T HE : ~ '-

1*ED,CAL3ONUALNo. 347

SEPTEMBERI sS+

EDITORIAL

SURGERY OF PEPTIC ULCERATION AND ITS COMPLICATIONSNVerman C. Tanner, M.P., F.R.C.S.

THE TREArI\IENT OF ANURIAGabr-iel Richet, Jean Cresnier and Georges M1Ithe

INBORN DEFECTS OF THE tENAL TUBULETV. WF. P,)yne, MR.1., F.R.C.P.

EOSINOPHILIC INFILTRATION OF THE STrOMACH AND BOWELI. M. Orr, M.., Ch.M., lF.R.C.S.(Ed.), A. A. Mliller, M.P., andj. Y. W. Russell, F.K.C.S.(Ed.)

ADRENAL APOPLEXY: A REPORT OF A CASE AND ITS MANAGEMENTA. HIeInry Milltrd, B.Sc., M.N., I.S., F.R.C.S.

MIANUFACTURERS' NOTES

BOOK REVIEWS

POSTGRADUATE NEWS

PRkICE 316 MONTHLY(ANNUAL SUBSCRIPTION 3Cj-)

Put1wished lyTHE FELLOWSHIP OF POSTGRADUATE MEDICINE-

V@L. 30

THE

POSTGRADUATEMEDICAL JOURNAL

VOLUME 30 NUMBER 347 SEPTEMBER I954

CONTENTSPAGE

EDITORIAL 447

SURGERY OF PEPTIC ULCERATION AND ITS COMPLICATIONS

(to be published in three sections) Norman C. Tanner, M.D., F.R.C.S. 448

THE TREATMENT OF ANURIA Gabriel Richet, Jean Crosnier and Georges Mathe 467

INBORN DEFECTS OF THE RENAL TUBULE W. W. Payne, M.B., F.R.C.P. 476

EOSINOPHILIC INFILTRATION OF THE STOMACH AND BOWELI. M. Orr, M.D., Ch.M., F.R.C.S.(Ed.), A. A. Miller, M.D., and

Y. Y. W. Russell, F.R.C.S.(Ed.) 485

ADRENAL APOPLEXY: A REPORT OF A CASE AND ITS MANAGEMENTA. Henry Millard, B.Sc., M.B., B.S., F.R.C.S. 495

MANUFACTURERS' NOTES 498

BOOK REVIEWS 499

POSTGRADUATE NEWS 503

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

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

ADVISORY EDITORIAL BOARDMaurice Davidson, M.A., D.M., F.R.C.P. David Levi, M.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.Sol M. Cohen, F.R.C.S. Andrew Monro, M.D., F.R.C.S.Colin Edwards, M.B., M.R.C.P. K. I. Nissen, F.R.C.S.L. P. Le Quesne, F.R.C.S. R. S. Bruce Pearson, D.M., F.R.C.P.

Editorial Representative for Australia: Clive Fitts, M.D.(Melb.), F.R.C.P.(London), F.R.A.C.P.Editorial Representative for Ceylon: M. M. A. Cader, M.S.(Lond.)

PUBLISHERSThe Fellowship of Postgraduate Medicine, 6o Portland Place, London; W.i

498 POSTGRADUATE MEDICAL JOURNAL September I954

take rightful precedence in diagnosis over adrenalapoplexy.

TreatmentTo date treatment has been of little more than

theoretical interest. Thorstad (I942) enumeratedrest, adrenalin, adrenal cortical extract, mainten-ance of normal water balance and blood chemistry,intravenous fluids including blood and plasma andchemotherapy. He suggested the use of desoxy-corticosterone but there were no reports of its use,up to the time of his paper (I942). It was ad-mitted that surgery theoretically offered a littlehope in unilateral cases but none in bilateral ones.The present case suggests that if at laparotomy

the diagnosis is established, bleeding might bearrested and hypotension brought under controlwith the aid of noradrenaline which appeared toplay a decisive role in the management of thisparticular case. As far as could be ascertained, thecortical constituents of the adrenal played nosignificant part in the clinical course of the con-

dition, probably owing to the fact that the lesionwas unilateral.

SummaryI. A case of unilateral adrenal apoplexy in an

adult and its successful management is described.2. The pathology and clinical features are

discussed.3. The use of noradrenaline was thought to

have played a decisive role in the control of hypo-tension which was a prominent feature in thiscase.My thanks are due to Mr. D. B. Foster, United

Cardiff Hospitals, for permission to publish thiscase, which was admitted and treated under hiscare.

