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* THE POST GRADUATE MEDICAL JOURNIAL VOLUME XXIV NUMBER 268 FEBRUARY 1948 CONTENTS PAGE EDITORIAL 49 STRESS INCONTINENCE OF URINE IN THE FEMALE-PART 2 Terence Millin, M.Ch., F.R.C.S. and Charles D. Read, M.B., F.R.C.S.(E), F.R.A.C.S., F.R.C.O.G. 5' CEREBRAL METASTASIS IN ASSOCIATION WITH INTRATHORACIC DISEASE Maurice Davidson, M.A., D.M., F.R.C.P. 57 SOME CLINICAL AND SOCIO-MEDICAL ASPECTS OF CARDIOVASCULAR DISEASE Edmund Finsterbush, M.D. (Vienna), M.R.C.S. (Eng.), L.R.C.P. (Lond.) 66 HAEMOLYTIC ANAEMIA, WITH PARTICULAR REFERENCE TO CAUSE AND MECHANISM J. V. Dacie, M.B., M.R.C.P. (Lond.) 70 HISTAMINE AND ANTIHISTAMINE SUBSTANCES J. H. Bum, M.D., F.R.S. 76 THE DIAGNOSIS OF O-BSCURE PYREXIA M. H. Pappworth, M. D., M.R.C.P. 8z. THE PRINCIPLES UNDERLYING THE ARTIFICIAL FEEDING OF INFANTS Malcolm MacGregor, M.D., M.R.C.P., D.C.H. 87 LAY CLINICIANS-No. 9 92 REITER'S DISEASE R. R. Willcox, M.B., B.S. 93 POST GRADUATE NEWS 95 All rights reserved. No part of this journal may be reproduced in any form without permission in writing from the publishers. EDITOR: Selwyn Taylor, M.A., M.Ch., F.R.C.S. ADVISORY EDITORIAL BOARD: Maurice Davidson, M.A., D.M., F.R.C.P. Colin Edwards, M.B., M.R.C.P. Charles Read, F.R.C.S., F.R.C.O.G. Terence Millin, F.R.C.S. David Levi, M.S., F.R.C.S. A. Clifford Morson, O.B.E., F.R.C.S. Harold Davis, M.B., M.R.C.P. K. I. Nissen, F.R.C.S. Ronald Jarman, D.S.C., M.R.C.S., L.R.C.P., D.A. B. T. Parsons-Smith, M.D., F.R.C.P. PUBLISHERS.: The Fellowship of Post Graduate Medicine, I, Wimpole Street, London, W.x. BUSINESS MANAGER: R. H. Blythe, 24, Margaret Street, London, W.I. LANghgm 4526.

THE POSTGRADUATE MEDICAL JOURNIAL* THE POSTGRADUATE MEDICAL JOURNIAL VOLUME XXIV NUMBER 268 FEBRUARY 1948 CONTENTS PAGE EDITORIAL 49 STRESS INCONTINENCE OF URINE IN THEFEMALE-PART

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* THE

POST GRADUATEMEDICAL JOURNIALVOLUMEXXIV NUMBER 268 FEBRUARY 1948

CONTENTSPAGE

EDITORIAL 49

STRESS INCONTINENCE OF URINE INTHE FEMALE-PART 2 Terence Millin, M.Ch., F.R.C.S. and Charles D.

Read, M.B., F.R.C.S.(E), F.R.A.C.S., F.R.C.O.G. 5'

CEREBRAL METASTASIS IN ASSOCIATIONWITH INTRATHORACIC DISEASE Maurice Davidson, M.A., D.M., F.R.C.P. 57

SOME CLINICAL AND SOCIO-MEDICALASPECTS OF CARDIOVASCULARDISEASE Edmund Finsterbush, M.D. (Vienna), M.R.C.S.

(Eng.), L.R.C.P. (Lond.) 66HAEMOLYTIC ANAEMIA, WITH

PARTICULAR REFERENCE TOCAUSE AND MECHANISM J. V. Dacie, M.B., M.R.C.P. (Lond.) 70

HISTAMINE AND ANTIHISTAMINESUBSTANCES J. H. Bum, M.D., F.R.S. 76

THE DIAGNOSIS OF O-BSCURE PYREXIA M. H. Pappworth, M. D., M.R.C.P. 8z.

THE PRINCIPLES UNDERLYING THEARTIFICIAL FEEDING OF INFANTS Malcolm MacGregor, M.D., M.R.C.P., D.C.H. 87

LAY CLINICIANS-No. 9 92

REITER'S DISEASE R. R. Willcox, M.B., B.S. 93

POST GRADUATE NEWS 95

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

EDITOR:Selwyn Taylor, M.A., M.Ch., F.R.C.S.

ADVISORY EDITORIAL BOARD:Maurice Davidson, M.A., D.M., F.R.C.P. Colin Edwards, M.B., M.R.C.P.Charles Read, F.R.C.S., F.R.C.O.G. Terence Millin, F.R.C.S.David Levi, M.S., F.R.C.S. A. Clifford Morson, O.B.E., F.R.C.S.Harold Davis, M.B., M.R.C.P. K. I. Nissen, F.R.C.S.Ronald Jarman, D.S.C., M.R.C.S., L.R.C.P., D.A. B. T. Parsons-Smith, M.D., F.R.C.P.

PUBLISHERS.:The Fellowship of Post Graduate Medicine, I, Wimpole Street, London, W.x.

BUSINESS MANAGER:R. H. Blythe, 24, Margaret Street, London, W.I. LANghgm 4526.

92

LAY CLINICIANSNo. 9

Often when reading a book or play one comesacross an excellent description of some disease. Suchaccounts are always of interest to the doctor andthey often show surprisingly accurate powers ofobservation and clinical acumen. We hope to printsome of these ' case records' from time to time andfor those who would like to try their hand at namingthe author, this information will be given at the endof the extract.

' The doorway was dark and gloomy at anytime ; but just at this moment it was rendereddoubly so by the fact that the thunderstorm hadjust broken, and the rain was coming down intorrents.'And in the semi-darkness the prince dis-

tinguished a man standing close to the stairsapparently waiting.

' There was nothing particularly significant inthe fact that a man was standing back in the door-way, waiting to come out or go upstairs; but theprince felt the irresistible conviction that he knewthis man, and that it was Rogojin. The manmoved on up the stairs; a moment later the princepassed up them too. His heart froze within.him."In a minute or two I shall know all " he thought.

' On the first landing, which was as small as thenecessary turn of the stairs allowed, there was aniche in the column, about half a yard wide, andin this niche the prince felt convinced that a manstood concealed. He thought he could dis-tinguish a figure standing there. He would passby quickly and nbt look. He took a step forward,but could bear the uncertainty no longer andturned his head.'The eyes-the same two eyes-met his! The

man concealed in the niche had taken a stepforward. For one second they stood face to face.

' Suddenly the prince caught the man by theshoulder and twisted him round towards the light,so that he might see his face more clearly.

