ROYAL SOCIETY OF MEDICINE SERVICES LIMITED

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EDITED BY RICHARD S. ATKINSON THOMAS B. BOULTON This comprehensive volume represents the edited proceedings of the Second International Symposium on The History of Anaesthesia, held by the Association of Anaesthetists of Great Britain and Ireland at the Royal College of Surgeons of . Wide-ranging contributions from an international faculty of experts trace the early development and organization of the specialty of anaesthesia, from its origins in ancient times through the start of modern anaesthesia in the USA and its spread through Europe and the rest of the world. Included also are sections covering the history of anaesthetic agents, apparatus, and resuscitation and intensive care, together with biographies of key figures whose contributions led to advances in knowledge of the subject. Medical historians and anaesthetists will be both informed and entertained by this important book. @630 pages + index * 1989 * ISBN 0 905958 69 1 * £40.00 Available from your bookseller or, in case of difficulty, send order with payment to: Publications Department, Royal Society of Medicine Services Limited, 1 Wimpole Street, London W1M 8AE

Units, Symbols, and Abbreviations ROYAL SOCIETY OF MEDICINE

A Tribute to A Guide for Professor Sir Robert Macintosh Biological and Medical for his 90th birthday Editors and Authors 3S pi Souvenir Volume Fourth edition Edited by W D A Smith and G M C Paterson Edited by D N Baron This souvenir volume records the celebrations organized by the Royal Society of Medicine's Section of Anaesthetics, in association with the Association of Anaesthetists of Great Completely revised and updated, the 4th edition of this Britain and Ireland and the Faculty of Anaesthetists of the popular and invaluable reference source for editors and Royal College of Surgeons of England, to pay tribute to the authors describes SI units in current use or recently unique contribution made by Sir Robert to the development instituted, gives guidelines on commonly used symbols of the specialty of anaesthesia both nationally and inter- and nomenclature, offers recommendations for the nationally. Rich in biographical detail, the reflections of layout of references and, in a new fourth section, gives former students and colleagues review different aspects an abbreviated version of the BSI's list of symbols for of his many and varied achievements, and will be of proof corrections. particular interest to both anaesthetists and historians. Price: £5 (discounts given for large orders) Price: £7.95 hardback Publication: March 1988 1988 64 pages, paperback ISBN 0 905958 78 0 40 pages ISBN 0 905958 63 2 Please send payment with order to: Publications Department, Please send payment with order to: Publications Royal Society of Medicine Services Limited, 1 Wimpole Department, Royal Society of Medicine Services Limited, Street, London WIM 8AE 1 Wimpole Street, London WlM 8AE JOURNAL OF THE ROYAL SOCIETY OF MEDICINE

February 1989 Editorial Board Volume 82 Number 2 Editor A J Harding Rains ISSN 0141-0768 Honorary Editors J H Baron P Turner

Published monthly and distributed by The Royal Society of Medicine, 1 Wimpole Street, Editorial Representatives of Sections London WlM 8AE, England G S Laing Accident & J E Utting Anaesthetics N Whittaker Clinical Desk Editor Sarah Wingfield W D S McLay Clinical Forensic Medicine D G Williams Clinical Immunology & Allergy R H S Lane Colo-Proctology Advertisement Manager J P Wilson Colo-Proctology Peter Carpenter, PRC Associates, A D Dayan Comparative Medicine St Andrews House, 22-28 High Street, R A G Graham-Brown Dermatology Epsom, Surrey KT19 8AH R I S Bayliss Tel: Epsom (037 27) 42055 Telex 948104 BRIDGE-G N D Noah Epidemiology & Community Medicine E E J Martin General Practice Subscriptions S Selwyn History ofMedicine Fellows of the Royal Society of Medicine receive the JRSM as part of their membership subscription. 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References 5 Lloyd GAS, Lund VJ, Phelps PD, Howard DJ. 1 Hawkes RC, Holland GH, Moore WS, Worthington BS. Magnetic resonance imaging in the evaluation of nose Nuclear magnetic resonance (NMR) tomography of and paranss] sinus disease. ,Br J Rddiol 1987;0. the brain: a preliminary clinical assessment with 957-68 demonstration of pathology. J Comput Assist Tomogr 6 Gomori JM, Grossman RI, Go1dl HI Zimnetman RA, 1980;4:577-86 Bilaniuk LT. Intracranial haematomas: imaging by high 2 Holland GM, Hawkes RC, Moore WS. Nuclear magnetic field MR. Radiology 1985;157:87-93 resonance (NMR) tomography of the brain: coronal and 7 Curati WL, GraifM, Kingsley DPE, NiendorfHP, Young sagittal sections. J Comput Assist Tomogr 1980;4:429-33 IR. Acoustic neuromas: Gd-DTPA enhancement in MR 3 Doyle FH, Pennock JM, Orr JS, Gore JC, Bydder GM, imaging. Radilogy 1986;16&844751 Steiner RE. Imaging of the brain by nuclear etic 8 Smith MA. The technology of magnetic resonance resonance. Lancet 1981;ii:53-7 imaging. Clin Radiol 1985;36:553-9 4 Lloyd GAS, Phelps PD. Juvenile angiofibroma: imaging by magnetic resonance, CT and conventional techniques. Clin Otolaryngol 1986;11:247-59 (Accepted 15 June 1988)

