Adelaide Hospital annual report for the year ended 31st December 1995.
Item Type Report
Authors Adelaide Hospital.
Citation Adelaide Hospital. 1996. Adelaide Hospital annual report for the year ended 31st December 1995. Dublin: Adelaide Hospital.
Publisher Adelaide Hospital.
Download date 28/09/2021 06:50:57
Link to Item http://hdl.handle.net/10147/560386
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, o ADELAIDE HOSPITAL (INCORPORATED) PETER STREET, DUBLIN 8. ANNUAL REPORT For the year ended 31 st December, 1995 (the One hundred-and-Fifty-Sixth Year of the Hospital)
Notice is hereby given that the Seventy-six1h Annual General Meeting under the Charter will be held in the Board Room at 2.30 p.m. on WEDNESDAY, 8th May 1996 to transact the following business: 1. Honorary Secretary to present the Board of Management Report and Audited Accounts for the year ended 31 st December, 1995.
2. Election of Honorary Officers for ensuing twelve months: President: Mr. R. Ian Morrison Vice-Presidents: Mrs. H. R. Blakeney Mrs. B. Somerville-Large Mrs. R. E. Boothman Mr. Basil E. Booth Mr. R. E .. Fenelon Honorary Treasurer: Mr. R. D. Burry Honorary Secretaries: Prof. Ian M. Graham Mr. A. Vincent
3. Election of Governors.
4_ Re-election of Auditors.
5. Vote of thanks to all staff and helpers of the hospital.
"As we have therefore opportunity, let us do good unto all men, especially unto them who are of the household of faith." Gal. vi 10. Board of Management
BOARD OF MANAGEMENT Meels lasl Tuesday in the Month at 5 p.m.
President: A. Ian Morrison
Vice-Presidents: Dr. David M. Mitchell Mrs. H. R. Blakeney Mrs. B. Somerville· Large Basil E. Booth Eric Fenelon Mrs. R. E. Boothman
Han. Treasurer: R 0, Burry
Han. Secretaries Prof. Ian M. Graham (Vice Chairman) A. Vincent
Chairman: Mrs. Rosemary French
Mrs. Jane Baker 0, R, Hinds Prof, T, O'Dowd Mrs. Shirley Bewley Mrs. Meg Jackson Mrs. Janet Pasley G, H, Bleakley M. Knalchbull Mrs. Sue Pedlow Mrs. Thea Boyte N. Koumarianos Dr. J. Reid Comdt. A. Cronhelm The Ven. G. C. S. Linney J. N, Ross Dr. L. Diskin B. Lyster Dr. D. E. Thomas Rev. G. W. Ferguson Prof. D. J. McConnell Prof. G. H. Tomkin Mrs. Violet Harty Mr. Justice B. M. McCracken J. R. 8. Hewal N, 0, Odium
Medical Board Representatives: F, E. Dowling, B,Sc" M.Ch" F,RC,S,1. Patricia Crowley, F,R.C.P,I., M,RC,O,G, W, A, Tanner, M,D" F.RC.S,1.
SecretarylManager: Matron: Timothy Delaney, M.P.S.I. Miss Y. P. Seville
Chaplain: Canon A. Empey
Solicitors: Wm. Fry, SolicilOrs
Bankers: Allied I rish Banks pic
Auditors: Craig Gardner & Co.
2 Consulting Staff
Consulting Physicians: David M. Mitchell, M.D., F.R.C.P.I, F.R.C.P. (Land.). FAC.P. (Han.), F.RC.P, (Edin.) E. A. Martin, M.D., F.RC.P.L, F.RC.P.
Consulting Surgeons: N. A. Kinnear, M.B., F.RC.5.L, F.RC.S. (Glasg.) (Han.) Stanley T. McCollum, M.s., F.RC.S.I., F.RC.S., F.R.C.S. (Edin. Han.), F.RA.C.S. (Han.) J. E. Coolic.n, M.Ch., F.RC.S.
Consulting Thoracic Surgeon: K. M. Sh.w, M.B., F.R.C.S.L
Consulting Gynaecologist: J. B. Fleming, M.D., MAO., F.RCP.L, F.RC.O.G.
Consulting Anaesthetists: Helen S. Watson, M.B., DA, F.F.A.R.C.S.L J. G. Goodbody, M.B., DA, F.FARC.S.L D. de C. Wheeler, M.B., D.A.
Consulting Otorhinolaryngologists: Eric Fenelon, M.B., F.R.e.S.1. W. Doyle Kelly, M.Ch., D.L.O.RC.S. Eng.
Consulting Psychotherapists: H. J. Euslace, M.B., D.P.M. T. McCracken, M.B., D.P.M. Mary Martin, M.B., F.RC,P.L, F.RC.Psych.
Consulting Paediatricians: E. E. Doyle, F.RC.P.L, DP.H., D.C.H. J. P. R. Rees, M.B. F.R.CPJ., D.C.H.
Consulting Physicians to Out-Patients Department: C. P. Williamson. M.B., M.R.e.p. H. G. Nelson, M.D., M.Sc., F.RC.P.L J. G. Kirker, M.B., F.RC.P.L
3 Medical Staff
Physicians: G. H. Tomkin. M.D .. F.RC'p.I.. F.A.C.P., F.RC.P. (Lond.) I. M. Graham, F.RC.P.I., F.C.C.P. C. A. 6 Morain, M.D., M.Sc., F.R.C.P.1. J. Barragry, M.D., M.RC.P., F.RC.P.1. J. A. B. Keogh, M.D., F.RC.P.1. D. A. Mulcahy, M.D., M.RC.P.I., F.E.S.C.
Surgeons: D. J. FitzPatrick, M.B., M.Ch., F.R.C.S., F.RC.S.1. W. H. Beesley, M.D., M.Ch., F.RC.S.1. F. B.V. Keane, M.D., F.RC.S.1. W. A. Tanner, M.D., F.R.C.S.1. T. M. Feeley, M.Ch., F.RC.S.1.
Orthopaedic Surgeons: F. E. Dowling, B.Sc., M.Ch., F.RC.S.1. G. C. C. Fenelon, M.B., F.RC.S.1. E. Fogarty, F.RC.S.I., F.R.A.C.S. (Ortho.) J. McElwain, M.B., F.RC.S.1. M. Pegum, M.D., F.R.C.S., F.R.C.S.1. H. Smyth, F.R.C.S. Ed. (Ortho.), F.RC.S.1. D.P. Moore, M.Ch. (Ortho.), F.R.C.S.1.
Otorhinolaryngologist: D. P. McShane, M.B., D.C.H., F.RC.S.1.
Gynaecologists: P. Bowman, F.RC.P.I., F.R.C.O.G. Patricia Crowley, F.R.C.P.L, M.R.e.a.G.
Neurologists: W. M. Hutchinson, B.Sc., M.B., F.R.C.P. R. P. Murphy, M.B., F.RC.P.
Rheumatologist: E. Casey, B.Sc., M.D., F.R.C.S.I., F.RC.P. (Lond.)
Ophthalmologist: P. A. J. Moriarty, M.B., F.RC.S.
Psychotherapists: Michael P. Bourke, MA, M.B., M.R.C.Psych., F.RC.P.C. Paula McKay, M.R.C.P.I., M.R.C.Psych., M.R.C.G.P., D.C.H.
4 Medical Staff
Radiologists: D. Mcinerney, M.D., F.R.C.P.I., F.R.C.R. G. D. Hurley, M.B., D.M.RD., F.R.C.R S. Hamillon, M.D., D.M.RD., F.R.C.R., F.A.C.P.(C), F.F.R.A.C.S.I., Dip. Med. Ed. E Colhoun, M.B., M.R.C.P.I., F.A.C.R., F.F.RA.C.S.I. N. O'Connell, D.M.RD., F.F.R R. O'Laoide, M.B., D.C.H., M.R.C.P.I., F.R.C.R., F.F.R.R.C.S.I. B. Hogan, M.B., D.M.A.D., F.A.C.A., M.Sc.
RadiotherapisUClinicalOncologist: J. G. Armstrong, M.D., M.R.C.P.I., DAB.R.
Dental Surgeon: Frank J. Allen, F.D.S., A.C.S. (Eng.)
Dermatologist: Majorie Young, M.D., F.A.C.P.
Anaesthestists: D. A. H. Rolfe, M.B., M.A., F.F.A.A.C.S.I. E. Shanahan, M.B., F.F.A.A.C.S., D.Obs., D.C.H. Barbara M. Eager, M.B., F.F.A.R.C.S.1. D. Magee, M.B., F.F.A.R.C.S.I. Mary Stritch, M.B., F.F.A.R.C.S.I. G. J. Fitzpatrick M.B., F.F.A.R.C.S.I. Katrina O'Sullivan, M.R.e.p.!., F.F.A.R.C.S.I. B. Kennedy, L.R.C.P. & S.I., F.F.A.R.C.S.I. J. McDonnell, M.B., F.F.A.A.C.S.1. C. M. Cooney, M.B., M.Sc., Ph.D., F.F.A.R.C.S.I. Mana Donnelly, M.B., F.F.A.RC.S.I. Maire T. Doyle, M.B., F.F.A.R.C.S.I. P. McDonagh, M.B., F.FAR.C.S.I.
Age--Related Healthcare Physicians: D. O'Neill, M.D., M.R.C.P.I. Patricia McCormack, M.D., M.R.C.P.I.
Physician to Out~Patients' Department: oJ. G. Kirker, M.B., F.RC.P.I.
Clinical Assistants to Out-Patients' Department: Mary Henry, M.D. David P. Moore, M.B., M.R.C.P.I.
Occupational Staff Health Officer: D. E. Thomas, M.B., M.I.C.G.P.
*Retired
5 Dr. David M. Mitchell Dr. A. Dorothy Mitchell
~------~ Service of Thanksgiving for the lives of David and Dorothy Mitchell Christ Church, Rathgar, Dublin Sunday 28th May, 1995 Address by Ross Hinds, Board Member, Adelaide Hospital
We are here to give thanks to God for the lives of David and Dorothy. For the way they have touched all of us, for the family, as parents and grandparents, brother and sister, for the wider circle as friends and as colleagues. They were a remarkable couple - each a strong, very strong, character, each with tremendous natural ability and determination. In the later years of life when the machinery, as they used to say, was sagging under the weight of the years, they supported each other like two great oaks sown close together intertwined, and mutually dependent. Dorothy remarked not so long ago that she knew that David was an excellent doctor but that she had not realised that he was also a good nurse. Although it is, and will be, hard for the family to have lost both within days of each other the manner of their death mirrored "the way· they had lived - . together. They were also born within a few days of each other. Dorothy was a daughter of the Methodist Manse. Her father, Rev. Moore, like all Methodist Ministers then, moved to a new Circuit every 3 years. So when Dorothy left home to go to the Methodist College in Belfast, horne was in Portarlington, Co. Laois. In Methody, she enjoyed herself hugely, winning both academic and sporting honours. The illness of her mother and her brother Norman meant that she had to interrupt her studies to look after them, which she did with her usual·.dedication and enthusiasm. Although not qualified (such details never stood .in her way) she joined the staff of Bishop Foyes School while her father was in Waterford. You may not know that she had talents as an impressario. The Christmas concerts which she organised with Elsie and Freda Wilson were outstanding events. The standard of music can be imagined when you hear that Willie Watt, the well known Waterford singer, was a regular guest. From her experience of caring for her mother Dorothy thought that she would become a nurse, but Norman had a different idea. He encouraged her to become a doctor. Following her studies at the COllege of Surgeons she moved to the Adelaide Hospital close by. David, although the same age, had qualified some 10 years earlier, and was also at the Adelaide. Some time later, when she was recovering from flu and he had invited her out, he decided that her resistance was very low, ... and proposed marriage! David's family were Scottish weavers of poplin who had come to Dublin in the 19th century to work in the Liberties. And of course David's sister Lilias carried on
7 the weaving tradition in an artistic sense. David had a brilliant academic career at school and College, initially in Classics and then in medicine. he enjoyed music and sang in the Feis Ceoil with Sylvia Fannin's choir from the Centenary Methodist Church and was a member of the Strollers. He often mentioned to me his attendance at St. Patrick's Cathedral for Evensong. He was a truly ecumenical man. David always retained an intense curiosity about everything. When he was in hospital for the last time, he was still asking questions about the surgical techniques which had been used to treat him. He had a complete and absolute intolerance of muddled thinking, as his students quickly discovered. he could appear severe, although those who knew him well often heard the delightful deep chuckle which indicated a really humane warmth, which he often kept hidden. There is a story of an old Dublin woman from the Liberties who said to him "Go on Dr. Mitchell, give your face a holiday - smile!!" Dorothy and David had their consulting rooms together in. Fitzwilliam Place and worked close by each other in the Adelaide. They even shared the same speciality in dermatology. But they had different emphases. Dorothy was deeply interested in the whole life of her patients. She had an instinctive sympathy with people and would spend however long it took to .hear the whole story. When she retired it was her patients who gave the party for her. She could remember the names of the children of all her friends, and followed their progress with great interest. Of course her strongest enthusiasm was for her own daughters and her grandchildren. Many of us would feel we know Margarefs children Susanna, Lucy, Emily and David, Susan's children Paul, Catherine and Anna, and Geraldine's children Lisa and Jan very well indeed even though we had not met. David made a tremendous contribution to every institution with which he was associated. The Adelaide, of course, was one with which he had a lifelong connection. He was a patient as a child of thirteen. He was coming in for treatment of appendictis. The problem was that he was small for his age. The sister on the Male ward said he was too small for the men's landing, while the Sister on the Children's Ward said he was too big for the children's ward. All was resolved! And he managed very well with no appendix for the next 70 odd years. He was one of the group of Doctors who created the idea of the Federation of Dublin Voluntary Hospitals and saw it through into legislation, subsequently serving as the Chairman of the Central Council and seeing the emergence of a modified vision of two hospitals instead of one - one at st. james and the other at Tallaght. He was a constant source of encouragement, precedent and expertise in the niceties of amending historical Charters. Not only did he bring the Adelaide Charter up to date but he did the same for the Royal College of Physicians of Ireland.
8 Dorothy combined a professional career with that of mother and housewife, with deceptive ease. In addition she was involved in voluntary work for the Protestant Adoption Society and the Magdalen Home, where her natural empathy with people allied to her down to earth practicality were used to the full. When they retired (or rather retreated for neither of them ever retired in the conventional sense - Dorothy was treating patients right up to the time she died) and move to Blessington they set about taming the wilderness. David in his meticulous way kept a record, which still exists, of every plant sown. But Dorothy discovered that not everything could be bent to her will. She had a plan for some donkeys on the land. But the Donkeys could not be instructed in the way almost everything else could. She had met her match! David's major historical work, written after retirement, was the history of the Adelaide Hospital. This was originally to be, ashe says in the Preface, "a slight commemorative volume". But as he applied himself with his collaborator Dorothy - and she checked everything - his natural thoroughness produced not a slight commemorative volume but a substantial contribution to the .History of Irish Medicine. He felt that a very high standard had been set by the books of his brother,Frank'and he was determined to reach that standard. , He was President of the Royal College of Physicians of Ireland from 1969 to 1972. As it says in his Interim history of the College "The College was a cosy place in 1971, not greally disturbed by professional or scientific activity". It was typical of his approach that after being President he then took up the post of Treasurer. The College made great progress - Specialist Faculties were established, scientific meetings were arranged, the Libr.ary was reinvigorated and the membership expanded. David and Dorothy shared much in their lives. Being strong personalities both, they were ideally suited to each other. All who have known them have been. the better for it. They have left Ireland and Dublin a better place than they found it. So let us remember them now and in the future with appreciation and thanks.
9 Board of Management Report
The prospect of 1995 was an optimistic, if challenging, one for the Board of Management. The final ratification of the Charter of the Adelaide & Meath Hospital, Dublin (incorporating the National Children's Hospital) by all three Boards of Management within the MANCH Group was tantalisingly close, but considerable effort was still required to ensure that this was achieved. The agreed draft was finally submitted to Government in August, 1995 and subject to approval by the office of the Attomey General and the Houses of the Oireachtas will take legal effect early in 1996. In tandem with Charter negotiations, much other work was done to assure a prosperous future for the Adelaide Hospital Society. A primary object of the Society is to support,through charitable donations and other means, the Adelaide & Meath Hospital, Dublin (incorporating the National Children's Hospital) after the transfer of the Adelaide to the new hospital at Tallaght. The Cy pres scheme was approved by the High Court on 13th February, 1995. The effect of this was to separate the Adelaide Hospital Society, its property and other assets, from the Adelaide Hospital (Incorporated). The successful completion of the Cy pres removes any doubts as to the ownership of the Society's property and assets and allows the Society to plan for the future from a secure financial base. With a view to the future, a special board meeting was held in February to agree a Strategic Plan for the Society to take it into the new millennium. It is with great sadness that the Board records the deaths, within days of each other, in April, of Drs. David and Dorothy Mitchell. The Mitchells were an integral part of the Adelaide for over 50 years and their wisdom will be sadly missed. A service of Thanksgiving for their lives was held in Christ Church, Rathgar on 28th May, 1995. The Board noted the death of Dr. Jocelyn Eustace, former Consultant Psychotherapist to the Adelaide Hospital. Another dedicated servant of the Adelaide who died this year was Miss Thomson, formerly Superintendent of the Physiotherapy Department. The Board welcomed a number of new members in 1995. Mr. Nicholas Koumarianos, Mrs. Shirley Bewley and Professor Tom O'Dowd. We are pleased to have their considerable talents at our disposal. The Annual Birr Service in aid of the Hospital was held on 7th May and was a very pleasant occasion. We are indebted to the Venerable D.L. Keegan for his unfailing support and hospitality and, indeed, to Lord Rosse who opened the grounds of Birr Castle and Demesne after the service. Great progress was made during 1995 in the preparations for the transition of nurse training toa university-accredited diploma programme with full-time student status To assist this a sUb-committee of the Board was created under the chairmanship of Prof. D.J. McConnell - The Future of Nurse Education Committee. We hope that it will complete its work in 1996.
10 Board of Management
It was pleasant to note further improvements to the facilities in the Hospital, particularly the provision of a Day Car Chemotherapy Unit and the renovation of the living room in the Doctors' Residence to afford more privacy and comfort than hithertofore. The Board would like to record its thanks to Matron and the Nursing Staff who continue to make the Adelaide famous for the dedication and humanity of their care. We also thank the many volunteers who support the Hospital in so many ways. During this year they came to the fore in the very successful Heart Appeal Campaign which has resulted in the purchase of state-of-the-art equipment for our Department of Cardiology. We look forward to 1996 and future years with optimism and some trepidation at the challenges ahead. We are indebted to our Chairman, Mrs. Rosemary French, for the enormous personal effort she has made on our behalf throughout the year.
ARTHUR VINCENT, Honorary Secretary.
11 Chairman's Report
At the end of what was probably one of the most significant years in the history of the Adelaide Hospital, it is difficult to proceed with this Report without first recording the very great loss felt by everyone in the Adelaide Hospital on the deaths in April of Dr. Dorothy Mitchell and Dr. David Mitchell. An appreciation of their very special contribution to the Hospital is contained in this Report, but on behalf of the Board of the Adelaide Hospital I would like to mention how deeply saddened we were by their deaths. When the Board met shortly afterwards it was difficult to imagine how the Hospital was still standing and carrying out its work, but it was because of the great contribution of Dr. Dorothy and Dr. David Mitchell and others like them. I do not think that one Board Meeting has passed without the echo of Dr. David's great words of wisdom being felt in our hearts. We miss them and we send our sympathy to their family. As reported in last year's Annual Report, the Adelaide Hospital was established as a Charitable Company in November, 1994. following this a Cy pres Scheme was approved by the High Court on 13th February, 1995, which approved the legal transfer of the assets from the Adelaide Hospital Society under Charter to the Adelaide Hospital under Company Law. In effect there are now two Boards, albeit with the same membership.
1. The Charter Body with responsibility for the management of the Hospital, and
2.The Charitable Company with responsibility for the affairs of the SOCiety.
Inevitably there is a considerable amount of overlap between the work of these two bodies, but at this stage I will attempt to report on the work of the Board of Management of the Hospital. As 1995 progressed the Board became increasingly anxious at the failure to achieve full agreement on the proposed text of the amended Charter which is to be used as the governing instrument of the new hospital - The Adelaide and Meath Hospital, incorporating the National Children's Hospital now being built in Tallaght. Therefore, the Board was encouraged when in August, 1995 discussions with representatives from the three base hospitals were held resulting in full approval of the amendments to the Charter by the Boards of the Adelaide Hospital,the Meath Hospital and the National Children's Hospital. This final agreement was indeed welcome and I would like to thank the Minister for his valued contribution and also to thank the Working Party under the chairmenship of Prof. David Kennedy and Mr. David Kingston for all their help and understanding over the many years.
12 Chairman's Report
The Board of the Adelaide Hospital, as holder of the Charter, has made an application under Section 76 of the Health Act 1970, to amend the Charter as agreed, so that a single management structure can be put in place as speedily as possible. This will enable the integration of services of the three base hospitals prior to the move to the new Hospital in Tallaght - essential if the move is to be successfully achieved. Although at the time of writing we are anxiously awaiting this legislation and other necessary consequential legislation to come before the Oireachtas for approval, the Minister for Health, Mr. Michael Noonan, has given the Board firm assurances that the Govemment is dealing with this matter as apriority, but, until this happens and as time marches on, the Board is concerned at the timescale left in which so much has to be achieved by this single Board of Management. Because of this critical timescale, in November, the Minister invited the nominating bodies to proceed with the nominating process as agreed in the Charter. This was to enable a Board Designate to meet in order to proceed with some essential preparatory work. The Board of the Adelaide Hospital nominated Mrs. Rosemary French, Prof. Ian Graham, Mrs. Meg Jackson, Archdeacon Gordon Linney, Prof. David McConnell, and Dr. Fergus O'Ferrall to be members of the 23 member Board of the Adelaide and Meath Hospital, incorporating the National Children's Hospital. By the end of 1995 the full nominating process was complete and the Board Designate is due to meet early in January, 1996 to commence its preparatory work prior to being given full legal status when the Charter amendments are passed by the Oireachtas. This development is welcomed by all. As stated in last year's Report, the Board of the Adelaide Hospital Society submitted a document to the Forum for Peach and Reconciliation entitled "The Adelaide Hospital; Symbol and expression of a plural society". following this, in October, 1995, representatives of the Board were invited to make an oral submission to the Forum and were part of a session dealing with Obstacles to Peace. The delegation was received warmly and we welcomed the opportunity to answer questions on the special role the Adelaide has in the area of healthcare for all. In October the Board of the Adelaide welcomed the decision of the Department of Health to introduce a Nurse Training Diploma Course for the Adelaide School of Nursing in association with Trinity College Dublin. This is an exciting development in the area of nurse training and we look forward to the first intake of students in October, 1996, In order to deal with the many changes this involved the Board of the Hospital setting up a Committee "The Future of Nurse Education Committee" under the chairmanship of Prof. David McConnell.
