Postgraduate Medical

EDITORB.I. Hoffbrand, London

ASSISTANT EDITORP.J.A. Moult, London

EDITORIAL BOARD

P.J. Barnes, LondonG.F. Batstone, Salisbury N.'

C.J. Bulpitt, LondonC. Coles, Southampton MG.C. Cook, London

P.N. Durrington, ManchesterJ.C. Gingell, Bristol

T.E.J. Healy, ManchesterD. Ingram, London

P.G.E. Kennedy, GlasgowK.T. Khaw, Cambridge

L. Kreel, LondonR.I. McCallum, Edinburgh P.R.

P.H. Millard, London

e,'~~~~~~A,\I.W.N. Nicholls, LondoT.J. O'Connor, Shrewsbury

M. Sarner, London[.C. Sheppard, BirminghamD.R.J. Singer, LondonM. Super, ManchesterI. Taylor, SouthamptonT. Treasure, LondonP. Turner, London

J.A. Vale, BirminghamP.D. Welsby, EdinburghW.F. Whimster, LondonWilkinson, Ashford, Middx

National Association of Clinical Tutors RepresentativesI.J.T. Davies, Inverness R.D. Abernethy, Barnstaple

International Editorial RepresentativesG.J. Schapel, AustraliaP. Tugwell, Canada

J.W.F. Elte, The NetherlandsE.S. Mayer, USA

F.F. Fenech, MaltaB.M. Hegde, India

C.S. Cockram, Hong Kong

Editorial AssistantMrs J.M. Coops

Volume 68, Number 806December 1992

The Postgraduate Medical Journal is publishedmonthly on behalf of the Fellowship ofPostgraduate Medicine by the Scientific &Medical Division, Macmillan Press Ltd.

Postgraduate Medical Journal publishes originalpapers on subjects of current clinicalimportance. Each issue contains commissionedreview and leading articles but unsolicitedsubmissions are also welcome. Each issue alsoincludes 'Letters to the Editor', book reviewsand an international postgraduate diary. Manyissues contain papers or abstracts of symposiadevoted to a single subject, and the fullproceedings of meetings are published assupplements to the Journal. The Journal, as theorgan of the Fellowship of PostgraduateMedicine, is dedicated to advancing theunderstanding and practice of postgraduatemedical education and training.

The Fellowship of Postgraduate Medicine wasfounded after the First World War and was apioneer in the United Kingdom in the develop-ment ofprogrammes ofpostgraduate study inall branches of medicine (see PostgradMedJ 61,1). It always has been, and remains, independentof University, Health Service and Government.Currently the Fellowship works closely with theNational Association of Clinical Tutors infurthering mutual aims. Amongst otheractivities, the Fellowship provides researchgrants and support for young investigatorsespecially those working temporarily in the UK.

Further details of the Fellowship ofPostgraduate Medicine can be obtained fromThe Executive Secretary, The Fellowship ofPostgraduate Medicine, 6 St Andrew's Place,London NWI 4LB.

The Journal is covered by Current Contents,Biological Abstracts, ASCA, ISI/BIOMED,Index Medicus, Excerpta Medica and ScienceCitation Index.

© 1992 The Fellowship of PostgraduateMedicineISSN 0032- 5473

Manuscripts and all editorial correspondence,including books for review should be sent to:

The Editor, Postgraduate Medical Journal,6 St Andrew's Place, London NW1 4LB, UK.Tel: 071-935 5556, Fax: 071-224 3219.A 'Notice to Contributors' is usually publishedon the inside back cover ofeach issue. The Editorreserves the right to make changes which mayclarify or condense papers where this isconsidered desirable.

All business correspondence, and reprint requestsshould be addressed to the Scientific & MedicalDivision, Macmillan Press Ltd, Houndmills,Basingstoke, Hampshire RG21 2XS.Telephone: (0256) 29242; Fax: (0256) 810526

Subscription price per volume of twelve issuesEEC £E124.00; Rest of the World £134.00 orequivalent in any other currency. Orders mustbe accompanied by remittance. Cheques shouldbe made payable to Macmillan Press, and sentto: the Subscription Department, MacmillanPress Ltd, Brunel Road, Houndmills,Basingstoke, Hampshire RG21 2XS, UK.Where appropriate, subscribers may makepayments into UK Post Office Giro AccountNo. 519 2455. Full details must accompanypayments.

Enquiries concerning advertising space or ratesshould be addressed to: Michael Rowley,Advertisement Manager, Macmillan Press Ltd,4 Little Essex Street, London WC2R 3LF.Telephone: 071 836 6633; Fax: 071 379 0820.

All rights of reproduction are reserved in respectof all papers, articles, illustrations, etc.published in this journal in all countries of theworld.

Authorization to photocopy items for internalor personal use, or the internal or personal useof specific clients, is granted by The Fellowshipof Postgraduate Medicine for libraries and otheiusers registered with the Copyright ClearanceCenter (CCC) Transactional Reporting Service,provided that the base fee of $3.50 per copy ispaid directly to CCC, 21 Congress St., Salem,MA 01970, USA. 0032 - 5473/92 $3.50 + $0.00

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Whilst every effort is made by thepublishers and editorial board to see that no inaccurate or misleading data, opinion or statement appears in this Journal,they wish to make it clear that the data and opinions appearing in the articles and advertisements herein are the responsibility of the contributor oradvertiser concerned. Accordingly, the publishers and The Fellowship, the editorial committee and their respective employees, officers and agents acceptno liability whatsoever for the consequences of any such inaccurate or misleading data, opinion or statement. Whilst every effort is made to ensure thatdrug doses and other quantities are presented accurately, readers are advised that new methods and techniques involving drug usage, and described withinthis Journal, should only be followed in conjunction with the drug manufacturer's own published literature.

Postgrad Med J (1992) 68, 981 i) The Fellowship of Postgraduate Medicine, 1992

Postgraduate News and Views

Attitudes of senior registrars in geriatric medicine toresearchJ. Taylor, J.B. MacDonald and D.J. Stott'Geriatric Unit, Gartnavel General Hospital and' University Department ofGeriatric Medicine,Southern General Hospital, Glasgow, UK

To determine the attitudes of senior registrars in geriatricmedicine to research, a postal survey was conducted usinga role of senior registrar posts provided by the BritishGeriatrics Society. The questionnaire was a modifiedversion of that produced by Gaylard' and includedsections recording personal characteristics, type of postand unit, previous research experience, numbers ofpublications, supervision of research and intention topursue research interests at consultant level. The ques-tionnaires were returned and analysed anonymously.The response rate of 92/145 (64%) was comparable

with other postal surveys."2 Approximately half of thosewho replied were in geriatric medicine posts and half injoint geriatric medicine and general medicine positions.At the time of reply: 40% were working in district generalhospitals, 49% in teaching hospitals and 11% in univer-sity departments. More than half (53%) had previouslyheld pure research posts. Only 30/92 of those who repliedhad any formal training in research and, of these, 27 hadpreviously held pure research posts. The median numberof publications for the whole group was six (range 0- 38).The type of post or unit in which a senior registrar wasworking had no effect on the number of publications.However, those who had previously held a research posthad a significantly higher number of publications thanthose who had not (median 10 compared to median fourrespectively, Wilcoxon rank sum test P<0.0001). Thiswould suggest that the training, techniques andexperience gained in research posts may be very success-fully applied to research in geriatric medicine.The majority of senior registrars (92%) were actively

involved in research. Most were able to seek advice on aproject from a senior member of staff. The majority ofsenior registrars felt that publications on the curriculumvitae (CV) were very important when applying for seniorregistrar (75%) or consultant posts (80%). However, 72(78%) said that they would still attempt to publish even ifit was not necessary for CV enhancement and 87% still

hoped to pursue their research interests at consultantlevel. This suggests that there is a genuine interest inresearch in geriatric medicine and that career advance-ment is not the sole motivation for producing publica-tions.

Finally, the main problem encountered by seniorregistrars in attempting to carry out research projects wasthat of inadequate time. Equal difficulty occurred indistrict general hospitals, teaching hospitals and inuniversity departments. The mean number of sessionsdevoted to research was 1.6 a week (range 0-4 sessions)which is below the JCHMT (Joint Committee on HigherMedical Training) guidelines of two sessions per week forresearch and personal study.3 An even more worryingfinding was that 16% of senior registrars who replied hadno specific time allocated for research whatsoever.This survey has shown that there is a high level of

research activity amongst senior registrars in training ingeriatric medicine, despite inadequate provision ofresearch time in many posts. Informal advice on researchmatters is readily available from supervising consultantsin geriatric medicine; however, formal training in researchmethods is largely restricted to those in pure researchposts. This is likely to adversely affect the quality ofresearch performed in geriatric medicine.

Senior registrars who have previously held a pureresearch post are by far the most productive in terms ofpublications; therefore they are likely to have an advan-tage as numbers of publications are often a major factordetermining promotion. Surprisingly, the type of post orunit in which the senior registrars worked did not appearto influence research activity. It is encouraging that a veryrespectable level of research activity is maintained bybusy district general hospitals. However, it is likely thatthe large clinical commitment for doctors in teachinghospitals and academic departments restricts theirresearch activities.

Senior registrars in geriatric medicine appear to begenuinely interested in research, as most would continuetheir involvement even if it was not required for careeradvancement. With modest additional training inresearch techniques, and provision of adequate time forresearch, as already recommended by the JCHMT, thecurrent enthusiasm and commitment to research ingeriatric medicine could, be harnessed and directed tomuch greater effect.

References

1. Gaylard, D.G. & Lamberty, J.M. The attitudes of junioranaesthetists to research. Anaesthesia 1989, 44: 681-683.

2. Knight, P.V. Senior registrars' view on geriatric medicine. J RColl Phys Lond 1986, 20: 271-272.

3. Joint ComnluiLtee on Higher Medical Training. Guidelines forapproval of posts for higher training in General Medicine.Para 4.

Correspondence: J. Taylor, M.B., Ch.B., UniversityDepartment of Geriatric Medicine, Southern GeneralHospital, Glasgow, G51 4TF, UK.Accepted: 3 August 1992

Md 8 The Fellowship of Postgraduate Medicine, 1992

Conference Report

National Association of Clinical Tutors (NACT)Summer Meeting at BangorMay 15-16, 1992

The morning session was devoted to Perceptions ofTraining and was chaired by Dr Peter Wilkinson, theChairman of the NACT. The first speaker was ProfessorIan Houston, Dean ofPostgraduate Medicine, Universityof Manchester, who looked at the preservation of educa-tional training standards in the face of new workingarrangements. He entitled his talk under the headingSWOT-Strengths, Weaknesses, Opportunities andThreats, and under each of these headings he dealt withthe finances involved, organization, time, communica-tion, morale, and quality. He was of the opinion that thenew working arrangements made for a more coherenteducational approach and certainly a more representa-tional attitude. There were at last dedicated staff anddedicated funds which he thought would improve theoverall picture.He was followed by Dr Ilfra Goldberg the Deputy

Dean of Postgraduate Medical Studies, University ofManchester, who talked on the attitudes towards theeducation of pre-registration house officers. She thoughtthat there was potential for conflict here and that financialconstraints would play a very important part in educa-tion. She explained how the University did theirassessment visits and how their in-depth assessmentquestionnaires were made up.The next speaker was Dr Dianne Kelly, a general

practictioner from Kirkintilloch in Scotland, who dealtwith the adequacy of vocational training for generalpractice. In the survey which she had carried out it wasvery apparent that there was a very poor quality ofeducational time for senior house officers (SHOs) inhospital and that there was a deep conflict betweeneducational needs and service requirements. She felt thatbefore any SHO had been accepted for, or had decided toaccept a post in the hospital, that guidelines by consultantand SHO should be laid down at the beginning.

Professor Tom Hayes, Director and Dean of Post-graduate Studies at the University of Wales College ofMedicine, Cardiff, gave a short paper on the educationalexperience of Welsh SHOs. He personally was becomingmore and more depressed by the business administrationof the ward round and when he started his survey he wasamazed to find that so many consultants were unaware ofany difficulties in the system.

His was the most illuminating lecture of the morningsession and it showed that there was a lesson to be learntnot only by consultants but by clinical tutors. By andlarge he found that SHOs learnt from unstructuredteaching and were now asking for more formal teaching.However, it was a sad reflection on the whole SHO careerstructure that by far the most important thing to the SHOwas a good reference. He discussed the role of the collegetutor but it was quite clear from his survey that SHOsthought that consultants and clinical tutors should beresponsible for career advice. His survey showed thatpostgraduate medical education was poor in 12 out of 18hospitals and that there was an inappropriate variation

from hospital to hospital. In the teaching hospitals theSHOs worked longer hours, they carried out moreinappropriate duties and they had less satisfaction withtheir job. The non-teaching hospital SHO had lessinappropriate duties and more satisfaction. In general thecareer advice was poor and there was an exceptionallypoor feedback on performance of their duties. He stressedthat it would be much better for Regional and Post-graduate Deans to be responsible for the educationalexperience of SHOs.The next hour was devoted to a small group session

when the educational needs of pre-registration houseofficers, do-it-yourself and vocational training schemeswere discussed.The afternoon session was given over to the place of

research in training and was chaired by Dr GordonJackson, Hon. Secretary of the NACT. The first speakerwas Professor Miles Irving, Professor of Surgery, Univer-sity of Manchester, who spoke on the place of research intraining to be a surgeon. He thought that exposure toresearch is essential in surgical training and that today'ssurgeon has to deal with a torrent ofnew innovative ideasand that research should be built into basic surgicaltraining. He discussed the arguments for and againstdifferent timings of research but he thought that a periodof well-planned, supervised research played a vital role inthe training of a surgeon and he emphasized that researchprogrammes should be inspected regularly.Mr Frank Arnold, a Manchester surgeon, took a

contrary view, suggesting that critical evaluation ofresearch was much more important than actually doingthe research.Two consultant physicians, Dr G. Neale from Cam-

bridge and Dr R. Fisken from Northallerton, bothconsidered the role of research in training to be aphysician. They felt that it had an important place intraining but to be worthwhile it should be of high qualityand it should not simply duplicate what is already known.It should certainly encourage critical thinking and judge-ment. They felt that research and publications hadbecome unduly prominent in the process of consultantselection and that other selection criteria now neededevaluation. These might include relevant skills, servicework and management training.The next morning, Dr Neville Hodges, Postgraduate

Organizer at Bangor, chaired the morning session whichwas devoted to arrangements for funding postgraduateeducation.Dr Hodges apologized that despite searching the length

and breadth of the country he could find no RegionalManager willing to come forward to talk on the manage-ment approach to setting funding for postgraduatemedical education.Dr T.J. Bayley, the Postgraduate Dean of the Univer-

sity of Liverpool, spoke on problems with financingpostgraduate education. He saw the problem as fourfold:conforming to the reforms; working with the appren-ticeship model; service underfunding as a whole; and,most importantly, historical budgets. He discussed allthese problems in full and offered as solutions: monitor-ing education and audit in NHS Trusts; overcoming

Postgrad Med J (1992) 68, 982 983

CONFERENCE REPORT 983

'historicity'; removing the consultant study leave fromSPLIT; and working out strict educational strategies.

Unfortunately Dr F.J. Woodroffe, the Vice Chairmanof the NACT, could not stay for Saturday morning andhis paper on 'Contracts up and down the UK' waspresented by Dr Jackson. He described three types ofcontracts that were being arranged throughout thecountry: 1. the situation in some regions where they feelthey don't need contracts; 2. the contract between theDean, the Unit and the Clinical Tutor; and 3. the straightcontract between the Dean and the Clinical Tutor.

In the second type of contract, the Unit provides thebanking and personal management and the third type ofcontract is purely a reporting relationship. He went on todescribe the contracts which were going on in the variousregions and the various anomalies which exist on eitherside of the Pennines.Dr Janet Grant of the Joint Centre for Educational

Research and Development in Medicine gave a shortlecture on 'What place for tele-conferencing? An evalua-tion of the first year'. She went on to describe interactivesatellite television, her evaluation study and then she gavea short demonstration and explained to the audience theimplications for future development. The response of the

audience was mixed; some delegates thought that it hadbeen successful in their postgraduate centres, othersthought that it should be given a try, and some thoughtthat it was of little educational benefit and that thecontent was too minimal.Dr Gifford Batstone, the 1991 Wyeth North American

Travelling Fellow, concluded the academic programmewith a lecture entitled 'When you come to a fork in theroad - take it'. He described his travels in Boston,Toronto, and North Carolina and the insights he gainedinto medical education whilst there. He came away fromthis visit to America much wiser and much more educa-tionally alert than when he left these shores last year. Thiswas a most enjoyable and illuminating lecture.

Bangor was a charming and picturesque venue for thisexcellent NACT Meeting. The small number attendingthe Conference suggests that clinical tutors, like theirjunior staff, are also required to work under considerablepressure.

R.D. AbernethyNorth Devon District Hospital,

Barnstaple,Devon EX31 4JB

Postgrad Med J (1992) 68, 987 - 988 © The Fellowship of Postgraduate Medicine, 1992

Book Reviews

Diagnostic Picture Tests in Endocrinology, edited by D.C.Evered and R. Hall. Pp. 128, illustrations. Wolfe,London, 1991. Paperback, £7.95.

This is a lovely little book: cheap, attractive, fun to dipinto and educational. A total of 215 illustrations (nearlyall are colour photographs) have been taken from theWolfe Colour Atlas ofEndocrinology and presented with ashort list of questions. The main value of the book is thebreadth of the clinical conditions covered, which enablesstudents to benefit at a glance from the experience whichtakes a lifetime for an expert to acquire.The authors state in the preface that they have tried to

deal largely with common endocrine problems, butfortunately they have failed. Doctors see commonproblems in everyday clinical practice, and the advantageof a compendium like this is the illustration of things theyare never likely to see but about which they need toknow.One of the key points is the high quality of the

photographs, but other aspects of layout are equallyimportant. The bold numbering of the questions,combined with the quality of the binding, makes iteminently easy to flick to the back and look up theanswers.

It is always possible to find fault, ofcourse, and potentialpurchasers should not be detracted from what follows.Experts would quibble with some answers (e.g. thatneurofibromatosis was not associated with medullarycarcinoma ofthe thyroid), but the world would not be thesame if they didn't. They would also note occasionalmistakes (e.g. hyperglycaemia for hypercalcaemia inQuestion 2). They would also fret about the ECG thatshowed small complexes and U waves, in whichhypothyroidism was given as a correct answer whileConn's syndrome was incorrect. Finally there are veryoccasional questions phrased in the 'not uncommonlyseen in' format, but they are the exception rather than therule.

This is a good little book. It is well worth buying.P.M. Fisher

W.J. JeffcoateDepartment of General Medicine,

Nottingham General Hospital,Hucknall Road,

Nottingham NGS JPB.

Clinical Epidemiology - a basic science for clinicalmedicine, 2nd Edition, D.L. Sackett, R.B. Haynes, G.H.Guyatt & P. Tugwell. Pp. xv + 441, 70 illustrations.Little, Brown and Company, London, Boston, Toronto,1991. Paperback, £23.95.

As in the first edition, the authors deliberately eschewproviding a formal definition of clinical epidemiology. Ithas something to do with the application of the principlesof population epidemiology and biostatistics to the careof the individual patient.The structure of the book reflects the three major

aspects of clinical practice, namely diagnosis, manage-ment and keeping up to date. It applies epidemiologicalprinciples in a critical analysis of how to improve theaccuracy and efficiency of diagnosis and prognosis mak-ing, how to select diagnostic tests and interpret diagnosticdata, how to select the best therapy and aid patient com-pliance and how to assess response. The third section isconcerned with self audit of performance, the best use ofinformation sources, and continuing medical education.The major changes in this edition are in the chapters ondiagnostic tests, the interpretation of confidence limits,understanding utilities and do it yourself N-of- 1 trials.There is also a timely new chapter on how to assessreviews and meta analyses.

Putting science into the art of medicine - it entails adegree of numeracy and there are equations - might seema dull business but not a bit of it. The authors' enthusiasm,nay passion, for their brief - this overflows into anynumber of footnotes - combined with an informal andlighthearted approach should inspire the reader who app-reciates the potential here for improving his or her clinicalperformance. Clinical Epidemiology is wholeheartedlyrecommended and should be mandatory reading forthose who teach medicine to imbue important principlesat a stage where they will have the greatest long-termeffects.

B.I. HoffbrandWhittington Hospital,

Highgate Hill,London NJ9 5NF.

Books Received

Accident and Emergency Diagnosis and Management, 2ndedition, Anthony F.T. Brown. Pp. xv + 408, not illus-trated. Butterworth/Heinemann, Oxford, 1992. Paperback£16.95.

ABC of Vascular Diseases, edited by John H.N. Wolfe.Pp. 73, illustrated. BMJ, London, 1992.

Anaesthesia Review 9, edited by Leon Kaufman. Pp. 280,illustrated. Churchill Livingstone, Edinburgh, London,Milan, New York, 1992. £23.95.

An Aid to the MRCP Viva, M.A. Mir, E.A. Freeman andR.E.J. Ryder. Pp. 331, not illustrated. Churchill Living-stone, Edinburgh, London, New York, 1992. Paperback£-14.95.

Aids to Clinical Examination, 2nd edition, P.C. Hayes,Pp. 152, illustrated. Churchill Livingstone, Edinburgh,London, Milan, New York, 1992. £8.95.

988 BOOK REVIEWS

Colour Atlas of the Foot in Clinical Diagnosis, M.Zatouroff and L.E. Bouffier. Pp. 255, illustrated. Wolfe,London, 1992. Hardback.

Clinical Radiology in Postgraduate Surgery, M.A.R. Al-Fallouji. Pp. 299, illustrated. Butterworth/Heinemann,Oxford, 1992. Hardback £35.00.

