APOTHECARIES OF LONDONDiploma in Industrial Health (D.I.H.). Theexaminations are held in July and December each year.Diploma of Mastery of Midwifery (M.M.S.A.). Theexaminations are held in May and November each year.For further information applications should be addressedto the Registrar, Society of Apothecaries, Black FriarsLane, London, E.C.4.

DENTAL BOARD OF TSE UNITEDKINGDOMThe Dental Postgraduate Bureau has issued threebooklets, as follows:' Facilities for Dental Postgraduate Study in the UnitedKingdom and Ireland,' containing a list of schools andinstitutions at which postgraduate courses are held orwhich provide facilities for individual students, and analphabetical list of subjects showing where instructionin each can be obtained; 'Scholarships and Student-ships for Advanced Studies and Research in Dentistry,'including many open to British subjects tenable abroad;'Higher Dental Qualifications,' setting out in generalterms the conditions to be satisfied by candidates.Copies of these booklets, particulars of films of interest todentists, and further information can be obtained onapplication to the Director, Dental Postgraduate Bureau,44 Hallam Street, London, W.I.

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December 1956 Postgraduate News 6I7

BRITISH POSTGRADUATE MEDICALFEDERATION (University of London)The Federation provides:(I) Training for prospective specialists, supplementing

the work of the undergraduate medical schools.(2) Advanced revision for practising specialists.(3) Instruction for medical practitioners who, though

not specialists, desire more detailed knowledge ofany branch of medicine.

(4) Instruction for general practitioners.Comprising the Federation at present are the Post-graduate Medical School of London, Institute of CancerResearch, Institute of Cardiology, Institute of ChildHealth, Institute of Dental Surgery, Institute of Diseasesof the Chest, Institute of Laryngology and Otology,Institute of Neurology, Institute of Obstetrics andGynaecology, Institute of Ophthalmology, Institute ofOrthopaedics, Institute of Psychiatry; associatedinstitutes are the Institute of Basic Medical Sciences,Institute of Dermatology and Institute of Urology.Courses for general practitioners will be held as follows:Obstetrics and GynaecologyI957February 25 to March 2. Institute of Obstetrics andGynaecology, S.W.3.Applications for places on the above courses should be madeto the Secretary, British Postgraduate Medical Federation,and should state if the application is or is not made underthe scheme for N.H.S. practitioners.Extended and Week-end CoursesGeneralOctober 3 to December It (i x Wednesday afternoons).Connaught Hospital, London, E.a7.Applications for places on the above courses should be madeto the hospital concerned.All the courses are available to N.H.S. practitioners,for whom fees and allowances (travelling expenses,locum fees, etc.) are provided for courses equivalent to22 half-day sessions in an academic year, subject tocertain conditions. Grants are also payable in respectof assistant practitioners under certain conditions.Other practitioners may attend on payment of a fee of1o guineas for two weeks, 5 guineas for one week orextended course of i i sessions, i I guineas for a week-endcourse.

Applications for further information should be made tothe Secretary, British Postgraduate Medical Federation,i8 Guilford Street, London, W.C.i.

POSTGRADUATE MEDICAL SCHOOL OFLONDON (Hammersmith Hospital)The Postgraduate Medical School of London hasUniversity Departments in Medicine, Surgery andPathology. The Department of Obstetrics and Gynae-cology, together with Queen Charlotte's and the ChelseaHospitals, now forms the Institute of Obstetrics andGynaecology. The teaching in the clinical departments,which is of an advanced nature and based on ward work,is continuous and is supplemented by lectures duringthree ten-week sessions starting in January, April andOctober. Suitable students are encouraged to under-take research work. A course for the University Diplomain Clinical Pathology, lasting one year, is available for alimited number of selected students. This commences inOctober. The Department of Radiology of the Hospitalprovides courses for the Diplomas in Medical Radiologyof the Conjoint Board. The fees vary from C3 for oneweek to O75 for a year.

Anaesthetics. The Department of Anaesthesia offersa course of instruction for the academic year beginningOctober 2, to a limited number of postgraduates wishingto specialize in anaesthesia. A comprehensive teachingprogramme has been established and the subjectscovered include anatomy, pathology, pharmacology andphysiology. In addition to systematic lectures inanaesthesia, medicine and surgery, clinical training isprovided in the wards and operating theatres and specialprovision is made for the demonstration of techniquesnot in common use. Fee for the course, .75 plus £3enrolment fee.For further information application should be made tothe Dean, Postgraduate Medical School of London,Ducane Road, London, W. 12.

INSTITUTE OF BASIC MEDICAL SCIENCES(Royal College of Surgeons of England)The Institute co-operates with other specialist Institutesof the Federation in providing facilities for practicalwork and instruction in the basic medical sciences.Twice a year, beginning in February and September,there is a full demonstration and lecture course which isfull-time and extends over a period of three months.In addition, there are two revision courses a year of lec-tures only, which take place at the same time as theother course. Applications for this course can be ac-cepted up to six weeks before the course begins. Fees:Demonstrations and lectures, C63; lectures only,£36 15s. od. A two-months' course for Primary F.D.S.candidates is also held twice a year in January andJune and the next course will begin on January I, I957.The course is full-time and the fee £3i Ios. od.For further information please apply to the Secretary,Institute of Basic and Medical Sciences, Royal College ofSurgeons of England, Lincolns Inn Fields, London, W.C.2.

INSTITUTE OF CANCER RESEARCH (RoyalCancer Hospital)Postgraduate lectures and courses of instruction are heldin biophysics for students studying for the M.Sc.degree in Biophysics, and for students studying for aDiploma in Medical Radiotherapy.Enquiries should be made to the Dean, Institute of CancerResearch, Royal Cancer Hospital, Fulham Road, London,S.W.3.INSTITUTE OF CARDIOLOGY(National Heart Hospital)Courses of instruction lasting i I weeks are available forboth full-time and part-tirme students; fees £26 5s. od.and z12 Izs. od. respectively.Special short courses lasting two weeks are held inFebruary, June and November; fee zI2 I2S. od.Enquiries, and applications for admission to courses, shouldbe addressed to the Dean, Institute of Cardiology, 35Wimpole Street, W.I.

