* A

3k *"AMuS

May 1957 POWELL: Simultaneous Perforation of Benign Gastric and Duodenal Ulcers 245

unclosed, and was partly adherent to the undersideof the liver. The duodenal perforation remainedclosed. There was considerable stenosis of- thepylorus with consequent gastric dilatation. Neitherulcer showed any evidence of malignant change.

Subsequent histological examination of thestomach and related lymph glands showed noevidence of malignancy. (Dr. L. W. Proger).SummaryA further case is briefly reported of simultaneous

perforations of gastric and duodenal ulcers; thegastric ulcer occurring in the upper one inch of thestomach. No similar case has been found in theliterature.

This unfortunate patient once again exemplifies

the need to bear in mind the possibility of morethan one perforation being present.Acknowledgements

I wish to thank: Mr.- Iain Matheson for per-mission to publish this report; Dr. E. A. Bailey forthe post-mortem report; and Dr. L. W. Progerfor further histological examination.

BIBLIOGRAPHYAIRD, I. (I949), 'Companion in Surgical Studies,' Livingstone,

Edinburgh.AUSTIN, W. E. (I938), Brit. 7. Surg., 26, 387.FELDMAN, M. (I953), Gastroenterology, 23, 304.FINNEY, J. T. (I900), Ann. Surg., 32, I.JOHNSON, H. D. (I955), Lancet, I, 266.LIVINGSTONE, D. J. (I950), Brit. J. Surg. 38, 24I.MASSON, J. C., and SIMON, H. E. (1927), Mimnn. Med. xo, 289.

-.// of" cttfcteflc Jlte.

'CORTISPORIN ''Cortisporin,' a new antibiotic ointment for

skin and eye infections, is now available fromBurroughs Wellcome & Co. Each gramme con-tains ' Aerosporin' brand Polymyxin B sulphate5,000 units, bacitracin 400 units, neomycin sul-phate 5 mg., and hydrocortisone (free alcohol)5 mg. The ointment has an antibacterial rangegreater than that of any single antibiotic and issuccessful even against Pseudomonas pyocyaneaand Proteus vulgaris. Skin sensitization and bac-terial resistance are unlikely, and there is nolikelihood of cross-sensitization or cross-resistanceto other antibiotics. A further feature of theointment is that it reduces inflammation andallergic reactions. ' Cortisporin' brand ointmentis issued in tubes of io g. with special nozzle.Burroughs Wellcome & Co., Euston Road, N.W.I.

'EPITONE'Boots Pure Drug Co. Ltd. have announced that

the formula of ' Epitone' has been improved incertain respects and the new formula is now beingsupplied against all orders.The new product is distinguished by the words

' Improved Formula' on the pack and is availablein bottles of 8 and i6 fl. oz. only. The 8o-oz. packof' Epitone ' is discontinued.

Boots Pure Drug Co. Ltd. announce theavailability ot 'Secretin' and ' Pancreozymin' inpure and stable form. These hormones arenormally produced in the duodenal mucosa duringthe cycle of digestive processes, and they are usedclinically as diagnostic aids in disorders of thepancreas and gall-bladder. ' Secretin ' is suppliedin Io ml. rubber-capped vials of Ioo units and'Pancreozymin' in 25 ml. rubber-capped vials of00oo units, both preparations being in the form ofpowder. In this form, they retain their activityalmost indefinitely at room temperature or below.Detailed literature available on request.

'DELTA-STAB'Boots Pure Drug Co. Ltd. announce the avail-

ability of' Delta-Stab' (prednisolone) as follows:Basic N.H.S. Price

I mg. 5 mg.s. d. s. d.

Bottle of 30 tablets .. 9 41 37 6Bottle of 00oo tablets .. 30 o I20 0Bottle of 500 tablets .. I45 0 580 o

CORRECTION.-Owing to a printer's error in our April issue the Summer Courses of Instruction in the Principles andPractice of Homoeopathy for Medical Practitioners and Senior Students at the Royal London Homoeopathic Hospital was

advertised as beginning on Tuesday, April 9, whereas the opening date should have read Tuesday, April 30.

246

a2 d!eceivelThe Editorial Board acknowledge with thanks receipt of the followingvolumes. A selection from these will be made for review.