Clinical Pharmacology, 7th edition, D.R. Laurence andP.N. Bennet. Pp. 704, illustrated. Churchill Livingstone,Edinburgh, London, Milan, New York, 1992. £27.50.

Dermatology - a Test and Colour Atlas, D.J. Gawkrodger.Pp. 128, illustrated. Churchill Livingstone, Edinburgh,London, Milan, New York, 1992. £14.95.

Cutaneous Cyrosurgery: Principles and Practice, RodneyDawber, Graham Glover and Arthur Jackson. Pp. 176,illustrated. Martin Dunitz, London, 1992. £39.95.

Current Trends in the Treatment of Parkinson's Disease,edited by Yves Agid. Pp. 120, illustrated. John Libbey,London, Rome, 1992. £18.00.

Elements of Medical Genetics, 8th edition, A.E.H. Emeryand R.F. Mueller. Pp. 352, illustrated. Churchill Living-stone, Edinburgh, London, Milan, New York, 1992.Paperback £14.95.

Diagnostic Techniques in Renal Disease, edited by RobertG. Narins. Pp. 384, illustrated. Churchill Livingstone,Edinburgh, London, Milan, New York, 1992. Hardback£57.50.

Diagnostic Picture Tests in Clinical Surgery, W.F. Walker.Pp. 128, illustrated. Wolfe Publications, London, 1992.Paperback £7.95.

Gynaecology, J. Rymer, A.N. Fish and M. Chapman.Pp. 128, illustrated. Churchill Livingstone, Edinburgh,London, Milan, New York, 1992. Paperback £7.95.

Genetics and Neurology, 2nd edition, edited by SarahBundey. Pp. 480, illustrated. Churchill Livingstone,Edinburgh, London, Milan, New York, 1992. Hardback£60.00.

Foundations of Respiratory Care, edited by David J.Pierson and Robert M. Kacmarek. Pp. 1306, illustrated.Churchill Livingstone, Edinburgh, London, Milan, NewYork, 1992. Hardback £70.00.

Handbook of School Health, 17th edition, issued by theMedical Officers of Schools Association. Pp. 235, notillustrated. Trentham Books, 1992. Paperback £18.95.

Handbook of Pediatric Infectious Diseases, Paup J. Edel-son and Gary J. Noble. Pp. 296, not illustrated. ChurchillLivingstone, Edinburgh, London, Milan, New York,1992. Paperback £18.00.

Hall and Coleman's Diseases of the Nose, Throat and Earand Head and Neck, 14th edition, B.H. Colemen. Pp. 304,illustrated. Churchill Livingstone, Edinburgh, London,Milan, New York, 1992. Paperback £13.95.

Legal Aspects of Medical Practice, 5th edition, BernardKnight. Pp. 140, not illustrated. Churchill Livingstone,Edinburgh, London, Milan, New York, 1992. Paperback£14.95.

Infectious Diseases, A.P. Ball and J.A. Gray. Pp. 152,illustrated. Churchill Livingstone, Edinburgh, London,Milan, New York, 1992. Paperback £7.95.

Health and the Environment, Fiona Godlee and AlisonWalker. Pp. 119, illustrated. BMJ, London, 1992. £7.95.

Medicine in Europe, edited by Tessa Richards. Pp. 144,illustrated. BMJ, London, 1992. £8.95.

Lymph Node Biopsy Interpretation, Alfred G. Stansfield.Pp. 536, illustrated. Churchill Livingstone, Edinburgh,London, Madrid, New York, 1992. £95.00.

Leukemia and Lymphoma Reviews 1, edited by AaronPolliack. Pp. 381, illustrated. Harwood Academic Pub-lishers, Reading, Paris, Tokyo, Pennsylvania, 1992.£36.00.

Obstructive Lung Disease, edited by S.G. Jenkinson.Pp. 150, illustrated. Churchill Livingstone, Edinburgh,London, Milan, New York, 1992. Hardback £22.50.

Neurology, P. Trend, M. Swash and C. Kennard. Pp. 122,illustrated. Churchill Livingstone, Edinburgh, London,Milan, New York, 1992. Paperback £7.95.

Neonatology, R. Thomas and D. Harvey. Pp. 128, illus-trated. Churchill Livingstone, Edinburgh, London,Milan, New York, 1992. Paperback £7.95.

Percutaneous Balloon Valvuloplasty, edited by Tsung 0.Cheng. Pp. 556, illustrated. Igaku-Shoin Medical Pub-lishers, Inc., New York, Tokyo, 1992. $117.50.

Oxford Textbook of Geriatric Medicine, edited byGrimley Evans and T. Franklin Williams. Pp. xvii + 756,illustrated. Oxford Medical Publications, Oxford, 1992.Hardback £85.00.

On Being Old, the Psychology of Later Life, GrahamStokes. Pp. 195, not illustrated. The Falmer Press, 1992.Paperback £11.95.

Rheumatology, J.M.H. Moll. Pp. 160, illustrated. Chur-chill Livingstone, Edinburgh, London, Milan, NewYork, 1992. Paperback £7.95.

Practice, Clinical Management in General Practice, editedby Jack Cormack. Loose leaf, Volume 2, not illustrated.Churchill Livingstone, London, Melbourne, New York,1992. Hardback folder £30.00.

Practice, Clinical Management in General Practice, editedby Jack Cormack. Loose leaf, Volume 1, not illustrated.Churchill Livingstone,, London, Melbourne, New York,1992. Hardback folder £30.00.

The Fellowship of Postgraduate Medicine, 1992

Postgraduate Diary

Institute of OrthopaedicsProfessional Unit Pre-Operative Conferences - Mondays

11.00 a.m. at Middlesex Hospital and Thursdays9.30 a.m. at Stanmore.

Professorial Unit Residents' Seminars/Conferences -

Thursdays 8.00 a.m. at Stanmore.September to December 1992 - course on Congenital and

Developmental Disorders.Hunterian Lectures - Surgery and Osteosarcoma - Mr

P.J. Cobb. Peripheral Nerve Injury - a Problem ofEnd-Organ Failure - Mr S.P. Frostick. December 16,1992.

Details: Miss A.M. Lucas, Postgraduate Secretary,Institute of Orthopaedics, The Middlesex Hospital,London WI. Tel: 071-380 9418.

Institute of PsychiatryProgramme of courses and lectures.Details: Mrs Leo Wilding, Conference Office, Institute of

Psychiatry, De Crespigny Park, London SE5 8AG. Tel:071-703 5411 ext 3170.

RPMS Institute of Obstetrics and GynaecologyDetails and applications: Symposium Secretary, RPMS

Institute of Obstetrics and Gynaecology, Queen Char-lotte's Hospital and Chelsea Hospital, Goldhawk Road,London W6 OXG.

Royal Free Hospital School of MedicineMRCP Part II 5 day course for clinical examination;Monday 8 February to Friday 12 February 1993.

Details from: Dr Geraint James, Visiting Professor ofMedicine, The Royal Free Hospital School ofMedicine,Pond Street, Hampstead, London NW3 2QG. Tel: 071794 0500 ext 3931.

Royal College of Surgeons of EnglandChristmas Holiday Lectures for Young People Monday

14-Thursday 17 December 1992 at 3.00 p.m.Bradshaw Lecture - Bone Tumour Surgery - yet another

sub-specialty? - Sir Rodney Sweetnam. 9 December1992 at 5.00 p.m. at the College.

Hunterian Lectures: Surgery and Osteosarcoma - Mr J.Cobb. Peripheral nerve injury - a problem of end-organ failure - Mr S. Frostick. To be given during theInstitute of Orthopaedics Meeting at the MiddlesexHospital, December 16th 1992.

Details of these and all lectures and courses: Secretary,Royal College of Surgeons, 35/43 Lincoln's Inn Fields,London WC2A 3PN.

34th Annual Postgraduate Institute for Pathologists inClinical Cytopathology

Course A (Home Study) March to April 1993Course B (Johns Hopkins Medical Institutions, Bal-

timore, Maryland). April 19-30, 1993.Details: Office of Continuing Education, Johns Hopkins

Medical Institutions, Turner 20, 720 Rutland Avenue,Baltimore, Maryland 21205-2195 USA

Royal Society of Tropical Medicine and HygieneThe second 'residential meeting' of the Royal Society of

Tropical Medicine and Hygiene (to include the AnnualGeneral Meeting) and other European Societies ofTropical Medicine will be held at the Royal College ofPhysicians of Edinburgh, Scotland from Monday 5 toWednesday 7 July 1993. Accommodation will be on theUniversity campus or alternatively in hotels near theCity centre. Full social programme including receptionand banquet.

Further details available shortly from the Administrator,Royal Society of Tropical Medicine and Hygiene,Manson House, 26 Portland Place, London WIN4EY.Tel: 071-580-2127 Fax: 071-436-1389.

NATIONAL ASSOCIATION OF CLINICAL TUTORSThe Association assists clinical tutors in their role as

leaders in district medical education. Membership isopen to University-appointed clinical and GP tutors.

The Association arranges courses for the training andcontinuing professional development of clinical tutorsand holds Winter and Summer Meetings for allmembers.20/21 January 1993 - "Training the Trainers" -

Southampton.6-8 May 1993 - Summer Meeting, Carlisle8-10 September-Joint Meeting with NACT, Deans andNAPMECA

Information about the NACT and its activities can beobtainedfrom The Secretariat, National Association ofClinical Tutors, 6 St Andrew's Place, London NW]4LB. Tel: 071 935 5556.

EUROPEAN DOCTORS IN LONDONEuropean Medical Fellowship ofResearch Group Postgraduate MedicineThe European Medical Research Group has been formed by the European Association of Internal Medicinewith the support of the Fellowship ofPostgraduate Medicine, to provide a meeting place for professional andsocial contact among physicians in training, particularly those from continental Europe. Regular meetings areheld at the Medical Society of London. An invited lecture is given, preceded by poster presentations andfollowed by a buffet supper.Members of the Group are mailed regularly about the meetings. Next meeting: Tuesday 16th February 1993.European research fellows and other visiting doctors who would like details of these meetings should write to:

Dr D.R.J. Singer, c/o The Fellowship of Postgraduate Medicine,6 St Andrew's Place, London NW1 4LB. Tel: 071 935 5556

Postgrad Med J (1992) 68, 989

r J , The Fellowship of Postgraduate Medicine, 1992

POSTGRADUATE

MEDICAL JOURNAL

VOLUME 68

January to December 1992Index

Published for

The Fellowship of Postgraduate Medicine

by The Macmillan Press Ltd

Subject Index

lte = letter to the editorSuppl. = supplement (1, 2 or 3)

Abdominalmass associated with malignant melanoma and bone

disease: diagnostic images. February, 121Abdominal surgery, wound prophylaxis, one or three

Augmentin doses. October, 811AbstractsEuropean Medical Research Group meeting, London,

November 1991. May, 386Accessory lobe tumours of parotid gland. June, 461Accident and emergency medicine - I: reviews in medi-

cine. September, 714; II: reviews in medicine.October, 786

training: reviews in medicine. September, 718Accident flying squads: reviews in medicine. September,

716Acoustic neuroma associated with acute facial nerve

palsy. October, 844 (Ite)Acromegaly, third degree heart block. May, 389 (Ite)Actinomycosis complicating chronic diverticulitis of sig-

moid colon, missed association? January, 57Acute renal failure

in critically ill (abstract). Suppl. 2, 1in paraquat poisoning with relative absence ofpulmon-

ary toxicity. August, 660Addisonian crisis presenting with normal short tetracos-

actrin stimulation test. June, 465: November, 935(Ite)

Addison's diseasehydrocortisone replacement, mania in association.

January, 41idiopathic, Graves' disease and insulin-dependent dia-

betes mellitus. May, 387 (lte)presenting with lymphoma. March, 229 (lte)tuberculous, treatment, adrenocortical function re-

covery following. March, 204Adhesion molecules and asthma: reviews in medicine.

December, 944Adrenocortical function recovery following tuberculous

Addison's disease treatment. March, 204Advanced trauma life support (ATLS): reviews in medi-

cine. September, 718Age, effect on cefaclor AF. Suppl. 3, 3AIDS

VII International Conference, Florence, June 1991:conference report. January, 62

and infectious diseases: reviews in medicine. June, 415Airway mucosa, asthmatic, pathology: reviews in medi-

cine. December, 943Alcoholic liver disease severity and markers of thyroid

and steroid status. October, 804Alzheimer's disease, clinical features and amyloid deposi-

tion. July, 528Aminoglycosides: reviews in medicine. January, 8

Postgrad Med J (1992) 67, 990 1015

SUBJECT INDEX 991

Amiodaroneand hair loss. September, 771 (Ite)-induced thyrotoxicosis responding to oral steroid

therapy. May, 394 (lte)Amoebic psoas and liver abscesses. December, 972Amyloid deposition in Alzheimer's disease. July, 528Amyloidosis, organ limited, with lymphadenopathy.

January, 47Androgen-producing bilateral large cortical adrenal

adenomas associated with polycystic ovaries inyoung female. March, 219

Angina pectoris, stable, treatment. Suppl. 1, 61Angioedema, lymphomatoid granulomatosis presenting

as. May, 366; October, 841 (Ite)Angioimmunoblastic lymphadenopathy and Strongyloides

stercoralis hyperinfection. December, 974Angioplasty: reviews in medicine. May, 328Angiotensin converting enzyme inhibitors

for hypertension and heart failure?: leading article.January, 1

for hypertension and heart failure? June, 483 (Ite)primary renal renin secretion responding to. August, 686

Anhydrosis, chronic idiopathic, rare cause of heartstroke. September, 750

Antacids, effect on cefaclor AF. Suppl. 3, 3Antiarrhythmia therapy: reviews in medicine. May, 334Antibacterial drug strategy, evolving, and bacterial

challenges: reviews in medicine. January, 6Antibiotic(s)new challenges and changes in concept and practice:

reviews in medicine. January, 12-associated gastrointestinal symptoms, possible mech-

anisms. Suppi. 3, 38use, broad-versus narrow-spectrum, in vitro testing role

and its correlation with clinical efficacy. Suppl. 3, 68Antibodies

anticardiac, in hypertrophic cardiomyopathy as markersof severity. Suppl. 1, 29

cytolytic anticardiac membrane, myopericarditis patho-genesis. Suppl. 1, 11

Anticholinergic drugs, pseudo-obstruction secondary to,in Parkinson's disease. January, 70 (Ite)

Anticoagulant treatment of atrial fibrillation in elderly.Suppl. 1, 57

Anticoagulation safety in elderly, reasons for discontinu-ing therapy. October, 824

Anticonvulsant withdrawal and osteomalacia, UK Asians.February, 134

Antihypertensives, lipid-friendly: reviews in medicine.November, 881

Anti-microbial agent-associated gastrointestinal symp-toms, possible mechanisms. Suppi. 3, 38

Anti-neutrophil cytoplasmic autoantibodies, antigenicsignificance and detection methods: review article.September, 707

Antiplatelet therapy, in acute ischaemic stroke, testing.Suppl. 2, 14

Anti-shock trousers, medical: reviews in medicine.October, 791

Aortic valve disease and hypertension, response to valvereplacement. March, 180

Apoprotein-A concentration in sputum: reviews in medi-cine. March, 162

Arthritis, infectious, Campylobactor jejuni as unusualcause. February, 151 (lte)

Asacol and sulphasalazine compared in Crohn's disease

and ulcerative colitis. March, 189Asbestos: reviews in medicine. March, 163Askin-Rosai tumour of pericardium. February, 140Asthmanew drugs: reviews in medicine. December, 947recent advances: reviews in medicine. December, 942

Atherectomy: reviews in medicine. May, 331Atrial fibrillation, anticoagulant treatment, in elderly.

Suppi. 1, 57Audit of training in public health medicine. February, 106Augmentin, one versus three doses, as wound prophylaxis

in at-risk abdominal surgery. October, 811Autoimmunity and glomerulonephritis: review article.

April, 242AZT in AIDS: reviews in medicine. June, 418

B-cell lymphoma, nonEBV-related, in renal transplantresponding to acyclovir and reduction in immuno-suppression. February, 145

Bacterial challenges and evolving antibacterial drugstrategy: reviews in medicine. January, 6

Bacterial drug resistance: reviews in medicine. January, 18Bacteriuria, asymptomatic, cefaclor AF and cefaclor

compared. Suppl. 3, 60Bed rest usefulness after diagnostic lumber puncture.

July, 581Behget's syndrome, Scotland. July, 566Benign prostatic hyperplasia management, management,

current and future, review: review article. Septem-ber, 702

Beta agonist debate in asthma: reviews in medicine.December, 944

Beta-blocker-induced open-angle glaucoma and broncho-spasm, monozygotic twins concordant for. June,484 (lte)

Bile duct stonesendoscopic therapy, geriatric population. June, 457and extended transduodenal sphincteroplasty associ-

ated with periampullary diverticulum. May, 346peritonitis secondary to perforation of common bile

duct, unusual presentation of chronic calcific pan-creatitis. October, 837

tract invasion and obstruction by hepato-cellular car-cinoma. December, 961

Biopsy site, fluid leak from iliac crest. December, 984 (lte)Bladder carcinoma initially manifested as brain metas-

tases. February, 150 (lte); August, 689 (Ite)Blastic crisis with life threatening hypophophataemia.

April, 283Blastomycosis-like pyoderma in chronic myeloid leuka-

emia. May, 363Bleeding, massive intra-abdominal, complicating bone

marrow aspiration and biopsy in multiple myeloma.September, 770 (lte)

Blood cultures contamination. April, 301 (lte)Bone

disease, benign, nuclear medicine: reviews in medicine.February, 88

marrow aspiration and biposy in multiple myeloma,massive intra-abdominal bleeding complicating.September, 770 (lte)

mineral density and endogenous sex hormones amongcommunity-based postmenopausal women. Nov-ember, 908

Bradykinin, absence potentiation of skin response to, byTrandolapril. September, 742

992 SUBJECT INDEX

Brainmetastases, bladder carcinoma initially manifested as.

February, 150 (Ite): August, 689 (Ite)tumour, primary, and pseudo-Alzheimer's disease.

August, 673Breast

cancer follow-up, benefits of routine follow-up. Nove-mber, 904

cancer, large, Tamoxifen and treatment of large breastcancer in elderly women, oestrogen receptor assays.November, 900

Broad-versus narrow-spectrum antibiotic use, in vitrotesting role and its correlation with clinical efficacy.Suppl. 3, 68

Broken heart, noninvasive measurement of cardiac auto-nomic tone: leading article. December, 939

Bronchiectasis, mycobacteria as cause ofinfective exacer-

bation. November, 896Bronchiolitis obliterans organized pneumonia: reviews in

medicine. March, 166Bronchitis

acute, cefaclor AF (advanced formulation) and cefac-lor compared. Suppl. 3, 24

chronic, acute exacerbations, cefaclor AF and cefaclorcompared. Suppl. 3, 30

Bronchoalveolar lavage: reviews in medicine. March, 160Bronchospasm and open-angle glaucoma induced by

beta-blockers, monozygotic twins concordant for.June, 484 (Ite)

Brucellosis with nephrotic syndrome, nephritis and IgAnephropathy. October, 834

Bumetanide, intra-operative, in cadaveric renal trans-plants. January, 69 (Ite)

Calciphylaxis, systemic, presenting as painful, proximalmyopathy. March, 209

Calcium resonium therapy, constipation and colonicperforation complicating. April, 302 (lte)

Campylobacterjejuni unusual cause ofinfectious arthritis.February, 151 (Ite)

Candida albicans, faecal, in pathogenesis of food-intol-erant irritable bowel syndrome. June, 453

Carbapenems: reviews in medicine. January, 8Cardiac

autonomic tone, noninvasive measurement in suddendeath (broken heart): leading article. December, 939

failure, fatal, after single dose of doxorubicin in mye-loma-associated cardiac amyloid. January, 69 (lte)

Practitioners, South African Society, Durban, March1992: report. September, 768

reserves and survival in critical care. Suppl. 3, 34Cardiology

nuclear medicine: reviews in medicine. February, 96recent advances: reviews in medicine. May, 327

Cardiomyopathydilated, pathogenesis. Suppl. 1, 7

and virus infection. Suppl. 1, 17hypertrophic, anticardiac antibodies as marker of

severity. Suppl. 1, 29and positron-emission tomography. Suppl. 1, 24restrictive, controversial issues. Suppl. 1, 47right ventricular, left ventricular involvement. Suppl. 1,

36and specific heart muscle diseases, definition, termin-

ology, classifications and new and old approaches.

Suppl. 1, 3Cardiovascular complications of parenteral nutrition.

August, 629Carditis/cardiomyopathy of rheumatic fever, relation-

ship to pathogenesis. Suppl. 1, 21Carnitine deficiency associated with long-term pivam-

picillin treatment, effect of replacement therapyregime. November, 932

Carotid sinus syndrome after carotid artery surgery. June,463

Carpal tunnel syndrome, bilateral, associated with inter-leukin 2 therapy. July, 587

Cauda equina syndrome associated with ankylosingspondylitis in female. June, 485 (Ite)

Cefaclor AF (advanced formulation)introductory remarks editorial. Suppl. 3, 1and cefaclor compared, in acute bronchitis. Suppl. 3, 24

in acute exacerbations of chronic bronchitis. Suppl.3, 30

in streptococcal pharyngitis/tonsillitis. Suppl. 3, 43in uncomplicated cystitis and asymptomatic bacteri-uria. Suppi. 3, 60

closing remarks. Suppl. 3, 81comprehensive safety profile, respiratory, urinary trace

and skin infections. Suppl. 3, 73correlation of microbiology and clinical outcome.

Suppl. 3, 10pharmacokinetics, effects of age, antacids and H2-

receptor antagonists. Suppl. 3, 3Central nervous system and statins: reviews in medicine.

November, 871Cephalosporins and related drugs: reviews in medicine.

