683

JAMES

DUNSMOR ALLAN

M.D. Edin., F.R.C.P.E.

Dr Allan

and Stockport of 65.

IMMUNOPHARMACOLOGY

After graduating in 1935, he held house appointments in Edinburgh, including those with a paediatric interest. He also had teaching experience with a Rockefeller scholarship to the United States; and he carried out research in Prof. D. M. Dunlop’s department, where he studied blood-flow in peripheral vascular diseases. During Army service in the 1939-45 war, he was a medical specialist in India and Burma and was mentioned in despatches. He later remained an active member of the Territorial Army. In 1946 he was appointed consultant paediatrician to Macclesfield and Stockport, and in this post he built up a notable paediatric practice, while continuing with his research interests, especially in metabolic disease and cystic fibrosis. He was a founder member of the Society for the Study of Inborn Errors of Metabolism, and its president from 1964 to 1973. He is survived by his wife, two sons, and a daughter.

C.M.W. writes: individualist in all things, and he excelled in everything he did, whether in medicine, research, or medical politics-or in the garden or greenhouse, where he also ’researched’ and reaped the benefit. He was impatient with the relative inefficiency of others, yet he attracted loyalty to an exceptional degree from his staff and from patients’ families. A medical colleague rightly said that he ’floated to the top of all he undertook.’ "He

was an

"

Dr L. A. LIVERSEDGE

B. F. adds: "His personality and humour were irresistible, and his popularity among friends, colleagues, and patients was remarkable. A brilliant wit and urbanity created his outstanding reputation as an after-dinner speaker, and he amused and entertained a very wide circle of friends and acquaintances not only in medicine but also in law and the world at large. He would apply his charm to the great and the small, the professional and the non-professional, and he always had time for a kind word and a witticism with any who were fortunate enough to attract his attention or cross his path. He used his knowledge of modern languages in his writing and to great effect in the social intercourse he enjoyed with his colleagues. He was a founder member of the North of England Neurological Association and treasurer of the Association from its inception. He was largely responsible for developing in that Society informal yet informed clinical discussion which all members have come to enjoy and respect. Never an establishment figure, and indeed eschewing any claim to be so regarded, he devoted his life to his neurology and he became a master clinician. He was fond and proud of his family, and those of us who knew him well will never forget evenings spent at his home in Turton. We admired him during his life, we admired him during his fatal illness, and we shall never cease to admire the wonderful personality, boundless generosity, and joyous approach to life. We have a great deal to remember, and our greatest tribute to him would be to attempt in some small way to emulate his lovable characteristics."

J.

Sir PETER

Notes and News

consultant paediatrician to Macclesfield Hospitals. He died on Feb. 9 at the age

was

KERLEY, emeritus consultant radiologist

Westminster Hospital, London, died of 78.

on

March 15

at

to the the age

Dr F. N. L. POYNTER, who was director of the Wellcome Institute for the History of Medicine from 1964 until 1973, died on March’ 11. He joined the Wellcome Historical Medical Library in 1930 as an assistant librarian and became chief librarian in 1954.

IMMUNOLOGY may have more or less escaped the clutches of bacteriology but it has been warmly embraced by biochemistry and molecular biology. Now pharmacology is competing for favours-successfully, it seems, since together, according to the editor of a new quarterly, they have conceived immunopharmacology. Some will quibble about the child’s legitimacy. The journal’s editorial stand is that immunopharmacology is about more than just the effects of drugs on the immune reon where its limits lie, even the editorial board is divided. If immunopharmacology really is "a basic, preclinical, and clinical science of therapeutic immune regulation", as the journal’s associate editor believes, then advisory editor W. L. Ford, reviewing a book on the subject, is right to point to its unwitting practitioners already satisfactorily at home in other

sponse. But

disciplines. The first issue of the International journal of Immunopharmacology contains a review of immunological aspects of the practolol syndrome and six papers on the effects in animals of levamisole and other modifiers of immune responsiveness. These are hardly required reading for the clinically minded but the journal is intended for papers on immunotherapy of any type and the effects of pharmacologically active endogenous and exogenous substances in human beings as well as animals. International Journal of Immunopharmacology (edited by P. W. Mullen and J. W. Hadden) is published by Pergamon Press, Headington Hill Hall, Oxford OX3 OBW; and Maxwell House, Fairview Park, Elmsford, New York 10523. /:20.4$($45.00) per year.

