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Shorvon NEUROLOGY and the NHS R1 Revised
FULL TITLE: HOW THE COMING OF THE NHS CHANGED BRITISH NEUROLOGY AUTHOR: Professor Simon Shorvon UCL Institute of Neurology. RUNNING TITLE: NHS and Neurology POSTAL ADDRESS: UCl Institute of Neurology, Box 5, National Hospital for Neurology and Neurosurgery. London WC1N 3BG TEXT: ‘The days of our years are threescore years and ten; and if by reason of strength they be fourscore years, yet is their strength labour and sorrow; for it is soon cut off, and we fly away’. (Psalm 90:10) The introduction of the National Health Service (NHS) on the appointed day, July 5 1948, profoundly affected all aspects of British medicine and not least neurology. Now, seventy years later, its monolithic structures still remain the bedrock of British health provision, and as Robin Butler remarked in the 1980s, only the Russian Army and Indian Railways employed more people. It has dominated the entire professional careers of all British-trained neurologists, so much so that it is easy to forget how much has changed since its inauguration, not just in the scientific aspects of neurology, but also in the style and nature of British neurological practice. It is on this latter point that I will focus in this short piece. I will sketch out a picture, albeit impressionistic and incomplete, of what professional neurological practice in neurology was like and what were the pressing issues in these early years, using contemporary quotations where possible. The resulting picture is inevitably selective, and is very much London- based as the article draws heavily from London archives, but does I hope make clear that neurological practice in the country underwent far-reaching changes as the NHS gathered its stride. -
Catalogue of the Library of the Peabody Institute of the City of Baltimore
Jeff Weber Rare Books 1. [ANGLICUS, Gilbertus] Henry E. HANDERSON. Gilbertus Anglicus: Medicine of the Thirteenth Century. With a biography of the author. Cleveland, OH: Cleveland Medical Library Association, 1918. LIMITED EDITION—505 of 500 numbered copies (yes this is numbered higher than the edition statement calls for!). 8vo. 77 pp. Some ink from author’s portrait bleeding through to blank verso. Original printed wrappers; spine edges rubbed. Very good. $ 25 2. BALLANCE, Charles A. The Thomas Vicary Lecture: A Glimpse into the History of the Surgery of the Brain Delivered Before the Royal College of Surgeons of England on December 8th, 1921. London: Macmillan, 1922. FIRST EDITION in book form. 8vo. iv, 110, [ads 1] pp. Black-stamped blue cloth; extremities faintly rubbed. Cellophane tape residue to pastedowns, ownership signature of Dr. H. C. Godefroy. SCARCE. Very good. $ 300 “Sir Charles Ballance here presents in his Thomas Vicary Lecture a fascinating historical sketch of the development of cranial surgery from the remotest times to the present. It is a delightful and scholarly production” (JNMD, p. 213). ☼ Garrison & Morton 5008; “Ballance, Charles A. A Glimpse....” Journal of Nervous and Mental Disease. 59. (1924): p. 213; Whitaker, Harry A., Christopher Upham Murray Smith, and Stanley Finger. Brain, Mind and Medicine: Essays in Eighteenth-century Neuroscience. New York: Springer, 2007, p. 83. 3. BANCROFT, Edward Nathaniel (1772-1842). “A Letter to the Commissioners of Military Enquiry: Containing Animadversions on Some Parts of Their Fifth Report; and an Examination of the Principles on Which the Medical Department of Armies Ought to Be Formed.” London: T. -
Henry R. Rollin
SPECIAL ARTICLES Henry R. Rollin In conversation with Alón Kerr Dr Henry Rapoport Rollin was born in 1911 In Glasgow. He trained in medicine at the University of Leeds, qualifying in 1935. From 1941-1947 he served with the Royal Air Force Voluntary Reserve, rising to the rank of Wing Commander. After obtaining the MD in 1947 he was appointed Deputy Superintendent at Horton Hospital, Epsom, where he remained until he retired in 1975. He became Fellow of the Royal College of Psychiatrists in 1971, Fellow of the Royal College of Physicians in 1983 and Honorary Fellow of the Royal College of Psychiatrists in 1989. Dr Rollin is the author of three books, more than 50 editorials, innumerable book reviews and an assortment of other literary pieces. He has been