'Peripheral Vascular Disorders.' By D. I.Abramson, M.D., F.A.C.P. Pp. xv + 537, with82 illustrations. London: Cassell & Co. Ltd.I957. £5 5s.'Blood Transfusion in Clinical Medicine.' By

P. L. Mollison, M.D., M.R.C.P. 2nd Edition.Pp. xxv + 587, with 8o diagrams. Oxford:Blackwell Scientific Publications. I956. 45s.'A Textbook of Surgical Pathology.' By

C. F. W. Illingsworth, C.B.E., M.D., C.L.M.,F.R.C.S., and B. M. Dick, M.B., F.R.C.S. 7thEdition. Pp. viii + 730, with 322 illustrations.London: J. & A. Churchill Ltd. I956. 63s.'Handbook of Poliomyelitis.' By J. Trueta,

M.D., D.Sc.(Hon.), F.R.C.S.(Hon.), A. B. KinnierWilson, M.A., M.B., M.R.C.P., D.P.M., and M.Agerholm, M.A., B.M., B.Ch. Pp. vi + I39, with26 illustrations. Oxford: Blackwell Scientific Pub-lications.'Symposium on Tuberculosis.' Edited by

F. R. G. Heaf, M.A., M.D., F.R.C.P. Pp. xvi +755, with 78 illustrations. London: Cassell & Co.Ltd. 1957. £5 5s.

'Fundamentals of Immunology.' By W. C.Boyd. 3rd Edition. Pp. xiv + 776, illustrated.New York and London: Interscience PublishersInc. I956. $Io.oo.'The Care of the Expectant Mother.' By

J. Barnes, D.M., F.R.C.S., F.R.C.O.G. Pp. x +270, illustrated. London: Pitman Medical Pub-lishing Co. 1957. 30s.

' Munro Kerr's Operative Obstetrics.' ByJ. Chassar Moir, Hon.LL.D., M.A., M.D.,F.R.C.S., F.R.C.O.G. 6th Edition. Pp. x + Ioo8,with 407 illustrations. London: Bailliere, Tindall& Cox Ltd. I956. £5 5s.'Pulmonary Emphysema.' Edited by A. L.

Barach, M.D., and H. A. Bickerman, M.D. Pp.x + 545, with I85 illustrations. London: Bailliere,Tindall & Cox Ltd. I956. 8os.'A Textbook of Psychiatry.' By Sir David

Henderson, M.D., F.R.F.P.S., F.R.C.P., and thelate R. D. Gillespie. 8th Edition. Pp. xii + 745.London: Oxford University Press. I956. 35s.

'Refresher Course for General Practitioners.'From the British Medical Journal. 3rd Collection.April 1952-September I953. Pp. xvii + 548,illustrated. London: British Medical Association.1956. 25s.

' Whitla's Dictionary of Medical Treatment.' ByR. S. Allison, V.R.D., M.D., F.R.C.P., D.P.M.,and T. H. Crozier, M.D., B.Sc., F.R.C.P. gthEdition. Pp. xiii + 852. London:- Bailliere,Tindall & Cox Ltd. 1957. 52s. 6d.

'Aids to Dermatology.' By R. M. B. Mackenna,M.D., M.B., B.Chir., F.R.C.P., and E. LipmanCohen, M.A., M.B., B.Chir. 5th Edition. Pp.viii + 312, with 4 illustrations. London: Bailliere,Tindall & Cox Ltd. 1956. Ios. 6d.'Human Disease.' By A. E. Clark-Kennedy.

Pp. 267. Harmondsworth: Penguin Books Ltd.1957. 3s. 6d.'The Pathogenesis of Coronary Occlusion.' By

A. D. Morgan, M.A., M.D. Pp. I7I, with I79illustrations. Oxford: Blackwell Scientific Pub-lications. I956. 42s.'Companion in Surgical Studies.' By Ian Aird,

Ch.M., F.R.C.S. 2nd Edition. Pp. xii + 1302.Edinburgh: E. & S. Livingstone Ltd. I957. 84s.'Aureomycin (Chlortetracycline). Antibiotics

Monograph No. 7.' By M. H. Lepper, M.D. Pp.I56. New York and London: Interscience Pub-lishers Inc. 1956. $4.00.'Modem Treatment Yearbook 1957.' Edited by

Sir Cecil Wakeley, Bt. Pp. viii + 312, illustrated.London: Bailliere, Tindall & Cox Ltd. I957. 25S.