' Rogojin's eyes flashed, and a smile of insanitydistorted his countenance. His right hand wasraised, and something glittered in it. The princedid not think of trying to stop it. All he couldremember afterwards was that he seemed to havecalled out:'"Parfen ! I won't believe it!"'Next moment something seemed to burst open

before him; a wonderful inner light illuminatedhis soul. This lasted perhaps for half a second,yet he distinctly remembered hearing the be-ginning of the wail, the strange, dreadful wail,which burst from his lips of its own accord, andwhich no effort of will on his part could suppress.'Next moment he was absolutely unconscious;

black darkness blotted out everything.' The prince's body slipped convulsively down

the steps until it rested at the bottom. Very soon,in five minutes or so, he was discovered, and acrowd collected round him.

' A pool of blood on the steps near his head gaverise to grave fears. Was it a case of accident, orhad there been a crime ?

' The sufferer was immediately taken to hisroom, and though he partially regained conscious-ness, he lay long in a semi-dazed condition.

' The doctor stated that there was no danger tobe apprehended from the wound on his head, andas soon as the prince could understand What wasgoing on around him, Colia hired a carriage andtook him away to Lebedeff's.'

This description of an epileptic fit, written byone who was himself an epileptic, will always re-main as the classical account of the condition.The author, Fyodor Dostoevsky, was one of thosebrilliant novelists whom Russia produced in thei9th century.

95

POST GRADUATE NEWSFebruary 1948

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 orfurther information should be made direct to the sponsorsof the course.

FELLOWSHIP OF POST GRADUATEMEDICINESurgery (F.R.C.S.). February 7th and 8th. Allday Saturday and Sunday. Hillingdon County Hospital.Limited. Fee, C3 3s. od. (No entries accepted untilsyllabus is published and circulated.)Anatomy, Physiology, Pathology and Bacteri-ology (F.R.C.S. Primary). February gth to June3rd. Mondays and Thursdays, 7.30 p.m. to IO p.m.Royal Cancer Hospital. Fee, £17 17S. od.Obstetrics (D.Obst.R.C.O.G.). February i6th to21st. All day. West Middlesex County Hospital,Isleworth. Limited. Fee, £& 4s. od.

Neurology (M.R.C.P.). February i6th to March1I3th. Afternoons. West End Hospital for NervousDiseases. Limited. Fee, £4 4s. od. (No entriesaccepted until the syllabus is published and circulated.)Infectious Diseases (M.R.C.P.). February 2ISt and22nd. All day, Saturday and Sunday. Park Hospital,Hither Green. Limited. Fee, L3 3s. od. (No entriesaccepted until syllabus is published and circulated.)Children's Diseases (D.C.H.). February 23rd toMarch 6th. Daily, 5.30 to 7 p.m. (Saturdays, ii a.m.to 12 noon). Princess Louise Kensington Hospital.Limited. Fee, £5 5s. od. (No entries accepted untilsyllabus is published and circulated.)Ear, Nose and Throat Diseases in Children.February 28th and 2gth. All day Saturday and Sunday.Specially intended for School Medical Officers, Paedia-tricians and General Practitioners. Fee, C2 12S. 6d.Anaesthetics (Revision). March Ist to i3th. Allday. Radcliffe Infirmary, Oxford. Limited. Fee,£io ios. od.

Surgery (F.R.C.S.). March Ist to May I4th.Monday, Thursday and Friday mornings. Royal Can-cer Hospital. Limited. Fee, £21. (No entriesaccepted until syllabus is published and circulated.)

Proctology. March 8th to 13th. All day. St.Mark's Hospital. Limited. Fee, £4 4s. od. (Noentries accepted until syllabus is published andcirculated.)Rheumatic Diseases. March igth, 20th and 2ISt.Friday afternoon, all day Saturday and Sunday. Rheu-matic Unit, St. Stephen's Hospital. Fee, £3 3s. od.Surgery (F.R.C.S.). April 7th to 28th. Wednesdays,2 p.m. St. Mary Islington Hospital, Highgate. Limited.Fee, £3 38. od. (No entries accepted until syllabus ispublished and circulated.)

Surgeiey and Pathology (F.R.C.S.). April 7th to30th. Wednesday mornings and Friday afternoons.Dreadnought Hospital, Greenwich. Limited. Fee,£4 14S. 6d. (No entries accepted until syllabus ispublished and circulated.)Social Medicine. April gth, ioth and iith (Fridayevening and all day Saturday and Sunday). RoffeyPark Rehabilitation Centre, Horsham. Fee, £4 14S. 6d.,inclusive of accommodation and all meals (£4 4s. od.to Members of the Fellowship).

Surgery (F.R.C.S.). Saturday, April ioth, 2.30p.m. to 7 p.m. London Homoeopathic Hospital.Limited. Fee, £i iIs. 6d. (No entries accepted untilsyllabus is published and circulated.)

Anaesthetics (Revision). April 12th to 30th. Allday. Royal Cancer Hospital. Limited. Fee,£12 12S. od. (Part I only, £5 5s. od.; Part II only,£8 8s. od.).Surgery (F.R.C.S.). April 24th and 25th. All daySaturday and Sunday. Hillingdon County Hospital.Limited. Fee, £3 3s. od. (No entries accepted untilsyllabus is published and circulated.)Rheumatic Diseases (Social and Industrial As-pects). April 30th, May Ist and 2nd. Friday evening,all day Saturday and Sunday. Roffey Park Rehabilita-tion Centre, Horsham. Fee, inclusive of accommoda-tion and all meals, £4 14S. 6d. (£4 4s. od. to Membersof the Fellowship).Neurology (M.R.C.P.). May 24th to June igth.Afternoons. West End Hospital for Nervous Diseases.Limited. Fee, £4 4s. od. (No entries accepted untilsyllabus is published and circulated.)

Infectious Diseases (M.R.C.P.). June sth and 6th.All day, Saturday and Sunday. Park Hospital, HitherGreen. Limited. Fee, £3 3s. od. (No entries accepteduntil syllabus is published and circulated.)

Please note that instruction arranged by the Fellowshipof Post Graduate Medicine is open only to Members(annual subscription, from month ofjoining, ios. 6d.). Inthe case of ' limited' courses no entries are accepted inadvance of the detailed syllabuses being published andcirculated; post graduates (whether Members or not) arenot automatically included in the mailing lists, but mustnotify the Fellowship of Post Graduate Medicine, iWimpole Street, London, W.I, if they wish to be sentsyllabuses as published, and must specify the subjects inwhich they are interested. Information regarding coursescan be obtainedfrom the Office, daily between Io a.m. and5 p.m. (Saturdays io a.m. to 12 noon). Telephone:Langham 4266.

POST GRADUATE MEDICAL JOURNAL

ROYAL COLLEGE OF PHYSICIANS OFLONDONA course of Post Graduate lectures in Medicine willbegin on February 2nd and continue until March 25th.There will be approximately 26 lectures. Fee for thecourse, £7 7s. od., and the total entry will be limitedto 200.For further information applications should be addressedto the Registrar, Royal College of Physicians, Pall MallEast, London, S. W. I.

