Postgraduate Medical Journal

EDITOR B.I. HofTbrand, London ASSISTANT EDITOR P.J.A. Moult, London

EDITORIAL BOARD J. Bamford, Leeds K.T. Khaw, Cambridge P.J. Barnes, London R.I. McCallum, Edinburgh A.H. Barnett, Birmingham P.H. Millard, London G.F. Batstone, Salisbury M.W.N. Nicholls, London C.J. Bulpitt, London N.T.J. O'Connor, Shrewsbury C. Coles, Southampton M. Sarner, London G.C. Cook, London M. Super, Manchester P.N. Durrington, Manchester I. Taylor, London J.C. Gingell, Bristol T. Treasure, London T.E.J. Healy, Manchester P. Turner, London C.R.K. Hind, Liverpool I.V.D. Weller, London D. Ingram, London P.D. Welsby, Edinburgh C.D. Johnson, Southampton W.F. Whimster, London P.G.E. Kennedy, Glasgow P.R. Wilkinson, Ashford, Middx National Association of Clinical Tutors Representatives I.J.T. Davies, Inverness R.D. Abernethy, Barnstaple International Editorial Representatives G.J. Schapel, Australia P. Tugwell, Canada J.W.F. Elte, The Netherlands E.S. Mayer, USA F.F. Fenech, Malta B.M. Hegde, India C.S. Cockram, Hong Kong

Editorial Assistant Mrs J.M. Coops

Volume 69, Number 818 December 1993 The Postgraduate Medical Journal is published Subscription price per volume oftwelve issues EEC monthly on behalf ofthe Fellowship of Postgraduate £E130.00; Rest ofthe World £140.00 or equivalent in Medicine by the Scientific & Medical Division, any other currency. Orders must be accompanied by Macmillan Press Ltd. remittance. Cheques should be made payable to Macmillan Press, and sent to: the Subscription Postgraduate Medical Journal publishes original Department, Macmillan Press Ltd, Brunel Road, papers on subjects ofcurrent clinical importance. Houndmills, Basingstoke, Hampshire RG21 2XS, Each issue contains commissioned review and leading UK. Where appropriate, subscribers may make articles but unsolicited submissions are also welcome. payments into UK Post Office Giro Account No. Each issue also includes 'Letters to the Editor', book 519 2455. Full details must accompany payments. reviews and an international postgraduate diary. 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Whilst every effort is made b thepublishers and editorial board to see that no inaccurate or misleading data, opinion or statement appears in this Journal, they wish to make it clear t at t e data and opinions appearing in the articles and advertisements herein are the responsibility of the contributor or advertiser concerned. Accordingly, the publishers and The Fellowship, the editorial committee and their respective employees officers and agents accept no liability whatsoever for the consequences of any such inaccurate or misleading data, opinion or statement. Whilst every elort is made to ensure that drug doses and other quantities are presented accurately, readers are advised that new methods and techniques involving drug usage, and described within this Journal, should only be followed in conjunction with the drug manufacturer's own published literature. ABSTRACTS 955

PEG for more than 14 days gained weight. In 12 (16%) out accidentally. In all cases PEG feeding continued until cases swallowing recovered sufficiently to allow removal recovery or death. We conclude that (a) the use ofPEG in of the PEG after a median period of 55 days (range an unselected patient population has a low incidence of 20-150 days). Minor complications included: local sepsis complications; (b) PEG can be of benefit in patients with at the insertion site 1 (2%), tube blockage 9 (12%) and reversible dysphagia offew weeks duration and (c) the use tube leakage 4 (5%). In one case a PEG tube was pulled of PEG merits wider consideration.

EUROPEAN DOCTORS IN LONDON European Medical Fellowship of Research Group Postgraduate Medicine The European Medical Research Group has been formed by the European Association of Internal Medicine with the support of the Fellowship of Postgraduate Medicine, to provide a meeting place for professional and social contact among physicians in training, particularly those from continental Europe. Regular meetings are held at the Medical Society of London. An invited lecture is given, preceded by poster presentations and followed by a buffet supper. Members of the Group are mailed regularly about the meetings. Dates of future meetings: 25 January 1994 and 17 May 1994. European research fellows and other visiting doctors who would like details of these meetings should write to: Dr D.R.J. Singer, c/o The Fellowship of Postgraduate Medicine, 12 Chandos Street, London WIM 9DE. Tel: 071 636 6334 Postgrad Med J (I993) 69, 956 958 r d9 The Fellowship of Postgraduate Medicine, 1993

Conference Reports

Behcet's disease and bilateral and are seen on the chest radiograph as round or oval opacities in the hilar, parahilar or basal Introduction regions ofthe lung. Computed tomography was helpful in confirming the diagnosis. Endo-luminal was The Sixth International Conference on Behcet's disease noted in 17 of 33 . Recognition ofthe aetiology (BD) was held at the Pitie-Salpetriere Hospital, Paris, on of pulmonary aneurysms depends on the presence 30 June-I July 1993. It took place in the Charcot of other classical signs of BD. Treatment comprised amphitheatre to commemorate a centenary of Charcot corticosteroids, and also surgery in the (1825-1893). The 250 participants included represen- event of life-threatening haemoptysis. However, since tatives from Japan, Turkey, Greece, Morocco, Tunisia these aneurysms are bilateral and often multiple, lobec- and Iran, countries in which BD is frequent. The discip- tomy is rarely possible. lines represented underlined its common involvement of eye, skin, joints, heart, lung, nervous system, and also Artery P. Godeau and his team (Paris) noted arterial included immunologists, haematologists and paediatric- involvement in 23 of 300 patients with BD. They were ians, all of whom in discussion used its abbreviated title mostly men aged about 31 years with arterial or BD for Behcet's disease. There were also some patients thrombosis of pulmonary artery, , femorals, cor- with BD who hoped to know more about their future. onary and subclavian . They advocated aggressive immunotherapy, anti-inflammatory regimes and surgery Epidemiology whenever possible. Two nationwide epidemiological surveys were carried out Venous involvement is four times more frequent in 1992 on BD in Japan. A hospital survey covered 1,200 than arterial, giving rise to exotic clinical pictures such as hospitals and provided data on 3,938 patients, and superior and inferior vena caval obstruction and the another survey of 12,987 patients was done by a financial Budd-Chiari syndrome. Dr M. Hanza (Tunis) analysed a supporting system which had paid their medical expenses. series of 515 patients with BD in which venous throm- The overall estimate of prevalence was 13.6 per 100,000 bosis occurred in 22% and arterial occlusion in 5%. Other population with an average onset age of 35 years, and cardiac manifestations include mitral valve prolapse, with an equal sex ratio. As in the Japanese surveys of septal hypertrophy, pericarditis, myocardial sarcoidosis, BD was more frequent in the north (Hok- and left ventricular . kaido) than in the South (Kyushu). There was an analysis of 2,068 cases from Iran, where there is an annual incidence of about 300 patients per Immunology and haematology year. As in other countries, the initial manifestations were The immunological data consist of unconnected frag- orogenital ulcerations, uveitis, arthritis and skin disease. ments waiting for some perceptive investigator to place C. Barnes (Royal London Hospital) and co-workers the pieces ofthejigsaw together, so that we can behold the compared the clinical features as seen in the Middle East cause and the associated defective mechanisms. BD is a and Mediterranean basin with those seen in France, UK multisystem and Dr S. Kienbaum () and the USA. The former had less widespread disease but presented evidence that it was a leucocytoclastic vas- more skin hypersensitivity and folliculitis. culitis. He demonstrated specimens showing severe endothelial swelling, fibrinoid , dense Clinicalfeatures perivascular infiltrate with inflammatory cells in upper and lower dermis, and predominance of neutrophils in Eye Teifi James (Leeds) stressed the importance of an this infiltrate. In addition, intravascular conglomerates of user-friendly scoring system to record disease activity and polymorphonuclear leucocytes were prominent with part establish damage to the eye. The system is designed for of the neutrophils attached to the endothelial cells of the easy incorporation into a computer database permitting vessel walls and/or to each other in the centre ofthe vessel rapid longitudinal analysis of specific subgroups, namely lumen, leading to obstruction of the vessel. This unique anterior segment, posterior segment and neuro-ophthal- pattern is termed 'chemotactic neutrophilic vasculitis'. mic involvement. At each of these anatomical sites two Endothelin (ET) is a vasoconstrictor peptide, which is scores are given; one measuring activity and the other synthesized by endothelial cells. The plasma levels of established damage. Each eye is assessed independently, endothelin - 1.2 are elevated in BD and this may serve as a and scoring is arranged on an ordinal scale. It is hoped novel indicator of BD, and quite different from other that this Behcet's oculopathy index will be established types of vasculitis. Thrombomodulin (TM), a thrombin universally for the sake ofinternational comparisons, and receptor present on endothelial cell membrane, is a major used to judge the response to newly introduced treat- proteoglycan. BD patients have a low ments. plasma TM level, compared with patients with other vasculitides. It is not yet known whether this is due to low Lung Dr Chikhaoui and his colleagues (Morocco) synthesis by endothelium inducing a procoagulant state. reported 10 cases ofpulmonary artery aneurysms. Detec- Dr 0. Ozcebe (Ankara) tested the endothelial function tion is important because of the risk of rupture and by noting the response of F VIII:C levels to intravenous massive haemoptysis. The aneurysms are usually multiple I-deamino-8-D-arginine vasopressin. The F VIII:C res- CONFERENCE REPORT 957 ponse was more pronounced in normals than in BD Proceedings patients. He also noted that fibrinogen levels were significantly higher in BD than in controls. Within this The Publishers, Elsevier, forecast a publication date of framework must also be added that BD is closely January 1994. Write to them for details, care of the associated with HLA-B5 1, which in turn may be responsi- Conference Organiser: Professor Bertrand Wechsler, ble for neutrophil hyperfunction. H6pital de la Pitie-Salpetriere, Service de Medecine Professor T. Lehner and his colleagues at Guy's Interne, 47/83 Boulevard de l'H6pital, 75013 Paris, Hospital (London) stressed the homology between mic- France. robial and human heat shock proteins (HSP). A significant increase in serum IgA antibodies of the 65 kD D. Geraint James HSP was found in BD and a number of monoclonal Royal Free Hospital, antibodies to the HSP cross-reacted with selected strains London NW3, UK. of Streptococcus sanguis. They suggest that the pathogenesis of BD is associated with HSP peptides of microbial and cross-reactive human origin. Dr Neuroleptic-induced deficit syndrome Yamashita (Kawasaki) established Y6T cell lines stimulated by Streptococcus sanguis antigen. These cell lines produced large amounts ofTNF-x, TNF-,B and IL-8, In December 1950, Charpentier synthesized chlorprom- suggesting that Y6T cells play an important pathogenetic azine (CPZ). The drug had been developed as a calming role by priming neutrophils and causing tissue damage. agent, following the earlier beneficial use of the antihis- Primed vascular endothelial cells and activated neut- taminic and phenothiazine promethazine in surgical rophils, recruited by leucocyte adhesion molecules procedures. The impetus had come from the surgeon LECAM- 1, probably play an essential role in the develop- Laborit, who was far-sighted enough to see the psychiat- ment of ocular . ric potential of the new drug as a calming agent and to Dear reader, please string together this series of persuade Hamon, Paraire and Velluz to use it. These isolated facts into a majestic concept of the pathogenesis psychiatrists, working at the Val-de-Grace Hospital, were ofBD so that it can be treated more effectively and earlier. struck by the improvement in psychotic symptoms they obtained with CPZ. Their results were quickly confirmed Treatment in 1952 by Jean Delay and Pierre Deniker, working in the nearby St Anne's Psychiatric Hospital. Prednisolone, cyclosporin, azathioprine, cyclophospha- Delay and Deniker proposed the term 'neuroleptic' for mide, chlorambucil, and colchicine have all been advo- the drug to the French Academy of Medicine in 1955, cated but often insufficient to halt progressive ocular deriving it from 'psycholepsis', coined by Janet for his damage and blindness. Elizabeth Graham and co- concept of reduced psychological tension and literally workers (London) have used various combinations of meaning to seize the neurone. Alternative terms for these drugs in 79 patients with ocular involvement, related agents are antipsychotics, a term that goes to the followed for an average period of 9 years. At the end of heart of their use, and major tranquillizers, a term that this study period, one-quarter had good visual activity in confuses the laity about the usual purpose of the drugs both eyes; a quarter were blind in one eye but retained and sometimes generates unnecessary concern. The early good vision in the other, while a quarter were registered findings were soon confirmed by psychiatrists in many blind. Dr Tabbara (Riyadh) using cyclosporin or conven- countries. Thus began an effective treatment for schizo- tional immunosuppression assessed the final visual out- phrenia that has contributed to a persistent decline in come as blindness in one-third, improvement in 50% mental-hospital populations throughout the world. This receiving cyclosporin and 34% in those receiving conven- is all the more remarkable when judged against the tional immunosuppression. previous persistent increase. FK 506, an anti-interleukin-2 agent similar to cyclo- The use of CPZ and its later alternatives has advanced sporin, has proved effective for refractory uveitis in a the application ofsocial therapy, each complementing the multicentre trial in Japan in a dose of0.1 mg/kg daily but other. Drugs alone do not help patients to find jobs and it was associated with major adverse effects. accommodation or to adjust to life outside of hospital. Dr Denman and colleagues (London) found thalido- Without neuroleptic drugs, social therapy may not aid mide 50 mg on three nights weekly to be very effective in recovery, but neuroleptics have facilitated personal, overcoming mucosal ulceration. It does not affect cell- family and group psychotherapy as well as occupational mediated or humoral immunity but it may affect cytokine therapy, and they have emphasized the value of commu- production and hence procoagulant activity. nity-based services. Dr S. Dundar (Ankara) found alpha-interferon, 3 Schizophrenia is characterized by a number of appal- megaunits on alternate days for 3 months, to be a ling debilities. Patients suffering with hallucinations, promising drug in the treatment ofBD but further studies delusions and formal thought disorder and treated with are needed to assess the optimum dose and length of neuroleptics often show an increase in activity and treatment. spontaneity, taking a more active interest in their sur- Dr Nussenblatt (Bethesda) is planning the induction of roundings. However, when only negative symptoms are immunological tolerance in an effort to achieve long-term evident, such as loss of motivation and volition, and ocular quiescence. He is choosing the effect of oral compression of the range ofemotional response with loss administration of retinal S antigen as an oral tolerizing ofrapport, the benefit is less clear, particularly in the later agent. His randomized double-masked trial will be car- stages of the illness and the medication side effects may ried out in patients with sight-threatening uveitis, includ- even aggravate some of the residual symptoms. ing patients with BD. A conference arranged and sponsored by ASTRA was 958 CONFERENCE REPORT held in Paris on 6 and 7 May to discuss the deficits motor problems but also because of possible improve- produced by neuroleptics. ments in cognition, attention and memory, difficulties A novel group of antipsychotic medication, together which classical neuroleptics may increase, although the with one of the long standing, so-called classical anti- whole area has been little investigated in a formal way. psychotic agents, thioridazine, are particularly bland in The large meeting provided a forum for a lively their spectrum of side effects. It would seem that their interchange of ideas between participants from many focus of activity is on those neurological systems which European nations, America and Canada. There was are involved in psychosis, the mesolimbic pathway, and considerable agreement on the basic issues and also on the largely spare the systems which are involved in motor difficulty ofdeveloping a suitable methodology for disen- problems, involving the extrapyramidal neurological tangling the effects of medication and the effects of the pathways. illness. Almost all the instruments which have, thus far, In addition to their targeted site of action, clozapine, been devised have focused on patients who have suffered sulpiride, thioridazine and remoxipride, all available in from schizophrenia and who have been treated with the UK, and respiridone very recently available on a classical antipsychotic agents. named patient basis, have a different profile of action in Everyone agreed that there was much work to be done animal models, failing to induce catalepsy, and are and, as our able chairman, Professor Malcolm Lader, grouped together as neuroleptics. concluded, the stimulating meeting would ensure thatper It has been difficult to distinguish between deficits Astra ad ardua. produced by the disease process and deficits produced by the antipsychotic agents but the new, atypical, anti- Malcolm P.I. Weller psychotics seem to represent an opportunity for minimiz- St Anne's Hospital, ing iatrogenically induced symptoms. Clinical impressions St Ann's Road, have favoured these agents, not only for their reduced London NIS 3TH, UK. Postgrad Med J (I993) 69, 966 967 d d9 The Fellowship of Postgraduate Medicine, 1993

Books Received ABC ofAIDS, third edition, edited by M. Wadler, Pp. 86, Immunology, third edition, I. Roitt, J. Brostoff and D. illustrated. BMA, London, 1993. Paperback, £12.95. Male. Chapters numbered individually, illustrated. Mosby, St Louis, Boston, Sydney, Toronto, 1993. Paper- ABC of Monitoring Drug Therapy, J.K. Aronson, M. back, £19.95. Hardman and D.J.M. Reynolds. Pp. 37, illustrated. BMA, London, 1993. Paperback, £6.95. MCQ Practice Papers, P.G. Elliott. Pp. 181. Pastest, Cheshire, 1993. Paperback, £12.50. Annual Review of Public Health, Volume 14, edited by G.S. Omenn, J.E. Fielding and L.B. Lave. Pp. 689, MCQ Tutor in Anaesthesia: Clinical Practice, C.A. Pin- illustrated. Annual Reviews, California, 1993. Hardback, nock and R.M. Haden. Pp. 302. Churchill Livingstone, $54.00. London, New York, Melbourne, Edinburgh, 1993. Paperback, £13.95. Atlas of Endocrine Imaging, edited by G.M. Besser and M.O. Thorner. Pp. 149, illustrated. Wolfe, London, St Medical Statistics - A Common Sense Approach, M.J. Louis, Sydney, Toronto, 1993. Hardback, £40.00. Campbell and D. Machin. Pp. viii + 189, illustrated. John Wiley, Chichester, New York, Brisbane, Toronto, , A.A. Grace, J.A. Hall and P.M. Schofield. 1993. Paperback, £14.95. Pp. 128, illustrated. Churchill Livingstone, London, New York, 1993. Paperback, £7.95. Microbial and Parasitic Infection, seventh edition, B.I. Duerden, T.M.S. Reid and J.M. Jewsbury. Pp. 438, Clinical Microbiology, seventh edition, edited by Joan illustrated. Edward Arnold, Kent, 1993. Paperback, Stokes, G.L. Ridgway and M.W.D. Wren. Pp. xi + 398, £17.95. illustrated. Edward Arnold, London, Boston, Mel- bourne, 1993. Paperback, £26.50. Molecular Aspects of Anticancer Drug-DNA Interac- tions, Volume 1, edited by S. Neidle and M. Waring. Companion to Psychiatric Studies, edited by R.E. Kendall Pp. xi + 363, illustrated. Macmillan Press, London, 1993. and A.K. Zealley. Pp. vi + 955, illustrated. Churchill Hardback, £65.00 Livingstone, London, Edinburgh, 1993. Hardback, £69.50. Molecular Medicine, R.J. Trent. Pp. 239, illustrated. Churchill Livingstone, London, Edinburgh, New York, Contraception - Your Questions Answered, J. Guillebaud. Tokyo, 1993. Paperback, £14.95. Pp. 484, illustrated. Churchill Livingstone, London, Edinburgh, 1993. Paperback, £12.95. North American Healthcare Policy in the 1990s, edited by A. King, T. Hyclak and R. Thornton. Pp. xi + 284, Disease Diagnosis and Decisions, G.W. Bradley. Pp. 182. illustrated. John Wiley, Chichester, New York, Brisbane, John Wiley, Chichester, New York, Brisbane, Toronto, Toronto, 1993. Hardback, £35.00. 1993. Paperback, £14.95. Notes for the DCH, N.J. Gilbertson and S. Walker. Endometrial Ablation, edited by B.V. Lewis and A.L. Pp. 370, illustrated. Churchill Livingstone, London, Magos, Pp. 224, illustrated. Churchill Livingstone, Edinburgh, New York, Tokyo, 1993. Paperback, £19.95. London, New York, Melbourne, Tokyo, 1993. Hard- back, £55.00. The of Trauma, second edition, edited by J.K. Mason. Pp. 367, illustrated. Edward Arnold, London, Epileptogenic & Excitotoxic Mechanisms, edited by G. Boston, Melbourne, Auckland, 1993. Hardback, £95.00. Avanzini, R. Fariello, U. Heinemann and R. Mutani. Pp. x + 158, illustrated. John Libbey, London, Paris, Resuscitation Handbook, second edition, P.J.F. Baskett. 1993. Hardback, £32.00. Pp. 136, illustrated. Wolfe, London, St Louis, Sydney, Toronto, 1993. Paperback, £14.95. HIV Infection in Women, edited by M.A. Johnson and F.D. Johnstone. Pp. 292, illustrated. Churchill Living- Return of Blood to the Heart, second edition, A.M.N. stone, London, New York, Melbourne, Tokyo, 1993. Gardner and R.H. Fox. Pp. 268, illustrated. John Libbey, Hardback, £60.00. London, Paris, 1993. Hardback, £32.00. Human Anatomy - A Colour Atlas, third edition, R.M.H. Textbook of Developmental Paediatrics, M. Pollack. McMinn, R.T. Hutchings, J. Pegington and P.H. Pp. 584, illustrated. Churchill Livingstone, London, New Abrahams. Pp. 358, illustrated. Wolfe Publishing, York, Tokyo, 1993. Hardback, £37.50. London, 1993. Paperback, £19.95. Travel Medicine, volume 49, No. 2, edited by R.H. Immunocytochemistry in Diagnostic , B. Behrens and K.P.W.J. McAdam. Pp. 484, illustrated. Jasani and K. Schmid. Pp. 206, illustrated. Churchill Churchill Livingstone, London, New York, Tokyo, Mel- Livingstone, London, New York, Tokyo, Melbourne, bourne, 1993. Paperback, £49.95. 1993. Hardback, £49.50. BOOKS RECEIVED 967

Tumours of the Hand and Upper Limb, edited by G.P. Whenter's Functional , third edition, H.G. Bur- Bogumill and E.J. Fleegar. Pp. 492, illustrated. Churchill kitt, B. Young and J.W. Heath. Pp. 406, illustrated. Livingstone, London, Edinburgh, Melbourne, Tokyo, Churchill Livingstone, London, Edinburgh, Madrid, 1993. Hardback, £80.00. Melbourne, 1993. Paperback, £27.50. Virgin Birth, edited by R. Silman. Pp. 114. WFT Press, London, 1991. Paperback, £10.50.

