1158 able
be misused, would be progressively reduced by equal the next 2 years to one-half of this year’s output, which would mean an overall reduction of over 20 million bangers; fireworks would be generally available in the shops for only 3 weeks before Nov. 5 and for a few days afterwards; and within 2 years all fireworks, other than bangers, sparklers, and larger individual devices, would be distributed in boxed selections only. The subject of firework safety would be kept und"r review in the light of the results achieved by these meato
Notes and News
amounts over
sures.
Obituary GEORGE FREDERICK ROWBOTHAM B.A.
Open,
B.Sc. Manc., F.R.C.S.
Mr G. F. Rowbotham, consulting neurosurgeon to the Newcastle General Hospital and the Royal Victoria Infirmary, Newcastle upon Tyne, died on Nov. 23, at the age of 76, at his home, Fairholme, Wylam, Northumberland. He was trained by Sir Geoffrey Jefferson at the Manchester Royal Infirmary and later became a consultant at the Stockport Infirmary, where he started his extensive studies of head injuries. In 1939 he accepted the post of consultant neurosurgeon and surgeon-in-charge of the department of neurosurgery at the Newcastle General Hospital. Against tremendous odds and under very primitive conditions he developed an outstanding unit of world renown. He belonged to a small band of very dedicated surgeons like Norman Dott and Wilder Penfield, who were his closest friends, and together they made exciting contributions to neurophysiology and neurosurgery. Mr Rowbotham’s achievements are too numerous to list. Although he dedicated himself to the care of patients with head injuries, his wide-ranging interest in neurosurgery is clearly seen in his writings. He had been president of the Society of British Neurological Surgeons and of the North of England Neurological Society as well as a Dickenson scholar and Hunterian professor of the Royal College of Surgeons of England. After retiring from the Newcastle General Hospital in 1964 he continued to study and to write. Recently he was awarded the degree of B.A. in philosophy from the Open University-no mean feat for a man of his age. After his stimulating training in Manchester, where Sir Geoffrey recognised the enormous importance of brain injuries, Mr Rowbotham was delighted to have the opportunity to care for and to study patients so afflicted, and to do this he made liberal use of neuropathology and medical sociology. He had an international reputation in this field and his textbook on the subject, Acute Injuries of the Head, was first published in 1942. This was accepted everywhere as a classic and was followed by three other editions. He will be especially remembered for his introduction of hypothermia in the treatment of head injuries, and for his use of cryosurgery in intracranial
procedures. He enjoyed training young surgeons, many of whom came from overseas. They will always be grateful to him for his kindness, interest, and encouragement. He was held in high esteem by all the members of his staff and was affectionately referred to as "Father". He had many original ideas himself, but he always studied carefully the new ideas of others and put them to work if he was satisfied of their value. He was intensely interested in sport and was an excellent hockey player. He represented his country at this game and served on the English selection board for many years. He was a regular attender at St Oswin’s Church, Wylam, where he was churchwarden for twenty-five years. He is survived by his wife, Monica, and their five children. L.P.L.
COUNTING THE COST OF MENTAL ILLNESS ALTHOUGH it is usual to speak of psychiatric illness as something which can be treated and from which it is possible to recover, those working with the mentally ill know only too well that much psychiatric illness is chronic, and that, trapped in a vicious circle of loneliness, poverty, and unemployment, many patients spend their lives moving from hospital, to the community, and back again. The Psychiatric Rehabilitation Association believes very strongly that treatment of the symptoms of mental illness is little more than first-aid, leaving the root cause unattended, and that prevention by education and rehabilitation is the only way to reduce the toll that mental illness takes on the individual and on society. The latest report from the Association’ contains the findings of interviews with 100 psychiatric patients on their attitudes to their illness and on their life outside hospital; 82 of the patients were interviewed again after discharge. The patients were from an East London hospital, and the samplt. was not altogether typical, having a higher than usual proportion of single men and of readmissions. For the most part, however, the results of the interviews, though depressing reading, hold no surprises. The patients tended to come originally from large families, to be single or divorced or separated, to live alone or with parents, to have a low level of educational attainment, to have patchy employment records, and to admit to loneliness, to having no friends, and no-one to turn to; half the sample said that they did nothing but sit or sleep during the day when they were not in hospital. These findings prompted the authors of the report to formulate a number of basic questions on policies for the mentally ill. They ask what kinds of help and support are likely to lessen the recurrence of mental illness and to help patients to establish effective lives; at what point diagnosis and earlier intervention could prevent or arrest the onset of incapacitating illness; and what the cost is to the patients themselves, to their families, and to the community, if they fail to make a recovery. Clearly there are no easy answers to such questions, but, on the matter of cost, the Association points out that local authorities could actually gain financially by providing community services to prevent patients being admitted or readmitted to hospital when this would result in their dependant children being taken into care, the (very high) cost of which falls on the local authority. In more general terms, the need is for earlier and more effective intervention so that the mentally ill can be prevented from adopting illness as their lifestyle, and from being conditioned into accepting defeat.
JOHN WRIGHT AND SONS On Nov. 14 the firm of John Wright and Sons celebrated 150 years of printing and publishing in Bristol. John Wright, great-grandfather of the present director, founded the company in 1825 by buying a printing and bookselling business in Bridge Street, near Bristol Bridge. The firm’s medical connections began almost straight away, for in 1828 a pamphlet entitled Plain Observations on the Management of Children During the First Month appeared under its imprint. John Wright was a man of many parts-a Whig and a Quaker, he both wrote and printed many political and religious pamphlets, and he was a friend of Southey and Coleridge and others in the literary world, as well as making a success of his printing business. During his lifetime expansion caused the company to move 5 times-in 1880 to a large warehouse which came to be known as Stone Bridge House, and which gave its name to the company’s present headquarters in Brislington, the 1.
of 100
Psychiatric Patients. By PETER McCOWEN and JOHN Psychiatric Rehabilitation Association, Groupwork Centre, 21a Kingsland High Street, London E8. £1.