January, 7Cerebellar

ataxia due to hyponatraemia. March, 230 (lte)manifestations of prostatic carcinoma. July, 584

Cerebralabscess, antibiotics: reviews in medicine. January, 14arteriovenous malformation in Noonan's syndrome.

January, 37; July, 595 (lte)Cervical lymph nodes, metastatic, general practitioner

referral patterns. May, 342Chest

pain, atypical, costovertebral joint dysfunction mis-diagnosed cause. August, 655

coronary care unit admissions, cigarette smokinginfluence on outcome. July, 562

manifestation of epilespy, child. May, 369wall haematoma, intramuscular, presenting with poly-

thaemia vera. May, 381Chickenpox: reviews in medicine. June, 419Chilaiditi's syndrome presenting as unexplained tender

hepatomegaly. February, 152 (lte)Chlamydia pneumoniae strain TWAR: reviews in medi-

cine. June, 420Chlamydial infections, antibiotics: reviews in medicine.

January, 15Chloramphenicol: reviews in medicine. January, 9Cholecystectomy, recovery following 6 cm or 15 cm

transverse subcostal incision. October, 817Cholestatic jaundice associated with danazol therapy.

December, 984 (Ite)Cholesterol

lowering reduces total mortality?: reviews in medicine.November, 870

questions and answers: reviews in medicine. November,

SUBJECT INDEX 993

867Chronic fatigue syndrome see Myalgic encephalomyelitisCigarette smoking influence on outcome ofcoronary care

unit admissions with chest pain. July, 562Cimetidine associated with polyuria and weight-loss.

September, 771 (Ite)Clay dye pneumoconiosis: reviews in medicine. March,

163Clinical Tutors, National Association, Summer Meeting,

Bangor, May 1992: conference report. December,982

Cluster headache and its variants. July, 517Cold peritoneal lavage in treatment of hyperpyrexia due

to meningococcal septicaemia. February, 129Colonscopy in over 80-year-old patients, rectal bleeding

evaluation. May, 355Colorectal liver metastases, treatment options: leading

article. June, 403Common variable immunodeficiency, and recurrent intra-

cranial granulomata presenting as space-occupyinglesions. May, 359

Compliance, how much is enough, outpatient antibioticregimens. Suppl. 3, 49

Compromised hosts, antibiotics: reviews in medicine.January, 16

ConferenceVII International Conference on AIDS - Florence,

June 1991: report. January, 62National Association of Clinical Tutors Winter Meet-

ing, Northern Ireland, 1991, report. June, 482;May 1992, report. December, 982

The Standing Committee on Postgraduate MedicalEducation (SCOPME) Conference on 'Priorities inPostgraduate and Continuing Medical and DentalEducation, London, April 1992: report. October,840

South African Society of Cardiac Practitioners, Dur-ban, March 1992: report. September, 768

Third International Symposium on Hypertension Asso-ciated with Diabetes Mellitus, Boston, Massachu-setts, November 1991: report. July, 594

Conn's syndrome, familial. December, 976Constipation and colonic perforation complicating cal-

cium resonium therapy. April, 302 (Ite)Contamination of blood cultures. April, 301 (Ite)Contamination of blood cultures during venepuncture,

fact or myth? May, 388 (Ite)Cor pulmonale and respiratory muscle weakness, neuro-

muscular disease. October, 820Coronary artery diseaseand cholesterol: reviews in medicine. November, 867pre-existing and hyperlipidaemia treatment: reviews in

medicine. November, 872Coronary care unit admissions with chest pain, cigarette

smoking influence on outcome. July, 562Corticotrophin releasing hormone and neuroblastoma

cell lines (abstract). May, 386Cost effectiveness in intervention for coronary artery

disease: reviews in medicine. November, 882Costovertebral joint dysfunction, misdiagnosed cause of

atypical chest pain. August, 655Cranial diabetes insipidus, suprasellar ectopic pituitary

adenoma presenting as. June, 467Craniospinal intradural arachnoid cyst. October, 829Crohn's disease

in Bangladeshis and Europeans in Britain, epidemiolog-

ical comparison in Tower Hamlets. November, 914severe, and portal vein thrombosis. April, 291and ulcerative colitis, Asacol and sulphasalazine com-

pared. March, 189Cryptosporidiosis: reviews in medicine. June, 421Cushing's syndrome, masked faecal peritonitis. May, 390

(Ite)Cyclosporin: reviews in medicine. March, 169Cyst, craniospinal intradual arachnoid. October, 829Cystitis, uncomplicated, cefaclor AF and cefaclor com-

pared. Suppl. 3, 60Cytokines in asthma: reviews in medicine. December, 944Cytolytic anticardiac membrane antibodies, myopericar-

ditis pathogenesis. Suppl. 1, 11Cytomegalovirus colitis in elderly. June, 484 (Ite)

Danazol therapy, associated with cholestatic jaundice.December, 984 (Ite)

Device-related infection and disinfection: reviews inmedicine. March, 171

Diabetes insipidus, cranial, associated with rhabdomyo-lysis. February, 149 (Ite)

Diabetes mellitusinsulin-dependent and Graves' disease in idiopathic

Addison's disease. May, 387 (Ite)non-insulin-dependent (type 2) with microalbumin-

uria, Nigeria. August, 638Diarrhoea

antibiotic-associated. Suppl. 3, 38and pseudomembranous colitis, antibiotic-associated:

reviews in medicine. January, 16SeHCAT test in investigation. April, 272

Diclofenac associated with membranous nephropathy.May, 391 (Ite)

1,25-dihydroxycholecalciferol and elevated serum para-thyroid hormone related protein in hypercalcaemiaassociated with adult T-cell leukaemia-lymphoma.September, 753

Disaster planning and response: reviews in medicine.October, 787

Diuretic-induced hypokalaemia and surgery, much adoabout nothing?: leading article. May, 318

Diverticulitis, chronic, of sigmoid colon, actinomycosiscomplicating, missed association? January, 57

Dizziness evaluation in elderly. July, 558DNA analysis

in medicine: reviews in medicine. April, 251in neurological diseases: leading article. April, 237

Dobutamine stressfor thallium myocardial perfusion tomography (ab-

stract). Suppl. 2, 12thallium scintigraphy in diagnosis of syndrome X.

Suppl. 2, 20Door sign and homonymous hemianopsia. April, 301 (Ite)Dopamine and dobutamine renal effects in stable chronic

heart failure. Suppl. 2, 7Doppler echocardiography in elderly with ejection systo-

lic murmurs. July, 595 (Ite)Double-stranded DNA antibodies associated with local-

ized scleroderma and hemiatrophy. March, 216Doxorubicin, single dose, fatal cardiac failure after, in

myeloma-associated cardiac amyloid. January, 69(Ite)

Driving fitness, medical, and the law, doctors' knowledge.August, 624

994 SUBJECT INDEX

Drug abusers, intravenous, with generalized lymphade-nopathy, Epstein-Barr virus. September, 739

Drugs, new, asthma: reviews in medicine. December, 947Dryness of lips and morphine. April, 303 (Ite)Dual antibody positivity in glomerulonephritis. March,

186Duodenal ulcer, review of Helicobacter pylori: review

article. July, 549Dysphagia in neurologically impaired patients, speech

and language therapist role in assessment andmanagement: leading article. July, 545

Dyspnoea and mitral stenosis in Maroteaux-Lamy synd-rome. April, 287

Ejection systolic murmurs in elderly, Doppler echocar-diography. July, 595 (lte)

Elderly, percutaneous endoscopic gastrostomy. November,936 (lte)

Emergency medicine, monitoring: reviews in medicine.October, 789

Empty sella developing during thyroxine therapy inprimary hypothyroidism and hyperprolactinae-mia. July, 589

Encephalitisbrain stem, in previously healthy adult. May, 391 (lte)herpes simplex, without CSF leucocytosis. March, 229

(lte)Encephalomyelitis, post-infectious, associated with

Mycoplasma pneumoniae and Legionella pneumo-phila infection. February, 124

End stage renal disease in sickle cell disease, futuredirections: leading article. October, 775

Endocarditis, Streptococcus bovis, as presenting manifes-tation ofidiopathic ulcerative colitis. November, 930

Endocrine disease, nuclear medicine: reviews in medicine.February, 91

Endogenous sex hormones and bone mineral densityamong community-based postmenopausal women.November, 908

Endomyocardial biposyapproach in cases with ventricular arrthymias. Suppl. 1,

40clinical value. Suppl. 1, 44

Endoscopicgastrostomy, percutaneous, in elderly. November, 936

(lte)therapy for bile duct stones in geratric population.

June, 457Endothelial regulation of vascular tone: leading article.

September, 697Enterobius vermicularis live adult worms in high vagina.

August, 690 (lte)Enterohaemorrhagic Escherichia coli infections: reviews

in medicine. June, 421Epidermoid cyst, intratesticular: missed diagnosis.

December, 968Epilespy

another cause of intermittent fever with confusion.February, 119

late onset, in undiagnosed tuberous sclerosis. December,970

understanding, and quality of life. July, 522Epileptic chest pain, 6 year old child. May, 369Epstein-Barr virus in intravenous drug abusers with

generalized lymphadenopathy. September, 739

Erythromelalgia, role of hypnotherapy. January, 44Extended release cefaclor AF see Cefaclor AF (advanced

formulation)Extended transduodenal sphincteroplasty for bile duct

stones associated with periampullary diverticulum.May, 346

Extrapulmonary small cell carcinomaleading article. February, 79February, 147

Facial nerve palsy, acute, in association with acousticneuroma. October, 844 (lte)

Falciparum malaria-induced hypoglycaemia in diabetes.April, 281

Familial combined hyperlipidaemia and lipid and lipo-protein metabolism during sporadic phaeochromo-cytoma treatment, case study. May, 371

Familial hypercholesterolaemia treatment with simva-statin, one year experience. July, 575

Family therapy. November, 921Femoral hernia

appendix causing small intestinal obstruction. March,223

diagnosis. January, 26Fish oil and heart disease: reviews in medicine. November,

879Fitness to drive, medical, and the law, doctors' know-

ledge. August, 624FK 506: reviews in medicine. March, 169Flail chest, spontaneous, in multiple myeloma. March,

231 (lte)Fluid leak from iliac crest in biopsy site. December, 984 (lte)Flying squads, accident: reviews in medicine. September,

716Follicle-stimulating hormone, and luteinizing hormone,

differential regulation in familial pure gonadaldysgenesis. November, 925

Foreign body-induced oesophageal perforation, vocalcord paralysis and oesophago-broncho-aorticfistula complicating. April, 277

Foscarnet in AIDS: reviews in medicine. June, 418Fulminant hepatic failure, fatal, in solvent abuser.

January, 29Fungal infection: reviews in medicine. March, 165Fusarial infection, primary disseminated. February, 143Fusidic acid: reviews in medicine. January, 10

Ganciclovir in AIDS: reviews in medicine. June, 418Gastric cancer, review of Helicobacter pylori: review

article. July, 549Gastric

dilatation, massive, and acute pancreatitis, RamadanSyndrome? August, 689 (Ite)

diverticulum, congenital, late presentation, causingpyloric obstruction. April, 296

leiomyoma, unusual presentation. January, 68 (lte)ulcer, review of Helicobacterpylori: review article. July,

549Gastroenteritis: reviews in medicine. June, 422Gastroenterology nuclear medicine: reviews in medicine.

February, 99Gastro-intestinaland intestinal infections, antibiotics: reviews in medi-

cine. January, 13

SUBJECT INDEX 995

symptoms, possible mechanims of action. Suppl. 3, 38Geotrichosis, pulmonary. February, 150 (lte)Geriatric medicine, attitude ofsenior registrars to research:

postgraduate news and views. December, 981Giant-cell arteritis of ovarian arteries with associated

temporal arteritis. December, 985 (Ite)Glaucoma, open-angle and bronchospasm induced by

beta-blockers, monozygotic twins concordant for.June, 484 (Ite)

Glomerulonephritisassociated with antibodies to neutrophil cytoplasm and

glomerular basement membrane. March, 186and autoimmunity: review article. April, 242in sarcoidosis, causal relationship unproven. March,

206Goitre, retrosternal, benign, causing fatal haematemesis.

September, 756Gonads, absent, associated with 17a-hydroxylase defici-

ency. January, 59Granulomatosis, lymphomatoid, presenting as angi-

oedema. May, 366; October, 841 (lte)Graves' disease and insulin-dependent diabetes mellitus

in idiopathic Addison's disease. May, 387 (Ite)Greece, internal medicine. January, 31Gullain-Barre syndrome in Plasmodium falciparum

malaria. May, 376

H2-receptor antagonists, effect on cefaclor AF. Suppl. 3, 3Haematemesis, fatal, due to benign restrosternal goitre.

September, 756Haematoma, chest wall, intramuscular, presenting with

polycythaemia vera. May, 381Haematuria, glomerular and post-glomerular diagnosis,

urinary red cell shape value, meta-analysis. August,648

Haemophilus influenzaeand cefaclor AF prescribing discussion. Suppl. 3, 79type b infections, prevention: reviews in medicine. June,

422Haemorrhage, massive, due to ulcerative colitis present-

ing as melaena. September, 764Hair loss and amiodarone. September, 771 (lte)Headache, cluster, and its variants. July, 517'Health of the Nation' impact of personality disorder on

'key areas'. May, 350Heart

block, third degree, in acromegaly. May, 389 (Ite)failure: reviews in medicine. May, 333and angiotensin converting enzyme inhibitors?: lead-ing article. January, 1

and hypertension, angiotensin converting enzymeinhibitors? June, 483 (lte)

and hypoglycaemia. April, 304 (lte); October, 841 (lte)overview, survival studies: review article. August, 606stable chronic, dopamine and dobutamine renal

effects. Suppl. 2, 7and heart-lung transplantation in 1990s. Suppl. 1, 78muscle diseases, specific, and cardiomyopathies, defin-

ition, terminology, classifications and new and oldapproaches. Suppl. 1, 3

Heat stroke, chronic idiopathic anhydrosis as rare cause.September, 750

Helicobacter pylorieradication, therapies and clinical implications: review

article. July, 549

infection: reviews in medicine. June, 423Helicopter transportation, casuality evacuation: reviews

in medicine. September, 717Hemianopsia, homonymous, and the 'door sign'. April,

301 (Ite)Hemiplegia

childhood, idiopathic hypereosinophilic syndrome pre-senting as. October, 831

effect on blood pressure measurement in elderly.November, 888

Hepaticfailure, fulminant, fatal, in solvent abuser. January, 29and pulmonary complications of herbal medicines.

November, 935 (Ite)Hepatitis: reviews in medicine. June, 424Hepatitis B: reviews in medicine. June, 424Hepatitis C: reviews in medicine. June, 424Hepatocellular carcinoma, biliary tract invasion and

obstruction. December, 961Hepatomegaly, unexplained tender, Chilaiditi's synd-

rome presenting as. February, 152 (lte)Herbal medicines, hepatic and pulmonary complications.

November, 935 (lte)Hernias, postero-lateral congenital diaphragmatic, late

presentation. June, 445Herpes simplex encephalitis without CSF leucocytosis.

March, 229 (Ite)Histiocytoma, malignant fibrous, ofpulmonary vein with

prolapse through mitral valve orifice. August, 680HIV

infection, drugs for: reviews in medicine. June, 416infection and TB with pulmonary cavitation. April, 302

(lte)vaccination against: reviews in medicine. June, 419

Hormone replacement therapyand menopause: reviews in medicine. August, 615oral contraception and hyperlipidaemia: reviews in

medicine. November, 877Horner's syndrome in severe tetanus. April, 279HTLV-I infection: reviews in medicine. June, 425Hut lung: reviews in medicine. March, 164Hydatid

cyst of neck. February, 152 (Ite)disease of the liver, management: leading article.

November, 853Hydrocortisone replacement for Addison's disease,

mania in association. January, 41Hydronephrosis, bilateral, bilateral tubercular psoas ab-

scess mimicking, computerized tomography role.August, 690 (lte)

Hydrothorax, hepatic, diagnosis, in absence of ascites byintraperitoneal injection of 99m-Tc-Fluor colloid.February, 153 (Ite)

17a-hydroxylase deficiency associated with absent gonads.January, 59

Hyperaldosteronism, primary, familial. December, 976Hypercalcaemia

associated with T-cell leukaemia-lymphoma, elevatedserum PTHrP and 1,25-DHCC. September, 753

tumour-induced, intravenous pamidronate, infusionrate and pharmacokinetics. June, 434

Hypercholesterolaemia, familial, treatment with simva-statin, one year experience. July, 575

Hypereosinophilic syndrome, idiopathic, presenting aschildhood hemiplegia. October, 831

Hyperlipidaemia

996 SUBJECT INDEX

oral contraception and hormone replacement therapy:reviews in medicine. November, 877

screening and its treatment, in childhood: reviews inmedicine. November, 874

in women and the elderly: reviews in medicine.November, 876

treatment in pre-existing coronary heart disease:reviews in medicine. November, 872

Hyperprolactinaemia and primary hypothyroidism, emptysella developing during thyroxine therapy. July, 589

Hyperpyrexia due to meningococcal septicaemia treatedwith cold peritoneal lavage. February, 129

Hypertensionand angiotension converting enzyme inhibitors?: lead-

ing article. January, 1in aortic valve disease, response to valve replacement.

March, 180and heart failure, angiotensin converting enzyme inhib-

itors? June, 483 (lte)renal ectopia, adrenal mass: diagnostic images. March,

201Third International Symposium, Associated with Dia-

betes Mellitus, Boston, Massachusetts, November1991: conference report. July, 594

Hypnotherapy, role in erythromelalgia. January, 44Hypglycaemia

falciparum malaria-induced, in diabetes. April, 281and heart failure. April, 304 (Ite); October, 841 (Ite)masquerading as stroke. October, 843 (lte)

Hypokalaemia, diuretic-induced, and surgery, much adoabout nothing: leading article. May, 318

Hyponatraemia caused by cerebellar ataxia. March, 230(Ite)

Hyponatraemia encephalopathy complicating thiazidereserpine preparation. February, 149 (lte)

Hypophosphataemia, life threatening, in Philadelphiachromosome-positive chronic myelogenous leuka-emia in acute blastic crisis. April, 283

Hyposplenism, functional, and primary pulmonaryhypertension. May, 383

Hypothyroidism, primary, and hyperprolactinaemia,empty sella developing during thyroxine therapy.July, 589

Ileostomy and intussusception in pregnancy. January, 67(lte)

Immune responsiveness in chronic fatigue syndrome.January, 66 (Ite)

Immunoglobulins, intravenous: reviews in medicine.March, 169

Immunological phenomena, pyridoxine deficiency effect.Suppl. 1, 70

In vitro testing role, broad-versus narrow-spectrum anti-biotic use, and its correlation with clinical efficacy,Suppl. 3, 68

Inappropriate duties of pre-registration house officers:postgraduate news and views. January, 72

Infectious diseases and AIDS: reviews in medicine. June,415

Inguinal bladder hernia associated with vesico-uretericreflux. April, 299

Inhaled steroids in asthma: reviews in medicine. Decem-ber, 946

Injury prevention: reviews in medicine. September, 715Insulinomas in type 1 multiple endocrine adenomatosis,

localization and treatment difficulties. March, 196Intensive care

medical, tracheostomy experience. May, 338unit, adult, tracheostomy role: leading article. May, 313

infection prevention: reviews in medicine. January, 16Interferons: reviews in medicine. March, 169Interleukins and neurohormones, a common language:

leading article. August, 603Interleukin 2 therapy associated with bilateral carpel

tunnel syndrome. July, 587Interleukin-6 mRNA and neuroblastoma cell lines (ab-

stract). May, 386International Congress of Cardiology on Cardiomyo-

pathies and Cardiovascular Pharmacotherapy,Thessaloniki. Suppl. 1, 1-80; Introduction. Suppl.1, 2

Intracerebral haemorrhage after thrombolytic therapyfor acute myocardial infarction. October, 800

Intracoronary imaging: reviews in medicine. May, 332Intracoronary stents: reviews in medicine. May, 331Intra-cranial granulomata, recurrent, presenting as

space-occupying lesions in common variableimmunodeficiency. May, 359

Intra-operative seeding of tumour cells. June, 486 (Ite)Intraosseous infusion: accident and emergency medicine:

reviews in medicine. October, 790Intrapericardial phaeochromacytoma associated with

two intercarotid paragangliomas, diagnostic con-siderations. October, 842 (Ite)

Intussusceptionin the adult, clinical, radiological and histological

features. June, 449in ileostomy in pregnancy. January, 67 (Ite)

Irritable bowel syndrome, food-intolerant, pathogenesis,role of faecal Candida albicans. June, 453

Langerhans' pulmonary dentritic cells: reviews in medi-cine. March, 162

Laser angioplasty: reviews in medicine. May, 330Law and medical fitness to drive, doctor's knowledge.

August, 624Left ventricular

diastolic function in systemic sarcoidosis, Dopplerechocardiography. Suppl. 1, 52

diverticular, congenital, rare cause of sudden cardiacdeath. May, 378

involvement in right ventricular cardiomyopathy.Suppl. 1, 36

Leg ulceration in venous disease: review article. October,779

Legionella pneumophila and Mycoplasma pneumoniaeinfection associated with post-infectious encepha-lomyelitis. February, 124

Legionnaires' disease: reviews in medicine. June, 425Leiomyoma, gastric, unusual presentation. January, 68

(lte)Leukaemia

childhood: reviews in medicine. June, 420chronic myeloid, and blastomycosis-like pyoderma.