Correction

Re: Accident and Emergency Medicine - II by R.C. practitioner and junior doctor treatment of minor Evans and R.J. Evans. Postgrad Med J 1992 68: injuries; in fact such a trial was abandoned after 786-799. pilot studies. A description of these pilot studies will be published early in 1994 (Read, S.M. & The following correction to the above article has George, S. Nurse practitioners in accident and been received from Dr S.M. Read and Professor emergency departments: reflections on a pilot B.T. Williams: study. J Adv Nursing (in press)). We believe that this correction will give a clear Under the heading 'The accident and emergency statement of the facts. nurse specialist', the work of the Medical Care Research Unit at Sheffield University was quoted. Susan M. Read The reference for this work is 'Read, S.M., Jones, Brian T. Williams N.M.B. & Williams, B.T. Nurse practitioners in The University of Sheffield accident and emergency departments: what do they Medical Care Research Unit, do? Br Med J 1992, 305: 1466-1470.' and not as Department of Public Health Medicine, referenced in the article. Medical School, Drs R.C. and R.J. Evans stated that MCRU had Beech Hill Road, conducted a randomized controlled trial of nurse Sheffield S1O 2RX, UK. Postgrad Med J (1993) 69, 968-969 P d 9 The Fellowship of Postgraduate Medicine, 1993

Postgraduate Diary

Institute of Orthopaedics University of Warwick Professional Unit Pre-Operative Conferences - Mondays Techniques and Applications of Molecular Biology. A 11.00 a.m. at Middlesex Hospital and Thursdays course for medical practitioners 13 -16 December 1993 9.30 a.m. at Stanmore. Details: Dr S. Hicks, Department ofBiological Sciences, Professorial Unit Residents' Seminars/Conferences - University of Warwick, Coventry CV4 7AL. Thursdays 8.00 a.m. at Stanmore. Polymerase chain reaction. Techniques and applications. Details: Miss A.M. Lucas, Postgraduate Secretary, One day workshop for research scientists 12 January 1994 Institute of Orthopaedics, The Middlesex Hospital, Details: Dr V. McGowan, Department of Biological London Wl. Tel: 071-380 9418. Sciences, University of Warwick, Coventry CV4 7AL. British Association for Surgeons ofthe Knee in Association Roehampton Institute of Higher Education with Institute of Orthopaedics MSc/Graduate Diploma programmes in the following: Knee replacement: basic skills workshop: 4 February 1994 BSc in Health in Health Studies; MSc/Graduate Dip- Details: Carol Winston, Course Administrator, RNOHT, lomas in 'Clinical Neuroscience' and 'Behavioural Brickley Hill, Stanmore, Middlesex HA7 4LP Biology and Healthcare'. Royal National Orthopaedic Hospital Trust in Association Details: The Faculty Registry Office, Faculty ofSciences, with Institute of Orthopaedics Roehampton Institute, Whitelands College, West Hill, Second Stanmore Spinal Injuries Course: 22/23 April 1994 London SW15 3SN. Details: Carol Winston, Course Administrator, Teaching Lancaster University Centre, RNOHT, Brickley Hill, Stanmore, Middlesex Basic Molecular Biology: a short course on current HA7 4LP techniques of DNA manipulation. 10- 14 April 1994. Royal Free Hospital School of Medicine Details: Dr Sarah Andrew, Biological Sciences Division, MRCP Part II 5 day course for clinical examination; Lancaster University, Lancaster LA1 4 YQ. Monday 7 February to Friday I1 February 1994 British Medical Journal Monday 6 June to Friday 10 June 1994 'Medical screening: the way forward' One day conference Details from: Dr Geraint James, Visiting Professor of organisedjointly by BMJ and Journal ofMedical Screen- Medicine, The Royal Free Hospital School ofMedicine, ing. 26 January 1994, QE2 Conference Centre, London Pond Street, Hampstead, London NW3 2QG. Tel: 071 Information: Pru Walters, BMA Conference Unit, BMA 794 0500 ext 3931. House, Tavistock Square, London WCIH 9JR. Institute of Obstetrics and Gynaecology Fourth International Conference on Systemic Lupus SLE Details ofcourses: Symposium Secretary, RPMS Institute 26-31 March 1995 Jerusalem, Israel of Obstetrics and Gynaecology, Queen Charlotte's and Information: Fourth International Conference on Systemic Chelsea Hospital, Goldhawk Road, London W6 OXG. Lupus Erythematosus, PO Box 50006, Tel Aviv 61500, Institute of Psychiatry Israel. The cellular and molecular pathology of neurodegener- ative disease: 31 January to 3rd February 1994 University of Leeds Psycho-social aspects of disaster: planning for the future: Philosophical ethics in reproductive medicine 18-21 10 February 1994 April 1994 Details ofthese and other coursesfrom: Mrs Lee Wilding, Details: Mrs H. Thackray, Department of Continuing Short Courses Office, Institute ofPsychiatry, De Cres- Professional Education, Continuing Education Building, pigny Park, Denmark Hill, London SE5 8AF. Springfield Mount, Leeds LS2 9NG. Royal College of Surgeons of England International Conference on Biomedical Periodicals Arnott demonstration, J.A. Rennie 'The surgical ana- 16-18 June 1994 Beijing tomy of the sympathetic nervous system' 15 December Further information: Dr Jiang Yongmao, Secretary of 1993, 5.00 p.m. Organising Committee, Chinese MedicalAssociation, 42 Arnott demonstration, N. Goddard 'The anatomical basis Dongsi Xidajie, Beijing 100710, China. of neurological problems after surgery' 16 December Institute of Health Services Management 1993, 5.00 p.m. Medicine for Managers - Genito-Urinary Medicine. Details of lectures can be obtainedfrom: R.H.E. Duffet, Friday 3 December 1993 Secretary, Royal College of Surgeons, 35/43 Lincolns Changing tack? Public and private options for the accomo- Inn Fields, London WC2A 3PN. dation and care of elderly people. 15 December 1993 Royal Society of Medicine Information: Conference Secretary, IHSM, 39 Chalton Joint conference between RSM, BMA and CIARB on: Street, London NW] 1JD 'Disputes between patient and doctor: Is arbitration a American College of Physicians solution?' 10 December 1993 Internal Medicine: a Southeast Asia Perspective. 16- 19 Forum on sexual medicine and family planning 'Contra- February 1994. Chulalongkorn University, Bangkok, ceptive implants' 20 January 1993 Thailand Information: Miss Nicole Aaron, Forums Executive, The Royal Details: ACP, PO Box 7777R0510, Philadelphia, PA Society ofMedicine, I Wimpole Street, London WIM8AE. 19175-0320, USA POSTGRADUATE DIARY 969

University of California, San Diego NATIONAL ASSOCIATION OF CLINICAL TUTORS Advanced nephrology: nephrology for the consultant The Association assists clinical tutors in their role as 19-22 January 1994 leaders in district medical education. Membership is Details: Complete Conference Management, PO Box open to University-appointed clinical and GP tutors. 82664, San Diego, CA 92138, USA. The Association arranges courses for the training and continuing professional development of clinical tutors Progression of in anginal syndromes and and holds Winter and Summer Meetings for all heart transplantation members. International conference: 23-24 June 1994. Palazzo dei 13 May 1994: Spring Meeting: Bristol Congressi, Lugano, Switzerland Information about the NACT and its activities can be Information: PD Dr. med. A. Gallino, Head Division of obtainedfrom The Secretariat, National Association of Cardiology, Ospedale San Giovanni, 6500 Bellinzona, Clinical Tutors, 12 Chandos Street, London WIM 9DE. Switzerland. Tel: 071 636 6334. Postgrad Med J (I993) 69, 970 996 Pd9 The Fellowship of Postgraduate Medicine, 1993

POSTGRADUATE

MEDICAL JOURNAL VOLUME 69 January to December 1993 Index

Published for The Fellowship of Postgraduate Medicine by The Macmillan Press Ltd

Subject Index

Ite = letter to the editor Suppl. = supplement (1, 2 or 3)

Abdomen Adrenocorticosteroid deficiency, unusual cause of aortic aneurysms, ruptured, atypical manifestations: of unknown origin. May, 395 review article. January, 6: May, 413 (lte) Advisory Committee on Medical Training, overview of wall abscess, unusual primary presentation of trans- function. Suppl. 2, 6: Suppl. 2, 10 verse colonic carcinoma. October, 826 Age-related differences in simultaneous interarm blood Abstracts pressure measurements. March, 194; November, European Medical Research Group meetings, London, 893 (Ite) February and June 1993. December, 954 Agranulocytosis, chlorpromazine-induced, first use of Acinetobacter pneumonia, community-acquired bacter- granulocyte colony stimulating factor. November, aemia, with survival. December, 934 885 Activated charcoal, value in self-poisoning treatment: Albuminuria among Hong Kong Chinese with non- reviews in medicine. January, 19 insulin-dependent diabetes mellitus. March, 204 Acute , diagnostic skills, studies across Alcoholic pancreatitis and loss of vision. February, 151 Europe. Suppl. 2, 94 1 7alpha-Hydroxylase deficiency with persistence of Addisonian crisis presenting with normal short tetracos- Mullerian ducts in genotypic male and paradoxical actrin stimulation test. February, 165 (Ite) aldosterone secretion. February, 159 Addison's disease, tuberculous, adrenocortical function Alport's syndrome associated with type IV renal tubular recovery following treatment of. October, 832 (Ite) acidosis. October, 823 Adenosine in treatment of maternal paroxysmal sup- Alternative regimens in cancer therapy: reviews in raventricular tachycardia. August, 661 (Ite) medicine. February, 92 Adolescent schoolgirls, smoking and weight. February, Aluminium 100; erratum. August, 667 overload causing r-Hu-EPO resistance, reversed by low Adrenalectomy in Cushing's syndrome, anterior pituitary dose desferrioxamine therapy. February, 124 function after. July, 547 worker, squamous cell carcinoma of the scrotum. Adrenocortical function recovery following treatment of December, 960 (Ite) tuberculous Addison's disease. October, 832 (Ite) American medical practice, medical police in the twenty- SUBJECT INDEX 971

first century. April, 306 November, 862 Amiloride/triamterene with hydrochlorothiazide, sodium Arteriovenous malformations associated with pseudo- plasma levels in the elderly. October, 797 tumour cerebri. August, 637 Amoebic liver abscess, ultrasound-guided needle aspira- Ascites, massive, giant hydronephritis masquerading as. tion. May, 381 October, 800 Amyloidosis Aspergillosis, invasive, in acute lymphoblastic leukaemia systemic, and multiple myeloma, renal replacement in complete remission. May, 405 therapy: review article. September, 672 Aspirin and Takayasu's disease. June, 488 100 -325 mg daily intake associated with gastro- Anaemia, recurrent, due to ischaemic colonic ulceration duodenal injury. September, 712 caused by . April, 320 and fatal colon cancer risk. March, 242 (lte); November, Anaesthetics 893 (lte) monospecialty initiatives. Suppl. 2, 49 Asthma, occupational lung diseases other than. February, training scheme, Eastern Europe (poster session). 129 Suppl. 2, 64 Atenolol, inadequately controlled by, nisol- Aneurysms, abdominal aortic, ruptured, atypical dipine and nifedipine compared as additional manifestations: review article. January, 6 treatment. February, 117 Angina Atherosclerotic renovascular disease patients presenting crescendo, and thrombus, removed during directional to a renal unit, audit of outcome. June, 461 coronary atherectomy. February, 112 Atrial fibrillation induced by ibuprofen overdose. April, and myocardial infarction presenting with pain 325 (Ite) confined to the ear. April, 300 Audit Angioedema of hospital notes. July, 578; December, 959 (Ite) hereditary, and IgA nephropathy. February, 95 in the ICU: reviews in medicine. May, 353 recurrent, caused by acquired Cl inhibitor deficiency Autoimmune haemolytic anaemia and Crohn's disease with lymphoma. August, 646 associated with sclerosing cholangitis. August, 656 Angiotensin converting enzyme inhibition hallucinations as adverse effect. March, 240 (Ite) versus calcium antagonism in mild to moderate B-cell lymphoma, multilobated, of the spleen. December, hypertension. June, 450 951 Anterior abdominal wall Bancroftian filarial pleural effusion: delayed diagnosis. after orthotopic liver transplantation, November, 869 invasive cutaneous candidiasis. June, 494 Bartter's syndrome in two generations of Irish family. varices, causing intraperitoneal haemorrhage. June, October, 791 490 Basal ganglia Anterior pituitary function after adrenalectomy in idiopathic calcification. January, 68 Cushing's syndrome. July, 547 infarction, bilateral, thyroid storm in young woman Anterior tibial compartment syndrome, bilateral, in resulting in. October, 813 association with hypothyroidism. November, 881 Bed rest, prolonged, hospital patients. November, 895 Anthracycline drugs, late cardiotoxicity: reviews in (Ite) medicine. February, 87 Behavioural approaches to anxiety disorders. March, 222 Antibiotics Behcet's disease, conference report. December, 956 for meningitis in paediatrics: reviews in medicine. April, Benzalkonium chloride susceptibility ofhospital bacteria. 269 Suppl. 3, 70 intratracheal, for broncho-pneumonia. August, 661 Beta-adrenoceptor-blocking drugs, potential role, and (lte) sudden cardiac death: review article. December, Anticoagulant therapy, impact of ventilation-perfusion 903 lung scintigraphy on subsequent use. November, Bezafibrate and low-dose nicotinic acid for raising HDL 851 cholesterol. April, 296 Anti-epileptic therapy and fatal chickenpox. October, 833 Biliary (lte) peritonitis, unusual cause. May, 412 (Ite) Antifibrinolytic therapy for haemoptysis related to bron- system, transhepatic and endoscopic procedures com- chial carcinoma. January, 80 (lte) bined. May, 384; erratum. August, 667 Anti-neutrophil cytoplasmic autoantibodies, serum solu- Biloma, spontaneous, in an elderly patient. September, ble IL2R levels, positive systemic vasculitis. 740 September, 708 Biomedical experimentation, introducing the student and Anti-phospholipid antibody syndrome, clubbing is a trainee, selective annotated bibliography. Septem- feature. September, 748 ber, 728 Antisepsis Bladder diverticulum tumour in association with pyrexia Second Asian Pacific Congress, opening address. of unknown origin. May, 403 Suppl. 3, 1: closing remarks, 131 Blind drunk, alcoholic pancreatitis and loss of vision. surgical. Suppl. 3, 84-105 February, 151 see also Povidone-iodine Anxiety disorders, behavioural approaches. March, 222 measurements and blood pressure load, hypertension Appendicitis, primary tuberculous. May, 411 (Ite) diagnosis. May, 370 Appendix, hot, in diagnosis of acute appendicitis. measurements, simultaneous interarm, age-related 972 SUBJECT INDEX

differences. March, 194; November, 893 (Ite) September, 733 monitoring, noninvasive 24 hour ambulatory, current Cefuroxime, oral, Haemophilus influenzae meningitis in status: review article. April, 255 elderly patient despite treatment with. July, 592 Boerhaave's syndrome (oesophagus), spontaneous rup- (Ite) ture. March, 214 Central venous catheters, safe and simple technique for Bone exchanging. February, 139 and collagen turnover in children and adults with Cerebellar haemangioblastoma in octogenarian. April, growth hormone deficiency, new markers. Novem- 326 (lte) ber, 846 Cerebral infarction marrow transplantation in ALL in childhood: reviews in association with Ecstasy abuse. November, 874 in medicine. April, 277 due to moyamoya disease, 18 year old female. solitary plasmacytoma, rare disorder with unusual December, 932 evolution. February, 153 Cervical ribs, cause of distal and cerebral embolism. Bot-fly bite. May, 411 (Ite) January, 65 Bowel obstruction: diagnostic images. September, 726 Cervical spondylotic myelopathy with occult foramen Brain stethoscopes, use and abuse of brief mental status magnum meningioma, case for MRI? September, schedules: leading article. August, 599 720 Breast cancer Chickenpox, fatal, and anti-epileptic therapy. October, chemotherapeutic management: reviews in medicine. 833 (Ite) February, 91 Child abuse: reviews in medicine. April, 271 male, management, in Nigerians. July, 562 Chlorhexidine digluconate, susceptibilty of hospital Breast carcinoma at site of migrated pacemaker genera- bacteria. Suppl. 3, 70 tors. November, 883 2-Chlordeoxyadenosine (2-CDA), new anti-tumour drug: Breath holding cardiac arrest, rare complication ofpallid reviews in medicine. February, 89 syncope? September, 738 Chloropromazine-induced agranulocytosis, first use of Bronchial carcinoma, antifibrinolytic therapy for haemop- granulocyte colony stimulating factor. November, tysis related to. January, 80 (Ite) 885 Broncho-pneumonia, intratracheal antibiotics. August, Cholestasis, danazol-induced with S-adenosylmethion- 661 (Ite) ine, resolution. March, 237 Buerger's disease in Western India. April, 326 (Ite) Cholesterol Burns, povidone-iodine use in treatment. Suppl. 3, 84 emboli causing myositis. December, 947 embolism causing ischaemia colonic ulceration, caus- ing recurrent anaemia. April, 320 lowering trials in their epidemiological context. Suppl. 1, 3 Cl inhibitor deficiency, acquired, with lymphoma caus- Chromosome 46XX and primary infertility. April, 315 ing recurrent angioedema. August, 646 Chronic fatigue syndrome. February, 164 (Ite) Calcification, idiopathic, of basal ganglia. January, 68 Chronic heart failure, stable, renal effects of dopamine Calcium antagonism versus ACE inhibition in mild to and dobutamine. February, 165 (lte) moderate hypertension. June, 450 Churg-Strauss vasculitis complicated by small bowel Campylobacter colitis, toxic megacolon with late perfora- necrosis. October, 828 tion. April, 322 Cimetidine or ranitidine, influence on pharmacokinetic Cancer, childhood: reviews in medicine. April, 274 interaction of lornoxicam. November, 865 Candida albicans Ciprofibrate, profile. Suppl. 1, 42 associated with hepatic cirrhosis causing portal vein Cirrhosis, liver/spleen scintigraphy for diagnosis of thrombosis. March, 234 . September, 715 role in pathogenesis of food-intolerant irritable bowel Clinical tutors syndrome. January, 80 (Ite) role: scenes from postgraduate life. August, 634 Candida lusitaniae causing fatal meningitis. November, - mark II: scenes from postgraduate life. October, 808 878 Clock drawing compared with Mini Mental State Candidal vaginitis, efficacy of povidone-iodine pessaries. Examination as screening test in elderly acute Suppl. 3, 58 hospital admissions. September, 696 Candidiasis, invasive cutaneous, following liver trans- Clonidine therapy and depression. April, 327 (Ite) plantation with gangrene of anterior abdominal Clostridium difficile, prevalence and nosocomial acquisi- wall. June, 494 tion, elderly hospitalized patients. January, 45 Captopril, sublingual in hypertensive urgencies. June, 498 Clubbing is a feature of anti-phospholipid antibody (Ite) syndrome. September, 748 Carbon monoxide poisoning, intestinal infarction follow- Cochrane Collaboration, making results of controlled ing. April, 302 trials properly accessible. November, 867 Cardiac arrest, breath holding, rare complication of Coeliac disease and sarcoidosis associated with polyglan- pallid syncope? September, 738 dular autoimmune syndrome type III. January, 72 Cardiomyoplasty, two year follow-up of myocardial Collagen and bone turnover, children and adults with perfusion (abstract). December, 954 growth hormone deficiency, new markers. Cardiotoxicity, paracetamol. January, 52 November, 846 Caudal regression syndrome, Gram-negative meningitis Colo-umbilical fistula, spontaneous, development. and chronic constipation as unusual presentation. September, 750 SUBJECT INDEX 973