ROYAL COLLEGE OF SURGEONS OFENGLANDA programme of post graduate teaching has beenarranged, including study of the basic sciences, surgeryand surgical and allied specialties. In the basic sciencesin addition to Lectures, Practical Demonstrations ex-tending over a period of three months are also held.The following courses have so far been arranged for1I948:

PLASTIC SURGERYThe following lectures will be given at 5 p.m.FebruaryI2th Mr. Rainsford Mowlem. Bone, cartilage and

fascia transplants.i6th Sir Harold Gillies. Skin flaps; indications and

technique.i8th Mr. A. B. Wallace. Free skin grafting; methods

and application.20th Mr. R. P. Osborne. Bums and their early

treatment.23rd Prof. T. Pomfret Kilner. Cleft lip and palate

repair.24th Mr. P. H. J7ayes. Fractures of the facial skeleton.25th Mr. J. N. Barron. Hand injuries.26th Mr. J. B. Cuthbert. Hand deformities; repara-

tive surgery.27th Sir Archibald McIndoe. External genitalia;

treatment of congenital deformities.The fee for the course is £4 4s. od., or ios. for one lecture.(Fellows and Members, and Fellows and Licentiates inDental Surgery, £2 2S. od. or 7s. 6d. for one lecture.)

Anatomy, Applied Physiology and PathologyA course of 72 lectures will be given from April sth toMay 25th; two lectures daily (Monday to Friday) at3.45 p.m. and 5 p.m. The complete list of lecturers andtheir subjects will be published later. Fee for thecourse, £i6 i6s. od. (Fellows, Members and Fellowsand Licentiates in Dental Surgery of the College,,C12 I2S. od.). Closing date for applications, Saturday,April 3rd, I948.A series of practical demonstrations in the above sub-jects will be held from March 22nd to June iith, fromio a.m. to i p.m., and 2 p.m. to 3.30 p.m. daily. Thedemonstrations will only be open to those attending theabove-mentioned lectures and will be limited to 40students; preference will be given to those unable toobtain practical instruction elsewhere, and to ex-Servicemen. The fee is £2I, and the closing date for applica-tions, Monday, 2nd February, 1948.Oto-LaryngologyApril 26th to May iith, 1948.Details to be published later.

OphthalmologyJune ist to June i6th, 1948 (12 lectures).Details to be published later.OrthopaedicsJuly Ist to July i6th, 1948 (I2 lectures).Details to be pvblished later.SurgeryMarch 17th to April Ist, 1948.Details to be published later.AnaesthesiaApril sth to April 20th, 1948.July Ist to July i6th, 1948.Details to be published later.Hunterian LecturesThe following lectures will be given at 5 p.m., and areopen to all medical practitioners, dentists, and advancedstudents.February2nd Prof. A. W. Badenoch. Congenital obstruction

at the bladder neck.3rd Prof. A. Davis Beattie. The treatment of peptic

ulcer by vagotomy.4th Prof. Denis Browmne. Hare lip and cleft palate.6th Prof. R. Guy Pulvertaft. Repair of tendon in-

juries in the hand.gth Prof. Victor Riddell. Carcinoma of the breast.ioth Prof. Francis E. Stock. The surgical approach

to hypertension.i ith Prof. A. Hedley Visick. A study of the failures

after gastrectomy.13th Prof. Stanley Way. The anatomy of the lym-

phatic drainage of the vulva and its influence ont4e radical operation for carcinoma.

17th Prof. M. C. Wilkinson. Some observations onthe pathogenesis and treatment of skeletaltuberculosis.

Bernhard Baron LectureAt 5 p.m., open to all medical practitioners, dentistsand advanced students.FebruaryIgth Prof. John Beattie. Hormonal changes after

injury.Fellowship and Dental Examinations. SpecialFinal Fellowship Examinations have been instituted inOphthalmology and Oto-Laryngology. A Fellowshipin Dental Surgery has also been instituted.Conjoint Examinations. The Diplomas of L.R.C.P.,M.R.C.S., are granted jointly with the Royal College ofPhysicians, as well as Diplomas in ii specialties.Scholarships and Prizes. The College grants manyResearch Scholarships and Prizes and in certain casesmake grants in aid of surgical research, the work beingcarried out either in the College or elsewhere.Full particulars may be obtained from the Secretary, PostGraduate Education Committee, Royal College ofSurgeons, Lincolns Inn Fields, W.C.2.

UNIVERSITY OF LONDONA lecture on 'The Epidemiology of Poliomyelitis' willbe given at the London School of Hygiene and TropicalMedicine, Keppel Street, W.C. I, by Dr. A. M.McFarlan, at 5. I5 p.m. on Wednesday, February i ith.Admission free, without ticket.

96 February I1948

Post Graduate News

COMBINED POST GRADUATETEACHING SCHOOL IN OBSTETRICSAND GYNAECOLOGY (Queen Charlotte'sMaternity Hospital and the ChelseaHospital for Women)Refresher courses in obstetrics and gynaecology forqualified medical practitioners are held regularly atQueen Charlotte's Maternity Hospital and the ChelseaHospital for Women. Fee, L5 5s. od.Intensive courses for those studying for the M.R.C.O.G.examination are also held twice a year. Fee, LI2 12S. od.In addition Post Graduates may attend the practice ofQueen Charlotte's Hospital, either non-resident for twoguineas a week or with accommodation near the hospitalfor five and a half guineas a week, for periods of fromone to four weeks.Further particulars can be obtained from the Secretary,The Combined Post Graduate Teaching School, ChelseaHospital for Women, Dovehouse Street, London, S. W.3.

SOCIETY OF APOTHECARIES OFLONDONDiploma in Industrial Health. The next examina-tions will be held in July and December, 1948.

Diploma of Mastery of Midwifery (M.M.S.A.).The next examination will be held in May, 1948.For regulations relating to these examinations apply to theRegistrar, Society of Apothecaries of London, Black FriarsLane, E.C.4.

DENTAL BOARD OF THE UNITEDKINGDOMActing upon the recommendation of the Joint AdvisoryCommittee on Post Graduate Dental Education, aDental Post Graduate Information Bureau has beenestablished for the purpose of collecting and makingavailable to those who require it all possible informationon this subject.Application for information should be addressed to theDirector (Brigadier R. A. Broderick, D.S.O., M.C.,M.D.S., M.B.), Dental Post Graduate InformationBureau, 44 Hallam Street, London, W.i.

MEDICAL SOCIETY OF LONDONFebruarygth 8.30 p.m. Short papers as follows:

Prof. J. F. Wilkinson. Folic acid.Mr. Hamilton Bailey. The differential diagnosisof tuberculous cervical adenitis.Dr. Geoffrey Evans. Potassium thiocyanate inhypertension.

i6th I23rd 99 p.m. Lettsomian Lectures.M

Dr. Cuthbert Dukes. Clinical pathology inMarch relation to medical practice.ISt J

8th 8.30 p.m. Discussion on the etiology of thecommon cold and influenza, to be introduced byDr. C. H. Andrewes, Prof. C. F. Stuart-Harrisand Dr. Freddy Himmelweit.

i ith Annual Dinner.

