Infertility is a problem for the couple and evaluation of the couple is preferable in a clinic where both males and females may be seen together. The contribution to care by the urologist and the gynaecologist each with an interest in infertility is different but complementary. My appreciation of this was sharpened between 1976 and 1985 during my association with the World Health Organization's Spe cial Programme of Research Development and Research Training in Human Reproduction at the meetings of the Steering Committee of its Task Force on Infertility. The deliberations of this group were aimed at developing a protocol for investigation of the infertile couple and it became apparent to me as a gynaecologist how important is the precise characterization of the male partner's role to the formulation of the management plan for the infertile couple. To improve the quality of our evaluation of the male partner our techni cal staff were trained in the semen methodology of the laboratory of Dr F Com haire of Ghent and we were joined by Dr CLR Barratt, male reproductive biologist. It seemed appropriate to share our enthusiasm for clinical andrology, so after discussion with Dr Comhaire and Professor T Glover, an eminent male reproductive biologist, then of Brisbane, who planned a sabbatical to his native was arranged for 1 and 2 May 1986. Professor Glover en Yorkshire, a meeting of the meeting.

Advances in Clinical Andrology

Christopher L.R. Barratt

Parenting & Relationships

MacMillan Technical Publishing

`... a welcome addition to the growing literature on headache and I warmly recommend it to the non-specialist.' Journal of Neurology, Neurosurgery & Psychiatry, July 1988.

Headache (Practical Clinical Medicine)

T.J. Fowler

Health, Fitness & Dieting

Quality of Life: Assessment and Application (Cmr Workshop Series)

S. R. Walker,Centre for Medicines Research,Rachel M. Rosser

Three points must strike anyone who has embarked on a study of dementia over a period of time. Firstly, that our conception of the syndrome is in a state of flux. Gone, for instance, in the past decade or two, is the requirement of a chronic, progressive, irreversible disorder for the diag­ nosis. I remember the surgeon who, when I was a student, returned a referral saying he would operate on the man when his dementia got better. Feeling superior, and encouraged by the consultant psychiatrist, we students laughed a good deal at this. Before we finished clerking on that Unit a visiting Professor of Psychiatry had demonstrated the reversibility of the symptoms of dementia in a patient with a rare metabolic disorder. Perhaps ignorance is sometimes an advance on received wisdom. The lesson is the concept of dementia must always reflect the state of knowledge and is therefore in a sense ad hoc. Secondly, what the criteria for, and also who the arbiters of, the diagnosis might be is not always clear. It is traditional to think that expressing opinions and making diagnosis of mental illness is almost a civic right, i.e.

Dementia: A survey of the syndrome of dementia

Politics & Social Sciences

B. Mahendra

Social Sciences

Calcium-Dependent Processes in the Liver (Falk Symposium)

W. Gerok,M. Herrmann,C. Heilmann

Medical Books

Nerves and the Gastrointestinal Tract (Falk Symposium)

M. V. Singer

W. T. SINGLETON THE CONCEPT This is the fourth in a series of books devoted to the study of real skills. A skilled person is one who achieves his objectives effectively, that is by an optimal expenditure of effort, attention and other resources working within his native capacities of strength, vision, intelligence, sensitivity and so forth. It is difficult if not impossible to measure in a quantitative sense. There is, however, no question about its presence or absence. The differences between a highly skilled performer and a mediocre one are so readily manifest that there is no ambiguity. The student of skill is a person interested in what these differences are and how they originate. The importance and the difficulty of skill study is that the concept is a univ~rsal one for human activity. The movement of one limb can be skilled or unskilled within the context of a task, so also can the way a leader addresses a large meeting of his followers. For these and other equally disparate activities there are certain descriptive terms which always seem to be applicable: continuity, sequencing, timing, together with a subtle combination of sensi tivity, adaptability and imperturbability. What happens at any instant is set precisely with the flow from what has already happened to what is going to happen. The order of events has a determinate logic which may not be obvious to the observer except with the benefit of hindsight.

Social Skills

W.T. Singleton

Psychology & Counseling

Having the privilege of editing the English language version of this book I have found the detailed thought, explanation and step-by-step instruction that this book provides most refreshing and stimulating. There are few publications indeed that provide a completely reliable companion to bedside and out-patient instruction for the medical student - and even fewer that enhance the established physician's techniques. Medical skills in the art and science of patient examination are normally learnt experimentally - time, personal instruction and constant repetition are necessary for them to be acquired. Even then it must be admitted by many that there are some techniques that are never fully understood, properly learnt or correctly concluded - and these errors are liable to a lifetime's repetition. This volume with its excellent photographs and illustrations takes the reader clearly and incontrovertibly step-by-step through every detail of all the procedures necessary for the standard forms of examination of a patient. It is a companion for every student and doctor who wishes to learn fully and completely these necessary skills and to improve the ones they already have. Dr Alexander D. G. Gunn, Director, University Health Service, Reading, Berks, UK 1982 Preface to the Dutch edition The idea of writing this book coincided almost them a superficial acquaintance with five or six exactly with the establishment of a 'skills 'fashions' and proficiency in none of them.

The physical examination: An atlas for general practice

L. Lodewick

Three International Congresses on the Menopause have been held during the last five years, evidence of the explosive increase in the scient ific study of this subject. The first, held in La Grande Motte, near Montpellier, France, inJune 1976, was designed to provide a consensus on menopause research (van Keep et al., 1976). The second, held in Jerusalem, was planned to assess the developing research (van Keep et al., 1979). The objective of the third congress, convened inJune 1981 in Ostend, Belgium, under the auspices of the International Menopause Society, was to explore areas of controversy in basic understanding and in the therapeutic advances relating to the climacteric. The workshop moderators were selected because of their acknow ledged leadership in menopause research, and each was invited to arrange a workshop on a specific area of interest or concern. The moderators, whilst being given a free hand as far as the selection of invited speakers was concerned, were asked to allow plenty of time for open discussion. In particular, they were encouraged to stimulate debate about controversial issues.

The Controversial Climacteric: The workshop moderators’ reports presented at the Third International Congress on the Menopause, held in Ostend, ... of the International Menopause Society

P.A. van Keep

As the acute infectious diseases recede in importance, and as the number of people surviving into middle and old age increases, the chronic 'degenerative' diseases assume greater importance as causes of death and disability. Of these diseases, atherosclerosis is by far the most prevalent and its consequences the most devastating. The search for the cause of atherosclerosis is consuming large amounts of resources of both money and research talent. As yet, the cause remains unknown. Much of the research effort into atherosclerosis has been concerned with lipid metabolism. This is based on the knowledge that abnormalities of certain lipids and lipoproteins predispose to cardiovascular disease. Often the research has not been directly related to atherosclerosis and it is only recently that widespread attention has been paid to the artery. The development of methods of growing vascular endothelial and smooth muscle cells in culture has made possible detailed studies of the biology of the arterial wall. There are a number of reasons why investigations of lipid metabolism alone will not identify the cause of atherosclerosis. First, only a minority of patients with cardiovascular disease have abnormal circulating lipids and lipoproteins. Second, there are three major predisposing factors for atherosclerosis which cannot be entirely explained by abnormal lipid metabolism - age, sex, and diabetes mellitus. Third, it is now clear that lipid is only one component of the atheromatous plaque, and incorporation of lipid may be a late feature of the development of the lesion.

Hormones and Atherosclerosis

Robert W. Stout

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