BIBLIOGRAPHY]DUDGEON, L. S. (1904), Amer. _. med. Sc., 127, 134.FANTUS, J. B. (1936), Y. Amer. med. Ass., 107, I4.INNEFIELD, et al. (I952), Amer. med. 7., 12, 3.LAVERSON, R. S. (I908), Arch. Int. Med., 2, 62.PEARL, F., and BRUNN, H. (I928), Surg. Gyn. and Obst., 47, 393.THORSTAD ('9,t2), Amer. J. Surg., 55, 44.

IJlaK6acf1ttetv(

½"late t

HYALURONIDASE IN CLINICAL PRACTICEJohn Wyeth and Brother Ltd. have issued a short

booklet describing in a practical way the indicationsfor and technique of administering hyaluronidaseto patients. It should be of value to all doctorsbecause this drug can help to simplify so manyprocedures. The introduction of hyaluronidase intoclinical practice has been one of the most valuableminor advances in therapeutics of the last fewyears.

'QUOTANE '-A NEW TOPICALANAESTHETIC

Menley & James, Ltd., Coldharbour Lane,London, S.E.5, announce the introduction of' Quotane,' a topical anaesthetic for relieving thesymptoms of itching, burning and pain, associatedwith lesions of the skin. ' Quotane' belongs toa group of compounds (amino-alkoxisoquinolines)which are unrelated to the ' caine ' group oftopical anaesthetics. It has a long-lasting effect,

a very low index of sensitization, and is remark-ably safe. ' Quotane ' is not a treatment, but is avaluable support to the treatment of skin condi-tions that give the patient discomfort. By reducingitching, it discourages scratching, which so oftenleads to secondary infection via the superaddedlesions. It has shown especially good results inanogenital pruritus. ',Quotane' is issued inI-OZ. (28 g.) tubes.

TBE WELLCOME FOUNDATION LTD.H. T. Openshaw, B.Sc., M.A., D.Phil.(Oxon.),

has been appointed head of the Chemical Divisionof The Wellcome Research Laboratories, Becken-ham. Dr. Openshaw was Purdie Lecturer inChemistry in the University of St. Andrews andwas formerly a lecturer in the University ofManchester.

Dr. Openshaw succeeds Dr. D. W. Adamson,who last year became Research Director of TheWellcome Foundation Ltd., and Director of TheWellcome Research Laboratories, Beckenham.

499

TiHE POSTGRADUATE

A CIBA SYMPOSIUM

METABOLIC AND TOXIC DISEASES OF THE NERVOUS SYSTEM

THE ANTISEPTIC

PRACTICAL PROCEDURES IN CLINICAL MEDICINE

TREPONEMATOSIS

RECENT ADVANCES IN SURGERY

PSYCHOLOGY, THE NURSE AND PATIENT

SPINAL EPIDURAL ANALGESIA

THE MECHANISM OF INFLAMMATION

TEXTBOOK OF MEDICINE

503

POSTGRADUATE NEWSSeptember 1954

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 POSTGRADUATEMEDICINESurgery (F.R.C.S.) General and Genito-Urinary.September 6 to 22. Mondays and Wednesdays at5 p.m., Whittington Hospital (Archway Wing). Limited.Fee £5 5s. od. (No entries accepted until syllabus ispublished and circulated).Obstetrics and Gynaecology (M.R.C.O.G..) Sep-tember I5 to January 13, I955. All day Wednesday andThursday. Clinical cases, pathology, written papers.Oldchurch Hospital, Romford. Limited. Fee £2 I.Obstetrics (D.Obst.R.C.O.G.). September 20 to 25.All day. West Middlesex Hospital. Limited. Fee4 4s. od.Surgery (Revision F.R.C.S.). September zo toOctober 22. Monday, Thursday and Friday mornings.Royal Cancer Hospital. Limited. Fee CI5 15S. od.(No entries accepted until syllabus is published andcirculated.)General Medicine (M.R.C.P.). September 20 to 24.Connaught Hospital, Walthamstow. 7 to 9 p.m.Limited. Fee £3 13s. 6d. (No entries accepted untilsyllabus is published and circulated.)Orthopaedic (F.R.C.S.) Week-ends. September I8-19, 25-26, October 9-IO. Saturdays and Sundays.Rowley Bristow Orthopaedic Hospital, Pyrford. Limited.Fee £io ios. od. (No entries accepted until syllabus ispublished and circulated).Surgery (F.R.C.S.). October 6 to 27. Wednesdays.at 5 p.m. Whittington Hospital (St. Mary's Wing).Limited. Fee £4 4s. (No entries accepted untilsyllabus is published and circulated.)General Surgery (F.R.C.S.) Evening. October I8to 22. Daily 7 p.m. to 9 p.m. Connaught Hospital,Walthamstow. Limited. Fee £3 13S. 6d. (No entriesaccepted until syllabus is published and circulated).Plastic Surgery (Week-end). October 23 and 24. Allday Saturday and Sunday. Plastic & Jaw Unit, Rooks-down House, Basingstoke. Limited. Fee C3 3s. od.(No entries accepted until syllabus is published andcirculated).General Medicine (M.R.C.P.) Week-end. November2I and 22. All day Saturday and Sunday. Clinicalcases for examination. St.. Nicholas and Brook General

