Croonian Lectures. On the Pathology, Morbid Anatomy, and Treatment of Insanity, delivered at the Royal College of Physicians, London, 1858

1861 ◽  
Vol 7 (36) ◽  
pp. 161-179
Author(s):  
Alex. John Sutherland

Insanity is a disease at once so interesting, and so important, that it is not surprising that the subject should have been chosen by some who have preceded me in delivering the Croonian Lectures. In 1832, Dr. Seymour lectured upon the Medical Treatment of Insanity; in 1848, Dr. Conolly referred in his Lectures, more particularly to the Moral Causes and the Moral Treatment of the Disease; and in 1853, you, Mr. President, delivered your valuable Lectures on Medical Testimony and Evidence in Cases of Lunacy.

1861 ◽  
Vol 7 (37) ◽  
pp. 1-19 ◽  
Author(s):  
Alex. John Sutherland

In my last lecture I endeavoured to explain the reasons why no one of the present theories of insanity was able to account for all the varieties of the disease. I founded this opinion partly upon the nature of the disorder itself, and partly upon our ignorance of the manner in which the minute internal structure of the brain and cord is altered by the symptoms, and partly upon the uncertain light which the present state of science throws upon the subject, and I pointed out the manner in which I hoped that future investigations might aid us in solving this difficult problem. In my present lecture I propose to speak of the morbid anatomy.


1861 ◽  
Vol 7 (38) ◽  
pp. 160-180
Author(s):  
Alex. John Sutherland

The time allotted for the delivery of a lecture did not allow me to state, when we last met, the appearances found on dissection in the thorax and abdomen in cases of insanity.I will now do so very briefly, and will afterwards speak of that which I had proposed more particularly to form the subject of my present lecture, viz. the treatment of insanity.


1957 ◽  
Vol 3 ◽  
pp. 289-304 ◽  

Hubert Maitland Turnbull, who died on 29 September 1955 some eight years after retirement from the Chair of Morbid Anatomy at the London Hospital Medical College, occupied a position of eminence in British pathology. Not only was he greatly esteemed by his colleagues at the London but his influence extended widely throughout the medical schools of this and other countries of the Commonwealth. This was due not so much to his ability as an initiator and director of research, even though he was responsible for a considerable amount of valuable original work during his forty years at the London Hospital, but to a particular genius for accuracy of observation and meticulous attention to detail which he possessed in high degree and applied with almost religious fervour to everything that he did. Entering pathology at a time when many in this country held that morbid anatomy was a dead subject, Virchow, in their opinion, having left little new territory to be explored, Turnbull set himself to revolutionize morbid anatomical practice and to raise the subject to the level of a science. And so well did he succeed that he proved a source of inspiration not only to his fellow pathologists and those young graduates who chose to emulate him, but also to the much wider circle of clinicians who sought the privilege of working for a time in his department as a prelude to specialization in some other branch of medicine.


1877 ◽  
Vol 23 (103) ◽  
pp. 309-324
Author(s):  
G. Fielding Blandford

Gentlemen,—At various times since you did me the honour to elect me your President for the coming year, I have considered what should be the subject of the address which custom demands that I should this day deliver. You have listened to addresses on the prevention of insanity, the treatment of insanity, the care of the insane whether recent or chronic—in fact, as every year brings its address, I felt that it was difficult to choose a theme that had not already engaged the attention of far abler and more experienced Presidents. When, however, the Parliamentary Committee, which has so long been sitting, commenced its labours, and heard the evidence of so many witnesses on the various points which they have brought before it, it seemed to me impossible that I could pass over such an event without notice, and I determined to lay before you some remarks on the Report of that Committee, and the evidence there received. Yet, although the Committee commenced its sittings in the beginning of March, it has not yet presented its report, consequently I am not able to lay any portion of the latter before you on this 2nd of August.


1922 ◽  
Vol 59 (8) ◽  
pp. 365-376 ◽  
Author(s):  
Edward Greenly

The deposits which are the subject of this paper have already attracted some attention, because of their connexion with the contents of a small, though highly fossiliferous bone-cave at a placecalled Holly Lane (Figs. 1, 2), discovered by Mr. G. E. Male, of Clevedon, towards the close of the year 1905. Mr. Male worked at it for many weeks, and with his brother, Dr. H. C. Male, of Croydon. collected hundreds of bones, though unfortunately considerable numbers had been already thrown away. In the following year Professor Sidney Reynolds also began to collect, and obtained about 500 more. Probably not less than 2,000 have been preserved. They are now in the museums at Jermyn Street (London), Bristol, and Taunton, and in Dr. Male's collection. The vertebrates were named by Mr. E. T. Newton, Professor Reynolds, and Mr. Martin Hinton (with notes by Mr. S. G. Shattoek, of the Royal College of Surgeons, and by Professor Sir W. Boyd Dawkins), and the gasteropods by Mr. E. T. Newton, the shells having lately been re-examined and the list revised by Mr. A. S. Kennard.