Colon Danazol-induced cholestasis with S-adenosylmethionine, carcinoma (cancer) associated with Streptococcus bovis resolution. March, 237 . March, 241 (Ite) cancer, chemotherapeutic management: reviews in treatment, heparin, subcutaneous versus intravenous, medicine. February, 91 patients preference. February, 115 cancer, fatal, and aspirin. March, 242 (Ite); November, ischaemic complications of graduated compression 893 (lte) stockings. March, 232 filling defect: diagnostic images. August, 627 Dermatitis artefacta, malignant change. August, 648 ulceration, ischaemic, caused by cholesterol embolism Dermatology unit, training senior house officers: scenes causing recurrent anaemia. April, 320 from postgraduate life. June, 469 Common trunk Desferrioxamine therapy in reversal of r-Hu-EPO resis- in medicine in the European Community. Suppl. 2, 21 tance due to aluminium overload. February, 124 for specialist training. Suppl. 2, 18 Diabetes mellitus surgical training in Europe. Suppl. 2, 25 hypertension and hyperlipidaemia. Suppl. 1, 18 Community-acquired bacteraemic Acinetobacter insulin-dependent, Africans in South Africa, age of pneumonia with survival. December, 934 onset and sex distribution. July, 552 Conferences microvascular investigations: review article. June, 419 National Association of Clinical Tutors Spring non-insulin-dependent in Hong Kong Chinese, Meeting, May 1993, report. November, 890 obesity, albuminuria and hypertension. March, Sixth International Conference on Behcet's disease, 204 Paris, June-July 1993, report. December, 956 Diabetes, prevalence of macrovascular disease and lipid Confusion, recurrent, and hypopituitarism. May, 392 abnormalities, Sri Lanka. July, 557 Congenital adrenal hyperplasia with persistence of Diagnostic skills, clinical, education assessment, studies Mullerian ducts in genotypic male and paradoxical across Europe on acute abdominal pain. Suppl. 2, aldosterone secretion. February, 159 94 Constipation, chronic, and Gram-negative meningitis, Dialysis, renal transplantation and nephrology: reviews unusual presentation of caudal regression syn- in medicine. July, 516 drome. September, 733 Diarrhoea, traveller's, slow but steady progress: leading Continuing medical education article. July, 505 in Europe (CME in Europe project) (poster session). Diclofenac associated with pancreatitis. June, 486 Suppl. 2, 68 Digoxin toxicity, diagnosis and treatment: review article. in Hungary (abstract). Suppl. 2, 106 May, 337 projects, local to international. Suppl. 2, 107 Diltiazem overdose, fatal, four cases and review. June, in Turkey. Suppl. 2, 103 474 in a wider Europe. Suppl. 2, 102 Disinfectants, commonly used, susceptibility of hospital Continuing professional education and educational bacteria. Suppl. 3, 70 resources, Europe. Suppl. 2, 91 Doctors directives, European Community. Suppl. 2, 74 Controlled trials, Cochrane Collaboration making the Dopamine and dobutamine, renal effects in stable chronic results properly accessible. November, 867 heart failure. February, 165 (lte) Coronary Double-stranded DNA, localized scleroderma and artery , spontaneous, three cases and review hemiatrophy in association with antibodies to. of literature. December, 940 February, 166 (Ite) atherectomy, directional, thrombus in crescendo Drug-induced rhabdomyolysis, mechanisms and man- angina removed during. February, 112 agement: leading article. May, 333 heart disease and microalbuminuria in non-diabetics. Duodenum primary tumours. February, 136 September, 704 Dyskinaesia, myocardial, reversiblity due to severe heart disease and serum lipids, British elderly. August, hypertension. June, 479 609 Dyspepsia, non-ulcer, Helicobacter pylori infection diag- risk factor, lipids as, hyperlipidaemias analysis. Suppl. nosis by commercial ELISA. June, 456 1, 8 Correction. December, 967 Corticosteroid therapy and intercurrent illness, need for Ear, pain, presenting symptom in angina and myocardial continuing patient education. April, 282 infarction. April, 300 Cost-effectiveness of hypolipidaemic drugs. Suppl. 1, 30 ECMO, ECCO2R and IVOX in intensive care: reviews in Cough, chronic, presenting with pulmonary alveolar medicine. May, 351 microlithiasis. January, 70 Ecstacy abuse associated with cerebral infarction. Cramp, rest, naftidrofuryl treatment. August, 624 November, 874 Crohn's disease and autoimmune haemolytic anaemia Education, medical, developing. January, 57 associated with sclerosing cholangitis. August, 656 Educational Commission for Foreign Medical Graduates Curriculum design for primary care physicians: scenes clinical competence assessment study (poster ses- from postgraduate life. August, 629 sion). Suppl. 2, 69 Cushing's syndrome, anterior pituitary function after Elderly adrenalectomy. July, 547 acute medically ill, gait disturbances. February, 141 Cytomegalovirus infection, haemolytic-uraemic syn- acute renal failure caused by asymptomatic acute drome with thrombotic of the pyelonephritis. March, 211 retina following, postmortem findings. August, 653 in-patients, significance of low serum ferritin level. 974 SUBJECT INDEX

May, 397; November, 892 (Ite) Gangrene ofthe anterior abdominal wall after orthotopic mentally ill, sexual abuse. October, 803 liver transplantation, invasive cutaneous can- Electrocardiographic Q-Tc prolongation associated with didiasis. June, 494 infusion of intravenous pamidronate disodium. Garrod, Archibald, the individuality of man: leading June, 497 (lte) article. October, 763 Endocarditis, right-sided, in non-drug addict. August, 615 Gas-forming infections: diagnostic images. July, 581 Encephalomyelitis, hairy leukaemic cell influx into cere- Gastric brospinal fluid secondary to. August, 651 acid secretion in typhoid fever. February, 121 Endoscopy, open access, is lost outpatient clinic ofvalue? cancer, chemotherapeutic management: reviews in October, 787 medicine. February, 92 Epiglottitis, acute, in adults. March, 243 (Ite) lavage, value in self-poisoning treatment: reviews in Epilepsy treatment and fatal chickenpox. October, 833 medicine. January, 19 (lte) phytobezoar, unusual association and resolution. Epstein-Barr genome detection in lymph nodes of Hodg- August, 659 kin's disease. December, 916 Gastro-duodenal injury associated with intake of 100- Erratum. February, 169: March, 251 325 mg aspirin daily. September, 712 Erythropoietin, recombinant human, resistance due to Gastrostomy, percutaneous endoscopic, indications in aluminium overload and its reversal by low dose unselected patient population (abstract). December, desferrioxamine therapy. February, 124 954 Ethics, medical, learning with our new neighbours: scenes Gemcitabine, new anti-tumour drug: reviews in medicine. from postgraduate life. October, 810 February, 88 Eurochirurgie/Eurosurgery (poster session). Suppl. 2, 67 General Practice European Academy of Teachers in General Practice European Academy of Teachers (poster session). (poster session). Suppl. 2, 66 Suppl. 2, 66 European boards. Suppl. 2, 74 monospecialty initiatives. Suppl. 2, 46 Exchanging central venous catheters, safe and simple Genetic screening, who should be offered?: leading article. technique for. February, 139 September, 669 Extramedullary haematopoiesis in beta thalassaemia/ Genital antisepsis, test methodology and efficacy of haemoglobin E causing obstructive uropathy. povidone-iodine alcohol disinfectant. Suppl. 3, 43 January, 75 Gingivitis, hyperplastic, oral manifestation of Wegener's Eyelid, upper, swellings, focal myositis as unusual cause. granulomatosis. September, 754 (lte) November, 876 Glucose, plasma, control, with somatostatin analogue (SMS201-995) during surgical removal ofinsulino- mas. December, 920 Falciparum malaria and hypoglycaemia. April, 325 (Ite) Glyceryltrinitrate, transdermal, in infusion-related oxidation, impact of short course of three lipid , anti-inflammatory and anal- lowering drugs during exercise in healthy volun- gesic action. January, 37 teers. March, 197 Gonadotrophins successful treatment for genetic haemo- Feminizing adrenocortical carcinoma presenting with chromatosis and infertility. March, 241 (lte) gynaecomastia. June, 481 Good European Health Record project educational im- Ferritin, serum, low level, significance in elderly in- plications. Suppl. 2, 97; poster session. Suppl. 2, 69 patients. May, 397; November, 892 (Ite) Graduated compression stocking, ischaemic complica- Fever of unknown origin see Pyrexia of unknown origin. tions in deep . March, 232 Fibrates, mechanism of action. Suppl. 1, 34 Gram-negative meningitis and chronic constipation, Fibreoptic bronchoscopy in diagnosis of pulmonary unusual presentation of caudal regression syn- tuberculosis atypical presentations. August, 621 drome. September, 733 Filarial pleural effusion, bancroftian: delayed diagnosis. Granulocyte colony stimulating factor first use in chlor- November, 869 promazine-induced agranulocytosis. November, Fine needle aspiration, role in multiple lymphomatous 885 polyposis. May, 401 Growth hormone: reviews in medicine. March, 180 Flumazenil and midazolam use for invasive radiographic Growth hormone deficiency, bone and collagen turnover, procedures. December, 922 children and adults, new markers. November, 846 Focal myositis, unusual cause of bilateral upper eyelid Guillain-Barre syndrome with chronic lymphocytic leu- swellings. November, 876 kaemia. October, 832 (Ite) Food-intolerant irritable bowel syndrome, Candida Gynaecological antisepsis with povidone-iodine alcoholic albicans role in pathogenesis. January, 80 (lte) disinfectant. Suppl. 3, 39 Foramen magnum meningioma, occult, with cervical Gynaecomastia presenting with feminizing adrenocor- spondylotic myelopathy, case for MRI? September, tical carcinoma. June, 481 720 Haemangioblastoma, cerebellar, in octogenerian. April, Gait disturbances in acute medically ill elderly. February, 326 (lte) 141 Haematology, specialist/postgraduate training, Europe Gallbladder, primary lymphoma. July, 585 and Africa (poster session). Suppl. 2, 62 Ganglioneuroblastoma, spinal, complete response to Haemochromatosis, genetic, and infertility, gonado- chemotherapy alone. September, 746 trophins successful treatment for. March, 241 (Ite) SUBJECT INDEX 975

Haemodialysis catheter related infection, prevention by aemia Association. May, 359 topical povidone-iodine. Suppl. 3, 15 Hyperlipoproteinaemias, diagnosis and therapy (inter- Haemoglobin-H disease presenting with microcytic hypo- active computer-assisted training program) (poster chromic anaemia, 81 year old woman. December, session). Suppl. 2, 64 930 Hyperparathyroidism, primary, 10 MHz ultrasound and Haemolytic-uraemic syndrome with thrombotic micro- 201 -thallium/99m-technetium substraction scan- of the retina following cytomegalo- ning compared. May, 376 virus infection, postmortem findings. August, 653 Hyperplastic gingivitis, oral manifestation of Wegener's Haemophilus influenzae granulomatosis. September, 754 (lte) meningitis in elderly patient despite oral cefuroxime Hypertension treatment. July, 592 (lte) among Hong Kong Chinese with non-insulin-depen- prevention - a new vaccine: reviews in medicine. April, dent diabetes mellitus. March, 204 270 diagnosis, blood pressure measurements and blood Haemoptysis related to bronchial carcinoma, anti- pressure load. May, 370 fibrinolytic therapy. January, 80 (Ite) hyperlipidaemia and diabetes. Suppl. 1, 18 Haemorrhage and hypoparathyroidism, narrowed therapeutic safety intraperitoneal, from anterior abdominal wall varices. with nifedipine. September, 752 (lte) June, 490 inadequately controlled by atenolol, nisoldipine and spontaneous, into pituitary tumour after streptokinase nifedipine compared as additional treatment. Feb- therapy. March, 244 (Ite) ruary, 117 Hairy leukaemic cell influx into cerebrospinal fluid secon- mild to moderate, ACE inhibition versus calcium dary to encephalomyelitis. August, 651 antagonism. June, 450 Hallucinations as adverse effect ofangiotensin converting severe, causing myocardial dyskinaesia reversibility. enzyme inhibition. March, 240 (Ite) June, 479 Hand disinfection, antiseptic efficacy of povidone-iodine treatment, risk-benefit analysis: review article. October, alcoholic disinfectant solution quick dry rub. 764 Suppl. 3, 18, 22, 27, 33 urgencies, sublingual captopril. June, 498 (Ite) Heat, thrombolytic effect: diagnostic images. January, 55 Hyperthyroidism and overweight. February, 107 Helicobacter pylori Hypertriglyceridaemia, review: reviews in medicine. imprint cytology, cheap, rapid and effective method for September, 679 diagnosing. April, 291 Hypocalcaemia and hypomagnesaemia in ovarian car- infection and cigarette smoking. January, 41 cinoma. July, 583 infection in non-ulcer dyspepsia, evaluation of com- Hypoglycaemia and falciparum malaria. April, 325 (lte) mercial ELISA kit for diagnosis. June, 456 Hypolipidaemic drugs, cost-effectiveness. Suppl. 1, 30 Hemiatrophy and localized scleroderma in association Hypomagnesaemia and hypocalcaemia in ovarian car- with antibodies to double-stranded DNA. Feb- cinoma. July, 583 ruary, 166 (lte) Hyponatraemia, amiloride in the elderly. October, 797 Heparin, subcutaneous versus intravenous in deep vein Hypoparathyroidism and hypertension, narrowed thera- thrombosis treatment, patients preference. Feb- peutic safety with nifedipine. September, 752 (lte) ruary, 115 Hypopituitarism and recurrent confusion. May, 392 Hepatic cirrhosis associated with Candida albicans caus- Hyporeninaemic hypoaldosteronism, reversible, and life- ing . March, 234 threatening cardiac dysrhythmias, NSAIDs and High density lipoprotein cholesterol raising with low- autonomic dysfunction. July, 593 (Ite) dose nicotinic acid and bezafibrate. April, 296 Hypothermia Hirsute women, quality of life. March, 186 chronic, and water intoxication associated with a Hodgkin's disease, Epstein-Barr genome detection in neurodegenerative disease. December, 937 lymph nodes. December, 916 recurrent, associated with thrombocytopenia. March, Hydrochlorothiazide with amiloride/triamterene, sodium 227; September, 752 (lte) plasma levels in the elderly. October, 797 Hypothyroidism associated with bilateral anterior tibial Hydronephritis, giant, masquerading as massive ascites. compartment syndrome. November, 881 October, 800 5-Hydroxytryptamine short-term and long-term tox- icities ofanti-cancer therapies: reviews in medicine. Ibuprofen overdose February, 86 inducing atrial fibrillation. April, 325 (lte) Hypercalcaemia massive, complicated by severe metabolic acidosis. and malignant phaeochromocytoma. January, 77 July, 575 and multiple osteolytic lesions in childhood acute Idiopathic thrombocytopaenic purpura in association lymphoblastic leukaemia. June, 483 with spontaneous rupture ofthe spleen. September, Hyperinsulinism, endogenous, octreotide effects on islet 744 B cell products in. September, 735 Immunoglobulin A nephropathy in hereditary angio- Hyperlipidaemias . February, 95 analysis, lipids as coronary risk factor. Suppl. 1, 8 Imprint cytology, cheap, rapid and effective method for diabetes and hypertension. Suppl. 1, 18 diagnosing Helicobacter pylori. April, 291 laboratory testing and biochemical analysis. Suppl. 1, Indomethacin, tumouricidal effect, in the oesophagus. 12 December, 960 (Ite) management, guidelines of the British Hyperlipid- Infective endocarditis, recurrent. October, 816 976 SUBJECT INDEX

Infertility avoidable complication of renal transplantation. and genetic haemochromatosis, gonadotrophin: suc- April, 328 (Ite) cessful treatment for. March, 241 (Ite) Left ventricular wall thickness and disease duration in primary, in phenotypic male with 46XX chromosome. systemic sclerosis. April, 285 April, 315 Leukaemia acute lymphoblastic Infusion-related thrombophlebitis, transdermal glyceryl- in childhood: reviews in medicine. April, 276 trinitrate anti-inflammatory and analgesic action. childhood, hypercalcaemia and multiple osteolytic January, 37 lesions. June, 483 Insulin-dependent diabetes mellitus, Africans in South in complete remission, and invasive aspergillosis. May, Africa, age of onset and sex distribution. July, 552 405 Insulinomas, surgical removal, plasma glucose control Leukaemia with somatostatin analogue (SMS 201-995) dur- chronic lymphocytic, with Guillain-Barre syndrome. ing. December, 920 October, 832 (lte) Intensive care chronic myeloid, with complex neuromuscular dis- reviews in medicine. May, 340 order. April, 312 adult, parenteral nutrition: review article. November, Life-threatening cardiac dysrhythmias and reversible 841 hyporeninaemic hypoaldosteronism, NSAIDs and Intercurrent illness and corticosteroid therapy, need for autonomic dysfunction. July, 593 (Ite) continuing patient education. April, 282 Lipids Interleukin 2 receptor, serum soluble, levels in anti- abnormalities, prevalence in diabetes, Sri Lanka. July, neutrophil cytoplasmic autoantibodies, positive 557 systemic vasculitis. September, 708 in the 1990s: introduction. Suppl. 1, 1: overview of the Intestinal meeting. Suppl. 1, 2: Chairman's closing remarks. infarction following carbon monoxide poisoning. Suppl. 1, 50 April, 302 as coronary risk factor, hyperlipidaemias analysis. prolapse through vagina. October, 818 Suppl. 1, 8 Intimal sarcoma of superior vena cava. February, 155 lowering drugs, three, impact of short course on fat Intranasal application of povidone-iodine cream efficacy oxidation during exercise in healthy volunteers. in eradicating nasal methicillin-resistant Staphy- March, 197 lococcus aureus in neonatal intensive care unit staff. serum, and coronary heart disease, British elderly. Suppl. 3, 122 August, 609 Intraperitoneal haemorrhage from anterior abdominal Lipoma, submucosal, of the colon with intussusception. wall varices. June, 490 June, 497 (Ite) Intratracheal antibiotics for broncho-pneumonia. August, Liposarcoma, primary, of the omentum. February, 157 661 (lte) Listeria meningitis, neurological and psychiatric seque- Intravenous lae. January, 80 (Ite) administration of drugs by preregistration house staff Liver transplantation, orthotopic, anterior abdominal and City and Hackney Health Authority (poster). wall gangrene after, invasive cutaneous can- February, 163 didiasis. June, 494 cannulae use by junior hospital doctors. May, 389 Lornoxicam pharmacokinetics, influence ofcimetidine or Intussusception and submucosal lipoma of the colon. ranitidine. November, 865 June, 497 (lte) Lower segment uterine scar rupture during induction of Ipecacuanha syrup, value in self-poisoning treatment: labour with vaginal prostaglandin E2. July, 592 reviews in medicine. January, 19 (Ite) Irritable bowel syndrome, food-intolerant, Candida Lung albicans role in pathogenesis. January, 80 (Ite) cancer, chemotherapeutic management: reviews in Ischaemia medicine. February, 91 complications of graduated compression stockings in diseases, occupational, other than asthma. February, deep venous thrombosis. March, 232 129 mesenteric, acute: leading article. January, 1 Lymphocytic meningitis as sole manifestation of Q fever. mesenteric, acute, continuing difficulty in early diag- August, 636 nosis. January, 48 Lymphoma, primary, of the gallbladder. July, 585 Islet B cell products in endogenous hyperinsulinism, Lymphomatous polyposis, multiple, and role of fine octreotide effects. September, 735 needle aspiration cytology. May, 401 Lymphopaenia in elderly in-patients. September, 753 (Ite) Junior hospital doctors, intravenous cannulae use. May, 389 Macrovascular disease, prevalence in diabetes, Sri Lanka. July, 557 Male breast cancer management in Nigerians. July, 562 Keloid of the penis after circumcision. March, 236 Malignant trophoblastic teratoma, hurricane growth. June, 472 Marfan syndrome and osteoporosis. May, 373 Lambda light-chain deposition, systemic, presenting with Medical Directives, interpreting. Suppl. 2, 11 predominant cardiac involvement. July, 588 Medical education Lateral cutaneous nerve neuropathy of the thigh, developing. January, 57 SUBJECT INDEX 977

