Res Medica (E-Journal)
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    Growth Normal and Abnormal

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    Growth as we see it in an animal or a plant, is a smooth continuous process. But the more we delve into it, the more discontinuous we find it to be. Individual cells do not grow indefinitely. When they reach a certain size, they undergo a drastic reorganisation, and divide into two. Even growth between one division and the next is not, as one might have expected, a smooth process of increase by compound interest. Instead, as Dr. J. M. Mitchison of Edinburgh University has recently shown, it is growth by simple interest, until shortly before the cells are due to divide, when they suddenly double their rate of increase, in readiness for the appearance of two daughter cells, each of which will grow at the original rate. The machinery for making new living matter is evidently duplicated quite suddenly

    The Aetiology of Disseminated Sclerosis

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    Based upon a Dissertation on “Disseminated Sclerosis” given before the Society on Friday, 10th January 1958.Disseminated sclerosis is the commonest nervous disease in this country; in the north of Britain at least one in 1300 adults is affected. If any rational or successful therapy is to be introduced the cause must be found and I therefore propose briefly to discuss the main theories of its aetiology.Disseminated sclerosis is one of the primary demyelinating diseases (as opposed to those causing secondary demyelination such as infarcts) which can be defined as “diseases of the central nervous system showing destruction of myelin sheaths with relative sparing of axon cylinders and supportive tissues usually occurring in multiple foci.

    An Oculist Looks at Endocrine Exophthalmos

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    Based on a talk delivered before the Royal Medical Society on Friday. 12th December 1958.When it was suggested to me that I should talk around some subject that held interest beyond the strictly ophthalmological one I saw a chance to present the ophthalmologist as someoneother than a man confined within the bony boundaries of his orbit, often fighting stern actions to defeat the invasive tactics of his neighbours, the neuro surgeons and the nose and throat doctors. Here was an opportunity to demonstrate the many connections of our subject and the many other branches of medical practice with which we are at times associated, ranging from neurology and rheumatology, through paediatrics, midwifery, and dermatology, to metabolic disease and endocrinology--to mention but a few of the pies in which anophthalmological finger may be found

    Res Medica, Autumn 1959, Volume 2, Number 1

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    TABLE OF CONTENTSSYLLABUS FOR THE 223RD SESSIONHYPOTENSIVE DRUGS: G. E. Mawer, B.ScAN OCULIST LOOKS ATENDOCRINE EXOPHTHALMOS: C. R. S. Jackson.M.A., M.D., D.O.M .S., F.R.C.S.E.RES MEDICA THE TREATMENT OF CANCER: John McKendrick,M.B., Ch.B.DOCTORS AND ARTISTS: Professor W. I. C.Morris, F.R.C.S.E.SOME ASPECTS OFRHEUMATIC FEVER: David J. ClarkABDOMINAL PAIN: Geoffrey T. Millar,M.B., Ch.B.TWO HUNDRED YEARS AGO: James A. Gray, M.B..Ch.B

    Res Medica, Autumn 1960, Volume 2, Number 3

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    TABLE OF CONTENTSSYLLABUS 224TH SESSION THE DIAGNOSTIC VALUE OF PAIN: E. B. French, B.A., M.B., Ch.B. , M.R.C.P.Lond., F.R.C.P .E.AETIOLOGY OF HYPERTENSION: G. W. K. Donaldson, B.Sc.RES MEDICAAUSCULTATION OF THE HEART: II: R. W. D. Turner, O.B.E., M.A., M.D., F.R.C.P.Ed., F.R.C.P.Lond .WILLIAM CULLEN AND JOSEPH BLACK: James Wallace, B.Sc., F.R.S.E.CONSTITUTIONAL JAUNDICE: W. L. Ford, M.B., Ch.B.SIR JAMES MACKENZIE: AN INTRODUCTION TO CARDIOLOGY: W. S. UttleyRETROSPECT 223RD SESSION

    Res Medica

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    MEDICAL EDUCATIONIt seems almost traditional now that medical students should be to some degree critical of the mode of conduct of their courses. In the last ten years or so it has also become fashionable for the governing bodies of medical schools to discuss and experiment with new methods of teaching and the content of courses. Practically all are agreed that the already lengthy course should not be extended, therefore the required measures will entail a judicial pruning of the present curriculum to enable the newer subjects and courses e.g. psychological medicine and general practice methods to be included.In the United Kingdom, the General Medical Council is the all-important governing body and their Directive of 1957 has done much to stimulate thoughts and ideas along the lines of revision and re-organisation of the medical course. It is this body which lays down the minimal requirements of a medical curriculum, but in their Directive they delegated much responsibility as to the actual conduct of the course to the individual medical schools, and added their now almost famous rider that there should be less instruction and more education.