Hospitals. Limited. Fee £5 5s. od. (No entriesaccepted until syllabus is published and circulated).Infectious Diseases (M.R.C.P.) Weekend. October30 and 3I. All day, Saturdav and Sunday. ParkHospital, Hither Green.. Limited. Fee £3 3s. od.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 obtainedprom the office daily between io a.m. and 5 p.m. (Saturdays,IO a.m. to 12 noon). Telephone: Langham 4266.

ROYAL COLLEGE OF SURGEONS OFENGLANDSurgery Course of Lectures and Clinical Con-ferences. A course will be held from September 27to October i5. Students will be able to attend not lessthen ten clinical conferences and approximately tenstudents will attend each session. Applications cannotbe accepted for the clinical part of the course only, andthe number of students accepted for the combinedcourse will be limited.Application for further information should' be made -toMr. W. F. Davis, Deputy Secretary, Royal College ofSurgeons, Lincolns Inn Fields, London, W.C.-2.Faculty of Anaesthetists. A course of lectures andtutorials will be held from October i i to I9.Application for further particulars should be made toMr. W. F. Davis, Secretary, Faculty of Anaesthetists,Royal College' of Surgeons, Lincolns Inn Fields, London,W.C.2.

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.The following lectures will be held at the Hall.Admission free.

POSTGRADUATE MEDICAL JOURNAL

Nov.2 4.30 p.m. Dr. B. F. Scowen. The clinico-patho-

logical aspect of bilateral adrenalectomy.5.45 p.m. Mr. J. D. Fergusson. The surgicalaspect of bilateral adrenalectomy.

4 4.30 p.m. Prof. Lawrence P. Garrod. Some recentdevelopments in antibiotic therapy.5.45 p.m. Sir Lionel Whitby. The treatmentof anaemia.

8 4.30 p.m. Dr. Frank S. Cooksey. The conserva-tive management of painful arthritis.5.45 p.m. Mr. H. Lyon-CampbeU Wood. Thesurgery of painful arthritis.

10 4.30 p.m. Dr. E. R. Cullinan. Liver disease andits treatment.5.45 p.m. Dr. C. J. C. Britton. Allergic disorders.

i6 4.30 p.m. Prof. A. C. Frazer. The causes andtreatment of steatorrhoea.5.45. Prof. D. M. Dunlop. The present status ofcortisone in therapeutics.

For further information applications should be addressedto the Registrar, Society of Apothecaries, Black FriarsLane, London, E.C.4.

DENTAL BOARD OF THE 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 and further information can beobtained on application to the Director, Dental Post-graduate Bureau, 44 Hallam Street, London, W. i.

BRITISH POSTGRADUATE MEDICALFlDERATION (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 ofPsychiatry, Institute of Laryngology and Otology,Institute of Ophthalmology, Institute of Child Health,Institute of Obstetrics and Gynaecology, Instituteof Neurology, Institute of Orthopaedics, Instituteof Dental Surgery, Institute of Cancer Research,Institute of Cardiology ; associated institutes are theInstitute of Diseases of the Chest, Institute of Derma-tology, Institute of Urology, and Institute of BasicMedical Sciences.Courses for general practitioners will be held as follows:

GeneralSeptember I3 to I8. Prince of Wales General Hospital,September 27 to October I. London Undergraduateand Postgraduate Teaching Hospitals.October 4 to 9. Whittington Hospital, N.I9.Obstetrics and GynaecologySeptember 20 to 24. Lewisham Hospital, S.E.i3.Extended CoursesGeneralSeptember 23 to, November iI (eight Thursday after-noons; for general practitioners' trainers). LondonUndergraduate and Postgraduate Teaching Hospitals.Applications for places on the above courses should bemade to the Secretary, British Postgraduate MedicalFederation, and should state if the application is or is notmade under the scheme for N.H.S. practitioners.Extended CoursesGeneralSeptember 30 to November 4 (6 Thursday afternoons).Bedford General Hospital.September 30 to November 4 (6 Thursday afternoons).St. Peter's Hospital, Chertsey.September 30 to December 9 (i i Thursday afternoons).Portsmouth Group.ObstetricsSeptember 29 to December 8 (i i Wednesday afternoons).Bromley Hospital.Applications for places on the above courses should bemade to the hospital.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. Other practitioners may attend onpayment of a fee of io guineas for two weeks, 5 guineasfor one week or extended course of i i sessions, Ifguineas for a weekend course.Applications for further information should be made tothe Secretary, British Postgraduate Medical Federation,2 Gordon Square, 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. In anaesthetics, short practical courses lastinga fortnight, and longer periods of training for six months,are provided. The Department of Radiology of theHospital provides courses for the Diplomas in MedicalRadiology of the University and Conjoint Board. Thefees vary from £3 for one week to Z75 for a year:For further information application should be made tothe Dean, Postgraduate Medical School of London,Ducane Road, London, W.12.

504 S&ptember I 954

Postgraduate News

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 there is a full demonstration and lecturecourse which is full-time and extends over a period ofthree months. Applications for this course are strictlylimnited, and the next course will begin on October 4,1954. In addition, there are two revision courses a yearof lectures only, which take place at the same time as theother course. Applications for this course can beaccepted up to a month before the course begins. Fees:demonstrations and lectures, £63; lectures only,,36 I5s. od. A two-months' course for Primary F.D.S.candidates is also held twice a year in January andJuly. The course is full time and the fee £26 5s. od.For further information please apply to the Secretary,Institute of Basic Medical Sciences, Royal College ofSurgeons of England, Lincolns Inn Fields, London, W.C.2.

INSTITUTE OF CANCER RESEARCH (RoyalCancer Hospital and Chester Beatty ResearchInstitute)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)Full time courses of instruction lasting three months areavailable. Fee £26 5s. od.A limited number can be accepted part-time, whichincludes out-patient sessions and lectures.Special short courses lasting two weeks are given inFebruary, June and November. Fee £12 12S. od.Further details and applications for admission to thesecourses, should be made to the Dean, Institute of Cardi-ology, 35 Wimpole Street, London, 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-patientdepartments, lectures and demonstrations. A whole-time programme is arranged for not more than I2graduates 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.

A refresher course for physicians of consultant andS.H.M.O. grade in chest disease or general medicinewill be held at the London Chest Hospital fromSeptember 20 to 24.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.Fees for whole-time course (Medical or Surgical) are£20 for one term and 35 for two terms, 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 Lio 0os. od.for one term.For further genera! information application should beaddressed to the Dea t, Institute of Diseases of the Chest,Brompton Hospital, Falham 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 Sch-ool 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 the de-partment for the new-born and premature infant at thePostgraduate 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 I 2 weeks' durationeach, beginning in January, May and September. Inaddition a series of lectures by specialists and expertsin various spheres is given during the autumn and winterterms. Three or four guest lectures are given duringthe summer term by visiting paediatricians from abroad.The fees are 20 guineas for one term and 35 guineasfor two terms.Aptplications should be addressed to the Dean, Instituteof Child Health, Hospital for Sick Children, GreatOrmond Street, London, W.C.I.

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 andchildren'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 £3' 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 HSospital, Gray's InnRoad, London, W.C. i.

_Septemnber' I954 505

POSTGRADUATE MEDICAL JOURNAL

INSTITUTE OF DERMATOLOGY(St. John's Hospital for Diseases of the Skin)Hospital Practice. This includes clinical instructionin the Out-Patient Department twice daily, attendancein the Department of Pathology and other departmentsof the Hospital. Fees: Two guineas for one week,,'J25 for one year. Discussion of special cases takesplace at Io a.m. on most Saturdays.Laboratory. The facilities for students include tech-nical work in histology, bacteriology and medicalmycology.Museum. A collection of moulages is available. Thereis access to a large collection of histopathologicalsections.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 at5.30 p.m. on Tuesdays, Wednesdays and Thursdays.The subjects include dermatology, pathology, medicalmycology, radiology and the basic principles of medicine.Clinical demonstrations held on Fridays at 5.30 p.m. aredesigned for those intending to sit for the M.R.C.P.examination.Enquiries should be made to the Dean, Institute of Der-matology, St. 3ohn'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 32 weeks and designedto cover the whole field of the speciality is held twice ayear beginning in February and September. This con-sists of 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 four weeks twice yearly inpreparation for practical clinical training and a week'sintensive course in endoscopy for senior students twiceyearly. Advanced students may obtain additional ex-perience by appointment as Out-patient Assistants. AnAdvanced Revision Class (io weeks) for M.S. andF.R.C.S. students is also given twice yearly. Thecomposite fee, including enrolment as a clinical assistant,attendance on the hospital practice and at one of thecomprehensive courses, but excluding dissection, is£52 10S.