active in College affairs for many years. He served as Honorary Librarian from 1975-1985 and in 1987 was appointed to the editorial staff of both the British Journal of Psychiatry and the Psychiatric Bulletin, which functions he still enjoys. realised that because Latin didn't feature in my Henry R. Rollin matriculation tally of credits, I was not eligible for admission to any of the faculties of art in the How did you. come into medicine in theßrst place? University. In the circumstances, I felt, I might as In all honesty, I didn't want to do medicine. I did well settle for what I knew would please my so, I suppose, in order to fulfil my father's parents most, so I agreed. ambition. For myself, I have always wanted to write. -
1 Flying Fatigue in Twentieth-Century Britain: an Uncertain Zone Submitted by Natasha Feiner To
Flying Fatigue in Twentieth-Century Britain: An Uncertain Zone Submitted by Natasha Feiner to the University of Exeter as a thesis for the degree of Doctor of Philosophy in Medical History in September 2017 This thesis is available for library use on the understanding that it is copyright material and that no quotation from the thesis may be published without proper acknowledgement. I certify that all material in this thesis which is not my own work has been identified and that no material has previously been submitted and approved for the award of a degree by this or any other university. Signature: Natasha Feiner 1 Abstract In the nineteenth and twentieth centuries fatigue was a common workplace complaint. As chairman of the Civil Aviation Authority Lord John Boyd- Carpenter put it in 1974, though, it occupied an ‘uncertain zone’.1 Vague and contestable throughout the century, and linked inextricably to working practices, fatigue proved fertile ground for debate. With a specific focus on civil aviation and aircrew, this thesis traces the shifting explanations of and responses to flying fatigue from the start of the First World War to the formal institution of Crew Resource Management (CRM) training in the mid-1990s. Beginning with a discussion of fatigue as it was constituted and examined in industrial and military settings in the first half of the twentieth century, this thesis then turns to post-war civil aviation. The models of fatigue developed by Flying Personnel Research Committee (FPRC) researchers during wartime framed post-war understandings of fatigue. Conceptualised as performance decrement in some instances, in other contexts fatigue was considered in terms of sleep and wakefulness. -
Striving Towards Elegance
J R Coll Physicians Edinb 2005; 35:374–375 New Titles © 2005 Royal College of Physicians of Edinburgh Striving towards elegance AUTHOR B Ashworth PUBLISHER The Memoir Club, 2004 ISBN 1 84104 087 8 PRICE £14·95 REVIEWER A Doig Autobiographical works by physicians date from the are listed in the accompanying table under categories period of the late renaissance when Girolamo Cardano, which indicate their main fields of interest. All of these a member of the College of Physicians in Milan, wrote titles are available in the College Library. De vita propria liber, later to be published in English under the title of The book of my life. The author’s candid The most recent addition to this list is Bryan Ashworth's approach and vivid writing anticipates some of the best Striving towards elegance: medicine, books and business. In in modern autobiography. this delightful, slim volume of just over one hundred pages, a distinguished neurologist recounts the events of The first Fellow of the Royal College of Physicians of his personal and professional life and reflects on Edinburgh to write an autobiography was our principal developments which have occurred in medicine during founder Sir Robert Sibbald. When James Boswell later the past 50 years. acquired his manuscript, which was dated 1695, he was entertained ‘calmly’ by the Memoirs of the respected A succinct account is given of the remarkably wide physician and discussed them with Samuel Johnson experience he gained in general medicine while serving because he had thought of printing them. as a junior doctor in hospitals in England and Scotland Notwithstanding Johnson's approval, publication did not and the experience he acquired in tropical medicine occur until 1833. -
78S4 Supplement to the London Gazette, 16™ July 1968