For further information apply to the Registrar, MedicalSociety of London, i i Chandos Street, Cavendish Square,W.I.

INSTITUTE OF CARDIOLOGY(National Heart Hospital) (University ofLondon)Full-time course of instruction lasting three months isavailable for Membership candidates and generalphysicians. Fee, L26 5s. od.A limited number can be accepted for casual attendanceat Out-patient sessions only. Fee for each attendance,5s.Special short courses lasting two weeks are given atintervals. Fee, CI2 I2S. od. Next course, February23rd to March 5th, I948.Series of lectures on Fridays at 5 p.m. for generalpractitioners are held from time to time. Fee for theseries, Li is. od. Next course, May I4th to June 25th,I948.Further details and applicatigns for admission to thesecourses should be made to the Dean of the Medical School,Institute of Cardiology, National Heart Hospital, West-moreland Street, London, W. i.

INSTITUTE OF CHILD HEALTH (Hos-pital for Sick Children) (University ofLondon)A course of lectures is being given at the Institute onTuesdays at 4.30 p.m., on 'Modern Methods in theDiagnosis and Treatment of the Acute Specific Fevers,'by visiting lecturers, as followsFebruary3rd Dr. H. Stanley Banks. Measles.ioth Dr. L. J. M. Laurent. Pertussis.17th Dr. J. P. Marsden. Smallpox.24th Dr. H. Stanley Banks. Vaccinia and chickenpox.March2nd Dr. H. Stanley Banks. Rubella and mumps.gth Dr. H. Stanley Banks. Typhoid and para-

typhoid.i6th Dr. H. Paul. Quarantine, isolation and disin-

fection.Applications should be made to the Secretary, Instituteof Child Health, Hospital for Sick Children, GreatOrmond Street, London, W.C. I.

INSTITUTE OF DERMATOLOGY (St.John's Hospital for Diseases of the Skin)(University of London)A course of lectures is being given on Tuesdays andThursdays at 5 p.m.February3rd Dr. I. Muende. Pathological demonstrations.5th Dr. L. Forman. The seborrhoeic dermatoses.

ioth. Dr. H. Corsi. Diseases of the nails.I2th Dr. W. Y. O'Donovan. Psychosomatic derma-

toses.17th Dr. I. Muende. Pathological demonstrations.24th Dr. W. N. Goldsmith. Anomalies of pigmenta-

tion.

Feboruary I 948 97

POST GRADUATE MEDICAL JOURNAL

March2nd Dr. I. Muende. Pathological demonstrations.4th Dr. B. Russell. Diseases of the lips.gth Dr. R. T. Brain. Physio- and electro-therapy.

I ith Dr. W. J3. O'Donovan. Diseases of the hair.I6th Dr. I. Muende. Pathological demonstrations.23rd Dr. R. M. B. MacKenna. Principles and practice

of treatment.The course will be continued to March, I948, at theend of which period an examination may be held whenthe Chesterfield Medal may be awarded to the bestcandidate, provided the required standard is reached.Clinics. Instructions will be given in the Out-patientDepartment to a limited number of Post Graduates.Laboratory. Arrangements can be made for Classes,individual instruction or for research work.

Thefeefor the lecttures is £2 2S. od. per month (LIo ios. od.for six months). Applications should be made to the Dean,Institute of Dermatology, St. _'ohn's Hospital, 5 LisleStreet, Leicester Square, London, W.C.2.

INSTITUTE OF DISEASES OF THECHEST (Brompton Hospital) (Universityof London)The Institute of Diseases of the Chest (MedicalSchool of the Brompton Hospital). The teaching isprimarily by means of attendance on hospital practice,students enrolling for three months or more on what isat present approximately a half-time course of instructionconsisting of clinical work on the wards and out-patients departments and a certain number of lecturesand demonstrations. For this the fee is 4 guineas forone month or io guineas for three months. In specialcases a whole-time programme can be arranged, but the'numbers are restricted for the present by lack of accom-modation. There are three terms annually, com-mencing in January, April and October.The following lectures are being given at 5 p.m. (ad-mission by ticket)February4th Mr. N. R. Barrett. Extrapleural pneumothorax.

iith Dr. Y. L. Livingstone. Asthma.i8th Dr. K. Robson. Pleural effusion.26th Mr. Price Thomas. Cysts of the lung.

March3rd Dr. W. E. Lloyd. The.management of minimal

pulmonary tuberculosis.ioth Dr. F. H. Young. Artificial pneumo-peritoneum.I7th Mr. 0. S. Tubbs. Chronic empyema.24th Dr. Clifford Hoyle. Spontaneous pneumothorax.For further information applications should be addressedto the Dean, Medical School, Brompton Hospital, FulhamRoad, S.W.3.

INSTITUTE OF LARYNGOLOCY ANDOTOLOGY (Royal National Throat, Noseand Ear and Golden Square Hospitals)(University of London)A comprehensive course lasting 20 weeks and designedto cover the whole field of the specialty is held twice ayear in January and July. This consists of lectures,demonstrations and attendance on the practice of thehospital, with facilities for dissection. A special point is

made of the anatomy, physiology and pathology relatedto the subject. Advanced students may obtain additionalexperience by appointment as Out-patient Assistants.The composite fee, including enrolment as a clinicalassistant, attendance on the hospital practice and at oneof the comprehensive courses, but excluding dissection,varies from 35 guineas for three months to 45 guineas fora year. There are lower rates for attendance on thehospital practice only.For further information applications should be addressedto the Dean, Institute of Laryngology and Otology, 330Gray's Inn Road, W.C.i.

INSTITUTE OF NEUROLOGY (NationalHospital Medical School, Queen Square;British Post Graduate Medical Federa-tion)Post Graduate training is provided in the various depart-ments of neurology. The Out-patient practice is openat io a.m. every day, except Saturday. A fee of£2 2S. od. per month is charged for attending the Out-patient Department only. The In-patient practice isopen at io a.m. and a limited number of Clinical Clerksare appointed. Fees, three months, £i5 15s. od, sixmonths, £29 8s. od.Special courses of instruction are given during theautumn and winter terms and clinical demonstrationsare given on Saturday mornings and Wednesday after-noons during term. Fee, LI IS. od.Applications should be addressed to the Dean, MedicalSchool, National Hospital, Queen Square, London, W.C. i.

OPHTHALMIC INSTITUTE (RoyalLondon Ophthalmic, Royal WestminsterOphthalmic, Central London OphthalmicHospitals) (University of London)A course of lectures and classes extending over a periodof five months, to meet the requirements of candidatesentering for the examinations for the Diploma inOphthalmic Medicine and Surgery and other Degreesin Ophthalmology, will be given by members of theHonorary Staff of the hospital and others, commencingin March and October of each year.D.O.M.S. Part I. Anatomy (including embryologyand histology), physiology of the eye, optics (elementaryand physiological). Composition fee, C£5I5s. od.