INSTITUTE OF DISEASES OF THE CHEST(Brompton Hospital and the London ChestHospital)The Institute of Diseases of the Chest (Medical Schoolof the Hospitals for Diseases of the Chest) is situated inthe grounds of the Brompton Hospital, S.W.3.MedicalInstruction in diseases of the chest including tuberculosisis conducted during three terms of ten weeks each year.It consists of clinical work in wards and out-patient

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6i8 POSTGRADUATE MEDICAL JOURNAL December 1956

departments, lectures and demonstrations. A whole-time programme is arranged for not more than 2Igraduates each term, preferably those specializing indiseases of the chest. The lectures and demonstrationsare so arranged that the subject of chest disease iscovered during the two terms beginning in October andJanuary. The lectures during the summer term arearranged as a general revision course. A larger numberof graduates can be accepted for part-time study. Ifvacancies are available it may be possible to acceptgraduates for shorter periods of part-time study.SurgicalA whole-time course in chest surgery is conductedduring the terms beginning in October and January. Itincludes attendances at out-patient clinics, operatingsessions, ward clinics, case demonstrations and lectures,and is held partly at the Brompton Hospital and partlyat the London Chest Hospital.Cardiology. A whole-time course in the surgicalaspects of cardiology will be conducted during thethree terms. This course is mainly of a practical nature,consisting of out-patient attendances, ward rounds,and operating sessions with some lectures and tutorials.The course is held partly at the Brompton Hospitaland partly at the London Chest Hospital.Fees for whole-time course (Medical, Surgical orCardiological) are 20o for one term and C35 for twoterms, and for part-time courses £14 for one term or,6 for one month.RadiologyPart-time instruction in radiology of the chest for traineeradiologists only is given each term. Fee Eio for oneterm.Clinical demonstrations are given on Fridays at5 p.m. Open lectures are given on Wednesdays at 5p.m. during University Terms. Admission free.For further general information application should beaddressed to the Dean, Institute of Diseases of the Chest,Brompton Hospital, Fulham Road, S.'W.3.INSTITUTE OF CHILD HEALTH(Hospital for Sick Children, Queen ElizabethHospital for Children, Postgraduate MedicalSchool)The Institute of Child Health is associated with TheHospital for Sick Children, Great Ormond Street, thePostgraduate Medical School of London at Hammer-smith Hospital, and the Queen Elizabeth Hospital forChildren. In its programme teaching on every aspectof child health is provided. Visits are arranged to thedepartment for the new-born and premature infant atthe Postgraduate Medical School of London, Hammer-smith Hospital, Maternity and Child Welfare Clinics,Nursery Schools, etc. The Institute provides tuitionthroughout the year in three terms of Iz weeks' durationeach, beginning in January, May and September.Two or three guest lectures are given during thesummer term by visiting paediatricians from abroad.The fees are 20 guineas for one term and 35 guineasfor two terms.Applications should be addressed to the Dean, Instituteof Child Health, Hospital for Sick Children, GreatOrmond Street, London, W.C.x.

INSTITUTE OF DENTAL SURGERY(Eastman Dental Hospital)The Institute holds courses in orthodontics (full- andpart-time, up to one year), and in periodontology, con-servative dentistry, prosthetics, minor oral surgery and

children's dentistry (variable length, full- and part-time). Refresher courses are arranged twice yearly forgeneral practitioners. Courses are also held in conjunc-tion with the Faculty of Dental Surgery of the RoyalCollege of Surgeons and are particularly intended forcandidates preparing for the final examination for theFellowship in Dental Surgery of the College. Thesebegin in May and November (lasting for approximatelyeight months), fee £60, and in May and October thereare revision courses lasting eight weeks, fee £3I ios. od.Special arrangements can be made for students requiringcourses of study and research experience not fallingwithin the scope of the courses listed above.For further information, apply to the Dean, Institute ofDental Surgery, Eastman Dental Hospital, Gray's InnRoad, London, W.C.I.

INSTITUTE OF DERMATOLOGY(St. John's Hospital for Diseases of the Skin)Hospital Practice. This includes clinical instructionin the Out-Patient Department daily, in the In-PatientDepartment twice weekly, tutorials in clinical dermat-ology and histopathology, attendance in the Departmentof Pathology and other Departments of the Hospital.Fees: Two guineas for one week; £25 for one year.Laboratory. The facilities for students include tech-nical work in histology, bacteriology and medicalmycology.Exhibitions. Semi-permanent exhibitions are availableduring the winter course. The third from December Ito 24 by Dr. P. D. Sammon will be on cutaneoustuberculosis and sarcoidosis.Museum. A collection of moulages is available. Thereis access to a large collection of histopathological sections.Lectures. A winter course, extending over six months,begins in October and a summer course is held in Mayand June. Both these courses consist of lectures at 5.30p.m. on Tuesdays, Wednesdays and Thursdays.Clinical demonstrations held on Fridays at 5.30 p.m.are designed for those intending to sit for the M.R.C.P.examination.December4 Dr. R. H. Meara. Atopy.5 Dr. C. D. Calnan. Epidermal sensitization.7 Dr. S. C. Gold. Clinical demonstration.

ii Dr. G. C. Wells. Pigmentation.12 Dr. C. D. Calnan. Drug allergy.13 Dr. R. H. Meara. Allergis reactions of the skin.14 Dr. A. D. Porter. Clinical demonstration.i8 Dr. A. Tickner. Fats and the skin.19 Dr. A. D. Porter. Light sensitivity.2I Dr. B. Russell. Clinical demonstration.'Enquiries should be made to the Dean, Institute of Der-matology, St. John's Hospital for Diseases of the Skin,Lisle Street, Leicester Square, London, W.C.2.