Lifestyle WII
DER.
1159
company’s premises have works at Stone Bridge were printing completely destroyed in 1905, but, in temporary premises and with hastily acquired machinery, production was resumed within a week or so. The building was rebuilt, to be destroyed a second time in 1941 by bombs, and again the firm somehow managed to keep going, the British Journal of Surgery appearing only slightly behind schedule. Parts of the production work were moved to Weston in 1941, and this factory was destroyed by enemy action in 1942. For a short while, the direct printing activities of the firm ceased, but the new factory on the Brislington site was opened in 1948. In its time the firm has published and printed a vast variety of material, from hymn sheets and steamship timetables to complex mathematical works, but it is particularly well known for the medical and scientific side of its business. In 1894 Pye’s Surgical Handicraft first appeared, and, after 19 editions, it claims the record for being the earliest English medical title still to be in production. Other long-lived medical publications include Physical Signs in Clinical Surgery, the Medical Annual, and Dr Herbert French’s Index of Differential Diagnosis; the company has printed the British Journal of Surgery since it was launched in 1913. Always in the forefront of technical innovation, John Wright was the first Bristol printer to use steam to provide motive power, and the firm was the first in the West Country to instal a monotype system; the present director, true to the firm’s tradition, has himself designed a system for setting chemical structures of almost any degree of complexity. Stonebridge
Press. Three times the
fallen victim
to
Glipizide
1-cyclohexyl-3-{4-[2-(5-methylpyrazine-2carboxamido ethyl]-benzenesulphonylurea;
Labetalol
Methoxsalen Moxaverine
5-[1-hydroxy-2-(1-methyl-3-phenylpropylamino) ethyl]salicylamide; AH 5158A, Sch 15719W 8-chloro-4,5-dihydro-l-phenyl-3H-1,5benzodiazepin-2-one 3&bgr;-[O-(2,6-dideoxy-4-0-methyl-D-ribohexopyranosyl)-(1→4)-O-(2,6-dideoxy-D-ribohexopyranosyl)-(1→4)-(2,6-dideoxy-D-ribohexopyranosyloxy]-12&bgr;,14-dihydroxy5&bgr;,14&bgr;-card-20(22)-enolide; ’Lanitop’ 9-methoxy-7H-furo[3,2-g]chromen-7-one 1-benzyl-3-ethyl-6,7-dimethoxyisoquinoline;
Nadolol
’Eupaverin’ (2R,3S)-5-(3-tert-butylamino-2-
Pentosalen
hydroxypropoxy)-1,2,3,4tetrahydronaphthalene-2,3-diol; SQ 11,725 9-(3-methylbut-2-enyloxy)furo[3,2-g]chromen-
Polyestradiol phosphate Proglumide
Polyester of œstra-1,3,5(10)-triene-3,17&bgr;-diol and phosphoric acid; Leo 114, ’Estradurin’ 4-benzamido-NN-dipropylglutaramic acid;
Rambufaside
14-hydroxy-3-(4-0-methyl-a-L-
fire. The
’Glibenese; ’Minodiab’
Lofendazam
Medigoxin
7-one ; ’Ammidin’
, Milid’
rhamnopyranosyloxy)-14&bgr;-bufa-4,20,22trienolide; 4’-o-methylproscillaridin O-2,6-diamino-2,6-dideoxy-«-D-glucopyranosyl-
Ribostamycin
( 1→4,)-O-[&bgr;-D-ribofuranosyl-(1→5 )]-2deoxy-D-streptamine [1-(N-methylglycine),5-L-valine,8-L-alanine] angiotensin; Sar-Arg-Val-Tyr-Val-His-ProAla ; P-113 is the hydrated acetate N-(2-chloro-4-sulphamoylphenyl)-2phenylsuccinimide;’Sulfalepsine’ 5,6,7,8-tetrahydro-3-methylquinoline-8-
Saralasin
Suclofenide
INFORMATION ON BENEFITS THE second increase in pensions and benefits this year came into force in the week beginning Nov. 17, and the Department of Health and Social Security has issued two new explanatory leaflets to help people who need to find their way through the wilderness of present regulations governing benefits, pensions, and allowances of one sort or another. One leaflet (Leaflet Nl 196/Nov. 75) lists the standard rate of National Insurance and other benefits, including retirement pensions, sickness and unemployment and industrial injuries benefit, death grants, maternity benefit, and attendance allowance. The other booklet (Leaflet FBI) is a guide to what benefits are available, who is entitled to them, and how to claim them, and it has sections dealing with family and children’s benefits for disabled and handicapped people (including the new mobility allowance), benefits for people who are ill or unemployed (including the new non-contributory invalidity pension), industrial injuries benefit, and pensions and widow’s benefit. The information is given as clearly as the complexity of the subject will allow, and the section on family benefits seems particularly useful, as it brings together details of such things as family planning, refunds of fares to hospital, legal assistance, rent and rate rebates, free school meals, and prescription charges.