13 Chairman's Report
During 1995 the work of the Hospital was greatly enhanced by the contribution from the work of the Society. In a year when we were faced with challenge the Adelaide, under the auspices of the Adelaide Hospital Society, launched a major appeal - "The Adelaide Heart Appeal '95". This was to raise monies to up-grade and re-equip our Cardiac Care Unit and more on this can be found throughout the Report. I would like to emphasise the great significance of the success of this Appeal as it clearly demonstrates in .a very practical way the difference voluntary support can make to a hospital. As you can read elsewhere in this Report-in detail, the Hospital has benefitted by well over £200,000 - a benefit already clearly obvious in the Department of Cardiology. The Board is indeed extremely grateful to the Director of the Society, Dr. Fergus O'Ferrall, for his never ending enthusiasm and commitment to this venture and to all the many varied functions of the Society. I know that throughout the whole hospital people became involved in the many fund raising events and support came from throughout the whole country. A big "thank you" goes to everyone involved and, as all the equipment purchased will come with us to the new hospital, we are pleased to be able to enhance the service delivered to our patients in our future wider community. I am pleased to be able to report that the building of the new hospital in Tallaght is proceeding on schedule. As this great project develops the Tallaght Hospital Planning Board under the chairmanship of Prof. Richard Conroy has had an extremely busy year. I would like to pay a particular tribute to the work of Prof. Conroy who has kept the whole project on track and has kept us all focussed on the priorities. The building was "topped out" in June 1995 and by June, 1996 the first phase will be handed over, the full building being completed and ready for final commissioning to begin in January, 1997. It is a credit to Prof. Conroy and the Project Director, Mr. Des Rogan, that this is becoming a reality and the Board of the Adelaide Hospital appreciates their supreme level of commitment. While the building is on schedule much still has to be done to make it operational and I believe there are over 50 user groups drawn from every area of the three base Hospitals, presently applying themselves to the assessment of their departmental needs and work practices in the new hospital. This commitment on top of the normal workload is greatly appreCiated by the Board. This enonmous task has been going on throughout 1995 and is likely to speed up and intensify in 1996. The great challenge is to "keep the show on the road" while at the same time plan, develop, and train for the new beginning. Of course, this puts enormous strain on all our staff. It is not an easy task but if at all possible we should not lose sight of the great opportunity being offered to us - to be involved in such a great and unique project. Hopefully in 1996 the Department of Health will give us extra funding to help relieve the pressures resulting from such demands, thereby helping us to secure a happy and successful transition. While
14 Chairman's Report many matters have been dealt with there are still some crucial issues left to be resolved and I look forward to satisfactory resolutions being found to these on going problems. In spite of all the effort being put into the future during 1995, the Adelaide Hospital in Peter Street has been an extremely busy place. Activity levels are being maintained and services developed. I am well aware that there is excellent work being done, sometimes in cramped and overcrowded conditions and shortage of space is still a problem in Peter Street. I would strongly recommend the study of all the Departmental Reports contained in this Annual Report in order to get an outline of the work being carried out by every member of staff - medical, nursing, paramedical, administrative, catering and household. all the effort is much appreciated by the Board and, more importantly, by our patients. All this work is spearheaded and managed by our Secretary.lManager, Mr. Tim Delaney, who, with the support of his management team, has achieved results. Great efforts were made throughout 1995 to remain within our allocation of £13,253,600 and this has been achieved albeit with a minimal overspend and in spite of not receiving early notification of a Waiting List Initiative. As can be seen from individual reports much equipment, both replacement and up-grading, has been purchased for many areas of the hospital and in this whole area I would like to convey the Board's deep appreciation of all the work done by the Financial Controller, Mrs. Eithne Keamey. Looking ahead to 1996, it certainly will be another challenging year maintaining and developing our service for a new future with our sister hospitals in Tallaght. The fabric and building in Peter Street is being well maintained as the Board is intent that neither the buildings nor the delivery of service will become run down prior to the move. To this end I would like to thank Comdt. Cronhelm and the maintainance team headed up by Mr. Brendan Doran, for their continued standards of excellence. During the year the Board welcomed three new members to its midst - Mrs. Shirley Bewley, Mr. Nicholas Kourmarianous, and Prof. Tom O'Dowd. It is gratifying to be facing a challenging future with the support and expertise of the many Board members who so freely and generously give of their time and talents. I would also like to thank all those who have supported the hospital during the past year and especially the members of the Tea Bar Committee, the Nurses League, the Linen Guild and the Mobile Library all of whom have helped the hospital in so many special ways. As we all face a Challenging year ahead I am confident that the Adelaide will rise to the challenge and never lose sight of the vision which we all share.
ROSEMARY FRENCH, Chairman.
15 Secretary/Manager's Report
During 1995, staff at the Adelaide Hospital faced twin challenges: to provide quality healthcare to our patients here in Peter Street and to prepare for our merger with the Meath and National Children's Hospitals and the transfer of our services to the new hospital at Tallaght. These challenges have had to be met at a time when the health service in Ireland is going through a period of great change. We have had to incorporate this external change into our thinking as we prepare to provide a better kind of health service to the people of our new catchment area in Tallaght and to others who choose to avail of our services. It is a tribute to all our staff that despite the heavy extra burden necessarily place upon them by the planning process for Tallaght, activity in the hospital was maintained, with slight increases in day cases, discharges and new out-patient visits compared with 1994. However, the bare activity statistics do not tell the whole story. A number of service developments were made during the year for the benefit of our patients. In its first full year of operation, the Diabetes Day Care Centre was visited by over 1,500 patients who have benefitted from better access to advice and consultation through an informal 'drop-in' system. This success is a reward for the efforts of Prof. Gerald Tomkin, Sr. Fiona Daly and the rest of the Diabetes Care team. Another important development was the opening of the Day Care Unit for the administration of chemotherapy to bowel cancer patients, under the auspices of the Department of Surgery, and with considerable help from the Nursing and Pharmacy Departments. For the Cardiology Department, 1995 was an auspicious year. Thanks to the efforts of the Adelaide Hospital Society's 1995 Heart Appeal, over £100,000 was raised toward the purchase of new equipment, and this sum was matched by the Department of Health. This has allowed the Coronary Care Unit to be re-equipped with state-of-the-art monitors and telemetry systems. We have also purchased a trans-oesophageal ultrasound probe, which will augment the investigative cardiology service. However, service developments require people, and the most important event of the year in Cardiology was the arrival in July of our second Consultant Cardiologist, Dr. David Mulcahy, together with two new junior doctors and a new cardiac technician. Dr. Mulcahy's arrival was the culmination of years of effort within the MANCH Group to acquire support for Prof. Ian Graham who has run an enormous Cardiology practice single-handedly for many years. Other equipment purchases were made late in the year which will result in better services in Radiology, Gastro-enterology and Orthopaedic Surgery in 1996 and future years. A major regret was that the appointment of a second consultant gastro-enterologist was not sanctioned in 1995. Prof. Colm 6 Morain continues to provide a single-handed service of high quality and great productivity but the need for a second consultant, to assist with the enormous caseload, is urgent.
16 Secretary/Manager's Report
There were developments too, in our clinical support services. We welcomed our first full-time Occupational Therapist, Ms. Helena O'Neill, during 1995. Ms. O'Neill has built on the work done by her predecessor Ms. Mary McGrath and the service has made great progress, despite severe limitations due to lack of departmental space. A grant from the Monkstown Trust enabled the Speech and Language Therapy Department to embark upon a research project to examine the effectiveness of provision of outreach services to stroke patients after discharge. The results of this will be published during 1996. The Pharmacy Department was accredited as one of the teaching sites for a new Trinity Masters' degree programme in Hospital Pharmacy, supported by funding from the Department of Health, and the first students will begin training in earty 1996. It was a busy year for our Maintenance Staff who continued to work with great ingenuity to reorganise and renovate facilities needed for our changing services. Our Medical Records staff also worked hard to ensure that microfilming of charts proceeded at a pace sufficient to allow us to transfer our records to Tallaght in the most efficient way. This work was, of course, additional to the regular demands upon their Department. The Nursing section continued to provide excellent and caring service throughoufthe year under the able leadership of Miss Y.P. Seville, Matron. It was also·a time of change in Nursing - our Principal Tutor, Ms. Avril Brady, departed to a post in the Nursing Faculty of the Royal College of Surgeons in Ireland. We wish her well as ,indeed, we wish the new Principal Tutor, Ms. J. FitzPatrick, success in her po·st. A significant development during 1995 was the designation of Nurse Doreen Steenson with responsibility for Computerisation and training of staff for development of order communications at ward level. This appointment has already resulted in considerable development, thanks to the support of Ms. Barbara Leeper and her staff in the MANCH Information Technology Department. In addition to the above developments, issues surrounding the merger of the . MANCH hospitals and the transition to Tallaght loomed ever larger on the horizon. A draft amended Adelaide Charter, to form the basis of governance of the new hospital at Tallaght, was finally agreed and is now in the final stages of legal drafting so that it can be brought before the House of the Oireachtas. The Adelaide Hospital Society incorporated itself as a charitable company and separated its assets from those of the Adelaide Hospital Incorporated. This will allow the Society to grow and develop into the future as a major pillar of support to the new hospital at Tallaght, much as it is at present here at Peter Street. These achievements have been made possible through the hard work and enthusiasm of the Board of Management, but in particular, the Director of the Adelaide Hospital Society, Dr. Fergus O'Ferral1. It is impressive to note that all this was achieved at the same time as the very successful 1995 Heart Appeal During the year it has been my privilege to serve the Board of Management and in particular, the Chairman, Mrs. Rosemary French,whose work rate is
17 Secretary/Manager's Report phenomenal, and whose enthusiasm, optimism and determination are inspirational. My task.as Secretary/Manager is greatly facilitated by my senior management colleagues especially Miss y.w.Kelly, Assistant Secretary and Ms. Eithne Kearney, Financial Controller. As we focus increasingly on our future state at Tallaght, it is well to seek wisdom in the experience of others. Peter Drucker, widely regarded the most enduring management thinker of our tirne, in his recent book 'Management in a Time of Great Change' stated: "One cannot make decisions for the future. Decisions are commitments to action. And actions are always in the present, and in the present only. But actions in the present are also the one and only way to make the future. Executives are paid to execute - that is, to take effective action. That they can only do in contemplation of the present and by exploiting the changes that have already happened". The year ahead will bring even greater challenges to our staff. To rise to these challenges, we will need to have the collective will to take the many decisions needed now, if our transition to Tallaght is to be the great success we desire.
TIM DELANEY, Secretary/Manager.
18 Matron's Report
It is hard to believe that another year has passed so quickly with many changes taking place. It was a difficult and in some cases a stressful year which was dogged by an abnormal amount of illness in the staff. This naturally threw and even greater workload on to those who were providing service. The constant pursuit of a high standard of care plus the necessity to continue education at post graduate level by attending courses, conferences and lectures is imperative for all senior nursing staff to keep apace with new changes. With the new diploma coming on stream for student nurses, the necessity has increased for everyone to keep up-to-date with progress. The emphasis on education of nurse managers, quality assurance, staff development, nursing research and standard-setting all impinge on the service given.
Nurse Training Nurse training has, in the last three years, seen more changes than ever before. We are rapidly moving away from the apprenticeship system of training to a university based full-time student diploma course for nurses. The Department of . ,. Health has.already given the go ahead for our nurse training school to commence the new type training in Autumn 1996. We will then have two curricula running side by side for the next three years. The new diploma will also result in a total change in the clinical areas of the Hospital where, up to now, student nurses were a major part of the workforce. These students will have to be replaced by staff nurses and nurses aides.
Prizegiving Pnzegiving this year was once again a most enjoyable occasion which we held in the Y.M.C.A. hall next door to us. Mrs. Cecily Begley - academic tutor from the Faculty of Nursing Royal College of Surgeons in Ireland - gave an interesting address and presented the prizes. This year we again had 100% pass for state final examinations with 3 nurses obtaining honours.
Prizewinners The Rosse Memorial Medal Staff Nurse Susan Allen Hospital Gold Medal Staff Nurse Daniel Nuzum Hospital Silver Medal Staff Nurse Norma Higgins Staff Nurse Valerie Martin Hospital Board Prize for Theory 1st Prize Staff Nurse Daniel Nuzum 2nd Prize Staff Nurse Caroline McCormack Hospital Board Prize for Practical Nursing Staff Nurse Helen Abbott Adelaide Nurses' League Prize for Practical Nursing Staff Nurse Helen Pfeiffer Mabel Kapp Memorial Prize for Junior Practical Nursing Student Nurse Laura Johnston
19 Matron's Report
I am delighted to say that the money raised this year for Matron's Pound Day has increased from last year to a total of £27,852 - an absolutely marvellous amount conSidering we had a "Heart Appeal" which ran throughout the year. How can the people who so generously support us year in and year out ever be properly thanked - so many friends, supporters and ex patients who give because of the care they received while with us. With this money we refurbished our overnight stay and sitting-room for relatives, our "Gore-Booth" room, and also the Day room on Fetherstonhaugh Wing Landing 2. We purchased some comfortable armchairs and many small pieces of equipment which, although relatively small, were very expensive. We are fortunate not only to have pound day funds for patient care but once again I have to give my particular thanks to the ladies of the Linen Guild whose funds also go directly to patient care. This year between Pound Day and the Linen Guild we totally decorated and furnished a new Oncology Unit on Landing 1 where patients can come on a daily/weekly basis for their chemotherapy in comfortable surroundings. Our'other major volu'ntary contributors to patient comfort are the Tea Bar ladies whose presence in Out-patients each day is a tremendous practical asset to people waiting for clinics. The Tea Bar also provides the funds at Christmas which go towards an individual present from Santa on Christmas morning for every patient - always much appreciated. The Library ladies and the Nurses League are a constant source of help and support to the Hospital. My sincere thanks to all. My most profound thanks, as usual, must go to the nursing staff, and to the secretaries Mrs. Irvine and Ms. O'Neill who continually support them. With the new Hospital ever closer there is considerable pressure placed on all senior staff who are expected to give of their time and expertise continually at meetings and seminars about Tallaght, as well as to provide the level of service in the clinical field, for which we are noted, here in the Adelaide. Nursing administration, School of Nursing, Ward and Departmental Sisters, Staff Nurses, Student Nurses and Nurses Aides are so vital in the provision of care which traditionally has been the accolade on which the good name of the Hospital has been maintained. With all the changes taking' pl.ace around us, loyally, dedication and commitment, the most vital ingredients in a successful service, remain the hallmarks of the nursing staff in'our Hospital here in Peter Street.
Yvonne P. Seville Matron
20 Special Report - Adelaide Heart Appeal - 1995
In 1994, the Adelaide Society decided to intensify its fund raising efforts, both to support the Hospital and as a signal of its commitment to the new Adelaide and Meath Hospital, Dublin, incorporating the National Children's Hospital. It was decided to adopt Heart Disease as the focus for a specific appeal in 1995. After discussions with the Department of Health, a target of £100,000 was decided with a commitment from the Department to match this with a similar amount. We can now say that the appeal was an outstanding success. In large part, this was due to the guidance and organisational skills of Dr. Fergus Q'Ferrall. The target of £100,000 was met by October, 1 995; fundraising continued to ensure that there would be a net of £100,000 available after administrative expenses had been paid. Thanks are particularly due to our patients who responded magnificently to the appeal. Many indicated that this offered them the opportunity to say thank you, and substantial amounts came from people whom we knew had to 'make a real effort to contribute. Altogether a rather humbling experience. .. The response of both lay volunteers and of nursing staff was quite remar1 IAN M. GRAHAM DAVID A. MULCAHY DAVID P. MOORE 21 Medical Committee Report ("Medical Board") The Medical Committee, usually known as the Medical Board, is an essentially undemocratic institution comprising, under the hospital Bye-Laws, "not less than four nor more than seven persons each of whom shall be a Governor of the Society and who shall hold at the time a position as a consultant on the visiting medical staff of the hospital". With the absorption of the Medical Advisory Committee into the MANCH medical Advisory Committee, and the substantial number of consultant staff presently employed, this structure is no longer appropriate. While the feeling is that it would not be appropriate to amend the hospital Bye-Laws at this time, Medical Board meetings are now open to all consultant staff. The Medical Board notes with pleasure the agreement with regard to the Charter of the new Adelaide and Meath Hospital Dublin, incorporating the National Children's Hospital. This opens the way to integrated management of the Meath, Adelaide and National Children's Hospital prior to our move to the new site. Hospital activity was fairly well maintained throughout 1995, despite financial problems. As in recent times, pressure from emergency admissions has seriously limited elective work, particularly with regard to orthopaedics. The new out-patient extension is now open and has greatly relieved pressure on the clinics. This complex includes a new Diabetic Day Care centre which has been actively developed by Prof. Gerald Tomkin. The Hudson Scholarship has rarely been awarded in recent years, despite the high academic standards of our students. it is, therefore, a pleasure to record that Brian Mehigan was awarded both the Hudson Scholarship and the David Gault Memorial Prize. Timothy Lewis obtained the Hudson Prize, the ENT Prize, and second place in the Gynaecology, Psychiatry and Dermatology examinations. Sheila Mary Tighe came first in Gynaecology and Dermatology and Maxim Fehily was .awarded the Psychiatry Prize. A particularty welcome development is that all students at the Meath and Adelaide are now joint attachments and are, therefore, all eligible to sit the Hudson Scholarship Examination. The David Gault Memorial Prize is awarded to the student who comes first in the surgery examination in the Hudson Scholarship. It was endowed by Ian Gault in memory of his son David. Ian retained an intense interest in the hospital and in the David Gault Memorial Prize. It is, therefore, with great sadness that we record his recent death in Canada. Dr. H. Jocelyn Eustace ("Joe") was appointed psychotherapist to the hospital in 1936 and opened the first Psychiatric Department in any general hospital in Ireland. He pioneered many innovative treatments and many of us recall his skill and good humour. He had been unwell for some time and sadly died on 2nd January, 1996. His colleague, Dr. Tim McCracken, was also psychotherapist to the hospital from 1955 to 1973. A talented psychiatrist, his passing is also noted with sadness. The Adelaide has a proud and very strong tradition of 22 Medical Committee Report ("Medical Board") physiotherapy from 1905 when Miss Amelia Hogg's students from her School of Massage were sent for clinical training to the Adelaide. Muriel Thomson became Head of the Department of Physiotherapy in the hospital in 1945. She was a natural leader, quiet, dignified and noted for her kindness to her students. She died on 31 st December, 1955. Dr. David and Dr. Dorothy Mitchell epitomized the spirit of the Adelaide Hospital. Their passing leaves a void, many of us miss Dorothy's good nature and quiet wisdom. David, as well as being a distinguished physician of intemational repute, guided the Board of Management over many years with his incisive comments and clear memory. An appreciation of them appears elsewhere in this issue. The Medical Board looks forWard with enthusiasm to the challenges of our transition to the new hospital. For several years, however, the members have made their opinion very cle'ar that there maybe too few stay beds to meet the requirements of the major services of medicine, surgery and orthopaedic surgery. It is noted with relief thafthis issue is now being addressed seriously. IAN M. GRAHAM, F.R.C.P.I., F.C.C.P. Honorary Secretary, Medical Board. ., '. 