Tumor Progression and Metasais. (UCLA Symposia on Molecular and Cellular Biology, New Series, volume 78) G Some recent books L Nicolsow & I J Fidler, eds (pp322 £140.00) ISBN: 0-8451-267674, New York: Alan R Liss 1988

Oncology Advances in Urologic Oncology (Progress in Clinical and Biological Research, volume 277)N Javapour & G PMurphy, Radiologyr eds (pp168, £48.00) ISBN 0-8451-51274, New York: Alan R Breast Diswas for Radiographers. J CaeldineiR Blamey, Liss 1988 E Roebuck & C Elston, eds (pp90, £15.95) ISBN 0-7236-00961, Sevenoaks: Wright 1988 Altered Glycosylkaion in Tumour Cells (UCLA Symposia on Molecular and Cellular Biology, New Series, volume 79) S British Jqurnal of Radiology. (Supplement .No. 22) Hakomorei, C L Readig& DM Marcus, eds p30 £140.00) Megavoltage Radiotheay 1937-1987. P N Plowman & ISBN 0-8451-2678-4, New York: Alan R Lia 1988 A N Harnett, eds (ppl57) ISBN 0-5749-162, London: The British Institute of Radiology 1988 Directory of On-Going Research in Cancer Epidemiolog 1988. M Coleman & J Wahrendorf,k eds (pp662) ISBN Building and Extending a Radiology Department (A 92s-321193-6 Lyon: International Agency for Rese*rch on Practical Guide to Planning and Project Man=gement). D J Cancer 1988 Mantonl, E J Roebuck & G L Fordham, eds (pp128, £12.50) ISBN 0-90695870-5, London: Royai Society of Medicine Methods for Detecting DNA Damaging Agents in Humas. ServicesLtd 1988 (Applications in Can Epidemiologand Prevention) H e Bartach, K Hemminki & A K O'Neill, (p626 £45.00) Cardiac boppler Ultrasound (A Clinical Perspective). A B ISBN 92-832-1189-8, Lyon: The International Agency for Houston & IA Simpson eds (ppl64, £35)ISBN 0-72309950, Research on Cancer 1988 Sevenosks* Wright 1988 Predicton of Response to Cancer Therapy. (Progress in Clinical and Biological Reearch, volume 276) T C Hall, ed Practl NMR Imaging. M A Foster & J M S Hutchison, (pp324 £60.00) ISBN 08451-5126-6, New York: AlanR Lisa eds(pp328, £36) ISBN 1-85221-011-7, Oxford: IRL Pres 1987 1988 Society Notices - 1989, No. 2 9 Royal Society of Medicine 1 Wimpole Street, London WlM 8AE Tel. 01408 2119 Telex 298902 ROYMED G Fax 01408 0062

PATRON: Her Majesty the Queen President Sir Christopher Booth MD FRCP Executive Director Robert N Thomson MA Society Notices-1989, No.2 (Published February 1989)

The meetings of the Society and the Sections are any meeting should apply to the Sections Officer, private, and are open only to members ofthe Society 1 Wimpole Street, London WlM 8AE. and to properly accredited guests. Non-members, Meetings of any of the Sections are open to all including members of the Press, who wish to attend Fellows, Associates and Affiliates of the Society.

PROGRAMME FOR UNITED SERVICES RAF away-day: Aviation Medical Training MARCH 1989 Centre, North Luffenham Further details will be available from Miss Nicole Aaron, Sections Office Wednesday 1 March HISTORY OF MEDICINE Friday 3 March 6.00 pm The early history of clinical tropical COLO-PROCTOLOGY medicine in London 9.00 am Teaching day: Meeting to be held at the Professor G C Cook University of Manchester, Salford. There will be a dinner for Section members Organizer: Professor Miles Irving and their guests following the meeting. Further details will be available from Tickets at £14.50 each must be obtained Miss Judy Cook, Sections Officer in advance from Miss Nechama Haron, Sections Office. Cheques should be made LARYNGOLOGY payable to The Royal Society ofMedicine 9.30 am Tonsils and adenoids Speakers: Professor M Cinnamond, Thursday 2 March Mr D Cowan, Dr Glenis Scadding COLO-PROCTOLOGY 9.00 am Small bowel transplantation OTOLOGY Meeting at the University ofManchester, 2.30 pm Short papers Department ofSurgery, Salford. Further Further details will be available from details will be available from Miss Judy Miss Nicole Aaron, Sections Offlce Cook, Sections Officer ANAESTHETICS FORUM ON FOOD AND HEALTH 5.30 pm Pain and the anaesthetist - what 9.30 am Disorders of dieting should we do? Further details will be available from The acute pain relief service Miss Barbara Komoniewska, Medical Dr Chris Hasbury Services Department Developments in postoperative pain relief NEUROLOGY Dr John Alexander 6.00 pm Recent developments in demyelinating What should we do about chronic disease pain? Monitoring disease activity in multiple Dr Tony Rubin sclerosis Co-ordinator: Dr John Wedley Professor Ian McDonald Cellular mechanisms ofrecovery after demyelination Monday 6 March Dr Damien Wren OPEN Unusual manifestations of multiple 6.00 pm Disability sclerosis The world of the wheelchair Dr Peter Rudge Anne McFarlane 10 Society Notices - 1989, No. 2