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 of theother special departments, or to the research laboratories.A limited number of part-time clinical clerkships areavailable 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 the 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, and in-cludes lectures and demonstrations. Special lecturesby neurologists from outside London and from abroadare held throughout the courses. Fees, for the tenweeks' full-time course, 20 guineas; for attendinghospital practice, 15 guineas for three months or 28guineas 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. Advertisements concerning these appear fromtime to time in the medical journals.For further particulars please apply to the Dean, Instituteof Neurology, National Hospital, Queen Square, London,W.C.Ic.

INSTITUTE OF OBSTETRICS ANDGYNAECOLOGY(Queen Charlotte's Maternity Hospital,Chelsea Hospital for Women, Department ofObstetrics and Gynaecology of PostgraduateMedical School)Graduates must hold a registrable medical qualification.The enrolment fee is C3, and the charge for one termof I3 weeks is £36.An intensive course suitable for those preparing forhigher examinations will be held in December and June.General practitioners requiring further experience inobstetrics are atcepted during the term at Queen Char-lotte's Hospital, to attend the practice of the hospital fortwo weeks, with opportunity to conduct normal deliveriesand to attend combined classes at the other hospitals.Fee £3 Ios. a week during term. Ministry cfHealth grants are payable to approved general prac-titioners attending for such a period. General prac-titioner refresher courses, lasting one week, are heldtwice a year for which the fee is £5 5s. This courseis recognized by the Ministry of Health, in the case ofapproved practitioners, for the purpose of a grant.Postgraduates may attend the practice of the hospital atthe Hammersmith Hospital during the winter vacation,when a charge of £I a week is made.Hostel accommodation is available at the HammersmithHospital and at Queen Charlotte's Hospital.Applications for further information and for enrolmentforms should be made to the Secretary, Institute of Obstet-rics and Gynaecology, Chelsea Hospital for Women,Dovehouse Street, S.W.3.

INSTITJUTE 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 examinations

5o6 SePtember 1954

Postgraduate News

will 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 practic: of the two branches of theMoorfields, Westminster and Central Eye Hospital, andhold the appointments of Junior Clinical Assistants andClinical Assistants concurrently with the above courses.A composition fee of £26 5s. od. will admit students,once to the lectures and 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

s5 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,£2 2S. od.; three months, £5 5s. od.; six months,kIo ios. od.Facilities for research.For further information apply to the Dean, Institute ofOphthalmology, Judd Street, London, W.C. Ii.

INSTITUIE 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) is opento postgraduates, who may join at any time. In additionto hospital practice, formal courses of various lengthsare held during academic terms. Senior ClinicalConferences : September 29 and December 8, at8 p.m. Clinical Demonstrations, September 25 andNovember 27, at io a.m. No fee. Courses in 'Polio-myelitis,' October iI to IS. Fee £7 7s. od.; and' Dis-orders of Joints,' November I5 to zo. Fee £7 7s. od.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 (Joint 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 case 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, mentaltesting and statistics. There is a special six months'

course in child psychiatry, corrprising 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 shorter.periods 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 Honouis 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.5.

INSTITUTE 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, asadvertised. Alternately ' Essentials of Urology' and'Advanced Urology.' Fee £5 5s. od. for each course.Guest lectures are given twice a year at the RoyalCollege of Surgeons.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.2.

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 shouldbe 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.

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For further information apply to the Dean, the Princeof Wales's General Hospital, London, N.I5.

PLAISTOW HOSPITAL CHEST UNITIn-patient round every Thursday at 4.30 p.m.Apply Registrar, Plaistow Hospital, Samson Street,Plaistozv, London, E. I3.

ROYAL EYE HOSPITAL(King's College Hospital Group)A course of lectures will be held in the Autumn Term.For further information applications should be addressedto the Secretary, Royal Eye Hospital, St. George's Circus,London, S.E. i.

ROYAL LONDON HOMOEOPATHICHOSPITALClinical Tutorials. Practical instruction in theapplication 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 1.3o0p.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. STEPHEN'S HOSPITAL(Rheumatism Unit)A concentrated weekend course in the rheumatic 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 Fridaymomings 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.

