Res Medica (E-Journal)
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Editorial
Get PDFRes Medica was to be scrapped at the last revision of the RMS laws. Yet despite its nonexistence for many years the suggestion to end it was met with a bizarre unease. Almost like ‘pulling the plug on a pal on life support’. A number of articles were written for a celebration copy to be printed for the 250th anniversary in 1987. Insufficient funding hampered its early resurrection and the journal of the Royal Medical Society slumbered on
Leiden Exchange
Get PDFAfter last year’s extremely successful visit by the lovely Dutch Medical students, we were keen to make the exchange a regular reciprocal visit. Our erstwhile President Paul Mills had been in touch with Monique, his Dutch counter-part for some time and eventually a date was agreed on
Conciousness altering drugs – man’s search for unreality
Get PDF“Religion is the opium of the people.” K MarxMarx described religion as the “opium of the masses” and of course drugs to alter consciousness and hence our perceptions of reality have long been associated with religion. Indeed one wonders wether drugs and religion are fundamental to man, man having been defined both as “an animal who wonders about his origin” and as a “drug using animal.
Bridge problem
Get PDFIn the second of this series I thought it would be good to look at counting again and to cover another important area of the game: communication and how to break down your opponents’ communication
A Report of an Elective Spent in the Department of Paediatrics, Victoria Hospital, South Africa
Get PDFI chose to spend the 8 weeks of my elective in South Africa as it is a country which fascinates me in many ways. Known as the “Rainbow Nation” it is a country of diverse beauty; with many races, languages and cultures. Unfortunately there are also extreme inequalities in standard of living and quality of life, stemming from the long term effects of the apartheid era. The result is a population ranging from third world poverty to first world wealth and prosperity, literally on one another’s doorstep. Healthcare mirrors the same disparity, with the private sector providing medical care of world-wide cutting edge standards, whilst the local state clinics and hospitals struggle with limited resources to provide care to a population rife with poverty and AIDS.
Early History of The Royal College of Physicians of Edinburgh
Get PDFFactors that led to the award of the College’s Royal Charter . The definitive history of the College written in 1976 by Craig runs to over 1,100 pages, and that by Ritchie in 1899 is also substantial.1 It is unlikely therefore that this account could be other than a very brief chronology of the principal events associated with the Royal College of Physicians of Edinburgh between the early 17lh century and the present time. While the College eventually received its Royal Charter in 1681 this was only after three previous abortive attempts had been made in 1617, 1630 and again in 1656. These various attempts were each made by small groups of dedicated physicians, all of whom had received their medical training on the Continent. On returning to Edinburgh, they particularly wished to elevate the status of their city, and the standard of medical practice in Scotland, but particularly in Edinburgh and its surrounding area. They were certainly aware that the standard of medical practice was without question far lower than it was on the Continent and even in England at that time. The award of a Royal Charter would also undoubtedly elevate the status of the Physicians as a corporate entity from the others that practised medicine in the same area. The Physicians in Edinburgh also believed that they would be in a similar position to their clinical brethren in London who had received their Royal Charter in 1518. Considerable difficulties were encountered over the years, however, before the Edinburgh physicians successfully obtained their Royal Charter. These came from a number of quarters, but particularly from the Edinburgh Surgeons, from the Church, from factions within the Town Council and from the University
Why should medical students be concerned about global governance?
Get PDFThis article introduces the work of the Lancet-University of Oslo Commission on GlobalGovernance for Health and its parallel Youth Commission, which published their reports in2014. Because the role of socioeconomic conditions in the production of health outcomes and health inequities has already long been recognized, the Commission further examined the “political determinants of health,” particularly the systemic dysfunctions of global governance, especially in areas that are deemed as “non-health” such as trade, finance, agriculture, migration, and security. To support the Commission’s thesis, the Youth Commission then proposed the adoption of the “capability approach” as a guiding framework of global governance for health. First introduced by Amartya Sen, this approach emphasizes on the need for equality in the space of capabilities or freedoms needed to achieve various things that people value. Nevertheless, while the road toward better global governance remains elusive, the next generation of leaders, including medical students, can already be prepared to tackle these seemingly insurmountable challenges. Various ways by which medical students can learn and understand global governance and global health include incorporation into the medical curriculum, internships, and involvement in student organizations with global health orientation. Such modalities are hoped to contribute towards the full reorientation of the health professions to consider, address, and reach out to other sectors that govern the broader, underlying social determinants of health
Cystic Fibrosis
Get PDFCystic fibrosis, a genetic disease with an autosomal recessive mode of inheritance, was first described in 1936 by Fanconi et al. He described the disease in a paper entitled The Coeliac Syndrome with congenital cystic pancreatic fibromatosis and bronchietasis. Since then the disease has been known by various names such as Cystic Fibrosis of the Pancreas, Mucoviscidoses, fibrosis of the pancreas until it was shortened to Cystic Fibrosis in the 1960s.Cystic Fibrosis represents the commonest autosomal recessive disorder in Caucasian populations. The mutant gene, recently identified on the long arm of chromosome 7 has a carrier rate equal to 1 in 22 among Caucasians. The overall incidence of the disease in 1 per 2000 live births. However it has a much lower incidence amongst non- Caucasian populations. Amongst the UK population there are 5000 cystic fibrosis sufferers. Slightly more than 300 affected babies are born annually.The disease affects many tissues, especially the endocrine glands. It results in the production of abnormally viscous secretions which cause duct obstruction and are therefore responsible for pancreatic insufficiency, malabsorption syndromes, biliary cirrhosis and male infertility. The lungs of cystic fibrosis patients are found to be normal at birth but are very prone to infection. Recurrent infection is responsible for the irreversible secondary lung damage which is usually responsible for the shortened life expectancy of cystic fibrosis patients.Death usually results from a severe bacterial pneumonia or is related to the development of cor pulmonale from lung disease
RMS News
Get PDFSenior President: Donald Macarthur1st Junior President: Mary Dolan2nd Junior President: Louise Smith3rd Junior President: Sigrid WanlessSecretary: Stuart BlakeJunior Secretary: Clare MilesTreasurer: Dr. Brian MontgomeryBusiness Convener: Aileen McKinley, Paul MacKenneyPublicity Convener: Caroline CobbHouse Convener: Kneale MetcalfLibrary Convener: Emily CobbMuseum Convener: Simon HartEntertainments Convener: Agneta Fullarton
Viruses as agents of Mass Destruction
Get PDFRecent events in the US, with the release of Anthrax Bacillus from as yet unknown sources, have for the first time in most people’s lifetime focussed the world’s attention on the threat of biological warfare. However, such attacks are not new. From time to time throughout history peoples and governments around the world have used microorganisms as efficient and cost-effective weapons of mass destruction. Starting in a rather crude but effective way, the Greeks and Romans deposited dead animals into their enemies’ drinking water. Later dead soldiers were added to this, and the technique was further refined in Medieval times when bodies of people who had died of infectious diseases were catapulted into towns under siege