D.O.M.S. Part II. Bacteriology, pathology, operativesurgery, ophthalmoscopic conditions, medical ophthal-mology, lectures on external diseases, retina and opticnerve, motor anomalies, uveal tract, etc. Compositionfee, £26 5s. od.

Students can attend the clinical practice of the Hospitaland hold the appointments of Junior Clinical Assistantsandc Clinical Assistants concurrently with the abovecourse.For further particulars apply to the Dean or Secretary,The Ophthalmic Institute, Moorfields Westminster andCentral Eye Hospital, City Road, London, E.C.I.

INSTITUTE OF ORTHOPAEDICS(University of London)The Institute is concerned with post graduate educationin orthopaedics and with research. The practice of the

"-L.v euruary 194898

Post Graduate News

hospital, both at the Central Hospital in Great PortlandStreet, and at the country branch at Stanmore, is opento post graduates, who may attend for various periods.In addition to hospital practice, formal courses of variouslengths are held during academic terms. Selectedstudents have opportunities of taking an active part inthe work of the Institute and Hospital and of spendingin the Institute up to two years of their training; a highstandard is demanded and they should have previoussurgical training, experience or qualification, or previousanatomical, physiological or pathological experience.Further particulars may be obtained from the Dean,Institute of Orthopaedics, Royal National OrthopaedicHospital, 234 Great Portland Street, W. I.

INSTITUTE OF UROLOGY (CombinedSchool of St. Peter's and St. Paul'sHospitals) (University of London)Three courses are held annually, January to April,April to July, September to December. Instruction in-cludes systematic lectures, out-patient sessions, wardvisits, operation sessions and tutorial demonstrations.All post graduates attending a course are expected toattend lectures, and may attend all the tutorial demon-strations. They will be allotted individually to certainout-patient sessions, ward visits and operation sessions.Fee, Ci5 I5s. od.Applications should be addressed to the Secretary, St.Peter's Hospital for Stone, Henrietta Street, W.C.2.

POST GRADUATE MEDICAL SCHOOLOF LONDON (University of London)The Post Graduate Medical School of London (formerlythe British Post Graduate Medical School) is associatedwith the Hammersmith Hospital, Ducane Road, W.I2.It has University Departments in Medicine, Surgery,Obstetrics and Gynaecology, and Pathology. Theteaching in the clinical departments, which is of anadvanced nature and based on ward work, is continuousand is supplemented by lectures during three 14-weeksessions starting in January, April and September.Suitable students are encouraged to undertake researchwork. A course for the University Diploma in ClinicalPathology, lasting one year, is available for a limitednumber of selected students. This commences inOctober. Refresher courses lasting* a fortnight inpractical anaesthetics are held, to which two studentsat a time ate admitted. The Department of Radiologyof the Hospital provides courses for the Diplomas inMedical Radiology of the University and ConjointBoard. The fees vary from 3 guineas for one week to50 guineas for a year.Forifurther information application should be made to theDean, Post Graduate School of London, Ducane Road,W.I2.

HAMPSTEAD GENERAL HOSPITALPOST GRADUATE SOCIETYAn extended refresher course in general medical andiurgical subjects will be held at the Hampstead General-Iospital on Thursday aftemoons for i i weeks, be-finning in March, 1948. The fee for the course isC5 5s. od. Details will be published later.4pplications to the Secretary, Hampstead GeneralVIospital Post Graduate Society, The Green, N.W.3.

LONDON CHEST HOSPITALA course of lectures and demonstrations are being Xeldon Fridays at 5 p.m.February6th Dr. K. F. W. Hinson. Laboratory diagnosis of

bronchial biopsies.13th Dr. R. Sleigh 3ohnson. Acute respiratory in-

fectibns.2oth Dr. Parry Brown. General anaesthesia for sur-

gery of the heart.27th Dr. Browning Alexander. Acute pericarditis.Marchsth Mr. S. C. Suggit. The common lesions of the

glottis.I2th Dr. H. V. Morlock. The indications for broncho-

scopy in chest diseases.Fee, £2 2S. od., except in the case ofserving and demobilizedmembers of H.M. and Allied Forces. Applications shouldbe made to the Dean, London Chest Hospital, VictoriaPark, E.2.

LONDON SCHOOL QF HYGIENE ANDTROPICAL MEDICINE (University ofLondon)Course of study for the University of LondonCertificate and Diploma in Public Health. Thecourse is designed for qualified medical practitioners andis intended primarily to prepare them for the AcademicPost Graduate Certificate and Diploma in Public Healthof the University of London. The preliminary part isintended to meet the needs of registered medicalpractitioners who intend to devote themselves to anybranch of Public Health work, and the full course isintended to provide more advanced instruction forthose practitioners who wish to qualify themselves forappointments in which they are required by law to holdregistered Diplomas or Degrees in Public Health (orState Medicine). The preliminary course lasts threemonths, and the complete course covers one academicyear of nine months, and tuition begins at the end ofSeptember in each year. The tuition fee for the coursefor the Certificate in Public Health is £zi, and for thefull course is £56 14s. od. (both payable at the time ofenrolment). These fees include payments in respect ofwork in a public health department, instruction in in-fectious diseases and hospital administration, and certainvisits. They do not include University Registrationand examination fees. The registration fee, payable tothe University by students who have not previouslymatriculated in the University of London, is C3 3s. od.Application-for admission to the course should be madeto the Registrar of the School. Applicants will beselected early in 1948 for the course beginning inSeptember, 1948. Applications from nationals fromPakistan and India should be made through the officesof their respective High Commissioners in London.Part-time students are not at present admitted to thecourse. The detailed regulations, governed by theRules of the General Medical Council, are issued bythe University of London.Course of study for the Diploma in TropicalMedicine and Hygiene (England). The course isintended primarily to prepare qualified medicalpractitioners for the examination of the Conjoint Boardfor the Diploma in Tropical Medicine and Hygiene.The course is open to any qualified medical practitioner,but those not holding a medical qualification registrable

February I948 99,

POST GRADUATE MEDICAL JOURNAL

in England should consult the Secretary of the Con-joint Board, 8, Queen Square, London, W.C.i, re-garding their admissibility to the examination for theDiploma. The course is a continuous one of five monthsduration, preparing for a single examination by theConjoint Board. A course will start on March Ist,1948, in preparation for the examination in July, 1948.The tuition fee for the whole course is ,C40, but it doesnot include the examination fee payable to the ConjointBoard.Application for admission to the course should be madeto the Registrar of the School. Students from overseasare advised to make application as early as possible inorder that they may be assured before sailing that thereis a place available. Applications from nationals fromPakistan and India should be made through the officesof their respective High Commissioners in London.