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 INSTTUTE OF PUBLIC HEALTHAND HYGIENEThe Royal Institute of Public Health and Hygiene con-ducts recognized courses of instruction (starting annuallyin March and October) for the examinations of theConjoint Board of the Royal College of Physicians ofLondon and the Royal College of Surgeons of Englandfor the Certificate in Public Health. These lead tocourses (beginning in January and August) for theD.P.H. and, similarly (in Februarv and July), for theD.I.H. Students are also; prepared for the D.I.H.examinations of the Society of Apothecaries of London.Any of the courses may be taken whole-time or part-time. They consist of both lectures and visits. Can-

didates desiring a course for either the D.P.H., or theD.I.H. of the Conjoint Board, are required by them toproduce evidence of being in possession of a recognizedC.P.H. For the C.P.H., lectures are given by specialistson the various sociological aspects, and in the D.P.H.the practical work is carried out at a county borough.The D.I.H. entails visits to all types of factories and tocoal mines, etc. The next course for the C.P.H. willbegin on October i, I954.Prospectuses, enrolment forms and full particulars may beobtained jfrom the Secretary, the Royal Institute of PublicHealth and Hygiene, 28 Portland Place, London, W.i.Telephone: Langhm 273I-2.

TUBERCULOSIS EDUCATIONAL INSTI'rUTEClinical courses will be held as follows: CheshireJoint Sanatorium, Market Drayton, Salop, October 27,28 and 29. King George V Hospital for Diseases ofthe Chest, Godalming, Surrey, September 29, 30 andOctober i. Colindale Hospital, Hendon, October12, 13, 14. Suily H{ospital, Glamorgan, October 27,28 and 29. Fee per course, excluding accommodation,£C3 3s. od.A course will be held in Bristol from September 27 toOctober I on 'Case finding and its implications.' Fee/J 5s. od. (accommodation Ci Ios. od. per day).Further information may be obtained from the Secretary,Tuberculosis Educational Institute, Tavistock House North,-Tavistock Square, London, W.C.I.

BRISTOLMedical Postgraduate Department of theUniversity of BristolDiploma Courses. These begin in October and areadvertised in the medical press in May. Provided thereare sufficient candidates, instruction is provided in childhealth; radiodiagnosis and radiotherapy (Diplomas ofConjoint Board); Public Health (CP.H. and 'Dt.H.,Bristol).Further information, copies of, regulations for the BristolDiplomas and application 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 prac-titioners from October I, I954, to July 31, 1955. AtAddenbrooke's Hospital unless otherwise stated.First week in each month. Monday: Abnormalante-natal clinic, 10.30 a.m. (Miss J. Bottomley);Maternity Hospital. Diagnosis and treatment of cancer,2.30 p.m. (Prof. J. S. Mitchell); Psychiatric cases,2.30 p.m. (Dr. D. Russell Davis). Tuesday: Medicalward round, I0.30 a.m. (Dr. L. B. Cole); psychiatry,2 p.m. (Dr. R. A. Noble). Wednesday: Dermato-logical Clinic, I I a.m. and 2.30 p.m. (Dr. C. 1l. Whittle).Thursday: Medical ward round, 10.30 a.m. (Dr. L. B.Cole), Orthopaedic Outpatients, 2.30 p.m. (Mr. T. J.Fairbank), Cardiac Clinic, 2.15 p.m. (Dr. L. B. Cole).Friday: Chest diseases, 2 p.m. (Dr. W. Paton Philipand Mr. C. Parish), The Clinic, Shire Hall; EndrocrineClinic, 2.30 p.m. (Dr. L. C. Martin). Saturday:Medical ward round, 10.30 a.m. (Dr. L. B. Cole);Opthalmic cases, 10.30 a.m. (Mr. E. G. Recordon).

