M 80
(D) Report of the University Professorial Units.
UNIVERSITY CLINICAL UNITS AT THE QUEEN MARY HOSPITAL.
MEDICAL UNIT
(a) Report by the Professor of Medicine.
317. After Professor W. I. Gerrard's departure on leave in March, 1939, the department came under the charge of Dr. P. B. Wilkinson. The staff during the remainder of the year included a first and second assistant, a clinical assistant and a house physician.
318. The acting professor has given a course of systematic lectures throughout the year to the fourth and sixth year students and to some of the fifth year students, in addition to which he takes two teaching rounds a week at the Queen Mary Hospital, and two out-patient clinics a week at the old Government Civil Hospital. The first assistant takes one teaching round a week at the Queen Mary Hospital and the second assistant gives a course of systematic lectures in therapeutics.
319. One new post was created during the year, that of lecturer in children's diseases. Dr. Lee Hah Liong was appointed in July, 1939, and he has since been in charge of the children's clinic in out-patients on Thursday mornings, in addition to which he takes two teaching rounds a week in the children's ward. He also makes a round with the professor once a week.
320. Considerable attention has been paid throughout the year to the specific infectious diseases, and the practice of taking groups of students to the Infectious Diseases Hospital for teaching at the bedside has been begun and maintained. It has proved possible to fit in a teaching round once a week at the Infectious Diseases Hospital and in addition to this one of the set lectures each week is now devoted to an infectious disease. It is obviously important that those who intend to practise medicine in China should be intimately acquainted with smallpox, cholera and the purulent meningitides, the diseases which constitute the bulk of the material at the Infectious Diseases Hospital.
321. Investigations have been carried out on the effect of the sulphanilamide preparations in various infections, the three most important being lobar pneumonia, typhoid and meningococcal meningitis. The number of cases treated in any one group thus far is too small to enable definite results to be drawn, but it seems that streptocide is of little use in typhoid infections, and the incidence of sequelae such as empyema and lung abscess appears to be increased slightly by the use of M. and B. 693. A method of estimating the concentration of the sulphanilamide drugs in the body fluids has recently been adapted from Marshall's diazo colorimetric method, and has already proved of considerable use in the accurate treatment of those diseases which respond to this group of drugs.
322. Some work has also been done on the vitamin C content of the tissues, using Rotter's dichlorophenolindophenol test, and the results obtained have been published in the Caduceus. A more direct attack on the problem of beri-beri has been initiated, in cooperation with the department of physiology, by the employment of a colorimetric method for the estimation of the vitamin B1 content of various food-stuffs. It is hoped that by the use of this method an assay of locally occurring products which contain vitamin B1 may be made.
323. The incidence of beri-beri remains high and it is curious to note how slow the therapeutic response is to B1 rich diets. Even when these are supplemented with parenteral administration of the vitamin the clinical response is usually slow.
M 80
(D) Report of the University Professorial Units.
UNIVERSITY CLINICAL UNITS AT THE QUEEN MARY HOSPITAL.
MEDICAL UNIT
(a) Report by the Professor of Medicine.
317. After Professor W. I. Gerrard's departure on leave in March, 1939, the department came under the charge of Dr. P. B. Wilkinson. The staff during the remainder of the year included a first and second assistant, a clinical assistant and a house physician.
318. The acting professor has given a course of systematic lectures throughout the year to the fourth and sixth year students and to some of the fifth year students, in addition to which he takes two teaching rounds a week at the Queen Mary Hospital, and two out-patient clinics a week at the old Government Civil Hospital. The first assistant takes one teaching round a week at the Queen Mary Hospital and the second assistant gives a course of systematic lectures in therapeutics.
319. One new post was created during the year, that of lecturer in childrens' diseases. Dr. Lee Hah Liong was appointed in July, 1939, and he has since been in charge of the childrens' clinic in out-patients on Thursday mornings, in addition to which he takes two teaching rounds a week in the childrens' ward. He also makes a round with the professor once a week.
320. Considerable attention has been paid throughout the year to the specific infectious diseases, and the practice of taking groups of students to the Infectious .Diseases Hospital for teaching at the bedside has been begun and maintained. It has proved possible to fit in a teaching round once a week at the Infectious Diseases Hospital and in addition to this one of the set lectures each week is now devoted to an infectious disease. It is obviously important that those who intend to practise medicine in China should be intimately acquainted with smallpox, cholera and the purulent meningitides, the diseases which constitute the bulk of the material at the Infectious Diseases Hospital.
321. Investigations have been carried out on the effect of the sulphanilamide preparations in various infections, the three most important being lobar pneumonia, typhoid and meningococcal meningitis. The number of cases treated in any one group thus far is too small to enable definite results to be drawn, but it seems that streptocide is of little use in typhoid infections, and the incidence of sequelae such as empyema and lung abscess appears to be increased slightly by the use of M. and B. 693. A method of estimating the concentration of the sulphanilamide drugs in the body fluids has recently been adapted from Marshall's diazo colorimetric method, and has already proved of considerable use in the accurate treatment of those diseases which respond to this group of drugs.
322. Some work has also been done on the vitamin C content of the tissues. using Rotter's dichlorophenolindophenol test, and the results obtained have been published in the Caduceus. A more direct attack on the problem of beri-beri has been initiated, in cooperation with the department of physiology, by the employment of a colorimetric method for the estimation of the vitamin B, content of various food- stuffs. It is hoped that by the use of this method an assay of locally occurring pro- ducts which contain vitamin B, may be made.
323. The incidence of beri-beri remains high and it is curious to note how slow the therapeutic response is to B, rich diets. Even when these are supplemented with parenteral administration of the vitamin the clinical response is usually slow.
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