23 Department of Cardiology At a time of financial constraints, it is a pleasure to be able to report substantial developments in the Department of Cardiology. The new Consultant Cardiologist post attracted a large field of internationally known candidates. We warmly welcome Dr, David Mulcahy's appointment, already his dynamic approach has greatly improved our service, particularly with regard to acute interventions such as angioplasty and coronary stent placement in acutely ill patients. Dr. David Moore's position in the Department has also been consolidated and he has established an echocardiography service of international standing, particularly with development of transoesophageal echocardiography. The support for the Heart Appeal t 995 was remarkable and heart warming. This will result in the purchase of equipment which will be of immediate benefit to our patients and also to the New Adelaide and Meath Hospital. More details of the Heart Appeal are given elsewhere in this issue. 56 t inpatients and 4,695 outpatients, of which 336 were new patients, were looked after in 1995. Out patient services include the cardiology clinic, rehabilitation service, lipid and prevention clinic, and pacemaker clinic. Nearly B,OOO practical procedures were performed, including 4,948 electro-cardiograms, 520 exercise electro-cardiograms, 1,520 echocardiograms, 350 cardiac catheterizationslcoronary angiograms, 346 24/hour electro-cardiogram monitors, 44 pulmonary function tests, and 42 permanent pacemaker implantations. This represents a substantial increase in workload, particularly with regard to coronary arteriography and echocardiography. With the exception of cardiac electrophysiology, we now provide a comprehensive service. Over the past two years, the cardiac rehabilitation service has been developed substantially under the direction of nurse specialists Joan Love and Shirley Ingram. The multidisciplinary approach involves input from many departments to allow comprehensive counselling, exercise prescription, stress management and nutritional advice. Feedback from patients and their partners has been very positive. Nurse specialists Love and Ingram also supervise our coronary care unit register. This audit system, with the help of Barbara Leeper, is now fully computerized and will provide data upon which to plan improvements in services, together with research material. Our research team has been consolidated under the direction of Dr. Ray Meleady with the appointment of Dr. Rosemary Barry. Nurse specialist Suzanne Storey completes the core team, although clinical staff are being increasingly involved. Our European Concerted Action Project "Homocysteinaemia and Vascular Disease" has firmly established the place of a raised blood level of homocysteine as a powerful risk factor for heart attack. Homocysteine levels are controlled by folic acid intake and also by genetic factors which are being elucidated by our colleague, Prof. Steven Whitehead in the Department of Genetics, Trinity College. The next phase will be the establishment of large trials to see if folic acids reduces heart attack risk. Under Dr. Mulcahy's direction, 24 Department of Cardiology several new drug trials are now being undertaken and, in collaboration with St. Vincent's Hospital, a long term follow up (30 years) of coronary subjects is also underway. All in All, an exciting year. We look forward to consolidating these developments in the New Adelaide and Meath Hospital. IAN M. GRAHAM, F.R.C.P.I.. F.C.C;P. Consultant Cardiologist. DAVID A. MULCAHY, M.D., M.R.C.P.I.. F.E.S.C. Consultant Cardiologist. DAVID P. MOORE, M.B .. M.R.C.P.I. Clinical Assistant to the Out-Patients' Department. 25 Department of Neurology May I start by offering condolences to Dr. Michael Hutchinson and his family on the sad loss of his wife, Judith in 1995. As well as being his partner in life she was also a partner in many of his research endeavours over many years, Together they had published much on neuropsychology and M.S. and many other topics. She is missed by all who had the privilege of knowing her. We are glad to have appointed Dr. Sean Connolly to the post of consultant neurophysiologist. He has indicated that he will take up his appointment on July 1st 1996. There has been a long battle to obtain this post and I am grateful to all members of staff and also to many of the County Hospitals who offered their support and representation during this time. I hope that we will be able to offer them an enhanced service in the future. The addition of a new member of staff, however, only increases the urgency of somehow upgrading the department. The space is so limited that we cannot expect a new appointee to work properly and efficiently without some structural changes. Although the move to Tallaght is imminent, I think that these changes are essential to allow proper development of neurophysiology. If we do not make the appropriate changes the new appointee will naturally gravitate to one of the other centres and our service will forever suffer! The new rotation of registrars is working satisfactorily, Dr. Emer McGilioway took a year off from neurology to take up a scholarship in music, in London. She has a fine mezzo soprano voice. Whether her ultimate career is to be in music or medicine iI is probably too soon to say, but all in the department wish her well. Her resignation from the rotation left a vacancy which was filled by Dr. Siobhan Hutchinson. Our other two registrars will leave at the end of June, Dr. Langan to take up a research register post in epilepsy in London and Dr. Tubridy, a research post in multiple sclerosis, also in London. Miss Brigid Clarke, technician in the E.E.G. Department, left in July taking promotion to run the neurophysiology department in St. Vincent's. We have appointed a part time technician, Mrs. Deirdre Glynn, and a new student Therese Downey. The move to Tallaght will require many changes in the department. 1. Proper secretarial support. 2.Appointment of a technician trained in neurophysiology of children. We are not capable of providing a service to the paediatric department without this. This will mean transferring children and young infants to Crumlin. The new Tallaght Board will have to decide whether they wish to have this service provided on site or not. 3.Adequate space. I extend my thanks to Ms. Cindy Augustine and to the new appointees for their efficient running of the department in difficult circumstances. 26 Department of Neurology Support services My patients are particularly heavy users of the para-medical services: physiotherapy, speech therapy, occupational therapy and social work. All of these departments are understaffed and need support to develop further. This year I would like to emphasise the need for more social work provision to the neurology department. I believe that 25% of new patient referrals to the social workers emanate from my department. In addition, they are frequently younger than from the other departments within the hospital, only 15% of my referrals are over 65 years of age. The nature of some of the chronic disorders that affect the nervous system mean that the relationship between patient and the social workers is of necessity long and changing, but inevitably very time consuming. I would strongly support any measures that would improve this service. Research 1.A study of Beta-interferon in chronic progressive Multiple Sclerosis. This is a collaborative international study. 2. A study of the effect of Pramipexole, a dopamine agonist, in patients with Parkinson's disease. 3. Migraine trial. 4.Cadasil syndrome. Dr. Hutchinson identifies the first family cohort in Ireland with this rare syndrome, and has continued detailed clinical and genetic research on the family in collaboration with Dr. Elizabeth Tournier-Lasserve et al. (Hospital Necker-Enfants malades, Paris). 5. Dr. Stuart Webb is continuing his research on familial spastic paraparesis, genetic and neuropsychological aspects and will submit it for his doctorate. Teaching The usual teaching for undergraduates is performed during lerm time. There are two major teaching sessions for .the junior staff: a neurosciences meeting every Friday morning between 8.30 am and lOam at Beaumont Hospital and a similar teaching format organised between the three South-side neurologists. The juniors are expected to present clinical cases during these meetings and in addition there are regular pathology and radiological presentations. A series of lectures is given to the Speech Therapy students, as well as to a variety of other groups: psychiatrists, membership groups etc. Dr. Jirn Morrow, consultant neurologist, became the Welicome visiting Professor in May and gave an extrernely good clinical session and a series of lectures on how to run an epilepsy clinic. We hope that this innovation of Wellcome sponsoring a visiting Professor may be continued by Glaxo-Wellcome. 27 Department of Neurology Tallaght The move to Tallaght is approaching fast and involves all departments and staff in an increased workload of administrative type. This causes a great deal of stress to all involved. One hopes that it will ultimately lead io a smooth transition of patients, equipment and staff. I would put in a personal plea 'that we fight for the provision of M.R.I. facilities at Tallaght. I find it inconceivable that we could move to a state of the art hospital to provide for the needs of the 21 st century and move without modern imaging techniques. I sincerely hope they will be provided. I would like to extend my thanks to the nursing and administration staff for helping to provide a service for the neurology patients. Also to the patients who almost without exception give of themselves for education and examination. Departmental Statistics . Admissions during 1995 448 Ou1-patients during 1995 3105 Neurophysiology Department attendances: EEG • 969 Visual evoked responses 125 Sensory evoked responses 3 Nerve conduction testslEMG 486 24hr EEG recordings and Videographs 28 Brain stem evoked responses 5 Total attendances to the neurophysiology department 1616 RAYMOND R. MURPHY, M.B .. F.R.C.P. Consultant Neurologist. MICHAEL HUTCHINSON, M.B., F.R.C.P .. B.Se. Consultant Neurologist. 28 Department of Dermatology We have had another busy year with an outpatient attendance of 728 new patients and 1,808 retum patients. As in previous years we continue to have a low new to retum ratio. Our day care centre continues to be very busy providing care and education for a variety of skin disorders and in a relaxed environment where patients can receive help and support from the medical and nursing staff. Investigations are increasing including skin biopsy/incision and patch testing etc. With an expanding elderly population the incidence of skin tumours, whether they be benign or malignant, is increasing and this trend is likely to continue. We have established further links with our colleagues on the south side and Dr. Grainne Courtney, the current registrar, and I contribute to the weekly Journal Club and joint conference at the City of Dublin Skin and Cancer Hospital in Hume Street. Our particular interest in malignant melanoma continues and at the Annual Meeting of the British Association of Dermatologists held in Glasgow in July 1995 my former registrar Dr. Edel O'Toole presented two papers, one on the significance of smaller diameter malignant melanoma and one· on a histological study of Bcl 2 markers in different types of malignant melanoma. Another study by Dr. Edel O'Toole and others including myself on Subungual Malignant Melanoma was recently published in the Journal of the American Academy of Dermatology. MARJORIE M. YOUNG, M.D .. F.R.C.p. Consultant Dermatologist. 29 Department of Psychiatry The Department had a productive year during t 995. Dr. J. Tyrrell provided . Registrar cover and.rotated with Dr. S. Eades who is currently in post. Out-patient clinics were held twice w!"ekly on Tuesday a.m. and Thursday p.m. with.96 new patients and 469 return patients seen, which was an increase of 28% and 23% respectively on the 1994 figures of 75 new patients and 380 returns. The Registrar clinic held weekly for return patients saw 133 retums which was a marginal increase on the 1994 figure of 124. The understandable disruption of 1994 had settled down but, in spite of the increased throughput, waiting lists were still too long. Teaching has been on an informal level through discussions with referring teams but also through the availability to discuss cases at the "last Thursday of the month" general meeting in the Gore-Booth Room from 2.00 -·3.00 p.m. This meeting has had some success but has yet to be satisfactorily exploited by other disciplines. Liaison between the Department of Psychiatry and the Department of Social work has been particularly rewarding during the year with a great deal of cross reference. The European Council On Eating Disorders was held at Dublin Castle, opened by the President and closed by the Minister of State for Health and .Education. The meeting appears to have been a great success. MICHAEL P. BOURKE, M.A., M.B., M.R.C.Psych.,F.R.C.P.C. Consultant Psychiatrist. 30 Department of Gastroenterology 1995 proved to be a very busy year with an increase in demand for gastroenterology services. This is not surprising considering 70% of the population suHer from symptoms referrable to the gastrointestinal tract. Of these only 10% consult their family doctor and of that 10%, 22% are referred on to specialists for investigations. We are at our limit to provide a satisfactory service as there is only one gastroenterologist per 300,000 of the population in Ireland. There is one per 20,000 in the United States, one per 80,000 in England and one per 40,000 in Switzerland. Our situation is acute and particularly in the Adelaide and Meath hospitals where there is only one single handed gastroenterologist compared to the other teaching programme hospitals in Dublin who have 3 and and even there they feel overwhelmed with work. Gastroenterology services are managed mainly through the outpatients. Hospital admissions and patients disease may be prevented before their illness becomes too advanced or anything can be done. The enclosed table shows the number of new patients and return patients seen in the out-patients department and also the number of endoscopies performed over this period of time. The level of activity compares favourably with any other institution. Research and Development One of the major emphasis has been on research in our department, enabling patients to be oHered the most recent and advanced forms of treatment for their conditions. We have been involved in Helicobacter pylori research since its first discovery in 1983. We have documented its link with duodenal ulcer and developed treatments so that patients can now be permanently cured of the disease with treatments aimed at eliminating the bacteria. The treatment eHicacy has been improved to over 90% and now treatment need only be taken for less than a week. We have further investigated the link between H. pylori and gastric cancer. We feel that a gastric cancer screening programme should soon be launched. Our work has been acknowledged worldwide and we have had the honour of being invited to give state of the art lectures to the Russian, Japanese, Indian, French and European societies of gastroenterology. I have been elected to the governing councils of national societies of gastroenterology in Europe. I very much look forward to the challenge this will pose. I have been every active in European affairs. I am a founder member of the European board of gastroenterology. I feel that closer co-operation with Europe is the way forward. Our links with Europe has led to major advances and worthwhile co-operation in both colon and gastric cancer. 31 Department of Gastroenterology Personnel Dr. Xia our Chinese doctor who has been with us for the past four years has obtained a prestigious post in Sydney, Australia and hopes to advance his career there. Dr. Niall Breslin and Dr. Johnny Lee continue to work in our unit and hope to submit a thesis at the end of their term of duty. We have had much success with our medical students and this is due to the undoubted ability of Dr. Martin Buckley who has been able to motivate them. Dr. Buckley has also looked after ali of the needs of the students by creating a rehabilitation class which ensured that the doctors who qualify have a core knowledge. This ensures the quality of our interns which is a great asset to the hospital. Statistics Total.IIJumber of In-Patients 2,728 Out-Patients Clinic Upper G.t. Patients 1,427 IBD Patients 1,112 Lower G.t. Patients 329 Polyp Patients 76 Liver Patients 380 Cancer Patients 20 On going Investigations 291 New Patients 744 General Medical 418 Coeliac Patients 102 Total 4,899 Return DNA's 980 New DNA's 144 Upper G.t. 2,763 (OGD, PEG tuber, Oesophageal dulation) LowerG.1 1,290 (Colonoscopy/Sigrnoidoscopy) E.R.C.P. 78 Procedures 4,131 C.A. 6 MORAIN, M.D .• M.Sc .• F.R.C.P.r., Consultant Gastroenterologist. 32 Gynaecology Unit The Gynaecological Unit is both under staffed and under funded and consequently lacks the necessary resources to provide an adequate service to those patients referred to the Adelaide Hospital for investigation and treatment. Relying on nine Consultant sessions per week, i.e.less than the equivalent of one full-time Consultant, and also on two stay-beds in total in which to provide In Patient treatment, difficulties frequently arise resulting in cancellations of pre arranged admissions in favour of more urgent cases. An increasing number of patients are undergoing chemotherapy as In-Patients following initial surgery thereby increasing pressure on our bed complement. This is directly reflected in the annual statistics and largely explains the decrease in major gynaecological operations due to the emergence of minimally invasive gynaecological surgery. The Unit is further weakened by the lack of colposcopic facilities for the assessment and management of cervical and vaginal intra· epithelial lesions. The provision of a dedicated Family Planning Clinic is long overdue. Currently, such patients are seen in the general gynaecological clinic and this is not a very satisfactory or suitable arrangement. Despite these restrictions the Unit's overall activity is largely similar to previous years. This is only being achieved by the closest cO'operation and an understanding between the nursing and medical staff and the facilitatory approach of the admissions staff. During the year Doctors Aziz and Peedicayil have taken up the posts of T.C.D. Lecturer and Registrar respectively and have ably contributed to the overall efficiency of the Unit. . • It is my earnest hope that in the coming year many of the deficiencies previously alluded to will be addressed in preparation for the forthcoming move to the new Adelaide Meath Incorporating The National Children's Hospital in Tallaght so that a satisfactory transition to our new location can take place. Finally, I wish to pay tribute to the dedication and professionalism of the gynaecology nursing team in both the Day and Stay Wards. To theatre nurses and the staff of the Intensive Care Unit a particular word of thanks and appreciation and to the nursing staff in the Out· Patients Department a sincere acknowledgement of their contribution to the reassurance of patients undergoing investigation and treatment. As always, the administrative staff in admissions, medical records and appointments have provided an exemplary behind the scenes service for which I am most grateful. 33 Gynaecology Unit Statistics Gynaecological Unit Adelaide Hospital Theatre Cases 1995 1995 1994 Abdominal hysterectomy/Salpingo-oophorectomy 85 83 Vaginal hysterectomy and repair of prolapse 27 26 Operations for genital prolapse/urinary incontinence 2 13 Operations on fallopian tubes and ovaries 26 31 Laparoscopic surgery 381 413 Minor gynaecological operations 147 89 Vulvectomy Totals Minor 147 89 Laparoscopic 381 413 Major 140 154 PAUL R. BOWMAN, F.R.C.P.I.. F.R.C.O.G:, Consultant Gynaecologist. 34 Department of Surgery In-patient activity in the Department of Surgery during 1995 remained much the same as for 1994. The total number of patients treated amounted to 3001 (with 2893 in 1994). 1172 were in-patients and 1829 were day cases. Out-patient attendances were slightly down on 1994 at 7259 (from 9084). The Department has continued with many of its activities of recent years including its particular interest in minimal access and short stay surgery. Considerable advances have been made in the management of patients with gallstones and common bile duct stones, laparoscopic management of hiatus hernia and the laparoscopic management of inguinal hemias. Much of ourwork in these topics has been presented to both national and international meetings. We have now started a study looking at day case laparoscopic repair of inguinal hernias which, if successful, would be a major step forward in short stay surgery· as well as providing advantages for the patient in that they would be able to return to normal aclivities sooner and with less discomfort. Audit has continued to be a priority within our department. There have, in recent years, been major audits in the results of our management of breast cancer, the incidence of DVT and the result of parotid reseclion. Currently underway are audits on our results with regard to management of gastric cancer, colonic cancer, parathyroid surgery as well as the outcome of various vascular procedures. There is no doubt that these audits provide useful pointers to us in helping to improve our management of these various conditions. The colon cancer study has been of particular interest as we have now embarked on a multi-centre study (QUASAR) in which we are involved with a number of centres in the UK looking at the outcome of Ihe trealment of colon cancers with different forms of chemotherapy. We are greatly helped in the department by our Oncology Nurse, Sharon Smith, who is involved in this study and also provides invaluable help in the care and counselling of these cancer patients. We are also grateful to the Adelaide Hospital for providing a room for oncology services for chemotherapy for out-patients. An additional major support to our oncological services has of course been the appointment of Dr. John Armslrong who has made huge strides in giving us and . our cancer patients great support in providing the latest ideas in management and treatment. Others in this field to whom we are grateful include Mrs. Carol Coard who provides an invaluable service to the hospital in counselling patients with breast cancer and who also provides and excellent stoma therapy service. We are also very fortunate to have many excellent surgical staff including Paul Horgan who is our current Lecturer who had previously been a Senior Registrar in our department. We are also fortunate in having two Senior Registrars of the calibre of Mr. Diarmuid O'Riordain and Mr. Terry Boyle. 