INSTITUTE OF LARYNGOLOGY ANDOTOLOGY.(Royal National Throat, Nose and EarHospital)A comprehensive course lasting 36 weeks and designedto cover the whole field of the speciality is held twice ayear beginning in February and August. This consistsof lectures, demonstrations and attendance on thepractice of the hospital, with facilities for dissection. Aspecial point is made of the anatomy, physiology andpathology related to the subject. There is also anintensive lecture course of six weeks twice yearly inpreparation for practical clinical training. An Advanced

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December 1956 Postgraduate News 6I9

Revision Class (xo w-eeis for M.S. and F.R.C.S.students is also given twice yearly. A practical revisionclass for Part II D.L.O. students is held twice yearly.Week-end courses in endoscopy, in aural surgery andin pathology are held twice yearly. The composite fee,including enrolment as a clinical assistant, attendanceon the hospital practice and at one of the comprehensivecourses, but excluding dissection, is £52 Ios.For further information application should be, addressedto the Dean, Institute of Laryngology and Otology, 330Gray's Inn Road, W.C.I.

INSTITUTE OF NEUROLOGY(The National Hospital, Queen Square, andthe Maida Vale Hospital for NervousDiseases)The teaching is mainly by attendance on the hospitalpractice. Some advanced students are appointed asfull-time clinical clerks at the National Hospital, QueenSquare, or to the electro-encephalographic or one ofthe other special departments, or to the research labora-tories. A limited number of part-time clinical clerkshipsare available at the Maida Vale Hospital with opportunityfor examining patients.In addition two full-time courses of ten weeks' durationare given each year, namely in the autumn and springterms. The first portion of each course deals with theanatomy and physiology of the nervous system, neuro-pathology and psychology, and consists mainly oflectures and demonstrations. The second portion dealswith clinical neurology, medical and surgical, neuro-ophthalmology, neuro-otology and radiology, andincludes lectures and demonstrations. Special lecturesby neurologists from outside London and from abroadare held throughout these courses. Fees for the tenweeks' full-time course, £z5; for attending hospitalpractice, £i8 for three months or ;32 for six months.Part-time teaching is given in the Out-Patient Depart-ment, at the National Hospital, Queen Square, on fivedays a week throughout the year (public holidaysexcepted) and at Maida Vale Hospital.Courses of clinical demonstrations are given on Wednes-days and Saturdays at the National Hospital, QueenSquare. Fee for either course, £2 2s. od. Advertise-ments concerning these appear from time to time inthe medical journals.Lectures. Two lecture courses are being given at theNational Hospital, Queen Square, during the autumnterm. Infection and infestation of the central nervoussystem on Wednesdays, and advanced level lectures inneurology on Mondays and Fridays. The fee is 7s. 6d.for an individual lecture. The titles for December are:December3 Dr. J. A. Bates. Cortical stimulation and the

human motor areas-II.5 Dr. M. J. McArdle. Cerebral and spinal throm-

bophlebitis.7 Dr. M. R. Dix and Dr. J. D. Hood. Investigation

of vestibular function.Io Dr. W. G. P. Mair. The pathology of infantial

hemiplegia and diplegia.14 Dr. C. S. Hallpike. Clinical -features, pathology

and diagnosis of disorders of the VIIIth nervesystem.

17 Dr. E. A. Carmichael. Fields for research inneurology.

19 Dr. R. A. Henson. Infestations of the centralnervous system.

Guest lecture on December 12 at 5.30 p.m. by Dr.Harold F. Schuknecht (Michigan U.S.A.) on the effect

on hearing of lesions of the acoustic nerve. Admissionfree.For further particulars please apply to the Dean, Instituteof Neurology, National Hospital, Queen Square, London,W.C.I.INSTITUTE OF OBSTETRICS ANDGYNAECOLOGY(Queen Charlotte's Maternity Hospital,Chelsea Hospital for Women, Department ofObstetrics and Gynaecology of Hammer-smith Hospital)Two terms of I3 weeks each are held, beginning in thesecond week of March and the first week of September(enrolment fee £3; £36 for the term's course). Generalpractitioners are accepted to attend for short periodsduring term time (fee £3 Ios. od. per week). Generalpractitioner refresher courses lasting one week are held atthe end of February and the end of June (fee C5 5s. od.).Ministry of Health grants are payable for approved prac-titioners attending either for two weeks during term,or the one week refresher course. An intensive coursesuitable for those preparing for higher examinations isheld during the first two weeks of December and thefirst two weeks of June (fee I14 I4s. od.). A limitednumber of postgraduates can be accepted to attend thepractice of the hospital during the winter vacation (fee

'i per week). Laboratory training in pathology, endo-crinology and cytology is available for a limited numberof postgraduates. The Institute has hostel rooms atQueen Charlotte's Hospital and Hammersmith Hospital.Further information and enrolment forms can be obtainedfrom the Secretary, Institute of Obstetrics and Gynaecology,Chelsea Hospital for Women, Dovehouse Street, London,S.W.3.INSTITUTE OF OPHTHALMOLOGY(Royal London Ophthalmic, Royal West-..minster Ophthalmic, Central LondonOphthalmic Hospitals)Courses of lectures and classes beginning March I andOctober I each year to meet the requirements of can-didates entering for the examination for the Diploma inOphthalmology and other ophthalmological examinationswill be given by members of the staff of the Hospital andInstitute. Each course is designed to extend over twoterms of approximately I8 weeks each and is normallydivided into two parts.Part I. Anatomy (including embryology and normalhistology), elementary physiology of the eye, optics(elementary and physiological), practical tutorials inrefraction work and clinical subjects.Part II. All clinical branches of the subject, togetherwith bacteriology and pathology. Students can attendthe daily clinical practice of the two branches of theMoorfields, Westminster and Central Eye Hospital, andhold the appointments of Clinical Assistants con-currently with the above courses. A composition feeof £26 5s. od. will admit students, once to thelecturesand tutorial classes of any one term, with six months'clinical practice in the hospital.Extra Courses. Slit lamp microscopy (fee,5£5s. od.);orthoptic training (one week's intensive course, fee£5 5s. od.); contact lenses (one week's: intensive course,fee £io Ios. od.) Additional courses by arrangement.Hospital Practice only. Fees as follows: One month,

z2 2s. od.; three months, £5 Ss. od.; six months,£Io Ios. od.Facilities for research.

