Res Medica (E-Journal)
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Res Medica, Summer 1960, Volume II, Number 2
Get PDFTABLE OF CONTENTSBRAIN MECHANISMS AND SOCIAL PROBLEMS: W. Ritchie Russell, C.B.E., M.D., D.Sc., F .R.C .P.PORTAL HYPERTENSION: J. G. ClarkRES MEDICA AUSCULTATION OF THE HEART: R. W. D. Turner, O .B.E., M.A., M.D., F.R .C.P. CONGENITAL MALDEVELOPMENTS AS A CAUSE OF HYDROCEPHALUS : David Doyle THE BIOLOGICAL BASIS OF INDIVIDUALITY: M. F. A. Woodruff, M.D., M.S., F.R.C.S.ANTI-EMETICS IN PREGNANCY AND TRAVEL SICKNESS: R. F. Rintoul BRIGHT AND BRIGHT\u27S DISEASE: E. A. W. Slater CONSUMER RESEARCHHOSPITAL ARCHITECTURE IN BRITAI
Res Medica
Get PDFHeredity and social orderThat medical research can be retarded by the limitations of laboratory technique is only too well known. But, once begun, research into a specialised field can advance with startling rapidity.In, the past two years, more reliable methods leading to the identification of individual chromosomes have been developed. A new dimension is being added to the science of genetics, which may provide a variety of social and clinical implications, typical of this branch of biological science
Constitutional Jaundice
Get PDFThe common physical sign of jaundice is recognised by yellow discoloration of the skin and sclerae and it is confirmed and measured by estimating the concentration of bilirubin in the serum. Jaundice is rightly regarded as a sign of serious disease but like many other physical signs and biochemical deviations it may be of no pathological significance whatsoever. In such circumstances, to establish with certainty that no serious disease is present and to manage the patient accordingly is clearly more important than to make a precise diagnosis in an incurable case
Nutritional Blindness
Get PDFIt is a tragic fact that in large areas of the world today despite the continuing advances in medical science many thousands of people, the majority young children, are going blind every year as a result of malnutrition. As will become apparent as this subject unfolds, we know enough about the ways in which deficiency of vitamin A and vitamins of the B complex destroy vision to be in a position to prevent much of the needless suffering. It will also be shown that there are important areas in this field where we are still ignorant, especially of the long term effects of malnutrition acting very early in life on certain parts of the eye.Due not only to lack of time but also to the dearth of reliable data and information upon which to base an appraisal I shall not deal with certain aspects of this subject. For example, we do not yet know whether or not malnutrition plays any part in the disease process of trachoma or in the development of pterygium. We are also ignorant of the importance of an underlying deficiency of nutrients in making the conjunctiva and cornea more susceptible to infectious processes.Leaving such speculations strictly aside my purpose is to summarize present knowledge of certain nutritional eye conditions and also perhaps to enlarge the horizon of your thinking by introducing you to some fresh problems and new concepts
Accidental Haemorrhage
Get PDFEdward Rigby of Norwich, in a treatise on uterine haemorrhage published in 1776, first shed light on the problem of bleeding from the vagina during later pregnancy. In this essay he differentiated between an accidental haemorrhage and the haemorrhage of a placenta praevia. From his observations accidental haemorrhage was defined as "bleeding from a normally situated placenta, after the 28th week of gestation, and up to the end of the second stage of labour."Accidental haemorrhage is divided into three varieties:1. Revealed Accidental Haemorrhage.-where the bleeding is entirely external;2. Concealed Accidental Haemorrhage.-where there is no sign of blood externally;3· Mixed or Combined Accidental Haemorrhage.-which shows features of both concealed and revealed.The most important of these is the concealed variety and there are four ways in which a haemorrhage may remain concealed:1. A retroplacental haemorrhage occurs in the central area of the placenta, but the margins of the placenta remain adherent to the uterine wall.2. If the placenta becomes completely separated the membranes remain attached to the uterine wall.3· The blood may burst through the membranes into the amniotic sac mingling with the liquor, and immersing the foetus in a blood bath (Lesser 1951).4· When the foetal head is accurately applied to the lower uterine segment so that the blood cannot make its way past it into the vagina.In spite of these mechanisms it is much more common for blood to escape externally ; a concealed accidental haemorrhage thus becomes a mixed accidental haemorrhage
Res Medica, Autumn 1961, Volume 3, Number 1
Get PDFTABLE OF CONTENTSPERFUSION: Professor W.A. MackeyABDOMINAL CRISES 1: I.S.R. Sinclair, F.R.C.S.FIBRINOLYSIS AND OCCLUSIVE VASCULAR DISEASE: J.D. Cash, B.Sc., M.B., CH.B.RES MEDICATHE UNBORN CHILD: Professor C.S. RussellTHE USE OF CONTROLS IN THE ASSESSMENT OF CLINICAL EVIDENCE: C.V. Ruckley, M.B., CH.B."THE SLIMY MUD OF WORDS":H.C. Drysdale, M.B., CH.B.THE HARVEIAN ORATION, 1961: Dr. J.K. Slater, O.B.E., M.D.MELANCHOLIA: E.B. Ritson, M.B., CH.B
Abdominal Crises 1
Get PDFDespite the mechanical contrivances which clutter our modern world solutions to the crises which constantly beset us in every sphere still depend upon the wisdom of individuals. This is nowhere more true than in the management of abdominal crises which at some stage falls to the lot of every medical man. If disaster is to be averted, a correct diagnosis has to be made and a correct line of action determined within a space of time so short that the opportunity to call upon other opinions or to invoke the corroborative aid of laboratory tests may be severely curtailed. For the vast majority of doctors who are not practising surgeons the overriding responsibility is to decide whether an abdominal crisis is such that operative treatment may be needed. If the medical student, nurtured in the hospital environment gains the impression that this decision is one of no great difficulty he is forgetting that the wheat has already been separated from the chaff before the patient ever reaches hospital. It is a tribute to the general practitioners that so few patients are needlessly referred to hospital and that even fewer are referred with serious complications already established
Book Reviews
Get PDFTEXTBOOK OF MEDICAL TREATMENT. Edited by Sir Derrick: Dunlop, Sir Stanley Davidson, S. Alstead. Eighth edition. Edinburgh: E. & S. Livingstone1961. Pp. 983 and XIX. Price 60s.New editions of this textbook have been appearing regularly and frequently since its first publication just twenty two years ago. This is undoubted proof of its popularity and a reflection of the steady advances Medical Treatment has made over the years
Res Medica, Spring 1962, Volume III, Number 2
Get PDFTABLE OF CONTENTSABDOMINAL CRISES II: I. S. R. Sinclair. F.R.C.S.NERVE CELLS AND NEUROGLIA: Professor D. Whitteridge, F.R.S. RESPIRATORY INADEQUACY:Charles E. Hope RES MEDICATHE TREATMENT OF RENAL DISEASES: J. A. Calvert. B.Sc. THE EDINBURGH INFLUENCE ON EARLY AMERICAN MEDICINE: Professor Sir Walter MercerSIR CHARLES BELL: Robert A. ButlerOFFICE-BEARERS 1961-1962RETROSPECT—225th SESSIONBOOK REVIE
Some Thoughts On The National Health Service
Get PDFPresident’s Valedictory AddressSince its inception the National Health Service has provided a controversial topic for discussion. The vigour of its opponents is equalled only by the enthusiasm of its supporters. Opinions however, are not always well founded for factual information about the Service receives little publicity, and the statistics presented in the Minister of Health’s annual report reach a very limited public. Yet it is only when facts and figures such as those shown in table 1 are examined that a true picture of the health scheme emerges