May, 363lymphocytic, chronic, associated with primary malig-

nant neoplasms. July, 595 (lte)Philadelphia chromosome-positive chronic myelogen-

ous, in acute blastic crisis and life threateninghypophosphataemia. April, 283

SUBJECT INDEX 997

Line infections, antibiotics: reviews in medicine. January,17

Lipid and lipoprotein metabolism in familial combinedhyperlipidaemia during sporadic phaeochromo-cytoma treatment, case study. May, 371

Lipid-friendly antihypertensives: reviews in medicine.November, 881

Lipomatosis of ileocaecal valve simulating Crohn'sdisease. June, 455

Listeria rhombencephalitis in previously healthy adult.May, 391 (Ite)

Liverabscesses and amoebic psoas. December, 972biopsy, complications associated with percutaneous

needle biopsy of the liver when one, two or threespecimens are taken. December, 964

metastases from colorectal cancer, treatment options:leading article. June, 403

Low cholesterol and non-cardiac death, cause or effect?:reviews in medicine. November, 868

Lumber puncture, diagnostic, usefulness of bed rest after.July, 581

Lung transplantation programme: reviews in medicine.March, 164

Lungs, use of nuclear medicine: reviews in medicine.February, 95

Lyme disease: reviews in medicine. June, 425Lymphadenopathy

angioimmunoblastic, and Strongyloides stercoralishyperinfection. December, 974

generalized, Epstein-Barr virus in intravenous drugabusers with. September, 739

and organ limited amyloidosis. January, 47Lymphocytic adenosine deaminase activity in typhoid

fevers. April, 268Lymphoma

reviews in medicine. March, 167B-cell, nonEBV-related in renal transplant responding

to acyclovir and reduction in immunosuppression.February, 145

presenting with Addison's disease. March, 229 (lte)Lymphomatoid granulomatosis presenting as angioe-

dema. May, 366; October, 841 (lte)

Macrolides: reviews in medicine. January, 9Magnesium infusion in management of sotalol-induced

torsade de pointes. April, 289Magnetic resonance imaging for residual mass assess-

ment after non-Hodgkin's lymphomas, treatment.August, 643

Malariareviews in medicine. June, 426in south-east Scotland, changing patterns, implications

for practitioner awareness and prophylactic advice.January, 22

Malignant melanoma associated with abdominal massand bone disease: diagnostic images. February, 121

Management responsibilities, should clinicians accept?August, 671

Mania in association with hydrocortisone replacementfor Addison's disease. January, 41

Maroteaux-Lamy syndrome and mitral stenosis, treat-able cause of dyspnoea. April, 287

Mediastinal sonography: reviews in medicine. March, 162

Medicineinternal, Greece. January, 31molecular biology: reviews in medicine. April, 251

Melaena, massive haemorrhage due to ulcerative colitispresenting as. September, 764

Membranous nephropathy associated with diclofenac.May, 392 (Ite)

inerier's disease in child. August, 683Meningioma causing worsening neurological status in

late pregnancy. June, 486 (Ite)Meningitis

acute bacterial, antibiotics: reviews in medicine.January, 15

nocardia brasiliensis. December, 986 (Ite)Meningococcal septicaemia causing hyperpyrexia treated

with cold peritoneal lavage. February, 129Menopause and hormone replacement therapy: reviews

in medicine. August, 615Mercury in silastic strain gauge plethysmography for

clinical assessment ofmicrocirculation. Suppl. 2,25Mesothelioma, primary pericardial, presenting as tuber-

culous pericarditis. February, 137Metachromatic leukodystrophy, adult, with unusual

relapsing - remitting course. March, 192Methicillin-resistant Staph. aureus: reviews in medicine.

January, 18Metronidazole and other nitro-imidazole drugs (Tinid-

azole, Ornidazole, Nimorazole etc.): reviews inmedicine. January, 10

Microalbuminuria in non-insulin-dependent (type 2)Nigerian diabetics. August, 638

Microbiology ofcefaclorAF, clinical outcome. Suppl. 3,10Miliary tuberculosis presenting with thyrotoxicosis.

August, 677Mitochondrial myopathy, adult-onset. March, 212Mitral stenosis in the Maroteaux-Lamy syndrome, treat-

able cause of dyspnoea. April, 287Molecular biology

in medicine: reviews in medicine. April, 251of neurological diseases: leading article. April, 237

Monitoring in emergency medicine: reviews in medicine.October, 789

Monobactams: reviews in medicine. January, 8Monoclonal antibodies: reviews in medicine. June, 427Morphine and severe dryness of lips. April, 303 (Ite)Mortality, prediction, acute medical wards, anthro-

pometric and laboratory data. December, 954Motor neuron disease, extent of established knowledge,

classification and research. July, 533mRNA coding for IL-6 and corticotrophin releasing

hormone and neuroblastoma cell lines (abstract).May, 386

MSD Foundation Tutorship Courses: postgraduate newsand views. January, 73

Multiple myelomamassive intra-abdominal bleeding complicating bone

marrow aspiration and biopsy. September, 770(lte)non-secretory, presenting as primary plasma cell leuka-

emia. June, 470Multiple sclerosis: review. July, 507Muscular dystrophies: review. July, 500Myalgic encephalomyelitis

conversation piece. January, 63immune responsiveness. January, 66 (Ite)review article. June, 420; August, 611

998 SUBJECT INDEX

Myelomaassociated cardiac amyloid, fatal cardiac failure after

single dose of doxorubicin. January, 69 (lte)multiple, and spontaneous flail chest. March, 231 (lte)

Mycobacteria as cause of infective exacerbation in bron-chiectasis. November, 896

Mycobacterial infections, antibiotics: reviews in medi-cine. January, 17

Mycobacterium avium-intracellulare: reviews in medicine.March, 165

Mycoplasma pneumoniaecausing thrombotic thrombocytopenic purpura. May,

393 (lte)and Legionella pneumophila infection associated with

post-infectious encephalomyelitis. February, 124Myocardial infarction

intracerebral haemorrhage after thrombolytic therapyfor. October, 800

in patients aged 75 and over, streptokinase use.September, 746

related to smoke inhalation and myocardial bridging.September, 758

secondary prevention after: reviews in medicine. May,329

Myocarditis, sub-clinical systemic lupus erythematosuspresenting with. June, 475

Myopathymitochondrial, adult-onset. March, 212painful, proximal, systemic calciphylaxis presenting as.

March, 209Myopericarditis, pathogenesis, cytolytic anticardiac

membrane antibodies. Suppl. 1, 11Mytonia dystrophica, first presentation as severe left

ventricular failure complicating dilated cardio-myopathy. January, 67 (lte)

Myxoedema presenting with seizures. January, 35

Naproxen-associated vasculitis. September, 766National Association of Clinical Tutors Winter Meeting

1991: conference report. June, 482National Association ofClinical Tutors Summer Meeting

1992: conference report. December, 982Nebulized bronchodilators, ocular hazards. February, 132Nephro-urology and nuclear medicine: reviews in medi-

cine. February, 101Nephrotic syndrome, nephritis, and IgA neuropathy and

brucellosis. October, 834Nesidioblastosis in adults. May, 389 (lte)Neuroblastoma

cell line expression of IL-6 mRNA (abstract). May, 386pentavalent technetium-99m dimercaptosuccinic acid

scintigraphy in diagnosis and localization. Septem-ber, 769 (lte)

Neurofibroma, giant pre-sacral, pathology and manage-ment. January, 55

Neurohormones and interleukins, a common language:leading article. August, 603

Neurological diseases, molecular biology: leading article.April, 237

Neurological status, worsening, in late pregnancy, con-sider meningioma. June, 486 (lte)

Neurology and psychiatry, nuclear medicine: reviews inmedicine. February, 84

Neuromuscular disease, respiratory muscle weakness andcor pulmonale. October, 820

Neuropenid, transient, antibiotic cover: reviews in medi-cine. January, 16

Nifedipine and thrombocytopenia. September, 769 (lte)Nitrate tolerance update, can it be avoided?: review

article. November, 857Nitric oxide, role in endothelial regulation of vascular

tone: leading article. September, 697Nocardia brasiliensis meningitis. December, 986 (lte)NonEBV-related B-cell lymphoma in renal transplant

responding to acyclovir and reduction in immuno-suppression. February, 145.

Non-Hodgkin's lymphoma, residual masses, MRI.August, 643.

Non-small cell lung cancer: reviews in medicine. March,166

Noonan's syndromeand cerebral arteriovenous malformation. January, 37;

July, 595 (lte)woolly hair and ulerythema ophryogenes, genes. July,

595 (lte)Nuclear medicine: reviews in medicine. February, 82Nurse specialist, accident and emergency: reviews in

medicine. October, 786

Occupational medicine in National Health Service.August, 663

Ocular hazards of nebulized bronchodilators. February,132

Odontoid peg, staphylococcoal infection. January, 51Oesophageal carcinoma

rigid oesophagoscopy role. November, 892and suppurative thyroiditis. July, 592

Oesophageal stricture, peptide, an age-related problems?July, 571

Oesophageal tuberculosis, eleven cases. February, 110Oesophago-bronco-aortic fistula and vocal cord paralysis

complicating foreign body-induced oesophagealperforation. April, 277

Oesophagoscopy, rigid, role in oesophageal carcinoma.November, 892

Oestrogen receptor assays for large breast cancers, differ-ing predictive values. November, 900

Oncology, nuclear medicine: reviews in medicine. Febru-ary, 93

Optimization of blood for oxygen transport and tissueperfusion in critical care. Suppl. 2, 2

Oral contraception, hormone replacement therapy andhyperlipidaemia: reviews in medicine. November,877

Organisms, changes in spectrum, respiratory tract infec-tions: review. Suppl. 3, 17

Osler, Sir William, portraiture: leading article. March,159

Osteomalacia, seek and treat before anticonvulsant with-drawal, UK Asians. February, 134

Ovarian arteries, giant-cell arteritis of, with associatedtemporal arteritis. December, 985 (lte)

Ovaries, polycystic, associated with androgen-producingbilateral large cortical adrenal adenomas in youngfemale. March, 219

Oxygendelivery, supranormal, delivery and consumption, car-

diac reserves and survival in critical care to achieve.Suppl. 2, 34

transport and tissue perfusion, optimization of blood.Suppl. 2, 2

SUBJECT INDEX 999

Paediatrics nuclear medicine: reviews in medicine. Febru-ary, 103

Pain, chest, manifestation of epilepsy, child. May, 369Pamidronate, intravenous, in tumour-induced hypercal-

caemia, infusion rate and pharmacokinetics. June,434

Pancreatic abscess due to Salmonella typhi. April, 294Pancreatitis

acute and massive gastric dilation, Ramadan synd-rome? August, 689 (Ite)

chronic calcific, biliary peritonitis secondary to per-foration ofcommon bile duct unusual presentationof. October, 837

Paracetamol overdose causing renal impairment withouthepatotoxicity. February, 116

Paragangliomas, intercarotid, intrapericardial phaeo-chromocytoma associated with, diagnostic consid-erations. October, 842 (lte)

Paraquat poisoning with relative absence of pulmonarytoxicity, acute renal failure. August, 660

Parathyroid hormone related protein elevated serum and1,25-dihydroxycholecalciferol in hypercalcaemiaassociated with adult T-cell leukaemia-lymphoma.September, 753

Parenteral nutrition, cardiovascular complications.August, 629

Parkinson's diseaseelderly, vitamins A, C and E concentrations. August, 634pseudo-obstruction secondary to anticholinergic drugs.

January, 70 (lte)review of present knowledge and treatment. July, 538

Pectus excavatum repair, late complications. June, 473Penicillins: reviews in medicine. January, 7Peptic oesophageal stricture, an age-related problem?

July, 571Percutaneous

endoscopic gastrostomy in elderly. November, 936 (lte)needle biopsy, liver, associated complications when one,

two or three specimens are taken. December, 964Perforation, colonic, and constipation complicating cal-

cium resonium therapy. April, 302 (lte)Periampullary diverticulum associated with extended

transduodenal sphincteroplasty for bile duct stones.May, 346

Peritonitismasked faecal, in Cushing's syndrome. May, 390 (lte)pneumoperitoneum without. May, 387 (lte)

Personality disorder impact on 'key areas'. 'Health of theNation'. May, 350

Phaeochromocytomaintrapericardial, associated with two intercarotid para-

gangliomas, diagnostic considerations. October,842 (lte)

sporadic, treatment, lipid and lipoprotein metabolismin familial combined hyperlipidaemia during, casestudy. May, 371

Pharmacokinetics of cefaclor AF, effects of age, antacidsand H2-receptor antagonists. Suppl. 3, 3

Philadelphia chromosome-positive chronic myelogenousleukaemia in acute blastic crisis and life threateninghypophosphataemia. April, 283

Pituitary adenoma, suprasellar ectopic, presenting ascranial diabetes insipidus. June, 467

Pivampicillin treatment, long-term, carnitine deficiencyassociated with, effect of replacement therapyregime. November, 932

Plaques: reviews in medicine. June, 427Plasma cell leukaemia, primary, non-secretary multiple

myeloma presenting as. June, 470Plasmodiumfalciparum malaria and Guillain-Barre synd-

rome. May, 376Pneumococcal vaccine: reviews in medicine. June, 428Pneumonia

atypical: reviews in medicine. June, 420antibiotics: reviews in medicine. January, 12

Pneumoperitoneum without peritonitis. May, 387 (lte)Polycystic kidney disease, adult, stroke: September, 735Polycythaemia vera presenting with intramuscular chest

wall haematoma. May, 381Polyneuritis, acute, and idiopathic thrombocytopenic

purpura. May, 394 (lte)Polyuria and weight-loss associated with cimetidine.

September, 771 (lte)Porphyria, acute intermittent, treated by testosterone

implant. June, 479Portal vein thrombisis in complicated case of Crohn's

disease. April, 291Positron emission tomography

reviews in medicine. February, 83and cardiomyopathy. Suppl. 1, 24

Postmenopause, endogenous sex hormones and bonemineral density. November, 908

Post-traumatic stress disorder: reviews in medicine.October, 792

Pregnancy, late, worsening neurological status, considermeningioma. June, 486 (lte)

Pre-hospital care after injury: reviews in medicine.September, 715

Pre-registration house officers, inappropriate duties:postgraduate news and views. January, 72

Presystolic sounds due to flow reversal in the superiorvena cava (abstract). May, 386

Primarymalignant neoplasms associated with chronic lympho-

cytic leukaemia. July, 595 (lte)pulmonary hypertension and functional hyposplenism.

May, 383Prostatic carcinoma, cerebellar manifestations. July, 584Prosthetic valve and Yersinia enterocolitica endocarditis.

September, 762Protein S deficiency, causing splenic rupture following

splenic vein thrombosis. November, 928Pseudo-Alzheimer's disease and primary brain tumour.

August, 673Pseudogout associated with thyrotoxicosis. April, 303 (lte)Pseudomembranous colitis

antibiotic-associated. Suppl. 3, 38and diarrhoea, antibiotic-associated: reviews in medi-

cine. January, 16Psoas

abscess, tubercular, mimicking bilateral hydronephro-sis, computerized tomography role. August, 690 (lte)

amoebic, and liver abscesses. December, 972Psychiatry and neurology, nuclear medicine: reviews in

medicine. February, 84Public health medicine, audit of training. February, 106Publications, need in surgical training: scenes from

postgraduate life. December, 978Pulmonary

cavitation with TB and HIV infection. April, 302 (lte)function changes in systemic sclerosis. May, 388 (lte)geotrichosis. February, 150 (lte)

1000 SUBJECT INDEX

and hepatic complications ofherbal medicines. Novem-ber, 935 (lte)

hypertension, primary, and functional hyposplenism.May, 383

toxicity, relative absence, in paraquat poisoning, acuterenal failure. August, 660

veno-occlusive disease: reviews in medicine. March, 161Pure gonadal dysgenesis, familial, differential regulation,

follicle-stimulating hormone and luteinizing hor-mone. November, 925

Pyloric obstruction, caused by late presentation of con-genital gastric diverticulum. April, 296

Pyoderma, blastomycosis-like, in chronic myeloid leuka-emia. May, 363

Pyrexia of unknown origin, changing spectrum ofdiseases in two consecutive series. November, 884

Pyridoxine deficiency effect on immunological pheno-mena. Suppl. 1, 70

Quinolones: reviews in medicine. January, 10

Rabies: reviews in medicine. June, 428Radionuclide

therapy: reviews in medicine. February, 103in nuclear medicine: reviews in medicine. February,

82-84Radiopharmaceuticals and main radionuclides: reviews

in medicine. February, 84Ramadan syndrome, massive gastric dilatation and acute

pancreatitis. August, 689 (lte)Raynaud's phenomenon, triiodothyronine corrects co-

existent autonomic dysfunction. April, 263Rectal bleeding evaluation and colonoscopy in over

80-year-old patients. May, 355Red cell shape, urinary, value in glomerular and post-

glomerular haematuria diagnosis, meta-analysis.August, 648

Renaldisease, end stage, in sickle cell disease, future direc-

tions: leading article. October, 775impairment after acute paracetamol overdose without

hepatotoxicity. February, 116renin secretion, primary, responding to angio-tensin

converting enzyme inhibition. August, 686transplant and nonEBV-related B-cell lymphoma, res-

ponse to acyclovir. February, 145Research, need in surgical training: scenes from post-

graduate life. December, 978Respiratory

diseases: reviews in medicine. March, 160infections, cefaclor AF, comprehensive safety profile.

Suppl. 3, 73muscle weakness and cor pulmonale, neuromuscular

disease. October, 820tract infections, changes in spectrum of organisms:

review. Suppi. 3, 17Restenosis pharmacotherapy: reviews in medicine. May,

331Retinoic acid-induced differentiation of human neuro-

blastoma cell lines (abstract). May, 386Retroviruses: reviews in medicine. June, 428Rhabdomyolysis associated with cranial diabetes insipi-

dus. February, 149 (lte)Rheumatic fever carditis/cardiomyopathy, relationship

to pathogenesis. Suppl. 1, 21Rifamycins: reviews in medicine. January, 10Right ventricular cardiomyopathy, left ventricular

involvement. Suppl. 1, 36Rigid oesophagoscopy role in oesophageal carcinoma.

November, 892

Salmonella typhi causing pancreatic abscess. April, 294Sarcoidosisand glomerulonephritis, causal relationship unproven.

March, 206reviews in medicine. March, 167systemic, left ventricular diastolic function, Doppler

echocardiography. Suppl. 1, 52Schizophrenia: reviews in medicine. June, 428Scleroderma, localized and hemiatrophy associated with

antibodies to double-stranded DNA. March, 216SeHCAT test in investigation of diarrhoea. April, 272Seizures presenting with myxoedema. January, 35Sickle cell disease, end stage renal disease, future direc-

tions: leading article. October, 775Silastic strain gauge plethysmography, mercury for clin-

ical assessment of microcirculation. Suppl. 2, 25Simvastatin for familial hypercholesterolaemia treat-

ment, one year experience. July, 575Single photo emission tomography (SPET): reviews in

medicine. February, 83Skin infections, cefaclor AF, comprehensive safety pro-

file. Suppl. 3, 73Small cell

carcinoma, extrapulmonary, of bone. February, 147leading article. February, 79

tumour (Askin-Rosai) of the pericardium. February,140

Small intestinal obstruction caused by femoral herniaappendix. March, 223

Smoke inhalation and myocardial bridging, myocardialinfarction related to. September, 758

Smokingcigarette, influence on outcome of coronary care unit

admissions with chest pain. July, 562versus bacteria: reviews in medicine. June, 429

Solvent abuser, fatal fulminant hepatic failure. January,29

Sotalol-induced torsade de pointes, management withmagnesium infusion. April, 289

Speech and language therapist role in assessment andmanagement of dysphagia in neurologically im-paired patients: leading article. July, 545

Splenicflexure carcinoma, case for extended right hemicolec-

tomy. June, 487 (lte)rupture following splenic vein thrombosis in protein S

deficiency. November, 928Standing Committee on Postgraduate Medical Education

(SCOPME) Conference on 'Priorities in Post-graduate and Continuing Medical and DentalEducation'. London, April 1992: conference report.October, 840

Staphylococcal infection of ondontoid peg. January, 51Statins and the central nervous system: reviews in medi-

cine. November, 871Steroid status, markers, and severity of alcoholic liver

disease. October, 804Steroids, inhaled, in asthma: reviews in medicine. Decem-

SUBJECT INDEX 1001

ber, 946Streptococcal pharyngitis/tonsillitis, Cefaclor AF and

cefaclor compared. Suppl. 3, 43Streptococcus bovis endocarditis as presenting manifesta-

tion of idiopathic ulcerative colitis. November, 930Streptokinase use in myocardial infarction in patients

aged 75 and over. September, 746Stroke

acute ischaemic, antiplatelet therapy, testing. Suppl. 2,14in adult polycystic kidney disease. September, 735hypoglycaemia masquerading as. October, 843 (lte)

Strongyloides sterocoralis hyperinfection with angio-immunoblastic lymphoadenopathy. December, 974

Sudden cardiac deathcongenital left ventricular diverticula, rare cause of.