mentary list of approved Amikacin
Other
following supple-
Azlocillin
6-pentyl-m-cresol; in ’Strepsils’ 6-[D-2-(2-oxoimidazolidine-1-carboxamido)-2phenylacetamido]-penicillanic acid;
Butorphanol
(—)-17-(cyclobutylmethyl)morphinan-3,14-diol
BAY
e
6905
levo-BC-2627
Floctafenine
2,3-dihydroxypropyl N-(8-trifluoromethyl-4-
Furacrinic acid
6-methyl-5-(2-ethylacryloyl)benzofuran-2-
quinolyl)-anthranilate; carboxylic acid;
proprietary names are as follows:
Proprietary
Approved
Proprietary
Approved
name
name
name
name
AH 5158A Amikin Ammidin
Labetalol Amikacin Pentosalen
Leo 114
Polyestradiol phosphate levo-BC-2627 Butorphanol
BAY e 6905 BBK-8
Azlocillin Amikacin
Milid Minodiab
Proglumide Glipizide
Estradurin
Polyestradiol phosphate
P 113 ’
Saralasin
Eupaverin
Moxaverine
RU 15750
Floctafenine
Glibenese GP 48,674
Glipizide Furacrinic Acid
Sch 15719WLabetalol) Nadolol SQ 11,725
Idarac
Floctafenine
Strepsils Sulfalepsine
Amylmetacresol
Lanitop
Medigoxin
Wy 24081
Ttquinamidede Tiquinamide
to
Suclofenide
the 1973 cumulated list and its
following changes in approved teine (formerly carboxymethylcysteine) and merly todrazoline).
supplements
carbocistodralazine (for-
names:
names
(2S)-4-amino-N-[(1R,2S,3S,4R,5S)-5-amino-2(3-amino-3-deoxy-x-D-glucopyranosyloxy)-4(6-amino-6-deoxy-o(-D-glucopyranosyl-oxy3-hydroxycyclohexyl]-2-hydroxybutyramide BBK-8, ’Amikin’
Amylmetacresol
Cross-references for
include the
names:
Approved name
thiocarboxamide ; Wy 24081
Corrections
APPROVED NAMES THE Medicines Commission has issued the
Tiquinamide
RU
GP 48,674
15750; ’Idarac’
University of London The title of professor of paediatrics has been conferred on Dr J. W. Scopes in respect of his post at St. Thomas’s Hospital Medical School. Dr Scopes, who is 45, graduated M.B. from the University of London in 1953 and PH.D. in 1965; he became F.R.C.P. in 1971. Following
house-appointments and a short period as a ship’s paedtatric registrar at Guy’s Hospital in 1958-60. In
surgeon he was 1960-61 he was an M.R.C. fellow at the Nuffield Institute for Medical Research, Oxford. He was appointed lecturer at the Institute of Child Health in 1961, becoming senior lecturer in 1965. He was a visiting lecturer at the College of Physicians and Surgeons of Columbia University in
1160 1965. He was reader in paediatrics at the Hammersmith Hospital before being appointed, in 1973, reader in paediatrics at St. Thomas’s Hospital Medical School.
The title of professor of clinical epidemiology has been conon Dr A. G. Shaper in respect of his post at the Royal Free Hospital School of Medicine.
ferred
Dr Shaper is 48. He graduated M.B. from the University of Cape Town in 1951 and became M.R.c.PATH. in 1968, F.R.C.P. in 1969, and F.F.C.M. in 1972. Following house-appointments in Salisbury, Rhodesia, and in Liverpool, he was medical registrar at Clatterbridge General Hospital, Cheshire, and at the Hammersmith Hospital, London. He was lecturer at Makerere University Medical School, Uganda,
in 1957-60, senior
lecturer in 1960-64,readerinl964-65,andW.H.O.
research professor in cardiovascular diseases in 1966-69. On returning to London he was on the scientific staff of the M.R.C. Social Medicine Research Unit at the London School of Hygiene and Tropical Medicine. He is at present head of the department of clinical epidemiology at the Roval Free Hospital School of Medicine.
The title of reader in psychiatric genetics has been conferred Dr J. Shields in respect of his post at the Institute of Psychiatry.
on
Queen’s University of Belfast Dr R. J. McClelland has been appointed
lecturer in
psychi-
atry.
Diary of the
University of Manchester The following have been appointed senior lecturers: Dr F, N. Bamford (child health), Dr H. W. S. Francis (community medicine), Dr J. P. Miller (medicine), Dr P. S. Hasleton (morbid anatomy). The following have been appointed lecturers: Dr D. A. Price (child health), Dr Keith Andrews and Dr J. S. Tucker (geriatric medicine), Dr C. E. Hyde (psychiatry). Doctors in the E.E.C. Free movement of doctors throughout the countries of the Common Market is due to come into force next year. At a meeting of the 100-strong Committee of Doctors of the Common Market (of which the British Medical Association currently holds the secretariat), it was agreed that a guide for E.E.C. doctors wishing to practise in other countries of the Community should be compiled, containing information about registering bodies, medical associations, and conditions of
practice. Thomas Wakley, founder of The Lancet, was born at Membury in Devon, and a local Medical Wakley Society has recently been founded in East Devon. At a meeting on Nov. 19 the Wakley Society chairman’s jewel was presented to Dr R. S. K. Essame by Dr Terry and Dr Catherine Glanvill of Honiton, Devon.
Week
Appointments DEC.
7
TO
13 South East Thames
Monday, 8th INSTITUTE 5.30
LARYNGOLOGY AND OTOLOGY, 330/332 Gray’s Inn Road, London WC1X 8EE Prof. John Landon: Application of Modern Biochemical Techniques
OF
P.M.
to
Laryngology.
Tuesday, 9th MANCHESTER MEDICAL SOCIETY 5 P.M. (New Medical School.) Surgery. Mr P. H. Dickinson. Some Problems of Upper-limb Ischoemia.