a look into the future. Suppi. 2, 3 Methotrexate in rheumatoid arthritis, justification as MSc and diploma (poster session). Suppl. 2, 66 first-line disease-modifying agent: review article. Medical education and training in Europe October, 775 Chairman's Remarks. Suppl. 2, 101 Microalbuminuria and coronary heart disease in non- Closing Remarks. Suppl. 2, 115 diabetics. September, 704 Common trunk for specialist training. Suppl. 2, 18 Microcytic hypochromic anaemia presenting with hae- Continuing medical education in a wider Europe. moglobin-H disease, 81 year old woman. December, Suppi. 2, 102 930 Current problems in training arrangements. Suppl. 2, Microvascular investigations in diabetes mellitus: review 30 article. June, 419 Educational research and development. Suppi. 2, 83 Midazolam and flumazenil use for invasive radiographic European initiatives in training and quality of care. procedures. December, 922 Suppl. 2, 71 Mini Mental State Examination compared with clock Monospecialty initiatives. Suppl. 2, 45 drawing as screening test in elderly acute hospital Non-government organizations. Suppl. 2, 14 admissions. September, 696 Presentation of conclusions. Suppi. 2, 110 Mitral regurgitation, late, and secundum atrial septal Welcome to conference. Suppi. 2, 2 defect repair. December, 912 Medical ethics, learning with our new neighbours: scenes Molecular oncology: reviews in medicine. February, 85 from postgraduate life. October, 810 Monoclonal antibody therapy in paediatrics: reviews in Megacolon, toxic, with late perforation in Cam- medicine. April, 269 pylobacter colitis. April, 322 Monospecialty initiatives Meningitis Suppl. 2, 45 antibiotic therapy, in paediatrics: reviews in medicine. in anaesthetics. Suppl. 2, 49 April, 269 in general practice. Suppl. 2, 46 fatal, caused by Candida lusitaniae. November, 878 in obstetrics and gynaecology. Suppl. 2, 54 gram-negative, and chronic constipation, unusual pres- in public health. Suppl. 2, 51 entation of caudal regression syndrome. Septem- in radiotherapy. Suppl. 2, 56 ber, 733 Moyamoya disease causing cerebral infarction, 18 year Haemophilus influenzae, in elderly patient despite oral old female. December, 932 cefoxime treatment. July, 592 (Ite) MSc and diploma in medical education (poster session). listeria, neurological and psychiatric sequelae. January, Suppl. 2, 66 80 (Ite) Multiple myeloma and systemic amyloidosis, renal lymphocytic, as sole manifestation of Q fever. August, replacement therapy: review article. September, 636 672 pneumoccocal, pyomyositis complicating. January, 64 Multiple organ failure, intensive care: reviews in primary anaerobic bacterial caused by Propionibac- medicine. May, 340 terium acnes. June, 499 (Ite) Multiple sclerosis, useless hand of Oppenheim, MRI and steroids in paediatrics: reviews in medicine. April, findings. February, 149 268 Munchausen by proxy: reviews in medicine. April, 272 Mental status schedules, use and abuse: leading article. Mycoplasma infection related to myositis. December, 959 August, 599 (lte) Mentally ill, elderly, sexual abuse. October, 803 Myocardial dyskinaesia, reversibility due to severe Mesenteric ischaemia hypertension. June, 479 acute: leading article. January, 1: continuing difficulty Myocardial infarction in early diagnosis. January, 48 and angina presenting with pain confined to the ear. Metabolic acidosis, severe, complicating massive ibupro- April, 300 fen overdose. July, 575 nitrate ointment for: leading article. January, 4 Methanol poisoning, pancreatitis and vision loss. Febru- use, by general practitioners. March, 190 ary, 151 Myositis Methicillin-resistant Staphylococcus aureus due to cholesterol emboli. December, 947 epidemic, experience from health district of central focal, unusual cause of bilateral upper eyelid swellings. England over five years. Suppl. 3, 126 November, 876 and PVP-I. Suppl. 3, 62 related to mycoplasma infection. December, 959 (Ite) in vitro efficacy of povidone-iodine solution and cream against. Suppl. 3, 62 and methicillin-sensitive Staphylococcus aureus, com- Naftidrofuryl treatment for rest cramp. August, 624 parison of bactericidal activities of various dis- National Association of Clinical Tutors, meetings, infectants against. Suppl. 3, 66 November 1992, London: report. March, 217: May and methicillin-sensitive Staphylococcus aureus in UK 7 -8, 1993 Carlisle, UK: conference report. hospitals and relevance of povidone-iodine in their November, 890 control, clinical significance. Suppl. 3, 106 Neonatal intensive care unit staff, intranasal application and povidone-iodine in hospitals. Suppl. 3, 106 of povidone-iodine cream, efficacy in eradicating prevention and control of nosocomial infection caused nasal methicillin-resistant Staphylococcus aureus. by, in premature infant ward, preventative effect of Suppl. 3, 122 povidone-iodine wipe of neonatal skin. Suppl. 3, Neonatology, recent advances: reviews in medicine. 117 March, 171 978 SUBJECT INDEX

Nephrology, dialysis and renal transplantation: reviews Opening address to the Second Asian Pacific Congress on in medicine. July, 516 Antisepsis. Suppl. 3., 1 Nephropathy, IgA, in hereditary angioedema. February, Operative site disinfection, povidone-iodine alcoholic 95 solution evaluation. Suppl. 3, 93 due to amyloidosis, presentation in Oppenheim useless hand, in multiple sclerosis, MRI Takayasu's disease. June, 488 findings. February, 149 Neuroblastoma, paediatric: reviews in medicine. April, Optochiasmatic tuberculoma causing progressive visual 277 failure. February, 147 Neurodegenerative disease associated with chronic hypo- Oral cavity, povidone-iodine antisepsis, review presenta- thermia and water intoxication. December, 937 tion. Suppl. 3, 4 Neuroleptic-induced deficit syndrome, conference report. Oral pathogenic bacteria, bactericidal effects of povi- December, 957 done-iodine solution in vitro. Suppl. 3, 10 Neuromuscular disorder, complex, in chronic myeloid Osteolytic lesions, multiple, and hypercalcaemia in child- leukaemia. April, 312 hood acute lymphoblastic leukaemia. June, 483 Neuropsychiatric systemic lupus erythematosus, current Osteomeylitis concepts: review article. August, 602 pubic, caused by Staphylococcus simulans: delayed Nicotinic acid, low-dose, and bezafibrate for raising HDL diagnosis. December, 927 cholesterol. April, 296 following renal transplantation. September, 742 Nifedipine and Marfan syndrome. May, 373 narrowed therapeutic safety for hypertension and transient regional, presenting as septic arthritis: de- hypoparathyroidism. September, 752 (Ite) layed diagnosis. November, 871 and nisoldipine compared as additional treatment in Outpatient clinic/medical clinic appointed and open hypertension inadequately controlled by atenolol. access endoscopy. October, 787 February, 117 Ovarian Nitrate ointment for myocardial infarction: leading arti- cancer, chemotherapeutic management: reviews in cle. January, 4 medicine. February, 91 Non-Hodgkin lymphoma, chemotherapeutic manage- carcinoma, hypomagnesaemia and hypocalcaemia. ment: reviews in medicine. February, 90 July, 583 Noninvasive monitoring, intensive care: reviews in torsion, asynchronous, case for prophylactic oophoro- medicine. May, 347 pexy. April, 318 Noninvasive 24 hour ambulatory blood pressure moni- Overweight and hyperthyroidism. February, 107 toring, current status: review article. April, 255 Notes, suitable case for audit. July, 578; December, 959 (Ite) Pacemakers generators, migrated, breast carcinoma at Nutritional curriculum, paediatric, for medical students site of. November, 883 (poster session). Suppl. 2, 62 Paediatric nutrition curriculum for medical students (poster session). Suppl. 2, 62 Paediatrics, reviews in medicine, Part I. March, 171: Part Obesity among Hong Kong Chinese with non-insulin- II, April, 268 dependent diabetes mellitus. March, 204 Palliative Objective structured long examination record for analysis care teaching in general practice, survey ofeducational of postgraduate clinical skills standards (poster needs and preferences (poster session). Suppl. 2, 63 session). Suppl. 2, 65 medicine: reviews in medicine. June, 429 Obstetrics and gynaecology, monospecialty initiatives. medicine, postgraduate, teaching (poster session). Suppl. 2, 54 Suppl. 2, 63 Obstructive Pallid syncope, breath holding cardiac arrest as rare sleep apnoea associated with syringomyelia. April, 308 complication. September, 738 uropathy due to extramedullary haematopoiesis in beta Pamidronate disodium, intravenous infusion, associated thalassaemia/haemoglobin E. January, 75 with electrocardiographic Q-Tc prolongation. Occupational lung diseases other than asthma. February, June, 497 (lte) 129 Pancreatic carcinoma in young male. July, 594 (lte) Octreotide, effects on islet B cell products in endogenous Pancreatitis hyperinsulinism. September, 735 acute, timing of intervention: review article. July, 509 Oesophageal variceal haemorrhage, severe refractory, associated with diclofenac. June, 486 successful use of transjugular intrahepatic porto- Paracetamol cardiotoxicity. January, 52: August, 661 (lte) systemic stent shunt, poor risk patient. December, Parathyroid 945 crisis and acute viral hepatitis B infection. May, 408 Oesophagus hormone-related protein as tumour marker in humoral Boerhaave's syndrome, spontaneous rupture. March, hypercalcaemia associated with occult malignancy. 214 August, 640 tumouricidal effect of indomethacin. December, 960 Parenteral nutrition in adult intensive care: review article. (lte) November, 841 Omentum, primary liposarcoma. February, 157 Paroxysmal supraventricular tachycardia, maternal, Oncology treated with adenosine. August, 661 (lte) reviews in medicine. February, 85 Pelvic pain, chronic, psychosocial aspects, special refer- paediatric, advances: reviews in medicine. April, 274 ence to sexual abuse, 164 women. July, 566 SUBJECT INDEX 979

Penis, keloid of, after circumcision. March, 236 born. Suppl. 3, 49 Percutaneous endoscopic gastrostomy, indications in pessaries efficacy in short, low-dose treatment regime unselected patient population (abstract). December, on candidal, trichomonal and non-specific vagini- 954 tis. Suppl. 3, 58 Peritoneal dialysis catheter related infusion, prevention solution to oral pathogenic bacteria in vitro, by topical povidone-iodine. Suppl. 3, 15 bactericidal effects. Suppl. 3, 10 Peritonitis topical, in prevention of haemodialysis and peritoneal biliary, unusual cause. May, 412 (lte) dialysis catheter related infection. Suppl. 3, 15 localized biliary in an elderly patient. September, 740 vaginal pessaries effect of treatment on thyroid func- Phaeochromocytoma, malignant, and hypercalcaemia. tion. Suppl. 3, 39 January, 77 and wound healing appraisal. Suppl. 3, 97 Pharyngeal pouch presenting as dysphagia after a . Pregnancy and thrombotic thrombocytopenic purpura, March, 243 (Ite) two sisters. March, 229 Phytobezoar, gastric, unusual association and resolution. Premature infant ward, prevention and control of August, 659 nosocomial infection caused by methicillin-resis- Pituitary tumour, spontaneous haemorrhage into, after tant Staphylococcus aureus, preventive effect of streptokinase therapy. March, 244 (lte) povidone-iodine wipe of neonatal skin. Suppl. 3, Plasmacytoma, solitary, of bone, rare disorder with 117 unusual evolution. February, 153 Pre-registration year: 'service versus education'. Report Pleural effusion, diagnostic tests, update: review article. of meeting organized by National Association of January, 12 Clinical Tutors, November 1992 London. March, Pluralism, singularity. September, 718 217 Pneumococcal meningitis, pyomyositis complicating. Primary care physicians, curriculum design: scenes from January, 64 postgraduate life. August, 629 Pneumonia, community-acquired bacteraemic Acineto- Proceedings of a conference held on 1st and 2nd October bacter, with survival. December, 934 1992 at the Royal College of Physicians. Suppl. 2, Polyglandular autoimmune syndrome type III associated 1-115 with coeliac disease and sarcoidosis. January, 72 Propionibacterium acnes causing primary anaerobic Porphyria, variegate, homozygous, an evolving clinical bacterial meningitis. June, 499 (Ite) syndrome. October, 781 Pseudomonas septic arthritis, recurrent. December, 950 Portal vein thrombosis due to Candida albicans associated Pseudotumour cerebri associated with arteriovenous with hepatic cirrhosis. March, 234 malformations. August, 637 Poster session, European Medical Research Group Pubic osteomyelitis caused by Staphylococcus simulans: meeting, London, June 1992. February, 163 delayed diagnosis. December, 927 Postgraduate Public health, monospecialty initiatives. Suppl. 2, 51 clinical skills standards, analysis using objective struc- Pulmonary tured long examination record (poster session). alveolar microlithiasis presenting with chronic cough. Suppl. 2, 65 January, 70 medical education, clinical tutor-mark II: scenes from embolism, assessment of ventilation-perfusion lung postgraduate life. October, 808 scintigraphy, impact on subsequent use of anti- Postpartum pain due to thrombosed varicose of the coagulant therapy. November, 851 round ligament of uterus. October, 820 tuberculosis, atypical presentations, diagnosed by Povidone-iodine fibreoptic bronchoscopy. August, 621 alcohol disinfectant in genital antisepsis, test methodo- Pyelonephritis, asymptomatic acute, as cause of acute logy and efficacy. Suppl. 3, 43 renal failure in the elderly. March, 211 alcoholic disinfectant solution quick dry rub, efficacy, Pyomyositis complicating pneumococcal meningitis. solution for hand disinfection. Suppl. 3, 18, 22, 27, January, 64 33 Pyrexia of unknown origin alcoholic solution evaluation for operative site in association with bladder diverticulum tumour. May, disinfection. Suppl. 3, 93 403 antisepsis in the oral cavity, review presentation. Suppl. unusual cause ofadeno-corticosteroid deficiency. May, 3, 4 395 burn treatment. Suppl. 3, 84 cream, intranasal application, efficacy in eradicating Q fever, nasal methicillin-resistant Staphylococcus aureus in lymphocytic meningitis as sole manifestation. neonatal intensive care unit staff. Suppi. 3, 122 August, 636 disinfectant wipe, preventive effect on neonatal skin. Suppl. 3, 117 Radiotherapy, monospecialty initiatives Suppl. 2, 56 and methicillin-sensitive and -resistant cultures of Ranitidine Staphylococcus aureus. Suppl. 3, 78 induced increase in A-V block causing syncope. June, and methicillin-resistant Staphylococcus aureus in hos- 500 (lte) pitals. Suppl. 3, 106 or cimetidine, influence on pharmacokinetic interac- and methicillin-resistant Staphylococcus aureus solu- tion of lornoxicam. November, 865 tion and cream in vitro efficacy. Suppl. 3, 62 Recombinant human erythropoietin resistance due to obstetric cream usefulness with special reference to aluminium overload and its reversal by low dose effect on thyroid functions of mothers and new- desferrioxamine therapy. February, 124 980 SUBJECT INDEX

Renal Shigella bacteraemia in adults. June, 466 failure, acute, in the elderly, caused by asymptomatic Simultaneous interarm blood pressure measurements, acute pyelonephritis. March, 211 age-related differences. March, 194; November, 893 replacement therapy in multiple myeloma and systemic (Ite) amyloidosis: review article. September, 672 Sleep apnoea, obstructive, associated with syringo- transplantation, lateral cutaneous nerve neuropathy of myelia. April, 308 the thigh, an avoidable complication. April, 328 Small bowel necrosis complicating Churg-Strauss vas- (Ite) culitis. October, 828 transplantation, nephrology and dialysis: reviews in Smoking medicine. July, 516 cigarette, and Helicobacterpylori infection. January, 41 transplantation, osteomyelitis of symphysis pubis fol- and weight in adolescent schoolgirls. February, 100; lowing. September, 742 erratum. August, 667 tubular acidosis, type IV associated with Alport's Sodium plasma levels in elderly taking amiloride/ syndrome. October, 823 triamterene with hydrochlorothiazide. October, tubular acidosis, type IV, and spironolactone therapy 797 in the elderly. November, 887 Solitary plasmacytoma of bone, rare disorder with unit, atherosclerotic renovascular disease patients pres- unusual evolution. February, 153 enting to, audit of outcome. June, 461 Somatostatin analogue (SMS 201-995) in plasma glucose Research and development control during surgical removal of insulinomas. medical education. Suppl. 2, 83 December, 920 in UK. Suppl. 2, 87 Spain, internal medicine. April, 304 Respiratory failure, severe, management, intensive care: Specialist training, common trunk in Europe. see Com- reviews in medicine. May, 350 mon trunk Rest cramp, naftidrofuryl treatment. August, 624 Spinal ganglioneuroblastoma, complete response to Restless legs syndrome in the elderly. September, 701 chemotherapy alone. September, 746 Retinoic acid, new anti-tumour drug: reviews in medicine. Spironolactone therapy and type IV renal tubular February, 89 acidosis in the elderly. November, 887 Rhabdomyolysis, drug-induced, mechanisms and man- Spleen agement: leading article. May, 333 infarction in cirrhosis, liver/spleen scintigraphy for Right and left iliac fossae skin temperatures and acute diagnosis. September, 715 appendicitis diagnosis. November, 862 multilobated B-cell lymphoma. December, 951 Rigors in tuberculosis. September, 724 rupture, spontaneous, in association with idiopathic thrombocytopaenic purpura. September, 744 Squamous cell carcinoma of the scrotum, aluminium S-adenosylmethionine with danazol-induced cholestasis, worker. December, 960 (Ite) resolution. March, 237 Staphylococcus simulans causing pubic osteomyelitis: Salivary gland involvement as initial presentation of delayed diagnosis. December, 927 Wegener's disease. August, 643 Steroids and meningitis in paediatrics: reviews in Sarcoidosis and coeliac disease associated with polyglan- medicine. April, 268 dular autoimmune syndrome type III. January, 72 Stockings, graduated compression, ischaemic complica- Sarcoma, intimal, of superior vena cava. February, 155 tions in deep venous thrombosis. March, 232 Scintigraphy, liver/spleen, for diagnosis of splenic infarc- Streptococcal septicaemia, fulminating. November, 894 tion in cirrhosis. September, 715 (Ite) Scleroderma, localized, and hemiatrophy in association Streptococcus bovis endocarditis associated with colonic with antibodies to double-stranded DNA. Feb- carcinoma. March, 241 (Ite) ruary, 166 (Ite) Streptokinase therapy causing spontaneous haemorrhage Sclerosing cholangitis associated with Crohn's disease into pituitary tumour. March, 244 (Ite) and autoimmune haemolytic anaemia. August, 656 Stroke, patients over 75 years, outcome and predictors. Scrotum January, 33 deficiency, localized: diagnostic images. June, 477 Sudden cardiac death, potential role of beta-adreno- squamous cell carcinoma, aluminium worker. Decem- ceptor-blocking drugs: review article. December, ber, 960 (Ite) 903 Secudum atrial septal defect repair, long-term surgical Superior vena cava, intimal sarcoma. February, 155 outcome and problem of late mitral regurgitation. Surfactant replacement therapy in neonatology: reviews December, 912 in medicine. March, 171 Self-poisoning: reviews in medicine. January, 19 Surgical Septic arthritis antisepsis. Suppl. 3, 84 pseudomonas, recurrent. December, 950 training, European initiatives. Suppl. 2, 72 transient regional osteoporosis presenting as: delayed Symphysis pubis, osteomyelitis, following renal trans- diagnosis. November, 871 plantation. September, 742 Septicaemia, streptococcal, fulminating. November, 894 Syncope caused by ranitidine-induced increase in A-V (Ite) block. June, 500 (Ite) Sexual abuse Syringomyelia associated with obstructive sleep apnoea. of elderly mentally ill. October, 803 April, 308 and psychosocial aspects of chronic pelvic pain in 164 Systemic women. July, 566 amyloidosis and multiple myeloma, renal replacement SUBJECT INDEX 981