'Ciba Foundation Symposium. The Nature ofViruses.' Edited by G. E. W. Wolstenholme,O.B.E., M.A., M.B., B.Ch., and Elaine C. P. Millar,A.H.W.C., A.R.I.C. Pp. xii + 292, illustrated.London: J. & A. Churchill Ltd. 1957. 42s.

' Pathological Histology.' By Robertson F.Ogilvie, M.D., D.Sc., F.R.C.P., F.R.S.E. 5thEdition. Pp. xi + 482, with 334 photomicrographsin colour. Edinburgh: E. & S. Livingstone Ltd.1957. 52S. 6d.

'Essentials of Modem Surgery.' Edited byR. M. Handfield-Jones, M.C., M.S., F.R.C.S., andSir Arthur E. Porritt, K.C.M.G., C.B.E., M.A.,M.Ch., F.R.C.S. 5th Edition. Pp. xv + 1276,with 649 illustrations, many in colour. Edinburgh:E. & S. Livingstone Ltd. I957. 75S.

'Outline of Fractures.' By John CrawfordAdams, M.D., F.R.C.S. Pp. vii + 248, with 2i8illustrations. Edinburgh: E. & S. Livingstone Ltd.I957. 27s. 6d.'Modem Trends in Geriatrics.' Edited by

William Hobson, B.Sc., M.D., D.P.H. Pp. vii +422, with 68 illustrations. London: Butterworth& Co. Ltd. 1956. 72s. 6d.

250o

POSTGRADUATE NEWSMay 1957

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.). June 3 to July 5.Clinical cases. St. Stephen's Hospital, 5.30 to 7.30 p.m.Limited. Fee £23. (No entries accepted until syllabusis published and circulated.)General Medicine (M.R.C.P.) Weekend. June 15and I6. All day Saturday and Sunday. Queen Mary'sHospital for the East End. Limited. Fee J3 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 obtainedfrom the office daily between io a.m. and 5 p.m. (Mondaysto Fridays). Telephone: Langham 4266.

ROYAL COLLEGE OF SURGEONS OFENGLANDThe following lectures will be given at the Collegeduring May:Erasmus Wilson DemonstrationMay2 3.45 p.m. Dr. F. C. Chesterman. Transplantation of

human tumours and normal tissues to laboratoryanimals.

Otolaryngology LectureMay2 5.30 p.m. Mr. C. S. Hallpike. The scientific basis

and clinical practice of neuro-otology.Arnott DemonstrationMay7 3.45 p.m. Dr. R. McP. Livingston. The placenta.Hunterian LectureMay9 5 p.m. Prof. A. C. McEachern. The evolution of

safety in prostatectomy.Imperial Cancer Research Fund LectureMay14 3.45 p.m. Prof. G. Hadfield. The application of

physiological principles to hormone-dependenthuman breast cancer.

Arnott DemonstrationMayI6 3.45 p.m. Miss J. Dobson. Title to be announced.Hunterian LectureMay28 5 p.m. Prof. R. T. Turner Warwick. The lym-

phatics of the breast in relation to the spread ofcarcinoma and its treatment.

The lectures are open to those attending courses in theCollege and also to all other Medical Practitioners,Dental Surgeons and advanced students.The following courses will be held:Clinical Demonstrations and Lectures in DentalSurgery. April 29 to June 2I, I957.Anaesthetic Course of Lectures and Tutorials.April I7 to June 28, 1957.Pharmacology Course. May 3 to 24, 1957.Application for further information should be made toMr. W. F. Davis, Deputy Secretary, Royal College ofSurgeons, 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.Sir Henry Dale, O.M., F.R.S., will deliver the secondGideon de Lane Lecture in the Great Hall on Tuesday,May I4, 1957, at 5.30 p.m. His subject will be medicinaltreatment: its aims and results. Tea will be served at5 p.m.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;

4ay 1957 Postgraduate News z251

Higher Dental Qualifications,' setting out in general;rms the conditions to be satisfied by candidates.'opies of these booklets, particulars of films of interest to-entists, and further information can be obtained onpplication to the Director, Dental Postgraduate Bureau,4 Hallam Street, London, W.x.