1866 ◽  
Vol 12 (59) ◽  
pp. 348-367
Author(s):  
Franz Meschede ◽  
G. F. Blandford

The disorder commonly called “general paralysis of the insane” presents so many points of interest to the pathologist and the physician, that as a necessary consequence it forms the commonest topic among the writings of those who specially study insanity. But after so much observation and so many treatises, it is disheartening to find that even now scarcely more than one fact with regard to it is laid down as settled and established beyond the possibility of doubt. One there is, the saddest that can be. It is, that for this malady we hitherto have found no cure; that to diagnose it is to pronounce the sentence, not only of incurable insanity, but also of speedy death. The marvel of the whole is, that although death occurs in every case at no very distant period, though postmortem examinations of general paralytics are made by hundreds every year in this and other countries, yet even at this day no two observers are agreed as to the pathology and morbid anatomy, as to the part in which it has its origin, or which constitutes its peculiar and proper seat. No wonder that the whole of the morbid anatomy of insane brain is vague and ill-defined, when this, the specially fatal form of mental disease, still hides itself from usâ still wraps itself in the mystery which envelopes all that relates to mind. I make no apology for drawing the attention of the readers of this Journal to a paper on the subject, published in the October and November numbers of ‘ Virchow's Archives/ 1865, and for giving a short and necessarily imperfect summary of its contents, it being too long for reproduction. But as every outline must needs be unsatisfactory, I trust my readers will go themselves to the original. In default of opportunity of examining many brains of paralytic patients, I present as a contribution to the English treatises on the subject these observations of another.


THE visible form of the insect is defined by the outer skin or cuticle. The cuticle is the product of the single layer of epidermal cells which lie beneath it. The form of the insect is thus determined by the growth changes and the secretory activity of the epidermal cell. The purpose of the lecture was to approach the subject of metamorphosis through a consideration of the physiology of the epidermal cell. The epidermal cell is interesting because it combines within itself so many functions, actual and potential; social functions as a member of the community of cells of which it forms a part, and individual functions where it is concerned primarily with its own affairs.


1990 ◽  
Vol 28 (20) ◽  
pp. 77-79

We last discussed the special needs and problems of medication for elderly patients 6 years ago1 after a Royal College of Physicians report on the subject.2 This article takes its title from a large descriptive survey undertaken shortly after.3


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
W Rea ◽  
P Sturch ◽  
F Anjum

Abstract Introduction Variation in regional paediatric circumcision rates suggested some circumcisions were being performed unnecessarily. In 2016, the Royal College of Surgeons (RCS) released a clinical commissioning guide on foreskin conditions to standardise the indications for circumcision. We retrospectively audited the foreskin procedure practice at our urology department and its adherence to RCS clinical commissioning guidance. Method We assessed electronic health records for all paediatric patients (<17 years) having undergone a foreskin procedure from 1st Jan 2018 to 1st Jan 2019. Records were assessed for referral source, trial of medical treatment (steroid cream), indication, operative management carried out, daycase or inpatient cases, and histological analysis. Results 198 patients (mean age 8.7, range 2-16) underwent foreskin procedures in the set time frame. 98.9% were referred from GP surgery, and the remainder directly from A&E. 29.8% had documented trials of steroid creams prior to surgery. 51.5% of procedures were performed for ‘non-retractile foreskin’ and 11.6% for pathological phimosis. 87.4% of patients underwent circumcision and 11.1% had freeing of adhesions. All of procedures were performed as day-case. Histology was sent for 17.3% of circumcisions, with non-specific inflammation being the most common finding (46.7%), followed by lichen sclerosus (40%). Conclusions In our series large number of foreskin procedures were carried out over a 12-month period with a minority for the only absolute indication of pathological phimosis We have introduced stringent guidelines in the department since this audit, which will prevent circumcision in children who may otherwise avoid surgery.


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