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620 POSTGRADUATE MEDICAL JOURNAL December I956

For further information apply to the Dean, Institute ofOphthalmology, Judd Street, London, W.C.I.

INSTITUTE OF ORTHOPAEDICS(Royal National Orthopaedic Hospital)The Institute is concerned with postgraduate educationin orthopaedics and with research. The practice of theHospital (both at the town section in Great PortlandStreet and at the country section at Stanmore) and aRadiological Museum and the Wellcome Museum ofOrthopaedics are open to postgraduates, who mayjoin at any time. In addition to hospital practice, formalcourses of various lengths are held during academicterms.December 8. io a.m. Mr. J. I. P. James. Teachingward round, at Stanmore.Facilities for advanced clinical work are available forselected candidates having a suitable scientific orsurgical training.Further particulars may be obtained from the Dean,Institute of Orthopaedics, Royal National OrthopaedicHospital, 234 Great Portland Street, London, W.I.

INSTITUTE OF PSYCHIATRY (BethlemRoyal Hospital and Maudsley Hospital)The Institute is concerned with postgraduate educationin psychiatry and allied subjects, and with research. Acourse of instruction covering up to three years, andstarting in October yearly, is provided for medicalpractitioners who wish to specialize in psychiatry or toprepare for the Diploma in Psychological Medicine.Clinical instruction, which includes cast conferences,seminars, and practical experience in case taking, isgiven at associated hospitals in the mornings, andsystematic lectures and demonstrations are arranged forthe afternoons. Students may also enrol for shorterperiods or for single series of lectures.The subjects covered include anatomy and biochemistryof the nervous system, neurophysiology, pathology ofnervous and mental diseases, psychiatry of children andadults, delinquency, principles of psychotherapy,forensic psychiatry and criminology, psychology, menthltesting and statistics. There is a special six months'course in child psychiatry; comprising clinical instruc-tion and lectures, which starts on October I. Lectureson subjects of special interest are arranged from time totime. The tuition fee for a full year's course is£53 ios. od., including enrolment fee. For shorterperiods the fee varies with the type of course chosen.Selected students are eligible for appointments on thestaff of the Joint Hospital.Facilities for research and supervision of study forhigher degrees can be provided in clinical work and inthe biochemical, physiological, neuro-endocrinological,neuropathological and psychological laboratories.A course for Honours Graduates in Psychology is avail-able in clinical psychology for the Academic Post-graduate Diploma in Psychology. In conjunction withthe Institute of Neurology, a course in the techniques ofelectroencephalography is provided for doctors whoexpect to take up electroencephalographic appointmentsin hospitals.Further information may be obtained from the Dean,Institute of Psychiatry, Maudsley Hospital, DenmarkHill, London, S.E.s.

INSSTIUTE OF UROLOGY (St. Peter's, St.Paul's and St. Philip's Hospitals)Week-end courses of lectures and demonstrations,

beginning on Friday afternoon and ending on Sundayabout tea-time, are given about once a month, fromOctober to April, as advertised. Fee C5 5s. od. for eachcourse.Lectures for general practitioners are given on Wednes-days, throughout the winter months, at 4.30 p.m. for5 p.m. No fee.The practice of the hospitals, including the use of theInstitute museum, reading room and library, is open tostudents attending the courses.Applications should be addressed to the Secretary, Instituteof Urology, io Henrietta Street, Covent Garden, London,W.C.z.

EAST HAM CHEST CLINICOut-patient teaching. Mondays at 2.30 p.m.Apply Senior Registrar, East Ham Chest Clinic, KatherineRoad, Forest Gate, London, E. 7.

LONDON SCHOOL OF HYGIENE ANDTROPICAL MEDICINE(University of London)Courses of study are arranged for the C.P.H. andD.P.H. (London University); D.T.M. & H. (Eng.);and Academic Diploma in Bacteriology. Short coursesare arranged in the Principles of Medical Statistics andEpidemiology, Statistical Methods and their Applica-tion in Medicine, and Applied Helminthology.For further information and enrolment application shouldoe addressed to the Secretary, London School of Hygieneand Tropical Medicine, Keppel Street, Gower Street,London, W.C.I.

NORTH LONDON POSTGRADUATEMEDICAL INSTITUTECourses in advanced medicine, advanced surgery, andobstetrics and gynaecology. Instruction in pathology,anaesthetics and radiodiagnosis. Clinical instruction atBearsted Memorial Hospital, Chase Farm Hospital,North Middlesex Hospital, The Prince of Wales'sGeneral Hospital and St. Ann's General Hospital.For further information apply to the Dean, the Prince ofWales's General Hospital, London, N. 15.

PLAISTOW HOSPITAL CHEST UNITIn-patient round every Thursday at 4.30 p.m.Apply Registrar, Plaistow Hospital, Samson Street,Plaistow, London, E.13.

ROYAL LONDON HOMOEOPATHICHOSPITALClinical Tutorials. Practical instruction in the appli-cation of homoeopathic principles is given by theTutors, Dr. W. L. Templeton and Dr. D. M. Foubister,at their tutorial clinics in the O.P. Department onMonday at 2 p.m. and Thursday at 1.30 p.m. through-out the year. Open to medical practitioners withoutfee.A set course of Instruction in homoeopathy is given atintervals during the year.For further information application should be made tothe Dean of the Education Course, Royal London Homoeo-pathic Hospital, Great Ormond Street, London, W.C.I.

ST. MARY'S HOSPITAL MEDICAL SCHOOLObstetrical and gynaecological conferences will be held

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December I956 Postgraduate News 62I

in the Wright Fleming Institute Theatre, on Tuesdays,at 5 p.m. Admission free.December4 Mr. D. J. MacRae. Pregnancy and labour compli-

cated by heart disease.I I Dr. J. D. W. Pearce. The psychoses of pregnancy,

labour and the puerperium.

