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BRITISH MEDICAL JOURNAL JOURNAL OF THE BRITISH MEDICAL ASSOCIATION SATURDAY JANUARY 19 1946 TABLE OF CONTENTS 600 Cases of Sprue in India K. D. KEELE, M.D., and J. P. BOUND, M.B . ........................ 77 Outbreak of Weil's Disease in the British' Army in Italy J. H. HUTCHISON, M.D., J. S. PIPPARD, M.B., M. H. GLEESON-WHITE, M.B., and H. L. SHEEHAN, M.D. .....81 Primary Tuberculosis in Children W. F. GAISFORD, M.D.84 Intelligence and Infant Mortality in Problem Families s. w. SAVAGE, M.D. .......... 86 Spontaneous Haemothorax MEDICAL MEMORANDA Fatal Aortic-Oesophageal Fistula from a Swallowed Piece of Bone. G. W. A. DICK, M.B., and G. E. NEVILL, M.B ............................. 90 GENERAL ARTICLES AND NEWS With the Partisans in Albania. J. G. DUMOULIN, M.B . ......................... 96 New Year Medical Honours Part 11 100 Investigation of Nutrition . .96 The Campaign against Cancer........... 98 COMMONWEALTH FUND FELLOWSHIPS 99 ORDER OF ST. JOHN........................ 100 rHE SERVICES ..............................1 11 UNIVERSITIES AND COLLEGES ............ II M EDICAL NEWS ............................. I 113 REVIEWS Movement of Extravascular Fluid in the Lungs ............................. 90 History of Science.......................... 90 A Medical Tract........................... 91 Notes on Books ............................. 91 LETTERS AND ANSWERS Dermatitis Herpetiformis-Modern Col- ostomy-Coroners and Mental Hospitals --Effect of Tobacco on the Heart- Boveri Test for Tuberculous Meningitis -Penicillin for Styes-Time of Death after Injury-Painful Feet-Penicillin for Gonorrhoea-Alveolar Absorption -Pregnancy in Middle Age - Flatu- lence and Auricular Fibrillation - In- come Tax-Surface-marking the Lower Border of the Liver-Venereology- R.A.M.C.T.A. Reunions - Obstetric Instruments Wanted .............. 114-16 Epidemiology Section................. 112 A. MUIR CRAWFORD, M.D., and J. SHAFAR, M.D. ..... ............... 88 LEADING ARTICLES Sprue .2............................. 9 Infections in the Lent Term ............... 93 AN NOTATIONS Juvenile Delinquency and its Remedy 94 Arsenic in Tobacco Smoke ................ 94 J ittery Legs.............................. 95 OBITUARY Lockhart Lowe, M.R.C.S ............ 110 Alice McLaren, M.D. .... ............... 110 W. H. Unwin, M.D., F .RK .S. ..... ..... 110 E. S. Miller, M.B. ..................... 110 Lady (Margaret) Bhore, O.B.E., M.B ..III J. Price Williams, M.D ................. III C. H. East, M.D ....................... REPORTS OF SOCIETIES MEDICAL OFFICERS OF HEALTH: Human Gamma-globulin ..... 101 CORRESPONDENCE Nutrition in Vienna. MAGNUS PYKE, Ph.D. .......... ti.e........K....Sir. 102 Tropical Medicine in the U.K. Sir PHILIP MANSON-BAHR, M.D.: H. M. STANLEY TURNER, M.D . ............... 102 SUPPLEMENT The Health Service: How it Can be Done. W. E. EDWARDS, M.D. ...... 11 Heard at Headquarters..................... 12 CORRESPONDENCE.............................. 13 MEDICAL REPRESENTATION IN PARLIA- MENT FUND.............................. 14 ASSOCIATION NOTICES ...................... 14 CORRESPONDENCE--contd. Leprosy Control in India. D. ROSENBERG, M.R.C.S. ............................. 102 Stethoscope v-. X Rays. JAMES MAXWELL, M.D.; E. WEATHERHEAD, M.B. ........ 103 Physical Therapy in Mental Disorder. H. CRICHTON-MILLER, M'.D.; C. H. ROGERSON, M.D.; J. A. AINSLIE, M.R.C.S.; JAN FRANK, M.D. .......... 103 Paraesthesias. R. WARTENBERG, M.D. .. 105 Hospital Service. E. C. BEVERS, F.R.C.S. 105 A Fundamental Principle. J. A. RYLE, M.D.; R. G. BLAIR, M.B.; IGEOFFREY BOURNE, M.D. . 105 T he Industrial Nurse. W. BLOOD, M.R.C.S. .105 Textile Contact Dermatitis. G. A. GRANT PETERKIN, M.B . .......... ............ 106 Spinal Analgesia. C. R. BOLAND, F.R.C.S.I. 106 Choice of Anaesthesia. K. C. GRIGOR, M.B. .. .............................. 106 Shock and Open Ether. W. N. ROLLASON, M.B. ................................ 106 Frequency of Micturition after Injection of Haemorrhoids. H. P. WINSBURY- WHITE. F.R.C.S ...................... 107 Varicose Ulceration. STUART MCAUSLAND, M.D.; J. F. JENKINS, M.R.C.S.; R. S. HARVEY, M . ...... 107 Questionaries. S. F. L. DAHNE, M.B. J. FRANKLAND WEST, M.B ....... 108 Domiciliary Midwifery and the Family Doctor. R. G. GORNALL, M.D. ...... 108 Venereology. G. BENION THOMAS, F.R.C.S.Ed. ........................... 109 "Chronic Ear Disease." C. DE W. GIBB, F.R.C.S.Ed. ............... ............ 109 Paracentesis and Myringotomy. W. 0. REID, F.R.C.S.Ed.; J. K. MILLIGAN, M.R.C.S. ..... .... 109 "Cord Round the Neck." M. REDDING- TON, F.R.C.S. 109 Adder Bite. F. R. B. H. KENNEDY, L.R.C.S. ........................ 110 BRITISH MEDICAL ASSOCIATION, TAVISTOCK SQUARE, LONDON, W.C.1 No. 4437, WEEKLY, PRICE 1/6 Copyright REGISTERED AS A NEWSPAPER