Wednesday,
10th
ROYAL COLLEGE OF SURGEONS OF ENGLAND, Lincoln’s Inn Fields, London WC2A 3PN 4.30 P.M. Mr R. W. Raven: Oncology—Attainment and Anticipation. (Bradshaw lecture.) BRITISH POSTGRADUATE MEDICAL FEDERATION 1.15 P.M. (Channel 7, I.L.E.A. Close Circuit Television System.) Dr T. J. Peters: Sub-cellular Fractionation, Liver Lysosomes, and Iron Overload. (Repeated on Thursday at 12.15 P.M. and on Friday at 1.15 P.M.) CARDlOTHORACIC INSTITUTE, Brompton Hospital, Fulham Road, London SW3 6HP 5 p.M. Mr J. E. C. Wright: Surgical Management of Patients with Extensive Coronary Atheroma. INSTITUTE OF LARYNGOLOGY AND OTOLOGY 5 P.M. Dr Mansfield Smith: The Surgical Treatment of Neunlemmoma of the Acoustic Nerve with the Preservation of Cochlear Function. INSTITUTE OF ORTHOPAEDICS, 234 Great Portland Street, London WIN 6AD 6 P.M. Sir Herbert Seddon: The Country Branch in the 1930s. MANCHESTER MEDICAL SOCIETY 5 P.M. (New Medical School.) Pathology. Prof. W. L. Ford: The Diversity of
Lymphocytes.
Thursday, llth ROYAL COLLEGE OF SURGEONS OF ENGLAND 5.30 P.M. Mr Walpole Lewin: Changing Attitudes to the Management of Severe Head Injuries. (Victor Horsley lecture.) MEDICAL RESEARCH COUNCIL 4.30 P.M. (National Institute for Medical Research, Mill Hill, London NW7.) Dr Pasko Rakic (Harvard): Synaptic Specificity in the Anomalous Cerevellar Circuits Induced by Single Gene Mutation Mice. ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, Manson House, 26 Portland Place, London WIN 4EY 6.15 P.M. Dr A. Voller, Dr C. C. Draper, Prof. P. Ambroise-Thomas: Recent Advances m Serology of Tropical Diseases. MANCHESTER MEDICAL SOCIETY 5.30 P.M. (New Medical School.) Pædiatrics. Dr Margaret B. Mearns: Cystic Fibrosis-Recent Developments. 8.15 P.M. Ancesthetics. Dr C. B. Franclin: Computer-assisted Patient Data Handling. Dr B. R. H. Doran: Patient Momtoring.
Regional Health Authority:
AKRAMUL, H. A. Q., M.B.Dacca, F.F.A.R.C.S.: consultant anaesthetist, Bexley district. BARRI TT, DENISE M, M.B.Q’land, D.M.R.T.: consultant radiotherapist, Tunbridge Wells and King’s (teaching) districts. BARRt IT, J. J., Bt.n.K.t.)., M.R.C.P., D.M.R D.: consultant in nuclear medicine, Greenwich and King’s (teaching) districts. Do,,, TOR, R. S., n.Bt.0xon., F.R.C.R., D.M.R.D.: consultant radiologist, Bnghton district and South West Thames R.H.A. Dt RRBsi, A R., M.H.Peshawar, F.R.e.,.F.: consultant in accident and emergency, Eastbourne district. JONES, PATRICIA M., M.B. Ceylon, M.R.C.P., D.O.H. consultant in venereologv and gemtounnary Greenwich, Lewisham, and Guy’s dtstncts. KI Rt’R, G. R., M B.Karnatak, 1- R.e.,., F.R. C.. consuhant in accident and emergency, Dartford and Gravesham district. RmDB, PRABHAKARA, M.B. Mysore, n-nt.R.D., n.M.R.T.: consultant radiologist, Maidstone district. Stttt I ING, J. S., M.ii.Lond., t.R.c.s., n.o.: consultant ophthalmologist. Greenwich and St. Thomas’ districts. STEER, BRIAN, M.B.Lond., F.F.A.R.C.S.: consultant anssthetist, Eastbourne district. St RAnt, HIRANNAGINDAS M. B. GUJARAT, n.M.R.n.: consultant radiotopst, Medwav district TAYLOR C. G., M.B. Lond., M.R.C.PAIH.: consultant hæmatologist, Tunbndge Wells district.
medicine,
North Western
Regional Health Authority:
A KRIII , 1’1 I R,
v
B.Manc.,
M.R.( .1’.’
consultant
nephrologist, Withington
Hospital and Manchester Royal Infirmary. ADDISON G M, M.B., PH. D. Cantab.: consultant chemical pathologist, Booth Hall Hospital, Monsall Hospital, and Royal Manchester Children’s. Hospital COOKI, BARBARA W, ’.t.K Durh., E.I.A. R.( .s.: consultant anasthetist, Ormskirk district. COWLEY, D. J., CH.M.Dundee, F.R.C.S. : consultant general surgeon, Blackpool district. HAUM, M. A., M.B.Daca, M.R.C.P., M.R.C.P.G., M.R.C.PSYCH. : consultant psychiatrist, Lancaster district. HARDINGE, KEVIN, M.CH.ORTH.L’pool, F.R.C.S. : consultant orthopædic sur-
Jui
geon, Wnghtington Hospital, Wigan. D. J., ’I B., B.,c.Lond., M.R.c.Pwca.: consultant psychogenatncuu,. Wnhington Hospital, Cheadle Royal Hospital, and Wythenshawe Hospi tal.
I t,
LEE, DOUGLAS,
M.D.
blood-transfusIOn MIII
N.U.I., M.R.C.P.I., M.R.C.PATH. : service,
consultant-in-charge,
Lancaster.
B. M., D. PHII . Oxon., M.s( .Lond., ’I.R.C.I’: senior lecturer )n (honorary consultant), Withington Hospital. Mci ODYNSKI, C. J., M.B. L’pool., M.R.C.PSYH consultant psachtamst, Rlackpool and Lancaster districts. W kINSON, P M., tt ))., Bt.sc.Manc., M R.o.P consultant clinical pharmacolugist, Christie Hospital and Holt Radium Institute.