35 Department of Surgery A vast amount of energy and time is being taken up with the planning of Tallaght. I am not sure that either the Department of Health nor administration realise what a vast burden. it is on practising clinicians to have to be so involved in the planning of a new hospital. We. in the department. remain extremely anxious about the development of facilities in Tallaght and feel very strongly that the bed complementis far short of what is required for that community. We also feel thaUt is high time that sub-specialty interests were taken into account and once again I would like to emphasise that it is time we developed specialist breast clinics and colo-rectal clinics and we need urgently to appoint sub-specialists in this area. We also need to develop our academic interests so that we can go on as a teaching hospital and. for this. we need a full time Professor of Surgery from Trinity College. Members of the consultant staff continue to be very active in various national andintemational bodies. Not only are we involved in the Trinity Medical School but also two of us are members of the Council of The Royal College of Surgeons and we also actively participate in Comhair1e. the Council of the. Association of Surgeons of Great. Britain and Ireland. the Council of the Editorial Board of the British Journal of Surgery. the Medical Council as well as many other sub specialty bodies. F.B.V.KEANE. M.D .. F.R.C.S.I. Consultant Surgeon. 36 Varicose Vein Clinic Thirty eight sessions of the Varicose Vein Clinic were held during 1995. 191 new patients were seen and there were 1,093 return visits. There was a substantial increase in the number of patients seen in each clinic and a great deal of hard work was required by the nursing staff who help. Again many of the patients with varicose ulcers were seen between clinics in the Treatment Area with the resu~ their healing rate made much faster progress. Many of those involved in the Varicose Vein clinic attended the Venous forum conference in Wexford from 4th - 6th May, 1995. The papers were most useful and the contact with others working in similar clinics in the United Kingdom, France and the Netherlands showed that the standard of treatment in the Varicose Vein· Clinic was up to intemationallevel. Socially the meeting was also a great success - a splendid dinner was held in a marquee outside Johnstown Castle. Again my thanks is due to Sister Barkman, Staff Nurse Ann McLoughlin, Staff Nurse Jean Stratton and all the cheerful staff who work in the Varicose Vein Clinic and the Treatment Area. Thanks are also due to the good humoured staff in the Appointments Office. MARY HENRY, M.D. 37 Orthopaedic Department It is disappointing to note that the decline in activity recorded in last year's report relating to the latter half of 1994 continued into 1995. This is evidenced by the activity· statistics for the Federated Hospitals Orthopaedic Department for 1995 as recorded below. 1993 1994 1995 No. Admissions 1,654 2,106 1,665 Day Cases 565 851 697 Stay Cases 1,289 1,255 1,188 No. Operations Day and Stay Cases 1,483 1,579 1,455 Occupied Bed Days Public 7,622 Private 4,630 Total 15,129 13,505 12,252 Average Length.Stay 11.7 10.6 10.3 : Average Orthopaedic Beds available/day N/A N/A 43 % Hosp. Bed Occ/day N/A 79.4 78.5 % Ortho Beds Occ/day N/A N/A 76.5 No. Ortho Bed Occ/day N/A N/A 34 (pub. 21) (pte. 13) Total O.P.D. Attendance 7,666 6,329 7,903 It has been repeated 'over the past few years that the number of available beds provided for Orthopaedics in the Hospital is far short of the number desirable to enable 8 Orthopaedic Surgeons to work at maximum efficiency. This continues to be so as is evidenced by the number of beds provided for Elective Orthopaedics - 43 on average in 1995. This allows each Surgeon. an average of just over 6 beds if they are all full. Actual occupation in 1995 was 34 - an average of just over 4 per Surgeon. The beds that are occupied are, however, being used more effectively each year as may be seen from the figures for duration of stay. 38 Orthopaedic Department The overall bed occupancy is low - both for the Hospital generally and for Orthopaedics. It is possible that this relates to the fact that the Hospital now deals almost entirely with elective admissions. It is understood to be policy that every effort is made to ensure that beds are available for patients on the day they are due to be admitted. It may be that this policy - admirable in itself - should be modified to ensure tharthe small number of beds that are available can be utilised better. The patients are available - the waiting lists for Orthopaedics at the time of writing total 429 and some of the Surgeons would have Theatre time unutilised which would allow them to be operated upon. The importance of these statistics will be recognised when it is realised that no allocation of beds for specialist units in the new Hospital at Tallaght has yet been made. At present an analysis of the activity of the various specialist units during the past few years is being carried out. If the allocation for Orthopaedic Beds (and probably others) in Tallaght is based on this analysis the result will certainly be a unit which is precluded from reaChing its full potential in the same manner that those working in the unit in the Adelaide have been unable to provide the service they would have wished over the past seven or eight years. it is essential for the development of the service for the Tallaght catchment area that at least two additional Orthopaedic Surgeons be appointed primarily to cover the Trauma workload. They will each have an elective commitment and will also require facilities for this. The Orthopaedic Surgeons remain totally committed to the development of a single Regional Orthopaedic Unit at Tallaght. The facts detailed above and their interpretation are presented with the hope that the people of Tallaght and its larger catchment area will be provided with the Orthopaedic Service which they deserve. D. J. FITZPATRICK, M.B., M.Ch .• F.R.C.S., F.R.C.S.I. Consultant Surgeon. 39 Department of Otolaryngology The Department of Otolaryngology achieved minor growth in patient throughput in 1995. In the operation theatre, 390 procedures were carried out of which 80 were done as day cases. In the out patient department 1,700 patients were seen of wh!ch nearly 25% were new referrals. In keeping with present trends in the specialty many minor procedures were done at the out patient clinic thus reducing ENT bed requirements in the hospital. The department was staffed by excellent medical personnel during the year. Numerous research projects were completed during the year and teaching commitments to both undergraduates and postgraduates continued. Mr. John Russell was senior registrar until April 1995. He has since taken up a consultant appointment in the Mater and Temple Street Hospitals. I wish him well in his future career. He has been replaced by Mr. Robert Gaffney who will finish with us in June 1996 to take up a consultant position in Beaumont Hospital. In terms of service development, 1995 witnessed some progress. Funding has been obtained for a complete stroboscopic vocal analysis system. This is a welcome addition to the department and greatly enhances the service we can offer patients with voice disorders. Other requirements for the department remain outstanding despite repeated discussions with management. Principle among these is the provision of a designated office for the senior registrar, a pre-requisite for SAC recognition of higher surgical training in ENT at the hospital. Throughout the year excellent service was given by the nursing staff and departments of audiology and speech therapy. Thanks are due to all for their continuing support of the ENT department. DONALD P. McSHANE, F.R.C.S.I.. D.C.H. Consultant E.N. T. Surgeon. 40 Department of Anaesthesia In 1995 the number of patients receiving general, 'regional or local anaesthesia was 4,845, this was a decrease on the number in 1994 (5,067). Again·there were ward closures during the summer months due to the financial restraints of the hospital. 1995 was a year in which we had difficulty with the calibre of our trainee anaesthetists. However, in the next six months this situation hopefully will be rectified although we will have one less junior anaesthetist due to a difficulty with the funding for the second senior registrar. The Intensive Care Unit was busy with 205 admissions. Dr. Shanahan and Dr. Katrina O'Sullivan again provided a pain relief service. They are less busy in the out-patients but increasingly busy with in-patient referrals. We were delighted to welcome Dr. Maire Doyle and Dr. Paul McDonagh to our department. Dr. Doyle has undertaken the major commitment of managing Jhe Intensive Care Unit in the Adelaide. Already we feel the benefit of her work. She is busy organising the unit with Tallaght very much in mind. Dr. McDonagh is working in both the Meath and Adelaide Hospitals. We are also pleased that Dr. Deirdre McMahon has been ·appointed to our department. She has a particular interest in acute pain relief and the transfer of acutely ill patients. She will be joining us during the Summer. At this stage our minds are very much fixed on the move to Tallaght, the anaesthetic department has an input in practically all areas of the hospital and the consultants are busy liaising with the various departments to facilitate the development of the new hospital. For our own department we will be seeking to train more nurses,for the anaesthetic rooms and recovery room prior to the move to Tallaght. We will also need an intensivist for the large Intensive Care Unit in the new hospital. Dr. Katrina O'Sullivan has now taken over the post of Chairman of the department, an onerous task, to guide the department to Tallaght. The department has continued an active involvement in research with presentations at meetings and a number of journal publications. BARBARA M. EAGER, M.B.. F.F.A.RC.S.1. Consultant Anaesthetist. 41 Department of Radiology 1995 was a busy year in the Department of Radiology. Dr. Risteard O'Laoide returned from San Diego in March to take up a position as Consultant Radiologist. His areas of professional interest include cross sectional imaging and magnetic resonance imaging. A further Consultant Radiologist, Dr. Brendan Hogan, was appointed in mid 1995 and will take up his position in February, 1996. Dr. Hogan is a Consultant Radiologist in the West Middlesex Hospital in London and his areas of interest are Nuclear Medicine and Angiography. Dr. Hogan will have a commitment to Naas Hospital and this connection will be useful when we move to Tallaght. There are now seven radiology registrars training in the MANCH Hospitals including two overseas registrars. The registrars rotate to the Adelaide for experience in mammography, ultrasound and musculo skeletal radiology in particular. Radiography students come to the Adelaide from the School of Diagnostic Radiography in U.C.D. as part of their training and this has now extended to cover all four training years. All of our senior staff participate fully in the Tallaght planning process. Our Superintendent Radiographer and several Consultants visited the North American radiology meeting in Chicago in December, 1995 to examine the latest equipment. Several staff members also attended the British Radiology Meeting in Birmingham in June, 1995 for the same purpose. The Faculty of Radiology at The Royal College of Surgeons in Ireland appointed Dr. O'Laoide as Co-ordinator for the Irish Radiology Training Scheme. Dr. David Mcinerney was elected to the Board of the Faculty of Radiologists. At the end of 1995 the Department was inspected by visitors from the Royal College of Radiologists in London as part of the assessment of the Dublin Radiology Training Programme. 1995 was the centenary of the discovery of x-rays by Roentgen in Germany. As part of the centenary celebrations the Faculty of Radiology produced a commemorative volume. A chapter on the historical background on the X-ray Departments in the Dublin Hospitals was contributed from the X-ray Department and gave full credit to the Adelaide from the earliest days. Equipment purchases in 1995 included a portable x-ray unit from Picker. DAVID P. MciNERNEY, MD" F.. R.C.P.I., F.R.C.R. Consultant Radiologist. 42 Department of Radiation Oncology Plans are underway to expand the consultant oncology staff in the Adelaide Hospital. An application is being prepared for the Department of Health to appoint a Medical Oncologist jointly between SI. Luke's and Ihe MANCH Hospitals. This will provide, in the future, on-site medical oncology expertise and will improve the multidisciplinary care of cancer patients. Radiation oncology services for Adelaide patients continue to be provided at SI. Luke's Hospital. The'first phase of the building programme for the new radiation oncology department has been completed and the first linear accelerator is installed and is currently being commissioned. The second linear accelerator has arrived and is shortly to be set up. Meanwhile a new treatment design simulator and radiation treatment planning cat scan have been installed at SI. Luke's. In addition a state of the art 3-dimensional radiation treatment planning computer system is currently operational at SI. Luke's Hospital. It is hoped that .the overall increase in both Ihe quantity and quality of radiation oncology facilities at St. Luke's Hospital will be of direct benefit to the Adelaide patients. JOHN ARMSTRONG, M.D .. M.A.e.p.l.. D.A.B.A. Consultant Radiation Oncologist. 43 Department of Age-Related Healthcare As the over 65's are the core user group of the general hospital (65% of admissions), it is not surprising that we have had a busy year again in Age Related Health Care. We have had an increase of 30% in our admissions and a further increase of 15% in new out-patients and 19% in return out-patients. Our philosophy of discharging patients from clinic to the community services is again borne out in that our number of review patients approximates that of new patienls. Our clinic in the Adelaide is now running on Monday afternoons and we are getting an increasing number of in-hospital referrals. The majority of our in patients are acutely ill old people from the Accident & Emergency Department; the next largest group are transfers from other departments with complex rehabilitation problems and the last category are those who are referred in from the community and require in-patient treatment. A good deal of time has been spent this year in ensuring that the unit in Tallaght will be appropriately commissioned and that our operational policies will be sensitive not only to the needs of the older people in our catchment area but also will continue to develop strong links with both community services and our sister department in St. James's Hospital. The research interests of the team continue to include analysis of the working practices of the inter-disciplinary team, the causes and treatment of hospital acquired diarrhoea, the assessment and rehabilitation of older drivers with illness, and swallow disorders in older patients who have been in I.C.U. We have ': presented research from the Department at scientific meetings in Ireland, Britain and North America. Development priorities in the unit include the provision of dedicated psychiatry of old age services (under discussion). clinical nutrition and adult neuropsychology. DESMOND O'NEILL, M.D., M.R.CP.1. Consultant Physician/Geriatrician, 44 Occupational and Staff Health Clinic The Occupational and Staff Health Clinic has continued to operate on Monday and Thursday afternoons in the E.N.T. Clinic. It was set up by the Board in November 1992 with the objectives of: • Monitoring and treating occupational health conditions, • Overseeing the staff vaccination programme. • Reducing the u;;age of consultant clinics by staff. • Reducing "corridor consultations" and pressure on non-consultant hospital doctors. • Carrying out pre-employment medica Is on staff. During the twelve months of 1995 we carried out a total of 640 consultations and 62 pre-employment medicals. The breakdown of the 273 members of staff who attended the clinic consisted of: Student Nurses 106 Staff Nurses 36 Clerical Staff 21 Porters/Maintenance 18 Paramedical 36 Domestic 27 Administrative 18 Sistersffutors 9 Doctors 2 The breakdown of the conditions encountered at the clinic were: Muscular/Skeletal 48 Genito Urinary 27 Skin 48 Medical Exam 6 E,N.T. 87 Needle Stick 10 Respiratory 54 C.N.S. 21 Contraception 30 Eyes 9 Gastrointestinal 15 Miscellaneous 24 Stress/Psychological 33 Vaccinations 20 Repeat Visits 93 Pre-employment 62 The role and emphasis of staff clinics will change with the amalgamation of the Hospitals and the move to Tallaght. It is vitally important that consultation and planning for a more comprehensive occupational health service and a staff welfare service is undertaken at this stage. I look forward to this development over the coming year, I would like to pay tribute to the consultant staff, the administrative and senior nursing staff for their constant support, and Sister Seaman for the efficient way in which she administers the Hepatitis B programme. Most of alii would like to thank Staff Nurse Sandra White for the efficient way she organises the clinics and for her constant help and support. DAVID E. THOMAS, M.B .. M,Sc., M,l.e.G,p, Occupational Staff Health Officer. 45 Pharmacy Report 1995 was yet another busy year for the pharmacy department. We managed to maintain the high quality of services set up over the past few years despite continued staff constraints. These services include pharmacy top-up to most wards, including theatre, daily visit to Intensive Care, pharmacist involvement on medical ward round and lecturing to nurses. The pharmacy are manufacturing chemotherapy on a daily basis for the Quasar trial and are involved in many other clinical trials within the hospital. The pharmacy also play an active role in the cardiac rehabilitation multidisciplinary team. The pharmacy department maintained a high profile on the Irish and international pharmacy scene during 1995. Ms. Sinead Whitty, basic grade pharmacist, entered a poster "Volumes of distributions of vancomycin in the eldery" at the annual clinical meeting of Irish Hospital Pharmacists in March. Ms. Denise Ward co-ordinated a workshop on analgesia at the same meeting. Ms. Ward also conducted a series of workshops on the "Practice of Pharmacy" for fourth year pharmacy students and continues her involvement with pre registration student training. Ms. Claire Kingston, pre-registration student, completed her project with Dr. Zachary Johnson, epidemiologist, on the impact of hospital admission of GMS (general medical scheme) prescribing. Ms. Deasy and Mr. Delaney attended the mid year clinical meeting of the American Society of Health System Pharmacists in December. Mr. Delaney continued in his role as Secretary of the European Association of Hospital Pharmacists and made presentations on hospital pharmacy management at the University of London, Royal Holloway; at the International Pharmaceutical Federation (FIP) World Congress of Pharmacy in Stockholm, Sweden; and at the Annual Meeting of the Irish Pharmaceutical Healthcare Association .. We were sorry to see Ms. Sinead Witty leave the Adelaide earlier in the year to pursue a career in community pharmacy. However, the return of Ms. Evelyn Deasy as senior pharmacist was very welcome. Ms. Deasy had done her pre registration training here in the Adelaide a few years ago and had been working in Beaumont since then. Ms. Ward undertook a management course in September which will continue into May of 1996. The Department is sure to benefit from this undertaking as no-one in the department has had any formal training in this area to date. The year ended on a very positive note with the introduction of the long-awaited M.Sc. (Masters Degree) in Hospital Pharmacy with Trinity. At this point we would like to convey our deepest gratitude to Mr. Tim Delaney for all his dedication and perseverance over the past few years which played a major role in getting this M.Sc. off the ground. He is a Member of the Course Co-ordinating an Advisory Committee for the new Masters' Degree in Hospital Pharmacy at Trinity College Dublin. The Adelaide will have two pharmacists participating in this part-time 46 Pharmacy Report practice based M.Sc. Ms. Evelyn Deasy will continue to be full-time in the Adelaide while Ms. Aileen Barry, also a previous student of the Adefaide, will divide her time between the three MANCH Hospitals. The M.Sc. has been welcomed by hospital staff and since its commencement earlier this month we now have pharmacists visiting most wards on a daily basis. The pharmacy department are now in a position to review drug charts and patient notes regularly, facilitating early intervention when necessary. We have begun to counsel patients and are available to teach nurses and doctors at ward level. In addition to the extra ward services, we are now in a position to set up the long awaited pharmacy service to the anticoagulant clinic. This new development has been much welcomed by the cardiology team. Mr. John TUlly, pre-registration student, has undertaken to do a project on the impact of pharmacy involvement in the clinic, We would like to welcome Mr. Ronan Quirke to the pharmacy team. Mr Quirke, who has recently graduated from University of Derby with a degree in clinical pharmacy, will playa major role in developing. clinical services within the hospital as well as tutoring both students. Mr. Quirke has presented to community pharmacists on a few occasions through the College. of Pharmacy Practice. Other developments for 1996'include an increased lecturing commitment to the school of pharmacy at undergraduate level. Ms. Ward, with the assistance of Mr. Deasy and Mr. Quirke, intends to conduct clinical workshops to second, third and fourth year pharmacy students. Ms. Ward also continues her active involvement in planning the pharmacy department for the new Taliaght Hospital. Many thanks to Ms. Kathleen Ryan, our ever diligent pharmaceutical technician, and Mary Walsh for their continued support throughout the year. We look forward, with an '. air of enthusiasm, to the busy and challenging year ahead, DENISE WARD M.P.S.1. Chief Pharmacist. 