    Parry and Parry’s Disease

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    THE MANIn 1778 the Charter of Incorporation was granted by George Ill to the presidents and associates of the Medical Society of Edinburgh, confirming Robert Freer, James Melliar, Andrew Wardrop and Caleb Parry in their office as Presidents. Caleb Parry, whose name appears here, became a highly esteemed practitioner at Bath and like Heberden acquired a lifelong habit of taking notes. He described the first recorded case of facial hemiatrophy in 1814, of congenital idiopathic dilatation of the colon in 1825, and in 1786 he left an account of exophthalmic goitre so complete and original that it more justly entitles him to the honour of its discovery than either Flajani in 1800, Graves in 1835, or von Basedow in 1840.Caleb Hillier Parry was born on October 21st 1755, at Cirencester, near Gloucester, where his father Joshua was a non-conformist minister. His early education was at the grammar school in Cirencester, where he met Edward Jenner: and the latter dedicated his epochal Inquiry in the Causes and Effects of the Variolae Vaccinae" to "C. H. Parry, M.D., at Bath, My Dear Friend." At the age of 18, Parry became a student of medicine at Edinburgh, in the days when William Cullen dominated the scene. Parry spent two of his undergraduate years in London, but when he returned in 1777, he was elected a president of the Medical Society of Edinburgh. And it was during his term of office that the Royal Charter was achieved, an honour which remains unique for an undergraduate society

    Book Reviews

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    INTRA-ABDOMINAL CRISES by K. D. Keele, M.D., F.R.C.P., and N. M. Matheson, F.R.C.S., M.R.C.P., F.A.C.S. Pp. 397. Published by Butterworths. Price 50s. plus 2s. by post.It has become increasingly obvious that the ancient distinction between physician and barber surgeon is an unreal one; and nowhere is this more obvious than in the field of abdominal disorders. Edinburgh has recognised the need for close collaboration between physicians and surgeons in the shape of the gastro-intestinal unit at the Western General Hospital. DILLING\u27S CLINICAL PHARMACOLOGY. revised by Stanley Alstead. C.B.E., M.D., F.R.F.P.S., F.R.C.P. Lond., F.R.C.P.Edin., F.R.S.Edin. and others. 20th Edition, Pp. 860. Published by Cassel & Company Ltd. Price 30s. net.This textbook is notable for the wide limits of the topics discussed under the heading of pharmacology. The authors have succeeded in gathering together under each chapter heading the physiological principles involved in the working of each system and have attempted to relate the pharmacology of the drugs under discussion to them. They go on to carefully and logically show the rationale of the use of the drugs in medicine. At the same time, wherever possible, they demonstrate that the same pharmacological actions are also responsible for the toxic actions and side effects. In this way it is possible to assess the benefit of a drug to the patient against a background of knowledge which also allows the risks involved to be estimated

    Fibrinolysis and Occlusive Vascular Disease

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    Based on a Dissertation read before the Royal Medical Society on Friday. 20th January, 1961.The magnitude of the problem of occlusive vascular disease needs no introduction ; we should therefore be acquaint with any new therapeutic developments, particularly if these h a v e reached the stage of clinical trials. I apologise for any bias and simplification in this article. The purpose of the original Dissertation was to arouse curiosity ; this article attempts to do no more

    Res Medica

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    PSYCHIATRIC SERVICES FOR CHILDRENThe lack of psychiatric services for children is acute. At the present time, the paediatrician, however greatly interested in the ease, is often required to deal with frank emotional and behavioural problems in which he and the only available psychiatrist may have no special training.Thus, in a recent report based on information obtained from paediatric units throughout the United Kingdom, the facilities available to adolescents who had left school were said to be in almost every case simply the general paediatric and adult mental services. For children of school age, both In- and Out-Patient psychiatric services were said to be very inadequate. Regarding in-patient treatment, psychiatrists are very often compelled to make use of beds in general paediatric departments. The waiting period for an out-patient appointment can be very long—in one extreme case, 2 ½ years. No information was available in the report regarding the facilities for children of preschool age

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