ST. STEPHEN'S HOSPITAL(Rheumatism Unit)A concentrated weekend course in the rheunmatic diseasesis given each year, in March, under the auspices of theFellowship of Postgraduate Medicine.A limited number of postgraduates can attend the out-patient sessions of the unit on Wednesday and Fridaymornings at io a.m.Applications for attendance at these sessions should bemade to the Medical Registrar, Rheumatism Unit, St.Stephen's Hospital, Fulham Road, S.W.io.

WEST END HOSPITAL FOR NEUROLOGYAND NEUROSURGERYClinical demonstrations in neurology will be given onTuesdays at 5.30 p.m. as follows. No fee.December4 Mr. K. I. Nissen. Median nerve palsy of the wrist.xI Dr. D. F. Bosanquet. Neuropathology.i8 Dr. G. A. D. Gordon. Demonstration of neuro-

radiology.Forfurther information, applications should be addresses tothe Secretary of the Medical School, West End Hospitalfor Neurology and Neurosurgery, 9i Dean Street,London, W.i.

EMPIRE RHEUMATISM COUNCILLecture courses in rheumatic diseases are arrangedfor general practitioners and other postgraduatesperiodically.Particulars are obtainable from the General Secretary,Empire Rheumatism Council, Tavistock House (N),Tavistock Square, London, W.C.I.

ROYAL INSTITUTE OF PUBLIC HEALTHAND HYGIENEThe Royal Institute of Public Health and Hygieneconducts recognized courses of instruction (startingannually in March and September) for the examinationsof the Conjoint Board of the Royal College of Physiciansof London and the Royal College of Surgeons ofEngland for the Diploma in Public Health. Studentsare also prepared for the Diploma in Industrial Healthexaminations of the Conjoint Board and of the Societyof Apothecaries of London. Courses, the next begin-ning on March 15, I957, may be taken whole-timeor part-time, and consist of both lectures and visits.In the D.P.H. the practical work is carried out at acounty borough.Prospectuses, enrolment forms and full particulars may beobtainedfrom the Secretary, The Royal Institute of PublicHealth and Hygiene, 28 Portland Place, London, W.i.Telephone: Langham 2731-2.INSTITUTE OF ACCIDENT SURGERY(Birmingham Accident Hospital)A course on the treatment of injuries will be held at theBirmingham Accident Hospital. Arrangements will bemade to provide facilities for those taking part in thecourse to attend emergency operations as they occur.

Fee £7 7s. od. (including lunch and tea.)Applications should be made to the Secretary, Mr. RuscoeClarke, F.R.C.S., Institute of Accident Surgery, Birming-ham Accident Hospital, Bath Row, Birmingham, I5.BRISTOLMedical Postgraduate Department of theUniversity of BristolDiploma Courses. These begin in October and areadvertised in the medical press in April. Provided thereare sufficient candidates, instruction is provided in childhealth; radiodiagnosis (Diplomas of Conjoint Board).Further information, copies of regulations for the BristolDiplomas application and forms for the courses may beobtained from the Director of Medical PostgraduateStudies, The University, Bristol 8.

CAMBRIDGECambridge University Medical SchoolSummary of postgraduate facilities for general medicalpractitioners from October i, 1956 to July 3I, I957(Bank Holidays excepted) at Addenbrooke's Hospitalunless otherwise stated.Each Week. Mondays: Io. I a.m., Maternity Hospital,Mill Road, abnormal ante-natal clinic (Miss J.Bottomley); Io.3o a.m., ward round, medical cases(Dr. A. P. Dick); 2.30 p.m., ward round, medicalcases (Dr. L. C. Martin); 2.30 p.m., O.P. clinic, 2 Bene'tPlace, psychiatric cases or subject (Dr. D. RussellDavis). Tuesdays: 9.15 a.m., O.P. department, derma-tological clinic (Dr. A. J. Rook); 10.3O a.m., wardround, medical cases (Dr. L. B. Cole); 2.I5 p.m., O.P.department, dermatological clinic (Dr. A. J. Rook;)2.30 p.m., department of physical medicine, demonstra-tion of cases and methods (Dr. W. A. Fell). Wednes-days: io a.m., ward round, the Regius Professor ofPhysic and staff of department of medicine, haemato-logical cases; I I a.m., dermatological clinic, O.P. depart-ment (Dr. C. H. Whittle); 2 p.m., O.P. department,E.N.T. cases (Dr. K. F. Wilsdon); 2.30 p.m., O.P.department, dermatological cases (Dr. C. H. Whittle).Thursdays: IO.30 a.m., ward round, medical cases (Dr.L. B. Cole); i a.m., ward round, Papworth Hospital,thoracic surgical unit (Mr. C. Parish); 2.15 p.m., O.P.department, cardiac clinic (Dr. L. B. Cole). Fridays:io a.m., ward round, surgical cases (Mr. J. F. R. Withy-combe); 2.15 p.m., ward round, paediatric cases (Dr.D. M. T. Gairdner); 2.I5 p.m., O.P. department,dermatological clinic (Dr. A. J. Rook); 2.30 p.m., O.P.department, endocrine clinic (Dr. L. C. Martin);2.30 p.m., O.P. department, gastroenterological clinic(Dr. A. P. Dick and Dr. F. R. Berridge). Saturdays:10.3o a.m., ward round, medical cases (Dr. L. B. Cole).Each month. First Monday: 2.30 p.m., radio-thera-peutic centre, diagnosis and treatment of cancer (Prof.J. S. Mitchell). 2.30 p.m., X-ray department, radio-logical demonstration (Dr. D. McL. Gregg). FirstTuesday: 2 p.m., O.P. department, psychiatry (Dr.R. A. Noble). First Thursday: 2.30 p.m., orthopaedicO.P. department, orthopaedic cases or subject (Mr. T. J.Fairbank). First Friday: 2 p.m., The Clinic, Shire Hall,Castle Hill, diseases of the chest (Dr. M. Greenberg andMr. C. Parish). First Saturday: 10.3o a.m., O.P. de-partment, ophthalmic cases (Dr. E. G. Recordon).Second Thursday: 9.30 a.m., O.P. department, plasticsurgery clinic (Mr. L. M. Rouillard). Third Monday:2 p.m., ward round, surgical cases (Mr. B. McN.Truscott); 9.30 a.m., O.P. department, gynaecologicalcases (Mr. O. Lloyd); 3 p.m., O.P. department, clinicalpsychiatry (Dr. E. Beresford Davies). Third Wednes-