therapy: review article. September, 672 article. July, 505 lupus erythematosus, neuropsychiatric, current con- Trials, controlled, Cochrane Collaboration making the cepts: review article. August, 602 results properly accessible. November, 867 sclerosis, left ventricular wall thickness and disease Triamterene/amiloride with hydrochlorothiazide, sodium duration. April, 285 plasma levels in the elderly. October, 797 vasculitis, serum soluble IL2R levels in ANCA. Trichomonal vaginitis, efficacy of povidone-iodine pes- September, 708 saries. Suppl. 3, 58 Triglycerides and disease: reviews in medicine. Septem- ber, 679 Takaysu's disease presenting as nephrotic syndrome due Trophoblastic teratoma, malignant hurricane growth. to amyloidosis. June, 488 June, 472 Tamoxifen and breast cancer: reviews in medicine. Feb- Tuberculoma, optochiasmatic, causing progressive visual ruary, 86 failure. February, 147 Taxol, new anti-tumour drug: reviews in medicine. Feb- Tuberculous appendicitis, primary. May, 411 (lte) ruary, 90 Tuberculosis, rigors. September, 724 Teleconferencing, interactive educational in European Tumour marker, parathyroid hormone-related protein medical community, future role (poster session). as, in humoral hypercalcaemia associated with Suppl. 2, 67 occult malignancy. August, 640 Tetracosactrin stimulation test presenting with Addison- Tumouricidal effect of indomethacin in the oesophagus. ian crisis. February, 165 (Ite) December, 960 (Ite) Thalassaemia, beta/haemoglobin E, obstructive uro- Typhoid fever, gastric acid secretion. February, 121 pathy due to extramedullary haemotopoiesis in. January, 75 Thallium, 201 /99m-technetium subtraction scanning and Ultrasound, 10 MHz and 201 -thallium/99m-technetium 10 MHz ultrasound compared in primary hyper- subtraction scanning compared in primary hyper- parathyroidism. May, 376 parathyroidism. May, 376 Thrombocytopenia associated with recurrent hypother- Ultrasound-guided needle aspiration of amoebic liver mia. March, 227; September, 752 (Ite) abscess. May, 381 Thrombolysis for myocardial infarction use, by general Uterocutaneous fistula. October, 822 practitioners. March, 190 Thrombolytic effect of heat: diagnostic images. January, 55 Vagina, intestinal prolapse through. October, 818 Thrombophlebitis, infusion-related, transdermal gly- Vaginal pessaries, povidone-iodine, treatment effect on ceryltrinitrate anti-inflammatory analgesic action. thyroid function. Suppl. 3, 39 January, 37 Vaginitis, non-specific, efficacy of povidone-iodine pes- Thrombosis of of the round ligament of saries. Suppl. 3, 58 uterus causing postpartum pain. October, 820 Varicose veins, thrombosed, of the round ligament of the Thrombotic thrombocytopenic purpura associated with uterus causing postpartum pain. October, 820 pregnancy in two sisters. March, 229 Variegate porphyria, homozygous, an evolving clinical Thrombus in crescendo angina removed during direc- syndrome. October, 781 tional coronary atherectomy. February, 112 Ventilation, alternative modes, intensive care: reviews in Thyroid medicine. May, 351 function, effect of povidone-iodine obstetric cream, Ventilation-perfusion lung scintigraphy, impact on sub- mothers and newborn. Suppl. 3, 49 sequent use ofanticoagulation therapy. November, function, effect of treatment with povidone-iodine 851 vaginal pessaries. Suppl. 3, 39 Ventricular tachycardia, diagnosis and management. storm in young woman resulting in bilateral basal February, 164 (lte) ganglia infarction. October, 813 Veterinary training, European initiatives. Suppl. 2, 77 Toxicology, clinical: reviews in medicine. January, 19 Viral hepatitis B infection acute, and parathyroid crisis. Training arrangements current problems. Suppl. 2, 30 May, 408 in Iberian countries. Suppl. 2, 40 Vision loss internal medicine, France. Suppl. 2, 31 and alcoholic pancreatitis. February, 151 internal medicine in the Low Countries. Suppl. 2, 37 progressive, caused by optochiasmatic tuberculoma. internal medicine in Switzerland and Germany. Suppl. February, 147 2, 34 Visual acuity measurement by hospital physicians. July, Transhepatic and endoscopic procedures combined in 595 (lte) biliary system. May, 384; erratum. August, 667 Vitamins and neural tube defects: reviews in medicine. Transjugular intrahepatic portosystemic stent shunt, suc- March, 180 cessful use to control severe refractory oesophageal variceal haemorrhage in poor risk patient. December, 945 Water intoxication and chronic hypothermia associated Transplantation, renal, nephrology and dialysis: reviews with a neurodegenerative disease. December, 937 in medicine. July, 516 Wegener's granulomatosis Transverse colonic carcinoma, abdominal wall abscess as hyperplastic gingivitis as oral manifestation. Septem- unusual primary presentation. October, 826 ber, 754 (Ite) Travellers' diarrhoea, slow but steady progress: leading prognostic factors. November, 856 982 SUBJECT INDEX

salivary gland involvement as initial presentation. and smoking in adolescent schoolgirls. February, 100; August, 643 erratum. August, 667 Weight Wound healing and povidone-iodine, appraisal. Suppl. 3, increase after hyperthyroidism. February, 107 97 AUTHOR INDEX 983

Author Index

lte = letter to the editor Suppl. = Supplement (1, 2 or 3)

Abernethy, R.D.: National Association of Clinical unusual primary presentation of a transverse col- Tutors (NACT), Spring Meeting May 7-8 1993, onic carcinoma. October, 826 Carlisle, UK: conference report. November, 890 Andreyev, H.J.N. and Forbes, A.: Parenteral nutrition in Achar, K.N., Johny, M., Achar, M.N. and Menon, N.K.: adult intensive care: review article. November, 841 Community-acquired bacteraemic Acinetobacter Angulo, J.C., Lopez, J.I. and Flores, N.: Squamous cell pneumonia with survival. December, 934 carcinoma ofthe scrotum in an aluminium worker. Achar, M.N., see Achar, K.N. December, 960 (lte) Achmedov, S.D., see Ussov, W.Y. Appleyard, M., see Hunt, J.B. Adams, P., see Matfin, G. Arata, T., Murakami, T. and Hirai, Y.: Evaluation of Adamson, D.J.A., Smith, C.C. and Smith, F.W.: Gas- povidone-iodine alcoholic solution for operative forming infections: diagnostic images. July, 581 site disinfection. Suppl. 3, 93 see also Currie, J.M. Arjhansiri, K., see Intragumtornchai, T. Agarwal, M., Azzopardi, A. and Mufti, G.R.: Pyrexia of Armour, A. and Slater, S.D.: Paracetamol cardio- unknown origin in association with bladder diver- toxicity. January, 52 ticulum tumour. May, 403 Arnold, J., see Beales, I.L.P. Aggarwal, J., Kapila, K., Gaur, A. and Wali, J.P.: Asano, Y., see Minakuchi, K. Bancroftian filarial pleural effusion: delayed diag- Yasuda, T. nosis. November, 869 Asherson, R.A., Denburg, S.D., Denburg, J.A., Car- Agrawal, D., see Thacker, A.K. botte, R.M. and Futrell, N.: Current concepts of Ahmad, A., see Crowe, P. neuro-psychiatric systemic lupus erythematosus Ahmad, F., see Smith, R. (NP-SLE): review article. August, 602 Ahmad, R., see Yaqoob, M. Ashworth, M.T., see Bellamy, C.M. Ahuja, A., see Poon, W.S. Askari, A., Coventry, P. and Perks, W.H.: Primary Aihara, M., Sakai, M., Iwasaki, M., Shimakawa, K., tuberculous appendicitis. May, 411 (lte) Kozaki, S., Kubo, M., Jyohki, M., Takahasi, H., Attapattu, M., see Jayasundera, C.I.W. Akaishi, K. and Yamamoto, I.: Prevention and Awidi, A.S., see Alqadah, F. control of nosocomial infection caused by methi- Axon, A., see Hardo, P.G. cillin resistant Staphylococcus aureus in a pre- Azzopardi, A., see Agarwal, M. mature infant ward - preventive effect of a povidone-iodine wipe of neonatal skin. Suppl. 3, 117 Babbs, C., see Mason, J.C. Aitken, R.J., see Wyatt, J.P. Balkanci, F., see Tiirktas, I. Akaishi, K., see Aihara, M. Balzan, M., Cacciottolo, J.M. and Casha, A.: Intestinal Aks, C., see Steinmann, A.F. infarction following carbon monoxide poisoning. Al-Hillawi, A.H., see Robertson-Mackay, F. April, 302 Al-Kutoubi, M.A. and Kreel, L.: Scrotal deficiency - Banerjee, A.: Atypical manifestations of ruptured localized: diagnostic images. June, 477 abdominal aortic aneurysms: review article. Janu- Al-Qadah, M.S.: Postpartum pain due to thrombosed ary, 6 varicose veins of the round ligament of the uterus. Barcena, R., see Torres, G. October, 820 Barker, S., see Houlston, R.S. Alcolado, J.C., Ray, K., Baxter, M., Edwards, C.W. and Barradas, M.A., see Mikhailidis, D.P. Dodson, P.M.: Malignant change in dermatitis Barton, A., see Kendra, J.R. artefacta. August, 648 Bateson, M.C.: Cigarette smoking and Helicobacter Aldamiz-Echebarria, M., see Cat6n, B. pylori infection. January, 41 Alford, F., see Page, R.C.L. Baughan, A.S.J.: The pre-registration year: 'service ver- Ali, A., see Downie, A. sus education'. Report of a meeting organised by Ali, W., Sikora, S.S. and Kaushik, S.P.: Carcinoma ofthe the National Association of Clinical Tutors held in a young male. July, 594 (lte) on 5 November 1992 at the Royal Society of Allen, J.N.B.: European Academy ofTeachers in General Medicine. March, 217 Practice (poster session). Suppl. 2, 66 Baxter, M., see Alcolado, J.C. Allery L.: MSc and diploma in medical education (poster Bayley, T.J.: Session IX: Presentation ofConclusions - II. session). Suppl. 2, 66 Suppl. 2, 112 Alqadah, F., Zebeib, M.A. and Awidi, A.S.: Thrombotic Baylis, P., see Matfin, G. thrombocytopenic purpura associated with preg- Beale, T., see Kreel, L. nancy in two sisters. March, 229 Beales, I.L.P., Jackson, J.E., Rudolf, M. and Arnold, J.: Amado, J.A., see Berrazueta, J.R. Successful use ofa transjugular intrahepatic porto- Andaz, S. and Heald, R.J.: Abdominal wall abscess - an systemic stent shunt to control severe refractory 984 AUTHOR INDEX

oesophageal variceal haemorrhage in a poor risk Boscaro, M., see Sonino, M. patient. December, 945 Bouhuijs, P.A.J.: Session VII: Research and development Beard, K., see Chan, K.M. in medical education in The Netherlands. Suppi. 2, Beard, R.W., see Fry, R.P.W. 83 Bearn, P., Patel, J. and O'Flynn, W.R.: Cervical ribs: a Bouloux, P.-M.G.: 'Common trunk' in medicine in the cause of distal and cerebral embolism. January, 65 European Community. Suppl. 2, 21 Beck, P., see Srinivasan, J. Boxer, M., see Gray, J.R. Belchetz, P.E., see Peacey, S.R. Boyaci, A., see Utas, C. Bell, D., see Downie, A. Boyle, I.T., see Gallacher, S.J. Bellamy, C.M., Grech, E.D., Ashworth, M.T. and Boyle, R.S., see Benson, S. Ramsdale, D.R.: Histopathological examination Bradley, P.J., see Gladman, J.R.F. of specimens removed during directional coronary Brautbar, C., see Eilam, 0. atherectomy in patients presenting with crescendo Bray, G.P., Tredger, J.M. and Williams, R.: Resolution angina show mural thrombus. February, 112 of danazol-induced cholestasis with S-adenosyl- Bellas, C., Mampaso, F., Fraile, G., Molina, A., Bricio, methionine. March, 237 T. and Cuesta, C.: Detection of Epstein-Barr Brearley, S.: Interpreting the Medical Directives. Suppl. 2, genome in the lymph nodes of Hodgkin's disease. 11 December, 916 Bricio, T., see Bellas, C. Belluardo, P., see Sonino, N. Bridges, A.B., see Gray, J.R. Benbow, S.M. and Haddad, P.M.: Sexual abuse in the Bridgewater, J.A., Ratcliffe, W.A., Bundred, N.J. and elderly mentally ill. October, 803 Owens, C.W.I.: Malignant phaeochromocytoma Benson, S., King, M., Coulter, C. and Boyle, R.S.: and hypercalcaemia. January, 77 Gram-negative meningitis and chronic constipa- Briedigkeit, L., Kettritz, R., Gobel, U. and Natusch, R. tion: an unusual presentation of caudal regression Prognostic factors in Wegener's granulomatosis. syndrome. September, 733 November, 856 Berg, G., see Jansson, S. Briggs, T., see Twigg, J. Bergin, P.S. and Gale, A.N.: Complex neuromuscular Brittenden, J., see Heys, S.D. disorder in a patient with chronic myeloid leukae- Brooksby, P., see Rule, S. mia. April, 312 Brown, J.H. and Doherty, C.C.: Renal replacement Berkman, N. and Kramer, M.R.: Diagnostic tests in therapy in multiple myeloma and systemic amyloi- pleural effusion - an update: review article. dosis: review article. September, 672 January, 12 Brown, R., see Lee, D.R. Berman, P., see Steiger, M.J. Brown, S., see Grunewald, B. Woodrow, G. Browning, M.C.K., see Leese, G.P. Bernard, D., see Jindal, R.M. Buggy, D., Feely, J., Murphy, J., O'Sullivan, C. and Berrazueta, J.R., Poveda, J.J., Ochoteco, J., Amado, Walsh, M.: Microalbuminuria and coronary heart J.A., Puebla, F., Salas, E. and Sarabia, M.: The disease in non-diabetics. September, 704 anti-inflammatory and analgesic action of trans- Bulpitt, C.J.: A risk - benefit analysis for the treatment of dermal glyceryltrinitrate in the treatment of hypertension: review article. October, 764 infusion-related thrombophlebitis. January, 37 Bundred, N.J., see Bridgewater, J.A. Betteridge, D.J.: Ciprofibrate - a profile. Suppl. 1, 42 Hutchesson, A.C.J. Lipids in the 1990s: overview ofthe meeting. Suppl. 1, 2 Burden, A.C., see Lear, J.T. Lipids in the 1990s: Chairman's closing remarks. Suppl. Burden, R.P., see Woodrow, G. 1, 50 Burroughs, A.K., see Chin, J.K.T. Dodson, P.M., Durrington, P.N., Hughes, E.A., Buscombe, J.R., see Kaboli, P. Laker, M.F., Nicholls, D.P., Rees, J.A.E., Sey- Buxton, C., see Ching, C.K. mour, C.A., Thompson, G.R., Winder, A.F., Byrne, C.D., see Seymour, C.A. Winocour, P.H. and Wray, R.: Management of Byrne, E.J., see Nicolson, A. hyperlipidaemia: guidelines of the British Hyper- lipidaemia Association. May, 359 Bewu, A.D.M. see Bhandarkar, D.S. Cacciottolo, J.M., see Balzan, M. Beynon, J., see Nehra, D. Calman, K.C.: Medical Education- a look into the Bhandarkar, D.S., Bewu, A.D.M. and Taylor, T.V.: future. Suppl. 2, 3 Carcinoma of the breast at the site of migrated Calne, Sir. R.Y., see Pracyk, J.B. pacemaker generators. November, 883 Carbotte, R.M., see Asherson, R.A. Bielawska, C.A., see Fidler, H.M. Carcassi, U.: Session III: Common trunk for specialist Bilsland, D., see Hift, R.J. training. Suppl. 2, 18 Blanco, C., see Marazuela, M. Carder, P.J. and Gouldesbrough, D.R.: Multiple lymph- Blandy, J.: European initiatives in surgical training. omatous polyposis and the role of fine needle Suppl. 2, 72 aspiration cytology. May, 401 Blanshard, K., see Coleman, R.J. Carey, P.D., see Hunt, J.B. Blomley, M., see Raja, M.A. Carpinito, G., see Jindal, R.M. Bloxham, C.A., see Farrell, D.J. Casha, A., see Balzan, M. Boixeda, B., see Torres, G. Cat6n, B., Diaz de Otazu, R., Aldamiz-Echebarria, M. Bondarenko, B.B., see Gurevich, V.S. and Viguri, A.: Haemolytic-uraemic syndrome Boor, A., see Tkaova, R. with thrombotic microangiopathy of the retina AUTHOR INDEX 985

following cytomegalovirus infection: postmortem Young, T.B. findings. August, 653 Conti, A., see Sartorio, A. Catto, A., see Lacey, R.W. Cook, G.C.: Travellers' diarrhoea: slow but steady pro- Caulfield, M., Johnson, A. and Turner, P.: Intravenous gress: leading article. July, 505 administration of drugs by preregistration house Cooke, D.A.P., see Davies, M.S. staff and City and Hackney Health Authority Cooke, T., see Gallacher, S.J. (poster). February, 163 Copeland, L.G. and Malster, M.G.: Suspicious mind: the Chakravarty, K., Scott, D.G.I., Dick, D. and Visick, J.: association between Streptocococcus bovis Cervical spondylotic myelopathy with occult fora- endocarditis and carcinoma of the colon. March, men magnum meningioma - a case for MRI? 241 (lte) September, 720 Corbett, E.L., Sisodiya, S. and Sarkar, D.: Chronic Chalmers, D.M., see Hardo, P.G. hypothermia and water intoxication associated Chan, J.C.N., Cheung, C.K., Swaminathan, R., Nicholls, with a neurodegenerative disease. December, 937 M.G. and Cockram, C.S.: Obesity, albuminuria Corder, A.P. and Taylor, I.: Acute mesenteric ischaemia: and hypertension among Hong Kong Chinese with leading article. January, 1 non-insulin-dependent diabetes mellitus. March, Coulter, C., see Benson, S. 204 Coventry, P., see Askari, A. see also Panesar, N.S. Cramb, R., see Head, A. Chan, K.M. and Beard, K.: A patient with recurrent Cream, J.J., see Williamson, R.V. hypothermia associated with thrombocytopenia. Crisp, A.H., see Fry, R.P.W. March, 227; September, 752 (Ite) Halek, C. Channer, K.S.: In support ofnitrate ointment for patients Crofts, T.J., see Heys, S.D. with acute myocardial infarction: leading article. Crome, P., see Kalra, L. January, 4 Crowe, P., Ahmad, A., O'Byrne, K. and Cullen, M.J.: see also Robinson, A.M. Bartter's syndrome in two generations of an Irish Chernov, V.I., see Ussov, W.Y. family. October, 791 Chesner, I.M., see Panos, M.Z. Cuerda, C., see Marazuela, M. Cheung, C.K., see Chan, J.C.N. Cuesta, C., see Bellas, C. Chin, J.K.T., McCormick, P.A., Hilson, A.J.W., Bur- Cullen, M.J., see Crowe, P. roughs, A.K. and McIntyre, N.: Liver/spleen Cunningham, S., see Davies, M.S. scintigraphy for diagnosis of splenic infarction in Currie, J.M. and Adamson, D.J.A.: The thrombolytic cirrhotic patients. September, 715 effect of heat: diagnostic images. January, 55 Chin, C.K., Thompson, S., Buxton, C., Holgate, C. and Currie, S., see Coleman, R.J. Holmes, G.K.T.: Evaluation of a commercial Curzen, N., see Ellis, C. enzyme-linked immunosorbent assay (ELISA) kit Czirjak, L., see Hegeduis, I. for serological diagnosis of Helicobacter pylori infection in a group of non-ulcer dyspepsia sufferers. June, 456 Dancocks, A.: Paracetamol cardiotoxicity. August, 661 Chittenden, S.J. and Shami, S.K.: Microvascular inves- (lte) tigations in diabetes mellitus: review article. June, Darwish, N.A. and Shaarawy, M.: Effect of treatment 419 with povidone-iodine vaginal pessaries on thyroid Chiu, H.F.K., Lam, L.C.W., Shum, P.P.S. and Li, K.W.: function. Suppl. 3, 39 Idiopathic calcification of the basal ganglia. Davidson, C.: Session IV: Current problems in training January, 68 arrangements. Suppl. 2, 30 Cho, S.I., see Jindal, R.M. see also Harvey, C. Choa, R.G., see Lanigan, D. Davies, M.S., Cunningham, S., Cooke, D.A.P., Donald- Clark, P.M.S., see Krentz, A.J. son, D.R. and Thomas, M.H.: Is the hot appendix Clarke, F., see Masud, T. really hot? November, 862 Clarke, R., see Gupta, S. Davis, J., see Friedman, E.P. Clarke, R.J., see Hart, W. de Dombal, F.T.: Educational assessment of clinical Cockcroft, J.R., see Steel, J.R. diagnostic skills: studies across Europe on acute Cockerell, O.C., Lai, H.M. and Ross-Russell, R.W.: abdominal pain. Suppl. 2, 94 Pseudotumour cerebri associated with arterio- de Leeuw, P.W., see Veen, C. venous malformations. August, 637 de Silva, D., see Fernando, D.J.S. Cockram, C.S., see Chan, J.C.N. Death, J., Douglas, A. and Kenny, R.A.: Comparison of Panesar, N.S. clock drawing with Mini Mental State Examina- Coleman, R.J., Russon, L., Blanshard, K. and Currie, S: tion as a screening test in elderly acute hospital Useless hand of Oppenheim - magnetic resonance admission. September, 696 imaging findings. February, 149 Dees, A., see Veen, C. Coles, C.: Developing medical education. January, 57 den Hartog, F.R., see Veen, C. Colledge, N.R., see O'Connell, J.E. Denburg, J.A., see Asherson, R.A. Collings, P., see Hift, R.J. Denburg, S.D., see Asherson, R.A. Collings, R.: Cholesterol lowering trials in their Dennis, M.S., see Nicolson, A. epidemiological context. Suppl. 1, 3 Dereymaeker, L., see Joosten, E. Connolly, M.J., see Manchanda, S. Diaz de Otazu, R., see Cat6n, B. Mason, J.C. Dick, D., see Chakravarty, K. 986 AUTHOR INDEX