BRITISH POSTGRADUATE MEDICAL.EDERATION (University of London)['he 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 BasicMedical Sciences, Institute of Cancer Research, Instituteof Cardiology, Institute of Child Health, Institute ofDental Surgery, Institute of Diseases of the Chest,Institute of Laryngology and Otology, Institute ofNeurology, Institute of Obstetrics and Gynaecology,Institute of Ophthalmology, Institute of Orthopaedics,Institute of Psychiatry, Institute of Urology: associatedinstitute is the Institute of Dermatology.Courses for general practitioners will be held as follows:GeneralMay6 to ii King. Edward VII Hospital, Windsor.

13 to i8 Fulham and Kensington Group, W.8.27 to June I Woolwich Group, S.E.i8.June17 to 28 Central Middlesex Hospital, N.W.io.July

I to 5 London Undergraduate and PostgraduateTeaching Hospitals.

15 to 20 Brighton Group.Obstetrics and GynaecologyJuneI7 to 22 Institute of Obstetrics and Gynaecology

S.W.3.Extended and WeekendGeneralApril IO to June i9 Queen Mary's Hospital for the

East End.April 25 to July 4 Hampstead General Hospital.April 25 to June 13 London Undergraduate and Post-

graduate Teaching Hospitals.MayI8 and I9 Southampton Group.25 and 26 Hastings Group.PaediatricsMayI i and I2 Westminster Children's Hospital.25 and 26 Evelina Children's Hospital, S.E.i.June

I and 2 Children's Hospital, Sydenham.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.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 to

certain conditions. Grants are also payable in respectof assistant practitioners under certain conditions.Other practitioners may attend on payment of a fee ofIo guineas for two weeks, 5 guineas for one week orextended course of i i sessions, xI 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 Postgradulate 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 /3 for oneweek to C75 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. 2z.

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 in June, x957.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 oJSurgeons of England, Lincolns Inn Fields, London, W.C.2.

INSTITUTE OF CANCER RESEARCH (RoyalCancer Hospital)Postgraduate lectures and courses of instruction are held

252 POSTGRADUATE MEDICAL JOURNAL May I9~in 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 ii weeks are available forboth full-time and part-time students; fees C26's. od.and EIz2 2S. od. respectively.Special short courses lasting two weeks are held inFebruary, June and November; fee iz2 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-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 large 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 lecturesand 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 o20 for one term and £35 for twoterms, and for part-time courses £I4 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 ElizabetHospital for Children, Postgraduate MedicsSchool)The Institute of Child Health is associated with ThHospital for Sick Children, Great Ormond Street, thPostgraduate Medical School of London at Hammersmith Hospital, and the Queen Elizabeth Hospital foChildren. In its programme teaching on every aspecof child health is provided. Visits are arranged to th,department for the new-born and premature infant athe Postgraduate Medical School of London, Hammersmith Hospital, Maternity and Child Welfare ClinicsNursery Schools, etc. The Institute provides tuitiorthroughout the year in three terms of 12 weeks' duratioreach, beginning in January, May and September.Two or three guest lectures are given during thesummer term by visiting paediatricians frorrni abroad.The fees are 20 guineas for one term and 35 guineas fortwo terms.Applications 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 suitable for candidatespreparing for the final examination for the Fellowshipin Dental Surgery of the College. These begin in Apriland October (lasting for approximately eight months),fee C6o, and in April and October there are revisioncourses lasting eight weeks, fee £3I Ios. od. Specialarrangements can be made for students requiring coursesof study and research experience not falling within thescope of the courses listed above.For further information apply to the Dean, Institute oJDental 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: 25 guineas for one term; 6o guineas for one year.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 histopathological sections.Exhibitions. Two semi-permanent exhibitions will beavailable during the summer course. The first, fromMay 7 to 28, will be on 'Diseases of the Nails' byDr. Brian Russell.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.

lay I957 Postgraduate News 253

4ayI Dr. R. W. Riddell. Pathogenesis of ringworm

infections.7 Dr. R. H. Meara. Xanthomatoses.8 Dr. H. Haber. The eosinophilic granulomas of the

skin.9 Dr. O. L. S. Scott. Inherited abnormalities of the

skin.14 Dr. F. A. Whitlock. Neurophysiology of itching.15 Dr. H. Haber. The dyskeratoses.z2 Dr. D. O'Neill. Emotional aspects of skin diseases