May, 378increased ventricular ectopy and plasma catecholamine

levels: leading article. December, 939Sulphasalazine and Asacol compared in Crohn's disease

and ulcerative colitis. March, 189Superior vena cava, presystolic sounds due to flow

reversal (abstract). May, 386Surfactant therapy: reviews in medicine. March, 171Surgical training, place of research: scenes from post-

graduate life. December, 978Syndrome X, dobutamine stress thallium scintigraphy in

diagnosis. Suppl. 2, 20Systemic lupus erythematosus

in 50 year olds. June, 440sub-clinical, presenting with acute myocarditis. June,

475Systemic sclerosis, pulmonary function changes. May,

388 (lte)

T-cell leukaemia-lymphoma, associated with hypercal-caemia, elevated serum PTHrP and 1,25-DHCC.September, 753

Technetium-99m dimercaptosuccinic acid scintigraphy,pentavalent, in diagnosis and localization ofneuroblastoma. September, 769 (Ite)

Temporal arteritis, with giant-cell arteritis of ovarianarteries. December, 985 (Ite)

Testis, epidermoid cyst, case report: missed diagnosis.December, 968

Testosterone implant in treatment of acute intermittentporphyria. June, 479

Testotoxicosis: gonadotrophin, independent male sexualprecocity. March, 225

Tetanus, severe, and Homer's syndrome. April, 279Tetracosactrin stimulation test, Addisonian crisis pre-

senting with. June, 465; November, 935 (Ite)Tetracyclines: reviews in medicine. January, 8Thallium

myocardial perfusion tomography using dobutaminestress (abstract). Suppl. 2, 12

scintigraphy, dobutamine stress, in diagnosis of synd-rome X. Suppi. 2, 20

Thiazide reserpine preparation, hyponatraemic encepha-lopathy complicating. February, 149 (lte)

Third degree heart block in acromegaly. May, 389 (lte)Thrombocytopeniaand nifedipine. September, 769 (lte)in pregnancy: review article. May, 321

Thrombocytopenic purpura, idiopathic, and acute poly-neuritis. May, 394 (Ite)

Thrombolysis: reviews in medicine. May, 327Thrombolytic therapy for acute myocardial infarction,

intracerebral haemorrhage after. October, 800Thrombotic thrombocytopenic purpura due to Myco-

plasma pneumoniae. May, 393 (lte)Thyroid

register audit, district general hospital experience.June, 483 (lte)

status, markers, and severity of alcoholic liver disease.October, 804

Thyroiditis, suppurative, with oesophageal carcinoma.July, 592

Thyrotoxicosisamiodarone-induced, responding to oral steroid

therapy. May, 394 (Ite)associated with pseudogout. April, 303 (Ite)presenting with miliary tuberculosis. August, 677

Tracheostomyexperience in medical intensive care. May, 338role in adult intensive care unit: leading article. May,

313Trandopril, absence of potentiation of skin response to

bradykinin by. September, 742Transduodenal sphincteroplasty, extended, for bile duct

stones associated with periampullary diverticulum.May, 346

Traumalife support, advanced: reviews in medicine. September,

718score injury severity score (TRISS methodology):

reviews in medicine. September, 725systems: reviews in medicine. September, 714team and trauma scoring: reviews in medicine.

September, 720paediatric: reviews in medicine. September, 724

Triiodothyronine in Raynaud's phenomenon correctsco-existent autonomic dysfunction. April, 263

Trimethoprim-induced vasculitis. May, 391 (lte)TRISS methodology (trauma score injury severity score):

reviews in medicine. September, 725Trousers, medical anti-shock: reviews in medicine. Octo-

ber, 791Tubercular psoas abscess, bilateral, mimicking bilateral

hydroenphrosis, computerized tomography role.August, 690 (Ite)

Tuberculoma, intracranial, paradoxical expansion dur-ing medical treatment. June, 487 (lte)

Tuberculosisoesophageal, eleven cases. February, 110reviews in medicine. March, 164; June, 429

TuberculousAddison's disease treatment, adrenocortical function

recovery following. March, 204pericarditis, primary pericardial mesothelioma pre-

senting as. February, 137Tuberous sclerosis, undiagnosed, and late onset epilepsy.

December, 970Tumour cells, intra-operative seeding. June, 486 (Ite)Typhoid fevers, lymphocytic adenosine deaminase activ-

ity. April, 268

Ulcerative colitisand Crohn's disease, Asacol and sulphasalazine com-

pared. March, 189idiopathic, Streptococcus bovis endocarditis as mani-

1002 SUBJECT INDEX

festation. November, 930presenting as melaena, massive haemorrhage due to.

September, 764Ulerythema ophryogenes, Noonan's syndrome and woolly

hair, genes. July, 595 (lte)Ultrasound, intravascular: reviews in medicine. March,

162Urea raised blood levels, elderly. March, 174Urinary tract infections, cefaclor AF, comprehensive

safety profile. Suppl. 3, 73

Vagina, high, Enterobius vermicularis live adult worms.August, 690 (lte)

Valvular heart disease: reviews in medicine. May, 333Vascular tone, endothelial regulation: leading article.

September, 697Vasculitis

naproxen-associated. September, 766trimethoprin-induced. May, 391 (lte)

Venepuncture, contamination of blood cultures during.May, 388 (lte)

Venous thromboembolism, prevention, diagnosis, treat-ment. Suppl. 1, 65

Ventriculararrhythmias, endomyocardial biopsy approach. Suppl.

1, 40tachycardia, diagnosis and management: review arti-

cle. June, 406

Vesico-ureteric reflux associated with inguinal bladderhernia. April, 299

Virus infection and dilated cardiomyopathy. Suppl. 1, 17Vitamins A, C and E concentrations in elderly with

Parkinson's disease. August, 634Vocal cord paralysis and oesophago-broncho-aortic fist-

ula complicating foreign body-induced oesophagealperforation. April, 277

Walton, Lord of DetchantFestschrift, July, 497-538Biography, July, 497-499

Wegener's granulomatosis: reviews in medicine. March,162

Weight-loss and polyuria associated with cimetidine.September, 771 (lte)

Woolly hair, ulerythema ophryogenes and Noonan'ssyndrome, genes for. July, 595 (lte)

Yersinia enterocoliticaendocarditis on prosthetic valve. September, 762infections: reviews in medicine. June, 430

Zidovudine in AIDS: reviews in medicine. June, 418

AUTHOR INDEX 1003

Author Index

lte = letter to the editorSuppl. = Supplement (1, 2 or 3)

Abelmann, W.H., Baim, D.S. and Schnitt, S.J.: Endo-myocardial biopsy: is it of clinical value? Suppl. 1, 44

Abernethy, R.D.: National Association of ClinicalTutors Summer Meeting, Bangor, May, 1992:conference report. December, 982

Abraham, A.S., see Siegelmann, N.Adam, G., see Heaton, N.D.Adam, R.V., see Narayansingh, G.V.Adams, J., see Winocour, P.H.Adebajo, A.O., Crisp, A.J., Nicholls, A. and Hazleman,

B.L.: Localized scleroderma and hemiatrophy inassociation with antibodies to double-strandedDNA. March, 216

Adedeji, 0. and McAdam, W.A.F.: Intussusception inileostomy in a pregnant woman. January, 67 (lte)

Afify, S.E. and Maynard, J.D.: Tumours of the accessorylobe of the parotid gland. June, 461

Agarwal, M., Azzopardi, A. and Mufti, G.R.: Giantpre-sacral neurofibroma. January, 55

Ahmad, N., Wilson, J.A., Barr-Hamilton, R.M., Kean,D.M. and MacLennan, W.J.: The evaluation ofdizziness in elderly patients. July, 558

Akoglu, M., Sahin, B. and Davidson, B.R.: Extendedtransduodenal sphincteroplasty for bile ductstones associated with a periampullary divertic-ulum. May, 346

Aktar, R., see Cabrol, C.Al-Dawoud, A., see Raina, V.Al-Kutoubi, M.A. and Kreel, L.: A red herring with black

disseminated disease: diagnostic images. February,121

Al-Kutoubi, M.A. and Kreel, L.: Hypertension - renalectopia, adrenal mass: diagnostic images. March,201

Al Qadah, F., see Uwaydah, A.K.Alanis, A., Longst, K.A., Senetar, J.E. and Dere, W.H.: A

multicentre trial of cefaclor advanced formulationversus cefaclor in the treatment ofacute bronchitis.Suppl. 3, 24

Alberti, K.G.M.M., see Winocour, P.H.Allegue, F., see Torrelo, A.Allison, D., see Winocour, P.H.Anderson, D.C., see Savage, M.W.

Wincour, P.H.Andrews, R., Balsitis, M., Shurrock, K. and Jeffcoate,

W.J.: Nesidioblastosis in adults. May, 389 (Ite)Angomachalelis, N., Hourzamanis, A., Vamvalis, C. and

Gavrielides, A.: Doppler echocardiographic evalu-ation of left ventricular diastolic function in patientwith systemic sarcoidosis. Suppl. 1, 52

Angomachalelis, N.J., Olsen, E.G.J. and Rapaport, E.:Introduction. Suppl. 1, 2

Angulo, J.C., Lopez, J.I., Unda-Urazaiz, M. and Flores,N.: Urinary bladder carcinoma initially manifestedas brain metastases. February, 150 (Ite)

Anjaneyulu, A., see Kumar, K.A.Anjum, I. and Barker, S.G.E.: Intratesticular epidermoid

cyst: missed diagnosis. December, 968

Antoniadis, A., see Trakatellis, A.Arber, N., see Moshkowitz, M.

Pras, E.Archard, L.C., see Richardson, P.J.Arije, A., see Erasmus, R.T.Aristodemou, A., Ryder, S. and Jacyna, M.R.: Massive

haemorrhage due to ulcerative colitis presenting asmelaena. September, 764

Arnalich, F., see Barbado, F.J.Arnold, F.: Is there a place for research in surgical

training?: scenes from postgraduate life. December,978

Arroyo, J.F., Jolliet, Ph. and Junod, A.F.: Costovertebraljoint dysfunction: another misdiagnosed cause ofatypical chest pain. August, 655

Arstall, M.A., Hii, J.T.Y., Lehman, R.G. and Horowitz,J.D.: Sotalol-induced torsade de pointes: manage-ment with magnesium infusion. April, 289

Asherson, R.A., see Bosch, X.Athanasou, N., see Dalton, H.R.Aupetit, B., see Cabrol, C.Ayala, I., see Montalban, C.Aydintug, O., see Dimenech, I.Aziz, A.A., Jafri, S.M.W. and Haque, N.U.: Testotoxic-

osis: gonadotrophin - independent male sexualprecocity. March, 225

Azzopardi, A., see Agarwal, M.

Baig, M.W., Sheard, K., Thorley, P.J., Rees, M.R. andTan, L.B.: The use of dobutamine stress thalliumscintigraphy in the diagnosis of syndrome X.Suppl. 2, 20

Bailey, B.P., see Marwick, T.H.Baim, D.S., see Abelmann, W.H.Baithun, S.I., see Probert, C.S.J.Bal, C.S., Raina, V., Padhy, A.K., Pradhan, P.K. and

Sarkar, C.: Pentavalent technetium-99m dimercap-tosuccinic acid scintigraphy is useful in diagnosisand localization ofneuroblastoma. September, 769(Ite)

Baldelli, F., see Pasticci, M.B.Balsitis, M., see Andrews, R.Bannister, B.A., see James, D.G.Baraitser, M., see Schon, F.Baratta, E., see Pasticci, M.B.Baratz, M., see Moshkowitz, M.Barbado, F.J., Vazquez, J.J., Pefia, J.M., Arnalich, F. and

Ortiz-Vazquez, J.: Pyrexia of unknown origin:changing spectrum of diseases in two consecutiveseries. November, 884

Barker, S., see Chakravarty, K.Barker, S.G.E. see Anjum, I.Barnes, P.J. and Lee, T.H.: Recent advanced in asthma:

reviews in medicine. December, 942Barr-Hamilton, R.M., see Ahmad, N.Barrett, J.A., see King, D.Baruah, M.C., see Dutta, T.K.

1004 AUTHOR INDEX

Bassan, H., see Odeh, M.Bastian, B., see Marwick, T.H.Bat, L., Pines, A., Shemesh, E., Levo, Y., Zeeli, D., Scapa,

E. and Rosenblum, Y.: Colonoscopy in patientsaged 80 years or older and its contribution to theevaluation of rectal bleeding. May, 355

Batenburg de Jong, R.J., see Dees, A.Bates, D., see Spriggs, D.A.Bates, T., Roberts, J.V., Smith, K. and German, K.A.: A

randomized trial of one versus three doses ofAugmentin as wound prophylaxis in at-riskabdominal surgery. October, 811

Baylis, B., see Campbell, N.R.C.Beacham, J., see Li Kam Wa, T.C.Beevers, D.G., see Zezulka, A.Belchetz, P.E., see Martinez, D.Bell, A.R. and Ludlam, H.A.: Contamination of blood

cultures during venepuncture: fact or myth? May,388 (lte)

Bell, P., see London, N.Bell, P.R.F., see Williams, N.Bellas, C., see Mampaso, F.Ben-David, E., see Sadeh, M.Benbassat, J., see Offringa, M.Benbow, S.J., see King, D.Benet, A., Vidal, F., Toda, R., Siurana, R., De Virgala,

C.M. and Richart, C.: Diagnosis of hepatic hydro-thorax in the absence of ascites by intraperitonealinjection of 99m-Tc-Fluor colloid. February, 153(lte)

Benson, E.A., see Samuel, I.Benson, J.R. and Ward, M.P.: Massive gastric dilatation

and acute pancreatitis - a case of the 'Ramadansyndrome'? August, 689 (lte)

Berkessy, S., see Takacs, I.Berkman, N., see Dann, E.J.Besser, G.M., see Ur, E.Betteridge, D.J.: 'Lipid-friendly' antihypertensives: re-

views in medicine. November, 881see also Rose, S.J.

Bhat, K.R., see Varghese, G.K.Bhat, S., see Madhavan, M.Bhatia, S., Thakur, R.C., Devi, B.I., Radotra, B.D. and

Kak, V.K.: Craniospinal intradural arachnoidcyst. October, 829

Bhatla, B., see Misra, A.Mukhopadhyay, D.K.

Bhatnagar, M.K., see Vashista, A.Bhoora, I.G., see Maharaj, B.Bhupalan, A.J., Forbes, A., Lloyd-Davies, E., Wignall, B.

and Murray-Lyon, I.M.: Lipomatosis of the ileo-caecal valve simulating Crohn's disease. June, 455

Bihari, D.J., see Grover, E.R.Billett, H.H., see Gupta, S.Black, S.A., see Derriennic, M.Blackburn, T., see Dunn, M.Bloom, S.R., see Winocour, P.H.Borriello, S.P.: Possible mechanisms of action of anti-

microbial agent-associated gastrointestinal symp-toms. Suppl. 3, 38

Bors, V., see Cabrol, C.Bosch, X. and Asherson, R.A.: The antigenic significance

and methods of detection of the anti-neutrophilcytoplasmic autoantibodies (ANCA): review article.September, 707

Bovill, B.A., see Rose, D.S.C.

Bowker, L.K., Briggs, R.S.J., Gallagher, P.J. and Robert-son, D.R.C.: Raised blood urea in the elderly: aclinical and pathological study. March, 174

Bowler, J., see Schon, F.Bradberry, S.M., see Florkowski, C.M.Bradley, J.W.P., see Jahangiri, M.Bramleby, P., see Rous, E.Brecker, S.J., Xiao, H.B. and Gibson, D.G.: Presystolic

sounds due to flow reversal in the superior venacava (abstract). May, 386

Breda, E., Temperilli, L., Sidoti, A.M. and Pauselli, F.:Nifedipine and thrombocytopenia. September, 769(lte)

Brettle, R., see Willocks, L.Bricio, T., see Mampaso, F.Briggs, R.S.J., see Bowker, L.K.Brook, M.G., see James, D.G.Brumfitt, W.: Advances in antimicrobial therapy: extend-

ed release cefaclor AF: introductory remarks,Suppi. 3, 1: closing remarks, Suppi. 3, 81see also Hamilton-Miller, J.M.T.

Bryce, G.M. and Poyner, F.: Myxoedema presenting withseizures. January, 35

Bryer, J.V., see Mokoena, T.Buchanan, G., see McRae, D.Bullock, R.E., see White, J.Burke, C., see Mulpeter, K.M.Burn, D.J., see Spriggs, D.A.Burra, P., Franklyn, J.A., Ramsden, D.B., Elias, E. and

Sheppard, M.C.: Severity of alcoholic liver diseaseand markers ofthyroid and steroid status. October,804

Burton, J.L.: The genes for Noonan's syndrome: woollyhair and ulerythema ophryogenes. July, 595 (Ite)

Bussani, R., see Pinamonti, B.Butcher, G.P., Zambon, M., Moss, S. and Walters,

J.R.F.: Addisonian crisis presenting with a normalshort tetracosactrin stimulation test. June, 465

Buzon, L., see Mampaso, F.Byers, K.S., see Hamilton-Miller, J.M.T.Bygren, P., see Saxena, R.

Cabrol, A., see Cabrol, C.Cabrol, C., Gandjbakhch, I., Pavie, A., Bors, V., Szefner,

J., Desruennes, M., Cabrol, A., Leger, Ph., Vais-sier, E., Levasseur, J.P., Simoneau, J.P., Petrie, J.,Aupetit, B., Chomette, G., Aktar, R., Muneretto,C., Solis, E., Mestiri, T., Miralles, A., Rabago, G.,Kawagushi, A., Sasako, Y., Del Castillo, R.D. andFraysse, J.B.: Heart and heart-lung transplanta-tion in the 1990s. Suppl. 1, 78

Cader, A., see Kheterpal, S.Calovic, Lj., see Popovic, V.Calverley, P.M.A., see Mallya, S.Camerini, F., see Pinamonti, B.Cameron, D., Welsby, P. and Turner, M.: Thrombotic

thrombocytopenic purpura due to Mycoplasmapneumoniae. May, 393 (Ite)

Campbell, N.R.C. and Baylis, B.: Renal impairmentassociated with an acute paracetamol overdose inthe absence of hepatotoxicity. February, 116

Capote, L., see Rodriguez-Garcia, J.L.Cardellach, F., see Fernandez-Sola, J.Cartlidge, N.E.F., see Spriggs, D.A.Casademont, J., see Fernandez-Sola, J.Cerimele, B.J., see Satterwhite, J.H.

AUTHOR INDEX 1005

Cervera, R., see Domenech, I.Chakravarty, K., Pharoah, P.D.P., Scott, D.G.I. and

Barker, S.: Erythromelalgia - the role of hypno-therapy. January, 44

Chalmers, A., see Martinez, D.Chan, C.H.S., Ho, A.K.C., Chan, R.C.Y., Cheung, H.

and Cheng, A.F.B.: Mycobacteria as a cause ofinfective exacerbation in bronchiectasis. November,896

Chan, K.M.: Epilespy - another cause of intermittentfever with confusion. February, 119

Chan, R.C.Y., see Chan, C.H.S.Chapel, H.M., see Misbah, S.A.Chapman, C., see Williams, N.Chapple, C.R., see Noble, J.G.Charlton, M., see Croker, J.R.Chattopadhyay, T.K., see Kumar, A.Cheng, A.F.B., see Chan, C.H.S.Cheng, T.O.: Angiotensin converting enzyme inhibitors

for hypertension and heart failure? June, 483 (Ite)Chesner, I., see Panos, M.Z.Chetty, U., see Gaskell, D.J.Cheung, H., see Chan, C.H.S.Ching, G.W.K., see Florkowski, C.M.Chinoy, R.F., see Mohandas, K.M.Chomette, G., see Cabrol, C.Christ, F., see Gamble, J.Christmas, T.J., see Noble, J.G.Christodoulou, D., see Trakatellis, A.Clark, F., see Winocour, P.H.Clarke, C.W.F., see Sandrasegaran, K.Cleland, J.G.F.: Angiotensin converting enzyme inhibi-

tors for hypertension and heart failure?: leadingarticle. January, 1see also Good, J.

Clements, G.B., see Milton, J.D.Coakley, D., see O'Mahony, D.Coleman, D.L., see Satterwhite, J.H.Coleridge Smith, P.D., see Shami, S.K.Coley, A., see Middleton, S.J.Collee, J.G., see Watt, B.Coltart, D.J., see Shakespeare, C.F.Compston, A.: Reviewing multiple sclerosis. July, 507Compston, J.E., see Murphy, S.Cooke, E.D., see Li Kam Wa, T.C.Cooper, B.G., see Winocour, P.H.Cooper, M.B., see Rose, S.J.Corder, A.P.: The diagnosis offemoral hernia. January, 26

see also Morris, S.Corrall, R.J.M., see Newrick, P.G.Courtney, S.P., Ibrahim, N., Longstaff, A.J. and David-

son, C.M.: Intussusception in the adult: clinical,radiological and histological features. June, 449

Cox, M.L., see Khan, S.A.Crisp, A.J., see Adebajo, A.0.Crockard, A., see Keogh, S.Croker, J.R., Williams, S.G., Charlton, M., Vaira, D. and

Dowsett, J.: Endoscopic therapy for bile ductstones in a geriatric population. June, 457

Crombie, I., see Jankowski, J.Cross, J.N., see Narayansingh, G.V.Crossley, D., see O'Neill, P.A.Crowe, A., Taffinder, N., Layer, G.T., Irvine, A. and

Nicholls, R.J.: Portal vein thrombosis in a compli-cated case of Crohn's disease. April, 291

Cumming, W.J.K.: Molecular biology of neurological

diseases: leading article. April, 237Cummins, D., see Olujohungbe, A.Cuthbert, R., see Gunn, J.Czirjak, L., Szolnoki, E., Nagy, Z. and Szegedi, G.:

Changes in pulmonary function in systemic sclero-sis. May, 388 (Ite)

D'Costa, D.F. and Davies, R.A.: Pseudogout associatedwith thryotoxicosis. April, 303 (Ite)

Daley-Yates, P.T., see Dodwell, D.J.Dalton, H.R., Featherstone, T. and Athanasou, N.:

Organ limited amyloidosis with lymphadenopathy.January, 47

Damjanovic, S., see Popovic, V.Danchin, N., see Renoult, E.Dancy, M.: Diagnosis and management of ventricular

tachycardia: review article. June, 406Danesh, B., see Gillanders, I.Dann, E.J. and Berkman, N.: Chronic idiopathic anhydro-

sis - a rare cause of heat stroke. September, 750Davidson, B.R., see Akoglu, M.Davidson, C.M., see Courtney, S.P.Davidson, R.C., see Khan, M.A.Davie, M., see Samuel, L.M.Davies, I.H., see Ford, G.A.Davies, I.J.T.: National Association of Clinical Tutors -

Winter Meeting 1991: conference report. June, 482Davies, R.A., see D'Costa, D.F.De Boer, M.F., see Dees, A.De la Fuente, J., see Pulla, M.P.De Leeuw, P.W., see Dees, A.De Letona, J.M.L.: Homonymous hemianopsia and the

'door sign'. April, 301 (lte)see also Pulla, M.P.