47 Social Work Department As we move into our last full year in the Adelaide Hospital we can pOint to the continuation of trends noted in the preceding Annual Reports. That is to say, there has been an increase of 6% in the numbers of referrals this year along with a 13% increase in the number of transport requests dealt with by our secretary, Mrs. Janet Edgely. If we look at trends over the last five years there has been a very significant 50% increase in referrals (614 patients and families referred in 1995 against 410 in 1991) Besides the rise in referrals there has also been a 12% increase this year in "patient episodes" (i.e. distinct issues addressed with regard to each patient). Patients referred by the neurological team accounted for 23% of our total referrals. The attachment of a social worker to this specialty has contributed to closer integration within the team and increased awareness of the social work role. .' While the number of referrals and episodes for elderly patients (65+) remained fairly similar to 1994 (48% of the total referred) there was a notable increase in patients under 20. In contrast, only 15% of referrals from the neurological team related to patients over 65 years of age. Although less quantifiable, it is almost certainly true that many of the cases dealt with are increasingly complex and time consuming. Ratio of "episodes" to "referrals" gives some indication of this. This is gratifying to the extent that it reflects a wider appreciation of the role of social work and the range of skills which can be applied. At the same time, with limited staff resources and ever increasing demand we cannot extend our service or further develop as we would wish. Nevertheless Mr. John Brennan and Ms. Catherine Collins have maintained their training input to the School of Nursing. They have also shared the training of a student from T.C.D. John has been following up research into the social work service for the elderly linked to a B.A. degree. Catherine has developed her service to neurology patients and links with relevant voluntary organisations. Conferences attended have included: 2 days "Solution Focused Therapy" and 1 day "Motor Neurone disease". In addition, the cardiac rehabilitation group continues to expand and information groups have been held for multiple sclerosis patients where the programme has included relaxation and reflexology sessions. A major professional landmark was the celebration at Dublin Castle of a century of hospital-based social work. The President's address noted the commitment of social work to the self-determination of clients and patients - a core value of the profession . • . The integration of the MANCH Social Work group has continued and 1996 will see the production of a combined annual report in addition to separate reports, as well as the development of further positive links with agencies in the Tallaght . Hospital Catchment area following my contacts with Tallaght Welfare Society in 1995. 48 Social Work Department The pensioners' Christmas party, organised by Catherine and Janet, maintained the high standard of previous years and thanks are again due for the financial and personal coniributions of so many colleagues. The accounts for the Samaritan fund (below) indicate that this fund was again of enormous value to some of Our most vulnerable patients. Particular thanks is due to the Tea Bar Committee, all those involved with the Christmas Services and those who very kindly gave donations during the year. DAVID WILLOW, C.Q.S.w., M.A. Group Head Social Worker. Payments and Receipts Account 1995 Payments IRE Grants (Specific Funds) 1,132.70 Grants (Miscellaneous) 495.00 Petty Cash 447.50 Bank Charges 3.50 2,078.70 Receipts Donations 593.83 Specific Grants 1,132.70 H. T. Bewley & Margaret Colville-Jones Fund 144.53 Adelaide Hospital Christmas Services 250.00 Adelaide Hospital Tea Bar 400.00 2,521.06 Excess'Receipts over Expenditure 442.36 49 Physiotherapy Department Statistics Outpatients In t 995 the number of outpatients treated in the physiotherapy department was slightly down on the previous year, i.e. Year No. of patients No. of attendances 1994 4,761 12,799 1995 4,604 12,166 showing a 3% drop in the number of patients and a 5% fall in the number of attendances. The three highest sources of outpatients referrals: Source of Referral No. of patients No. of attendances Orthopaedic 3,01.1 7,954 Medical 1 ,039 2.707 ~~~ 1~ 238 Inpatients There was a 6% increase in the number of inpatients seen this year due to less ward closures. Year No. of patients No. of attendances 1994 3,244 14.870 1995 3,425 15,454 The three highest sources of inpatient referrals: Source of Referral No. of patients No. of attendances Orthopaedic 1 ,625 7,052 Medical 768 4,062 Surgical 978 4,022 Unfortunately, the number of GP referrals seen still remains low at 357 patients (7% of the outpatients total). During the year much time has been spent in.planning for the new Rehabilitation Department in Tallaght Hospital and this would not be reflected in the statistics. Courses This year two stimulating weekend courses were organised by the physiotherapy staff and took place in the department. Internationally known tutors were invited to come to Ireland and this enabled a greater number of staff members to attend. The courses were open to all but preference was given to members of the Meath and Adelaide Hospitals. 50 Physiotherapy Department April: The McConnell approach in the Treatment of Patello Femoral Pain given by Mark Bender (New Zealand and London) October: Lumbar Spine Dysfunction given by David Fitzgerald (Australia and London). A follow-up course is planned in May, 1996. Other weekend courses and conferences attended by various members of staff included: 1. The Bobath approach to the treatment of stroke. 2. Orthotics/Biomechanics (Langer). 3. Muscle Stimulation/the treatment of pain (Neurotech). 4. Mobilisation of elbow, wrist and hand (Peter Wells). 5. Personal Development and Management Course (Michael O'Reilly). 6. Chronic Headache and TMJ Dysfunction (Peter Wells). 7. I.S.C.P. Conference in Dublin. 8. M.A.C.P. Conference in London. Mrs, Sandy Wagstaff was involved in the Manch G.P. Study Day Workshop on Sports Injuries. Research At the beginning of 1995 four T.e.D. students carried out their final year Research Projects in the department. Student Project 1. Anne O'Neill An investigation into the efficacy of the awareness through movement sequence in the treatment of cervical spine dysfunction. 2. Mary O'Malley A pilot study to observe changes in pain intensity levels and gait velocity following elective, hip replacement. 3. Aileen O'Rourke A comparative pilot study on the therapeutic effects of transcutaneous nerve stimulation and interterential therapy on chronic non specific low back pain. 4. Diarmuid Denneny A pilot study comparing the effectiveness of the McConnell Regime with and without interterential stimulation for muscle strengthening of vastus medialis obliquus in the treatment of patellar femoral pain syndrome. Paula Barron carried out a case study on the· effect of Neurotech Muscle Stimulation in maintaining muscle strength during immobilisation post Anterior Cruciate Ligament repair. 51 Physiotherapy Department Services Due to the need to shorten the waiting time to attend the cardiac rehabilitation and relaxation classes.-we are now providing extra classes per week. There is an ever increasing need lor group therapies but.due to full utilisation of the gym during working hours we are unable to meet the demand. Equipment Few pieces of equipment were acquired this year due to the planned move to Tallaght. Much time has been spent preparing the equipment list for the new hospital. Several small muscle stimulating units, adjustable height couches, a computer and.a laser printer were' purchased. A reconstituted bicycle. and treadmill were kindly donated by the Cardiac Rehabilitation Fund Raising Team. Finally, I would like to thank the Clinical Tutors, Mairead O'Riordan, Lynn Bell and the students of Dublin School of Physiotherapy for their time and valuable assistance throughout the year. JULIA STEPHENSON M.I.S.C.P. Superintendent Physiotherapist. " 52 Occupational Therapy Department 1995 saw many changes to the Occupational Therapy service to the patients at the Adelaide Hospital. However, the close of the year saw little change in the accommodation status for the service. At the time of this report going to print there is no Occupational Therapy Department at the Adelaide Hospital. Accommodation A word of thanks to Mr. Tim Delaney and Mr. Brendan Doran for their support in pursuing the provision of an Occupational Therapy Department. However, funding was not forthcoming from the Department of Health to provide a department. In the interim a small office, though not accessible for patients, has been provided in the doctor's residence which has been a definite step in the right direction. We continue to. rely on the goodwill and support of Ms. Julia Stephenson, Superintendent Physiotherapist, who continues to facilitate the O.T. Hip group in shared space in her gym. Sister Barkman in Out-Patients has kindly offered the use of a room in the extension two half days a week. The lack of treatment space continues to cause limitations and frustration to both staff and patients. Patients continue to be transported to the Occupational Therapy Department in the Meath Hospital. This remains very. unsatisfactory and an expensive procedure. However, we remain confident that the endeavours of management to provide some form of accommodation will be fruitful in early t996. Manpower Resources The first six months of the year saw Mrs. Mary McGrath, Senior Occupational Therapist, continue to deliver a service to in-patients, two days a week. Mrs. McGrath, unfortunately, left both the Adelaide Hospital and Dublin to move to Belfast in June, 1995. Her friends and colleagues wish her well. Ms. Helena O'Neill commenced as Senior Occupational Therapist in a full time position in June. In the last six months demands on the Occupational Therapy service have far exceeded the.existing manpower resource. In response to this, a sessional Senior Occupational Therapist, Ms. Susan Halpenny, was employed with the continued support of management. Ms. Halpenny covers the Orthopaedic case load two mornings a week. Equipment A positive development has been the provision of equipment to establish the Occupational Therapy office. Assessment and treatment equipment purchased this year has been re-directed to the Meath Occupational Therapy Department for the present. Service Statistics From January to May, 1995 the service operated on two days a week; from June to December, 1995 there was one full time therapist. November, 1995 saw an increase in manpower by two mornings a week. 53 Occupational Therapy Department June,1995: Total number of referrals - 48 November, 1995: Total number of referrals - 90 The figures demonstrate over 100% increase in the demand for the service. With the present manpower it is impossible to cover this number of patients per month. What this means in real terms is that approximately 10-12 patients per month are discharged prior to Occupational Therapy intervention. There is currently a two week waiting list for assessment. Our policy is that in-patients have priority over out-patients. Within the in-patient group those who may be at risk upon discharge home receive priority. Group Sessions are carried out for patients with total hip replacements. On average between 25 and 30 patients attend each month. An Occupational Therapy service is now being provided to orthopaedic patients with back complaints. Hand therapy and splinting fabrication for Adelaide patients is carried out at the Meath Hospital. Education Funding was provided for several courses during 1995: - AOTI Annual Conference in April - Occupational Standardised Testing in May - Chronic Pain Course in October A Splinting Workshop was held with support from Smith & Nephew Ltd. Physiotherapists and Occupational Therapists from hospitals throughout Ireland were invited. We hope to operate more workshops throughout 1996. Occupational Therapy Students, Trinity College Dublin: It is still not possible to offer clinical placement to students at the Adelaide Hospital at present, this service being provided at the Meath Hospital, with Ms. Helena O'Neill being the Clinical Co-ordinator. Conclusions Our goal is to provide a quality service to all patients at the Adelaide Hospital. However, this is not always possible due to the very difficult conditions under which we continue to work. Although we are committed to this aim, it will continue to be thwarted with the lack of accommodation and inadequate manpower resources. We remain hopeful that some more positive changes in the status of Occupational Therapy, prior to the move to Tallaght Hospital, will be forthcoming '. in 1996. ROSE ELLEN DAVIES, Occupational Therapist in Charge. HELENA M. O'NEILL, Senior Occupational Therapist. 54 Department of Nutrition and Dietetics The Department of Nutrition and Dietetics, F.D.V.H., which has a total staff complement of 7 Dietitians, continues to provide Dietetic Services to the Adelaide Hospital, as well as to the Meath and National Children's Hospitals. Over the past 5 years Ms. Marie Branigan (Senior Dietitian) has been responsible for providing and developing dietetic services at the Adelaide. In July '95 Ms. Branigan moved into the newly created post of Cardiology Dietitian working with Cardiology teams covering both the Adelaide and Meath Hospitals, while Ms. Aideen McGuinness transferred from the Meath Hospital to undertake the role of providing all other dietetic services at the Adelaide Hospital. Effectively, this has increased the dietetic staff complement in the Adelaide by 50%. In addition to providing a more comprehensive dietetic service to all cardiology patients, in particular to those on the Cardiac Rehabilitation Programme and attending out-patient clinics, this improvement in dietetic staffing resources has enabled the allocation of more time to servicing the Diabetes Day Centre. However, throughout 1995, demands for dietetic services have continued to increase steadily, both at out-patient and ward level, particu!arly in the areas of diabetes, endocrinology and neurology. To meet these service demands, and to ensure that provision of a high quality, efficient service to patients referred from all specialties, a further increase in the staffing complement, to the equivalent of 2 full-time dietitians, is necessary. Patient Statistics In 1995 a total of 3,086 patient consultations took place which represents an increase of 9% on 1994 figures. Of these, 1,186 were with Out-patients (an increase of 19% on 1994). The introduction of 2 extra out-patient clinics since. -, September has helped to reduce the waiting time for dietetic consultations particularly for cardiology patients and diabetics. In-patient consultations (1,900) accounted for 62% of total patient activity, with notable increases in the areas of neurology and diabetology. Education The department continues to: (a) provide a 26 week clinical training programme for undergraduates of Nutrition and Dietetics at T.CD .. (b) give lectures on nutrition to nursing staff (student and post graduate). (c) participate in Journal clubs of the medical and surgical teams. Accommodation With the increase in staff and to accommodate dietetic students extra office space was provided for the dietitians. This has freed up the dietitians office in OPD for the additional dietetic clinics. 55 Department of Nutrition & Dietetics Health Promotion The Department continues with its commitment to Health Promotion for both patients and staff. Events such as Healthy Eating Week and' Irish Heart Week were supported and promoted by ihe Department. In April '95, a Slimathon was organised, by the Dietitians, in aid of the Adelaide Heart Appeal. This was very successful and raised £2,100. Goals for 1996 • To increase the dietelic staff complement to 2 full-time dietitians." • 'To further develop in-patient services particularly in the areas of diabetes, neurology and of nutritional support. • To continue developing dietetic out-patient services to further reduce appointment waiting time and to accommodate patients referred from all specialities. . • To improve services for patients with diabetes, in particular for those attending the Diabetic Day Centre. • To develop a hospital Nutrition and Swallow Programme for patients with neurological disorders, in association with the Speech and Language Therapy Department. •: J I 56 Department of Nutrition -& Dietetics Patient Activity Statistics 1995 Total In-Patient Consultations: 1,900 Total Ou1-Patients Consultations: 1,186 Total 3,086 In-Patient Consultations: Consultant & Team Patient Consultation % of Total Consultations Prof. Tomkin 429 22.5% I'rof. Graham/Dr. Mulcahy' 331 17.5% Mr. Tanner 217 11.4% Dr. Murphy 204 10.7% Prof.OMorain 181 9.5% Prof. Keane 164 8.6% Mr. Feeley 138 7.3% Orthopaedic Surgeons 85 ; 4.50/0 Mr. McShane 75 4.0% Mr. Beesley 37 2.0% Dr. Barragry 22 1.1% "Others 17 0.9% Total 1,900 Out-Patient Consultations: Consultant & Team Patient Consultation % of Total Consultations Prof. Tomkin 564 47.5% Prof. GrahamlDr. Mulcahy' 413 35.0% Prof. 0 Morain 51 4.3% Dr. Murphy 23 1.9% Orthopaedic Surgeons 76 6.4% General Surgeons 36 3.0% "Others 23 1.9% Total 1,186 • From July 1995 . .. Others include referrals from Dermatology, Psychiatry, ENT and Gynaecology. SINEAD FEEHAN, Acting Principal Dietitian. 57 Department of Speech & Language Therapy Over the last year there have been notabte developments in the Speech & Language Therapy Department. With a significant increase in our caseload and in the number of referrals to the Department an additional part-time position was assigned to Neurology in May, 1995. This has allowed more time for the development of our services to the ENT Department. In September, funding was obtained to investigate the feasibility of a hospital-based domiciliary speech & language therapy service. Currently there are no established posts of this nature in the Republic of Ireland although the need is great. This project is due for completion in February 1996 with a submission of our findings for publication. At the end of 1995 we received confirmation that the videostroboscopy equipment urgently required to provide a comprehensive service to voice patients presenting in the ENT Clinic, had been sanctioned. This will allow us to provide more accurate assessment and treatment in line with other teaching hospitals. We hope it will also prove a useful teaching and research tool. Statistics From January to December, 1995, 102 in-patients and 92 out-patients were referred for assessment. This reflects· an increase of 26% on the previous year. The main sources of these referrals were as follows: Consultant No. of Referrals Dr. Murphy 80 Mr. McShane 60 Prof. Tomkin 20 Prof. Graham 11 Others 23 Total 194 Education Saibh Ni Loingsigh attended an advanced course in London, on the Evaluation and Treatment of Swallowing Disorders. Margaret Walshe attended a further course in Waterford, on the use of cervical auscultation in the assessment of dysphagia. She also attended the International conference in MND held in Dublin in October, 1995. Throughout the year lectures were given by the Speech & Language Therapists to student nurses in the area of communication and swallowing. A short lecture on dysphagia was also given at the National Conference in MND in November, 1995. 58 Department of Speech & Language Therapy Proposed Developments for 1996 We hope to continue to develop and improve our service to patients in 1996 particularly through the use of the videostroboscopy equipment. Apart from the obvious benefits to voice patients, we would hope to extend its use with dysphagia thus minimising the need to send some patients for videofluoroscopy to the Meath. The running of groups as an alternative method of providing therapy for voice and dysarthric patients is also proposed. In September, t 996 an introductory course in Dysphagia is planned for Speech & Language Therapists. The course was initially run by us in t 993'and proved to be very successful. Two major obstacles remain in the way of our development in terms,of patient activity: 1 . The limited accommodation curtails the amount of patient activity possible with only one treatment room/office shared by both therapists. The'main implication of this is that both therapists cannot see out-patients at the same time or do administrative work without interruption. This has also made the teaching of students impossible in the past year. It is hoped that this matter will be dealt with in 1996. . 2. The lack of secretarial support means that a lot of valuable clinical time is spent on carrying out activities such as photocopying, filing, making appointments and typing patient programmes and letters. At the end of a busy and fulfilling year we are extremely indebted to all the hospital staff who have supported us in 1995. MARGARET WALSHE, Speech & Language Therapist. EMIR MURPHY, Acting Senior Speech & Language Therapist. 59 Chaplaincy Report The Chaplaincy Committee met several times in the course of the year to work out both policy matters and the details of the chaplaincy department in the light of the merging of three hospitals in Tallaght in 1997. This was a very necessary and worthwhile undertaking. The Chaplains are greatly indebted to Dr. Fergus O'Ferrall for his initiative, solid input, and transparent interest in the work of the chaplaincy. _ Partly as a consequence of these meetings, the chaplaincy team held a number of informal meetings among ourselves, which certainly served to strengthen friendship and co-operation between us: we are no longer just ships passing in the night. One material result of this was the production of a mutually-agreed pamphlet containing prayers and information about the chaplaincy, which we issue to patients on the occasion of our initial visits. We are grateful to the hospital for printing these. The chaplains greatly valued the opportunity to meet informally with the new student nurses. I hope that some way may be found to continue these contacts once the degree courses begin. As ever, the Annual Carol Service was very well attended - 120 in all. During the year I have also advertised the Adelaide Chapel Services in the Saturday issue of The Irish Times, with the result that patients' families sometimes join our Sunday morning service. In general the Chaplains are satisfied that their concerns are being heard. The continued lack of access to patient lists outside office hours is, however, still a matter of considerable frustration, not to say mystification. In a hectic centre-city parish with the care of five hospitals, the port, and a church that functions literally day and night for six days a week, it is often impossible to do hospital visits in office hours. At B a.m. this means badgering busy nurses and interrupting ward meetings. And it costs precious time. That said, we would all agree that it is a privilege to minister in the Adelaide. CANON ADRIAN EMPEY, Chaplain. 