(I).22 Dr. I. A. Magnus. Epidermal energy: relationships

in health and disease.23 Dr. D. O'Neill. Emotional aspects of skin diseases

(II).28 Prof. C. A. Keele. Cutaneous pain and itch.29 Dr. R. W. Riddell. Differential diagnosis of fungus

infections of the skin.30 Dr. H. J. Wallace. Skin diseases of the vulva.Clinical Demonstrations. Clinical demonstrationsheld on Fridays at 5.30 p.m. are designed for thoseintending to sit for the M.R.C.P. examinations. Fee forsummer term is three guineas.May3 Dr. B. Russell. Clinical demonstration.

io Dr. G. B. Dowling.17 Dr. P. Y. Hare.24 Dr. J. S. Pegum.31 Dr. P. D. Samman.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 AdvancedRevision Class (two weeks full time) for M.S. andF.R.C.S. students is also given twice yearly. A practicalrevision class for Part II D.L.O. students is held twiceyearly. Week-end courses in endoscopy, in aural sur-gery, the deaf child and pathology are held twice yearly.The composite fee, including enrolment as a clinicalassistant, attendance on the hospital practice and at oneof the comprehensive courses, 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, zs5; 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, -IC2 2S. od. Advertise-ments concerning these appear from time to time inthe medical journals.Lectures. Two guest lectures will be given duringMay:MayI6 5.30 p.m. Tabes dorsalis, with special reference to

primary optic atrophy, by Dr. Richard D. Hahn,from Johns Hopkins Hospital, U.S.A.

29 5.30 p.m. Myographic analysis of spasticity andrigidity, by Prof. G. Schaltenbrand, of Wurzburg,West Germany.

Admission to both these lectures is free without ticket.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 C3 ios. od. per week). Generalpractitioner refresher courses lasting one week are held atthe end of February and the end of June (fee £5 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,;£ 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.

254 POSTGRADUATE MEDICAL JOURNAL May i9C

INSTIUTE 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 i6 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 C313 Ios. od. will admii students, once to the lecturesand 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,tee Cio Ios. od.) Additional courses by arrangement.Hospital Practice only. Fees as follows: One month,£2 2S. od.; three months, L5 5s. od.; six months,,Io ios. od.Facilities for research.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 piactice, formalcourses of various lengths are held during academicterms.May22 8 p.m. Senior Clinical Conference.June15 Io a.m. Teaching ward round. Stanmore. Mr.

P. H. Newman.29 io a.m. Clinical demonstration. Mr. D. M. Brooks.July13 Io a.m. Teaching ward round. Stanmore. Mr.

H. J. Seddon.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. A

course of instruction covering up to three years, anstarting in October yearly, is provided for medic:practitioners who wish to specialize in psychiatry or iprepare for the Diploma in Psychological Medicine.Clinical instruction, which includes cast conference:seminars, and practical experience in case taking,given at associated hospitals in the mornings, ansystematic lectures and demonstrations are arranged fcthe afternoons. Students may also enrol for shorteperiods or for single series of lectures.The subjects covered include anatomy and biochemistrof the nervous system, neurophysiology, pathology onervous and mental diseases, psychiatry of children ancadults, delinquency, principles of psychotherapyforensic psychiatry and criminology, psychology, menthtesting and statistics. There is a special six monthscourse in child psychiatry; comprising clinical instruc-tion and lectures, which starts on October I. Lectureson subjects of special interest are arranged from time tctime. 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, Maudsle) 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, fromOctober to April, as advertised. Fee £5 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.a.

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 and

lay 1957 Postgraduate News 255

pidemiology, Statistical Methods and their Applica-)n in Medicine, and Applied Helminthology.!r further information and enrolment application shouldaddressed to the Secretary, London School of Hygiene

td Tropical Medicine, Keppsl Street, Gower Street,ondon, W.C.I.

