Showing papers in "Journal of the Royal Society of Medicine in 1969"

Nerves and Nerve Injuries.

Abstract: If you really want to be smarter, reading can be one of the lots ways to evoke and realize. Many people who like reading will have more knowledge and experiences. Reading can be a way to gain information from economics, politics, science, fiction, literature, religion, and many others. As one of the part of book categories, nerves and nerve injuries always becomes the most wanted book. Many people are absolutely searching for this book. It means that many love to read this kind of book.

Biochemistry of the Acute Allergic Reactions.

Abstract: A solution to get the problem off, have you found it? Really? What kind of solution do you resolve the problem? From what sources? Well, there are so many questions that we utter every day. No matter how you will get the solution, it will mean better. You can take the reference from some books. And the biochemistry of the acute allergic reactions is one book that we really recommend you to read, to get more solutions in solving this problem.

Lateral subcutaneous sphincterotomy for anal fissure--a new technique.

Abstract: Posterior internal sphincterotomy is probably the most popular surgical technique used in the outpatient treatment of chronic anal fissure. This procedure often leaves a large posterior anal wound which may take up to seven weeks to heal. In some cases it may result in a posterior mid-line gutter or 'key-hole' deformity at the site of the sphincterotomy due to epithelialization of the gap created by separation of the edge of the divided sphincter muscles (Goligher 1961, Hardy 1967). Distressing complaints such as incontinence of flatus and fmcal soiling of underclothes have been reported in some patients (Bennett & Goligher 1962, Magee & Thompson 1966). FRcal soiling may be due to faces being retained in the gutter deformity. To avoid this the author has devised a technique whereby the internal sphincter is divided under the skin in the lateral position in a manner similar to performing a tenotomy. This leaves the divided internal sphincter bridged by skin and a tiny perianal skin wound on the anal verge.

Composition of Peripheral Nerves.

Abstract: To the orthopaedic trainee and indeed his tutors structural scoliosis is a complex problem in management. But cooperation with cardio-respiratory physicians, anaesthetists and others has done much to ease the heavy clinical burden. If the deformity is mechanically complex, its aetiology and pathogenesis are obscure and often baffling. However, when eminent anatomists, biochemists, physicians and orthopaedists convene to discuss these latter problems one may expect clarification. Most certainly these 'proceedings' do this and more, and should be read by all whose interests are in diseases of childhood. Scoliosis touches many systems. The monograph reports on the experimental production of scoliosis in laboratory animals; the mechanical interpretations and explanations of the progression of the deformity; and the biochemical, metabolic and neurological diseases which are associated. Allusion is made to the genetic factors involved. The contributors are lucid though not necessarily convincing. Photographs are of good quality; the tables in the text are simple and self-explanatory. Perhaps one could have expected something better than a paperback edition for a not inconsequential price, although this in no way detracts from the value that lies between the covers. This monograph is a useful supplement to standard orthopaedic texts and specialized works on scoliosis.

Oculocutaneous aspects of rosacea.

Abstract: The eye changes are usually regarded as consisting of: (I) Hyperamia of the lid margin with associated squamous blepharitis. (2) Conjunctival hyperamia, most marked in the interpalpebral fissure, and phlyctenule-like nodules without ulceration. (3) Fine punctate epithelial lesions of the cornea and subepithelial infiltrates, leaving a clear limbal zone. Opacities are initially superficial, but later may be at all stromal levels with accompanying vascularization.

Leukoplakia and oral cancer.

Abstract: The incidence of oral cancer in Britain appears to be more than 1,850 cases per annum according to the National Cancer Registration Scheme for 1963-64. The incidence rises sharply with age. The Registrar General (1967) records a mortality for oral cancer of approximately 900 a year, i.e. the death rate is very close to 50%. Little is known of the etiology of oral cancer but leukoplakia is regarded as a precancerous disease. If so, its proper management might be expected to make some contribution to reducing the high mortality of oral cancer. Chronic white lesions of the mouth include a variety of conditions, but the relationship of any of these individual types to oral cancer is not clear. The following comments can, however, be made.

The lungs in rheumatoid arthritis.

Abstract: Philip Ellman, whose work this lecture is intended to commemorate, died just over eight years ago. He was above all a clinician, interested in the problems of individual patients. His contributions to the science of medicine were those of an astute clinical observer, endowed with the gift of describing his observations clearly, both in speech and in writing. His principal interests were in two fields: the chronic respiratory diseases, including tuberculosis, and the rheumatic diseases. He participated actively in the meetings of this Section and of the Clinical Section of this Society. It was at a joint meeting of this Section and the Section of Physical Medicine in 1947 that he referred for the first time to the possibility that chronic lung changes might be associated in some specific way with rheumatoid arthritis,'mentioning briefly a case of rheumatoid arthritis with splenomegaly, hepatomegaly, lymphadenopathy and leukopenia, and widespread radiographic changes in the lungs which at necropsy were found to be due to 'a curious chronic fibrosing broncho-pneumonic lesion' (Ellman 1947). Subsequently, he published further clinical and pathological contributions to knowledge at this meeting-point of his two main interests. There is now a very large literature on the associations between rheumatoid arthritis and changes in the lung and pleura; and many of the authors who have written on this difficult subject have started by referring to these early observations of Philip Ellman's. It therefore seems appropriate to devote this lecture to this subject. I propose to consider, first, the evidence which suggests that certain types of morbid change in the lungs and pleura may be related in some way to rheumatoid arthritis; and, second, the possible nature of any such relationship.

Congenital Dislocation of the Hip (CDH): Necropsy Studies at Birth:

Abstract: rheumatoid arthritis, and close scrutiny of the literature appears to support this conclusion. The combination of soft bone, inadequate muscle power with the characteristic tendency to reankylose (often expressed in spontaneous fusion of other joints) all militate against a good result. A prosthesis may ultimately be more suitable for dealing with this problem; and investigations are currently proceeding in an attempt to develop a suitable device.

The side-effects of carbamazepine.

Abstract: Renstrup C (1958) Acta odont. scand. 16,99 Rosenquist K (1944) Nord. Med. 24, 1891 SavilahtiM (1946) Acta med. scand. 125,40 Shafer W F& Waldron C A (1961) Surg. Gynec. Obstet. 112, 411 Shamma'a M H & Benedict E B (1958) New Engl. J. Med. 259, 378 Silverman S jr & Rozen R D ..1968) J. Amer. dewt. Ass. 76, 772 Suzman MM (1933) Arch. intern. Med. 51, t Warin R P (1960) Brit. J. Derm. 72, 288 Watts J McK (1961) Postgrad. med. J. 37, 523 Weisberger D (1957)J. Amer. dent. Ass. 54, 507 Wynder E L & Fryer J H (1958) Ann. intern. Med. 49, 1106

Proceedings of the Third International Congress of Human Genetics

Abstract: soon find it in two volumes. Considerable reduction in size could be achieved by limiting the illustrations to those showing points of treatment rather than of diagnosis. Some of the illustrations have an old-world character which is out of place in such a modem volume; for example, the photograph on page 781 showing a pituitary dwarf with normal adult; the child is partially clothed, facing away from the camera and there is no height measure. The photograph of miliaria on page 842 could be ofalmost any skin lesion. It is good to see a chapter on play therapy which, as its author states, is probably the most underrated method of paediatric therapeutics. It is a pity, therefore, that it only receives five pages in a book of this large size. This is a scholarly treatise which maintains the standard set by its predecessors and can be warmly recommended. HUGH JOLLY