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Postgraduate News

Second week in each month. Monday: Medicalcases, 2.30 p.m. (Dr. L. C. Martin). Tuesday:Diagnostic radiology, 2.30 p.m. (Dr. Donnelly). Medi-cal cases, 10.30 a.m. (Mr. L. B. Cole). Wednesday:Dermatological clinic, I I a.m. and 2.30 p.m (Dr. C. H.Whittle). Thursday: Plastic surgery clinic, 9.30 a.m.(Mr. L. M. Rouillard); Medical cases, 10.30 a m.(Dr. L. B. Cole), Cardiac clinic, 2.15 p.m. (Dr. L B.Cole. Friday: Medical cases, 2.30 p.m. (Dr. A. P.Dick); Endocrine clinic, 2.30 p.m. (Dr. L. C. Martin).Saturday: Medical cases, 10.30 a.m. (Dr. L. B. Cole).Third week in each month. Monday: Surgicalcases, 2 p.m. (Mr. B. McN. Truscott). Tuesday:Gynaecological cases, 9.30 a.m. (Mr. 0. Lloyd); Medicalcases, 10.30 a.m. (Dr. L. B. Cole); Clinical psychiatry,3 p.m. (Dr. E. Beresford Davies). Wednesday:Urological and general surgical cases, 9.30 a.m. (Mr.J. F. R. Withycombe); Orthopaedic cases, 10.30 a.m.(Mr. R. W. Butler); Dermatological clinic, ii a.m. and2.30 p.m. (Dr. C. H. Whittle); Radiological demonstra-tion, 2.30 p.m. (Dr. F. R. Berridge); Clinico-patho-logical conference, 5 p.m. (Dr. A. M. Barrett); LectureTheatre, Dept. of Pathology. Thursday: E.N.T. cases,10.30 a.m. (Mr. A. S. H. Walford); Medical cases,10.30 a.m. (Dr. L. B. Cole); Cardiac clinic, 2.15 p.m.(Dr. L. B. Cole). Friday: Paediatric cases, 2.15 p.m.(Dr. D. M. T. Gairdner); Endocrine clinic, 2.30 p.m.(Dr. L. C. Martin). Saturday: Medical cases, 10.30a.m. (Dr. L. B. Cole).Fourth week in each month. Monday: Generalsurgical cases, 9.30 a.m. (Mr. P. H. R. Ghey); Ophthal-mic cases, io a.m. (Mr. G. F. Wright). Tuesday:Demonstration of cases and methods, 10.30 a.m.(Dr. W. A. Fell), Dept. of Physical Medicine; Medicalcases, 10.30 a.m. (Dr. L. B. Cole); Dermatologicalclinic, 2 p.m. (Dr. A. J. Rook). Wednesday: Dermato-logical clinic, i I a.m. and 2.30 p.m. (Dr. C. H. Whittle);E.N.T. cases, 2 p.m. (Mr. K. F. Wilsdon). Thursday:Medical cases,,'ro.3o a.m. (Dr. L. B. Cole); Cardiacclinic, 2..." (Dr. L. B. Cole). Friday: Haema-t cl clinic,. o a.m. (Staff of Dept. ofMedicineobcrine clinic, 2.30 p.m. (Dr. L. B. Cole).Saturday: Medical cases, 10.30 a.m. (Dr. L. B. Cole).Post-mortem demonstrations daily (except Satur-days) at 12.15 p.m.One-day symposia are held monthly on Saturdays(except in August and September) from 10.30 a.m. to5 p.m.Further particulars may be obtained on application to theSecretary, Cambridge University Medical School, TennisCourt Road, Cambridge.

CARDIFFThe Welsh National School of MedicineC.P.H. Wales (Certificate in Public Health). Threemonths' full-time course, October to December.D.P.H. Wales (Diploma in Public Health). Twelvemonths' part-time course, January to December.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.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 session1954-55C.P.H. Course and examination. Michaelmas Term.D.P.H. Course. Hilary and Trinity Terms.

Examinations. Summer Term.D.P.M. Course. .Michaelmas, Hilary and Trinity

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

EDINBURGHEdinburgh Postgraduate Board of MedicineInternal Medicine. A course lasting I2 weeks, suit-able for graduates wishing a refresher course, or tospecialise in medicine, begins on September 27, 1954.This course consists of 320 hours instruction com-prising lectures, clinical demonstrations, and wardvisits. Fee I3I ios. od. Additional instruction inclinical paediatrics is arranged in conjunction with thecourse in medicine, for which there is a small fee; thenumbers are limited.General Surgery. A three months' course of post-graduate surgery suitable for surgeons requiring arefresher course in the current outlook on generalsurgery or for graduates preparing to specialise insurgery, starts on September 27, I954. The programmehas been re-organised so as to provide co-ordinatedclinical and systematic instruction in general surgerywards and specialised surgical units in Edinburgh.Fee £3: IIOS. od.Applications for enrolment should be addressed to Directorof Postgraduate Studies, Surgeons' Hall, Edinburgh, 8,supplying particulars of qualifications and postgraduateexperience.