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622 POSTGRADUATE MEDICAL JOURNAL December I956

day: 9.30 a.m., O.P. department, urological and generalsurgical cases (Mr. J. F. R. Withycombe); 10.30 a.m.,orthopaedic O.P., cases (Mr. R. W. Butler); 2.30 p.m.,X-ray department, radiological demonstration (Dr. F. R.Berridge); 5 p.m., lecture theatre, pathology depart-ment, Tennis Court Road, clinico-pathological con-ference (Dr. A. M. Barrett). Third Thursday: 10.30a.m., O.P. department, E.N.T. cases (Mr. A. S. H.Walford). Fourth Monday: 9.30 a.m., ward round,general surgical cases (Mr. P. H. R. Ghey); io a.m.,O.P. department, ophthalmic cases (Mr. G. F. Wright).Fourth Thursday: 3 p.m., O.P. department, psychiatriccases (Dr. D. H. Clark).Post-mortem demonstrations daily (except Satur-days) at 12.I5 p.m.One-day Symposia will be held at 10.3o a.m., onSaturdays each month, as follows:December 8: Haematology. January Iz, 1957: Dia-betes mellitus. February 2: Dermatology. March 9:Cardiovascular diseases. April 6: Malignant disease.May xi: Paediatrics. June x: Respiratory diseases.June 29: Some preventive aspects of disease. July I3:Psychiatric disorder.Further particulars may be obtained from the Secretary,Cambridge University Medical School, Tennis CourtRoad, Cambridge.

CARDIFFThe Welsh National School of MedicineD.P.H. Wales (Diploma in Public Health). Part-time course from October 1958, extending over twoacademic years.T.D.D. Wales (Tuberculous Diseases Diploma).Five to six months' full-time course, January to June.D.M.R.D.Eng. (Diploma in Medical Radio-diagnosis). Eighteen months' full-time course fromOctober.D.C.H.Eng. (Diploma in Child Health). Two sessionsweekly for 12 months.The number of admissions to each of the above courses isstrictly limited and early application should be made tothe Secretary, The Welsh National School of Medicine,34 Newport Road, Cardiff.

DUBLINUniversity CollegeThe following courses will be held during the session1955-56:-C.P.H. Course and examination. Michaelmas Term.D.P.H. Course. Hilary and Trinity Terms.

Examinations. Summer Term.D.P.M. Course. Michaelmas Term. Examination,

summer term.Further particulars may be obtained on application to theRegistrar, University College, Earlsfort Terrace, Dublin.

EDINBURGHEdinburgh Postgraduate Board for MedicineGeneral Surgery. Three months' courses of post-graduate surgery suitable for surgeons requiring arefresher course in the current outlook on generalsurgery or for graduates preparing to specialize insurgery, to start on March I8 and September 30,1957. The programme has been arranged so as toprovide co-ordinated clinical and systematic instructionin general surgical wards and specialized surgical unitsin Edinburgh. Fee £3I IOS. od.Medical Sciences. A three months' course in

applied anatomy, physiology, pathology, bacteriologyand biochemistry will begin on June 24, 1957. Thiscourse includes an adequate amount of practical instruc-tion and is suitable for postgraduates wishing to takethe Primary Fellowship examination. Fee 43I Ios. od.Two courses in the basic medical sciences (anatomy,physiology, pathology including bacteriology) arearranged by the Royal College of Surgeons, under theaegis of the Edinburgh Postgraduate Board for Medi-cine. These courses, comprising lectures, demonstra-tions and practical instruction, will begin on Februaryi I and October 14, 1957, and continue for tenweeks. Fee £26 5s. od.Internal Medicine. A course lasting I2 weeks, suit-able for graduates wishing a refresher course, or tospecialize in medicine, will begin on March 25, andSeptember 23, I957. This course consists of 320 hours'instruction, comprising lectures, clinical demonstrationsand ward visits. Fee £31Ios. od.The Royal College of Physicians of Edinburgh awardtwo Hill Pattison-Struthers Bursaries each year tograduates attending the Internal Medicine course.Each Bursary amounts to CIoo. Applications must besubmitted to the Secretary, Royal College of Physiciansof Edinburgh, at least two months prior to the startingdate of the course for which they are enrolled.Additional instruction in clinical paediatrics and tropicalmedicine is arranged in conjunction with the course inmedicine, for which there is a small fee; the numbersare limited.Refresher Course for General Practitioners. Acourse lasting a fortnight starts annually in the firstweek of May.Applications for enrolment should be addressed to theDirector of Postgraduate Studies, Surgeons Hall, Edin-burgh 8, supplying particulars of qualifications andpostgraduate experience.

Royal Medical SocietyThe meetings of the Society are held in the Society'sHall on Friday evenings during the Autumn and SpringTerms. Meetings consist of Private Business (at 7 p.m.)and Public Business (at 8 p.m.) in which dissertationsby members or addresses by prominent medical men onsubjects of medical interest are given. Clinical meetingsare held periodically in the Royal Infirmary and filmshows of the latest medical films are given in the Society'sRooms. Prospective members will be welcomed on anyFriday evening in the Society's Hall before publicbusiness.Applications for further information should be addressedto the Secretary, Royal Medical Society, 7 MelbournePlace, Edinburgh, I.