DISABLEMENT IN OLD AGE A REPORTl by the Disability Alliance on provision for the disabled analyses the concept of disability and concludes that the Government’s failure to understand it has resulted in an inefficient use of resources. More than 800 000 severely disabled elderly people in the United Kingdom live in their own homes, yet many of them have incomes below or on the margins of the State definition of poverty. The report maintains that priorities in income support and in health and social services provision have not been worked out rationally or economically; it argues that what constitutes disablement should be clearly defined as the first step towards identifying a scale of needs and discriminating between degrees of severity. The health and social services made the mistake of categorising the elderly, the disabled, the mentally ill, and the mentally disabled as distinct groups without recognising that disablement was a shared feature of all the groups. The medical profession also contributed towards this kind of group segregation by treating disablement in terms of specific symptoms. The report states that planning should be concerned with the similarity of problems faced by different disabled people and with the means by which they could be compensated for their disablement. Two central strategies would be adopted: the development of a system of income support for the elderly with priority for disablement; and the establishment of effective community care. Planning for the income support would involve a definition of the severity of disablement and a change in the basis for assessment from one which concentrated on loss of faculties to one which emphasised restriction or limitation of activity. The report also favours the expansion of domiciliary services with a corresponding contraction of resources allocated to institutional care.

elderly

1. The Government’s Failure to Plan for Disablement in Old Age a commentary on the consultative document, A Happier Old Age. The Disability Alliance, 5 Netherall Gardens, London NW3 5RM. 85p (£1, including

postage).

684 The second part of the report comments on the D.H.S.S. consultative document, A Happier Old Age. Most of the suggestions made are based on the Disability Alliance’s belief that the disabled elderly should be identified in relation to the severity of their disablement for the purposes of deciding not only their income needs but also their need for services. Recommendations include: increased responsibility for socialservice departments for housing the elderly disabled; extension of the attendance allowance; and provision of a comprehensive disablement allowance, graded according to severity of disablement.

PROJECT ON THE ROLE AND EDUCATION OF THE MIDWIFE AT the request of the Royal College of Midwives, the Nursing Education Research Unit of Chelsea College (University of London) is undertaking a project on the role and education of the midwife. As aspects of the midwife’s work are closely interrelated with that of other health professionals, including general practitioners, obstetricians, and pædiatricians, the unit feels it is important that their views are also represented in the study. During the next few weeks questionnaires will be sent to a random sample of members of these related professions throughout the country. The unit hopes that those selected will be willing to participate in the study.

University of Cambridge Dr T. D. Hawkins, consultant radiologist to the Cambridgeshire area health authority (teaching), has been appointed clinical dean, in succession to Dr T. M. Chalmers.

Sir Martin Roth,

professor

of

psychiatry

at

the University of Camof the Amencan Psv-

bridge, has been awarded the Paul Hoch Award chopathological Association for 1979.

Prof. V. Ramalingaswami has been appointed the Indian Council of Medical Research, New Delhi.

director-general

of

A prize of £50 will be offered in 1979-80 by the Royal College of Surgeons of Edinburgh for an essay by a fellow or member, of not more than ten years’ standing, of the Royal College of Surgeons of Edinburgh, Royal College of Physicians of Edinburgh, Royal College of Physicians and Surgeons of Glasgow, or the Royal College of Obstetricians and Gynaecologists on the subject of Accidents-the Child in the Home. Essays should be submitted to the College not later than

Oct. 1, 1979. A conference entitled Asbestos ’79, will be held on April 10-11, 1979 at King’s College, London. Details may be had from D. C. Consultants, 45 Parkholme Road, London E8. A symposium on computers in drug research and development will be held at Chelsea College, Manresa Road, London SW3 on April 11, 1979. Details may be had from the Secretariat, Society for Drug Research, c/o Institute of Biology, 41 Queen’s Gate, London SW7 5HU.

The 142nd annual general meeting of the Royal Medical Benevolent Fund will be held at the Royal College of Obstetricians and Gynxcologists, Sussex Place, Regent’s Park, London NW1, on May 10, 1979, at 2 P.M. A conference on rational therapy and rehabilitation in stroke will be held at Northwick Park Hospital, London, on June 7-8, 1979. Details may be had from Mrs A. Ashburn, Rehabilitation Department, Northwick Park Hospital, Watford Road, Harrow, Middlesex.