60 Canon R.H. Dowse Adelaide Scholarship Trust Trustees Mr. Richard Hewat Chairrrian Mr. David FitzPatrick Secretary Mr. Bruce Lyster Treasurer Sister Hilary Daly Liaison Officer The Trustees of the Canon Dowse Fund met on two occasions during 1995. In February the accounts for 1994 were presented and adopted by the Treasurer and it was noted that arrangements were in hand to reclaim tax already paid. At a further meeting in September it was noted that a tax refund of £537.00 had been obtained. A vote of thanks to Canon Empey of SI. Anne's Church was passed for a kind donation of £200.00 Grants totalling £1 ,550 were made to members of the Nursing staff during the . year. The Committee continues to disperse grants to assist Adelaide trained nurses in post graduate studies. Such dispersements are decided at the September meeting of the Trustees. Applications for grants should be made to Sister Daly, who acts as Liaison Officer between the nurses and 'the Trustees, and is herself a Trustee. .' " The Fund would not be in a position to offer these grants without the assistance of its many donors. Any further donations will, of course, be gratefully received and should be sent to the Treasurer at the Hospital. D. J. FITZPATRICK, Honorary Secretary. . , 61 Linen Guild Report COMMITTEE Chairman: Mrs. R. Christie Honorary Secretary: Mrs. M. Wilson Honorary Treasurer: Mrs. S. Paul Miss Y. P. Seville (Matron) Dr. R. Bewley Dr.H. McKelvie Mrs. C. Bond Mrs. J. Mawhinney Mrs. E: Brewster Mrs. S. Mitchell Mrs. A. Clarke Mrs. W. Nelson Mrs. B. Cooper Mrs. E. Paterson Mrs. S. Comiskey Mrs. S. Pedlow Mrs. H. Cran Mrs. J. Robinson Mrs. K. Crean Mrs. S. Simpson Mrs. E. Cronhelm Mrs. M. Stone Mrs. S. Fenelon Mrs. F. Tomkin Mrs. H, Foley Mrs. J. Webb Mrs. E. Herron Mrs. A. Wilkie Mrs. J. Johnston Mrs. D. Wilson Mrs. Brownlee retired and we welcomed Mrs. Simpson and also Mrs. Pedlow who replaced Mrs. French as our liaison with the Board. We regret to record the death of Mrs. V. Simpson, a long serving member of the Linen Guild. A fund has been opened in her memory. The Linen Guild contributed £7,052 towards the completion of the Oncology Unit on Landing 1. Matron requested 3 sigma pumps for the wards and a new television/video for the nurses home. The total cost of these items was £3,993. The Physiotherapy Department were presented with equipment costing £960. The Beethoven Concert, in june, given by the Dubiin Symphony Orchestra with pianist Stuart O'Sullivan was very well attended. The venue was the Examination Hall, Trinity College. From the proceeds we were able to present Prof. Ian Graham with a cheque for £4,000 towards the Adelaide Heart Appeal. The concert was preceded by a wine reception in the Atrium where we entertained the orchestra afterwards. Warm thanks are due to the generosity of the Dublin Symphony Orchestra and to the committee for all the hard work which made the evening such an enjoyable and successful occasion. 62 Linen Guild Report This year we ran our Sale in October at the Royal Hospital, Donnybrook. £3,570 was raised of which £1,380 was realised at Mrs. Stone's pre-sale coffee morning. We thank her once again for this wonderiul contribution. We greatly appreciate Mr. Dick Tennant's assistance in the running of the sale. The Book Barrow Stall raised £1,220 and we thank Mr. and Mrs. Mawhinney, Mrs. A. Clarke and Mrs. A. Wilkie for their continued interest and dedication. Books, always required, can be given to any committee member or ring 2955415 or 2982103. We record our gratitude for the generous donations received this year including those from Birr and Rathfarnham parishes. We entertained the Meath and the National Children's Hospital Ladies Guilds to coffee early in the year and the National Children's Hospital Ladies hosted a very enjoyable evening in October. A small steering committee is envisaged, drawn from the three Guilds, to consider future joint projects for the new Adelaide Meath incorporating the National Children's Hospital at Tallaght. We are grateful to Mrs. J. Johnson for organising the tea-bar and to Messrs. Ormsby & Rhodes for preparing our accounts. Lastly, my own warm thanks and appreciation go to Mrs. Marian Wilson (Honorary Secretary) and to Mrs. Susan Paul (Honorary Treasurer) for their wonderiul assistance and invaluable support during the year. RUTH CHRISTIE, Chairman. 63 Linen Guild RECEIPTS AND PAYMENTS ACCOUNT YEAR ENDED 31 DECEMBER 1995 1995 1994 RECEIPTS IR£ IR£ IR£ IR£ Members' lund raising 208 Concert 3,984 1,902 Christmas bazaar 3,325 Autumn bazaar 3,491 Book barrow fair 1,220 1,612 Donations: Rathfamham Parish 160 160 Birr Parish 100 50 Vi Simpson Memorial 501 Anonymous 390 1,004 Bank deposit interest 20 7 9,866 8,268 PAYMENTS Curtains 1,182 Shower and blinds 4,075 Chairs 766 Physiotherapy equipment 960 Oncology ward 6,287 Stigma pumps 3,993 TV and video for nursing school 818 Heart Appeal 4,000 16,824 5,257 Postage and stationery 30 Bank charges 19 26 Miscellaneous expenses 56 65 16,899 5,378 Excess of payment over receipts (7,033) 2,890 Bank balance at 1 January 1995 8,964 6,074 Less: Excess of payments over receipts (7,033) 2,890 Bank balance at 31 December 1995 1,931 . 8,964 ACCOUNTANTS'REPORT We have prepared the above receipts and payments account of the Adelaide Hospital Linen Guild from the books and vouchers submitted to us and confirm that they are in accordance therewith. ORMSBY & RHODES Dublin, 10 January 1996 Chartered Accountants, Registered Auditors 64 Nurses League Report The 55th Annual General Meeting of the Adelaide Hospital Nurses' League was held on Friday, 13th October, 1995 in the Boardroom of the Hospital preceded by a service in the Chapel taken by Canon Adrian Empey. There were fifty-six members present and twelve apologies were received. The membership of the League now registers at just under seven hundred. The four branches of the League have re-unions every year but sadly the Scottish Branch seems to be in decline. This seems to be mainly due to the fact that very few Adelaide nurses now go to Scotland to do their midwifery. Mrs. Jill Pearson (nee Rice) took up the office of Honorary Secretary of the London Branch in May of this year. The Executive Committee welcome Mrs. Pearson and extend its appreciation to Mrs. Gillian Gailey, the outgoing Secretary, for all the hard work which she has done in the past. We thank the Branches for sending donations to the Benevolent Fund. The Benevolent Sale held in March brought in over £1,700. A good result and "thank you" to helpers and those that attended on an extremely frosty day! Our Benevolent Fund continues to support members in need of help also a donation of £300 was made to the Nation's Tribute to Nurses. The Hospital Shop is now well situated in the front hall. The League no longer operate a Trolley Shop and a special word of thanks must be given to the dedicated volunteers who for many years gave such help and support in running the Trolley Shop. It was a very worthwhile service to patients. As this service has closed down a donation of £500 was given to the Adelaide Heart Appeal - this will be our last from this source. At the General Meeting the President, Mrs. Daphne Henly, thanked the Matron and all the hard working committee members for their commitment during the year and especially to retiring members, Miss Betty Doran and Mrs. Diana Allen. Two new committee members were elected Miss Jean Kinch and Mrs. Avril Carroll. We welcome them onto the Committee. All newly qualified nurses are encouraged to join us and participate in the fellowship that the League has to offer. Finally, the Nurses' League looks forward to celebrating its 50th Anniversary in 1996. This may seem a little strange as this is the 55th General Meeting report but the fact is, that in the early years of the League more than one General Meeting was held in a year. HILARY DALY, Honorary Secretary. Mrs. Daphne Henly President Mrs. Eileen McBain Immediate Past President Miss Yvonne Seville Vice President/Matron Mrs. Hilary Daly Honorary Secretary Mrs. Sandra Leeson Honorary Treasurer Mrs. Fiona Ashe, Mrs. Phyllis Whyte Mrs. Anne Tanner, Miss Jean Kinch, Mrs. Avril Carroll 65 The Association of Old Adelaide Students Report on the Medical Association of the Adelaide and Meath Hospitals Incorporating The National Children's Hospital to be known as The Tallaght Hospital Medical Association. The annual general meeting of the Association of Old Adelaide Students took place on 16th June, 1995. The President, Mr. David FitzPatrick, welcomed Mrs. Rosemary French and Dr. O'Ferrall to the meeting. Mr. Michael Pegum has taken over the editorship of the Journal from Dr. Clive Lee. The main item of the annUal meeting was to consider changing the name of the Association and following discussions it was decided to defer any decision until the holding of an extraordinary general meeting to be held on 6th September, 1995. At'this extraordinary general meeting it was decided that the name of the new association should be The Medical Association of the Adelaide and Meath Hospital incorporating the National Children's Hospital to be known as the Tallaght Hospital Medical Association. The Association will incorporate and succeed the Association of Old Adelaide Students founded by Dr. Sheila Kenny in 1957 together with its finances and assets. Membership of the Association will be open to students, past and current medical staff of the Adelaide, Meath incorporating the National' Children's Hopsital at Tallaght and of the Meath, Adelaide and National Children's Hospitals. Joanna Prescott was given a Research Grant to carry out a project on low density lipoprotein size and composition and the second award was given to Caira McDonnell to study the relaionship betwen inflammatory bowel disease and appendectomy. The Travel Awards were given to a joint application from Darrach Paul Brennan and Eithna Cronin to visit Papua, New Guinea. The annual dinner will take place on 2nd February, 1996. PROF. G.H. TOMKIN, Consultant Physician. 66 Publications DEPARTMENT OF CARDIOLOGY O'Caliaghan P.A., Comerford D.M., Graham I.,Higgins I, Daly L.E., Robinson K., McLouglin M., Hickey N., Walsh M.J. "National Perspecive of Acute Coronary Care in the Republic of Ireland" Br. Heart J. 1995; 73: 576·580 Murray P., Shelley E., Daly L., Collins C., Wallace B., Conroy R., Graham I. "Promoting a Healthy Lifestyle through Public Communication: Experiences and Results of the Kilkenny Health Project". On behalf of the Scientific Committee of the Kilkenny Health Project. Ir. Comm. Review 1995; 4:30·40 Pyorala K., de Backer G., Graham I., Pool-Wilson P., Wood D. "Prevention de la maladie coronarienne en pratique clinique" Archives des maladies du Coeur et des Vaisseaux. Supplement au No.1 0 1995; 88: 1493-1542. Murray P., Shelley E., Daly L., Collins C., Conroy R., Graham I. "Target Audience Penetration by a Healthy Lifestyle Promotion Programme: Results from the Kilkenny Heatlh Project" Eco. & Soc. Review 1995; 26: 261-282. Meleady R.A., Graham I.M. "Homocysteine as a Risk Factor for Coronary Artery Disease" J. Cardiovascular Risk 1995: 2: 216-221. Kozich V., Kraus E., deFranchis R., Fowler B., Boers G.H.J., Graham I., Kraus J.P. "Hyperhomocysteinemia in Premature Arterial Disease: Examination of Cystathionine B-Synthase Alleses at the Molecular Level". Hum Molec Genet 1995; 4: 623-629. Shelley E., Daly L., Collins C., Cristie M., Conroy R., Givney M., Hickey N., Kelleher C., Kilcoyne D., Lee P., Mulcahy R., Murray P., O'Dwyer T., Radic A., Graham I. "Cardiovascular Risk Factor Changes in the Kilkenny Health Project" Eur. Heart J. 1995; 16: 752-760. Meleady R., Daly L., Verhoef P., Graham I. for the EC Concerted Action Project Homocysteine and Vascular Disease. "Homocysteine - a strong risk factor in women" Ir. J. Med. Sci. 1995; 164: 51. Meleady R., Daly L., Graham I. for the EC Concerted Action Project: Homocysteine and Vascular Disease. "Homocysteine and Vascular Disease: are Vitamins Protective?" Eur. Heart J.1995; 16 No. 740. 67 Publications Meleady R., Daly L., Graham I. for the EC Concerted Action Project: Homocysteine and Vascular Disease. "Homocysteine interacts with other risk factors to modify the risk of vascular disease". Eur. Heart J. 1995; 16 No. 1301 Daly L., Meleady R., Graham I. for the EC Concerted Action Project; Homocysteine and Vascular Disease. "Fasting or post·methionine load homocysteine: which determines vascular risk?" Eur. Heart J. 1995; 16: No. 1300. Meleady R., O'Brien C., Graham I. "Audiling CPR· Problems and Some Solutions". Proceedings of 15th All Ireland Social Medicine Meeting· Kilkenny. Oct. '95. Meleady R., Love J., Graham I. :Cardiovascular Risk Factors in Hospital Personnel". Proceedings of 15th All Ireland Social Medicine Meeting - Kilkenny. Oct '95. Meleady R., Daly L., Graham I. "Homocysteine - Do Vitamin Supplements Protect against Vascular Disease?" Proceedings of 15th All Ireland Social Medicine Meeting - Kilkenny. Oct. '95. Meleady R., Daly L., Verhoef P., Graham I. "Homocysteine· A Strong Risk Factor in Women". Proceedings of 15th All Ireland Social Medicine Meeting - Kilkenny. Oct. '95. Meleady R., Daly L., Graham I. "Homocysteine - Interaction effects with other Risk Factors for 'Vascular Disease'. Proceedings of 15th All Ireland Social Medicine Meeting - Kilkenny. Oct. '95. Mulcahy D., Knight C., Patel D., Curzen N., Cunningham D., Wright C., Clarke D., Purcell H., Sutton G., Fox K.M. Detection of ambulatory ischaemia is not of practical clinical value in the routine management of patients with· stable angina: a long-term follow·up study. EUL Heart J. 1995; 16: 317-24. Patel D.J., Mulcahy D., Norrier J., Sparrow J., Wright C., Ford I., Fox K.M. Does the exercise test protocol matter when assessing the anti-anginal effects of drug therapy? Eur. Heart J. 1995; 16: 1773-1779 68 Publications BOOK CHAPTERS Mulcahy D., Purcell H., Circadian variation in the incidence of transient myocardial ischemia. In: Triggering 01 acute coronary syndromes - implications for prevention. Kluwer Acadamic Publishers 1995. Eds. Willich S.N., Muller J.E. Pgs. 37-52. Mulcahy D., Quyyumi A.A. Clinical implication of circadian rhythms detected by ambulatory monitoring techniques. In: Noninvasive electrocardiology. W.B. Saunders Company 1995; Eds. Moss A., Stern S. Pgs. 493-508. (Abstracted) Presentations at International Scientific Meetings. Investigation of nitric oxide release from human coronary arteries with Substance P. 44th scientific sessions of the American College of Cardiology, New Orleans 1995. Long-term prognostic significance of treadmill ischaemia in "low-risk" patients with coronary artery disease. 44th scientific sessions of the American College of Cariology, New Orleans 1995. Women with coronary disease have the same diurnal distribution and underlying mechanism of ambulatory ischaemia as men - comparative study. XVllth Congress of the European Society of Cardiology, Amsterdam 1995. Importance of conventional risk stratification and influence of abrupt plague progression when assessing the long-term prognostic significance of ambulatory ischaemia. XVII Congress of the European Society of Cariodlogy Amsterdam 1995 . . Importance of conventional risk stratification and influence of abrupt plague progression when assessing the long-term prognostic significance of ambulatory ischaemia. XVII Congress of the European Society of Cardiology' Amsterdam 1995. Prognostic· significance of a positive exercise test for ischaemia in "low-risk" patients with proven coronary artery disease. A long-term follow-up study. XVllth congress of the European Society of Cardiology Amsterdam 1995. Routine assessment of patients with stable angina on the basis of symptoms alone is flawed. XVllth Congress of the European Society of Cardiology Amsterdam 1995. Recurrent transient ishaemic episodes during daily life do not cause deterioration in left ventricular function - a long-term follow-up study. XVIIth Congress of the European Society of Cardiology Amsterdam 1995. In vivo nitric oxide activity in human saphenous vein grafts. 68th Scientific Sessions American Heart Association, Anaheim 1995. 69 Publications Routine assessment of patients with stable angina on the basis of symptoms alone is flawed. 68th Scientific Sessions American Heart Association, Anaheim 1995. Long-term (4-6 year) variability of exercise testing in stable angina patients who do not suffer an intervening cardiac event. 68th Scientific Sessions American Heart Association, Anaheim 1995. Nitric oxide activity in the human coronary and peripheral circulation. 68th Scientific Sessions American Heart Association, Anaheim 1995. DEPARTMENT OF NEUROLOGY Hutchinson M., O'Riordan J" Javed M., Quin E., et al - Familial Hemiplegic Migraine and Autosomal Dominant Arteriopathy with Leukoencephalopathy (Cadasil). Annals of Neurology, Vol. 38, No.5, Nov. '95817-824. Murphy R. (editorial panel) MIMS for Neurologists. 2nd edition. O'Riordan J.I., Javed M., Hutchinson M., Murphy R.P. - Sneddon's syndrome. I.M.J. VoL88; 1995: 1, ps. 8-11. McGilloway E., Murphy R,P, - Drug management of epilepsy. I.Med Times. Sept. 95 ps. 20. Murphy R.P.; Treatment of Multiple Sclerosis. Mod. Med. of Ireland. Vol. 25. Nov. 95 ps. 48-53. Murphy R.P.: The new anti-epileptic drugs. I.M.J. Nov/Dec. 1995 Vol. 88 NO.6. 198-199. Taylor J., Chadwick D.W., Johnson T., (Murphy, R.P.). Accident experience and notification rates in people with recent seizures, epilepsy or undiagnosed episodes of loss of consciousness. Q.J. Med., 1995:88:733-740. Buckley P., Hutchinson M, Editorial. The neuroleptic malignant syndrome. J. Neurol. Neurosurg. Psychiatry 1995:58:271-273. Hutchinson J., Hutchinson M, The functional limitations profile may be a valid, reliable and sensitive measure of disability in multiple schlerosis. J. Neurol. 1995:242:650-657. 70 Publications Hutchinson M., O'Riordan J., Javed M., Quinn E., Macerlaine D., Willcox T., Parfrey N., Nagy T.G., Tournier-Lassarve E. Familial hemiplegic migraine and autosoma'l dominant arteriopathy with leu ken cephalopathy. Ann. Neurol. 1995:38:817-824. O'Riordan J.,Javed M., Doherty C., Brophy D., Hutchinson M., Quinlan D. Do alpha blockers have a role in lower urinary tract dysfunction in multiple sclerosis? J. Urology 1995:153:1114·1116. Skehan S.J., Hutchinson M., MacErlaine D. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy: MR findings Am.J. NeuroradioI1995:16:2115·2119. PRESENTAnONS Murphy R.P., Chairman of session International Motor Neurone Disease Association. Dublin Nov. '95. '. Tubridy N., Hutchinson M., Murphy R.P. Transient Global Amnesia: A report of eight cases with particular reference to the phenomenon of "amnesia by the seaside". I.N.A. Cork May '95. Murphy R.P., Lecture to Parkinson's Disease Association 5.1.95. Murphy R.P., Lecture to Midlands G.P. Association Mullingar. Epilepsy. 9.1.95. Murphy R.P., lecture to M.S. Society 14.1.95. 71 Publications DEPARTMENT OF DERMATOLOGY PAPERS O'Toole E., O'Brian D.S., Young M.M. Clinico·pathological h,mturesot. small diameter malignant melanoma. B.J.D. Supplement (Abstract) Vol. 133;23. O'Toole E., Graham D., Young M.M.,.O'Brian D.S. The role ot. Apoptosis in different sub·types 01 malignant melanoma. B.J.D. Supplement (Abstract) Vol. 133;23. DEPARTMENT OF PSYCHIATRY RESEARCH 1. Experience 01. Liaison Psychiatry in a Dublin Teaching Hospital. Tyrrell, J; Eades, S; Bourke, M.P.; Murphy, D; McKay, A - t.or submission. 2. Relationships between Alexithymia and Psychological Traits Associated with Eating Disorders. Taylor, G.J.; Bourke, M.P.; Parker, J.D.; Bagby, R.M. International Journal ot. Eating Disorders. Submitted 1995. 72 Publications DEPARTMENT OF GASTROENTEROLOGY ARTICLES: Buckley M., 6 Morain C. Pevalence of Helicobacter pylori in non-ulcer dyspepsia. Alimentary Pharmacology & Therapeutics 1995; 953-58. O'Dwyer G., Buckley M., 6 Morain C., Fitzpatrick G. Multiple organ dysfunction following ingestion of Methylenedicixy-amphetamine (MDA) Clinical Intensive Care 1995; 6; 181-183. Buckley M., 6 Morain C. Helicobacter pylori and gastric cancer. European J. of Cancer Prevention 1995; 4; 139-44. Buckley M., 6 Morain C. Eradication of Helicobacter pylori; Whom and How? Irish Doctor 1995; 7; 18-21. Buckley M., 6 Morain C. Diet, fibre and colorectal cancer. Modem Medicine of Ireland 1995; 25; 10-12. Buckley M., 6 Morain C. Helicobacter pylori infection and gastric cancer: Usefulness of screening high risk groups. Acta gastro-Enterologica Belgica1995; 56; 362-67. Buckley M., 6 Morain C. The management of dyspepsia. Irish Doctor 1995; (Suppl.); 1-7. McCarthy C., Patchett 5., Collins R.M., Beattie 5., Keane C., 6 Morain C. Long-term prospective study of Helicobacter pylori in non-ulcer dyspepsia. Dig. Dis. Sci. 1995; 40; 114~9. Buckley M., 6 Morain C. New Frontiers in Helicobacter pylori. Modem medicine of Ireland 1995; 25; 16. 73 Publications Cahill R.J., Xia H.X., Kilgallen C., Beattie S., Hamilton H., 6 Morain C. Effect of eradication of Helicobacter pylori infection on gastric epithelial cell proliferation. Dig. Dis. Sci. 1995; 40; 1627·31. Xia H.X., Windle H.J., Marshall D.G., Smyth C.J., Keane C.T., 6 Morain C. Recrudescence of Helicobacter pylori after apparently successful eradication: novel application of randomly amplified polymorphic DNA fingerprinting. GUT 1995; 37; 30·34. Xia H.X., Gilvarry J., Beattie S., Hamilton H., Keane C.T., Sweeney E., 6 Morain C. Recrudescence of Helicobacter pylori infection in patients with healed duodenal ulcer after treatment with different regimes. American Journal of gastroenterology ·1995; 90; 1221·5. McCarthy M.J., McDermott M., Hourihane D., 6 Morain C.. Chemical gastritis induced by naproxen in the absence of Helicobacter pylori' infection. J. Clin. Pathol. 1995; 48; 61·3. Sant S.M., Cahill R.J., Gilvarry J., 6 Morain C. Do non·steroidal anti inflammatory drugs have an effect on gastric cell tumover. Alimentary Pharmacology & Therapeutics 1995; 9; 575·79. Labenz J., 6 Morain C. Eradication of Helicobacter pylori. Current Opinion in Gastroenterology 1995; 11; 47·51. McKenna C.J., Mills J.G., Goodwin C., Wood J.R. Combination of Ranitidine and Cisapride in the treatment of reflux oesophagitis. European Journal of gastroenterology & hepatology 1995; 7; 817·822: 6 Morain C., O'Sullivan M. Nutritional support in Crohn's disease; current status and future directions. J. Gastroenterol 1995; 30; 221·226. Buckley M. Treatment of Helicobacter pylori infection. Irish Medical News 1995; 12; 24·25. 