J. P.,
medicine
be misused, would be progressively reduced by equal the next 2 years to one-half of this year’s output, which would mean an overall reduction of over 20 million bangers; fireworks would be generally available in the shops for only 3 weeks before Nov. 5 and for a few days afterwards; and within 2 years all fireworks, other than bangers, sparklers, and larger individual devices, would be distributed in boxed selections only. The subject of firework safety would be kept und"r review in the light of the results achieved by these meato
Notes and News
amounts over
sures.
Obituary GEORGE FREDERICK ROWBOTHAM B.A.
Open,
B.Sc. Manc., F.R.C.S.
Mr G. F. Rowbotham, consulting neurosurgeon to the Newcastle General Hospital and the Royal Victoria Infirmary, Newcastle upon Tyne, died on Nov. 23, at the age of 76, at his home, Fairholme, Wylam, Northumberland. He was trained by Sir Geoffrey Jefferson at the Manchester Royal Infirmary and later became a consultant at the Stockport Infirmary, where he started his extensive studies of head injuries. In 1939 he accepted the post of consultant neurosurgeon and surgeon-in-charge of the department of neurosurgery at the Newcastle General Hospital. Against tremendous odds and under very primitive conditions he developed an outstanding unit of world renown. He belonged to a small band of very dedicated surgeons like Norman Dott and Wilder Penfield, who were his closest friends, and together they made exciting contributions to neurophysiology and neurosurgery. Mr Rowbotham’s achievements are too numerous to list. Although he dedicated himself to the care of patients with head injuries, his wide-ranging interest in neurosurgery is clearly seen in his writings. He had been president of the Society of British Neurological Surgeons and of the North of England Neurological Society as well as a Dickenson scholar and Hunterian professor of the Royal College of Surgeons of England. After retiring from the Newcastle General Hospital in 1964 he continued to study and to write. Recently he was awarded the degree of B.A. in philosophy from the Open University-no mean feat for a man of his age. After his stimulating training in Manchester, where Sir Geoffrey recognised the enormous importance of brain injuries, Mr Rowbotham was delighted to have the opportunity to care for and to study patients so afflicted, and to do this he made liberal use of neuropathology and medical sociology. He had an international reputation in this field and his textbook on the subject, Acute Injuries of the Head, was first published in 1942. This was accepted everywhere as a classic and was followed by three other editions. He will be especially remembered for his introduction of hypothermia in the treatment of head injuries, and for his use of cryosurgery in intracranial
procedures. He enjoyed training young surgeons, many of whom came from overseas. They will always be grateful to him for his kindness, interest, and encouragement. He was held in high esteem by all the members of his staff and was affectionately referred to as "Father". He had many original ideas himself, but he always studied carefully the new ideas of others and put them to work if he was satisfied of their value. He was intensely interested in sport and was an excellent hockey player. He represented his country at this game and served on the English selection board for many years. He was a regular attender at St Oswin’s Church, Wylam, where he was churchwarden for twenty-five years. He is survived by his wife, Monica, and their five children. L.P.L.
COUNTING THE COST OF MENTAL ILLNESS ALTHOUGH it is usual to speak of psychiatric illness as something which can be treated and from which it is possible to recover, those working with the mentally ill know only too well that much psychiatric illness is chronic, and that, trapped in a vicious circle of loneliness, poverty, and unemployment, many patients spend their lives moving from hospital, to the community, and back again. The Psychiatric Rehabilitation Association believes very strongly that treatment of the symptoms of mental illness is little more than first-aid, leaving the root cause unattended, and that prevention by education and rehabilitation is the only way to reduce the toll that mental illness takes on the individual and on society. The latest report from the Association’ contains the findings of interviews with 100 psychiatric patients on their attitudes to their illness and on their life outside hospital; 82 of the patients were interviewed again after discharge. The patients were from an East London hospital, and the samplt. was not altogether typical, having a higher than usual proportion of single men and of readmissions. For the most part, however, the results of the interviews, though depressing reading, hold no surprises. The patients tended to come originally from large families, to be single or divorced or separated, to live alone or with parents, to have a low level of educational attainment, to have patchy employment records, and to admit to loneliness, to having no friends, and no-one to turn to; half the sample said that they did nothing but sit or sleep during the day when they were not in hospital. These findings prompted the authors of the report to formulate a number of basic questions on policies for the mentally ill. They ask what kinds of help and support are likely to lessen the recurrence of mental illness and to help patients to establish effective lives; at what point diagnosis and earlier intervention could prevent or arrest the onset of incapacitating illness; and what the cost is to the patients themselves, to their families, and to the community, if they fail to make a recovery. Clearly there are no easy answers to such questions, but, on the matter of cost, the Association points out that local authorities could actually gain financially by providing community services to prevent patients being admitted or readmitted to hospital when this would result in their dependant children being taken into care, the (very high) cost of which falls on the local authority. In more general terms, the need is for earlier and more effective intervention so that the mentally ill can be prevented from adopting illness as their lifestyle, and from being conditioned into accepting defeat.
JOHN WRIGHT AND SONS On Nov. 14 the firm of John Wright and Sons celebrated 150 years of printing and publishing in Bristol. John Wright, great-grandfather of the present director, founded the company in 1825 by buying a printing and bookselling business in Bridge Street, near Bristol Bridge. The firm’s medical connections began almost straight away, for in 1828 a pamphlet entitled Plain Observations on the Management of Children During the First Month appeared under its imprint. John Wright was a man of many parts-a Whig and a Quaker, he both wrote and printed many political and religious pamphlets, and he was a friend of Southey and Coleridge and others in the literary world, as well as making a success of his printing business. During his lifetime expansion caused the company to move 5 times-in 1880 to a large warehouse which came to be known as Stone Bridge House, and which gave its name to the company’s present headquarters in Brislington, the 1.
of 100
Psychiatric Patients. By PETER McCOWEN and JOHN Psychiatric Rehabilitation Association, Groupwork Centre, 21a Kingsland High Street, London E8. £1.