DeVirgala, C.M., see Benet, A.Deb, B., see Fahy, G.Dees, A., Batenburg de Jong, R.J., Meeuwis, C.A., de

Boer, M.F. and de Leeuw, P.W.: Carotid sinussyndrome after carotid artery surgery. June, 463

Del Castillo, R.D., see Cabrol, C.Del Favero, A., see Pasticci, M.B.Dere, W.H., see Alanis, A.

Derriennic, M.Hamilton-Miller, J.M.T.Stotka, J.L.

Derriennic, M., Voi, M., Thoren, L.M., Black, S.A. andDere, W.H.: Cefaclor AF in the treatment ofstreptococcal pharyngitis/tonsillitis. Suppl. 3, 43

Desai, P.B., see Mohandas, K.M.DeSante, K.A., see Satterwhite, J.H.Deshpande, A.D.: Enterobius vermicularis live adult

worms in the high vagina. August, 690 (lte)Desruennes, M., see Cabrol, C.Dessein, P.H., see Gledhill, R.F.Devi, B.I., see Bhatia, S.Devoy, M.A.B. and Tomson, C.R.V.: Fatal cardiac

failure after a single dose of doxorubicin in mye-loma-associated cardiac amyloid. January, 69 (Ite)

Dewar, R., Sykes, D., Mulkerrin, E., Nicklason, F.,Thomas, D. and Seymour, R.: The effect ofhemiplegia on blood pressure measurement in theelderly. November, 888

Di Lenarda, A., see Pinamonti, B.Dimitriadou, A., see Trakatellis, A.Dixon, M.F., see Samuel, I.

1006 AUTHOR INDEX

Dodwell, D.J., Howell, A., Morton, A.R., Daley-Yates,P.T. and Hoggart, C.R.: Infusion rate and pharma-cokinetics of intravenous pamidronate in the treat-ment of tumour-induced hypercalcaemia. June, 434

Doherty, C.C., see McCance, D.R.Domenech, I., Aydintug, O., Cervera, R., Khamashta,

M., Jedryka-Goral, A., Vianna, J.L. and Hughes,G.R.V.: Systemic lupus erythematosus in 50 yearolds. June, 440

Dowsett, E.G. and Welsby, P.D.: Myalgic encephalo-myelitis: conversation piece. January, 63

Dowsett, J., see Croker, J.R.Drah, M. and Ghose, R.R.: Hypoglycaemia and heart

failure. April, 304 (lte)Drude, L., see Maisch, B.Dubowitz, V.: The muscular dystrophies. July, 500Duncan, A., see Nakshabendi, I.M.Dunlop, D., see Raina, V.Dunn, M. and Blackburn, T.: Anticoagulant treatment of

atrial fibrillation in the elderly. Suppl. 1, 57Durrington, P.N.: Treatment of hyperlipidaemia in

patients with pre-existing coronary heart disease:reviews in medicine. November, 872editor. What every doctor wants to know aboutcholesterol: answers to some difficult questions:reviews in medicine. November, 867

Dutta, T.K., James, J., Baruah, M.C. and Ratnakar, C.:Blastomycosis-like pyoderma in a case of chronicmyeloid leukaemia. May, 363

Earle, K.A.: Third International Symposium on Hyper-tension Associated with Diabetes Mellitus, Boston,Massachusetts, November 21 -23 1991: conferencereport. July, 594

Easterbrook, P.J. and Smyth, E.G.: Post-infectiousencephalomyelitis associated with Mycoplasmapneumoniae and Legionella pnewnophila infection.February, 124

Eastwood, J.B., see Macallan, D.C.Ebrahim, S.B.J., see Holt, R.I.G.Edelstein, C.L., Wickham, M.K. and Kirby, P.A.: Syste-

mic calciphylaxis presenting as a painful, proximalmyopathy. March, 209

Edmonds, C.J., see Malcolm, P.N.Edwards, J.D., see Nimmo, G.R.Edwards, R.H.T., see Milton, J.D.El-Shaboury, A.H., see Parker, D.R.Elias, E., see Burra, P.Ell, P.J.: Nuclear medicine: reviews in medicine. February,

82see also Pennell, D.J.

Elte, J.W.F., see Nieuwland, Y.Erasmus, R.T., Oyeyinka, G. and Arije, A.: Microalbum-

inuria in non-insulin-dependent (type 2) Nigeriandiabetics: relation to glycaemia control, blood pres-sure and retinopathy. August, 638

Eremin, O., see Heys, S.D.Esiri, M.M., see Misbah, S.A.European Medical Research Group Meeting, London,

November 1991, (abstracts). May, 386Evans, R.C. and Evans, R.J.: Accident and emergency

medicine - I: reviews in medicine. September, 714; II:reviews in medicine. October, 786

Evans, R.J., see Evans, R.C.Exindari, M., see Trakatellis, A.

Fahy, G., Robinson, K., Deb, B. and Graham, I.: Primarypulmonary hypertension and functional hyposplen-ism. May, 383

Fairlamb, D.J.: Fluid leak from an iliac crest in a biopsysite. December, 981 (lte)

Fairweather, D.S., see O'Neill, P.A.Farrington, K., see Tattersall, J.Featherstone, T., see Dalton, H.R.Fernandez-Sola, J., Casademont, J., Grau, J.M., Graus,

F., Cardellach, F., Pedrol, E. and Urbano-Marquez,A.: Adult-onset mitochondrial myopathy. March,212

Fernando, O.N., see Sharma, A.K.Finazzi-Agro, A., see Stephanou, A.Finch, R., see O'Leary, C.Fletcher, N.A., Sharief, M. and Kocen, R.S.: Herpes

simplex encephalitis without CSF leucocytosis.March, 229 (Ite)

Flores, N., see Angulo, J.C.Florkowski, C.M., Bradberry, S.M., Ching, G.W.K. and

Jones, A.F.: Acute renal failure in a case ofparaquatpoisoning with relative absence ofpulmonary toxic-ity. August, 660

Forbes, A., see Bhupalan, A.J.Ford, G.A., Preece, J.D., Davies, I.H. and Wilkinson, S.P.:

Use of the SeHCAT test in the investigation ofdiarrhoea. April, 272

Forrest, A.P.M., see Gaskell, D.J.Forster, G.E., see Sheldon, C.D.Foster, M.E., see Sadler, G.P.Franklyn, J.A., see Burra, P.Fraser, A.G., see McCabe, M.J.Fraysse, J.B., see Cabrol, C.French, J., see Spriggs, D.A.Frost, G., see Good, J.Fung, C.F., see Luk, K.H.

Gabriel, R., see Howard, R.S.Gainsborough, N. and Powell-Jackson, P.: Peptic oeso-

phageal stricture: an age-related problem? July, 571Gallagher, P.J., see Bowker, L.K.Gamble, J., Christ, F. and Gartside, I.B.: Mercury in

silastic strain gauge plethysmography for the clinicalassessment of the microcirculation. Suppl. 2, 25

Gandjbakhch, I., see Cabrol, C.Gangaram, H.B., see Tan, T.T.Garcia-Palmieri, M.R.: The treatment of stable angina

pectoris. Suppl. 1, 61Garg, P. and Parashar, S.: Pancreatic abscess due to

Salmonella typhi. April, 294Gartside, I.B., see Gamble, J.Gaskell, D.J., Hawkins, R.A., Tesdale, A.L., Sangster, K.,

Chetty, U. and Forrest, A.P.M.: The differingpredictive values of oestrogen receptor assays forlarge breast cancers. November, 900

Gavrielides, A., see Angomachalelis, N.German, K.A., see Bates, T.Gerrand, C., see Williams, N.Ghose, R.R., see Drah, M.Gibbons, J.R.P., see Ritchie, A.J.Gibson, D.G., see Brecker, S.J.Gibson, G.J., see White, J.Gilat, T., see Moshkowitz, M.Gill, G.V., see Tan, S.Y.Gillanders, I., Lafferty, M. and Danesh, B.: Gastric

AUTHOR INDEX 1007

leiomyoma: an unusual presentation. January, 68(Ite)

Gillio, A., see Pasticci, M.B.Gingell, J.C.: Review of current and future approaches to

the management of benign prostatic hyperplasia:review article. September, 702see also McLoughlin, J.

Gledhill, R.F., Dessein, P.H. and Van der Merwe, C.A.:Treatment of Raynaud's phenomenon with triiodo-thyronine corrects co-existent autonomic dysfunc-tion: preliminary findings. April, 263

Gobernado, J.M., see Rivera, M.Goel, A., see Vashista, A.Goldhammer, Y., see Sadeh, M.Gonzalo, A., see Rivera, M.Good, J., Frost, G., Oakley, C.M. and Cleland, J.G.F.: The

renal effects of dopamine and dobutamine in stablechronic heart failure. Suppl. 2, 7

Goodwin, J.F.: Cardiomyopathies and specific heart mus-cle diseases. Definitions, terminology, classificationsand new and old approaches. Suppl. 2, 3

Goodwin, T.J., see Jahangiri, M.Ur, E.

Goodyer, L.I., see Miskelly, F.G.Graham, I., see Fahy, G.Grau, J.M., see Fernandez-Sola, J.Graus, F., see Fernandez-Sola, J.Gray, J., see Willocks, L.Gray, J.W. and Pedler, S.J.: Contamination of blood

cultures. April, 301 (lte)Gray, P.J.: Monozygotic twins concordant for both

open-angle glaucoma and bronchospasm inducedby beta-blockers. June, 484 (lte)

Greenwood, R., see Tattersall, J.Grossman, A., see Ur, E.Grossman, R.F.: Cefaclor AF versus cefaclor in acute

exacerbations of chronic bronchitis. Suppl. 3, 30Grover, E.R. and Bihari, D.J.: The role of tracheostomy

in the adult intensive care unit: leading article.May, 313

Gulati, S. and Kumar, L.: 'Chest epilepsy' in a child. May,369

Gunawardana, R.H.: Experience with tracheostomy inmedical intensive care patients. May, 338

Gunn, J., Cuthbert, R. and Trueman, A.: Lymphomapresenting with Addison's disease. March, 229 (lte)

Gupta, R., see Sadler, G.P.Gupta, S., Meyers, M.L., Trambert, J. and Billett, H.H.:

Massive intra-abdominal bleeding complicatingbone marrow aspiration and biopsy in multiplemyeloma. September, 770 (lte)

Gutowski, N.J. and Murphy, R.P.: Late onset epilepsy inundiagnosed tuberous sclerosis. December, 970

Guy, M., see Rous, E.

Haffejee, A., see Naidoo, D.P.Hale, P.C. and O'Flynn, W.R.: Late presentation of a

congenital gastric diverticulum causing pyloricobstruction. April, 296

Hales, C.N., see Winocour, P.H.Hales, T., see Tan, S.Y.Hallengren, B., see Papadopoulos, K.I.Hamilton-Miller, J.M.T., Iravani, A., Brumfitt, W.,

Byers, K.S. and Dere, W.H.: Comparative trials ofcefaclor AF in uncomplicated cystitis and asymp-

tomatic bacteriuria. Suppl. 3, 60Hammond, P.J., see Johnston, S.R.D.Han, R., see Mici6, D.Hand, T., see Minford, E.J.Haque, N.U., see Aziz, A.A.Harper, G., see McLoughlin, J.Harrison, P., see Wong, R.C.W.Hirt6, G., see Tak'acs, I.Hatcher, B.L., see Satterwhite, J.H.Hawkins, R.A., see Gaskell, D.J.Hayes, M., see Timmins, A.C.Hayward, P., see Rous, E.Hazleman, B.L., see Adebajo, A.O.Heagerty, A., see London, N.Heaton, N.D., Adam, G. and Howard, E.R.: The late

presentation ofpostero-lateral congenital diaphra-gmatic hernias. June, 445

Henderson, I.S., see Khan, I.H.Hengstenberg, C., see Maisch, B.Hernaez, J.M., see Pulla, M.P.Hernando, J.C., see Sureda, A.Hestin, D., see Renoult, E.Heys, S.D., Mills, K.L.G. and Eremin, O.: Bilateral

carpal tunnel syndrome associated with interleukin2 therapy. July, 587

Hii, J.T.Y., see Arstall, M.A.Hill, C.M., see McCance, D.R.Hinchliffe, A., see McLoughlin, J.Hinds, C.J., see Timmins, A.C.Hiroe, M., see Sekiguchi, M.Ho, A.K.C., see Chan, C.H.S.Hodgkins, P.R. and Hughes, R.C.: Acute facial nerve

palsy in association with acoustic neuroma. Octo-ber, 844 (Ite)

Hoffbrand, B.I., see Restrick, L.J.Hoggarth, C.R., see Dodwell, D.J.Holland, B.M., see Wardrop, C.A.J.Hollinrake, K., see London, N.Holt, R.I.G. and Ebrahim, S.B.J.: Trimethoprim-induced

vasculitis. May, 391 (lte)Hooper, T., see McWilliams, R.Hopkins, A.: Epilepsy. July, 522Horowitz, J.D., see Arstall, M.A.Hosoda, S., see Sekiguchi, M.Hourzamanis, A., see Angomachalelis, N.Howard, E.R., see Heaton, N.D.Howard, L.M. and Markus, H.: Pseudo-obstruction

secondary to anticholinergic drugs in Parkinson'sdisease. January, 70 (lte)

Howard, R.S. and Gabriel, R.: Glomerulonephritis insarcoidosis: causal relationship unproven. March,206

Howell, A., see Dodwell, D.J.Huddy, N., see Restrick, L.J.Hudgson, P., see White, J.Hufnagel, G., see Maisch, B.Hughes, C.F., see Marwick, T.H.Hughes, D.T.D., see Sheldon, C.D.Hughes, G.R.V., see Domenech, I.Hughes, J.T., see Misbah, S.A.Hughes, R.C., see Hodgkins, P.R.Hughes, S., see Mallya, S.Hunter, J.O., see Middleton, S.J.

Ibrahim, N., see Courtney, S.P.

1008 AUTHOR INDEX

Iravani, A., see Hamilton-Miller, J.M.T.Irvine, A., see Crowe, A.

Jacobs, S., see Wardrop, C.A.J.Jacyna, M.R., see Aristodemou, A.Jafri, S.M.W., see Aziz, A.A.Jafri, W., see Qaseem, T.Jahangiri, M., Jayatunga, A.P., Bradley, J.W.P. and

Goodwin, T.J.: Naproxen-associated vasculitis.September, 766

James, D.G.: The portraiture of Sir William Osler:leading article. March, 159Respiratory diseases: reviews in medicine. March,160Brook, M.G. and Bannister, B.A.: The chronicfatigue syndrome: review article. August, 611

James, J., see Dutta, T.K.Jancic, M., see Mici6, D.Janes, S.L.: Thrombocytopenia in pregnancy: review

article. May, 321Jankovi6, R., see Micic, D.Jankowski, J., Crombie, I. and Jankowski, R.: Behcet's

syndrome in Scotland. July, 566Jankowski, R., see Jankowski, J.Jawad, S.H.: Cytomegalovirus colitis in an elderly

patient. June, 484 (Ite)Jayanthi, V., see Probert, C.S.J.Jayatunga, A.P., see Jahangiri, M.Jedryka-Goral, A., see Domenech, I.Jeffcoate, W.J., see Andrews, R.Johansson, C., see Saxena, R.Johnston, G., see Mallya, S.Johnston, S.R.D. and Hammond, P.J.: Elevated serum

parathyroid hormone related protein and 1,25-dihydroxycholecalciferol in hypercalcaemia assoc-iated with adult T-cell leukaemia-lymphoma. Sept-ember, 753

Jolliet, Ph., see Arroyo, J.F.Jolobe, O.M.P.: Addisonian crisis presenting with a

normal short tetracosactrin stimulation test. Nov-ember, 935 (lte)Doppler echocardiography in elderly patients withejection systolic murmurs. July, 595 (Ite)Hypoglycaemia and heart failure. October, 841 (lte)

Jones, A.F., see Florkowski, C.M.Jones, J.G., see Wardrop, C.A.J.Jones, M., see Willocks, L.Jones, M.C., see Minford, E.J.Junod, A.F., see Arroyo, J.F.

Kafetz, K. and Luder, R.: Safe use of streptokinase inmyocardial infarction in patients aged 75 and over.September, 746

Kak, V.K., see Bhatia, S.Kanungo, R., see Madhavan, M.Kaplan, E.L.: The carditis/cardiomyopathy of rheumatic

fever: relationship to pathogenesis. Suppl. 1, 21Karak, P.K., see Kumar, A.Kataria, R., see Kumar, A.Kawagushi, A., see Cabrol, C.Kayser, F.H.: Changes in the spectrum of organisms

causing respiratory tract infections: a review. Suppl.3, 17

Kean, D.M., see Ahmad, N.

Keech, A.: Does cholesterol lowering reduce total mortal-ity?: reviews in medicine. November, 870

Kelestimur, F., Selcuklu, A. and Ozcan, N.: Empty selladeveloping during thyroxine therapy in a patientwith primary hypothyroidism and hyperprolactin-aemia. July, 589

Kendall, M.J., see Maxwell, S.R.J.Kennedy, G.D.: The role of the speech and language

therapist in the assessment and management ofdysphagia in neurologically impaired patients: lead-ing article. July, 545

Kenyon, G.S., see McRae, D.Keogh, S. and Crockard, A.: Staphylococcal infection of

the odontoid peg. January, 51Kerr-Muir, M., see Quiney, J.Kessler, M., see Renoult, E.Khalid, B.A.K., see Tan, T.T.Khamashta, M., see Domenech, I.Khan, H., see Qaseem, T.Khan, I.H., Henderson, I.S. and Mactier, R.A.: Hyper-

pyrexia due to meningococcal septicaemia treatedwith cold peritoneal lavage. February, 129

Khan, M.A. and Davidson, R.C.: Malignant fibroushistiocytoma of the pulmonary vein with prolapsethrough the mitral valve orifice. August, 680

Khan, S.A., Pace, J.E. and Cox, M.L.: Listeria rhomb-encephalitis in a previously healthy adult. May, 391(Ite)

Khanna, A.K., see Kumar, K.Khanna, S., see Vohra, B.K.Khaw, K.-T.: The menopause and hormone replacement

therapy: reviews in medicine. August, 615see also Murphy, S.