74 Publications ABSTRACTS Buckley M., 6 Morain C. Helicobacter pylori infection and gastric cancer; Screening high risk groups. Acta gastro-Enterologica Belgica 1995; 58; G3. Keating 5., Morrison C., Buckley M., 6 Morain C. Heliccibacter Pylori eradication: A comparison of two regimes using Omeprazole and Amoxycillin. Irish Journal of Medical Science 1995; 164; 2; 180. Hyde D., Xia X., Buckley M., Keane C.T., 6 Morain C. Is the genetic diversity of Helicobacter pylori important for the clinical outcome of gastroduodenal diseases? Irish Medical Journal of Medical Science 1995; 164; 14-15. Scanlon C., Buckley M., McGurgan P., Morrison C., Montague 5., 6 Morain C. A validated symptom score for dyspepsia. Gastroenterology 1995; 108; A212. Buckley M., Keating 5., Xia H. Beattie 5., Hamilton C., 6 Morain C. Omeprazole plus one or two antibiotics to eradicate Helicobacter pylori. Gastroenterology 1995; 108; A63. Keating 5., Morrison 5., Buckley M., 6 Morain C. The use of Cyclosporin in the management of acute exacerbation of inflammatory bowel disease. Gastroenterology 1995; 108; Al86. Booth D., Keating 5., Buckley M., Crowe J., Kelleher D., Weir D.G., 6 Morain C. Maintainance treatment with 5-aminosalicylic acid compounds and renal disease. Gastroenterology 1995; 108; Al86. . 6 Morain C., logan R.P., and the Clarithromycin European Helicobacter Study Group Clarithromycin (Cl) in combination with Omeprazole (am) for healing of duodenal ulcers (DU), prevention of DU recurrence and eradication of H. pylori in two European studies. Gastroenterology t995; 108; A184. 75 Publications 6 Morain C., Schulz T.B., Tam C-Y., Dixon M.F., Quirke P., Duggan A.E. Ranitidine bismuth citrate with Amoxycillin for the eradication of Helicobacter pylori. GUT 1995; A42; 165. Buckley M., Xia H.X., 6 Morain C. A cost-effective. European approach to Helicobacter pylori eradication. GUT 1995; A91; 363. Buckley M., Xia H.X., 6 Morain C. A simplified reliable urea breath test. GUT 1995; A61; 242. 6 Morain C., Buckley M. Epidemiology of Helicobacter pyoli and its role in peptic ulcer disease. Seventh European Congress of Clinical Microbiology and Infectious Diseases, 1995; Proceedings; 6. O'Connor E., Buckley M., Sweeney E., 6 Morain C. Loss of Helicobacter pylori from the pre-malignant stomach. Gastroenterologica Clinica 1995; 8; 11. Axon ATR., 6 Morain C., Bardhan K.D., Crowe J., Lynch D., Dixon M.F., Tomkins D.S., Peacock A.A., Gillon K. Gastric Ulcer recurrence following treament for eradication of Helicobacter pylori. GUT 1995: A54: 216. O'Connor F., Sweeney E., 6 Morain C. Helicobacter pylori and subtypes of intestinal metaplasia in gastric antral mucosa. Ir. J. Med. Sci. 1995: 163; 255. Buckley M., 6 Morain C. Salicylates, steroids and immunosuppressants in Crohn's disease GaSlroenterology Digest 1995: 2: 14. Buckley M., Hamilton H., Beattie S., 6 Morain C. Non·invasive diagnosis of H.pylori infection; A simplified approach Ir. J. Med.1995: 18. Buckley M., Xia H.X., Hyde D., 6 Morain C. Cost effective H.pylori eradication Ir. J. Med. Sci.1995: 20. 76 Publications Xia H.X., Buckley M., Hyde D., Keane C.T., 6 Morain C. Effects of antibiotic· resistance on clarithromycin-combined triple therapy for Helicobacter pylori GUT 1995: 37 (Suppl. 1): 218. Buckley M., Xia H.X., Hyde D., 6 Morain C.. Cosl-effective approach to H.pylori eradication GUT 1995: 37: A175. Breslin N.P., Flynn 5., Balbirnie E., 6 Morain C. Validalion of an 'Office' serological test for Helicobacter pylori Ir. J. Med. Sci. 1995: 165. 6 Morain C., logan R.P.H. Clarithromycin (Cl) in combination with omeprazole (OM) for healing of duodenal ulcers (DU), prevenlion of DU recurrence, and eradication of H.pylori (HP) in two European Studies . GUT. 1995: A54: 13. Lind T., Veldhuzen van Zanten S.J.O., Unge P., Spiller R.C., Bayerdorlfer E., 6 Morain C .. , Wrangstadh M., Idstrom J.P., The MACH 1 Study: Optimal one-week treatment for H.pylori defined. GUT 1995;A4:15. 6 Morain C., Tam C-Y., Dixon M.F., Quirke P., Duggan A.E. GR122311 X (Ranitidine Bismuth Citrate) with Amoxyciliin for the eradication of Helicobacter pylori. GUT 1995;A42:165. Feighery C., Youngprapakorn 5., Srinivasan U., Willoughby R., leonard N. O'Farrelly C.', 6 Morain C., Weir D.G., Whelan C.A. Coeliac Disease - A missed diagnosis Irish Journal of Medical Science 1995:164:2:178. McEneaney P., 6 Morain C. Audit and the management of upper G.t. haemorrage in a Dublin Teaching Hospital Irish Journal of Medical Science 1995:164:2:176. 77 Publications CHAPTERS 6 Morain C., Buckley M. The role 01 Helicobacter pylori in peptic ulcer disease. 13th Panhellenic Congress of Gastroenterology Proceedings 1995; 14·16. Buckley M., 6 Morain C. Dyspepsia Non ulcerosa ed Helicobacter pylori. Helicobacter pylori Verso II 2000. Eds. Bianchi Porro G, Maconi G, Parente G. Pub I. libreria Cortina Verona 1995;115-121. Buckley M, 6 Morain C. Helicobacter pylori and gastric cancer First Hellenic Meeting on Helicobacter pylori. Proceedings book 1995;95 - 97. 6 Morain C. Procedure for assessment of the gastric epithelial cell kinetic using the bromodeoxyuridine (Brd U) immunohistochemical technique. In: Helicobacter pylori - techniques.for clinical diagnosis and basic research. Eds. Lee A, Megraud F. Publ. W.B. Saunders Ltd., London, Philadelphia. Toronto, Sydney, Tokyo. 78 Publications DEPARTMENT OF OTOLARYNGOLOGY Lacy P., TimonC., McShane D, Migrating foreign body; a unique cause of trismus. Journal of Laryngology & Otology, 1995: 109:990·1 Donnelly M., QuraishiM., McShane D, Study of ENT problems seen in general practice & the implications for GP training in ENT in Ireland. Irish Journal of Medical Science. 1995: 164(3):209-211. Kinsella J., O'Sullivan P., McShane D. The role of ear nose and throat in the aetiology of febrile convulsions. International Journal of Paediatric Otolaryngology, 1995:32: 153-157. Fenton J., Hone S., Gormley P, O'Dwyer T, Timon C., McShane D. Hypopharyngeal tumours may be missed on flexible oesophagogastroscopy, British Medical Journal, 1995: 311: 623-4. Hone S., Fenton J., Clarke E., Hamilton S., McShane D. The radio·opacity of fish bones: a cadaveric study. Clinical Otolaryngology, 1995: 20: 234-5 Browne J., Fenton J., Magee D., McShane D. Effects of bismuth subgallate on post tonsillectomy recovery in children. British Journal of Anaesthesia, 1995: 74: 97-98. Rowley H., Walshe M., McShane D., Fraser I., O'Dwyer T. Chondroradionecrosis of the larynx: still a diagnostic dilemma. Journal of Laryngology & Otology, 1995: 109: 218-20 79 Publications -, DEPARTMENT OF ANAESTHESIA RESEARCH Browne J" McGee D, Fitzpatrick G" Donnelly M, The Influence of Bismuth on post-operative complications after tonsillectomy' Presented at E.SA, Paris - June, 1995 Carroll M., Day F" Hennessy A., Cooney C. 'Patient. attitudes to peri-operative suppository administration for post-operative analgesia'. Paper submitted to British Medical Journal - September 1995. Carroll M., Cooney C. 'A case of massive inter-operative pulmonary embolism on open reduction of an acetabular fracture'. Submitted to the British Journal of Anaesthesia - September 1995. Shine M., Brown J" Fitzpatrick G., Donnelly M. 'Eutectic mixture of local anaesthesia prior to venepuncture. Presented at International Pain Symposium, Prague - 1995 Browne J., Donnelly M. A case report of inter-operative complications of laparoscopic hernia repair. Presented at Faculty Meeting - May 1995. Browne J. 'Anaesthetic for Thyroplasty'. Presented at the Registrar Prize Meeling. Published in C.J.A. - September 1995. Griffin M., Hughes D., Donnelly·M. 'Impact of pre versus post incisional high dose Alfentanyl on post operative pain in patients undergoing abdominal hysterectomy: . Presented at the Delaney Medal' May 1995. Submitted to 'Anaesthesia, and 'Analgesia'. 80 Publications DEPARTMENT OF ANAESTHESIA RESEARCH Laffey J., Fahey A., Fitzpatrick G., Donnelly M. 'Comparison of intravenous Pethidine and Lignocaine Gel in treatment of catheter spasm after urethral surgery. Accepled for presentation at the Internalional Anaesthelic Research Society, Boston Meeting· March 1996. Day F., McGee D., Fitzgerald G. 'Anaesthesia audit and assessment of the archive system'. Presented at Faculty Meeting - May 1995. RESEARCH IN PROGRESS Lydon A., Abrahams M., Doyle M., Donnelly M. 'Unexpected intolerance of change in ventilatory mode in long term ventilated patient'. Case'report in preparation. McCrory C., Cooney C. 'Ph changes'in Propofol with addition of other drugs'. McCrory C., Cooney C. 'Viscosity of local anaesthetic solutions'., DEPARTMENT OF RADIOLOGY Development and utilisation of mammography services in Ireland 1985 . 1991. Irish Journal of Medical Science 1995,164(2) .. 122-124 Bullimer J., Mcinerney, D. The planovalgus rheumatoid foot - is tibialis posterior tendon rupture a factor? , British Journal of Rheumatology 1995: 34 - 645-646 Masterson, E., Mulcahy, D., McElwain, J., Mcinerney, D. 81 Publications Development of hospital x-ray departments in Dublin A Century of Medical Radiation - an anthology. Anniversary Press. Dublin 1995.30-39 Mcinerney, D. Hamilton S, 1995. Book Review "Minimally invasive therapy of the liver and biliary system", By J.G. McNulty. Journal of the Irish Colleges of Physician and Surgeons. 199524,4. P.300. Hone, SW., Fenton, J .. Clarke, E., Hamilton. S., McShane. D .• 1995. The radio opacity of fishbones: a cadaveric study. Clinical Otolaryngology: 199520, 234-235. LECTURES Hamilton. S. Computed Tomography of the Head and Neck, C.T. course, College of Radiography. 1995. Hamilton, S. Computed Tomography of the Head and Neck. C.T. Refresher Course, Royal College of Surgeons in Ireland. 1995. DEPARTMENT OF RADIATION ONCOLOGY Pfister, Harrison, Strong, Shah, Spiro, Kraus, Armstrong, Zelefsky, Fass, Weiss, Wang, Schantz and Bosi. Organ function preservation in advanced oropharynx cancer. J. Clin. Oncol. 13. 671-680,1995. Armstrong, Zeiefsky, Leibel, Burman, Han, Harrison, Kutcher and Fuks. Strategy for dose escalation using 3-dimensional conformal radiation therapy for lung cancer.. . ,o,nnals of Onclogy. 6 .. 693-697,1995. Kuvshinoff, Armstrong, Schupak, Getradjman, Heffernan and Blumgart. Palliation of irresectable hilar cholangio-carcinoma with biliary drainage and radiotherpay: British Journal of Surgery. 82.1522-1525.1995. 82 Publications DEPARTMENT OF AGE-RELATED HEALTH CARE O'Neill D. Older drivers, age· related diseases' and physicians, enabling or policing? Ageing and Driving, ed Johansson K, Lundberg C. Karolinska Institute Press, Stockholm, 1995,67-72. O'Neill D. Syncope and driving. Syncope, P 325-331, ed Kenny RA London, Chapman Hall O'Neill D., Gerrard J., Surmon D.J., Wilcock G.K. Variability in scoring the Hachinski Ischaemic Score. Age and Ageing 1995, 24, 259-62. Pearsall T., O'Neill D., Wilcock G.K. Use of the Mini·Mental State Examination to determine the usefulness of subsequent cognitive assessment in moderately to severely demented subjects. International Journal of Geriatric Psychiatry 1995, 10, 975·60 Bergin C., Goh J., O'Reilly M., O'Neill D., Mulcahy F. Incidence of sexually transmitted disease amongst an elderly cohort attending a Genito-Urinary Medicine Clinic. J. Eur. Academy of Dermatology and Venereology 1995: 5(3). P216·221. (in press). O'Neill D. Drive.on. enabling patients to drive is also important. British Medical Journal 1995, 311, 1162-3 Kyne L., Moran A., Keane C., O'Neill D. Nosocomial diarrhoea and the elderly in a general hospital. J. Amer. Geriatr. Soc. 1995,43, SA15. O'Neill D., Crosby T., Shaw A., Haigh R., Hendra T. The older drive and fitness to drive. J. Amer. Geriatr. Soc. 1995, 43, SA 1 7. 83 Publications Cunningham C., Horgan F., Keane N., Connolly P., Mannion A., O'Neill D. Detection of disability by the multi·disciplinary team. J. Amer. Geriatr: Soc. 1995.43, SAl 1. Kyne L., Moran A., Keane C., O'Neill D. The elderly and hospital·acquired diarrhoea. a high-risk group. Age &Ageing 1995,24 (Suppl 2), PI ? Kyne L., Moran A., Keane C., O'Neill D. Hospital-acquired diarrhoea - are the elderly more at risk? Irish Journal of Medical Science 199.5, 164 (Suppi 14), Pl? Horgan N., Barragry J.M., O'Neill D. Cognitive function in older diabetic outpatients. Irish Journal of Medical Science 1995, 164 (SuppI14), P1S. 84 The Adelaide Hospital Society Seroing healtJu:are since 1839 PATRONS The Most Rev. RHA. Eames, Archbishop of Armagh and Primate of All Ireland. The Right Rev. John Ross, B.A., D.o. Moderator of the General Assembly. The Presbyterian Church of Ireland. The Rev. Christopher G. Walpole, President of the Methodist Church in Ireland. 85 Adelaide Hospital Society Notice is hereby given that the First Annual General Meeting under the Memorandum and Articles of Association will be held in the Board Room at 2.15 Pm on Wednesday 8th May, 1996 to transact the following business: 1. The Declaration of the appointment of the President. 2. Receive the Annual Report of the Board. 3. Receive the Annual Report of the Honorary Treasurer and the audited accounts. 4. Re-appointment of Auditors. 5. Declaration of the appointment of Governors. Fergus O'Ferrall (Dr) Company Secretary 86 Board of Management President Mr. R. Ian Morrison Vice Presidents Mrs. H. R. Blakeney Mrs. B. Somerville- Large Mr. Basil E. Booth Mr.Eric Fenelon Mrs. R. E Boothman Chairman Mrs. Rosemary French Vice - Chairman Prof Ian M Graham Hon. Treasurer Mr. R. D. Burry Members of the Board Mrs. Jane Baker The Ven. G. C. S. Linney Mrs. Shirley Bewley Mr. B. Lyster Mr. G. Harold Bleakley Prof. David McConnell Mrs. Thea Boyle Mr. Justice Brian McCracken Comdt. Arthur Cronhelm Mr. Norman D. Odium Dr. l. Diskin Prof T. O'Dowd Rev. George Ferguson Mrs. Janet Pasley Mrs: V. Harty Mrs. S. Pedlow Mr. J. R. B. Hewat Dr. John Reid Mr. D.R. Hinds Mr John N. Ross Mrs. T. Jackson Dr. David E. Thomas Mr. M. Knatchbull Prof. G. H. Tomkin Mr. N. Koumarianos Mr. A. Vincent Director Fergus O'Ferrall 87 The Adelaide Hospital Society The Society,as a voluntary charitable organisation, supports the Adelaide Hospital, evoking public support throughout Ireland for a public voluntary teaching hospital which provides the highest quality of healthcare especially for the poor of every denomination and which fosters an inclusive approach to medical practice, treating each patient as they would wish. It provides a means for the participation of members of the Protestant Churches in the Irish health services and welcomes support from all who value the tradition of the Adelaide Hospital's commitment to healthcare since 1839. The Adelaide Hospital Society is incorporated as a limited liability company (No: 224404) and is a recognised charity (Charity No: 11153), with its registered office at Peter Street, Dublin 8. The Society is composed of Life and Annual Governors and is managed by a Board of Management, appointed from amongst the Governors. The Governors are appointed from the membership of the Society which is open to all who wish to support the work of the Society. Members pay an annual subscription to the Society. The Adelaide and Meath Hospital Dublin, Incorporating the National Children'S Hospital 1995 was a year of historic and exciting preparation for the new Adelaide and Meath Hospital, Dublin, Incorporating the National Children'S Hospital, currently being built at Tallaght, Dublin 24. The Adelaide Hospital Society has played a crucial role in 1995 in laying the basis for the new Hospital so that it will be a public voluntary university teaching hospital, committed to excellence and the highest quaiity of patient care. The following significant steps in preparation were taken by the Society during 1995: . • The approval of a Strategic Plan 1995 - 2000 to govem the development of the Society in the period ahead. . • The approval of the Cy pres application by the Society in the High Court to vest the property and the voluntary funds of the Adelaide Hospital in the Society. • The approval by the three base Hospitals of the draft amended Charter for the new Hospital and the formal application by the Adelaide Hospital to the Minister for Health, Mr Michael Noonan T.D., to amend the Charter of the Adelaide Hospital, Dublin accordingly. aa The Adelaide Hospital Society • The appointment of the members of the Board Designate of the Adelaide and Meath Hospital, Dublin, Incorporating the National Children's Hospital, including the six representatives of the Adelaide Hospital Society as follows: Mrs. Rosemary French, Prof. Ian Graham, Mrs. Meg Jackson, Archdeacon Gordon Linney, Prof. David McConnell and Dr. FergusO'Ferrali. The Society looks forward to the early passage of the legal instruments through the Oireachtas and the vesting of the Board Designate with full powers under the amended Charter. • The decision to proceed in 1996, with the new Nursing Degree / Diploma course in conjunction with Trinity College, Dublin, marks a historic milestone in the development of the nursing profession. The Society gave much consideration to the detailed arrangements through which it will fulfil its responsibilities to nominate up to 40 suitable applicants each year to the School of Nursing for this new third level programme. The Contribution of the Society to the Hospital. The Adelaide Heart Appeal '95. A major voluntary effort by members of the Society and supporters of the Adelaide Hospital in 1995, led to the very successful Adelaide Heart Appeal '95. In January the target of £100,000 was set as the figure to be raised within the year in order to re-equip the Cardiac Care Unit and to secure vital new equipment for the Department of Cardiology. It was agreed with the Department of Health that each pound raised would be matched by another pound from the Department. With the great nation-wide support evoked by the Appeal and with the wonderful enthusiasm by all the staff of the Hospital the total value of the equipment which will be purchased is £241,901. This was a magnificent achievement and keeps our Department of Cardiology in the very forefront of care, development and research. In particular we are able to purchase a new Cardiac Ultrasound system including the facility for oesophageal echocardiography in which Dr. David Mulcahy, Cardiologist, has special expertise. 89 The Adelaide Hospital Society The Society would like to record its appreciation of all who supported the Adelaide Heart Appeal '95. The following were our main sponsors during the Appeal: • Deloitte and Touche, Chartered Accountants • Hewlett Packard / Cardiac Services • Munster Simms Engineering Ltd. • Symmons Ltd. • Hamilton Osborne King • Wiggins Teape Ireland Ltd. • Amongst the major events for the Appeal were: • The launch in the Mansion House by the Lord Mayor in January • The Mozart concert with the University of Dublin Choral Society and the University Chorale of Boston College, USA, in SI. Patrick's Cathedral in March. • The Linen Guild concert in the Examination Hall Trinity College, Dublin, in June, with the Dublin Symphony Orchestra. • The Summer Sale in June. • The Adelaide "Sail Around Ireland" during July / August. • The major Irish Art Exhibition in the new Civic Offices organised with the help of Distinguished Artists Gallery, Molesworth Street, Dublin, in October. Supporting these were a vast range of many successful local events throughout Ireland organised by members and supporters of the Adelaide. Voluntary Effort helps ensure quality of Patient Care. The Adelaide Hospital Society is fortunate to be supported by wonderful voluntary groups and organisations. The Linen Guild, The Adelaide Hospital Nurses' League, the Ladies Tea Bar Committee, the Summer Sale Committee and many other voluntary agencies work throughout the year to· support the work of the Hospital and to meet special needs. The great support evoked by Matron's Pound Day is another example of the voluntary support which makes the Adelaide so special. A particular word of thanks also to those who organised Services of WorShip in various churches during the year in which the work of the Adelaide Hospital was highlighted. The Adelaide Hospital Service in SI. Brendan's Church, Birr on 8th May, 1995 was again a source of blessing and encouragement and our best thanks to Archdeacon D.L. Keegan for this special occasion. 90 The Adelaide Hospital Society Local meetings in support of the Adelaide Throughout 1995 meetings were held under the kind auspices of the following: • Mothers Union, Ballycanew Old School, Co. Wexford. • Church of Ireland Men's Society, St. Molua's, Church Hall, Dundonald, Belfast. • "Over 55" Club Crumlin Parish, Dublin. Mothers'Union Blessington, Co. Wicklow. Rathmichael Parish, Shankill, Co. Dublin. Mothers'Union, Virginia, Co. Cavan. Methodist Women's Association, Wesley House, Leeson Park, Dublin. "The Wednesday Club", Rathfarnham Parish, Dublin. Gilnahirk Presbyterian Church, Belfasl. Kingscourt Parishes Mothers' Union, Kingscourt, Co. Cavan. Mothers' Union, Tallaght, Co. Dublin. Mothers' Union, Taney Parish, Dublin. Presbyterian Church, Ballindrait and Raphoe Co. Donegal. Speech and Language Therapy Project The Society received a grant of £2,000 from Monkstown Hospital Foundation and raised a further £3,700 to facilitate a pioneering Outreach Project in Speech and Language Therapy. This enabled our therapists to assist patients in their own homes, particularly those with swallowing disorders. We acknowledge the support of Monkstown Hospital Foundation with gratitude. Newsletter of the Society The Newsletter introduced in 1994 was continued during 1995 and has been warmly received. It has a circulation of 3000 copies and it is produced twice a year. Promotional Gifts A range of attractive Adelaide Hospital Society gifts were developed and have proved very popular and'assist in our fund raising and promotion of the Society. Membership The membership of the Society stood at 413 on the 31 st December 1995. New members are most welcome and may apply to join by writing to The Director, The Adelaide Hospital Society, Peter Street, Dublin 8. 