78S4 SUPPLEMENT TO THE LONDON GAZETTE, 16™ JULY 1968 AIR FORCE DEPARTMENT Appointment to Commission (Permanent) As Acting Pilot Officers (Supplementary List) 16th July 1968. (Ground Branch) : ROYAL AIR FORCE 7th Jun. 1968 Corporal Michael Keith GREEN (690126). GENERAL DUTIES BRANCH Aircraftman Michael Kevan GRIMES (4335905). Appointment to Commission (Permanent) Promotion As Flight Lieutenants (General List) : Flying Officer to Flight Lieutenant: 1st Oct. 1967 9th Feb. 1968 Gordon Pox HEATH (4231088). D. MacK. MEADWELL (4231177). Ian THOMAS (4231303). P. J. TAYLOR-LANE (4230784). As Flying Officers (General List) : M. PATTERSON (4231596). 26th Apr. 1968. 1st Oct. 1967 A. D. STEADMAN (4269619). 11th July 1968. Anthony John HARRISON (4231702). M. G. COOPER (685812). 15th Jul. 1968. Christopher Rogers HOUCHIN (4232096). Norman Richard TREGASKIS (4231500). (Since Flying Officer to Flight Lieutenant (Ground promoted Flight Lieutenant.) Branch): Appointment to Commission (Permanent) W. M. D. BLAIR (684392). 12th Jul. 1968. As Flying Officers (Supplementary List) : Pilot Officer to Flying Officer : Flight Sergeant John Michael WOLFF (680275). 1st Apr. 1968 7th Jun. 1968 (seniority 26tk Dec. 1962). A. A. McDiCKEN (4232983). A. W. McM. TAGGART (4232976). Sergeants J. R. WILLEY (4232946). 7th Jun. 1968 6th May 1968 Keith John MACBRAYNE (1938384). (Seniority J. A. DUCKWORTH (4233007). \\th Apr. 1965.) J. F. LANE (4233022). Peter SOLIS (682465). Seniority 27th Aug. C. L. JONES (4233000). 10th Jun. 1968. 1963.) 14th Jul. 1968 Appointment to Commission (Permanent) J. E. BAKER (4233090). 'As Flying Officer (Supplementary List) (on Branch J. M. BLYTH (4233099). Officer Terms) : G. CASTELL (4233083). Master Pilot Emrys Victor GEORGE, D.F.M. N. G. CHRISTIE (4233081). -
Indian Journal of Myco/Ogica/Research
808 NATURE April 20, 1957 voL. 17e The National Scientific Lending Library lems in India. Thus, in the present issue, we may note that a disease of Norway spruce in Scotland is to a question in the House of Commons REPLYING matched by a contribution on fungal diseases of o~ :April 2, the Parliamenta_ry Secretary to the conifers in the Himalaya ; while a paper on the Works, as representmg the Lord President Mm1stry of effects of age and storage conditions on the suscep said that the Department of Scientific of the Council, tibility of certain vegetables to attack by tissue Research had now formed a unit to and Industrial rotting fungi will ·find its application just as much Scientific Lending Library im~lement the _National in some of the provinces of India as in Western move into temporary proJect and this umt would Europe. The Journal is well produced, with abundant in London early in ,April. The col accommodation line and photographic illustrations of good quality. and technological literature lection of foreign scientific Mycologists and pathologists in Britain will no doubt was hoped that full lending had commenced, and it follow the progress of the new Journal with sympa would develop at a later stage. library facilities thetic interest. Erection of a suitable building for the National Reference Library of Science was under consideration of Churches in connexion with a project for building a new Orientation Patent Office. FROM an account given by a captain in the Parlia mentary Army in the seventeenth century, it would Sherrington Centenary appear that when a church was to be erected the THE centenary of the birth of Sir Charles Scott builders carefully noted the exact p oint where the i:lherrington, a founder and main architect of the Sun rose on the morning of the feast of the church's physiology of the nervous system, is celebrated this patron saint and then orientated the building year. -
Urologic Symptoms and Functional Neurologic Disorders