Dickson, W.A., see Warwick, D.J. Feely, J., see Buggy, D. Dodson, P.M., see Alcolado, J.C. Fenakel, G., see Schattner, A. Betteridge, D.J. Ferguson, J., see Hift, R.J. Doherty, C.C., see Brown, J.H. Fernando, D.J.S., Siribaddana, S., Perera, N., Perera, S. Donaldson, D.R., see Davies, M.S. and de Silva, D.: The prevalence ofmacro-vascular Donovan, I.A., see Winslet, M.C. disease and lipid abnormalities amongst diabetic Dornan, T.L., see Patel, S. patients in Sri Lanka. July, 557 Douglas, A., see Death, J. Fich, A., see Verstandig, A.G. Downes, A.J., Jones, T.J. and Wilson, R.S.E.: Intimal Fidler, H.M., Goldman, J., Bielawska, C.A., Rai, G.S. sarcoma of the superior vena cava. February, 155 and Hoffbrand, B.I.: A study of plasma sodium Downie, A., Ali, A. and Bell, D.: Severe metabolic levels in elderly people taking amiloride or tri- acidosis complicating massive ibuprofen overdose. amterene in combination with hydrochlorothi- July, 575 azide. October, 797 Drummond, L.M.: Behavioural approaches to anxiety Flaherty, T.A., see Kendra, J.R. disorders. March, 222 Flores, N., see Angulo, J.C. Dunn, F.G., see Lip, G.Y.H. Foley, K., see Ravic, M. Dunne, F., see Hutchesson, A.C.J. Fong, I.W.: Prevention of haemodialysis and peritoneal Durairaj, P., see Sarma, P.S.A. dialysis catheter related infection by topical povi- Durrington, P.N.: Diabetes, hypertension and hyper- done-iodine. Suppl. 3, 15 lipidaemia. Suppi. 1, 18 Forbes, A., see Andreyev, H.J.N. see also Betteridge, D.J. Forgacs, I.: Continuing medical education in Hungary Dwivdei, M., see Misra, S.P. (abstract). Suppl. 2, 106 Fotherby, M.D., Panayiotou, B. and Potter, J.F.: Age- related differences in simultaneous interarm blood Earle, K.A., see Hoffbrand, B.I. pressure measurements. March, 194 Edward, N., see Khan, I.H. Fraile, G., see Bellas, C. Edwards, C.W., see Alcolado, J.C. Freaney, R., see Mulcahy, H.E. Eilam, O., Goldin, E., Shouval, D., Gimon, T. and Friedman, E.P., Lazda, E., Grant, D. and Davis, J.: Brautbar, C.: Sclerosing cholangitis associated Primary lymphoma of the gallbladder. July, 585 with Crohn's disease and autoimmune haemolytic Friedman, M., see Sutnick, A.I. anaemia. August, 656 Fry, R.P.W., Crisp, A.H., Beard, R.W. and McGuigan, El-Omar, M., see Gupta, S. S.: Psychosocial aspects of chronic pelvic pain, Eliakim, R., see Kaminski, N. with special reference to sexual abuse. A study of Ell, P.J., see Kaboli, P. 164 women. July, 566 Ellis, C., Curzen, N. and Katifi, H.: Obstructive sleep Fujiwara, M., see Kawana, R. apnoea associated with syringomyelia. April, 308 Fukuchi, K., see Masano, H. Elte, J.W.F. and Hillen, H.F.P.: Current problems in Fukumoto, Y., see Okajima, Y. training arrangements in internal medicine in the Futrell, N., see Asherson, R.A Low Countries. Suppl. 2, 37 Enzelsberger, H., see Wewalka, G. Erratum Gaitonde, M.D., see Harris, A.W. Bates, T. et al. Postgraduate Medical Journal 1992 68: Gale, A.N., see Bergin, P.S. 811 -816; February, 169 Gallacher, S.J., Kelly, P., Shand, J., Logue, F.C., Cooke, Montalban, C. et al. Postgraduate Medical Journal T., Boyle, I.T. and McKillop, J.H.: A comparison 1992 68: 643-647; March, 251 of 10 MHz ultrasound and 201-thallium/99m- Estrada, J., see Marazuela, M. technetium subtraction scanning in primary hyper- European Medical Research Group Meeting, London, parathyroidism. May, 376 June 1992. (poster session). February, 163: Feb- Ganjoo, R.K., Malpas, J.S. and Plowman, P.N.: Solitary ruary 1993, June 1993, (abstracts). December, 954 plasmacytoma of bone - a rare disorder with an Evans, J., see Lanigan, D. unusual evolution. February, 153 Evans, P.R.: Monospecialty initiatives in general prac- Garganeeva, A.A., see Ussov, W.Y. tice. Suppl. 2, 46 Garnham, J.R., see Siddiqui, M.N. Evans, R.G.B.: Monospecialty initiatives in radio- Garton, M.J., Walton, S. and Ewen, S.W.B.: Systemic therapy. Suppl. 2, 56 lambda light-chain deposition presenting with pre- Ewen, S.W.B., see Garton, M.J. dominant cardiac involvement. July, 588 Eykyn, S., see Harvey, C. Gaur, A., see Aggarwal, J. Sturgess, I. Gee, H., see Hutchesson, A.C.J. George, C.F., see Prendergast, B.D. George, R.J.D. and Jennings, A.L.: Palliative medicine: Fahal, I.H., see Yaqoob, M. reviews in medicine. June, 429 Farrell, D.J., Bloxham, C.A. and Lucraft, H.H.: Multi- Gerrard, M.P., see Priestley, B.L. lobated B-cell lymphoma of the spleen. December, Gibson, A., see Priestley, B.L. 951 Gibson, M., see Kreel, L. Farrington, K. and Sweny, P.: Nephrology, dialysis and Gilois, C., see Wierzbicki, A.S. transplantation: reviews in medicine. July, 516 Gimon, T., see Eilam, 0. Fava, G.A., see Sonino, N. Gladman, J.R.F., Kupfer, R.M. and Bradley, P.J.: AUTHOR INDEX 987

Pharyngeal pouch presenting as dysphagia after a Gutowski, N.J. and Heron, J.R.: Recurrent confusion stroke. March, 243 (ite) and hypopituitarism. May, 392 Gleeson, F.: Postgraduate clinical skills standards: an analysis using the objective structured long exami- nation record (OSLER) (poster session). Suppl. 2, Haddad, P.M., see Benbow, S.M. 65 Haddock, G., see Wyatt, J.P. Gobel, U., see Briedigkeit, L. Haffner, C.A., Smith, B.S. and Pepper, C.: Hallucinations Goddard, M.J., see Robinson, R.J. as an adverse effect of angiotensin converting Goldenheim, P.D.: An appraisal of povidone-iodine and enzyme inhibition. March, 240 (Ite) wound healing. Suppl. 3, 97 Halbreich, U., see Ottowitz, W.E. In vitro efficacy ofpovidone-iodine solution and cream Halek, C., Kerry, S., Humphrey, H., Crisp, A.H. and against methicillin-resistant Staphylococcus aureus. Hughes, J.M.: Relationship between smoking, Suppl. 3, 62 weight and attitudes to weight in adolescent Goldin, E., see Eilam, 0. schoolgirls. February, 100; erratum. August, 667 Verstandig, A.G. Hallengren, B., see Papadopoulos, K.I. Goldman, J., see Fidler, H.M. Hamano, K., see Kirita, T. Gonzales, J., see Oren, R. Hamilton, A.H., see Taiwo, B. Gordon, J.: Clinical significance of methicillin-sensitive Hamilton, G., see Scoble, J.E. and methicillin-resistant Staphylococcus aureus in Hamsten, A.: Lipids as a coronary risk factor: analysis of UK hospitals and the relevance ofpovidone-iodine hyperlipidaemias. Suppl. 1, 8 in their control. Suppl. 3, 106 Hanel, K.C., see Merrett, N.D. Closing remarks to the Second Asian Pacific Congress Hardern, R.D., see Peacey, S.R. on Antisepsis. Suppl. 3, 131 Harding, T.A.C., see Harris, A.W. Opening address to the Second Asian Pacific Congress Hardo, P.G., Chalmers, D.M. and Axon, A.: Hospital on Antisepsis. Suppl. 3, 1 patients - are they active enough? November, 895 see also Jindal, R.M. (Ite) Gorsuch, A., see Gupta, S. Hargreaves, J., see Roberts, S.P. Goswami, R. and Gurtoo, A.: Hypertension and hypo- Harris, A.W., Harding, T.A.C., Gaitonde, M.D. and parathyroidism - narrowed therapeutic safety with Maxwell, J.D.: Is clubbing a feature of the anti- nifedipine. September, 752 (lte) phospholipid antibody syndrome? September, 748 Gouldesbrough, D.R., see Carder, P.J. Harrison, C.J., see Priestley, B.L. Grande, L.A.G., see Torres, G. Hart, W. and Clarke, R.J.: ACE inhibition versus calcium Grant, D., see Friedman, E.P. antagonism in the treatment of mild to moderate Grant, D.J., Sanders, D.S.A., McMurdo, M.E.T. and hypertension: a multicentre study. June, 450 Lyall, M.H.: Recurrent anaemia due to ischaemic on behalf of the Ireland-Netherlands lisinopril- colonic ulceration caused by cholesterol embolism. nifedipine study group: ACE inhibition versus April, 320 calcium antagonism in the treatment of mild to Grant, J.: The nature of research and development in moderate hypertension: a multicentre study. June, medical education in the UK. Suppl. 2, 87 450 Gray, C., see Roper, T.A. Harvey, C., Eykyn, S. and Davidson, C.: Rigors in Gray, J.R., Bridges, A.B., Mole, P.A., Pringle, T., Boxer, tuberculosis. September, 724 M. and Paterson, C.R.: Osteoporosis and the Harvey, L.P.: Non-government organizations. Suppl. 2, Marfan syndrome. May, 373 14 Gray, S.: The future role of interactive educational Haspels, A.A.: Monospecialty initiatives in obstetrics and teleconferencing in the European medical com- gynaecology. Suppl. 2, 54 munity (poster session). Suppl. 2, 67 Hatae, S., see Higashitsutsumi, M. Greaves, M., see Robinson, A.M. Hayashi, S., see Sakakura, K. Grech, E.D., see Bellamy, C.M. Hayata, M., see Minakuchi, K. Griffith, S., see Ingram, D. Head, A., Jakeman, P.M., Kendall, M.J., Cramb, R. and Grunewald, B., Keating, J. and Brown, S.: Asynchronous Maxwell, S.: The impact of a short course of three ovarian torsion - the case for prophylactic lipid lowering drugs on fat oxidation during exer- oophoropexy. April, 318 cise in healthy volunteers. March, 197 Guardia, J.: Current problems in training arrangements Heald, R.J., see Andaz, S. in the Iberian countries. Suppl. 2, 40 Heaton, N.D., see Rela, M. Guillou, P.J., see Hunt, J.B. Hegarty, J.E., see Mulcahy, H.E. Gupta, S., El-Omar, M., Sutherland, I., Clarke, R., Hegedius, I. and Czirjak, L.: Left ventricular wall thick- Gorsuch, A. and Wright, P.: Fulminating strepto- ness and disease duration in systemic sclerosis. coccal septicaemia. November, 894 (lte) April, 285 Gupta, S.C., see Misra, S.P. Helliwell, T., see Yaqoob, M. Gupta, S.K., Shukla, V.K., Varma, D.N. and Roy, S.K.: Henrion, J., see Selvais, P.L. Uterocutaneous fistula. October, 822 Heron, J.R., see Gutowski, N.J. Gurevich, V.S. and Bondarenko, B.B.: Hyperlipopro- Herxheimer, A.: The Cochrane Collaboration: making teinaemias - diagnosis and therapy (interactive the results of controlled trials properly accessible. computer-assisted training program) (poster ses- November, 867 sion). Suppl. 2, 64 Heys, S.D., Brittenden, J. and Crofts, T.J.: Acute Gurtoo, A., see Goswami, R. mesenteric ischaemia: the continuing difficulty in 988 AUTHOR INDEX

early diagnosis. January, 48 European Health Record project. Suppl. 2, 97 Hiele, M., see Joosten, E. Intragumtornchai, T., Arjhansiri, K., Posayachinda, M. Hift, R.J., Meissner, P.N., Todd, G., Kirby, P., Bilsland, and Kasantikul, V.: Obstructive uropathy due to D., Collins, P., Ferguson, J. and Moore, M.R.: extramedullary haematopoiesis in beta thalas- Homozygous variegate porphyria: an evolving saemia haemoglobin E. January, 75 clinical syndrome. October, 781 Iriyama, J., see Minakuchi, K. Higashitsutsumi, M., Kamoi, K., Miyata, H., Ohgi, S., Yasuda, T. Shimizu, T., Koide, K., Nakajima, S., Kojima, T., Isaacsohn, M., see Rudensky, B. Nishizawa, S., Sakamoto, M., Tuchiya, T. and Ishigo, S., see Minakuchi, K. Hatae, S.: Bactericidal effects of povidone-iodine Yasuda, T. solution to oral pathogenic bacteria in vitro. Suppl. Iwasaki, M., see Aihara, M. 3, 10 Iwata, Y., see Sakakura, K. Higuchi, T., see Kawana, R. Hildebrand, T., see Tkacova, R. Hill, S., see Vyas, S.K. Jack, R.D.: Oxford Regional Overseas Doctors Training Hillen, H.F.P., see Elte, J.W.F. Scheme (Anaesthetics) for Eastern Europe (poster Hilson, A.J.W., see Chin, J.K.T. session). Suppl. 2, 64 Hirai, Y., see Arata, T. Jackson, A.A., see Poskitt, E.M.E. Hoffbrand, B.I., Earle, K.A., Nievel, J.G., Restrick, L.J. Jackson, J.E., see Beales, I.L.P. and Simmonds, N.J.: Comparison of nisoldipine Jackson, M.: Guillain-Barre syndrome in a patient with and nifedipine as additional treatment in hyperten- chronic lymphocytic leukaemia. October, 832 (lte) sion inadequately controlled by atenolol. Febru- Jain, N., see Khosla, S.N. ary, 117 Jain, P., see Misra, A. see also Fidler, H.M. Jakeman, P.M., see Head, A. Holgate, C., see Ching, C.K. James, D.G.: Archibald Garrod and the individuality of Holmes, G.K.T., see Ching, C.K. man: leading article. October, 763 Horsfield, N., see Kendra, J.R. Behcet's disease: conference report. December, 956 Houlstone, R.S., Saadeh, I.K., Barker, S., Hughes, P.J. Jansson, S., Berg, G., Lindstedt, G., Michanek, A. and and Lawton, N.F.: Cerebral infarction due to Nystrom, E.: Overweight - a common problem moyamoya disease in an 18 year old female. among women treated for hyperthyroidism. Febru- December, 932 ary, 107 Hoz, F.G., see Torres, G. Jayasundera, C.I.W., Attapattu, M. and Kumarasinghe, Huddle, K.R.L., see Kalk, W.J. M.P.: Atypical presentations of pulmonary tuber- Hughes, E.A., see Betteridge, D.J. culosis diagnosed by fibreoptic bronchoscopy. Hughes, J.M., see Halek, C. August, 621 Hughes, P.J., see Houlston, R.S. Jeffcoate, W.J., see Patel, S. Hume, M.C., see Macintyre, A. Jennings, A.L., see George, R.J.D. Humphrey, H., see Halek, C. Jha, B., see Singh, N.K. Hunt, J.B., Appleyard, M., Thursz, M., Carey, P.D., Jindal, R.M., Gordon, J., Schmitt, G., Carpinito, G. and Guillou, P.J. and Thomas, H.C.: Intraperitoneal Cho, S.I.: Neuropathy of the lateral cutaneous haemorrhage from anterior abdominal wall nerve of the thigh: an avoidable complication of varices. June, 490 renal transplantation. April, 328 (lte) Hutchesson, A.C.J., Dunne, F., Bundred, N.J., Gee, H. Idelson, B., Bernard, D. and Cho, S.I.: Osteomyelitis of and Ratcliffe, W.A.: Parathyroid hormone-related symphysis pubis following renal transplantation. protein as a tumour marker in humoral hypercal- September, 742 caemia associated with occult malignancy. August, and Patel, S.M.: Buerger's disease in Western India. 640 April, 326 (Ite) Hutter, J., see Kearney, P. John, R., see Speechley-Dick, M.E. Hyer, S.L., Soo, S.C., Taylor, W. and Nussey, S.S.: Johnson, A., see Caulfield, M. Spontaneous haemorrhage into a pituitary tumor Johnson, C.D.: Timing of intervention in acute pancrea- after streptokinase therapy. March, 244 (Ite) titis: review article. July, 509 Johnston, A., see Ravic, M. Johnston, I.D.A., see Mathur, R. Ibrarullah, M.D., Saxena, R. and Sikora, S.S.: An Johny, M., see Achar, K.N. unusual cause of biliary peritonitis. May, 412 (Ite) Jolobe, O.M.P.: Atypical manifestations of ruptured Idelson, B., see Jindal, R.M. abdominal aortic aneurysms. May, 413 (lte) Igo, J.D., see Trevett, A.J. Diagnosis and management ofventricular tachycardia. Ihara, H., see Kirita, T. February, 164 (lte) Ihekwaba, F.N.: The management of male breast cancer Haemoglobin-H disease presenting with microcytic in Nigerians. July, 562 hypochromic anaemia in an 81 year old women. Ingram, D., Griffith, S., Murphy, J. and Southgate, L.: December, 930 Good European Health Record project (GEHR) Notes: a suitable case for audit. December, 959 (lte) (poster session). Suppl. 2, 69 The renal effects ofdopamine and dobutamine in stable Murphy, J., Griffith, S. and Southgate, L.: Educational chronic heart failure. February, 165 (lte) implications of the development of a common and Rakicka, H.: Significance of low serum ferritin health record architecture for Europe - the Good levels in elderly in-patients. November, 892 (lte) AUTHOR INDEX 989