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 s4itable 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 £6o. 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 of

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approved Universities (and to graduates in otherfaculties with qualifications in medicine) who hold anF.R.C.S. of one of the British colleges or its equivalent.The fee for the whole course is £70. The coursenormally begins 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 full two-year course is £63. The coursebegins in October. The degree of M.Rad. may, 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 fee is £73 13S. All courses of in-struction 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 C53 I Is.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 £60.Applications for further information should be addressedto the appropriate department of the University, Liver-Pool, 3.

NEWCASTLEThe Medical School, King's College(University of Durham)Public Health. Part-time courses are held for theC.P.H. and D.P.H. The course for the C.P.H. oc-cupies two terms, and three terms for the D.P.H.Two-and-a-half days each week are spent in whole-time study, leaving the remainder of the time free forremunerated employment. The next complete coursewill begin in October 1954.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 alsobeginning in 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 Education, UnitedOxford HospitalsSummary of ward rounds, clinics, demonstrations, etc.

open to general practitioners from September 1954 tOJuly 1955.

Medicine, ward rounds, Mondays, Tuesdays, Wednes-days, Thursdays and Fridays, io.i5 a.m., Radcliffe In-firmary. Medical Concilia, Wednesdays, 5 p.m.(altemate weeks), Radcliffe Infirmary. Clinical demon-strations, Thursdays, 2.15 p.m., Radcliffe Infirmary.Clinico-pathology, conferences, Wednesdays, 5 p.m.,Maternity Lecture Theatre, Radcliffe Infirmary (alternateweeks in full term). Chest Diseases, clinical demon-strations, Mondays, Wednesdays and Fridays, 2 and 3p.m., Osler Pavilion. Tuberculosis, ward rounds,Fridays, 2 p.m., Osler Pavilion. Paediatrics, clinicaldemonstrations, Saturdays, 10.30 a.m., Radcliffe In-firmary; out-patients, Thursdays, 2 p.m., RadcliffeInfirmary. Child Welfare, clinics (City) day and timeby arrangement with Dr. Mary Fisher. InfectiousDiseases, clinical demonstrations, day and time byarrangement .with Dr. Warin, Slade Isolation Hospital.Psychiatry, clinical demonstrations, Fridays, 4 p.m.,Park Hospital. Geriatrics, clinical demonstrations,Monday, 2.I5 p.m., Cowley Road Hospital. Neurology(medical and surgery) out-patients, Tuesdays andWednesdays, 2 p.m., Radcliffe Infirmary. Clinicaldemonstrations, Thursdays, 5 p.m., Radcliffe Infirmary.Venereal Diseases, out-patients, Mondays, 6 p.m.,and Wednesdays, 2.30 and 5.30 p.m., and Saturdays,2.15 p.m., Radcliffe Infirmary. Skin Diseases, out-patients, Mondays and Fridays, 2 p.m., Radcliffe In-firmary. Surgery, accident service, daily, 10.30 a.n.,Radcliffe Infirmary. Ward rounds, Mondays an,1Fridays, 9.30 a.m., Radcliffe Infirmary, Tuesdays, 9.30a.m., Churchill Hospital. Clinical demonstrations,Tuesdays, 4.30 p.m., Radcliffe Infirmary. PlasticSurgery, out-patients and clinical demonstrations,Fridays, 2 p.m., Churchill Hospital. OrthopaedicSurgery, clinical demonstrations, Thursdays andSaturdays, 9 a.m., Wingfield-Morris Hospital. Ob-stetrics, lecture demonstrations, Mondays, Tuesdaysand Fridays, 9.I5 a.m., Maternity Lec'ture Theatre,Radcliffe Infirmary. Gynaecology, waru' -'inds,Wednesdays, 10.30 a.m. and 5 p.m., Raddlife tIVmrw.Obstetrics and Gynaecology, coricilia, monthly,altemate Thursdays and Fridays, 3 p.m., MatemityLecture Theatre, Radcliffe Infirmary. Ante-natalclinics, out-patients, Mondays, 2 p.m., MaternityHome Radcliffe Infirmary and Churchill Hospital,Thursdays, 2 p.m., Radcliffe Infirmary MatemityHome, Fridays, 9.15 a.m., Maternity Lecture Theatre.Post-natal clinics, out-patients, Tuesdays, io a.m.,Wednesdays, 2 p.m., Radcliffe Infirmary MatemityLecture Theatre.General practitioners wishing to avail themselves of thefacilities set out in this schedule should apply to theSecretary, Postgraduate Medical Committee, i i KebleRoad, Oxford.

CONFERENCES, PRIZES, Etc.Queen Square Prize in Neurology. A prize of £ioowill 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.

-September 19545-IO