91 Life Governors Anderson, J.C.P. Linney, The Venerable G. C. S. Baker, Mrs. J. McCollum, S.T. Beesley, W.H. McComas, S.K. Blakeney, Mrs. J. McConnell, Prof, D.J. Bleakley, G.H McCullagh, Robert Booth, Basil E Mitchell, Dr. D.M. Boothman, Mrs. R.E. Morrison, R.1. Briggs, G.D. Moss, G.P. Burry, R.D. Myerscough, RobertS. Com ish-Browne, Mrs. Odium, N.D. Cronhelm, Comdt. A. Pasley, Mrs. Janet Farrell, Mrs. A.P. Reid, Dr. J. Fenelon, Eric Ross, J. Ferguson, Rev. G.W. French, Mrs. Rosemary Somerville - Large, Mrs. B. Stringer, W.J. Graeme-Cook, D. Strong, C.H. Harty, Mrs. V. Thomas, Dr. D.E. Hewat, J.R.B. Tomkin, Prof G.H. Hinds, R. Jackson, Mrs. T. Jupe, Rev. Derek R. 92 Governors Alford, Rev. Wm. Keane, Prof, F.B.V. Knatchbull, M. Ballagh, Judge Thomas Koumarianos, Mr. N. Bewley, Mrs. Shirley Bewley, W. F. Lynam-Loane, Anthony Boyle, Mrs. Thea Lyster, Bruce Buchanan, Dr Joan McAdams, Mrs. Evelyn B. Cairns, MissH.M. Mcinerney, Dr David Carroll, Harry McKelvie, Dr Helen Watson Crowley, Dr. Patricia McShane, Donald P. Millar, Mrs. M.E. Dick, J.R. Diskin, Dr. Liam O'Dowd, Prof T. Dowling, Frank E. O'Ferrall, Dr. Fergus Dowse, Mrs. R.H. 6 Morain, Prof C.A. FitzPatrick, David Pedlow, Mrs. S. Graham, Prof Ian M. Phillips, Kenneth J. Hamilton, Dr. S. Pope, Mrs. Patricia Henry, Senator Dr. Mary Holt, Samuel, J.P. Sweeney, Mrs. Irene Hunt, Mrs. K.I. Tanner, W. Arthur Vincent, Arthur 93 Members Aalen, Mrs. Beth Browne, Mr. J.D. Kirwan Abraira, Mrs. Joy Browne, Mrs. Dorothy Adams, Ms. Valerie Bruton, Mrs. Joan Alexander, Mrs. Adelaide Budd, The Hon. Mr. Justice Declan Algeo, Mrs. Heather & family Allen, Mrs. M. Diana Burnham, Mrs. Pearl Andrews, Mrs, Rosalie Burns, Rev. Douglas Andrews, Mrs. Iris Butler, Mr. & Mrs. P .A. Aplin, Mr. W.N. Byrne, Mr. Roy H. Ardis, Rev. E.G. Byrne, Mrs. Pat Armstrong, Mr. & Mrs. Andrew Armstrong, Miss Florence Cahill, Mrs. D. Armstrong, Mrs. Janet Cahill, Miss Hannah Armstrong, Mrs. Kathleen Caird, Mrs. Hazel Ashe, Mrs. Fiona Caldwell, Rev. & Mrs. Robert Atock, Mrs. S.C. Camp, Mr. John J. Canton, Mrs. Doreen Bain, Rev. Des Caplin, Ms. Frances Baker, Prof K.P. Cardy, Mrs. Elizabeth Barrett, Rev. JAG. Carroll, Mrs. Avril Bayly, Rev. S.N. M. Carroll, Mrs. Rachel Beere, Ms. Joyce Carroll, Dr. & Mrs. Derek Bell, Mrs. Mona Chaloner, Dr. David Benson, Mrs. Iris Chambers, Mrs. Judy Besanson, Mrs. Naomi Christie, Mr. Cedric R. S. Bewley, Dr. Ruth Clarke, Mr. & Mrs George Bewley, Mrs. Shirley Clarke, Mrs. Ivy Black, Dr. Mary Clarke, Mrs. Ruth Blackmore,.Mr. & Mrs. Kenneth Codd, Mr. Richard Peter Blackwell, Mrs. Meriel Collier, Mr. & Mrs. George Blakeney, Mrs. Hilary Comiskey, Mr. & Mrs. Don Boake, Canon Rutland Comiskey, Mrs. Florence Bond, Rev. John Connolly, Mrs. Rita Booth, Mr. E. Michael Corrigan, The Venerable & Booth, Mrs. Noreen Mrs. T. George Boyd, Mr. & Mrs. E.C. Cox, Ms. Jill Bradley, Mr. & Mrs. Brendan Crooks, Mrs. Betty Bradshaw, Mrs. Victoria Bradshaw, Mr. Thomas Alfred Dagg, Mr. Noel Brangan, Dr. John Darling, Dr. Michael Brockett, Mrs. Doris Nevin Dart, Mrs. Rosanna Brookes, Mrs. Olga Daunt, Mrs. C. Ruth 94 Members Davidson, Mrs. M.F. Glynne-Kenny, Mrs. Sharon Dawson, Mrs. Elizabeth Good,Rev. Peter A. Dawson, Mrs. Sylvia Goodbody, Mrs. Anthea Deacon, Mrs. Gillian Goodbody, Mr. Donald C. de Courcy-Wheeler, Mr. Cecil Goodbody, Mrs .. Lucinda Despard, Rev. E.H. Graham, Mrs. Hazel A. Dillon-Browne, Mrs Dorothy Graves, Mr. Gordon R. Doherty, Mrs. E. Gray-Stack, Rev. Martha Donald, Mrs. Elizabeth W. Greenham, Miss Caroline Donaldson, Dr. S. Noel Griffin, Rev. V.G. Doran, Miss Elizabeth Grimson, Ms. Gillian Doran, Mr. & Mrs. Richard Douglas, Miss Marjory R. Hanna, Mrs. Valerie Douglas, Mr. Don Harper, Mr Samuel R. Dowd, Rev. Gary Harris, Mr. & Mrs. Gay Dowse, Rev. John W. Harvey, Mrs. Mary H Haskins, Mrs. Kay Eagar, Mr. & Mrs. George Hautz, Mr. John Elliott, Mr. & Mrs. R.B. Heard, Mrs. Ruth Heather, Mr. & Mrs. Graham Fallon, Mr. & Mrs. Cecil Heney, Canon, W.B. Farrugia, Mrs. Rosemary Henly, Mrs. Daphne Findlater, Mrs. E.D.M. Higgin, Mrs. Marilyn Finnamore, Ms. Clarice Mabel Hildebrand, Mrs. Iris Fisher, Rev. John B. Hilliard, Mr. J.R.F. Foley, Mrs. H.G. Hodges, Mrs. Vera Forbes, Mrs. June Hodgins, Mrs. Joan· Forsyth, Mr. & Mrs. Terence Hodgins, Mrs. Vera Foxton, Mrs. Emily Howe, Mrs. Hazel Fraser, Mrs. Caroline Howe, Mrs. Margaret A. Fry, Mr. Desmond Hudson, Canon Thomas G. Fry, Mrs. Pat Hudson, Mrs. Hilda Fulcher, Miss D.E. Hughes, Mr. & Mrs. Ivan Fulcher, Ms. A. Elfrida Hughes, Mrs. Christine Hunt, Mr. Ken Gardiner, Mrs. Nicola Hunter, Miss A. Gibson-Brabazon, Mrs. Doreen Huston, Mrs. Gillian Gillespie, Prof. W.A. Hyde, Mrs. Lex Gilliland, Rev. Des Gilmore, Mrs. Winnie Irwin, Mrs. Charlotte E. Gilmore, Mrs. May Glanville, Mrs. Deirdre 95 Members Jackson, Mrs. B.C. McCarthy -Morrough, Mr. & Mrs. Jacob, Mr. & Mrs. Philip Keith Jamieson, Mr. J. Trevor McCollum, Prof.. Stanley Jeffers, Mrs. Gertrude McConnell, Mrs. Sheila Johnson, Mrs. Benita McConnell, Prof. & Mrs. David Johnson, Rev. Stanley McConnell, Mr. & Mrs. Richard Johnston, Mrs. Gladys McCormack, Dr. Brendan Judge, Mrs. Grania McCurdy, Mrs. Lorna P. MacDermott, Rev. & Mrs. Robin Kane, Miss I. McDowell, Dr. Carlos Keegan, The Venerable Donald L.. McFarlane, Mrs. Helen Keeley, Mrs. A. McGlaughlin, Dr. & Mrs. Alan & Kellett, Mrs. S.M. family Kelly, Mrs. Jean McGovern, Mr.. Gabriel Kenny, Mrs .. E. Amy McGrath, Mrs. Mary Kenny, Mrs. Kathleen, McHugh, Mrs. Ann Kerr, Ms. Marion Mack, Mrs. Margaret Kidd, Mrs. Jean McKeever, Mrs. Janet Kilpatrick, Mrs. Rhoda Maclachlan, Mr. J.B. King, Mrs. Alison McNab, Mrs. Ida Kingston, Mrs. Rosemary McQueston, Mrs. Rosalyn Knowles, Mrs. Mary Magee, Mrs. Mary Marks, Mr. & Mrs. John F. Lalor, Mrs. Hilary Mahaffy, Mrs. Jessie Sophia Lambert, Mr. Gordon Mansfield, Miss Eileen Lee, Mrs.Elizabeth Marmelstein, Ms. Myriam Levistone-Cooney, Rev. DA Marsden, Miss Joy Lindsay, Rev. Kenneth Martin, Mrs. Patricia Loane, Mrs. Hylda M. May, Mrs. Judith Long, Rev. Kingsley E. Meates, Mrs. H. Lougheed, Canon, B.F.B. Mercer, Dr.. & Mrs. J.P. Lougheed, Mr. John Meredith, Mr. David Luce, Ms. Eveleen Meredith, Mrs. Delma Lynas, Rev. N.N. Meredith, Mrs. Janet Lyndsay, Mrs. S.B. Merrey, Mrs. Sheila Michael, Mrs. Valerie McBain, Mrs. Eileen Miley, Mr. Terence McBain, Mr. Tom Miley, Mrs. Helen K.R. McBride, Mrs. Louisa Miller, Mrs. Reba Millington, Mr. Synge Milne, Mr. & Mrs. Gordon Morgan, Mrs. Daphne 96 Members Morrow, Mr. James Reid, Mrs. Sarah C. Mullan, Rev. David Richardson, Mrs. Doreen Mullen, Rev. C. Ritchie, Miss A.G. Murphy, Mr. Colin Roddie, Rev. Robin Myerscough, Mr. & Mrs. Robert Rogers, Miss Frances Rolston, Mrs. Doris Neill, Bishop John Rountree, Mrs. Lily Niblock, Mrs. Olive E. Rountree, Mr. & Mrs. Richard Nolan, Mrs. Iris Rowan, Mrs. Joy Nolan, Mr. & Mrs. Arthur Rowe, Mrs. Ethel Roycroft, Mrs. Irene O'Donovan, Mrs. Sally Ruddock, Miss Gladys H. O'Dowd, Professor Thomas Rue, Mrs. Lesley O'Keeffe, Mr. & Mrs. Albert Russell, Ms. C. Jessie O'Morchoe, Mrs. Jill Russell, Mrs. Dorothy H. O'Neill, Dr. Desmond Rutherford, Ms. A.L. O'Neill, Ms. Helena M. Rutherford, Mr. William H. O'Neill, Mrs. Sheila Ruttle, Mr. James V. Ormston, Mrs. Beatrice Ryan, Mrs. Anne Orr, Dr. Deborah Overend, Mrs. Margaret Sandall, Mrs. Vicki Overend, Mrs. Muriel Saul, Ms. Patricia June Searight, Rev. & Mrs. M.W. Pakenham-Walsh, Mrs. Frances Seville, Miss Yvonne P. Park, Mrs. A Shekleton, Mrs. Anne Parker, Rev. H.J. Shekleton, Mrs. Vera Parkes, Ms. Susan Sherwood, Mrs. Hazel Parkes, Mr. Andrew & family Sherwood, Mrs. Heather Paterson, The Very Rev. John Sherwood, Rev. Nigel Pattison, Mrs. Dorothy Simpson, Mrs, Vida F. Pattison, Mrs. Ida Skuce, Mr. A. Alan Pearson, Mr. Don Skuce, Dr. Edith M. Penney, Mrs. Muriel Smith, Mrs; Diana M. Pickering, Rev. John A. Smith, Mrs. Sophie Pierce, Mrs. Agnes T. Smith, Miss Yvonne Pierpoint, Mrs. Denise Somerville-Large, Mrs. B. Poff, Mr. & Mrs. Gordon Stanley, Mrs. Margaret Potterton, Mrs. Hilda Stanley, Mrs. Patricia S. Power, Canon I.J. Stephens, Rev. HAR. Prentice, Mr. Cecil E. Sterling, Mr. & Mrs. Geoffery Preston, Mr. John H. Stevenson, Rev. V.C.J. Purser, Mrs. Helen F. Stewart, Mrs. Ruve 97 Members Stewart, Mrs. Norma White, Ms. Joan E. Stokes, Rev. A.E. Whiteside, Mrs. G.E.H. Stokes, Ms. Caroline Whiteside, Mrs. Lesley Stone, Ms. Beryl Whitten, Mr. Stewart Stone, Mrs. F.W. Whitten, Mrs. Eileen Stone, Mrs. Maud Wilkinson, Mrs. Judith Stratford, Ms. Voilet Williams, Mrs. M. Strunz, Mrs. Norah Wilson, Mrs. Marion & farnily Stuart, Mrs. June Wilson, Senator Gordon Winslow, Mrs. P.E. Tanner, Mrs. Ann Winstanley, Mrs. E.v.M. Taylor, Dr. Derek Witchell, Mrs. Heather Taylor, Mrs. Judy Withrington, Mrs. Jo. Taylor, Mrs. Judy Workman, Rev. David A. Temple, Mr. H.L. Wormell, Mrs. Daphne Thompson, Miss Phyllis H. Wilson-Wright, Mr. J.M. Thompson, Mrs. Joyce Thorpe, Mr. & Mrs. W.R. Yates, Ms. Freda Tottenham, Mrs. Eliazbeth Young, Mrs. R. Trayer, Mrs. Patricia T renier, Ms. Sue Tully, Mrs. Joy CHAPTER MEMBERS Twinem, Rev. Daphne Dublin & Wick low L0L.1313 Van Der Lee, Mr. & Mrs. Franz Glengormley Methodist Church Varian, Mr. & Mrs. Peter Kells Chapter Vincent, Mr. & Mrs. B. SI. Mary's Church of lrelanc, Cong Walker, Mrs. Olive H. Wallace, Mr. R. CORPORATE MEMBERS Walpole, Rev. C.G. Wann, Canon Denis F. Brooks Group Ltd. Waring, Mr. Frank E. A. Symmons Ltd. Warner, Mrs. Lelia Hamilton Osborne King Watson, Mrs. Frances P. Magee & Co. Ltd. Watts, Rev. Ronald H. Weir, Dr. Hugh & The Hon. Mrs. West, Rev. Cecily Wharton, Rev. Gillian Wharton, Mr. & Mrs. John R. White, Mrs. E. White, Mrs.Matilda 98 Subscriptions ANTRIM All Saints Parish Church. Antrim 100.00 Killeshandra Parish Church 73.74 Belfast Cathedral 1000.00 Kinaghamore L.O.L. 212 20.00 Derriaghy Parish Church 500.00 Kingscourt Union of Parishes 200.00 Greenlee, Sheila 10.00 Smith, Leslie 20.00 Knockbreda Methodist Church 100.00 Virginia Mothers Union 210.06 Magheragall Parish Church 50.00 Virginia I Billis IBallyjamesduff. SI. Mark's Church, Lisbum 50.00 Mothers Union 85.00 51. Mary's Parish Church, Comber 50.00 5l.Molua's Church 01 Ireland Collecled by: Men's Society 45.00 Gibson, Mr. W.J. 47.00 51. Michael'S Parish Church 18.00 SI. Patrick's Church, Jordanstown 250.00 CORK SI. Thomas'Parish, Bellast 25.00 Bandon Union Church 01 Ireland 150.00 ARMAGH DONEGAL Allord, Rev. Wm. 100.00 Andrews, Ms. Joan 100.00 Broomhedge Parish Church 40.00 Burt Presbylerian Woman's Keady Parish 25.00 Association 100.00 Convoy Parish Church 28.00 Donegal Parish Church 430.00 Donegal Presbylerian Church 75.00 CARLOW Dunkineely & Ardara Circuit 66.30 Aghade & Ardoyne Parish: 200.00 Harkin, Mr. George 200.00 Aghotd Parish Church 134.30 Holy Trinily Church Dunlanaghy 50.00 Cloydagh Parish 94.00 Inver and Mountcharles Parish 100.00 Fennell,Mr. Raymond 30.00 Killaghlee PariSh 63.66 Hackelslown Parish Church 100.00 Laghey Parish Church 150.00 SI. Mary's, Carlow 150.00 McKinley, Mr. & Mrs. T. 50.00 SI. Mary's ChurCh, Rathvilly 30.00 5tranorlar Parish Church IMeenglass) 50.00 Shaws Ltd. 50.00 TempleH.M. 50.00 Sixsmth, Mrs. E. 30.00 Urglin Parish Church 300.00 Collected by: Walsh·Kemmis, Mrs. O. 25.00 Lindsay, Mrs. M. 10.00 Collected by: Condell, Mrs. Emily 85.00 DOWN First Newry Presbylerian Church 200.00 CAVAN Kilhome Parish Church 50.00 Ballyconnell L.O.L.399 60.00 Ballyjamesduff Church 20.00 DUBLIN Billyhill Hall L.O.L. 1128 133.00 Ahem, Patrick 50.00 Bimey, William 30.00 Alan Richard Ltd. 10000 Corraneary Presbylerian Church 100.00 Allied Irish Banks pic, 100.00 Derrylane Parish 100.00 Allied Irish Investment First Bailieborough Presbylerian Managers Ltd. 300.00 Church 20.00 Anonymous Receipt No. 114920 150.00 Glassleck Presbylerian Church 20.00 Anonymous Receipt No: 114913 75.00 Johnston, Mrs. G. 30.00 Anonymous Receipt No 113301 100.00 Kildrumlerton Church 120.00 Anonymous Receipt No. 113193 50:00 Amons pic 100.00 99 Subscriptions Association 01 Schools Unions 150.00 Fanagan, W. lid. 50.00 Ballagh, Judge Thomas 25,00 Fenlon, J.L. lid. 50.00 Bank of Ireland 300.00 Ferguson, Rev. G'w. 20.00 Beaucamps 125.00 FitzPatrick, D.J. MH. MCh" Bewley, Mrs. Shirley 25.00 F.RC.S. F.R.C.S.I. 500:00 Bewley, W.F. 50.00 FMendly Brothers of SI. PatMck 50,00 Bleakley, George Harold 20.00 Frymount Trust 300.00 Boles, Florence A, 20.00 Boothman, Mrs. RE. 50.00 Gallaher (Dublin) lid. 100.00 Boothman, R.E. 100.00 Gillham Trayton 1,000.00 Boyle, Mrs. Thea 25.00 Girls BMgade DistrtMct ;3 150.00 Brophy, Ned 20.00 Glaxo Wellcome Ltd. 100.00 Buchanan, Dr. Joan 50.00 Golding, Stuart 100.00 Burch, Mrs, E, 12,00 Goodbod ,A. & L. 250.00 Burry, R.D. 25.00 Graeme-6ook, D. 25.00 Graham, Prof I.M. 500.00 Green lanes School 30.00 Camp, John J. 100,00 Grouse, Mrs. Voilet 20.00 Carroll, Hany 25.00 Guinness, The Bryan Charitable Christ Church Cathedral Group 500.00 Trust lid. 1,000.00 Clondalkin & Rathcoole PaMsh 60.00 Clontart Methodist Church 50.00 Hamilton, Dr. S, 50.00 Clontart PaMsh Church 75.00 Harold's Cross PaMsh 250,00 Connolly, Brendan 15.00 Harty, Mrs. V. t994 & 1995 50.00 Conway Shipping lid. 200.00 Hennessy, Jas. & Co. Ltd. 100.00 Cooper. Miss C. 30.00 Hewat, J.RB. 30.00 Comish, Mrs. Doris 25.00 Hewat, Mrs. Sheelagh 30.00 Cowie,Mrs. 35.00 Holmes, Annette 50.00 Cronhelm, Comdl. Arthur 25.00 Holy Trinity Church,Rathmines 200.00 Crowley,Dr. PatMcia 25.00 Houston, Mrs. Oeni;e 50.00 Crown, Berger 10.00 Howth & Malahide PresbyteMan Cutler, W.A. 10.00 Church 35.50 Husbands, Mrs. Joan 10.00 Dains, Mrs. Meave 35.00 Danker, H. 50.00 IMshtown Gospel Hall 205.70 Dick, JR 50.00 Diskin, Dr. liam 25.00 In Memory of the late: Doak, Adrain S. 30.00 Dowling, F.E. B.Sc" M.Ch., F.R.C.S.I. 50,00 Carroll, Mr. PatMck 200.00 Dowse, Mrs. R.H, 25.00 Cushen, Mrs. Clare 25.00 Drumcondra,North Strand and ',Hartord, Mr. Joseph Charles 40.00 SI. Bamabas PaMsh 100.00 Keenan, Mrs, BMdget (Heart Appeal) 520.00 Dublin Central Mission (Abbey Street Lyndsay, Mrs. Sarah Baxter 165.00 Methodist Church) t39.60 Mathers, Mrs. Elizabeth 60.00 M~chell, Dr. David M. 707.80 Dublin Conservative Club 100.00 Mochell, Dr. A. Dorothy Dun laoghaire Parish (ChMst Church & Molloy, Mr. Kieran 680:60 Mariners) 100.00 Smyth, Mrs. Sheila 57.00 Dun laoghaire Presbyterian Church 224.80 Swarbrigg, Mr. Cecil (Heart Appeal) 243.45 Whelan, Mrs. Cathenne 50.00 Eart, Miss A. 20.00 Williams, Mrs. Elizabeth Alice Young 237.20 Ever Ready (Irl) Ltd. 200.00 Worrall, Mr. John Leslie (Heart Appeal) 445.00 Jackson, Mrs. Aileen 10.00 100 Subscriptions Jackson, Mrs. T. 25.00 Phillips, Kenneth J. 2S.00 Johnson Brothers Ltd. 50.00 Ponder, Miss M. 20.00 Joynt & Crawford, SO.OO Pope, Mrs. Patricia IS0.00 Keane, Prof F.B.V. 2S.00 Rathfamham Parish Church 160.00 Kelly, Ian Williamson 20.00 Reckin & Colman SOO.OO Kemp, Mrs. M. Bertha SO.OO Richardson, Gordon 20.00 Kennedy, Mrs. A.C. 20.00 Killiney Parish, Ballybrack SOO.OO SI. George & SI. Thomas Parish 100.00 Kill -O-Ihe Gran~e Parish Girts Brigade SI George's Parish. Balbriggan 40.00 P.MA Carol ervice 238.n. SI. Mark's Re-Union 10.00 Killeman Parish Church 90.00 SI. Mary's Parish, Crumlin 200.00 Kinch,Jean 2S.00 SI. Palrick's Calhedral 200.00 Kings Hospilal & Mercers' SI. Palrick's Calhedral School Pasl Pupils Union 200.00 group of Parishes 50.00 Knalchbull, Michael 2S.00 SI. Patrick's Church Dalkey (Peler Koumarianos, Nick P. 2S.00 Northover Beeuest Fund) 1,000.00 SI. Paul's Church,Glenageary 140.00 Lynam-Loane, Anlhony 2S.00 SI. Thomas Church, Mounl Merrion 300.00 Lyster, Bruce 100.00 SI. WertJergh's Chuch 100.00 soon, Mrs. E.S. 10.00 McAdams, Mrs. Eve~n B. 30.00 SmilhKline Beecham 100.00 McAdoo, Mrs. L 30.00 Somerville-Large, Mrs. B. 2S.00 McComas, Miss Muriel 2S.00 Siafford& Milchell Ltd. SO.OO McComas, S.K. 2S.00 Slevenson, Mr. & Mrs. R 10.00 McConnell, Prof. David 10.00 Slevenson, Mrs. K. 2S.00 McCormick, Dr. Joan E. SO. 00 McCullagh, Robert SO.OO Talbol, Mrs. Margaret 100.00 McCullagh, Fergus 10.00 Tallaghl Parish Church (SI. Maelruain's) 100.00 McDonald, Daniel. 20.00 Taney Parish 100.00 McEndoo, Miss B. 40.00 Tanner, W. Mhur, M.D., F.R.C.S'!' 2S.00 McGovern, Mrs. A. 20.00 Tee Clolhing Co. Ltd. IS.00 Mcinerney, D.P. M.D., F.R.C.P.!., Temple, Mrs.,Susan 70.00 F.R.C.R. 2S.00 Temple, Mrs. Susan McShane, Donald M.B. D.C.H. (In memory 01 Mr. Temple) 20.00 F.R.C.S'!' 2S.00 Tennenls Ireland Lid. 50.00 Malahide, Portmamock and Thompson, Mrs. Mar~arel C. 10.00 SI. Doulagh's Parish 12S.00 Thompson, Miss Phy lis 35.00 Mobil Oil Company (Ireland) Ltd. 25.00 Tiemey, Ms. Anne 2.00 Moloney, Mrs. Angela 10.00 Moore, Mr. J.P. SO.OO Van Der Lee, Mr. & Mrs. Frans . 30.00 Morton, John Lid. 10.00 Vincent, Arthur 2S.00 Murphy, Tim 20.00 Walker, Mrs. E. 2S.00 Nichols J.& C.Ltd. 40.00 Walmsley, Mr. & Mrs. JA 50.00 Walpole, Miss Esme 7S.00 Oakes, Mrs. Kalhleen V 10.00 Walson McKelvie, Dr. Helen S. 50.00 O'Dowd, Pro!. Tom 2S.00 Wesley College 100.00 Q'Ferrall,Dr.Fergus 1994/1995 SO.OO While church Parish IS0.00 a Morain, Prof. Colm SO.OO Wickham, Joseph A. 20.00 Ormond Quay and Scots Williams, E.F. 17.00 Presbyterian Church SO.OO Wisdom, Mrs. D. 10.00 Pasley, Mrs. Janel 40.00 Zion Parish, Ralhgar 100.00 Pedlow. Mrs. Sue 30.00 Collected by: 101 Subscriptions Eccles, Miss L. 126.50 LEITRIM O'Keeffe, Mrs. W.R. 61.50 Ballinamore Group of Parishes 50,00 Smith, Winston 51.08 Collected by: FERMANAGH Whitton, Mr. T. 20.00 Kinawley & Holy Trinity Parish 25,00 Morton.EW. 100.00 Tomregan Parish Church 60.00 LIMERICK Adare & Ballingrane Methodist KERRY Churches 30.00 McCarthy, Mrs.S.T. 10.00 McCarthy, Malcolm 9.00 KILDARE LONDONDERRY Athy Union 01 Parishes 50,00 Errigal and Desertogill Parish 100.00 Austin, Mr. & Mrs. Samuel 10.00 Crampton, Mrs. Marie 20.00 Hall, Samuel J.P. 50.00 LONGFORD Newbridge, Camalway & Kilcullen Ardagh Parish 20.00 Parishes 100.00 Kenagh Parish Church 13.50 Her Grace Anne Duchess 01 Killashee & Ballymacormack Westminister 20000 Parish 75.00 Millar, Mrs. M.E. 100.00 Collected by: SI. John's Church, Clonbroney 50.00 Meredith, Mrs. Delma 59.00 SI. John's Church, Templemichael 75.00 Tashinny Parish Church 40.00 KILKENNY Clonagoose Parish 32.60 Collected by: Kilcooley I Johnstown Parish 94.00 Hudson, Mrs. H. 350.00 SI. Aidan's Church 50.00 Smithwick, E. & Sons Ltd. 50.00 LOUTH Carlinglord Presbyterian Church 10.00 LAOIS Drogheda Presbyterian Church 80.00 Abbeyleix Union 01 Parishes 100.00 Fyffes pic. 250.00 Ballyfin Parish, Portlaoise Group 50.00 In memory 01 Ihe lale: MAYO Nuzum. Mr. Thomas 35,00 Killala Presbyterian Church 25.00 Slanley, Mr. Richard 544.31 Mounlmellick Presbyterian Church 38.00 MEATH Portarlinglon Union 01 Parishes 75.00 Dormer, Mr. G. 20.00 Ralhdowney Parish 300.00 Dunboyne Union of Parishes 100.00 SI. Peters Church of Ireland 50.00 Faulkner, Mrs. F.M. 20.00 Collected by: Julianstown Union of -Parishes 100.00 Crawford, Mrs. 95.00 Kells Union of Parishes 150.00 Gee, Mrs. Ann 120.00 Palmer, Anna 15.00 James, Mrs. Gloria 80.00 SI. Patrick's Calhedral Trim 125.00 102 Subscriptions MONAGHAN Clogh Parish Church 177.00 SI. George's Church, Tubbercurry 25.00 Clonlibrel Presbyterian Church 60.00 Skreen Parish Church 100.00 Drum Presbyterian Church 70.00 Firsl Ballybay' Presbyterian TIPPERARY Church 35.00 Aghancon, Parish Church (Heart First Monaghan Presbyterian Appeal) 326.00 Church 100.00 Jones, William & Georgina 10.00 Mackarel, Rev. J. 7.50 also In memory of Annie & Monaghan L. O.L. Richard Dagg 20,00 Co. Monaghan Royal Black Preceptory 15.00 Roscrea & Kyle Parish 200.00 Co, Monaghan L,O.L 15.00 SI. Mary's Church, Templemore 226.71 Lodge 264 16.50 Lodge 1555 10.00 TYRONE Lodges 583, 809, 272,1644,279,193, Aliedesert Parish 38.80 664 £5.00 each 35.00 Apprentice Boys of Derry, Walker Lodge 731 3.00 Club, Goreslown Branch 107.00 Lodges 348, 266 £2.00 each 4.00 Pomeroy Dislricl L.O.L. NO.5 Lodge 185 1.00 1993/4 75.00 " Newbliss Presbyterian Church 20.00 1994/5 75.00 SI. Patrick's Parish Church, WATERFORD Monaghan 200.00 Hunl, Mrs. K.t. 30.00 Siradbally Union of Parishes 140.50 OFFALY Clonmacnoise Church (Cardiac WESTMEATH Care Unil) 500.00 Casllepollard & Oldcaslle Parish 300.00 Mullingar Presbylerian Church 20.00 In memory of Ihe I ale: SI. Mary's Parish, Alhlone 50.00 Connor. Mrs. Adeline 220.00 Hardy, Mr. Dan 70.00 WEXFORD Ardamine Parish Church 305.70 Lockeen Church 50.00 Christ Church, Gorey 150.00 SI. Brendan's Parish Church, Birr 750.00 Enniscorthy Union of Parishes 45.00 Tullamore & Clara Fems Church 100.00 Presbyterian Church 12.00 Jacob Power Memorial Fund Tullamore Union of Parishes 100.00 (Heart Appeal) 100.00 Killane Parish 50.00 Kilnamanagh & Kilmuckridge ROSCOMMON PariShes 100.00 8allinlough Church 50.00 O'Morchoe, The 25.00 SI. Mogue's Church, SLIGO Felhard - on -Sea 40.00 Calry Church 30.00 SI. Pelers Church Rossdroil & Chambers, Richard 1994 & 1995 60.00 Killegney 131.56 Kilglass Parish Church 30,00 Templeshanbo Parish 90.00 Kilmacshalgan Church 30.00 Wexford & Ardcolm Union of Parishes 50.00 Kilmore Diocesan 331.52 Kilchin, Mrs. Sheelah 20.00 WICKLOW Riverslown Parish 208.00 Arklow Presbyterian Church 13200 Rosses Poinl Church of Ireland 50.00 Baker, Mrs. Jane 25.00 103 Su bscri ptions Delgany Parish Church 50.00 Oughton. Mrs. E. 20.00 Dobbs. Mrs. N. 50.00 81. John the Baptist Church. Donoughmore & Donard Parish tOO.OO 8tratlord-on-8laney 20.00 Dung-anstown Union of Parishes t20.00 81. Mary's Church. Ballinglass 68.52 Finn-McGuirk. Mrs. Christina 25.00 81. Peters Church. Killegan 54.00 Kearon. K.R. 50.00 Wicklow Parish 40.00 Killiskey Parish 30.00 Kiltegan Group of Parishes 19.00 ENGLAND lambert. N.H. 10.00 McConnick. Mrs. F.B. 50.00 Gilboy. Mr. & Mrs GeoHrey 20.00 Mullinacuffe Parish. Tullow '124.05 Robinson. HW. 50.00 . ,. 104 Bequests Blakley, Miss Ella 8,460.68 Crawford, Louisa V. 133.50 Flewett, Sidney Joseph 47.33 Johnston, Elizabeth Matilda 1,250.00 McDonald, Mr. & Mrs. Ronald & Doreen 5,000.00 McElroy, Wilhelmina 2,000.00 Marshall, Hugh 500.00 Miller, Mrs. Dorolhy E. 1,000.00 Milling, Miss E.B. 3,000.00 Peacocke, Harriet, M. 15,000.00 Swanton, Hester 2,500.00 Taylor, A.C. Trust 300.00 Thompson, Mable D. 100.00 Tubman, Miss Isabella L. 1,974.94 White, Catherine 4,852.22 46,118.67 The Society needs Ihe financial assistance of its supporters more than ever to continue its caring for the people of Ireland. Money to continue Research is urgently· required so that the best Medical and Nursing Care can be given to those in most need. The Hospital has given this service in the Adelaide tradition for over 155 years and the Society fully intends tp continue this tradition into the next century and beyond. Your help will ensure this resolve. 105 c Form of Bequest to the Hospital OF PERSONAL PROPERTY I bequeath to the Adelaide Hospital Society in the City of Dublin, for its use', 0, The Sum of £ to be paid out of my personal estate; and I declare that the receipt of the Treasurer of such Institution shall be a full discharge of my Executor for said legacy. OF LAND AND HOUSES (To be accurately described) I devise and bequeath to the Adelaide Hospital Society in the City of Dublin, for its use', all my estate and interest in the land of in the County or City of (or in all the houses and premises known as Nos. in the City of and the rents and profits thereof, with all rents due to me thereout at my death). . 'Or if desired '10wards its Endowment Fund". All charitable bequests are free of legacy duty. Devises of land or houses, to take effect, must be made by will executed three months prior to the testator's decease. No will is valid that is not executed in presence of two wijnesses, all signing in presence of each other. THE COMMITTEE WILL BE GRATEFUL TO ANY FRIENDS WHO WILL UNDERTAKE TO COLLECT FOR THE HOSPITAL - CARDS CAN BE OBTAINED FROM THE SECRETARY. The Committee would like to draw attention to the valuable help that may be given to the Hospital.by the insertion of a clause in obituary notices - where floral wreaths are not desired - that donations to the Adelaide Hospital might be given by sympathisers in lieu of flowers. During the year this was done by the relatives of some. All donations received as a result have been individually acknowledged, but the committee wish to record its grateful thanks both to the relatives and the donors in question. 106 CJ) W aI z z o -f m C/) . en w aI z z o --I m CJ) C/) ill aI z z o --i m C/)