Jones, R.V.H.: Continuing professional education. Suppl. diclofenac. June, 486 2, 91 Khan, S., see Kearney, P. Jones, T.J., see Downes, A.J. Khanna, N.N., see Singh, N.K. Joosten, E., Dereymaeker, L., Pelemans, W. and Hiele, Khanna, R., see Singh, N.K. M.: Significance of a low serum ferritin level in Khosla, A., see Khosla, S.N. elderly in-patients. May, 397; November, 892 (lte) Khosla, S.N., Jain, N. and Khosla, A.: Gastric acid Junaid, O., see Nicolson, A. secretion in typhoid fever. February, 121 Jung, R.T., see Leese, G.P. King, M., see Benson, S. Jyohki, M., see Aihara, M. Kirby, P., see Hift, R.J. Kirita, T., Hamano, K., Ochi, T., Ihara, H., Nishiyama, T., Seshimo, A., Yagi, Y. and Sakakida, K.: Kaboli, P., Buscombe, J.R. and Ell, P.J.: Reporting Efficacy and safety of a quick drying rubbing type ventilation - perfusion lung scintigraphy: impact povidone-iodine alcoholic disinfectant solution. on subsequent use of anticoagulation therapy. Suppl. 3, 27 November, 851 Knockaert, D.C., see Vanhauwaert, B.G. Kadota, M., see Nagai, I. Koide, K., see Higashitsutsumi, M. Kalk, W.J., Huddle, K.R.L. and Raal, F.J.: The age of Kojima, T., see Higashitsutsumi, M. onset and sex distribution of insulin-dependent Kovacova, A., see Tkacova, R. diabetes mellitus in Africans in South Africa. July, Kozaki, S., see Aihara, M. 552 Kramer, M.R., see Berkman, N. Kalra, L., Smith, D.H. and Crome, P.: Stroke in patients Kreel, L. and Beale, T.: Colon filling defect: diagnostic aged over 75 years: outcome and predictors. images. August, 627 January, 33 and Gibson, M.: Bowel obstruction: diagnostic images. Kamble, R., see Raina, V. September, 726 Kaminski, N., Shaham, D. and Eliakim, R.: Primary see also Al-Kutoubi, M.A. tumours of the duodenum. February, 136 Krentz, A.J., Pace, J., Somerville, W., Clark, P.M.S. and Kamoi, K., see Higashitsutsumi, M. Nattrass, M.: Effects of octreotide on circulating Kanematsu, T., see Shimada, M. islet B cell products in endogenous hyperinsu- Kapila, K., see Aggarwal, J. linism. September, 735 Kasantikul, V., see Intragumtornchai, T. Krivoshekov, E.V., see Ussov, W.Y. Katifi, H., see Ellis, C. Kubo, M., see Aihara, M. Katsuno, Y., see Minakuchi, K. Kumamoto, R., see Nagai, I. Yasuda, T. Kumar, M.S., see Ramani, A. Kaufman, B. and Wise, A.: Antifibrinolytic therapy for Kumar, P., see Mirdha, B.R. haemoptysis related to bronchial carcinoma. Kumarasinghe, M.P., see Jayasundera, C.I.W. January, 80 (Ite) Kundaje, G.N., see Ramani, A. Kaushik, S.P., see Ali, W. Kupfer, R.M., see Gladman, J.R.F. Kawana, R., Matsumoto, I., Saito, J., Higuchi, T., Kuroda, K., see Okajima, Y. Fujiwara, M., Takahashi, K., Yanagihara, T. and Kurz, Ch., see Wewalka, G. Takahashi, K.: Study of the antiseptic efficacy of a Kushnir, M., see Schattner, A. quick drying rubbing type povidone-iodine alco- holic disinfectant solution by the glove juice method. Suppl. 3,18 Lacey, R.W. and Catto, A.: Action of povidone-iodine Kearney, P., Singh, H., Hutter, J., Khan, S., Lee, G. and against methicillin-sensitive and -resistant cultures Lucey, J.: Spontaneous coronary artery dissection: of Staphylococcus aureus. Suppl. 3, 78 a report of three cases and review of the literature. Lachmann, P.J.: Session V: Monospecialty initiatives. December, 940 Suppl. 2, 45 Keating, J., see Grunewald, B. Lai, H.M. see Cockerell, O.C. Kelestimur, F.: Recovery of adrenocortical function Lai, K.N. and Lockwood, C.M.: Serum soluble inter- following treatment of tuberculous Addison's leukin 2 receptor levels in anti-neutrophil cytoplas- disease. October, 832 (Ite) mic autoantibodies - positive systemic vasculitis. Kelestimur, F., see Utas, C. September, 708 Kelly, P., see Gallacher, S.J. Laker, M.F.: Laboratory testing and biochemical ana- Kendall, M.J., see Head, A. lysis of hyperlipidaemias. Suppl. 1, 12 Rajman, I. see also Betteridge, D.J. Kendra, J.R., Rugman, F.P., Flaherty, T.A., Myers, A., Lakhkar, B.N., see Ramani, A. Horsfield, N., Barton, A. and Russell, L.: First use Lam, L.C.W., see Chiu, H.F.K. of G-CSF in chlorpromazine-induced agranulo- Lanigan, D., Choa, R.G. and Evans, J.: A feminizing cytosis: a report of two cases. November, 885 adrenocortical carcinoma presenting with gynae- Kenny, R.A., see Death, J. comastia. June, 481 Kerrigan, D., see Rooney, S. Larner, A.J.: Localized scleroderma and hemiatrophy in Kerrigan, G.N.W., see Varma, N. association with antibodies to double-stranded Kerry, S., see Halek, C. DNA. February, 166 (lte) Kettritz, R., see Briedigkeit, L. Lavan, J.N., see O'Keeffe, S.T. Khalid, B.A.K., see Tan, T.T. Law, N.N., see Vyas, S.K. Khan, I.H. and Edward, N.: Pancreatitis associated with Lawrence, I.G., see Lear, J.T. 990 AUTHOR INDEX

Lawton, N.F., see Houlston, R.S. McIntyre, N., see Chin, J.K.T. Lax, E., see Verstandig, A.G. McKillop, J.H., see Gallacher, S.J. Lazda, E., see Friedman, E.P. McLean, B.N., see Wierzbicki, A.S. Laziirova, I., see Tkacova, R. McLean, K.A., see Robinson, A.M. Lear, J.T., Lawrence, I.G. and Burden, A.C.: Age-related MacLeod, R.D.: Teaching postgraduate palliative medi- differences in simultaneous interarm blood pres- cine (poster session). Suppl. 2, 63 sure measurements. November, 893 (lte) and Nash, A.: Teaching palliative care in general Lee, D.R., Sivakumaran, P. and Brown, R.: Clinic blood practice: a survey of educational needs and prefer- pressure measurements and blood pressure load in ences (poster session). Suppl. 2, 63 the diagnosis of hypertension. May, 370 McMurdo, M.E.T., see Grant, D.J. Lee, G., see Kearney, P. Maddox, T., see Schoretsanitis, G.N. Lee, J., see Williamson, R.V. Maeda, T., see Shimada, M. Lee, S.H., see Mason, J.C. Malpas, J.S.: Oncology: reviews in medicine. February, 85 Leese, G.P., Jung, R.T. and Browning, M.C.K.: Hypo- see also Ganjoo, R.K. magnesaemia and hypocalcaemia in a patient with Malster, M.G., see Copeland, L.G. ovarian carcinoma. July, 583 Malvy, P.: Specialist training in France. Suppl. 2, 19 Lehmann, A.B., see Nicolson, A. Mampaso, F., see Bellas, C. Li, A.K.C., see Poon, W.S. Manchanda, S. and Connolly, M.J.: Cerebral infarction Li, K.W., see Chiu, H.F.K. in association with Ecstasy abuse. November, 874 Liam, C.K.: Hyperplastic gingivitis: an oral manifesta- Mangion, D.M. and Roy, S.S.: Serum lipids and coron- tion of Wegener's granulomatosis. September, 754 ary heart disease in British elderly. August, 609 (lte) Mani, E., see Sonino, N. Ligumsky, M., see Oren, R. Marazuela, M., Cuerda, C., Lucas, T., Vicente, A., Lim, K.L., Robson, K. and Powell, R.J.: Focal myositis: Blanco, C. and Estrada, J.: Anterior pituitary an unusual cause of bilateral upper eyelid swell- function after adrenalectomy in patients with ings. November, 876 Cushing's syndrome. July, 547 Lindstedt, G., see Jansson, S. Marston, A.: Eurochirurgie/Eurosurgery (poster ses- Lip, G.Y.H., Metcalfe, M.J. and Dunn, F.G.: Diagnosis sion). Suppl. 2, 67 and treatment of digoxin toxicity: review article. Martin, F.C., see Sturgess, I. May, 337 Martin-de-Argila, C., see Torres, G. Lister, J.: The role of clinical tutors: scenes from post- Masano, H., Fukuchi, K., Wakuta, R. and Tanaka, Y.: graduate life. August, 634 Efficacy of intranasal application of povidone- Lockwood, C.M., see Lai, K.N. iodine cream in eradicating nasal methicillin- Loehry, C.A., see Vyas, S.K. resistant Staphylococcus aureus in neonatal inten- Logue, F.C., see Gallacher, S.J. sive care unit (NICU) staff. Suppl. 3, 122 Lopez, J.I., see Angulo, J.C. Mason, J.C., Babbs, C., Lee, S.H. and Connolly, M.J.: Lossos, I.S. and Oren, R.: Recurrent infective endocar- Spontaneous biloma in an elderly patient. Septem- ditis. October, 816 ber, 740 Lucas, M., see Sousa, A.E. Masud, T. and Somerville, K.: Listeria meningitis - Lucas, T., see Marazuela, M. neurological and psychiatric sequelae. January, 80 Lucey, J., see Kearney, P. (lte) Lucraft, H.H., see Farrell, D.J. Winocour, P. and Clarke, F.: Reversible hyporenin- Luria, M.H. and Sapoznikov, D.: Raising HDL choles- aemic hypoaldosteronism and life-threatening car- terol with low-dose nicotinic acid and bezafibrate: diac dysrhythmias: the interaction ofnon-steroidal preliminary experience. April, 296 anti-inflammatory drugs and autonomic dysfunc- Luxton, R., see Wierzbicki, A.S. tion. July, 593 (lte) Lyall, M.H., see Grant, D.J. Matfin, G., Baylis, P. and Adams, P.: Maternal paroxy- Lysy, J., see Oren, R. smal supraventricular tachycardia treated with adenosine. August, 661 (lte) Mathews, J.A., see McAlindon, T.E. McAlindon, T.E., Ward, S.A., MacFarlane, D. and Mathur, R., Toghill, P.J. and Johnston, I.D.A.: Acquired Mathews, J.A.: Transient regional osteoporosis Cl inhibitor deficiency with lymphoma causing presenting as a septic arthritis: delayed diagnosis. recurrent angioedema. August, 646 November, 871 Matsumata, T., see Shimada, M. Macara, A.W.: Monospeciality initiatives in public Matsumoto, I., see Kawana, R. health. Suppl. 2, 51 Matsunaga, K., see Minakuchi, K. McClelland, P., see Yaqoob, M. Maxwell, J.D., see Harris, A.W. McCormick, P.A., see Chin, J.K.T. Maxwell, S., see Head, A. McCune, K.H. and O'Brien, C.J.: Atrial fibrillation Meisch, G.: Session II: Overview of function of the induced by ibuprofen overdose. April, 325 (Ite) ACMT. Suppl. 2, 6 MacFarlane, D., see McAlindon, T.E. Chairman's Remarks. Suppl. 2, 101 McGinn, F.P., see Patankar, R.V. Meissner, P.N., see Hift, R.J. McGuigan, S., see Fry, R.P.W. Melikian, V., see Winslet, M.C. McIntosh, K., see Salter, R. Mellado, N.: Internal medicine in Spain. April, 304 Macintyre, A. and Hume, M.C.: The chronic fatigue Menon, N.K., see Achar, K.N. syndrome. February, 164 (Ite) Merrett, N.D. and Hanel, K.C.: Ischaemic complications AUTHOR INDEX 991

of graduated compression stockings in the treat- Panesar, N.S. ment of deep venous thrombosis. March, 232 Nicholls, M.W.N.: Medical education and training in Metcalfe, M.J., see Lip, G.Y.H. Europe. Session I: Opening remarks. Suppl. 2, 1 Michanek, A., see Jansson, S. Session VIII: Continuing medical education in a wider Mikhailidis, D.P. and Barradas, M.A.: A patient with Europe. Suppl. 2,102 recurrent hypothermia associated with thrombo- Closing remarks. Suppl. 2, 115 cytopenia. September, 752 (Ite) Nicolson, A., Junaid, O., Byrne, E.J., Dennis, M.S. and Miller, R., see Twigg, J. Lehmann, A.B.: Lymphopaenia in elderly in- Milne, L.J.R., see Turner, M.L. patients. September, 753 (lte) Minakuchi, K., Yamamoto, Y., Matsunaga, K., Hayata, Nievel, J.G., see Hoffbrand, B.I. M., Yasuda, T., Katsuno, Y., Takada, H., Nishikawa, M., see Okajima, Y. Iriyama, J., Ishigo, S. and Asano, Y.: The antisep- Nishiyama, T., see Kirita, T. tic effect of a quick drying rubbing type povidone- Nishizawa, S., see Higashitsutsumi, M. iodine alcoholic disinfectant solution. Suppl. 3, 23 Noel, J., see O'Keeffe, S.T. Mirdha, B.R. and Kumar, P.: Primary anaerobic Norcini, J.J., see Sutnick, A.I. bacterial meningitis caused by Propionibacterium Nordin, A.J. and Richardson, J.A.: Lower segment acnes. June, 499 (lte) uterine scar rupture during induction of labour Misra, A., Jain, P. and Reddy, R.B.: Sublingual captopril with vaginal prostaglandins E2. July, 592 (lte) in hypertensive urgencies. June, 498 (lte) Norman, P.M., see Wierzbicki, A.S. Misra, S.P., Dwivedi, M., Misra, V. and Gupta, S.C.: Nussey, S.S., see Hyer, S.L. Imprint cytology - a cheap, rapid and effective Nystr6m, E., see Jansson, S. method for diagnosing Helicobacter pylori. April, 291 Misra, V., see Misra, S.P. O'Brien, C.J., see McCune, K.H. Miyata, H., see Higashitsutsumi, M. O'Brien, E., see Stanton, A. Mole, P.A., see Gray, J.R. O'Byrne, K., see Crowe, P. Molina, A., see Bellas, C. Ochi, T., see Kirita, T. Monzani, M., see Sartorio, A. Ochoteco, J., see Berrazueta, J.R. Moore, M.R., see Hift, R.J. O'Connell, J.E. and Colledge, N.R.: Type IV renal Moran, A., see Panos, M.Z. tubular acidosis and spironolactone therapy in the Morgan, A.G., see Woodrow, G. elderly. November, 887 Morgan, G.P. and Williams, J.G.: Aspirin and risk of Odeh, M.: Aspirin and risk of fatal colon cancer. March, fatal colon cancer. November, 893 (Ite) 242 (Ite) Tumouricidal effect of indomethacin in the oeso- Falciparum malaria and hypoglycaemia. April, 325 phagus. December, 960 (lte) (lte) Moth, C., see Salter, R. O'Flynn, W.R., see Bearn, P. Mufti, G.R., see Agarwal, M. Ogase, H., see Nagai, I. Mulcahy, H.E., Murray, F.E., Freaney, R. and Hegarty, Ogunbanjo, B.O., see Trevett, A.J. J.E.: Parathyroid crisis and acute viral hepatitis B Oghi, S., see Higashitsutsumi, M. infection. May, 408 Ohi, M., see Okajima, Y. Murakami, T., see Arata, T. Okajami, Y., Nishikawa, M., Ohi, M., Fukumoto, Y., Murphy, J., see Buggy, D. Kuroda, K. and Shimomukai, H.: Primary liposar- Ingram, D. coma of the omentum. February, 157 Murray, F.E., see Mulcahy, H.E. O'Keeffe, S.T., Noel, J. and Lavan, J.N.: Restless legs Myers, A., see Kendra, J.R. syndrome in the elderly. September, 701 Oliver, R.T.D., see Raja, M.A. O'Neill, D.: Brain stethoscopes: the use and abuse ofbrief Nagai, I., Ogase, H., Takechi, M., Kadota, M. and mental status schedules: leading article. August, Kumamoto, R.: Evaluation of the disinfectant 599 effect of a quick drying rubbing type povidone- Oren, R., Ligumsky, M., Lysy, J., Gonzales, J. and iodine alcoholic solution by the glovejuice method. Zimmerman, J.: Gastro-duodenal injury associat- Suppl. 3, 33 ed with intake of 100-325 mg aspirin daily. Naidoo, D.P.: Right-sided endocarditis in the non-drug September, 712 addict. August, 615 see also Lossos, I.S. Naik, K.S., see Peacey, S.R. Oriol-Bosch, A.: From local to international continuing Nakagawa, Y., see Shiraishi, T. medical education projects. Suppl. 2, 107 Nakajima, S., see Higashitsutsumi, M. O'Sullivan, C., see Buggy, D. Naraqi, S., see Trevett, A.J. Ottowitz, W.E. and Halbreich, U.: Introducing the Nash, A., see MacLeod, R.D. student and trainee to biomedical experimentation Nattrass, M., see Krentz, A.J. - a selective annotated bibliography. September, Natusch, R., see Briedigkeit, L. 728 Nehra, D., Beynon, J. and Pye, J.K.: Spontaneous Owens, C.W.I., see Bridgewater, J.A. rupture of the oesophagus (Boerhaave's synd- rome). March, 214 Nicholls, D.P., see Betteridge, D.J. Pace, J., see Krentz, A.J. Nicholls, M.G., see Chan, J.C.N. Padhye, A.A., see Sarma, P.S.A. 992 AUTHOR INDEX

Page, M.D., see Peacey, S.R. Pracyk, J.B., Pollard, S.G. and Calne, Sir R.Y.: The Page, R.C.L. and Alford, F.: Adrenocorticosteroid development of spontaneous colo-umbilical deficiency: an unusual cause of fever of unknown fistula. September, 750 origin. May, 395 Prasad, A. and Shotliff, K.: Depression and chronic Page, S.R. and Scott, A.R.: Thyroid storm in a young clonidine therapy. April, 327 (Ite) woman resulting in bilateral basal ganglia infarc- Prendergast, B.D. and George, C.F.: Drug-induced rhab- tion. October, 813 domyolysis - mechanisms and management: lead- Panayiotou, B., see Fotherby, M.D. ing article. May, 333 Panesar, N.S., Yeung, V.T.F., Chan, J.C.N., Shek, C.C., Prescott, R.W.G., see Smith, R. Nicholls, M.G. and Cockram, C.S.: 17a-hydroxy- Price, T., see Vickers, M.H. lase deficiency with persistence of Mullerian ducts Priestley, B.L., Harrison, C.J., Gerrard, M.P. and Gib- in a genotypic male and paradoxical aldosterone son, A.: Paediatrics - Part I: reviews in medicine. secretion. February, 159 March, 171: Part II, April, 268 Panos, M.Z., Reilly, H., Moran, A., Reilly, T., Wallis, P., Pringle, T., see Gray, J.R. Wear, R. and Chesner, I.M.: Indications for per- Puebla, F., see Berrazueta, J.R. cutaneous endoscopic gastrostomy in an unselect- Pugsley, W.B., see Speechley-Dick, M.E. ed patient population (abstract). December, 954 Pye, J.K., see Nehra, D. Papadopoulos, K.I. and Hallengren, B.: Polyglandular autoimmune syndrome type III associated with coeliac disease and sarcoidosis. January, 72 Raal, F.J., see Kalk, W.J. Parker, A.C., see Turner, M.L. Radhamanohar, M.: Syncope caused by ranitidine- Parker, C., see Twigg, J. induced increase in A-V block. June, 500 (Ite) Patankar, R.V., Scott, S.D. and McGinn, F.P.: Intestinal Rahman, M.: Epidemic methicillin-resistant Staphylococ- prolapse through the vagina. October, 818 cus aureus (EMRSA): experience from a health Patel, C.K. and Sharr, M.M.: Cerebellar haemangioblas- district ofcentral England over five years. Suppl. 3, toma in an octogenarian. April, 326 (lte) 126 Patel, J., see Bearn, P. Rahn, R.: Review presentation on povidone-iodine Patel, S., Selby, C., Dornan, T.L. and Jeffcoate, W.J.: antisepsis in the oral cavity. Suppl. 3, 4 Addisonian crisis presenting with a normal short Rai, G.S., see Fidler, H.M. tetracosactrin stimulation test. February, 165 (Ite) Raina, V., Kamble, R., Tanwar, R., Singh, S.P. and see also Woodrow, G. Sharma, S.: Spinal ganglioneuroblastoma - com- Patel, S.M., see Jindal, R.M. plete response to chemotherapy alone. September, Paterson, C.R., see Gray, J.R. 746 Peacey, S.R., Pope, R.M., Naik, K.S., Hardern, R.D., Raja, M.A., Oliver, R.T.D. and Blomley, M.: Hurricane Page, M.D. and Belchetz, P.E.: Corticosteroid growth ofmalignant trophoblastic teratoma. June, therapy and intercurrent illness: the need for 472 continuing patient education. April, 282 Rajman, I. and Kendall, M.J.: Sudden cardiac death and Peiffer, R.: European boards. Suppl. 2, 74 the potential role of beta-adrenoceptor-blocking Pelemans, W., see Joosten, E. drugs: review article. December, 903 Pemberton, M., see Robinson, R.J. Rakicka, H., see Jolobe, O.M.P. Pepper, C., see Haffner, C.A. Ramani, A., Ramani, R., Kumar, M.S., Lakhkar, B.N. Perera, N., see Fernando, D.J.S. and Kundaje, G.N.: Ultrasound-guided needle Perera, S., see Fernando, D.J.S. aspiration of amoebic liver abscess. May, 381 Perks, W.H., see Askari, A. Ramani, R., see Ramani, A. Piette, J.-C.: Current problems in training arrangements Ramsay, B.: Training the senior house officer: experience in internal medicine in France. Suppl. 2, 31 within a dermatology unit: scenes from post- Pissiotis, C.A.: Surgical common trunk training in graduate life. June, 469 Europe. Suppl. 2, 25 see also Williamson, R.V. Plowman, P.N., see Ganjoo, R.K. Ramsdale, D.R., see Bellamy, C.M. Pochkhanawala, F., see Shah, P. Ratcliffe, W.A., see Bridgewater, J.A. Pollard, B.J., see Roberts, S.P. Hutchesson, A.C.J. Pollard, S.G., see Pracyk, J.B. Ravic, M., Salas-Herrera, I., Johnston, A., Turner, P., Poon, W.S., Ahuja, A. and Li, A.K.C.: Optochiasmatic Foley, K. and Rosenow, D.E.: A pharmacokinetic tuberculoma causing progressive visual failure: interaction between cimetidine or ranitidine and when has medical treatment failed? February, 147 lornoxicam. November, 865 Pope, R.M., see Peacey, S.R. Ray, K., see Alcolado, J.C. Porter, A.R.W.: European initiatives in veterinary train- Read, S.M. and Williams, B.T.: Correction. Evans, R.C. ing. Suppl. 2, 77 and Evans, R.J. Postgraduate Medical Journal Portmann, B., see Rela, M. 1992, 68: 786-799; December, 967 Posayachinda, M., see Intragumtornchai, T. Reckless, J.P.D.: Cost-effectiveness of hypoplipidaemic Poskitt, E.M.E., Williams, A.F. and Jackson, A.A.: A drugs. Suppl. 1, 30 core paediatric nutrition curriculum for medical Reddy, R.B., see Misra, A. students (poster session). Suppl. 2, 62 Rees, J.A.E., see Betteridge, D.J. Potter, J.F., see Fotherby, M.D. Regan, M.B., see Sutnick, A.I. Poveda, J.J., see Berrazueta, J.R. Reilly, H., see Panos, M.Z. Powell, R.J., see Lim, K.L. Reilly, L.D.: Reforms needed in the Advisory Committee AUTHOR INDEX 993