LIVERPOOLUniversity of LiverpoolThe following postgraduate courses of instruction areoffered:Surgery. A full-time course of one year suitable forcandidates who have already completed the PrimaryExamination of the F.R.C.S., or undertaken post-graduate study in anatomy and physiology. On com-pletion of the course students become eligible to takethe Mastership of Surgery (Ch.M.) of this Universityprovided they are graduates of an approved Universityor otherwise comply with the regulations. The fee forthe course is £60. The course begins in September.Orthopaedic Surgery. A full-time 12-month courseleading by examination to a Mastership in OrthopaedicSurgery (M.Ch.Orth.) open to all medical graduates ofapproved Universities (and to graduates in other

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December I956 Postgraduate News 623

faculties with qualifications in medicine) who hold anF.R.C.S. of one of the British colleges or its equivalent.The fee for the course is £70. The course normallybegins in January.Radiology. A full-time course of two academicyears leading to a D.M.R. (D. or T.) open to medicalgraduates of approved Universities and to medicallyqualified candidates who hold approved higher medicaldiplomas and a degree in a faculty other than medicine.The course allows a candidate to hold suitable approvedhospital appointments during the second year andcovers the regulations required by the Conjoint Board.The fee for the two-year course is C63. The coursebegins in October. The degree of M.Rad. mawy, afterreport by the Faculty, be conferred on holders of theD.M.R. (D. or T.) of this University under certainconditions.Public Health. A full-time one-year course leading tothe Diploma in Public Health, open to candidates witha medical qualification from an approved medical schoolor licensing body. This qualification should have beenobtained not less than two years before admission tothe course. The fees amount to £73 13s. All courses ofinstruction begin in October.Tropical Medicine and Hygiene. A full-time three-month course leading to the Diploma in TropicalMedicine and Hygiene (D.T.M. & H.) open to candi-dates with a medical qualification from an approvedmedical school or licensing body. The course begins inSeptember and January. Fee £53 IIs.Anaesthesia., A full-time course of postgraduateinstruction, limited to ten students, begins on October Iand lasts for one year. The course combines instructionin the practical administration of anaesthetics with lec-tures and demonstrations in anatomy, physiology,pathology, physics, pharmacology, medicine and surgery,and anaesthesia. For the purpose of gaining practicalexperience, the students are found suitable appointmentsin recognized General Hospitals within the Liverpoolarea. The fee for the course is £6o.Psychiatry. A part-time course begins on January Iand lasts for two years. It is divided into two partscorresponding to the two parts of the Diploma in Psy-chological Medicine awarded by the Examining Boardin England (R.C.P. Lond. and R.C.S. Eng.). Part Iprovides instruction in (a) anatomy (macroscopic andmicroscopic) and physiology of the nervous system, and(b) psychology. Part II deals with (a) clinical neurologyand neuropathology and (b) psychological medicine,including psychoneuroses, mental deficiency, childpsychiatry, forensic psychiatry and social psychiatry.Parts I and II will be held simultaneously. Studentsmay enrol for either part separately but, except inspecial circumstances, will not be permitted to takeboth parts concurrently. Applications to attend inrespect of a special subject in Part II (e.g. mentaldeficiency) will be considered individually. FeesLIz I2S. od. per term or £7o for the whole course.Applications for further information should be addressedto the appropriate department of the University, Liver-pool, 3.

MANCHESTERUniversity of ManchesterThe following postgraduate courses are offered:-D.P.M. A part-time course beginning in October andextending over eight academic terms.D.P.H. A part-time course begins in October in&lternate years and extends over two academic years.The-neit course will begin in October x958.

D.M.R.D. A full-time course will begin in March1957. Applicants must fulfil the requirements of theExamining Board in England.D.M.R.T. A full-time course will begin at the ChristieHospital and Holt Radium Institute in April I957.Applicants must fulfil the requirements of the ExaminingBoard in England.Further particulars may be obtained from the Dean ofPostgraduate Medical Studies, The University, Man-chester 13.NEWCASTLEThe Medical School, King's College(University of Durham)Public Health. A part-time course is held for theD.P.H. The course occupies five terms, two-and-a-halfdays each week being occupied in whole-time study,leaving the remainder of the time free for remuneratedemployment. The course is held biennially and the nextcomplete course will begin in January I957.Psychological Medicine. Courses for the D.P.M.(Dunelm) are held as follows: Part I, part-time courseextending over three terms and beginning October.Part II, full-time course extending over two terms alsobeginningin October. Part I and Part II may be takentogether.For further information application should be made to theAssistant Registrar, Medical School, King's College,Newcastle upon Tyne.

OXFORDPostgraduate Medical StudiesSummary of ward rounds, clinics, demonstrations,etc., open to general practitioners during December1956, in the Radcliffe Infirmary, unless otherwisestated.Medicine. Ward rounds, Io.I5 a.m., Mondays andThursdays (Dr. A. M. Cooke); Tuesdays and Fridays(Dr. P. C. Mallam); Wednesdays (Dr. E. M. Buzzard).Clinical demonstrations, 2.15 p.m., Thursdays in fullterm (Prof. L. J. Witts, Dr. S. C. Truelove, Dr. SheilaCallender). Medical consilia, 5 p.m., Wednesdays inalternate weeks in full term (Prof. L. J. Witts andothers. Clinical-pathology. Conferences, 5 p.m.Wednesdays, alternate weeks in full term (Dr. A. H. T.Robb-Smith and staff). Chest diseases. Clinicaldemonstrations, by arrangement with Dr. F. Ridehalgh,Osler Hospital. Geriatrics. Clinical demonstrationsby arrangement with Dr. L. Z. Cosin, Cowley RoadHospital. Infectious diseases. Clinical demonstra-tions, by arrangement with D. J. F. Warin, SladeHospital. Neurology. (Medical and surgical) clinicaldemonstrations, 5 p.m., Thursdays in full term (Mr. J. B.Pennybacker, Dr. W. Ritchie Russell, Mr. W. S. Lewin,Dr. Honor Smith, Dr. C. W. M. Whitty, Dr. J.Spalding); O.P., 1.45 p.m., Wednesdays (Mr. J. B.Pennybacker, Mr. W. S. Lewin); 2 p.m., Tuesdays andWednesdays (Dr. W. Ritchie Russell, Dr. C. W. M.Whitty). Paediatrics. Ward rounds, 10.3o a.m.,Saturdays (Dr. Victoria Smallpeice). Psychiatry.Clinical demonstrations, 4 p.m., Fridays in full term atWarneford Hospital (Dr. R. G. McInnes). Skindiseases. 2 p.m., Mondays and Fridays (Dr. AliceCarleton). Social medicine. Demonstrations byarrangement with Dr. Alice Stewart, Social MedicineUnit, 8 South Parks Road. Venereal diseases. O.P.male, 5.30 p.m. Wednesdays, 2.15 p.m. Saturdays(Dr. P. C. Mallam); O.P., female, 6 p.m. Mondays;2.30 p.m. Wednesdays (Dr. Frances Nichol). Surgery.