Monday 6 March - contd The clinical spectrum OPEN - contd E M Graham Central African experience Pathogenetic role of viruses Philippa Russell R J Marsh The meeting will be followed by a buffet Immunology supper. Tickets at £7.00 each should be S Lightman obtained in advance from Miss Nicole Aaron, Sections Offlice. Cheques should be EPIDEMIOLOGY & COMMUNITY made payable to The Royal Society of MEDICINE Medicine 5.30 pm Mapping of diseases HYPNOSIS AND PSYCHOSOMATIC Further details will be available from MEDICINE Miss Nicole Aaron' Sections Office 8.00 pm The diagnosis and treatment of irritable bowel syndrome Thursday-Friday Peter J Whorwell 9-10 March ODONTOLOGY Markers of high and low risk groups and individuals for dental caries Tuesday 7 March Part I: Evidence for the existence of PATHOLOGY high risk groups and individuals: the 2.00 pm Problem solving in forensic medicine global epidemiology of dental caries Paternity testing by conventional 1989 methods A critical evaluation of caries Dr Patrick Lincoln diagnostic methods and DNA typing in paternity medicine epidemiological methods Dr Paul Debenham Can we trust the available data? Discussion Dr E A M Kidd (UK) 3.45 pm Tea The distribution of caries in 4.00 pm The role ofthe forensic pathologist at populations (geographic, cultural, present and in the future socio-economic, age, sex, rural and Professor J M Cameron urban differences): The role of the forensic scientist India and SE Asia Dr A Tweari (India) Miss M Pereira China Professor 0 Fejerskov (Denmark) Forensic medicine: a solicitors view Africa Dr F Manji (Kenya) J R C Clitheroe Europe Dr M Downer (UK) Discussion The Americas Dr J Stamm (USA) Organizers: Dr Marcela Contreras and Part II: Methods for the detection of Dr C Scholtz high risk groups and individuals Clinical methods (caries history, ORDINARY MEETING OF FELLOWS current activity, the number, form 5.15 pm Election to the Fellowship. In accordance and arrangement of teeth, oral with the By-laws, the list of names hygiene, xerostomia, systemic of those proposed for election to the disease) Fellowship will de displayed in the Professor P Axellson (Sweden) Society's House for not less than 28 days Social and behavioural aspects before the meeting. Notice of any other Dr L Schou (UK) business will be displayed in the House Tooth resistance for at least 14 days before the meeting. Professor M E J Curzon (UK) Dietary analysis and its role in caries prediction What constitutes a cariogenic diet? Wednesday 8 March Is there such a thing as a caries ORTHOPAEDICS protective diet? RHEUMATOLOGY & REHABILITATION Professor W M Edgar (UK) 6.00 pm Joint meeting: Subjects will include Bone Methods for determi i g the infection and Shoulder arthroplasty cariogenicity of food stuffs and their The meeting will be followed by a buffet use in risk determination supper Dr D Geddes (UK) Further details will be available from Microbiological approaches to the Miss Judy Cook, Sections Officer determination of caries risk.' what organisms are cariogenic in man? Dr G Bowden (Canada) The global epidemiology of mutans Thursday 9 March streptococci OPHTHALMOLOGY Dr D Bratthal (Sweden) 5.00 pm Retinal vasculitis The predictive value of microbial Terminology and differential diagnosis tests M D Sanders Dr D Beighton (UK) Society Notices - 1989, No. 2 11

ODONTOLOGY - contd 3.30 pm Tea New methods for microbial screening: 4.00 -pm HLA and disease: recent studies cultural, immunological, gene probes John Bell Dr R R B Russell (UK) Discussion The host response to cariogenic Chairman: Professor Matteo Adinolfi micro-organisms: is there a role in Registration fees: £15.00 Non-Fellows caries prediction? Registration forms will be available from Dr D Smith (USA) Miss Nicole Aaron, Sections Office Salivary factors in caries experience MEASUREMENT IN MEDICINE and their role in caries prediction 6.00 pm Joint meeting with the Breathing Club Inorganic factors Further details will be available from Dr E Pearce (New Zealand) Miss Nechama Haron, Sections Office Organic factors Dr J Tenovuo (Finland) Part III: Practical applications and implications Applications of multiple predictive Tuesday 14 March methods (including statistical GENERAL PRACTICE approaches) PSYCHIATRY Dr H Worthington (UK) The management of psychiatric Implications forindividual patient care disorders in the community Professor A H Brook (UK) 10.00 am Registration and coffee Implications for public health planning 10.30 am Short papers Professor A Sheiham (UK) Chairman: Dr Sula Wolff Dr D E Barmes (Switzerland) The nature ofpsychiatric disorders in Registration fees: Fellows £70.00, Non- the community fellows £95.00 Dr John Fry Section Dinner to be held on 9 March: The delivery of psychiatric care £25.00 Dr Geraldine Strathdee Application forms and further details will The roles of the professionals be available from Miss Nechama Haron, Professor Paul Freeling Sections Office The treatment of depression in the community Dr Russell Blacker Friday 10 March Panel discussion: the management of CLINICAL common psychiatric problems in Granulomatous disease general practice 4.00 pm Six cases will be presented Chairman: Dr John Horder 5.00 pm Discussion of cases Panel members: Dr Max Clyne, Dr Tom Friday-Sunday O'Dowd, Professor Conrad Harris 10-12 March 1.00 pm Lunch SURGERY 2.30 pm Short papers Section meeting in the Lake District Chairman: Dr John Fry Further details will be available from Schizophrenia in the community Miss Judy Cook, Sections Officer Dr Ian Falloon Eating disorders in general practice Monday 13 March Dr Michael King CLIMCAL IMMUNOLOGY & ALLERGY The care of the elderly 9.00 am Molecular approaches to immunology Professor Anthony Mann Technical approaches to molecular Alcohol and drug abuse in general genetics practice D Bentley Dr Peter Anderson Discussion 4.30 pm Tea 10.00 am Coffee 5.00 pm The research magnificent 10.15 am Assembly ofimmunoglobulin (Ig) and Professor Michael Shepherd T-celi receptor (TR) genes 6.00 pm Reception L Buluwela 7.00 pm Dinner Ig and TR gene rearrangements in Registration fees: Fellows £10.00, leukaemia celis Non-Fellows £15.00, Trainees £5.00, L Luzzato Lunch £7.25, Reception £3.00, Discussion Dinner £16.00 (Fellows and guests) Interleulins Colin Sanderson PLASTIC SURGERY Discussion 8.00 pm Annual General Meeting 1.00 pm Lunch Annual Dinner 2.30 pm Genetcs of complement and Guest Speaker: His Honour Judge John complement deficiencies Hopkin M Walport Further details will be available from Discussion Miss Nicole Aaron, Sections Office 12 Society Notices - 1989, No. 2