on Medical Training (abstract). Suppi. 2, 10 Salas-Herrera, I., see Ravic, M. Reilly, T., see Panos, M.Z. Sallomi, D.F., see Yaqoob, M. Rela, M., Heaton, N.D., Vougas, V., Rolando, N., Wade, Salter, R., Moth, C. and McIntosh, K.: Clinical tutor- J., Portman, B., Williams, R. and Tan, K.C.: mark II?: scenes from postgraduate life. October, Gangrene of the anterior abdominal wall after 808 orthotopic liver transplantation: invasive cuta- Samuel, O.: Curriculum design for primary care physi- neous candidiasis. June, 494 cians: scenes from postgraduate life. August, 629 Restrick, L.J., see Hoffbrand, B.I. Sanders, D.S.A., see Grant, D.J. Richardson, J.A., see Nordin, A.J. Sanderson, J., see Rule, S. Ritter, J.M., see Steel, J.R. Sapoznikov, D., see Luria, M.H. Roberts, N.B., see Yaqoob, M. Sarabia, M., see Berrazueta, J.R. Roberts, S.P., Hargreaves, J. and Pollard, B.J.: The use of Saribas, S., see Turktas, I. midazolam and flumazenil for invasive radio- Sarkar, D., see Corbett, E.L. graphic procedures. December, 922 Sarkar, S., see Singh, I. Robertson-Mackay, F. and Al-Hillawi, A.H.: Pyomyosi- Sarkari, N.B.S., see Thacker, A.K. tis complicating pneumococcal meningitis. January, Sarma, P.S.A., Durairaj, P. and Padhye, A.A.: Candida 64 lusitaniae causing fatal meningitis. November, 878 Robinson, A.M., McLean, K.A., Greaves, M. and Chan- Sartorio, A., Conti, A. and Monzani, M.: New markers of ner, K.S.: Subcutaneous versus intravenous admini- bone and collagen turnover in children and adults stration of heparin in the treatment of deep vein with growth hormone deficiency. November, 846 thrombosis; which do patients prefer? A ran- Sasson, T., see Verstandig, A.G. domized cross-over study. February, 115 Saunders, B.P. and Trewby, P.N.: Open access endo- Robinson, R.J., Pemberton, M. and Goddard, M.J.: scopy: is the lost outpatient clinic of value? Myositis due to cholesterol emboli. December, 947 October, 787 Robson, K., see Lim, K.L. Saunders, J.: Learning medical ethics with our new Roland, R., see Tkacovi, R. neighbours: scenes from postgraduate life. Octo- Rolando, N., see Rela, M. ber, 810 Rooney, S. and Kerrigan, D.: Bot-fly bite. May, 411 (lte) Saxena, R., see Ibrarullah, M.D. Roper, T.A., Sykes, R. and Gray, C.: Fatal diltiazem Schattner, A., Kushnir, M., Zhornicky, T. and Fenakel, overdose: report of four cases and review of the G.: Lymphocytic meningitis as the sole manifesta- literature. June, 474 tion of Q fever. August, 636 Rosen, M.: Monospecialty initiatives in anaesthetics. Schmitt, G., see Jindal, R.M. Suppl. 2, 49 Schoretsanitis, G.N., Wakely, D.M., Maddox, T. and Rosenow, D.E., see Ravic, M. Wastell, C.: A case of Churg-Strauss vasculitis Roskams, T.A., see Vanhauwaert, B.G. complicated by small bowel necrosis. October, 828 Rosner, S., see Rudensky, B. Scoble, J.E., Sweny, P., Stansby, G. and Hamilton, G.: Ross-Russell, R.W., see Cockerell, O.C. Patients with atherosclerotic renovascular disease Rothwell, P.M.: Angina and myocardial infarction pre- presenting to a renal unit: an audit of outcome. senting with pain confined to the ear. April, 300 June, 461 Roy, S.K., see Gupta, S.K. Scott, A.R., see Page, S.R. Roy, S.S., see Mangion, D.M. Scott, D.G.I., see Chakravarty, K. Rudensky, B., Rosner, S., Sonnenblick, M., van Dijk, Y., Scott, S.D., see Patankar, R.V. Shapira, E. and Isaacsohn, M.: The prevalence and gefara, P., see Tkacova, R. nosocomial acquisition of Clostridium difficile in Selby, C., see Patel, S. elderly hospitalized patients. January, 45 Selvais, P.L. and Henrion, J.: Successful treatment by Rudolf, M., see Beales, I.L.P. gonadotrophins of a patient with genetic haemo- Rugman, F.P., see Kendra, J.R. chromatosis and infertility. March, 241 (lte) Rule, S., Brooksby, P. and Sanderson, J.: Use of throm- Seshimo, A., see Kirita, T. bolysis for acute myocardial infarction by general Seymour, C.A. and Byrne, C.D.: Triglycerides and practitioners. March, 190 disease: reviews in medicine. September, 679 Russell, L., see Kendra, J.R. see also Betteridge, D.J. Turner, M.L. Shaarawy, M., see Darwish, N.A. Russon, L., see Coleman, R.J. Shah, P., Talks, S.J. and Pochkhanawala, F.: Measure- ment of visual acuity by hospital physicians. July, 595 (lte) Saadeh, I.K., see Houlston, R.S. Shaham, D., see Kaminski, N. Saglam, A., see Utas, C. Shami, S.K., see Chittenden, S.J. Saito, J., see Kawana, R. Shand, J., see Gallacher, S.J. Sakai, M., see Aihara, M. Shapira, E., see Rudensky, B. Sakakida, K., see Kirita, T. Sharma, S., see Raina, V. Sakakura, K., Iwata, Y. and Hayashi, S.: Study on the Sharr, M.M., see Patel, C.K. usefulness ofpovidone-iodine obstetric cream with Shaw, D.: Session IV: Current problems in training special reference to the effect on the thyroid arrangements. Suppl. 2, 30 functions ofmothers and the newborn. Suppl. 3,49 Shek, C.C., see Panesar, N.S. Sakamoto, M., see Higashitsutsumi, M. Shepherd, C.: The role of Candida albicans in the Salas, E., see Berrazueta, J.R. pathogenesis of food-intolerant irritable bowel 994 AUTHOR INDEX

syndrome. January, 80 (Ite) Sousa, A.E., Lucas, M., Tavora, I. and Victorino, Shepherd, J.: Mechanisms of action of fibrates. Suppl. 1, R.M.M.: Takayasu's disease presenting as a 34 nephrotic syndrome due to amyloidosis. June, 488 Shimada, M., Matsumata, T., Wakiyama, S., Maeda, T., Southgate, L., see Ingram, D. Kanematsu, T. and Sugimachi, K.: A safe and Speechley-Dick, M.E., John, R., Pugsley, W.B., Stur- simple technique for exchanging central venous ridge, M.F. and Swanton, R.H.: Secundum atrial catheters. February, 139 septal defect repair: long-term surgical outcome Shimakawa, K., see Aihara, M. and the problem of late mitral regurgitation. Shimizu, T., see Higashitsutsumi, M. December, 912 Shimomukai, H., see Okajima, Y. Srinivasan, J. and Beck, P.: IgA nephropathy in Shinton, N.K.: Model curriculum and schedule for hereditary angioedema. February, 95 specialist/postgraduate training in general haema- Stansby, G., see Scoble, J.E. tology. Education and Training Committee of the Stanton, A. and O'Brien, E.: Noninvasive 24 hour European & African Division of the International ambulatory blood pressure monitoring: current Society of Haematology (ISH) (poster session). status: review article. April, 255 Suppi. 2, 62 Steel, J.R., Cockcroft, J.R. and Ritter, J.M.: Blind drunk: Shiraishi, T. and Nakagawa, Y.: Review of disinfectant alcoholic pancreatitis and loss of vision. February, susceptibility of bacteria isolated in hospital to 151 commonly used disinfectants. Suppl. 3, 70 Steen, M.: Review of the use of povidone-iodine (PVP-I) Shivakumar, K.A., see Yaqoob, M. in the treatment of burns. Suppl. 3, 84 Shotliff, K., see Prasad, A. Steiger, M.J. and Berman, P.: Gait disturbances in the Shouval, D., see Eilam, 0. acute medically ill elderly. February, 141 Shukla, V.K., see Gupta, S.K. Steinmann, A.F. and Aks, C.: Myositis related to myco- Shum, P.P.S., see Chiu, H.F.K. plasma infection. December, 959 (lte) Siddiqui, M.N. and Garnham, J.R.: Submucosal lipoma Stillman, P.L., see Sutnick, A.I. of the colon with intussusception. June, 497 (Ite) Sturgess, I., Martin, F.C. and Eykyn, S.: Pubic osteomye- Sikora, S.S., see Ali, W. litis caused by Staphylococcus simulans: delayed Ibrarullah, M.D. diagnosis. December, 927 Silver, G.A.: Medical police in the twenty-first century. Sturridge, M.F., see Speechley-Dick, M.E. April, 306 Sugimachi, K., see Shimada, M. The singularity of pluralism. September, 718 Super, M.: Who should be offered genetic screening?: Simmonds, N.J., see Hoffbrand, B.I. leading article. September, 669 Sinclair, S. and Singer, M.: Intensive care: reviews in Sutherland, I., see Gupta, S. medicine. May, 340 Sutnick, A.I., Stillman, P.L., Norcini, J.J., Friedman, M., Singer, M., see Sinclair, S. Regan, M.B. and Wilson, M.P.: ECFMG clinical Singh, H., see Kearney, P. competence assessment study (poster session). Singh, I., Yadav, S.P.S., Wig, U. and Sarkar, S.: Acute Suppl. 2, 69 epiglottitis in adults. March, 243 (lte) Swaminathan, R., see Chan, J.C.N. Singh, N.K., Jha, B., Khanna, R. and Khanna, N.N.: Swanton, R.H., see Speechley-Dick, M.E. Giant hydronephrosis masquerading as massive Sweny, P., see Farrington, K. ascites. October, 800 Scoble, J.E. Singh, S.P., see Raine, V. Sykes, R., see Roper, T.A. Siribaddana, S., see Fernando, D.J.S. Sisodiya, S., see Corbett, E.L. Sivakumaran, P., see Lee, D.R. Taiwo, B. and Hamilton, A.H.: Cardiac arrest: a rare Slater, S.D., see Armour, A. complication of pallid syncope? September, 738 Smith, B.S., see Haffner, C.A. Tak-Yin, M., see Yu, H. Smith, C.C., see Adamson, D.J.A. Takada, H., see Minakuchi, K. Smith, D.H., see Kalra, L. Yasuda, T. Smith, F.W., see Adamson, D.J.A. Takahashi, K., see Kawana, R. Smith, R., Prescott, R.W.G. and Ahmad, F.: Haemo- Takahashi, M., see Yasuda, T. philus influenzae meningitis in an elderly patient Takahashi, H., see Aihara, M. despite treatment with oral cefuroxime. July, 592 Takechi, M., see Nagai, I. (lte) Talks, S.J., see Shah, P. Smythe, P.M.: Intratracheal antibiotics for broncho- Tan, K.C., see Rela, M. pneumonia. August, 661 (lte) Tan, T.T. and Khalid, B.A.K.: Primary infertility in a Somerville, K., see Masud, T. phenotyic male with 46XX chromosomal constitu- Somerville, W., see Krentz, A.J. tion. April, 315 Soo, S.C., see Hyer, S.L. Tanaka, Y., see Masano, H. Soni, P.N.: Hypercalcaemia and multiple osteolytic Taner, D.: Continuing medical education in Turkey. lesions in childhood acute lymphoblastic leukae- Suppl. 2, 103 mia. June, 483 Tanwar, R., see Raina, V. Sonino, N., Fava, G.A., Mani, E., Belluardo, P. and Tariq, S. and Tariq, S.M.: Methotrexate in rheumatoid Boscaro, M.: Quality of life of hirsute women. arthritis: can current knowledge and experience March, 186 justify its use as a first-line disease-modifying Sonnenblick, M., see Rudensky, B. agent?: review article. October, 775 AUTHOR INDEX 995

Tariq, S.M., see Tariq, S. intravenous pamidronate disodium. June, 497 (Ite) Tavora, I., see Sousa, A.E. Veen, C., den Hartog, F.R., Verburgh, C.A., Dees, A. and Taylor, I., see Corder, A.P. de Leeuw, P.W.: Reversibility of myocardial dys- Taylor, T.V., see Bhandarkar, D.S. kinaesia due to severe hypertension. June, 479 Taylor, W., see Hyer, S.L. Verburgh, C.A., see Veen, C. Thacker, A.K., Agrawal, D. and Sarkari, N.B.S: Bilateral Verstandig, A.G., Goldin, E., Sasson, T., Weinberger, G., anterior tibial compartment syndrome in associa- Wengrower, D., Fich, A. and Lax, E.: Combined tion with hypothyroidism. November, 881 transhepatic and endoscopic procedures in the Thomas, H.C., see Hunt, J.B. biliary system. May, 384; erratum. August, 667 Thomas, M.H., see Davies, M.S. Vesnina, J.V., see Ussov, W.Y. Thompson, E.J., see Wierzbicki, A.S. Vicente, A., see Marazuela, M. Thompson, G.R., see Betteridge, D.J. Vickers, M.H. and Price, T.: Recurrent pseudomonas Thompson, S., see Ching, C.K. septic arthritis. December, 950 Thursz, M., see Hunt, J.B. Victorino, R.M.M., see Sousa, A.E. Tka, I., see Tkacova, R. Viguri, A., see Cat6n, B. Tkacovi, R., Roland, R., Boor, A., Kovacova, A., Visick, J., see Chakravarty, K. Laziirova, I., Tkac, I., Hildebrand, T. and Sefara, Vougas, V., see Rela, M. P.: Type IV renal tubular acidosis associated with Vyas, S.K., Law, N.N., Hill, S. and Loehry, C.A.: Toxic Alport's syndrome. October, 823 megacolon with late perforation in Campylobacter Todd, G., see Hift, R.J. colitis - a cautionary tale. April, 322 Toghill, P.J., see Mathur, R. Torres, G., Grande, L.A.G., Boixeda, B., Martin-de- Argila, C., Barcena, R. and Hoz, F.G.: Portal vein Wade, J., see Rela, M. thrombosis due to Candida albicans associated Wakeley, D.M., see Schoretsanitis, G.N. with hepatic cirrhosis. March, 234 Wakiyama, S., see Shimada, M. Tredger, J.M., see Bray, G.P. Wakuta, R., see Masano, H. Trevett, A.J., Ogunbanjo, B.O., Naraqi, S. and Igo, J.D.: Waldvogel, F.: Current problems in training arrange- Shigella bacteraemia in adults. June, 466 ments in internal medicine in Switzerland and Trewby, P.N., see Saunders, B.P. Germany. Suppl. 2, 34 Tuchiya, T., see Higashitsutsumi, M. Wali, J.P., see Aggarwal, J. Tiirktas, I., Saribas, S. and Balkanci, F.: Pulmonary Wallis, P., see Panos, M.Z. alveolar microlithiasis presenting with chronic Walsh, M., see Buggy, D. cough. January, 70 Walton, H.J.: Project on continuing medical education in Turnberg, L.A.: Welcome to conference. Suppl. 2, 2 Europe (CME in Europe Project) (poster session). Turner, M.L., Russell, L., Milne, L.J.R. and Parker, Suppl. 2, 68 A.C.: Invasive aspergillosis in two patients with Walton, S., see Garton, M.J. acute lymphoblastic leukaemia in complete remis- Ward, S.A., see McAlindon, T.E. sion. May, 405 Warwick, D.J. and Dickson, W.A.: Keloid of the penis Turner, P.: Lipids in the 1990s: introduction. Suppl. 1, 1 after circumcision. March, 236 see also Caulfield, M. Wastell, C., see Schoretsanitis, G.N. Ravic, M. Wear, R., see Panos, M.Z. Twigg, J., Briggs, T., Parker, C. and Miller, R.: Notes: a Webberley, M.J., see Winslet, M.C. suitable case for audit. July, 578 Weinberger, G., see Verstandig, A.G. Weller, M.P.I.: Neuroleptic-induced deficit syndrome: conference report. December, 957 Ussov, W.Y., Vesnina, J.V., Achmedov, S.D., Chernov, Wengrower, D., see Verstandig, A.G. V.I., Garganeeva, A.A. and Krivoshekov, E.V.: Wewalka, G., Kurz, Ch. and Enzelsberger, H.: Genital Two-years follow-up of myocardial perfusion in antisepsis - test methodology and efficacy of cardiomyoplasty (abstract). December, 954 povidone-iodine. Suppl. 3, 43 Utas, C., Kelestimur, F., Boyaci, A. and Saglam, A.: Wierzbicki, A.S., Luxton, R., McLean, B.N., Gilois, C., Control of plasma glucose with somatostatin Norman, P.M. and Thompson, E.J.: Hairy leukae- analogue (SMS201-995) during surgical removal mic cell influx into the cerebrospinal fluid secon- of insulinomas. December, 920 dary to encephalomyelitis. August, 651 Wig, U., see Singh, I. Wilkinson, P.R.: Session IX: Presentation ofConclusions Vale, J.A.: Clinical toxicology: reviews in medicine. - I. Suppl. 2, 110 January, 19 Williams, A.F., see Poskitt, E.M.E. van Dijk, Y., see Rudensky, B. Williams, B.T., see Read, S.M. Vanhauwaert, B.G., Roskams, T.A., Vanneste, S.B. and Williams, Sir D.I.: Session VI: European initiatives in Knockaert, D.C.: Salivary gland involvement as training and quality of care. Suppl. 2, 71 initial presentation of Wegener's disease. August, Williams, J.G., see Morgan, G.P. 643 Williams, R., see Bray, G.P. Vanneste, S.B., see Vanhauwaert, B.G. Rela, M. Varma, D.N., see Gupta, S.K. Williamson, R.V., Ramsay, B., Lee, J. and Cream, J.J.: Varma, N. and Kerrigan, G.N.W.: Electrocardiographic Anti-epileptic therapy and fatal chickenpox. Q-Tc prolongation associated with infusion of October, 833 (lte) 996 AUTHOR INDEX

Wilson, M.P., see Sutnick, A.I. Yaqoob, M., Ahmad, R., McClelland, P., Shivakumar, Wilson, R.S.E., see Downes, A.J. K.A., Sallomi, D.F., Fahal, I.H., Roberts, N.B. Winder, A.F., see Betteridge, D.J. and Helliwell, T.: Resistance to recombinant Winocour, P., see Masud, T. human erythropoietin due to aluminium overload Winocour, P.H., see Betteridge, D.J. and its reversal by low dose desferrioxamine Winslet, M.C., Webberley, M.J., Melikian, V. and therapy. February, 124 Donovan, I.A.: Spontaneous rupture of the spleen Yasuda, T., Yoshimura, S., Katsuno, Y., Takada, H., Ito, in association with idiopathic thrombocytopaenic M., Takahashi, M., Yahazaki, F., Iriyama, J., purpura. September, 744 Ishigo, S. and Asano, Y.: Comparison of bacterici- Wise, A., see Kaufman, B. dal activities ofvarious disinfectants against methi- Woodrow, G., Patel, S., Berman, P., Morgan, A.G. and cillin-sensitive Staphylococcus aureus and methi- Burden, R.P.: Asymptomatic acute pyelonephritis cillin-resistant Staphylococcus aureus. Suppl. 3, 66 as a cause of acute renal failure in the elderly. see also Minakuchi, K. March, 211 Yentis, S.M.: Use of intravenous cannulae by junior Wray, R., see Betteridge, D.J. hospital doctors. May, 389 Wright, P., see Gupta, S. Yeung, V.T.F., see Panesar, N.S. Wright, P.H.: Occupational lung diseases other than Yoshimura, S., see Yasuda, T. asthma. February, 129 Young, J.B. and Connolly, M.J.: Naftidrofuryl treatment Wyatt, J.P., Haddock, G. and Aitken, R.J.: Gastric for rest cramp. August, 624 phytobezoar: unusual association and resolution. Yu, H. and Tak-Yin, M.: The efficacy ofpovidone-iodine August, 659 pessaries in a short low-dose treatment regime on candidal, trichomonal and non-specific vaginitis. Suppl. 3, 58 Yadav, S.P.S., see Singh, I. Yagi, Y., see Kirita, T. Yahazaki, F., see Yasuda, T. Zebeib, M.A., see Alqadah, F. Yamamoto, I., see Aihara, M. Zhornicky, T., see Schattner, A. Yamamoto, Y., see Minakuchi, K. Zimmerman, J., see Oren, R. Yanagihara, T., see Kawana, R.