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BRITISH

MEDICAL JOURNALJOURNAL OF THE BRITISH MEDICAL ASSOCIATION

SATURDAY JANUARY 19 1946

TABLE OF CONTENTS600 Cases of Sprue in India K. D. KEELE, M.D., and J. P. BOUND, M.B . ........................ 77

Outbreak of Weil's Disease in the British' Army in ItalyJ. H. HUTCHISON, M.D., J. S. PIPPARD, M.B., M. H. GLEESON-WHITE, M.B., and H. L. SHEEHAN, M.D......81

Primary Tuberculosis in Children W. F. GAISFORD, M.D.84Intelligence and Infant Mortality in Problem Families s. w. SAVAGE, M.D........... 86

Spontaneous HaemothoraxMEDICAL MEMORANDA

Fatal Aortic-Oesophageal Fistulafrom a Swallowed Piece of Bone.G. W. A. DICK, M.B., and G. E.NEVILL, M.B ............................. 90

GENERAL ARTICLES AND NEWSWith the Partisans in Albania. J. G.DUMOULIN, M.B . ......................... 96

New Year Medical Honours Part 11 100Investigation of Nutrition . .96The Campaign against Cancer........... 98COMMONWEALTH FUND FELLOWSHIPS 99ORDER OF ST. JOHN........................ 100rHE SERVICES ..............................111UNIVERSITIES AND COLLEGES............ IIMEDICAL NEWS ............................. I 113

REVIEWSMovement of Extravascular Fluid in

the Lungs ............................. 90History of Science.......................... 90A Medical Tract........................... 91Notes on Books............................. 91

LETTERS AND ANSWERSDermatitis Herpetiformis-Modern Col-ostomy-Coroners and Mental Hospitals--Effect of Tobacco on the Heart-Boveri Test for Tuberculous Meningitis-Penicillin for Styes-Time of Deathafter Injury-Painful Feet-Penicillinfor Gonorrhoea-Alveolar Absorption-Pregnancy in Middle Age - Flatu-lence and Auricular Fibrillation - In-come Tax-Surface-marking the LowerBorder of the Liver-Venereology-R.A.M.C.T.A. Reunions - ObstetricInstruments Wanted .............. 114-16