Lifestyle WII
DER.
1159
company’s premises have works at Stone Bridge were printing completely destroyed in 1905, but, in temporary premises and with hastily acquired machinery, production was resumed within a week or so. The building was rebuilt, to be destroyed a second time in 1941 by bombs, and again the firm somehow managed to keep going, the British Journal of Surgery appearing only slightly behind schedule. Parts of the production work were moved to Weston in 1941, and this factory was destroyed by enemy action in 1942. For a short while, the direct printing activities of the firm ceased, but the new factory on the Brislington site was opened in 1948. In its time the firm has published and printed a vast variety of material, from hymn sheets and steamship timetables to complex mathematical works, but it is particularly well known for the medical and scientific side of its business. In 1894 Pye’s Surgical Handicraft first appeared, and, after 19 editions, it claims the record for being the earliest English medical title still to be in production. Other long-lived medical publications include Physical Signs in Clinical Surgery, the Medical Annual, and Dr Herbert French’s Index of Differential Diagnosis; the company has printed the British Journal of Surgery since it was launched in 1913. Always in the forefront of technical innovation, John Wright was the first Bristol printer to use steam to provide motive power, and the firm was the first in the West Country to instal a monotype system; the present director, true to the firm’s tradition, has himself designed a system for setting chemical structures of almost any degree of complexity. Stonebridge
Press. Three times the
fallen victim
to
Glipizide
1-cyclohexyl-3-{4-[2-(5-methylpyrazine-2carboxamido ethyl]-benzenesulphonylurea;
Labetalol
Methoxsalen Moxaverine
5-[1-hydroxy-2-(1-methyl-3-phenylpropylamino) ethyl]salicylamide; AH 5158A, Sch 15719W 8-chloro-4,5-dihydro-l-phenyl-3H-1,5benzodiazepin-2-one 3&bgr;-[O-(2,6-dideoxy-4-0-methyl-D-ribohexopyranosyl)-(1→4)-O-(2,6-dideoxy-D-ribohexopyranosyl)-(1→4)-(2,6-dideoxy-D-ribohexopyranosyloxy]-12&bgr;,14-dihydroxy5&bgr;,14&bgr;-card-20(22)-enolide; ’Lanitop’ 9-methoxy-7H-furo[3,2-g]chromen-7-one 1-benzyl-3-ethyl-6,7-dimethoxyisoquinoline;
Nadolol
’Eupaverin’ (2R,3S)-5-(3-tert-butylamino-2-
Pentosalen
hydroxypropoxy)-1,2,3,4tetrahydronaphthalene-2,3-diol; SQ 11,725 9-(3-methylbut-2-enyloxy)furo[3,2-g]chromen-
Polyestradiol phosphate Proglumide
Polyester of œstra-1,3,5(10)-triene-3,17&bgr;-diol and phosphoric acid; Leo 114, ’Estradurin’ 4-benzamido-NN-dipropylglutaramic acid;
Rambufaside
14-hydroxy-3-(4-0-methyl-a-L-
fire. The
’Glibenese; ’Minodiab’
Lofendazam
Medigoxin
7-one ; ’Ammidin’
, Milid’
rhamnopyranosyloxy)-14&bgr;-bufa-4,20,22trienolide; 4’-o-methylproscillaridin O-2,6-diamino-2,6-dideoxy-«-D-glucopyranosyl-
Ribostamycin
( 1→4,)-O-[&bgr;-D-ribofuranosyl-(1→5 )]-2deoxy-D-streptamine [1-(N-methylglycine),5-L-valine,8-L-alanine] angiotensin; Sar-Arg-Val-Tyr-Val-His-ProAla ; P-113 is the hydrated acetate N-(2-chloro-4-sulphamoylphenyl)-2phenylsuccinimide;’Sulfalepsine’ 5,6,7,8-tetrahydro-3-methylquinoline-8-
Saralasin
Suclofenide
INFORMATION ON BENEFITS THE second increase in pensions and benefits this year came into force in the week beginning Nov. 17, and the Department of Health and Social Security has issued two new explanatory leaflets to help people who need to find their way through the wilderness of present regulations governing benefits, pensions, and allowances of one sort or another. One leaflet (Leaflet Nl 196/Nov. 75) lists the standard rate of National Insurance and other benefits, including retirement pensions, sickness and unemployment and industrial injuries benefit, death grants, maternity benefit, and attendance allowance. The other booklet (Leaflet FBI) is a guide to what benefits are available, who is entitled to them, and how to claim them, and it has sections dealing with family and children’s benefits for disabled and handicapped people (including the new mobility allowance), benefits for people who are ill or unemployed (including the new non-contributory invalidity pension), industrial injuries benefit, and pensions and widow’s benefit. The information is given as clearly as the complexity of the subject will allow, and the section on family benefits seems particularly useful, as it brings together details of such things as family planning, refunds of fares to hospital, legal assistance, rent and rate rebates, free school meals, and prescription charges.