Diary

of the Week

Royal Society Elections to fellowship of the Royal Society on March 15include the following: Dr M. J. Crumpton, division of biochemistry, National Institute for Medical Research; Prof. J. H. Edwards, department of clinical genetics, University of Birmingham (lately appointed to the chair of genetics at the University of Oxford); Prof. M. A. Epstein, department of pathology, University of Bristol; Prof. R. L. Gardner, Henry Dale research professor of the Royal Society, University of Oxford; Prof. G. M. Jones, department of physiology, McGill University, Montreal, and Defence Research Board aviation medical research unit; Dr P. A. Merton, department of physiology, University of Cambridge; Prof. Brenda Milner, Montreal Neurological Institute, Canada; Dr Denis Noble, department of physiology, University of Oxford; Prof. Harry Smith, department of microbiology, University of Birmingham; Dame Janet Vaughan, formerly principal of Somerville College, Oxford.

MAR.

Monday, INSTITUTE 12.30

25

TO

31

26th

OF

p.M

OBSTETRICS AND GYNAECOLOGY, Queen Charlotte’s Hospital, Goldhawk Road, London W6 OXG Dr P. Dovey A Possible Radiological Method of Diagnosing Abortion.

MANCHESTER MEDICAL SOCIETY 5.3û P.M. (New Medical School.) Odontology. Dr G. Rabey: Analysis of Faces 8.30 P.M. General Practice. Dr F. N. Bamford: Symposium on Child Abuse

Tuesday,

27th

UNIVERSITY OF LONDON, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1 5 P.M. Prof Abraham M. Lilienfeld (Maryland, U.S.A.): The London Bridge - It Never Fell.

CHARLOTTE’S MATERNITY HOSPITAL, Goldhawk Road, London W6 OXG 12.15 5 P.M. Dr N. Rutter Water Loss from the Skin of Small Babies. MANCHESTER MEDICAL SOCIETY 5.50 P.M. (New Medical School.) Psychiatry. Dr F. E. Kenyon. The Psychology of Mtdhfe Change-the Case of Emanuel Swedenborg.

QUEEN

Wednesday, 28th Nomination of Candidates for Election to the G.M.C.

Following the Merrison Report and the Medical Act 1978, the General Medical Council is to be reconstituted with effect from Sept. 27, 1979, with a majority of elected members. These members will be elected in four constituencies-39 for England (including the Channel Islands and the Isle of Man), 3 for Wales, 6 for Scotland and 2 for Northern Irealnd. An election will be held in the summer of 1979 and the last date for return of nomination papers will be May 3. Doctors who wish to be nominated as a candidate must sign a nomination paper and secure the signature of 6 other registered medical practitioners resident in the same constituency. Doctors who have reached the age of 70 are not eligible to be members of the Council. Nomination papers and information on procedure may be obtained from the Registrar, General Medical Council, 44 Hallam Street, London, W1N 6AE.

ROYAL COLLEGE OF SURGEONS OF ENGLAND, Lincoln’s Inn WC2A 3PN 5 P.M. Prof. J R Belcher- Re-stenosls of the Mitral Valve.

Fields, London

(Huntenan lecture.) ENFIELD DISTRICT HOSPITAL, The Ridgeway, Enfield, Middlesex 12.50 P.M. Dr P. Harvey Headaches-Again. NOP.THWICK PARK HOSPITAL, Watford Road, Harrow, Middlesex HA1 3UJ 1 P.M. Dr E. J. Raftery: Anti-arrhythmic Therapy. ROYAL FREE HOSPITAL SCIIOOL Or MEDICINE, Pond Street, London NW3 2QG 5 P.M. Prof. J. S. Camercn: Lupus Nephritiss ROYAL COLLEGE OF SURCEONS CF EDINBURGH, Edinburgh EH8 9DW 4.30 P.M. Prof. G. D. Tracy (New South Wales) : Another Look at Raynaud’s Phenomenon.

Friday,

30th

INSTITUTE OF UROLOGY, 172 Shaftesbury Avenue, London WC2H 8JE 12.30 P M Prof. J. P. Mitchell: Ruptured Urethra MANCHESTER MEDICAL SOCIETY 8 P.M. (Liverpool Medical Institution, Mount Pleasant, Liverpool.) Anæsthetzcs. Dr M. A. Tobias. Mechanical Circulatory Assistance Dr 1 Kenyon: Acupuncture in Labour.

James Dunsmor Allan.

683 JAMES DUNSMOR ALLAN M.D. Edin., F.R.C.P.E. Dr Allan and Stockport of 65. IMMUNOPHARMACOLOGY After graduating in 1935, he held house appoint...
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