Res Medica (E-Journal)
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What goes on in the Low Room??
Well, here it is ... the chance to find out what has really been going on behind those mysterious doors. I’m talking, of course, about Council and Trust meetings.For those not familiar with the set-up in the RMS, the Trustees look after the Society’s investments and control the purse strings so that the vast sums of money required to run the RMS are available
Pat Strong 1920-2000
Pat was an institution - widely admired and respected. Pat was a guide, philosopher and friend, confidante and counsellor to generations of medical students and young doctors. Above all Pat was a remarkable warm and vibrant person loved not only by her own family but by a huge and ever-increasing circle of friends.
Editorial
For the first time in recent memory, Res Medica has been published twice in a single academic year. A brief glance at the articles shows that those responsible for this are the members – the majority of the articles this time around have come from people involved with the society in some capacity
The Rise and Decline of Operative Obstetrics or, the Joys of a Peripatetic Obstetrician
I awoke and it was a dream. This has encouraged me to share with you the joys of a peripatetic obstetrician who spent more than 40 years practising obstetrics when obstetrics, particularly operative obstetrics, truly was an Art. Sadly this is no longer the case, although one could, if one had the necessary experience, still practise this kind of obstetrics in a developing country where the patient would bless you for having saved her child and for having preserved her from a feared Caesarean section. It is almost impossible to convey the sense of achievement, joy and wonder when, bathed in sweat, after a difficult rotational forceps or breach delivery, one stands gazing at a new creation and shares with the parents their varying emotions
Res Medica, April 1967, Special Issue – Lauder Brunton Centenary Symposium on Angina Pectoris
WelcomeHistorical SessionOpening AddressLauder BruntonHistory of Angina Pathophysiological SessionThe Pathology of AnginaExperimental Studies on the Myocardial Collateral CirculationFirst DiscussionCoronary Blood Flow and Myocardial Metabolism in Angina PectorisCardiac Function in Patients with AnginaSecond Discussion Therapeutic SessionThe Modern EpidemicIs Angina Preventable?Third DiscussionChest Pain, Exercise Electrocardiography and Coronary Arteriography(Correlative Studies in Angina PectorisPrognosis of Angina PectorisPanel DiscussionSumming U
Experimental Studies in the Myocardial Collateral Circulation
I want to talk about the measurement of collateral flow that Dr. Fulton has so clearly demonstrated.It is not possible to assess this after myocardial infarction in man, and as at present collateral vasculature of the dog resembles that of man we have used this animal to study collateral flow rates immediately following infarction, the changes which accompany recovery, and the effects of drugs and sympathetic blockade
Research Topic: On the Mode of Action of Barbituates In Vivo
Aldridge and Parker (1960) using suspensions of liver mitochondria demonstrated with oxybarbiturates an inhibition of respiration withoutuncoupling oxidative phosphorylation. This was in contrast to the views expressed by Brody and Bain (1954) who suggested that the mode of action of the barbiturates on the C .N .S . was mediated by an uncoupling of oxidative phosphorylation.Aldridge and Parker further showed that the use of succinate as substrate for the mitochondrial suspension abolished the inhibition of respiration caused by the oxybarbiturate and suggested therefore that the site of action of the oxybarbiturate was at some stage before the entry of succinate into the oxidative chain. Succinate is known to enter the oxidative site at a point after the pyridine nucleotide stage and hence the site of action of barbiturate was proposed to be at the oxidation of pyridine nucleotide
Diagnostic Problem
Subject:A.F., widowed, female, aged 67.Complaint: Blackouts, dizziness, anorexia.History: This patient had a four year history of extensive investigation and treatment for essential hypertension. She was noted on both in and out-patient interviews to be a very nervous and anxious woman, and her blood-pressure was extremely labile. There was no doubt that the diagnosis of idiopathic hypertension was established, but treatment was unrewarding as the patient lived alone and was never able to fully understand her quite complicated drug regimes. She had been a widow for 30 years and had only one child — a married daughter, with whom she came to live because of her increasing lack of confidence on her own and the failure of therapy to control her symptoms. The “blackouts” were infrequent, but frightening, in that they involved transient partial loss of consciousness, often in crowded places. The dizziness consisted of an unspecific feeling of faintness (not vertigo). The persistent anorexia was the symptom which most troubled the patient and her relatives
Editorial
The first part of the sale of most of the Royal Medical Society’s Library at Sotheby’s has been promising. The suggested upper limit of £120,000 is now attainable if the next two sales follow the pattern of the first. This is gratifying for the people who had to make the decision about the best way to dispose of the books.It seems almost a paradox that the sale which was necessary for the Society to continue on a secure financial basis should, by realizing so much, have created a further dilemma. T h e problem can be simply stated as this: if the sale of the library produces a financial surplus over and above what is required for new premises and reasonable security for running those premises in the future, what is to be done with the surplus, or the interest from the investment
Books
Urology and Renal Medicine. £1.25. Livingstone. J. E. Newsam and J. J. B. Petrie.Medical and Veterinary Protozoology — An Illustrated Guide. £6. Churchill Livingstone. K. M. G. Adam, T. Paul, V. Zaman.The Principles and Practice of Medicine. 10th Edition. £3. Livingstone. Davidson and Macleod.Hormone Assays and their Clinical Application. 3rd Edition. £5. Livingstone. John A. Loraine and E. Trevor Bell.Cardiology. £1.75. Concise Medical Textbooks: Balliere. D. G. Julian.Gynaecology. £5.75. Churchill Livingstone. Novak, Jones and Jones.The Voice and Voice Therapy. £4. Prentice Hall International. Daniel Boone