Kheterpal, S., Sayegh, F. and Cader, A.: A case ofpolycythaemia vera presenting with intramuscularchest wall haematoma. May, 381

Khosla, S.N., Kumar, D. and Singh, V.: Lymphocyticadenosine deaminase activity in typhoid fevers.April, 268

Khurshid, M., see Qaseem, T.King, D., Benbow, S.J. and Barrett, J.A.: The law and

medical fitness to drive - a study of doctors'knowledge. August, 624Playfer, J.R. and Roberts, N.B.: Concentrations ofvitamins A, C and E in elderly patients withParkinson's disease. August, 634

Kirby, P.A., see Edelstein, C.L.Kisicki, J., see Satterwhite, J.H.Kissoon, W., see Narayansingh, G.V.Knight, R., Sarlis, N. and Stephanou, A.: Interleukins and

neurohormones: a common language: leading arti-cle. August, 603

Knight, R.A., see Stephanou, A.Kocen, R.S., see Fletcher, N.A.Koliakos, G., see Traketellis, A.Kreel, L., see Al-Kutoubi, M.A.Kumar, A. and Chattopadhyay, T.K.: Management of

hydatid disease of the liver: leading article. Nov-ember, 853Kataria, R., Chattopadhyay, T.K., Karak, P.K. andTandon, R.K.: Biliary peritonitis secondary toperforation of common bile duct: an unusual pre-sentation of chronic calcific pancreatitis. October,837

Kumar, D., see Khosla, S.N.Kumar, K., Khanna, A.K. and Misra, M.K.: Hydatid cyst

AUTHOR INDEX 1009

of the neck. February, 152 (Ite)Kumar, K.A., Anjaneyulu, A. and Murthy, J.M.K.:

Idiopathic hypereosinophilic syndrome presentingas childhood hemiplegia. October, 831

Kumar, L., see Gulati, S.Kumar, S., see Misra, A.Kumari, G.R., see Ramani, R.Kung, A.W.C., see Luk, K.H.Kuritzky, A., see Sadeh, M.Kushwaha, S.S. and Steinberg, V.L.: Cauda equina synd-

rome associated with ankylosing spondylitis in afemale. June, 485 (Ite)

Lafferty, M., see Gillanders, I.Lahav, M., see Ra'anani, P.Lai, S.T., Lam, K.T. and Lee, K.C.: Biliary tract invasion

and obstruction by hepatocellular carcinoma:report of five cases. December, 961

Laker, M.F., see Winocour, P.H.Lam, K.S.L., see Luk, K.H.Lam, K.T., see Lai, S.T.Lamer, A.J.: Rhabdomyolysis associated with cranial

diabetes insipidus. February, 149 (lte)Lau, C.P., see Yap, H.Y.Lau, J., see Woo, J.Lawson, R., see McWilliams, R.Layer, G.T., see Crowe, A.La Bas, J.-F., see Renoult, E.Ledermann, J.A.: Extrapulmonary small cell carcinoma:

leading article. February, 79Ledo, A., see Torrelo, A.Lee, K.C., see Lai, S.T.Lee, T.H., see Barnes, P.J.Leger, Ph., see Cabrol, C.Legrand, D., see Renoult, E.Lehman, R.G., see Arstall, M.A.Leung, S.Y., see Luk, K.H.Levasseur, J.P., see Cabrol, C.Levo, Y., see Bat, L.Lewis, B., see Quiney, J.Li Kam Wa, T.C., Cooke, E.D., Beacham, J. and Turner,

P.: Absence of potentiation of the skin response tointradermal bradykinin by a long-acting angioten-sin converting enzyme inhibitor, trandolapril, atconventional antihypertensive dosage in humanvolunteers: a double-blind, randomized, cross-over,placebo-controlled trial. September, 742

Lieberman, S.: Family therapy. November, 921Lightman, S.L., see Stephanou, A.Lindley, R.I. and Sandercock, P.A.G.: Why test anti-

platelet therapy in acute ischaemic stroke and howcan this be done? Suppl. 2, 14

Lloyd-Davies, E., see Bhupalan, A.J.London, N., Swales, J., Hollinrake, K., Bell, P. and

Heagerty, A.: Familial Conn's syndrome. Decem-ber, 976

London, N.J., see Williams, N.Long, R.G., see McIntyre, A.S.Longst, K.A., see Alanis, A.Longstaff, A.J., see Courtney, S.P.Lopez, J.I., see Angulo, J.C.Lotliker, R.G., see Mohandas, K.M.Luder, R., see Kafetz, K.Ludlam, H.A., see Bell, A.R.Luk, K.H., Lam, K.S.L., Kung, A.W.C., Fung, C.F. and

Leung, S.Y.: Suprasellar ectopic pituitary adenomapresenting as cranial diabetes insipidus. June, 467

McAdam, W.A.F., see Adedeji, 0.McCabe, M.J., Weston, C.F.M. and Fraser, A.G.: Acute

myocardial infarction related to smoke inhalationand myocardial bridging. September, 758

Macallan, D.C., Maxwell, J.D. and Eastwood, J.B.:Osteomalacia should be sought and treated beforewithdrawal of anticonvulsant therapy in UKAsians. February, 134

McCane, D.R., Maxwell, A.P., Hill, C.M. and Doherty,C.C.: Glomerulonephritis associated with anti-bodies to neutrophil cytoplasm and glomerularbasement membrane. March, 186

McDermott, E.W.M., see O'Dwyer, P.J.MacDonald, B.J., see Taylor, J.MacFarlane, I.A., see Mallya, S.McGregor, J.R., see O'Dwyer, P.J.McGuigan, J., see Ritchie, A.J.McIntyre, A.S. and Long, R.G.: Fatal fulminant hepatic

failure in a 'solvent abuser'. January, 29McKee, M.: Inappropriate duties of pre-registration

house officers: postgraduate news and views.January, 72

Mackinnon, J., see Zezulka, A.MacLennan, W.J., see Ahmad, N.McLoughlin, J., Gingell, J.C., Harper, G. and Hinchliffe,

A.: Cerebellar manifestations of prostatic carcin-oma. July, 584

McManus, K., see Ritchie, A.J.McRae, D., Buchanan, G. and Kenyon, G.S.: Metastatic

cervical lymph nodes: general practitioner referralpatterns. May, 342

Mactier, R.A., see Khan, I.H.McWilliams, R., Hooper, T. and Lawson, R.: A late

complication ofpectus excavatum repair. June, 473Madhavan, M., Ratnaker, C., Veliath, A.J., Kanungo,

R., Smile, S.R. and Bhat, S.: Primary disseminatedfusarial infection. February, 143

Maharaj, B. and Bhoora, I.G.: Complications associatedwith percutaneous needle biopsy of the liver whenone, two or three specimens are taken. December,964

Maisch, B.: Anticardiac antibodies in hypertrophic car-diomyopathy as a marker of severity. Suppl. 1, 29Drude, L., Hengstenberg, C., Hufnagel, G., Schon-ian, U. and Schwab, D.: Cytolytic anticardiacmembrane antibodies in the pathogenesis of myo-pericarditis. Suppl. 1, 11

Mak, Y.T., see Woo, J.Malcolm, P.N., Wright, D.J. and Edmonds, C.J.:

Deficiency of 17a-hydroxylase associated withabsent gonads. January, 59

Malhotra, M., see Vashista, A.Malissiovas, N., see Trakatellis, A.Mallya, S., Calverley, P.M.A., MacFarlane, I.A.,

Hughes, S., Johnston, G. and van Heyningen, C.:Influence of cigarette smoking on the outcome ofcoronary care unit admissions with chest pain.July, 562

Mampaso, F., Bellas, C., Molina, A., Quereda, C., Bricio,T. and Buzon, L.: In situ demonstration of Epstein-Barr virus in intravenous drug abusers with gener-alized lymphadenopathy. September, 739

1010 AUTHOR INDEX

Manojlovic, D., see Micic, D.Popvic, V.

Marcos-Robles, J., see Montalban, C.Marinker, M.: The MSD Foundation Tutorship Courses:

postgraduate news and views. January, 73Markus, H., see Howard, L.M.Marsden, C.D.: Parkinson's disease. July, 538Martin, M., see Torrelo, A.Martinez, D., Orme, S.M., Chalmers, A. and Belchetz,

P.E.: Masked faecal peritonitis in Cushing's synd-rome. May, 390 (Ite)

Marwick, T.H., Bastian, B., Hughes, C.F. and Bailey,B.P.: Mitral stenosis in the Maroteaux-Lamy synd-rome a treatable cause of dyspnoea. April, 287

Masud, T., see Winocour, P.H.Matheson, K.H.: The Standing Committee on Post-

graduate Medical Education (SCOPME) Confer-ence on 'Priorities in Postgraduate and ContinuingMedical and Dental Education'. London, April1992: conference report. October, 840

Mathieu, P., see Renoult, E.Matthews, W.B., see Misbah, S.A.Maxwell, A.P., see McCance, D.R.Maxwell, J.D., see Macallan, D.C.Maxwell, S.R.J. and Kendall, M.J.: An update on nitrate

tolerance: can it be avoided?: review article.November, 857

Mayberry, J.F., see Probert, C.S.J.Maynard, J.D., see Afify, S.E.Mazairas, L., see Montalbin, C.Meeuwis, C.A., see Dees, A.Melino, G., see Stephanou, A.Mercer, M.: Amiodarone-induced thyrotoxicosis re-

sponding to oral steroid therapy. May, 394 (lte)Merchant, N.H., see Mohandas, K.M.Mestiri, T., see Cabrol, C.Meyers, M.L., see Gupta, S.Mici'c, D., Zoric, S., Popovic, V., Jankovic, R., Jancic,

M., Han, R., Manojlovic, D. and Micic, J.: Andro-gen-producing bilateral large cortical adrenaladenomas associated with polycystic ovaries in ayoung female. March, 219see also Popovic, V.

Micic, J., see Micic, D.Popovic, V.

Middleton, G.W., see Sheldon, C.D.Middleton, S.J., Coley, A. and Hunter, J.O: The role of

faecal Candida albicans in the pathogenesis offood-intolerant irritable bowel syndrome. June, 453

Mijovic, A., see Popovic, V.Miladinovic, M., see Vujanic, G.M.Millar, N., see Newrick, P.G.Millard, P., see Shotliff, K.Miller, J.P.: Screening for hyperlipidaemia and its treat-

ment in women and the elderly: reviews in medi-cine. November, 876

Mills, K.L.G., see Heys, S.D.Milroy, R., see Raina, V.Milton, J.D., Edwards, R.H.T. and Clements, G.B.:

Immune responsiveness in chronic fatigue synd-rome. January, 66 (lte)

Minford, E.J., Hand, T. and Jones, M.C.: Constipationand colonic perforation complicating calcium res-onium therapy. April, 302 (Ite)

Miralles, A., see Cabrol, C.Misbah, S.A., Spickett, G.P., Esiri, M.M., Hughes, J.T.,

Matthews, W.B., Thompson, R.A. and Chapel,H.M.: Recurrent intra-cranial granulomata pre-senting as space-occupying lesions in a patient withcommon variable immunodeficiency. May, 359

Miskelly, F.G. and Goodyer, L.I.: Hepatic and pul-monary complications of herbal medicines. Nov-ember, 935 (Ite)

Misra, A., Kumar, S., Venkatchalan, U., Mukhopad-hyay, D.K. and Bhatla, B.: Cerebellar ataxia due tohyponatraemia. March, 230 (lte)see also Mukhopadhyay, D.K.

Misra, M.K., see Kumar, K.Mohandas, K.M., Chinoy, R.F., Merchant, N.H., Lot-

liker, R.G. and Desai, P.B.: Malignant small celltumour (Askin-Rosai) of the pericardium. Febru-ary, 140

Mokoena, T., Shama, D.M., Ngakane, H. and Bryer,J.V.: Oesophageal tuberculosis: a review of elevencases. February, 110

Molina, A., see Mampaso, F.Montalban, C., Rodriguez-Garcia, J.L., Mazairas, L.,

Ayala, I. and Marcos-Robles, J.: Magnetic reson-ance imaging for the assessment of residual massesafter treatment of non-Hodgkin's lymphomas.August, 643see also Rodriguez-Garcia, J.L.

Moran, A., see Panos, M.Z.Morcos, S.K., see Yates, S.More, R.S. and Vincent, R.: Intracerebral haemorrhage

after thrombolytic therapy for acute myocardialinfarction. October, 800

Morgera, T., see Pinamonti, B.Moriarty, K.J., see Winocour, P.H.Morris, S., Corder, A.P. and Taylor, I.: What are the

benefits of routine breast cancer follow-up? Nov-ember, 904

Morton, A.R., see Dodwell, D.J.Moshkowitz, M., Arber, N., Wajsman, R., Baratz, M.

and Gilat, T.: Streptococcus bovis endocarditis as apresenting manifestation of idiopathic ulcerativecolitis. November, 930

Moss, S., see Butcher, G.P.Mouton, Y. and Senneville, E.: Broad-versus narrow-

spectrum antibiotic use: the role of in vitro testingand its correlation with clinical efficacy. Suppl. 3, 68

Mufti, G.R., see Agarwal, M.Mukhopadhyay, D.K., Srikant, S., Misra, A., Bhatla, B.

and Uppal, R.: Chilaiditi's syndrome presenting asunexplained tender hepatomegaly. February, 152(Ite)see also Misra, A.

Mulkerrin, E., see Dewar, R.Mullen, P.J.: Polyuria and weight-loss associated with

cimetidine. September, 771 (Ite)Mulpeter, K.M., Walsh, J.B., O'Connor, M., O'Connell,

F. and Burke, C.: Ocular hazards of nebulizedbronchodilators. February, 132

Muneretto, C., see Cabrol, C.Murphy, J.J., see O'Dwyer, P.J.Murphy, R.P., see Gutowski, N.J.Murphy, S., Khaw, K.-T., Sneyd, M.J. and Compston,

J.E.: Endogenous sex hormones and bone mineraldensity among community-based postmenopausalwomen. November, 908

Murray-Lyon, I.M., see Bhupalan, A.J.Murthy, J.M.K., see Kumar, K.A.

AUTHOR INDEX 1011

Nagendran, V., see Sandrasegaran, K.

Nagy, Z., see Czirjik, L.

Naidoo, D.P., Singh, B. and Haffejee, A.: Cardiovascularcomplications of parenteral nutrition. August, 629

Nakshabendi, I., see Taha, A.S.Nakshabendi, I.M., Duncan, A. and Russell, R.I.: Is

Asacol as effective as sulphasalazine in maintain-ing remission of Crohn's disease and ulcerativecolitis? March, 189

Narayansingh, G.V., Ramsewak, S., Cross, J.N., Adam,R.U. and Kissoon, W.: Worsening neurologicalstatus in late pregnancy: consider meningioma.June, 486 (lte)

Newrick, P.G., Millar, N., Penney, M. and Corrall,R.J.M.: Primary renal renin secretion respondingto angiotensin converting enzyme inhibition.August, 686

Ngakane, H., see Mokoena, T.Nicholls, A., see Adebajo, A.O.Nicholls, R.J., see Crowe, A.Nichlason, F., see Dewar, R.Nieuwland, Y., Tan, K.Y. and Elte, J.W.F.: Miliary

tuberculosis presenting with thyrotoxicosis. August,677

Nightingale, P., see Nimmo, G.R.Nimmo, G.R., Nightingale, P. and Edwards, J.D.: Acute

renal failure in the critically ill (Abstract). Suppl. 2,1

Nishizawa, M., see Sekiguchi, M.Noble, J.G., Christmas, T.J., Chapple, C.R. and Rick-

ards, D.: Inguinal bladder hernia associated withvesico-ureteric reflux. April, 299

Norton, K.R.W.: 'The Health of the Nation': the impactof personality disorder on 'key areas'. May, 350

Nunoda, S-i., see Sekiguchi, M.Nussey, S.S., see Penrice, J.

Oakley, C.M., see Good, J.O'Connell, F., see Mulpeter, K.M.O'Connor, H.J.: Eradication of Helicobacter pylori:

therapies and clinical implications: review article.July, 549

O'Connor, M., see Mulpeter, K.M.Odeh, M., Oliven, A. and Bassan, H.: Morphine and

severe dryness of the lips. April, 303 (lte)O'Dwyer, P.J., McGregor, J.R., McDermott, E.W.M.,

Murphy, J.J. and O'Higgins, N.J.: Patient recovery

following cholecystectomy through a 6 cm or

15 cm transverse subcostal incision: a prospectiverandomized clinical trial. October, 817

Offringa, M. and Benbassat, J.: The value of urinary redcell shape in the diagnosis of glomerular andpost-glumerular haematuria. A meta-analysis.August, 648

O'Flynn, W.R., see Hale, P.C.O'Higgins, N.J., see O'Dwyer, P.J.Oldershaw, P.J.: An overview of survival studies in

patients with heart failure: review article. August,606

O'Leary, C. and Finch, R.: Amoebic psoas and liverabscesses. December, 972

Oliven, A., see Odeh, M.Oliver, R.M., see Speechly-Dick, M.EOlsen, E.G.J.: The pathogenesis of dilated cardiomyo-

pathy. Suppl. 1, 7

see also Angomachalelis, N.J.Olujohungbe, A. and Cummins, D.: Spontaneous flail

chest in multiple myeloma. March, 231 (Ite)O'Mahony, D., Walsh, J.B. and Coakley, D.: 'Pseudo-

Alzheimer's and primary brain tumour. August,673

O'Neill, P.A., Crossley, D., Taberner, D.A. and Fair-weather, D.S.: Safety of anticoagulation in theelderly: reasons for discontinuing therapy. October,824

Oppenheimer, S.: The broken heart: noninvasive measure-ment of cardiac autonomic tone: leading article.December, 939

Orme, S.M., see Martinez, D.Orrman-Rossiter, S.L., see Savage, M.W.Orte, L., see Rivera, M.Ortiz-Vizquez, J., see Barbado, F.J.Ortufio, J., see Rivera, M.Owens, D., see Syam, B.Oyeyinka, G., see Erasmus, R.T.Ozcan, N., see Kelestimur, F.

Pace, J.E., see Khan, S.A.Padhy, A.K., see Bal, C.S.Pais, J.R., see Sureda, A.Panos, M.Z., Moran, A., Stableforth, D.E. and Chesner,

I.: Percutaneous endoscopic gastrostomy in elderlypatients. November, 936 (lte)

Papadopoulos, K.I. and Hallengren, B.: Graves' diseaseand insulin-dependent diabetes mellitus in idio-pathic Addison's disease. May, 387 (lte)

Parashar, S., see Garg, P.Parker, D.R. and El-Shaboury, A.H.: Fatal haemate-

mesis due to benign retrosternal goitre. September,756

Pascual, J., see Sureda, A.Pasticci, M.B., Baratta, E., Del Favero, A., Gillio, A.,

Baldelli, F. and Pauluzzi, S.: Campylobacterjejuni-an unusual cause of infectious arthritis. February,151 (Ite)

Patel, S., see Rose, S.J.Pauluzzi, S., see Pasticci, M.B.Pauselli, F., see Breda, E.Pavie, A., see Cabrol, C.Payne, J.E., see Rose, S.J.Pearce, J.M.S.: Cluster headache and its variants. July,

517Pedler, S.J., see Gray, J.W.Pedrol, E., see Fernandez-Sola, J.Pefia, J.M., see Barbado, F.J.Pennell, D.J., Underwood, S.R., Swanton, R.H., Walker,

J.M. and Ell, P.J.: Thallium myocardial perfusiontomography using dobutamine stress (Abstract).Suppl. 2, 12

Penny, M., see Newrick, P.G.Penrice, J. and Nussey, S.S.: Recovery of adrenocortical

function following treatment of tuberculous Addi-son's disease. March, 204

Petakov, M., see Popovic, V.Petrie, J., see Cabrol, C.Pharoah, P.D.P., see Chakravarty, K.Pinamonti, B., Sinagra, G., Di Lenarda, A., Morgera, T.,

Bussani, R., Silvestri, F. and Camerini, F.: Leftventricular involvement in right ventricular cardio-myopathy. Suppl. 1, 36

1012 AUTHOR INDEX

Pines, A., see Bat, L.Pinkhas, J., see Pras, E.Playfer, J.R., see King, D.Poles, L., see Ra'anani, P.Pollock, D.J., see Probert, C.S.J.Polyzoni, Th., see Trakatellis, A.Popovic, V., Micic, D., Damjanovic, S., Calovic, Lj.,

Rolovic, Z., Mijovic, A., Petakov, M., Manojlovic,D. and Micic, J.: Further evidence for differentialregulation of follicle-stimulating hormone (FSH)and luteinizing hormone (LH): increased FSH anddecreased LH levels in a patient with familial puregonadal dysgenesis. November, 925see also Micic, D.

Powell-Jackson, P., see Gainsborough, N.Poyner, F., see Bryce, G.M.Pradhan, P.K., see Bal, C.S.Pras, E., Arber, N., Pinkhas, J. and Sidi, Y.: Yersinia

enterocolitica endocarditis on a prosthetic valve.September, 762

Prasad, A., see Shotliff, K.Preece, J.D., see, Ford, G.A.Premawardhana, L.D.K.E. and Thirunavakarasu, G.:

Myotonia dystrophica - first presentation as severeleft ventricular failure complicating dilated cardio-myopathy. January, 67 (ite)Vora, J.P. and Scanlon, M.F.: Suppurative thyroi-ditis with oesophageal carcinoma. July, 592

Prentice, M.B., see Quinn, C.M.Probert, C.S.J., Jayanthi, V., Pollock, D.J., Baithun, S.I.,

Mayberry, J.F. and Rampton, D.S.: Crohn'sdisease in Bangladeshis and Europeans in Britain:an epidemiological comparison in Tower Hamlets.November, 914

Prokocimer, M., see Ra'anani, P.Pulla, M.P., de la Fuente, J., Hernaez, J.M., Roman, F.

and de Letona, J.M.L.: Intracranial tuberculoma:paradoxical expansion during medical treatment.June, 487 (lte)

Qaseem, T., Jafri, W., Khurshid, M. and Khan, H.:Cholestatic jaundice associated with danazoltherapy. December, 984 (lte)

Quereda, C., see Mampaso, F.Rivera, M.

Quiney, J., Watts, G.F., Kerr-Muir, M., Slavin, B. andLewis, B.: One year experience in the treatment offamilial hypercholesterolaemia with simvastatin.July, 575

Quinn, C.M., Thomas, H. and Prentice, M.B.: Urinarybladder carcinoma initially manifested as brainmetastases. August, 689 (lte)

Ra'anani, P., Lahav, M., Prokocimer, M., Poles, L. andTheodor, E.: Life threatening hypophosphataemiain a patient with Philadelphia chromosome-positivechronic myelogenous leukaemia in acute blasticcrisis. April, 283

Rabago, G., see Cabrol, C.Radotra, B.D., see Bhatia, S.Rahav, G., see Shalev, 0.Raina, V., Milroy, R., Al-Dawoud, A., Dunlop, D. and

Soukop, M.: Extrapulmonary small cell carcinomaof bone. February, 147

see also Bal, C.S.Ramani, R., Rao, P.V., Kumari, G.R. and Shivananda,

P.G.: Pulmonary geotrichosis. February, 150 (lte)see also Varghese, G.K.

Rampton, D.S., see Probert, C.S.J.Ramsden, D.B., see Burra, P.Ramsewak, S., see Narayansingh, G.V.Rao, P.V., see Ramani, R.Rapaport, E., see Angomachalelis, N.J.Ratnakar, C., see Dutta, T.K.Ratnaker, C., see Madhavan, M.Reckless, J.P.D.: Is intervention cost effective?: reviews in

medicine. November, 882Reed, P., see Savage, M.W.Rees, M.R., see Baig, M.W.Reeve, R., see Winocour, P.H.Regent, D., see Renoult, E.Renoult, E., Danchin, N., Mathieu, P., Kessler, M.,

Hestin, D., Legand, E., Regent, D. and Le Bas,J.-F.: Intrapericardial phaeochromocytoma asso-ciated with two intercarotid paragangliomas: diag-nostic considerations. October, 842 (Ite)

Restrick, L.J., Huddy, N. and Hoffbrand, B.I.: Diuretic-induced hypokalaemia and surgery: much adoabout nothing?: leading article. May, 318

Richardson, P.J., Why, H.J.F. and Archard, L.C.: Virusinfection and dilated cardiomyopathy. Suppl. 1, 17

Richart, C., see Benet, A.Rickards, D., see Noble, J.G.Riordan, J.F., see Rose, D.S.C.Ritchie, A.J., McManus, K., McGuigan, J., Stevenson,

H.M. and Gibbons, J.R.P.: The role of rigidoesophagoscopy in oesophageal carcinoma. Nov-ember, 892

Rivera, M., Gonzalo, A., Gobernado, J.M., Orte, L.,Quereda, C. and Ortufio, J.: Stroke in adultpolycystic kidney disease. September, 735

Roberts, J.V., see Bates, T.Roberts, N.B., see King, D.Robertson, D.R.C., see Bowker, L.K.Robinson, K., see Fahy, G.Rocamora, A., see Torrelo, A.Rodriguez-Garcia, J.L., Montalban, C., Zapatero, A.,

Saban, J. and Capote, L.: Giant-cell arteritis of theovarian arteries with associated temporal arteritis.December, 985 (lte)see also Montalban, C.