Epidemiology Section................. 112

A. MUIR CRAWFORD, M.D., and J. SHAFAR, M.D. ..... ............... 88

LEADING ARTICLESSprue .2.............................9Infections in the Lent Term ............... 93

ANNOTATIONSJuvenile Delinquency and its Remedy 94Arsenic in Tobacco Smoke................ 94Jittery Legs.............................. 95

OBITUARYLockhart Lowe, M.R.C.S ............ 110Alice McLaren, M.D. .... ............... 110W. H. Unwin, M.D., F .RK .S. ..... ..... 110E. S. Miller, M.B. ..................... 110Lady (Margaret) Bhore, O.B.E., M.B ..IIIJ. Price Williams, M.D ................. IIIC. H. East, M.D .......................

REPORTS OF SOCIETIESMEDICAL OFFICERS OF HEALTH:Human Gamma-globulin ..... 101

CORRESPONDENCENutrition in Vienna. MAGNUS PYKE,

Ph.D. ..........ti.e........K....Sir. 102Tropical Medicine in the U.K. SirPHILIP MANSON-BAHR, M.D.: H. M.STANLEY TURNER, M.D . ............... 102

SUPPLEMENTThe Health Service: How it Can beDone. W. E. EDWARDS, M.D. ...... 11

Heard at Headquarters..................... 12CORRESPONDENCE.............................. 13MEDICAL REPRESENTATION IN PARLIA-MENT FUND.............................. 14

ASSOCIATION NOTICES ...................... 14

CORRESPONDENCE--contd.Leprosy Control in India. D. ROSENBERG,

M.R.C.S. ............................. 102Stethoscope v-. X Rays. JAMES MAXWELL,

M.D.; E. WEATHERHEAD, M.B. ........ 103Physical Therapy in Mental Disorder.

H. CRICHTON-MILLER, M'.D.; C. H.ROGERSON, M.D.; J. A. AINSLIE,M.R.C.S.; JAN FRANK, M.D.

..........103

Paraesthesias. R. WARTENBERG, M.D. . . 105Hospital Service. E. C. BEVERS, F.R.C.S. 105A Fundamental Principle. J. A. RYLE,

M.D.; R. G. BLAIR, M.B.; IGEOFFREYBOURNE, M.D. . 105

The Industrial Nurse. W. BLOOD,M.R.C.S. .105

Textile Contact Dermatitis. G. A. GRANTPETERKIN, M.B. .......... ............ 106

Spinal Analgesia. C. R. BOLAND, F.R.C.S.I. 106Choice of Anaesthesia. K. C. GRIGOR,

M.B. .. .............................. 106Shock and Open Ether. W. N. ROLLASON,

M.B. ................................ 106Frequency of Micturition after Injection

of Haemorrhoids. H. P. WINSBURY-WHITE. F.R.C.S ...................... 107

Varicose Ulceration. STUART MCAUSLAND,M.D.; J. F. JENKINS, M.R.C.S.; R. S.HARVEY, M . ...... 107

Questionaries. S. F. L. DAHNE, M.B.J. FRANKLAND WEST, M.B....... 108

Domiciliary Midwifery and the FamilyDoctor. R. G. GORNALL, M.D. ...... 108

Venereology. G. BENION THOMAS,F.R.C.S.Ed. ...........................

109"Chronic Ear Disease." C. DE W. GIBB,

F.R.C.S.Ed. ............... ............109

Paracentesis and Myringotomy. W. 0.REID, F.R.C.S.Ed.; J. K. MILLIGAN,M.R.C.S. ..... ....

109"Cord Round the Neck." M. REDDING-TON, F.R.C.S. 109

Adder Bite. F. R. B. H. KENNEDY,L.R.C.S. ........................ 110

BRITISH MEDICAL ASSOCIATION, TAVISTOCK SQUARE, LONDON, W.C.1No. 4437, WEEKLY, PRICE 1/6 Copyright REGISTERED AS A NEWSPAPER