Wednesday 15 March Dr R J Carmichael ENDOCRINOLOGY EM fields and overhead powerlines: 11.00 am Mineralocorticoids and hypertension assessing the public health risk Professor C R W Edwards (Edinburgh) Dr R A F Cox Non-renal renin and its possible role Tickets for the Dinner of £14.00 each in hypertension should be obtained in advance from Miss Professor J D Swales (Leicester) Nechama Haron, Sections Office Intracellular signalling and hypertension Dr A M Heagerty (Leicester) Atrial natriuretic peptide and Friday 17 March hypertension FORUM ON CLINICAL PHARMACOLOGY Dr G A MacGregor (Charing Cross & THERAPEUTICS Hospital, London) 9.30 am Drug formularies - the way forward 1.00 pm Lunch (Approved under Section 63) 2.00 pm Glucocorticoids and hypertension Further details will be available from Dr A B Atkinson (Belfast) Miss Barbara Komoniewska, Medical Does primary hyperparathyroidism Services Department cause hypertension? Dr P F Semple (Glasgow) RADIOLOGY Diabetes mellitus and hypertension 9.30 am Imaging of trauma Dr P L Drury (King's College Hospital, Head injuries London) Mr R V Jeffreys, Dr W StC Forbes Catecholamines and hypertension Facial trauma Speaker to be announced Mr M D Awty, Dr N B Bowley 4.00 pm Tea and viewing of cases 11.00 am Coffee 4.30 pm Cases 11.30 am The chest Mr S Westaby, Dr E Mcllrath The abdomen GENERAL PRACTICE Mr E R Howard, Dr W D Foley 8.00 pm General practice - ancient and modern 1.00 pm Lunch Speakers: Dr Irvine Loudon, Sir Ronald 2.00 pm Organizing a trauma centre Gibson CBE Dr L M Kingma The pelvis Mr J Cockin, Dr W D Foley 3.15 pm Tea Thursday 16 March 3.45 pm The spine DERMATOLOGY Mr N J Henderson, Dr D J Wilson 3.00 pm Presentation of cases 4.30 pm Close 4.30 pm Discussion of cases Registration Fee: £20.00 Members wishing to show cases should Application forms are available from inform the Honorary Secretary, Dr P S Miss Judy Cook, Sections Officer Mortimer, 1 Wimpole Street, London RADIOLOGY WlM 8AE, as soon as possible. Copies of 5.15 pm Tea the uniform plan for the presentation of 6.00 pm The Finzi Lecture (Section of RadiologJy) cases can be obtained on request. Not more Angiography and interventional than 25 non-members can be admitted to radiology the past, present and future the demonstration of cases. Fellows who Professor Stanley Baum MD are not also members ofthe Section must This lecture is open to all members ofthe obtain admission tickets direct from medical profession the Sections Office. Non-Fellows must obtain a ticket (£5.00 per meeting) direct from the Sections Office prior to the meeting and be introduced by a member Monday-Tuesday of the Section. 20-21 March FORUM ON ANGIOLOGY 9.30 am Free communications and symposium UROLOGY on fibrinolysis 6.00 pm Controversies in urology Further will Further details will be available from details be available from Miss Nechama Haron, Sections Office Miss Barbara Komoniewska OCCUPATIONAL MEDICINE 6.00 pm Section Dinner Friday 31 March 8.00 pm Non-ionizing radiation in perspective PAEDIATRICS Non-ionizing radiation: introductory 2.00 pm Paediatric illness and light physics Photodermatoses in children: I Dr B J Maddock Dr John Hawk Short wave and radiofrequency Photodermatoses in children: II hazards Dr David Atherton Society Notices - 1989, No. 2 13 PAEDIATRICS - contd FUTURE MEETINGS Retinitis pigmentosa in children Dr Tony Moore Photosensitive epilepsy CLINICAL Dr Richard Robinson 10 March 1989 Cases 3.45 pm Tea 14 April 1989 Cases 4.00 pm Malignant melanoma in children 12 May 1989 Cases Dr Neil Smith 9 June 1989 Cases Complications of phototherapy for neonatal jaundice COLO-PROCTOLOGY Dr Colin Stern 19-22 June 1989 Tripartite meeting at NEC in Light and the newborn infant Birmingham Dr Nick Rutter The influence of day and night on sleep in children DERMATOLOGY Dr Naomi Richman 16 March 1989 Cases 6.00 pm Wine and cheese party 20 April 1989 Cases 18 May 1989 Cases OBSTETRICS & GYNAECOLOGY 15 June 1989 Cases. AGM. 7.00 pm Buffet supper 8.15 pm The investigation and treatment of LARYNGOLOGY infertility - what size the problem and who bears the cost? 5 May 1989 Short papers Further details and tickets for the supper will be available from Miss Judy Cook, ORTHOPAEDICS Sections Officer 4 April 1989 Short papers