Course of study for the Academic Diploma inBacteriology. This course is designed to preparecandidates for the Academic Post Graduate Diploma inBacteriology of the University of London. The courseis open to graduates in medicine, science and pharmacyof the London or another approved University, whoseprevious training has, in the opinion of the LondonUniversity, 'fitted them to profit by the course; reg-istered medical practitioners and other students who,though not graduates, have obtained a qualification andundergone a previous training which, in the opinion ofthe London University, has fitted them to profit bythe course. The course begins about the first week inOctober in each vear and lasts one academic year ofnine months. The examination for the Diploma isheld once in each year beginning on the Thursdayfollowing the third Monday in June. The compositefee for the course is £56 14S. od. ; this includes tuition,hire of microscope, and the provision of a clean gownIand towel each week. The examination fee is tJ5 5s. od.The registration fee, payable to the University bystudents who have not previously matriculated in theUniversity of London, is fL 3s. od.Applications for admission to the course should be sub-mitted to the Registrar of the School, and should beaccompanied by a statement of the candidate's pastexperience, and of the particular branch of bacteriologythat he intends to take up in the future. A list ofpublications, if any, should also be included. It isimportant to know whether the candidate is going to takeup bacteriology as a whole-time career. The number ofplaces is strictly limited. Applications for admissionshould be received by the end of March; candidateswill be informed by the end of April whether or notthey can be admitted.Applicants who are interested in hospital pathology asopposed to public health bacteriology are reminded thata course for the Diploma in Clinical Pathology is avail-able at the Post Graduate Medical School of London.

Short courses in the principles of MedicalStatistics and Statistical Methods. In additionto the general course of instruction in medical statisticsand elementary statistical ideas and methods whichforms part of the curriculum of students working foracademic diplomas, the Department of Medical Statisticsoffers a short and rather more advanced three months'course in these subjects. In this short course particularattention is given to the analysis of medical statisticalmaterial and students are taught, in lectures and bypractical work, the more important methods of treatingand interpreting numerical data. Special lectures aregiven on the general principles of statistical inferenceand the elements of the theory of probability. The

nature and source of medical-statistical data are dis-cussed and lectures given on statistical-epidemiologicalaspects of diseases and on such subjects as occupationaland social aspects of mortality and morbidity, popula-tion sampling methods and tests of inoculation pro-cedures. The programme consists of 4-5 lectures and6-7 hours of practical work each week, usually arrangedto occupy two whole davs. The days and hours ofattendance are not fixed but are arranged from term toterm to fit in with other courses in the School and tomeet, when possible, the needs of students who wishto take this part-time course and to carry on with otherwork at the same time. Those with more time at theirdisposal are able to do additional practical work and areassisted in analysing statistical material of their ownoutside the fixed hours of classes. The course laststhree months and is held twice a year, beginning in thefirst week of January and about mid-April, if sufficientapplications are received. The fee for the course isCI 2 12S. od. Application should be made to the Registrarof the School not less than one month before the courseis due to begin.

Course in Applied Helminthology. A short courseis held from time to time, and is designed for membersof staffs of agricultural colleges, officers or intendingofficers of the Colonial Agricultural and VeterinaryServices, and officers engaged under local authorities.The course lasts three weeks and is held in the monthof July, but is not held every year. The fee for thecourse is £4 4s. od.

ST. GEORGE'S HOSPITAL MEDICALSCHOOL (University of London)Neurological and Psychiatric lecture-demonstrations onThursdays at 4.30 p.m.Februarysth Dr. Feiling.

i2th Dr. Curran.Igth Dr. Feiling.26th Dr. Curran.March4th Dr. Feiling.iIth Dr. C'urran.i8th Dr. Feiling.

Neurological.Psychiatric.Neurological.Psychiatric.

Neurological.Psychiatric.Neurological.

These lecture-demonstrations are open, without fee, toall practitioners and senior students.For further information applications should be addressedto the Dean, Medical School, St. Georee's Hospital,Hyde Park Corner, S. W. i.

CARDIFFThe Welsh National School of MedicineC.P.H. Wales (Certificate in Public Health).Three months' 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 frorrOctober.

IOO February I 948

Post Graduate News

The number of admisons to each of the above course isstrictly limited and early application should be made tothe Secretary, The Welsh National School of Medicine,io The Parade, Cardiff.

DUBLINRoyal College of Surgeons in IrelandA two months' Post Graduate course in surgery will beheld at the Royal College of Surgeons in Ireland start-ing on April I2th, 1948. The number of students islimited to 30. The fee is £21.Students may enrol now with the Registrar, Royal Collegeof Surgeons, St. Stephen's Green, Dublin.

EDINBURGH

Edinburgh Post Graduate Board ofMedicineInternal Medicine. A course lasting I2 weeks, suit-able for graduates wishing a refresher course, or tospecialize in Medicine, begins on Monday, April i2th,1948. A similar class commences on October 4th,1948. These courses consist of 3oo hours instructioncomprising lectures, clinical demonstrations and wardvisits. Fee, £3 I IOs. od.

Ceneral Surgery. The five months' course of postgraduate surgery arranged to start on Monday, March29th, 1948, is full. A similar course will begin onMonday, October i8th, 1949, and is suitable for surgeonsrequiring a refresher course in the current outlook ongeneral surgery, or for graduates preparing to specializein surgery; approximately 280 hours of instruction areprovided. Fee, £36 i5s. od.

Refresher course for General Practitioners. TheTwelfth General Fortnight Refresher Course, primarilyfor demobilized Medical Officers (Class II) and forInsurance Practitioners, will begin on Monday, May3rd, 1948. Twenty hours are devoted to lecturescovering a wide range of subjects, with emphasis onrecent advances in treatment. Fifty hours are allottedto clinical demonstrations and ward visits. A similarcourse may be held in September, I948. Fee forgraduates not claiming expenses from Governmentsources, £io ios. od.

Applications should be addressed to Director of PostGraduate Studies, University New Buildings, Edinburgh,8. Applicants for courses in Internal Medicine andSurgery should supply particulars of qualifications andpost graduate experience.

Royal Medical SocietyThe meetings of the Society are held in the Society'sHall on Friday evenings. Meetings consist of PrivateBusiness (at 7 p.m.) and Public Business (at 8 p.m.) inwhich dissertations by members or addresses by prom-inent medical men on subjects of rniedical interest are4iven. Clinical meetings are held periodically in theRoyal Infirmary and film shows of the latest medicalilms are given in the Societv's Rooms. Prospectivenembers will be welcomed on any Friday evening in the3ociety's Hall before public business.

February

6th Mr. A. Taylor. The enigma of death.I3th Prof. R. 7. Kellar, M.B.E. Princess Charlotte

and the uterine haemorrhage of pregnancy.2oth Mr. I. F. McLaren. Bronchial carcinoma.27th Mr. T. P. C. Jameson. Infantile paralysis.

March

5th The Senior President. Valedictory address.ioth Annual extraordinary general meeting.

Applications for further information should be addressedto the Secretary, Royal Medical Society, 7 MelbournePlace, Edinburgh, i.

GLASGOW

Glasgow University PostMedical Education Committee

G*raduate

Ophthalmology

A systematic course of lectures on Ophthalmology isbeing given thrice weekly from January I2th to June iith,x948, at 5.15 p.m. in the rooms of the Royal Facultyof Physicians and Surgeons, 242, St. Vincent Street,Glasgow. Fee, £12 12S. od.