IORTH LONDON POSTGRADUATE4EDICAL INSTITUTE'ourses in advanced medicine, advanced surgery, andbstetrics and gynaecology. Instruction in pathology,naesthetics and radiodiagnosis. Clinical instruction atlearsted Memorial Hospital, Chase Farm Hospital,1orth Middlesex Hospital, The Prince of Wales's_eneral Hospital and St. Ann's General Hospital.7or further information apply to the Dean, the Prince ofVales's General Hospital, London, N.I 5..LAISTOW HOSPITAL CHEST UNIT[n-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. STEPHEMNS HOSPITAL(Rheumatism Unit)A concentrated weekend course in the rheumatic diseasesis given each year, in March, und :r 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.May7 Dr. N. G. Hulbert. Neurological demonstration.14 Dr. D. F. Bosanquet. Neuropathology.2I Mr. L. C. Oliver. Surgical aspects of head injuries.For further information, applications should be addressedto the Secretary of the Medical School, West EndHospital for Neurology and Neurosurgery, 9I DeanStreet, 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 oT the Societyof Apothecaries of London. Courses, the next begin-ning on September 28, 1957, 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 or metropolitan borough.Prospectuses, enrolment forms and full particulars may beobtainedfrom the Secretary, The Royal Institute of PublicHealth and Hygiene, 28 Portland Plate, London, W.I.Telephone: Langham 273 I1-2.

TUBERCULOSIS EDUCATIONALINSTITUTESully Hospital, Penarth, Glamorgan. A course on'Lung function in respiratory illness' will be heldfrom September 9 to 13, I957. Fee £5 5s. od. Accom-modation may be arranged for an additional charge.Further information may be obtained from the Secretary,Tuberculosis Educational Institute, Tavistock HouseNorth, 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 April. Provided thereare sufficient candidates, instruction is provided in childhealth, psychological medicine (second part) and radio-diagnosis. (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 31, I957(Bank Holidays excepted) at Addenbrooke's Hospitalunless otherwise stated.Each Week. Mondays: IO. 5 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); IO.3O a.m., wardround, medical cases (Dr. L. B. Cole); 2.15 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, staff of department of med-icine, haematological cases; I I a.m., dermatologicalclinic, O.P. department (Dr. C. H. Whittle); 2 p.m. O.P.

256 POSTGRADUATE MEDICAL JOURNAL May I95

department, E.N.T. cases (Dr. K. F. Wilsdon); 2.30p.m., O.P. department, dermatological cases (Dr. C. H.Whittle). Thursdays: Io.3o a.m., ward round, medicalcases (Dr. L. B. Cole); I I a.m., ward round, PapworthHospital, thoracic surgical unit (Mr. C. Parish); 2.I$p.m., O.P. department, cardiac clinic (Dr. L. B, Cole).Fridays: Io a.m., ward round, surgical cases (Mr,J. F. R. Withycombe); 2. I 5 p.m., ward round, paediatriccases (Dr. D. M. T. Gairdner); 2.15 p.m., O.P. depart-ment, 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. McC. 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: 10.30 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-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 12.15 p.m.One-day Symposia will be held at 10.3o a.m., onSaturdays each month, as follows:May I8: Paediatrics.June I: Respiratory diseases. June 29: Some pre-ventive aspects of disease. July 13: 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 twelve 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, Cardif.

DUBLINUniversity CollegeThe following courses will be held during the sessio1956-57:-C.P.H. Course and examination. Michaelmas TerrD.P.H. Course. Hilary and Trinity Terms.

Examinations. Summer Termn.D.P.M. Course. 'Michaelmas Term. Examination

summer term.

Furtherparticulars may be obtained on application to thIRegistrar, University College, Earlsfort Terrace, DublinEDINBURGHEdinburgh 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, start on September 30, 1957, and March 17,1958. The programme has been arranged so as toprovide co-ordinated clinical and systematic instructionin general surgical wards and specialized surgical unitsin Edinburgh. Fee 3Ix os. od.Medical Sciences. A three course in months'applied anatomy, physiology, pathology, bacteriologyand biochemistry will begin on June 24, I957. Thiscourse includes an adequate amount of practical instruc-tion and is suitable for postgraduates wishing to takethe Primary Fellowship examination. Fee C3I 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 October I4,I957, and middle of February, I958, and continue for tenweeks. Fee £26 5s. od.Internal Medicine. A course lasting xI weeks, suit-able for graduates wishing a refresher course, or tospecialize in medicine, will begin on September 23, 1957,and March 24, 1958. This course consists of 320 hours'instruction,r comprising lectures, clinical demonstrationsand ward visits. Fee 31 ios. 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 £Ioo. Applications must besubmitted to the Secretary, Royal College of Physiciansof Edinburgh, before July I5, I957.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 any

lay 1957 Postgraduate News 257

riday evening in the Society's Hall before publicusiness.fpplications for further information should be addressedJ the Secretary, Royal Medical Society, 7 Melbourne'lace, Edinburgh, x.