OTOLOGY 3 March 1989 Short papers

SURGERY 5 April 1989 Registrars short papers: endocrine surgery 14 Society Notices - 1989, No. 2 ANNOUNCEMENTS Candidates' papers will be judged by a committee comprising the Honorary Offlcers of the Society, EASTER HOLIDAY LECTURE the Executive Director, a number of specialists in FOR YOUNG PEOPLE geriatric medicine, and the Medical Services Secretary. The decision of this committee, subject to This session, for the first time, an Easter Holiday the approval of the Council of the Society, shall Lecture for Young People has been arranged. It will be final. be given here on Monday, 3 April 1989 at 2.30 pm The copyright ofany award-winning paper shall be by Professor D F N Harrison, Professor ofLaryngology vested in the Society, which may publish it or not, and Otology at that Institute. wholly or in part, at its discretion, either in the Taking as his title 'Do animals talk?', Professor Journal ofthe Royal Society ofMedicine or elsewhere. Harrison will explain the mechanism of sound If an award is made, the successful candidate shall production, with exhibits from his collection of over be notified by the end of 1989. 900 mammalian larynges and tape recordings made in the wild ofvarious animals, discuss the use of these sounds to individual animals, the reasons why mannalXs cannot actually speak, and when early man ALAN EDWARDS MEMORIAL PRIZE first spoke. The members ofthe audience will be able to examine the specimens and take part in some of A prize to the value of £50 will be awarded annually the demonstrations, and it is hoped that some live for the best case presentation given at a meeting of animals will also be on hand. The lecture is suitable the Clinical Section. The prize will be awarded at the for those from the age of six. It will last approximately end of each session on the recommendations of the an hour and afterwards tea will be served. assessors. Only those who have not yet gained Admission tickets (free) are required and can be consultant status will be eligible. obtained from Muriel Mitchell, Information Office, 4th Floor, 1 Wimpole Street.

MENTAL HEALTH FOUNDATION MAY & BAKER RSM PRIZES ESSAY PRIZE (ANAESTHETICS) A prize of the value of £500.00 will be awarded for an essay during the 1988-1989 Session ofthe Section Applications are invited by the Royal Society of of Psychiatry ofthe Royal Society ofMedicine. Open Medicine's Section ofAnaesthetics, for two Prizes of to candidates in the United Kingdom and the Republic £150 each provided by Messrs May & Baker Ltd for of Ireland in training at any grade from senior papers by medical practitioners of up to Senior house officer to senior registrar or equivalent. The Registrar status in the NHS holding appointments candidate need not be a member ofthe Royal Society in a field related to a career in anaesthesia in a of Medicine. department or hospital or in the Armed Forces Essays must be submitted by 1st March 1989 for of the Commonwealth or of the Republic of South consideration this Session. Africa or Eire. Applicants need not be a native Further details and regulations for this award will ofthe country in which they hold their appointments, be available from Miss Nicole Aaron, Sections Office, nor need they be Fellows of the Royal Society of Royal Society ofMedicine, 1 Wimpole Street, London Medicine. WlM 8AE. Telephone 01-408 2119, ext. 299. Subjects will be of authors' choice, but must be connected with anaesthesia. One Prize may be awarded for a paper of more clinical interest, while A C COMFORT MEMORIAL AWARD the'other Prize may be awarded for a paper of more purely scientific content. A donation was given to the Society by Dr Alex be submitted in Comfort in 1981 as a memorial to his late father, All papers must triplicate by A C Comfort. The income from the fund shall be used 31 December 1989 and must be sent to the Honorary from 1982: Secretary ofthe Section ofAnaesthetics, Royal Society (a) to provide an annual award of not less than of Medicine, 1 Wimpole Street, London WlM 8AE. £200 (to be determined each year by the Honorary Further details and rules can be obtained from the Treasurers ofthe Society), being a prize to be awarded Sections Office. for a paper on some aspects of clinical research in geriatric medicine, written by a practitioner of not more than five years standing from qualification, or RHEUMATOLOGY & REHABILITATION by a student or intern approaching his/her medical degree; (b) as a contribution towards the cost of publishing A number of sponsored bursaries covering the cost the award-winning paper. of membership of the Royal Society of Medicine Candidates submitting papers should send two have been given by A H Robins in order to allow copies, ready for publication, to the Medical Services Registrars and Senior Registrars in Rheumatology Secretary, 1 Wimpole Street, London WIM 8AE, by and Rehabilitation to become members of the RSM 1 October 1989. The length should be in the region for up to three years. of 4000-5000 words exclusive of references; line Details and application forms may be obtained drawings and tables (but not half-tone illustrations) from Miss Judy Cook, Sections Office, Tne Royal may 1e included. The paper should be typed in double Society of Medicine, 1 Wimpole Street, London spacing on A4 size paper. WlM 8AE. Society Notices - 1989, No. 2 15