Rolovic, Z., see Popovic, V.Roman, F., see Pulla, M.P.Rose, D.S.C., Vigneswaran, W.T., Bovill, B.A., Riordan,

J.F., Sapsford, R.N. and Stanbridge, R. DeL.:Primary pericardial mesothelioma presenting astuberculous pericarditis. February, 137

Rose, F.C.: Lord Walton of Detchant. July, 497Rose, S.J., Stokes, T.C., Patel, S., Cooper, M.B., Bet-

teridge, D.J. and Payne, J.E.: Carnitine deficiencyassociated with long-term pivampicillin treatment:the effect of a replacement therapy regime.November, 932

Rosenblum, Y., see Bat, L.Rosenow, E.C.: Venous thromboembolism. Suppl. 1, 65Rossor, M.: Alzheimer's disease. July, 528Rous, E., Guy, M., Hayward, P. and Bramleby, P.: An

audit of training in public health medicine. Febru-ary, 106

Rudensky, B., see Siegelmann, N.

AUTHOR INDEX 1013

Russell, R.I., see Nakshabendi, I.M.Taha, A.S.

Ryder, S., see Aristodemou, A.

Saban, J., see Rodriguez-Garcia, J.L.Sadeh, M., Kuritzky, A., Ben-David, E. and Goldham-

mer, Y.: Adult metachromatic leukodystrophywith an unusual relapsing - remitting course.March, 192

Sadler, G.P., Gupta, R. and Foster, M.E.: Carcinoma ofthe splenic flexure - a case for extended righthemicolectomy? June, 487 (Ite)

Sahin, B., see Akoglu, M.Samuel, I., Dixon, M.F. and Benson, E.A.: Actino-

mycosis complicating chronic diverticulitis of thesigmoid colon: a missed association? January, 57

Samuel, L.M., Davie, M. and Starkey, I.R.: Amiodaroneand hair loss. September, 771 (lte)

Sandercock, P.A.G., see Lindley, R.I.Sanders, T.A.B.: Fish oil and heart disease: reviews in

medicine. November, 879Sandrasegaran, K., Clarke, C.W.F. and Nagendran, V.:

Sub-clinical systemic lupus erythematosus present-ing with acute myocarditis. June, 475

Sangster, K., see Gaskell, D.J.Sapsford, R.N., see Rose, D.S.C.Sarkar, C., see Bal, C.S.Sarlis, N., see Knight, R.Sarlis, N.J.: Internal medicine in Greece. January, 31

see also Stephanou, A.Sasako, Y., see Cabrol, C.Satterwhite, J.H., Cerimele, B.J., Coleman, D.L., Hat-

cher, B.L., Kisicki, J. and DeSante, K.A.: Phar-macokinetics of cefaclor AF: effects of age,antacids and H2-receptor antagonists. Suppl. 3, 3

Savage, M.W., Reed, P., Orrman-Rossiter, S.L., Wein-kove, C. and Anderson, D.C.: Acute intermittentporphyria treated by testosterone implant. June,479

Saxena, R., Johansson, C., Bygren, P. and Wieslander, J.:Autoimmunity and glomerulonephritis: reviewarticle. April, 242

Sayegh, F., see Kheterpal, S.Scanlon, M.F., see Premawardhana, L.D.K.E.Scapa, E., see Bat, L.Schattner, A. and Shani, A.: Intra-operative seeding of

tumour cells. June, 486 (lte)Schnitt, S.J., see Abelmann, W.H.Schon, F., Bowler, J. and Baraitser, M.: Cerebral

arteriovenous malformation in Noonan's synd-rome. January, 37

Sch6nian, U., see Maisch, B.Schwab, D., see Maisch, B.Scott, D.G.I., see Chakravarty, K.Scountzou, J., see Trakatellis, A.Scurr, J.H., see Shami, S.K.Seed, M.: Oral contraception, hormone replacement

therapy and hyperlipidaemia: reviews in medicine.November, 877

Sekiguchi, M., Nishizawa, M., Nunoda, S-i., Hiroe, M.and Hosoda, S.: Endomyocardial biopsy approachin cases with ventricular arrhythmias. Suppl. 1, 40

Selhuklu, A., see Kelestimur, F.Senan, S.: Diagnosis and treatment of lymphomatoid

granulomatosis. October, 841 (lte)

Senetar, J.E., see Alanis, A.Stotka, J.L.

Senneville, E., see Mouton, Y.Seymour, R., see Dewar, R.Shabetai, R.: Controversial issues in restrictive cardio-

myopathy. Suppl. 1, 47Shakespeare, C.F. and Coltart, D.J.: Recent advances in

cardiology: reviews in medicine. May, 327Shalev, O., Tsur, A. and Rahav, G.: Falciparum malaria-

induced hypoglycaemia in a diabetic patient. April,281

Shama, D.M., see Mokoena, T.Shami, S.K., Shields, D.A., Scurr, J.H. and Coleridge-

Smith, P.D.: Leg ulceration in venous disease:review article. October, 779

Shani, A., see Schattner, A.Shaper, A.G.: Low cholesterol and non-cardiac death:

cause or effect?: reviews in medicine. November,868

Sharief, M., see Fletcher, N.A.Sharma, A.K. and Fernando, O.N.: Intra-operative

bumetanide in cadaveric renal transplants. January,69 (Ite)

Sheard, K., see Baig, M.W.Sheldon, C.D., Middleton, G.W., Hughes, D.T.D. and

Forster, G.E.: Rapid pulmonary cavitation due toMycobacterium tuberculosis and infection withhuman immunodeficiency virus (HIV 1). April, 302(Ite)

Shemesh, E., see Bat, L.Shemesh, O., see Siegelmann, N.Shepherd, C.: Immune responsiveness in chronic fatigue

syndrome. January, 66 (lte)Sheppard, M.C., see Burra, P.Shields, D.A., see Shami, S.K.Shivananda, P.G., see Ramani, R.

Varghese, G.K.Shotliff, K., Prasad, A. and Millard, P.: Hypoglycaemia

masquerading as a stroke. October, 843 (Ite)Shurrock, K., see Andrews, R.Sidi, Y., see Pras, E.Sidoti, A.M., see Breda, E.Siegelmann, N., Abraham, A.S., Rudensky, B. and

Shemesh, O.: Brucellosis with nephrotic syndrome,nephritis and IgA nephropathy. October, 834

Silvestri, F., see Pinamonti, B.Simoneau, J.P., see Cabrol, C.Sinagra, G., see Pinamonti, B.Singh, B., see Naidoo, D.P.Singh, V., see Khosla, S.N.Siurana, R., see Benet, A.Slapak, G.I., see Speechly-Dick, M.E.Slavin, B., see Quiney, J.Smile, S.R., see Madhavan, M.Smith, K., see Bates, T.Smyth, E.G., see Easterbrook, P.J.Sneyd, M.J., see Murphy, S.Sobel, B.E.: Positron-emission tomography and cardio-

myopathy. Suppl. 1, 24Solis, E., see Cabrol, C.Soukop, M., see Raina, V.Speechly-Dick, M.E., Oliver, R.M. and Slapak, G.I.:

Congenital left ventricular diverticula: a rare causeof sudden cardiac death. May, 378

Spickett, G.P., see Misbah, S.A.Spriggs, D.A., Burn, D.J., French, J., Cartlidge, N.E.F.

1014 AUTHOR INDEX

and Bates, D.: Is bed rest useful after diagnosticlumbar puncture. July, 581

Srikant, S., see Mukhopadhyay, D.K.Stableforth, D.E., see Panos, M.Z.Stanbridge, R. DeL., see Rose, D.S.C.Starkey, I.R., see Samuel, L.M.Steinberg, V.L., see Kushwaha, S.S.Stephanou, A., Sarlis, N.J., Melino, G., Knight, R.A.,

Finazzi-Agro, A. and Lightman, S.L.: Retinoicacid-induced differentiation of human neuroblas-toma cell lines results in sequentially increasedexpression of messenger RNAs coding for inter-leukin-6 and corticotrophin releasing hormone(abstract). May, 386see also Knight, R.

Stevenson, H.M., see Ritchie, A.J.Stokes, T.C., see Rose, S.J.Stotka, J.L., Senetar, J.E., Therasse, D.G. and Dere,

W.H.: Comprehensive safety profile ofcefaclor AFin respiratory, urinary tract and skin infections.Suppl. 1, 73

Stott, D.J., see Taylor, J.Sureda, A., Pais, J.R., Pascual, J., Vaquero, M.A.P. and

Hernando, J.C.: Non-secretory multiple myelomapresenting as primary plasma cell leukaemia. June,470

Swales, J., see London, N.Swaminathan, R., see Woo, J.Swanton, R.H., see Pennell, D.J.Swash, M.: Motor neuron disease. July, 533Syam, B. and Owens, D.: Horner's syndrome in severe

tetanus. April, 279Sykes, D., see Dewar, R.Symington, I.S.: Occupational medicine in the National

Health Service. August, 663Szefner, J., see Cabrol, C.Szegedi, G., see Czirjak, L.Szolnoki, E., see Czirjik, L.

Taberner, D.A., see O'Neill, P.A.Taffinder, N., see Crowe, A.Taha, A.S., Nakshabendi, I. and Russell, R.I.: Vocal cord

paralysis and oesophago-broncho-aortic fistulacomplicating foreign body-induced oesophagealperforation. April, 277

Takacs, I., Berkessy, S. and Hart6, G.: Primary malig-nant neoplasms associated with chronic lym-phocytic leukaemia. July, 595 (lte)

Tan, K.Y., see Nieuwland, Y.Tan, L.B., see Baig, M.W.Tan, S.Y., Gill, G.V. and Hales, T.: Thyroid register

audit: a district general hospital experience. June,483 (lte)

Tan, T.T., Gangaram, H.B., Yusoff, K. and Khalid,B.A.K.: Third degree heart block in acromegaly.May, 389 (lte)

Tandon, R.K., see Kumar, A.Tattersall, J., Greenwood, R. and Farrington, K.: Memb-

ranous nephropathy associated with diclofenac.May, 392 (lte)

Taylor, I.: Treatment options for colorectal liver metas-tases: leading article. June, 403see also Morris, S.

Taylor, J., MacDonald, B.J. and Stott, D.J.: Attitudes ofsenior registrars in geriatric medicine to research:

postgraduate news and views. December, 981Temperilli, L., see Breda, E.Tesdale, A.L., see Gaskell, D.J.Thakur, R.C., see Bhatia, S.Theodor, E., see Ra'anani, P.Therasse, D.G., see Stotka, J.L.Thirunavakarasu, G., see Premawardhana, L.D.K.E.Thomas, D., see Dewar, R.Thomas, H., see Quinn, C.M.Thompson, G.R.: Statins and the central nervous system:

reviews in medicine. November, 871Thompson, R.A., see Misbah, S.A.Thoren, L.M., see Derriennic, M.Thorley, P.J., see Baig, M.W.Thornsberry, C: Cefaclor AF: correlation of micro-

biology and clinical outcome. Suppl. 3, 10Timmins, A.C., Hayes, M., Yau, E., Watson, J.D. and

Hinds, C.J.: The relationship between cardiacreserve and survival in critically ill patients receiv-ing treatment aimed at achieving supranormaloxygen delivery and consumption. Suppl. 2, 34

Toda, R., see Benet, A.Tomson, C.R.V.: End stage renal disease in sickle cell

disease: future directions: leading article. October,775see also Devoy, M.A.B.

Torrelo, A., Martin, M., Rocamora, A., Allegue, F. andLedo, A.: Lymphomatoid granulomatosis present-ing as angioedema. May, 366; October, 842 (Ite)

Trakatellis, A., Dimitriadou, A., Exindari, M., Scount-zou, J., Koliakos, G., Christodoulou, D., Malissio-vas, N., Antoniadis, A. and Polyzoni, Th.: Effect ofpyridoxine deficiency on immunological pheno-mena. Suppl. 1, 70

Trambert, J., see Gupta, S.Treasure, T.: South African Society of Cardiac Practi-

tioners, Durban, March 1992: conference report.September, 768

Trueman, A., see Gunn, J.Tsur, A., see Shalev, 0.Turner, M., see Cameron, D.Turner, P., see Li Kam Wa, T.C.Turner, T.H., see Ur, E.

Unda-Urzaiz, M., see Angulo, J.C.Underwood, S.R., see Pennell, D.J.Uppal, R., see Mukhopadhyay, D.K.Ur, E., Turner, T.H., Goodwin, T.J., Grossman, A. and

Besser, G.M.: Mania in association with hydrocorti-sone replacement for Addison's disease. January, 41

Urbano-Marquez, A., see Fernandez-Sola, J.Urquhart, J.: Ascertaining how much compliance is

enough with outpatient antibiotic regimens. Suppl.3, 49

Uwaydah, A.K. and Al Qadah, F.: Strongyloides stercor-alis hyperinfection in a patient with angioimmuno-blastic lymphadenopathy. December, 970

Vaira, D., see Croker, J.R.Vaissier, E., see Cabrol, C.Vallance, P.: Endothelial regulation of vascular tone:

leading article. September, 697Vamvalis, C., see Angomachalelis, N.Van der Merwe, C.A., see Gledhill, R.F.

AUTHOR INDEX 1015

Van Heyningen, C., see Mallya, S.

Vaquero, M.AP., see Sureda, A.

Varghese, G.K., Ramani, R., Bhat, K.R. and Shivan-anda, P.G.: Nocardia brasiliensis meningitis. Dece-mber, 986 (Ite)

Varma, J.S., see Wyatt, J.P.Vashista, A., Goel, A., Bhatnagar, M.K., Malhotra, M.

and Verma, N.P.S.: Idiopathic thrombocytopenicpurpura and acute polyneuritis: a coincidence orassociation. May, 394 (Ite)

Vazquez, J.J., see Barbado, F.J.Veliath, A.J., see Madhavan, M.Venkatchalan, U., see Misra, A.Verma, N.P.S., see Vashista, A.Vianna, J.L., see Domenech, I.

Vidal, F., see Benet, A.Vigneswaran, W.T., see Rose, D.S.C.Vincent, R., see More, R.S.Vohra, B.K. and Khanna, S.: Bilateral tubercular psoas

abscess mimicking bilateral hydronephrosis - therole of computerized tomography in the manage-ment. August, 690 (lte)

Voi, M., see Derriennic, M.Vora, J.P., see Premawardhana, L.D.K.E.Vujanic, G.M. and Miladinovic, M.: Menetrier's disease

in a child. August, 683

Wajsman, R., see Moshkowitz, M.Walker, J.M., see Pennell, D.J.Walsh, J.B., see Mulpeter, K.M.

O'Mahony, D.Walters, J.R.F., see Butcher, G.P.Ward, M.P., see Benson, J.R.Wardrop, C.A.J., Holland, B.M., Jacobs, S. and Jones,

J.G.: Optimization of the blood for oxygen trans-port and tissue perfusion in critical care. Suppl. 2, 2

Watson, J.D., see Timmins, A.C.Watt, B. and Collee, J.G.: Bacterial challenges and

evolving antibacterial drug strategy: reviews inmedicine. January, 6

Watts, G.F., see Quiney, J.Weinkove, C., see Savage, M.W.Welsby, P., see Cameron, D.

Willocks, L.Welsby, P.D.: Infectious diseases and AIDS: reviews in

medicine. June, 415Should clinicians accept management responsibil-ities? August, 671see also Dowsett, E.G.

West, R.: Screening for hyperlipidaemia and its treatmentin childhood: reviews in medicine. November, 874

Weston, C.F.M., see McCabe, M.J.White, J., Bullock, R.E., Hudgson, P. and Gibson, G.J.:

Neuromuscular disease, respiratory failure and cor

pulmonale. October, 820Why, H.J.F., see Richardson, P.J.Wickham, M.K., see Edelstein, C.L.Wieslander, J., see Saxena, R.Wignall, B., see Bhupalan, A.J.Wijesundere, A.: Guillain-Barre syndrome in Plasmo-

dium falciparum malaria. May, 376Wilkinson, S.P., see Ford, G.A.Williams, N., Gerrand, C., London, N.J., Chapman, C.

and Bell, P.R.F.: Splenic rupture following splenicvein thrombosis in a man with protein S deficiency.November, 928

Williams, S.G., see Croker, J.R.Willocks, L.: VII International Conference on AIDS -

Florence, June 1991: conference report. January,62Jones, M., Brettle, R., Welsby, P. and Gray, J.:Changing patterns of malaria in south-east Scot-land: implications for practitioner awareness andprophylactic advice. January, 22

Wilson, J.A., see Ahmad, N.Winocour, P.H., Moriarty, K.J., Hales, C.N., Adams, J.,

Reeve, R., Wynick, D., Allison, D., Bloom, S.R.and Anderson, D.C.: Difficulties in localizationand treatment of insulinomas in type 1 multipleendocrine adenomatosis (MEA). March, 196Masud, T., Clark, F., Cooper, B.G., Laker, M.F.and Alberti, K.G.M.M.: Lipid and lipoproteinmetabolism in familial combined hyperlipidaemiaduring treatment of sporadic phaeochromocy-toma: a case study. May, 371

Wong, R.C.W. and Harrison, P.: NonEBV-related B-celllymphoma in a renal transplant patient respondingto acyclovir and reduction in immunosuppression.February, 145

Woo, J., Mak, Y.T., Lau, J. and Swaminathan, R.:Prediction of mortality in patients in acute medicalwards using basic laboratory and anthropometricdata. December, 954

Wright, D.J., see Malcolm, P.N.Wyatt, J.P. and Varma, J.S.: Femoral hernia appendix

causing small intestinal obstruction. March, 223Wynick, D., see Winocour, P.H.

Xiao, H.B., see Brecker, S.J.

Yap, H.Y. and Lau, C.P.: Hyponatraemic encephalo-pathy complicating thiazide reserpine preparation.February, 149 (lte)

Yates, S. and Morcos, S.K.: Pneumoperitoneum withoutperitonitis. May, 387 (lte)

Yau, E., see Timmins, A.C.Young, B.D.: Molecular biology in medicine: reviews in

medicine. April, 251Yusoff, K., see Tan, T.T.

Zambon, M., see Butcher, G.P.Zapatero, A., see Rodriguez-Garcia, J.L.Zeeli, D., see Bat, L.Zezulka, A., Mackinnon, J. and Beevers, D.G.: Hyper-

tension in aortic valve disease and its response tovalve replacement. March, 180

Zoric, S., see Micic, D.

Notice to Contributors

The Postgraduate Medical Journal considers manu-scripts prepared in accordance with the guidelines laiddown by the International Committee of MedicalJournal Editors (Br Med J 1988, 296: 401-405). Allmaterial submitted is assumed to be submitted exclus-ively to the Postgraduate Medical Journal unless thecontrary is stated.Typescripts Two complete copies should be sent tothe Editor, Postgraduate Medical Journal, 6 StAndrew's Place, London NW1 4LB. Papers must betynewritten, double-spaced, on one side of paper not. .ger than A4 (297 mm x 210 mm), with a 5 cmmargin. The first page ofthe typescript should bear thenames of the author(s) and the name and address ofthe laboratory or institution where the work has beencarried out, in addition to the title of the paper. Thefull address and fax number of the principal author towhom proofs will be sent should be given as afootnote, as should any permanent changes ofaddressand/or appointment. A short (running) title of notmore than 45 characters should be given. All pagesshould be numbered including the title page. In linewith many other journals, we do not normally returnrejected manuscripts.The principal author must ensure that any co-authorslisted agree to submission of the typescript. Anywritten or illustrative material which has been or willbe published elsewhere must be duly acknowledgedand accompanied by the written consent of theauthors and publishers concerned.Arrangement Papers should be divided into; (a) Titlepage, (b) Summary, (c) Introduction, (d) Materialsand methods, (e) Results, (1) Discussion, (g) Ack-nowledgements, (h) References, (i) Tables, () Figuresand captions. The summary should not exceed 250words and should state concisely what was done, themain findings and how the work was interpreted. In allsections of the paper numbered paragraphs should beavoided if at all possible.Style Abbreviations and symbols must be standardand SI units used throughout. Acronyms should beused sparingly and must be fully explained when firstused. Whenever possible drugs should be given theirapproved generic name. Where a proprietary (brand)name must be used, it should begin with a capitalletter. Statistical analyses must explain the methodsused. The use of footnotes is not permitted. Singlequotation marks should be used and words to beitalicized should be underlined. The Concise OxfordEnglish Dictionary is used as a reference for all spellingand hyphenation.References should follow the Vancouver format. Inthe text, they should appear as numbers starting at 1.At the end of the paper they should be listed (double-sp aced) in numerical order corresponding to the orderofcitation in the text. All authors should be quoted forpapers with up to six authors; for papers with morethan six authors, the first three only should be quotedfollowed by et al. Abbreviations for titles of medicalperiodicals should conform to those used in the latest

edition of Index Medicus. The first and last pagenumbers for each reference should be provided.Abstracts and letters must be identified as such.1. Clements, R. & Gravelle, I.H. Radiological

appearances of hydatid disease in Wales. PostgradMed J 1986, 62: 167-173.

2. Greenberger, J.S. Long-term hematopoietic cul-tures. In: Golde, W. (ed) Hematopoiesis. Churchill-Livingstone, New York, 1984, pp 203-242.

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