Applications for enrolment should be sent to the Directorof Post Graduate Medical Education, The University,Glasgow, W.2, from whom further particulars may beobtained.

HORSHAM, SUSSEX

Roffey Park Rehabilitation Centre

Health and Human Relationships in Industry. Lec-tures, seminars and demonstrations of cases given bythe resident teaching staff. Extensive use is made ofinstructional films and discussions. One- and two-weekly courses are held throughout the summer months.These courses are for doctors and social workers con-cerned with human problems in industry. Accommoda-tion is available and enrolment may be either for thefortnight or for the first or second week only. Fee,inclusive of accommodation, Ci8 I8s. od. for two weeks,,£9 gs. od. for a single week. Roffey Park is three milesfrom Horsham, which is 50 minutes by electric trainfrom Victoria.

Enquiries should be addressed to the Secretary, TrainingDepartment, Roffey Park, Horsham, Sussex.

LEEDS

University of Leeds Post GraduateCommitteeA clinical course devoted to 'Medical Treatment,'open to general practitioners and others interested, willbe held in the General Infirmary, Leeds, on February2Ist and 22nd. The fee for the course is £i IS. od.Further information and application forms may be obtainedfrom the Senior Administrative Officer, School of Medicine,Leeds, 2.

FVebruary I948 IOI

I02 POST GRADUATE MEDICAL JOURNAL February I948

LIVERPOOL

University of Liverpool

The following full-time post graduate courses of in-struction are offered:Orthopaedic Surgery. A full-time Is-month courseleading to a Mastership in Orthopaedic Surgery(M.Ch.Orth.) open to all medical graduates of ap-proved Universities and to graduates in other facultieswith qualifications in medicine and an F.R.C.S. of oneof the British colleges or its equivalent. The fee for thewhole course is £80. High priority is given to candidateswho have already attained an F.R.C.S. and to those withexperience in approved centres in general surgery and /orin orthopaedic surgery.

Radiology. A full-time two-year course leading to aMastership in Radiology (M.Rad.) which can be takenin either Radiodiagnosis or Radiotherapy, open tomedical graduates of approved Universities and tomedically qualified candidates who hold approved highermedical diplomas and a degree in a faculty other thanmedicine. The courses amply cover the requirements ofthe D.M.R.D. and D.M.R.T. of the Conjoint Board.The fee for the full two-year course is £ioo.

Surgery. A full-time one-year course leading to theMastership of Surgery (Ch.M.) of the' University ofLiverpool, open to medical graduates of approvedUniversities and to graduates in other faculties withqualifications in medicine and an F.R.C.S. of one of theBritish colleges or its equivalent. The course is suitablefor candidates who have already completed the Primaryof their F.R.C.S. and will not include instruction inanatomy and physiology suitable for this examination.The fee for the course is £60.

Public Health. A full-time one-year course leading tothe Diploma in Public Health, open to candidates witha medical qualification from an approved University ormedical school. The fee is £6o. All courses of in-struction begin in October.Applications for further information should be addres.sedto the Dean, Faculty of Medicine, The University,Liverpool, 3.

SOUTHENDSouthend General HospitalAn abdominal operation session is held every Saturdayafternoon from 2 p.m. to 7 p.m., at which Post Graduatesare welcome. There is no fee. Trains from FenchurchStreet to Southend or to Westcliff are as follows, butPost Graduates are advised to check them in case ofalterations, the time of arrival is stated in brackets.To Southend: 12.1 (1.7), 12.7 (1.19), 12.I3 (I.25),

12.25 (1.32), I .32 (I.46). To Westcliff: I2.1 (1.3)12.7 (I.I5), I2.25 (I.28), 12.32 (I.44). Trains re-turning to Fenchurch Street are as follows. FromSouthend: 7.34 (8.55), 8.4 (9.56). From Westcliff:7.3 (8.30), 7.39 (8.55), 8.8 (9.56)..

CONFERENCES, EXHIBITIONS,PRIZES, ETC.HARROGATE, Public HealthIn the spring of I948 the Royal Sanitary Institute isarranging to hold a Health Congress from May 24th to28th. This is an important and representative gatheringat which there is ample opportunity for the discussionof numerous matters concerning public health in itswidest sense for which local authorities are responsible.The programme is a comprehensive one, includingpapers on general preventive medicine; maternal andchild health; veterinary hygiene; housing and tourplanning; tropical hygiene; and hygiene in industry.The subscription for tickets for the Congress and foradvance copies of the papers and reports of the pro-ceedings iS £2 2S. od. for each delegate appointed.Applications should be made on the appropriate FormC.i, which may be obtained from the Secretary, RoyalSanitary Institute, 90 Buckingham Palace Road,London, S.W. i.

FORTHCOMING EVENT

A number of leading manufacturers have taken standsat the SOUTHERN COUNTIES MEDICAL EXHIBITION to beheld at the POLYGON HOTEL, SOUTHAMPTON; APRIL2oth, 2 I st and 22nd, 1 2 noon - 7 p.m. daily. This promisesto be a comprehensive exhibition of ethical productsnow available and an additional attraction for the visitorwill be a programme of interesting medical films to beshown each day. Further details may be obtained fromthe organizers, Messrs. J. M. Loveridge, Ltd.,Southampton.

E. AND S. LIVTNGSTONE, LIMITED, Medical Publisherssince I864, i6 and I7 Teviot Place, Edinburgh, havemuch pleasure in announcing to the Medical Professionthat they have opened, as from January ist, a LondonOffice at 45 Lincolns Inn Fields, W.C.2. The mainobject in opening this Office is to have their publicationsavailable for inspection and to be of service to Surgeonsand Doctors. A warm invitation to pay a visit is ex-tended to all interested in Livingstone's books.A copy of their latest complete catalogue may also beobtained free on request.

JONATHAN FALLOWFIELD LTD.87 NEWMAN STREET, W.I

TEL.: MUSEUM 7401-2

Specialists in X-ray and Photographic MaterialsESTABLISHED IN 1856

February i948 Books Received 105

need not be dreary and are seldom devoid ofintrinsic interest.

There are some minor omissions which might,perhaps, be inctuded in, a later edition, namelyreferences to Hawlkley's valuable "obsegvations on'growing pain ''and the niuscular aches of children:which so often arouse false fears of rheumatic in-fection; to the work of Copeman and Ackerman onprotrusions of fatty tissue as a cause of some casesof so-called fibrositis; to hemiation of cervicalintervertebral discs, as a cause of pain resemblingbrachial neuritis. There is no reference to Felty'ssyndrome, We g*ould also,suggest that it is moreconvenient for references to-be printed together atthe end of each chapter rather than at the foot ofthe page.

W.B.P.

BOOKS RECEIVEDThe Editorial Board acknowledge with thanks the

receipt of the following volumes. A selection fromthese will be made for review.

' Psychological Approaches to the Biography ofGenius.' By Lewis. M. Terman, LI.D., Ph.D.Sc.D. The Eugenics Society and Ha'mish HamiltonMedical Books. (Pp. Z4. is. 6d.) 1947.