OPHTHALMOLOGY FUND PRIZE JOURNAL OF THE ROYAL SOCIETY OF MEDICINE A prize of £50 is awarded once in each calendar year The February issue of the JRSM contains material to the ophthalmologist judged to have done, in the arising from meetings of the following Sections and British Isles, the best piece oforiginal work published Forums of the Society: during the previous twelve months. Page To be eligible for the award, the candidate, who may Comparative Medicine 118 be of any nationality, must not have attained an Dermatology 107, 110 official consultant appointment, nor have undertaken Epidemiology of Community Health 99 professional clinical work ofequivalent responsibility, Largngology 84 for any substantial period before or during the Occupational Medicine 72, 74, 79 execution of the original work. Ophthalmology 111 All candidates shall submit eight (8) copies of Paediatrics 108 the published work for the consideration of the United Services 67 Committees by the last day of December in the Forum on Clinical Pharmacology year of publication, and papers of joint authorship & Therapeutics 117 should be accompanied by a concise statement ofthe contribution made by the candidate. Applications for the 1988 award should reach CONFERENCES AND MAJOR MEETINGS the Sections Officer, Royal Society of Medicine, 1 Wimpole Street, London WlM 8AE, by 31 December *6-7 April 1989 Antibodies in Cancer 1 June 1989 Could Malaria Return to 1989. London? (jointly with the London School of Hygiene & Trpical Medicine 17-19 July 1989 Oral Contraceptives and Breast Cancer (Anglo- Ainerican Conference PHOTOGRAPHIC SERVICE organized jointly with The New York Academy of Sciences) Members are advised of a change in the arrangements 6-8 September 1989 Therapeutic Applications for providing photographic services at 1 Wimpole of Biotechnology (Anglo- Street. The basement photographic studio has been American Conference) leased to Argentum who have considerable experience 18-22 September 1989 Ninth Forum for General in medical and scientific photography. They have Practitioners agreed to meet RSM members' requirements at rates 30-31 October 1989 Shared Care for Chronic which are virtually identical to those which have been Diseases previously charged by the Society's own in-house 13-15 December 1989 Challenges in the Legal service and to accord priority wherever possible to Environment of Medicine, that work over their other commitments. The new 1990 arrangement should provide members with a high standard ofphotographic service on-site and produce Section 63 approval has been granted for all these considerably increased rental income for the Society. meetings. When using Argentum for photographic services, For further information, please contact Miss Barbara please let them know you are a member and provide Komoniewska, The Royal Society of Medicine, your membership number. 1 Wimpole Street, London WlM 8AE 16 Society Notices - 1989, No. 2