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624 POSTGRADUATE MEDICAL JOURNAL December x956

Ward rounds, 9.30 aim. Mondays, 10.30 a.m. Thursdays,Churchill Hospital (Mr. A. S. Till). O.P. fractures,io a.m. daily (Mr. J. C. Scott, Mr. R. G. Taylor,Mr. J. D. Morgan). Clinical demonstrations, 4.30 p.m.Tuesdays. Orthopaedic surgery. Clinical discussions,9 a.m. Thursdays and Saturdays at Wingfield-MorrisOrthopaedic Hospital (Prof. J. Trueta, Mr. J. C. Scott,Mr. R. G. Taylor, Mr. E. W. Somerville, Mr. J.Agerholm, Mr. J. D. Morgan, Mr. W. Waugh). Plasticsurgery. Clinical discussions and O.P., 2 p.m.Mondays, Stoke Mandeville Hospital, 2 p.m. Fridays,Churchill Hospital (Prof. T. P. Kilner), io a.m. Thurs-days, Churchill Hospital (Mr. E. W. Peet), 2 p.m.Wednesdays, Churchill Hospital (Mr. J. S. Calnan).Radiotherapy. Ward rounds, 4.30 p.m. Mondays,Churchill Hospital (Dr. Frank Ellis). Obstetrics.Lecture demonstrations, 9.15 a.m. Mondays, Tuesdays,Fridays (Prof. J. C. Moir and staff); ward rounds, I I a.m.Fridays (Prof. J. C. Moir). O.P. ante-natal, 2 p.m. Mon-days (Mr. M. P. Embrey), io a.m. Wednesdays (Mr. W.Hawksworth), 2 p.m. Thursdays (Mr. J. A. Stall-worthy), 2 p.m. Fridays (Prof. J. C. Moir and staff), 2p.m. Mondays, Churchill Hospital (Mr. J. A. Stall-worthy), io a.m. Fridays, Churchill Hospital (Mr. W.Hawksworth). O.P. post-natal, Io a.m. Tuesdays(Prof. J. C. Moir and staff); Infant Welfare Clinics, 2p.m. Wednesdays and Thursdays, by arrangement withDr. Mary Fisher, City Clinics. Gynaecology. Wardrounds, xI a.m. Tuesdays (Prof. J. C. Moir), 10.30a.m. Wednesdays (Mr. J. A. Stallworthy).General practitioners wishing to avail themselves of thesefacilities should notify the Director of PostgraduateMedical Studies, Osler House, 43 Woodstock Road,Oxford (Telephone: Oxford 3609).

CONFERENCES, PRIZES, Etc.Queen Square Prize in Neurology. A prize of CIoowill be awarded annually to the postgraduate student,or ex-student, of the Institute of Neurology whopresents the best written paper describing clinical workcarried out or initiated at the National Hospitals forNervous Diseases. Entries must be submitted not laterthan September 30 each year.Full particulars from the Dean, Institute of Neurology(Queen Square), The National Hospital, Queen Square,London, W.C.i.University of Edinburgh, Faculty of Medicine.University (Fellowships, Scholarships and Bursaries)Scheme Ltd. In terms of the above-named scheme,

certain funds have been amalgamated to form a MedicalFaculty Scholarships Fund, from which awards ofFellowships and Scholarships will be made under thefollowing conditions. Graduate Research Scholar-ships. Four are offered for award, each tenable forone year and, in certain circumstances, renewable fora second year. For the first year the minimum valueshall be L5oo and for the second year £6oo. TheScholarships shall be open to graduates in the Facultyof Medicine of any University; to graduates in theFaculties of Arts or Science of any University who holdan Honours Degree; and to licentiates in medicine.They shall not be open for award to any applicant who,excluding any period spent in National Service, hasheld a degree or licence for longer than three years.Those to whom awards are made shall be required toundertake research work in a department within theFaculty of Medicine. The Scholarships will normallybe awarded at the beginning of each academic year inOctober. Graduate Research Fellowships. Threeare offered for award, each tenable for one year, renew-able for a second year and, in special circumstances, fora third year. For the first year, the minimum valuewill be £700; for a second year, C8oo; and for thethird year, 90oo. The Fellowships shall be open tograduates as for Research Scholarships above; theresearch work shall be required to be undertaken ina department within the Faculty of Medicine, and theawards will normally be made at the beginning of eachacademic year in October.Applications for the Scholarships or Fellowships (whichare to be made on the prescribed applicationform obtainable1rom the Faculty of Medicine on request) must be sub-mitted, through the Head of the Department concerned,to the Dean, Faculty of Medicine, University New Build-ings, Teviot Row, Edinburgh 8, by April 30 in the year ofaward, and should be accompanied by a statement of thework which the applicant proposes to undertake.Experimental Research into Problems of Ageing.Candidates are invited to submit papers descriptive ofwork in this field for awards for I957. Not less than fiveawards, of an average value of 30oo each, are availablefor I957; the announcement of awards will be made inJuly 1957. Entries must be received not later thanJanuary 3I, I957, and the work submitted should nothave been published before May 31, I956. Papersshould not be more than 7,000 words in length and maybe in the candidate's own language.Full particulars and form of application obtainable fromthe Director, Ciba Foundation, 41 Portland PlaceLondon, W.I.

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