mentary list of approved Amikacin
Other
following supple-
Azlocillin
6-pentyl-m-cresol; in ’Strepsils’ 6-[D-2-(2-oxoimidazolidine-1-carboxamido)-2phenylacetamido]-penicillanic acid;
Butorphanol
(—)-17-(cyclobutylmethyl)morphinan-3,14-diol
BAY
e
6905
levo-BC-2627
Floctafenine
2,3-dihydroxypropyl N-(8-trifluoromethyl-4-
Furacrinic acid
6-methyl-5-(2-ethylacryloyl)benzofuran-2-
quinolyl)-anthranilate; carboxylic acid;
proprietary names are as follows:
Proprietary
Approved
Proprietary
Approved
name
name
name
name
AH 5158A Amikin Ammidin
Labetalol Amikacin Pentosalen
Leo 114
Polyestradiol phosphate levo-BC-2627 Butorphanol
BAY e 6905 BBK-8
Azlocillin Amikacin
Milid Minodiab
Proglumide Glipizide
Estradurin
Polyestradiol phosphate
P 113 ’
Saralasin
Eupaverin
Moxaverine
RU 15750
Floctafenine
Glibenese GP 48,674
Glipizide Furacrinic Acid
Sch 15719WLabetalol) Nadolol SQ 11,725
Idarac
Floctafenine
Strepsils Sulfalepsine
Amylmetacresol
Lanitop
Medigoxin
Wy 24081
Ttquinamidede Tiquinamide
to
Suclofenide
the 1973 cumulated list and its
following changes in approved teine (formerly carboxymethylcysteine) and merly todrazoline).
supplements
carbocistodralazine (for-
names:
names
(2S)-4-amino-N-[(1R,2S,3S,4R,5S)-5-amino-2(3-amino-3-deoxy-x-D-glucopyranosyloxy)-4(6-amino-6-deoxy-o(-D-glucopyranosyl-oxy3-hydroxycyclohexyl]-2-hydroxybutyramide BBK-8, ’Amikin’
Amylmetacresol
Cross-references for
include the
names:
Approved name
thiocarboxamide ; Wy 24081
Corrections
APPROVED NAMES THE Medicines Commission has issued the
Tiquinamide
RU
GP 48,674
15750; ’Idarac’
University of London The title of professor of paediatrics has been conferred on Dr J. W. Scopes in respect of his post at St. Thomas’s Hospital Medical School. Dr Scopes, who is 45, graduated M.B. from the University of London in 1953 and PH.D. in 1965; he became F.R.C.P. in 1971. Following
house-appointments and a short period as a ship’s paedtatric registrar at Guy’s Hospital in 1958-60. In
surgeon he was 1960-61 he was an M.R.C. fellow at the Nuffield Institute for Medical Research, Oxford. He was appointed lecturer at the Institute of Child Health in 1961, becoming senior lecturer in 1965. He was a visiting lecturer at the College of Physicians and Surgeons of Columbia University in
1160 1965. He was reader in paediatrics at the Hammersmith Hospital before being appointed, in 1973, reader in paediatrics at St. Thomas’s Hospital Medical School.
The title of professor of clinical epidemiology has been conon Dr A. G. Shaper in respect of his post at the Royal Free Hospital School of Medicine.
ferred
Dr Shaper is 48. He graduated M.B. from the University of Cape Town in 1951 and became M.R.c.PATH. in 1968, F.R.C.P. in 1969, and F.F.C.M. in 1972. Following house-appointments in Salisbury, Rhodesia, and in Liverpool, he was medical registrar at Clatterbridge General Hospital, Cheshire, and at the Hammersmith Hospital, London. He was lecturer at Makerere University Medical School, Uganda,
in 1957-60, senior
lecturer in 1960-64,readerinl964-65,andW.H.O.
research professor in cardiovascular diseases in 1966-69. On returning to London he was on the scientific staff of the M.R.C. Social Medicine Research Unit at the London School of Hygiene and Tropical Medicine. He is at present head of the department of clinical epidemiology at the Roval Free Hospital School of Medicine.
The title of reader in psychiatric genetics has been conferred Dr J. Shields in respect of his post at the Institute of Psychiatry.
on
Queen’s University of Belfast Dr R. J. McClelland has been appointed
lecturer in
psychi-
atry.
Diary of the
University of Manchester The following have been appointed senior lecturers: Dr F, N. Bamford (child health), Dr H. W. S. Francis (community medicine), Dr J. P. Miller (medicine), Dr P. S. Hasleton (morbid anatomy). The following have been appointed lecturers: Dr D. A. Price (child health), Dr Keith Andrews and Dr J. S. Tucker (geriatric medicine), Dr C. E. Hyde (psychiatry). Doctors in the E.E.C. Free movement of doctors throughout the countries of the Common Market is due to come into force next year. At a meeting of the 100-strong Committee of Doctors of the Common Market (of which the British Medical Association currently holds the secretariat), it was agreed that a guide for E.E.C. doctors wishing to practise in other countries of the Community should be compiled, containing information about registering bodies, medical associations, and conditions of
practice. Thomas Wakley, founder of The Lancet, was born at Membury in Devon, and a local Medical Wakley Society has recently been founded in East Devon. At a meeting on Nov. 19 the Wakley Society chairman’s jewel was presented to Dr R. S. K. Essame by Dr Terry and Dr Catherine Glanvill of Honiton, Devon.
Week
Appointments DEC.
7
TO
13 South East Thames
Monday, 8th INSTITUTE 5.30
LARYNGOLOGY AND OTOLOGY, 330/332 Gray’s Inn Road, London WC1X 8EE Prof. John Landon: Application of Modern Biochemical Techniques
OF
P.M.
to
Laryngology.
Tuesday, 9th MANCHESTER MEDICAL SOCIETY 5 P.M. (New Medical School.) Surgery. Mr P. H. Dickinson. Some Problems of Upper-limb Ischoemia.