PUBLICATIONS BROWSE NL, BURNAND KG Diseases of the veins: pathology, diagnosis and International Congress and Symposium Series treatment. Edward Arnold, 1988. 616.14 No. 140: Update on Drugs and the Lower Urinary CASTANEDA-ZUNIGA WR, TADAVARTHY SM, eds. Tract Interventional radiology. Proceedings ofa symposium sponsored by KabiVitrum Williams and Wilkins, 1988. 616-073.75 Limited, held in London, 11 May 1987, edited by CURTIS-PRIOR PB, ed. Linda Cardozo. Prostaglandins: biology and chemistry of prosta- Price: Members £2.50; Non-members £5.00. glandins and related eicosanoids. No. 145: HIV and Other Highly Pathogenic Churchill Livingstone, 1988. 612.616 Viruses DAVENPORT HT, ed. Proceedings of the ICN Annual Conference on Anaesthesia and the aged patient. Virology, sponsored by ICN Pharmaceuticals Inc., Blackwell Scientific, 1988. 617-089.5-053.9 held in London, 21 October 1987, edited by Karl ESPINOZA LR, ed. Nicholson. Infections intherheumatic diseases: a comprehensive Price: Members £5.00; Non-members £10.00. review ofmicrobial relations to rheumatic disorders. Grune and Stratton, 1988. 616.72-002 Round Table Series FISHMAN AP, ed. Pulmonary diseases and disorders. 2nd edit. No. 9: Epilepsy and the Elderly McGraw-Hill, 1988. 616.24 Proceedings of an extended panel discussion held in FRIEDMANN I, FERLITO A Manchester on 25 March 1988, held with financial Granulomas and neoplasms of the larynx. support from Sanofi Pharma. Churchill Livingstone, 1988. 616.22-006 Price: Members £2.50; Non-members £5.00. GOMEZ MR, ed. Neurocutaneous diseases: a practical approach. The Stevens Lectures for the Laity - 1988 Butterworth, 1987. 616.8:616.5 The Implications of Genetic Engineering for HEITZMAN ER Medical Practice by Professor Sir David Weatherall, The mediastinum: radiologic correlations with FRS. anatomy and pathology. 2nd edit. Price: £5.00. Springer, 1988. 616.27-073.75 Buiding and Extending a Radiology Department - JAMIESON GG A Practical Guide to Planning and Project Surgery of the oesophagus. Management by DJ Manton, EJ Roebuck and Churchill Livingstone, 1988. 616.329-089 GL Fordham. JAYSON MIV, BLACK CM, eds. Price: £12.50. Systemic sclerosis: scleroderma. Wiley, 1988. 616.5-004.1 Royal Society of Medicine - Portraits, Paintings JOVANOVIC L, ed. and Sculptures by Alex Sakula. Controversies in diabetes and pregnancy. This elegant book, superbly illustrated in colour, Springer, 1988. 618.2:616.633.66 provides a comprehensive record of the works of art KILOH LG, SMITH JS displayed at the Society's premises, and includes Physical treatments in psychiatry. brief biographical details of the many distinguished Blackwell Scientific, 1988. 616.89-085.83 medical personalities portrayed. MUSTARDE JC, JACKSON IT, eds. Price: £20.00 (hardback). Plastic surgery in infancy and childhood. 3rd edit. Churchill Livingstone, 1988. 617-089.844-053.2 The above titles are available from: Publications PEDLEY TA, MELDRUM BS, eds. Department, Royal Society of Medicine Services Recent advances in epilepsy. Number four. Limited, 1 Wimpole Street, London W1M 8AE. Churchill Livingstone, 1988. 616.853 REECE EA, COUSTAN DR, eds. Diabetes mellitus in pregnancy: principles and *RECENT LIBRARY ACQUISITIONS* practice. Below are some ofthe publications recently added to Churchill Livingstone, 1988. 618.2-06:616.633.66 stock - locations are noted after the entry. Fellows are RIPPON JW invited to borrow them, either in person or by post, Medical mycology: the pathogenic fungi and the with the exception of a few items reserved for library pathogenic actinomycetes. 3rd edit. use only. Books may normally be borrowed for Saunders, 1988. 616-002.892 4 weeks and unbound journal issues for 2 weeks. ROSE FC, WHURR R Items not immediately available may be reserved. Aphasia. Whurr, 1988. 616.89-008.434.5 STOLK JM, U'PRICHARD DC BOOKS Epinephrine in the central nervous system. Oxford University Press, 1988. 612.82 BEIGHTON PH STOLL BA, ed. Inherited disorders of the skeleton. 2nd edit. Endocrine management of cancer. Churchill Livingstone, 1988. 616;71-007.12 Karger, 1988. 616-006.46-085.357 BENTLEY D, LAWSON M STUDD J, WHITEHEAD MI, eds. Clinical nutrition in paediatric disorders. The menopause. Balliere Tindall, 1988. 613.2-053.2 Blackwell Scientific, 1988. 618.173 BIERMAN CW, PEARLMAN DS, eds. WOOD M, ANDERSON M Allergic diseases from infancy to adulthood. 2nd edit. Neurological infections. Saunders, 1988. 576.809.72:616-053.2 Saunders, 1988. 616.8 98 Journal of the Royal Society of Medicine Volume 82 February 1989 thoroughly as biological ones. Gajdusek never 6 Glasse RM, Lindenbaum S. Kuru at Wanitabe. In: condemned the Fore for what many would doubtless Hornabrook RW, ed. Essays on kuru. Faringdon, Berks: consider barbarian ways and ultimately came to EW Classey, 1976:38-52 believe that among the Fore 'ritual cannibalism, 7 Mathews JD. Kuru as an epidemic disease. In: which was practiced by close relatives ofthe deceased Hornabrook RW, ed. Essays on kuru. Faringdon, Berks: EW Classey, 1976;83-104 as a rite ofrespect, was not very different from crying 8 Weisbrot D, Paliwala A, Sawyer A. Law and social at western funerals'13. While one might not fully change in Papua New Guinea. Perth: Butterworth's Pty, accept this assessment, it is hard to deny that it is 1982:80-1 in such a spirit of open mindedness - and not 9 Gottlieb MS, Schroff R, Schanker HM, et al. Pneumo- censoriousness - that the study of AIDS, kuru and cystis carinii pneumonia and mucosal candidiasis in unfamiliar social behaviour should be undertaken. previously healthy hom ual men. Evidence ofa new acquired cellular immunodeficiency. New Eng J Med References 1981;305:1425-31 1 Seale JR. Kuru, AIDS and aberrant social behaviour. 10 Lindenbaum S. Kuru sorcery. In: Hornabrook RW, ed. J R Soc Med 1987;80:200-2 Essays on kuru. Faringdon, Berks: EW Classey, 1976: 2 Chalmers DRC, Weisbrot D, Warwick JA. Criminal law 28-37 andpractice ofPapua New Guinea. Granville, NSW: The 11 Lindenbaum S. Kuru sorcery. Disease and danger in the Law Book Company, 1985:412 New Guinea highlands. Palo Alto: Mayfield Publising, 3 Griffin JA. Is a cannibal a criminal? Melanesian Law 1979 Journal 1971;1:79-81 12 Anonymous. MD regrets HBV tests for boys. Am Med 4 Gajdusek DC, Alpers MP, Gibbs CJ. Kuru: epidemio- News 9/25/87:1 logical and virological studies ofa unique New Guinean 13 Eron C. The virus that ate cannibals. New York: disease with wide significance to general medicine. In: Macmillan, 1981;105-36 Hornabrook RW, ed. Essays on kuru. Faringdon, Berks: EW Classey, 1976:125-45 5 McArthur N. The age incidence ofkuru. Ann Hum Genet (Accepted 15 June 1988. Correspondence to E D Cominos, 164;27:341-52 2510 Jarratt Avenue, Austin, TX 78703, USA)