.IVERPOOLJniversity of Liverpoolrhe following postgraduate courses of instruction are,ffered:;urgery. A full-time course of one year suitable forandidates 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 I2-month courseleading by examination to a Mastership in OrthopaedicSurgery (M.Ch.Orth.) open to all medical graduates ofapproved 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 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 £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 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 I 1s.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 C60.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 psychiatryParts I arid II will be held simultaneously. Studentsmay enrol for either part separately but, except inspecial circumstances, will not be permitted to talkeboth parts concurrently. Applications to attend inrespect of a special subject in Part II (e.g. mentaldeficiency) wiii be considered individually. Fees

iz2 I2s. od. per term or £70 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 inalternate years and extends over two academic years.the next course will begin in October 1958.D.M.R.D. A full-time course normally begins in Marchof each year. Applicants must fulfil the requirements ofthe Examining Board in England.D.M.R.T. A full-time course normally begins in Aprilof each year. It is held at the Christie Hospital and HoltRadium Institute. Applicants must fulfil the require-ments of the Examining Board in England.Dip.Bact. A full-time course beginning in October andextending over one academic year. Suitable for thosewho have qualified in medicine, veterinary medicine orother branches of science related to bacteriology. Thecourse includes general and systematic bacteriology,bacterial chemistry, serology, immunology, virology,mycology and statistics.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 terinms, two-and-a-halfdays each week being occupied in whole-time study,leaving the remainder of the time free for remuneratedemployment. Several suitable part-time hospital postsin the area are available to candidates attending thecourse. The course is held biennially and the nextcomplete course will begin in January 1957.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 StudiesSummary of ward rounds, clinics, demonstrations,etc., open to general practitioners during May I957,in the Radcliffe Infirmary, unless otherwise stated.Medicine. Ward rounds, xo.I5 a.m., Mondays andThursdays (Dr. A. M. Cooke); Tuesdays and FridaysDr. P. C. Mallam); Wednesdays (Dr. E. M. Buzzard);io a.m. Tuesdays and 2 p.m. Fridays (Prof. G. W.Pickering). Clinical demonstrations, 2.15 p.m., Thurs-days in full term (Prof. L. J. Witts, Dr. S. C. Truelove,Dr. J. Badenoch, Dr. Sheila Callender. Medical consilia,