Wednesday,
10th
ROYAL COLLEGE OF SURGEONS OF ENGLAND, Lincoln’s Inn Fields, London WC2A 3PN 4.30 P.M. Mr R. W. Raven: Oncology—Attainment and Anticipation. (Bradshaw lecture.) BRITISH POSTGRADUATE MEDICAL FEDERATION 1.15 P.M. (Channel 7, I.L.E.A. Close Circuit Television System.) Dr T. J. Peters: Sub-cellular Fractionation, Liver Lysosomes, and Iron Overload. (Repeated on Thursday at 12.15 P.M. and on Friday at 1.15 P.M.) CARDlOTHORACIC INSTITUTE, Brompton Hospital, Fulham Road, London SW3 6HP 5 p.M. Mr J. E. C. Wright: Surgical Management of Patients with Extensive Coronary Atheroma. INSTITUTE OF LARYNGOLOGY AND OTOLOGY 5 P.M. Dr Mansfield Smith: The Surgical Treatment of Neunlemmoma of the Acoustic Nerve with the Preservation of Cochlear Function. INSTITUTE OF ORTHOPAEDICS, 234 Great Portland Street, London WIN 6AD 6 P.M. Sir Herbert Seddon: The Country Branch in the 1930s. MANCHESTER MEDICAL SOCIETY 5 P.M. (New Medical School.) Pathology. Prof. W. L. Ford: The Diversity of
Lymphocytes.
Thursday, llth ROYAL COLLEGE OF SURGEONS OF ENGLAND 5.30 P.M. Mr Walpole Lewin: Changing Attitudes to the Management of Severe Head Injuries. (Victor Horsley lecture.) MEDICAL RESEARCH COUNCIL 4.30 P.M. (National Institute for Medical Research, Mill Hill, London NW7.) Dr Pasko Rakic (Harvard): Synaptic Specificity in the Anomalous Cerevellar Circuits Induced by Single Gene Mutation Mice. ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, Manson House, 26 Portland Place, London WIN 4EY 6.15 P.M. Dr A. Voller, Dr C. C. Draper, Prof. P. Ambroise-Thomas: Recent Advances m Serology of Tropical Diseases. MANCHESTER MEDICAL SOCIETY 5.30 P.M. (New Medical School.) Pædiatrics. Dr Margaret B. Mearns: Cystic Fibrosis-Recent Developments. 8.15 P.M. Ancesthetics. Dr C. B. Franclin: Computer-assisted Patient Data Handling. Dr B. R. H. Doran: Patient Momtoring.
Regional Health Authority:
AKRAMUL, H. A. Q., M.B.Dacca, F.F.A.R.C.S.: consultant anaesthetist, Bexley district. BARRI TT, DENISE M, M.B.Q’land, D.M.R.T.: consultant radiotherapist, Tunbridge Wells and King’s (teaching) districts. BARRt IT, J. J., Bt.n.K.t.)., M.R.C.P., D.M.R D.: consultant in nuclear medicine, Greenwich and King’s (teaching) districts. Do,,, TOR, R. S., n.Bt.0xon., F.R.C.R., D.M.R.D.: consultant radiologist, Bnghton district and South West Thames R.H.A. Dt RRBsi, A R., M.H.Peshawar, F.R.e.,.F.: consultant in accident and emergency, Eastbourne district. JONES, PATRICIA M., M.B. Ceylon, M.R.C.P., D.O.H. consultant in venereologv and gemtounnary Greenwich, Lewisham, and Guy’s dtstncts. KI Rt’R, G. R., M B.Karnatak, 1- R.e.,., F.R. C.. consuhant in accident and emergency, Dartford and Gravesham district. RmDB, PRABHAKARA, M.B. Mysore, n-nt.R.D., n.M.R.T.: consultant radiologist, Maidstone district. Stttt I ING, J. S., M.ii.Lond., t.R.c.s., n.o.: consultant ophthalmologist. Greenwich and St. Thomas’ districts. STEER, BRIAN, M.B.Lond., F.F.A.R.C.S.: consultant anssthetist, Eastbourne district. St RAnt, HIRANNAGINDAS M. B. GUJARAT, n.M.R.n.: consultant radiotopst, Medwav district TAYLOR C. G., M.B. Lond., M.R.C.PAIH.: consultant hæmatologist, Tunbndge Wells district.
medicine,
North Western
Regional Health Authority:
A KRIII , 1’1 I R,
v
B.Manc.,
M.R.( .1’.’
consultant
nephrologist, Withington
Hospital and Manchester Royal Infirmary. ADDISON G M, M.B., PH. D. Cantab.: consultant chemical pathologist, Booth Hall Hospital, Monsall Hospital, and Royal Manchester Children’s. Hospital COOKI, BARBARA W, ’.t.K Durh., E.I.A. R.( .s.: consultant anasthetist, Ormskirk district. COWLEY, D. J., CH.M.Dundee, F.R.C.S. : consultant general surgeon, Blackpool district. HAUM, M. A., M.B.Daca, M.R.C.P., M.R.C.P.G., M.R.C.PSYCH. : consultant psychiatrist, Lancaster district. HARDINGE, KEVIN, M.CH.ORTH.L’pool, F.R.C.S. : consultant orthopædic sur-
Jui
geon, Wnghtington Hospital, Wigan. D. J., ’I B., B.,c.Lond., M.R.c.Pwca.: consultant psychogenatncuu,. Wnhington Hospital, Cheadle Royal Hospital, and Wythenshawe Hospi tal.
I t,
LEE, DOUGLAS,
M.D.
blood-transfusIOn MIII
N.U.I., M.R.C.P.I., M.R.C.PATH. : service,
consultant-in-charge,
Lancaster.
B. M., D. PHII . Oxon., M.s( .Lond., ’I.R.C.I’: senior lecturer )n (honorary consultant), Withington Hospital. Mci ODYNSKI, C. J., M.B. L’pool., M.R.C.PSYH consultant psachtamst, Rlackpool and Lancaster districts. W kINSON, P M., tt ))., Bt.sc.Manc., M R.o.P consultant clinical pharmacolugist, Christie Hospital and Holt Radium Institute.
J. P.,
medicine