' Treatment of Some Chronic and " Incurable"Diseases.' By A. T. Todd, O.B.E., M.B., Ch.B.,M.R.C.P: 2nd Edition. John Wright & Sons,Ltd. (Pp. xi + 324. 25s.) .1947.'Hormones and Vitamins.' By G. A. Stephens,

M.P.S. George Newnej Ltd. (Pp. xii + 315.2Is.) 1947.

'Brompton Hospital Reports.'. Volume XV.Published by the Research Department of t'heHospital. Printed in England by Gale & Polden,Ltd. (Pp. 102. IOS.) 1947.

' International Health Division Annual Reportfor I946.' The Rockefeller Foundation. NewYork. (Pp. Z390) 1947..'Modem Drugs in General Practice.' By Ethel

Browning, M.)D., Ch.B. 2nd Edition. EdwardArnold & Co. (Pp. viii + 223. I2S. 6d.) 1947.

'Hearing Aids and Audiometers. Report of theCommittee on Electro-Acoustics.' Medical Re-search Council. Special Report Series. No. 26iHis Majesty's Stationery Office. -(Pp. 71. Is. 3d.)I1947,'The Secret Instrument (The Birth of the Mid-

wifery Forceps).' By Walter Radcliffe. WilliamHeinemann Medical Books Ltd. (Pp. xvi + 83.Ios. 6d.). 1947.

' The Doctor and the Difficult Child.' ByWilliam Moodie, M.D., F.R.C.P., D.P.M. zndEdition. The Commonwealth Fund. London.Geoffrey Cumberlege. (Pp. xvi + 2.31. uIs. 6d.)1947.

'.Chronic Structural Low Backache.' By R. A.Roberts, B.Sc., M.B., Ch.B., D.M.R.E. H. K.Lewis & Co., Ltd. (Pp. vii + 105. I37 illustrationson 46 plates. 45S.) 1947.

' The Essentials of Modern Surgery.' Edited byR. M. Handfield Jones, M.C., M.S., F.R.C.S., andA. B. Porritt? C.B.E., M.A., M.Ch., F.R.C.S. 3rdEdition. B. & S. Livingstone, Ltd. (Pp. xix +IZ256. 644 i1lustrations. 50S.) I948.

'Essentials of Fevers.' By Gerald E. Breen,-M.D., D.P.H. 2nd Edition. E. & S. Livingstone,Ltd. (Pp. xi + 35I1 15s.) 1I948.

'Diseases of the Nose, Throat and Ear.' By I.Simson Hall, M.B.,$ Ch.B., F.R.C.P.E., F.R.C.S.E.4th Edition. E. & S. Livingstone, Ltd. (Pp. xii +463. With 8 colouired plates. IVS.) I948. .

'Pathological Histology.' Iy RowrtsoP F,Ogilvie, M.D., F.R.C.P.(Edin.), F.R.S. 3rd"Edition. E. & S& Livingstone, Ltd. .(P.p xi49. W-ith z6o photomicrographs in colour.37S. 6d.) I948.

'Gardiner's "Handbook of Skin DiseaseVj Re.,vised by John Kinnear-, O.B.E., r D.t`M.D.,M.R.C.P,E4., D.L. sth Edition. Es S. Living.'stone, Ltd. (Pp. xv + 249. I5s.) 1948. t''Good Health with Diabetes.' By Ian Murray,

M.D., F.R.F.P.S.G., F.R.C.P.E., and MargretMuir, S.R.N. E. & S. Livingstone, Ltd. (Pp.40 + Vii. 2S.) I948.

'Dermatology for Nurses.' By G. H. Percival,M.D., Ph.D.-, F.R.C.P.E., D.P.H., and ElizabethToddie, S.R.N. E. & S. Livingstone, Ltd. (Pp.vii + I I6. iSs.) I948.

GOLD MEDAL, International Congress of Medicine, 1913

Solutions supplied in Ampoules,I oz. and 2 oz. Bottles, *Rubber

O VOC Capped. Tablets in various sizes,RAND ETHOCAIN HYDROCHLORIDE Powders, Etc.

THE ORIGINAL PREPARATIONN 7 Prices have been maintained at pre-war levels

i ~EngLish Trade Markc No. 276477 (I905s)COCAINE-FREE Local Anaulblle Six to seven times less tonic than CocaineSOLD UNDER AGREEEINT LITERATURE AND FULL TECHNIQUE ON REQUESTTHE SACCHARIN CORPORATION, LIMITED84 MALFORD GROVE, SNARESBR-OOK,- LONDON, E.18 Telephone: Wansted 3287

A4ustralian Agents: J. L. BaOws & CO-, 5123, William Street, Melbourne, C.s,

FELLOWSHIP OF POST GRADUATEMEDICINE

WWIMPOLE STREET, LONDON, W.iTelephone: LANGHAM 4266

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

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

Honorary TreasurerCHARLES D. READ, F.R.C.S., F.R.C.O.G.

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

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

Executive CommitteeCOLIN EDWARDS, M.B., M.R.C.P. TERENCE MILLIN, F.R.C.S.RONALD JARMAN, D.S.C., M.R.C.S., L.R.C.P., D.A. A. CLIFFORD MORSON, O.B.E. F.R.C.S.HAROLD DAVIS, M.B., M.R.C.P. K. I. NISSEN, F.R.C.S.

B. T. PARSONS-SMITH, M.D., F.R.C.P.Editor Secretary

SELWYN TAYLOR, M.A., M.Ch., F.R.C.S. MiSS M. L. WORTHAssistant SecretaryMiss E. A. FORDER

Ohly qualified medical practitioners may bec6me Members of the Fellowship of Post Graduate Medicine.Instruction arranged by the Fellowship of Post Graduate Medicine is open only to Members on payment of therequisite fees. Post graduates (whether Memtbers or not) are not automatically included in the mailing lists,but must notify the Felowshtip of Post Grraduate Medicine, if they wish to be sent syllabuses as published, anzdmust specify the subjeets in which they are interested. Information regarding courses can be obtained fromthe Office, daily between IO a.m. and 5 p.m. (Saturdays IO a.m. to iz noon). Telephone: Langham 4266.

Please mark clearly which subscription is required-A, B, or C.A. I wish to become a Member of the Fellowship of Post Graduate Medicin.; annual subscription, ios. 6d.B. I wish to subscribe to the monthly POST GRADUATE MEDICAL JOURNAL; annual subscription, 24s. post

free.C. I wish to become a Member of the Fellowship and also to subscribe to the POST GRADUATE MEDICAL

JOURNAL; combined annual subscription 34s. 6d.(All subscriptions from month of joining unless otherwise requested.)

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

Addres .. .............................................. ..............

Telephone No. (if any) ......................

Perm anent address (ifdifferent fromabove) ....................................................................................................................................................

............................................................... ...............I................ .................................................................

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

If Ex-Service,pleasestate Service ......................................................................................

1 947BAKRSODR VRL FBANKER'S ORDER OVERLEAF1947