Handbook of Clinical Neurology, Vol. 139 (3rd series) Functional Neurologic Disorders M. Hallett, J. Stone, and A. Carson, Editors http://dx.doi.org/10.1016/B978-0-12-801772-2.00038-2 © 2016 Elsevier B.V. All rights reserved Chapter 38 Urologic symptoms and functional neurologic disorders I. HOERITZAUER1,V.PHE2, AND J.N. PANICKER3* 1Centre for Clinical Brain Sciences, University of Edinburgh, UK 2Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery, London, UK and Department of Urology, Pitie-Salp^etrière Academic Hospital, Paris, France 3Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery and UCL Institute of Neurology, Queen Square, London Abstract The term functional urologic disorders covers a wide range of conditions related broadly to altered function rather than structure of the lower urinary tract, mainly of impaired urine voiding or storage. Confusingly, for a neurologic readership, these disorders of function may often be due to a urologic, gynecologic, or neurologic cause. However, there is a subset of functional urologic disorders where the cause remains uncertain and, in this chapter, we describe the clinical features of these disorders in turn: psychogenic uri- nary retention; Fowler’s syndrome; paruresis (shy-bladder syndrome); dysfunctional voiding; idiopathic overactive bladder, and interstitial cystitis/bladder pain syndrome. Some of these overlap in terms of symp- toms, but have become historically separated. Psychogenic urinary retention in particular has now largely been abandoned as a concept, in part because of the finding of specific urethral electromyogram findings in patients with this symptom now described as having Fowler’s syndrome, and their successful treatment with sacral neurostimulation. -
Sexual Rehabilitation of Women with a Spinal Cord Injury
Spinal Cord (2006) 44, 234–241 & 2006 International Spinal Cord Society All rights reserved 1362-4393/06 $30.00 www.nature.com/sc Original Article Sexual rehabilitation of women with a spinal cord injury E Forsythe*,1,3 and JE Horsewell2,4 1Barts and the London Medical School, London, UK; 2RYK, The Danish Spinal Cord Injuries Association, Denmark Study design: Literature review and a qualitative study. Objective: This article reviews literature examining the sexual rehabilitation of women following spinal cord injury (SCI). It includes recommendations for improvements in initial clinical rehabilitation efforts and counselling services. Setting: United Kingdom, Denmark and Sweden. Methods: Articles concerning sexual rehabilitation following SCI fromthe last two decades have been reviewed and critiqued. Qualitative results fromdiscussions with womenwith SCI in Denmark and Sweden are presented. Results: The literature focuses on the effect of neurological change on women’s ability to achieve sexual arousal and orgasm. Urinary and bowel incontinence, spasticity, vaginal lubrication and autonomic dysreflexia are the physical consequences of SCI that appear to have most impact on sexual activity. More recent studies have acknowledged that psychosocial factors such as age and partnership status may also affect the successful sexual rehabilitation. Discussions with women with SCI in Denmark and Sweden on their reactions to information and counselling offered during rehabilitation revealed an overwhelming need for the exchange of information and experience with other women with SCI, and a desire for opportunities for counselling after initial rehabilitation. Conclusion: Successful sexual rehabilitation of women with SCI demands a holistic approach that considers individual neurological, physical and psychosocial circumstances. -
List of Trinity Men Who Fell in World War II
TRINITY COLLEGE WAR MEMORIAL MCMXXXIX-MCMXLV PRO MURO ERANT NOBIS TAM IN NOCTE QUAM IN DIE They were a wall unto us both by night and day. 1 Samuel 25: 16 Abel-Smith, Robert Eustace Anderson, Ian Francis Born March 24 1909 at Cadogan Square, London SW1, son Born Feb 25 1917 in Wokingham, Berks. Son of Lt-Colonel of Eustace Abel Smith JP. School: Eton. Admitted as Francis Anderson DSO MC. School: Eton. Admitted as Pensioner at Trinity Oct 1 1927; BA 1930. Captain, 3rd Pensioner at Trinity Oct 1 1935; BA 1938. Pilot Officer, RAF Grenadier Guards. Died May 21 1940. Buried in Esquelmes No 53 Squadron. Died April 9 1941. Buried in Wokingham War Cemetery, Hainaut, Belgium. FWR, CWGC (All Saints) Churchyard. FWR, CWGC Ades, Edmund Henry [Edmond] Anderson, John Thomson McKellar Born July 24 1918 in Alexandria, Egypt. Son of Elie Ades and ‘Jock’ Anderson was born Jan 12 1918 in Hampstead, London, the The Hon. Mrs Rose O’Brien. School: Charterhouse. son of John McNicol McKellar Anderson. School: Stowe. Admitted as Pensioner at Trinity Oct 1 1936; BA 1939. Admitted as Pensioner at Trinity Oct 1 1936; BA 1939. Lieutenant, 2nd Royal Gloucestershire Hussars, Royal Married to Moira Anderson of Chessington, Surrey. Major, Armoured Corps. Died May 27 1942. Buried in 8th Argyll and Sutherland Highlanders. Victoria Cross, DSO. Knightsbridge War Cemetery, Libya. FWR, CWGC ‘During the attack on Longstop Hill, Tunisia, on 23rd April, 1943 Major Anderson, as leading Company Commander, led Aguirre, Enrique Manuel the assault on the battalion’s first objective. Very heavy Born May 25 1903 in Anerley, Middlesex. -