258 POSTGRADUATE MEDICAL JOURNAL May I95

5 p.m., Wednesdays in alternate weeks in full term (Prof.L. J. Witts and others). Clinical pathology. Confer-ences, 5 p.m. Wednesdays, alternate weeks in full term(Dr. A. H. T. Robb-Smith and staff). Chest diseases.Clinical demonstrations, by arrangement with Dr. F.Ridehalgh, Osler Hospital. Geriatrics. Clinical de-monstrations by arrangement with Dr. L. Z. Cosin andDr. P. D. Bedford, Cowley Road Hospital. Infectiousdiseases. Clinical demonstrations, by arrangementwith Dr. J. F. Warin, Slade Hospital. Neurology.(Medical and surgical) clinical demonstrations, 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., I.45 p.m.,Wednesdays (Mr. J. B. Pennybacker, Mr. W. S. Lewin);2 p.m., Tuesdays and Wednesdays (Dr. Ritchie Russell,Dr. C. W. M. Whitty). Paediatrics. Ward rounds,10.3o a.m., Saturdays (Dr. Victoria Smallpiece). Psy-chiatry. Clinical demonstrations, 4 p.m., Fridays in fullterm at Wameford Hospital (Dr. R. G. McInnes). Skindiseases. O.P., 2 p.m., Mondays and Fridays (Dr.Alice Carleton). Social medicine. Demonstrationsby arrangement with Dr. Alice Stewart, Department ofSocial Medicine, 8 Keble 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.Ward rounds, 9.30 a.m. 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 (in full term). Orthopaedic surgery.Clinical discussions, 9 a.m. Thursdays and Saturdays atWingfield-Morris Orthopaedic 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).Plastic surgery. Clinical discussions and O.P., 2 p.m.Mondays, Stoke Mandeville Hospital, 2 p.m. Fridays,Churchill Hospital (Prof. T. P. Kilner), xo 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.I5 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, i a.m. Tuesdays (Prof. J. C. Moir), Io.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 MedicineUniversity (Fellowships, Scholarships and BursariesScheme Ltd. In terms of the above-named schemecertain funds have been amalgamated to form a MedicsFaculty Scholarships Fund, from which awards oFellowships and Scholarships will be made under thefollowing conditions. Graduate Research Scholarships. Four are offered for award, each tenable fo;one year and, in certain circumstances, renewable fola second year. For the first year the minimum valueshall be /5oo and for the second year C6oo. 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 lorner 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 C700; for a second year, C8oo; and for thethird year, 9goo. 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 normaily be made at the beginning of eachacademic year in October.Applications for the Scholarships or Fellowships (whichare to be made on the prescribed applicationform obtainablefrom 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.Butterworth Gold Medal is presented annually to theCollege of General Practitioners by Messrs. Butterworth& Co., the medical publishers, for an essay by a memberor associate of the College on a subject connected withgeneral practice. The subject for this year's essay is'The science and art of prognosis in general practice.'Essays, identified by motto only (with author's name andaddress in a sealed envelope) and not exceeding Io,ooowords, should'be submitted to the Chairman of the AwardsCommittee, College of General Practitioners, 14 BlackFriars Lane, London, E.C., not later than September i6,1957.Riker Fellowship in Pharmacology. The firstFellowship has been provided since 1954, and com-mencing the next academic year two will be awardedannually. The Fellowships provide a grant of CI,ooofor one year of postgraduate study in pharmacologicallaboratories in Great Britain. Two similar Riker Fellow-ships are available in the United States. The Fellowshipsare awarded and administered by the InternationalCouncil of Pharmacologists in association with theBritish Pharmacological Society and other pharmaco-logical societies affiliated with the International Council.The Fellowships aim to provide opportunities forgraduates to pursue research abroad, thus one of theconditions of their award is that pharmacologists are noteligible for Fellowships tenable in their country ofresidence.Full particulars from Riker Laboratories Ltd., MorleyStreet, Loughborough, Leicestershire.

THE

POSTGRADUATEMEDICAL JOURNAL

VOLUME33 NUMBER 379 MAY 1957

CONTENTSPAGE

OBITUARY 215AMOEBIASIS AS II' CONCERNS I'HE (ENERAL PHYSICIAN

A. R. D. Adams, I.D., F.R.C.P., D.T'.lI., and IWt. L. Kershazw, I.D., D.Sc. 216THE MANA(;EIENT' OF ELECTRICAL BURNS I. F. K. Muir, M.B.E., I.B., F.R.C.S. 219THE HYPOGLYCAELIIC SUI,PHONYLUREAS G. W'alker, B.Sc., MI.B., M.R.C.P. 224TEMPORAL LOBE EPILEPSY .\eil Gordon, M.D., M.R.C.P., .I.R.C.P.E. 228A PSEUDO-IIERMIAPIIRODITE PRESEN'1'INC UNUSUAL FEATURES

D. M. Forrest, F.R.C.S. 234ADOUBIE (ALL BI,ADDER J. L. It'illiams, F.R.C.S. 236ENDOMETRIOSIS OI THE VUIVA

Capt. G. A1. P. Boyes, AI.B., B.Chir., R.,A..I., and.llajor A. 1.1ile, M.Ch., F.R.('.S., R.,4..AI.(C. 239

MEGALOBLAS'1'IC ANAE IA ASSOCIA'1'ED WITH ANTI'ICONVCULSANT'' 'I'HERAPY7. I'. B. Forshaw, I.,4A., MI. D.(Camb.), M.R.C'.P. 242

SIMUtLTANEOUS PERFORATION OF BENIGN GASTRIC AND DUODENAL ULCERSH. D. If. Pozvell, F.R.C.S. 244

MANUFACT'URERS' NO'I'ES 245BOOKS RECEIVED 246BOOK REVIEWS 247POSTGRADUATE NEWS 250

41l rights reserved. \'o 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 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, 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.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.F. Dudley Hart, MI.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. Bodlev Scott, D.MI., F.R.C.P.

W. Somerville, M.D., M.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.)Editorial Representative for South Africa: Arthur J. Helfet, M.D., F.R.C.S.

PUBLISHERSThe Fellowship of Postgraduate Medicine, 60 Portland Place, Iondon, W.I.