Monokines and Other Non-Lymphocytic Cytokines. (Progress in Leukocyte Biology volume 8) M C Powanada, J J Some recent books Oppenheim, M J Kluger & C A Dinarello, eds (pp444 £.00) ISBN 0-845141074, New York: Alan R Liss 1988 Physiological Regulation ofMembrane Fluidity. (Advances Bioscience and technology in Membrane Fluidity, volumne 2) R C Aloia, C C Curtain Gap Junctions. (Modern Cell Biology, volume 7) E L & L M Gordon, eds (pp312 £120.00) ISBN 0-84514625, New Hertzberg & R G Johnson, eds (pp 566 £96.00) ISBN York: Alan R Liss Inc 1988 0-8451-3306-3, New York: Alan R Liss 1988 Plant Flawonoids in Biology and Medicine II. Biochemical Lipids Domains and the Relationship to Membrane Function. Ceuhar, and Medicinal Properies. (Progress in Clinial and (Advances in Membrane Fluidity, volume 2) R C Aloia, C Biological Research, volume 280) V Cody, E Middleton Jr, C Curtain & L M Gordon, eds (pp 312 £120.00) ISBN J B Harborne & A Beretz, eds (pp 484 £80.00) ISBN 0-84514601-7, New York: Alan R Liss 1988 0-8451-5130-4, New York: Alan R Liss 1988 Methods for Studying Membrane FZuidity. (Advances in Signal Transduction in Cytoplasmic Organization and Cell Membrane Fluidity, volume 1) R C Aloia, C C Curtain & Motility. (UCLA Symposia on Molecular and Cellularf L M Gordon, eds (pp380 £120.00) ISBN 0484514600-9, New Biology, New Series, volume 77) P Satir, J Condelis & E York: Alan R Liss 1988 Lazarides, eds (pp414 £156.00) ISBN 0-8451-2676-8, New York: Alan R Lisa 1988 Molecular Biology of IntraceUular Protein Sorting and Organelle Assembly. (UCLA Symposia on leular and The Cytgenes ofMammalian Autoolal Raransments. Cellular Biology, New Series, volume 76) R A Bradahaw, (Proess and Topics in Cytogenetics, volume 8) A Daniol, M G Douglas & L Mcalister-Henn, eds(ppSO £80.00) ISBN ed (pp938 £295.00) ISBN 0-8451-2410-2, New York: Alan l 0-8451-2675-X, New York: Alan R Liss 1988 L 1988 Royal Society of Medicine Portraits, Paintings and Sculptures

Amongst -the treasures of the Royal Society of Medicine, which was founded in 1805, are the portraits and paintings adorning the walls of the Society's rooms and the sculptures located in the conservatory area and in the library. In this superbly illustrated volume, Dr Alex Sakula, a Fellow of the Society for more than 40 years and medical historian of repute, provides a comprehensive record of these works of art, which include major donations made by the dental profession. In addition to a careful descrption of each work, there are brief biographical details of the subjects portrayed-all distinguished personalities in the world of medicine who with a few exceptions, have been associated with the Society, spanning a period of nearly two centuries. The book will be of considerable interest not only to Fellows of the Society but also to medical and art historians alike. 04-colour, 194 pages, hardback *L20.00 * 1988, ISBN 0 905958 71 3 Please send payment with order to: Publications Department, Royal Society of Medicine Services Ltd, 1 Winpole Street, London WIM 8AE

Talking Health Conventional and Complementary Approaches Edited by Sir James Watt Associate Editor: Clive Wood Foreword by HRH The Prince of Wales * Can conventional medicine meet the needs of every The series of Colloquia on Conventional Medicine patient? and Complementary Therapies, held by the Royal Society of Medicine following a suggestion made by * Can current interest in complementary therapies be HRH The Prince of Wales, provided an opportunity explained simply by communication problems between for discussion between members of the medical' doctors and patients? profession and professionally qualified practitioners of complementary therapies in order to see what *Have technological advances in modem medicine they could learn from each other that might be of resulted in depersonalization and is the modern hospice public benefit. In recording the issues debated, this movement society's reaction? book identifies some of the strengths and weaknesses of the different approaches, indicates *Is complementary medicine scientific and is there any possible areas of collaboration, discusses the proof that it works? safeguards required for public protection, highlights *Should complementary practitioners be included in the demand for a holistic approach and the need for multidisciplinary teams to provide 'whole person' care? improved communication at all levels, and examines the role complementary therapists might play in *Is there a role for Christian counselling? future against a background of escalating health costs and a national trend towards personal *How does the layman view the medical scene? responsibility for health. The book will be of interest to all those, from *What are the implications of the present trend towards whatever discipline, who are concerned with-and self-health ? about-the provision of optimum health care.

Published by Order from your bookseller, or send payment Royal Society of Medicine Services Limited with order to: Publications Department 1988 ISBN 0 905958 64 0 Royal Society of Medicine Services Limited 158 pages+ index Price: £4.95 1 Wimpole Street, London WlM 8AE