Urethro-Vesical Dysfunction in Progressive Autonomic Failure with Multiple System Atrophy
Journal of Neurology, Neurosurgery, and Psychiatry 1986;49:554-562 Urethro-vesical dysfunction in progressive autonomic failure with multiple system atrophy ROGER KIRBY,* CLARE FOWLER,* JOHN GOSLING,t ROGER BANNISTER$ From the Department of Urology, Middlesex Hospital,* London, The National Hospitalfor Nervous Diseases, London, and the Department ofAnatomy, University ofManchester,t UK SUMMARY Fourteen patients with progressive autonomic failure and multiple system atrophy have been investigated by urodynamic, electromyographic and neurohistochemical means and the results compared with a series of age-matched controls. Three fundamental abnormalities of lower urinary tract function have been identified: (1) Involuntary detrusor contractions in response to bladder filling. It is suggested that these may be the result of a loss of inhibitory influences from the corpus striatum and substantia nigra. (2) Loss of the ability to initiate a voluntary micturition reflex. This may reflect the degeneration of neurons in pontine and medullary nuclei and in the sacral inter- mediolateral columns. In addition, these studies have demonstrated a significant reduction in the density of acetylcholinesterase-containing nerves in bladder muscle. (3) Profound urethral dys- function. This appears to be partly due to a loss of proximal urethral sphincter tone, which causes bladder neck incompetence. In addition, the function of the striated component of the urethral sphincter is impaired. Individual motor units recorded from this muscle were clearly abnormal when compared with controls and suggested that reinnervation had occurred. We suggest that this is the result of degeneration of a specific group of sacral anterior horn cells known as Onuf's nucleus. The evidence that these particular motor units are affected, while others are spared, poses fundamental questions about the nature of selective vulnerability in degenerative diseases of the nervous system. -
Queen Square Alumnus Association
Queen Square Alumnus Association Editor Issue 2 February 2012 Mr David Blundred Teaching and E-Learning Administrator [email protected] Editorial Leads Professor Simon Shorvon Professor Andrew Lees Ms Louise Shepherd Miss Jean Reynolds Ms Daniela Warr Schori Miss Pat Harris Professor Ian McDonald The opinions expressed in the newsletter by authors and interviewees do not necessarily reflect the opinion of the Editor or the UCL Institute of Neurology and National Hospital for Neurology and Neurosurgery. All photographs have been kindly provided by Medical Illustration, Queen Square Library and the Editors private collection. Contents Editorial 02 News 03 What Queen Square means to A round-up of the latest news us all from Queen Square News – New Initiatives 05 Alumni News 07 An update on grants and projects News from your fellow alumni awarded at Queen Square Upcoming Events 08 Library and Archives Services 09 A sample of events on offer Ms Louise Shepherd updates us on over the next few months the archives held in the Library Queen Square Interview 11 Alumni Interview 14 The Editor interviews Professor Andrew J Dr Anna Vakaet talks about her Lees on his career and memories of time at Queen Square Queen Square Out of our Archives 16 Focus on Sudan 18 A look at a new discovery The Sudanese Society for Neurosciences (SSNS) involving Hughlings Jackson By Dr Muaz Abd Ellatif, Dr Isam Izzeldin & Dr Omer Hamid Photos from our Archives 22 Front cover explained 23 A look at some of our photos The people behind the pictures from our archives 1 EDITORIAL What Queen Square means to us all I have been delighted to receive so many positive responses to the first Queen Square Alumnus Association Newsletter, and it is heartening to know that your time at Queen Square is still remembered so fondly.