INJURY: THE BRITISH JOURNAL OF ACCIDENT SURGERY
grants f r o m F 6 r s v a r s m e d i c i n s k a delegationen, S t o c k h o l m , Sweden.
REFERENCES AHLINDER, S., BIRKE, G., NORBERG, R., OLHAGEN, B., PLANTIN, L.-O., and REIZENSTEIN, P. (1968), ' The Normal Metabolism of Gamma-G-Globulin ', Acta reed. scand., 184, 25. BAAR, S. (1965), ' S e r u m and Plasma Proteins in thermally Injured Patients treated with Plasma, its Admixture with Albumin or Serum Alone ', Am~. Surg., 161, 112. BARR, P.-O., BIRKE, G., LILJEDAHL, S.-O., and PLANTIN,L.-O. (1968), ' Oxygen Consumption and W a t e r Loss during Treatment of Burns with Warm Dry Air ', Lancet, 1, 164. (1969), ' Studies on Burns. X ', Acta chir. scand., to be published. BIRKE, G., CARLSSON, L., DAVIES,J. W. L., VON EULER, U., LIL1EDAHL, S.-O., and PLANTIN, L.-O. (1970), ' L i p i d Metabolism and the Excretion of Catecholamines in Burned Patients ', Ibid., to be published. - - - - LIL1EDAHL, S.-.O., OLSSON, K.-E., and PLANTIN, L.-O. (1969), ' Total Body Water Measurements in Patients with Burns ', Ibid., to be published. PLANTIN, L.-O., and REIZENSTEIN, P. (1968), 'Studies on Burns. IX. The Distribution and Losses through the Wound of 13~I Albumin measured by Whole Body Counting ', Ibid., 134, 27. and WETTERFORS, J. (1960), ' Albumin Catabolism in Burns and following Surgical Procedures ', Ibid., 118, 353. and TROELL, L. (1957), ' Studies on Burns. HI. The Serum Protein Pattern and Nitrogen Metabolism, ' Ibid., Supplement 228, 39. COHEN, S., and FREEMAN, T. (1960), 'Metabolic Heterogeneity of H u m a n Gamma-globulin ', Biochem. J., 76, 475. and MCFARLANE, A. S. (1961), ' Metabolism of lsq labelled H u m a n Albumin ', Clin. Sci., 20, 161.
Injury July 1969
CUTHBERTSON, D. P., SMITH, C. M., and TILSTONE, W. J. (1968), ' T h e Effect of Transfer to a Warm Environment (30 °C.) on the Metabolic Response to Injury ', Br.J. Surg.,55, 513. DAVIES, J. W. L. (1967), ' Some Effects of the Early Fluid Therapy of Patients with Burns ', Br. J. plast. Surg., 20, 263. ----RICKETTS, C. R... and BULL, J. P. (1962), 'Studies of Plasma Protein Metabolism. Part I. Albumin in Burned and Injured Patients ', Clin. Sci., 23, 41 i. (1963), "Studies of Plasma Protein Metabolism. Part II. Pooled Gamma-globulin in Burned and Injured Patients ', Ibid., 24, 371. LILJEDAHL) S,-O., OLHAGEN, B., PLANTIN, L.-O., and BIRKE, G. (1963), 'Studies on Burns. VII. The Problem of Infection with Special Reference to G a m m a Globulin ', Acta chir. scand., Supplement 309. McFARLANE, A. S. (1958), ' Efficient Trace Labelling of Proteins with Iodine ', Nature, Lond., 182, 53. PRENDERGAST, J. J., FENICHEL, R. L., and DALY, B. M. (1952), ' A l b u m i n and Globulin Changes in Burns as demonstrated by Electrophoresis ', Archs Surg., Chicago, 64, 733. REIZENSTEIN, P., and KARLSSON, H. A. (1966), 'Clinical Whole Body Counting--Whole Body Scanner with Two Crystals ', Acta radiol., 4, 209. ROE, C. F., and SWERSEY, B. L. (1964), ' A Hydraulic Scale for in Bed Weighing of Patients ', J. appl. Physiol., 19, 820. SEVITT, S. (1958), Pathology of Burns, ch. 17. London: Butterworth. STEINFELD, J. L. (1960), ' Difference in Daily Albumin Synthesis between Normal Men and Women as measured with xaq Labelled Albumin ", J. Lab. clin. Med., 55, 904. TOPLEY, E., and JACKSON, D. M. (1957), ' The Clinical Control of Red Cell Loss in Burns ', J. clin. Path., 10, 1. CASON, J. S., and DAVIES, J. W. L. (1962), ' Assessment of Red Cell Loss in the First Two Days after Severe Burns ', Ann. Surg., 155, 581.
Requestsfor reprbffs shouldbe addressedto:--J. W. L. Davies, M. R. C. Unit, Birmingham Accident Hospital, Bath Row, Birmingham 15, England.
ABSTRACTS R e t u r n to W o r k
The authors show that there is much more to be done about returning a man to work than writing to his doctor or his employer. One of the most important ingredients of success is a rehabilitation officer with sufficient medical and industrial knowledge to be able to explain and discuss medical implications with employers and trade unions. Taking the trouble to visit and explain is the only way in which to discover the sympathy that is often present but all too often masked by anxiety about the vulnerability and reliability of the workman and the responsibilities of his employer and his union. BREWERTON, D. A., and DANmL, J. W. (1969), ' Return to Work: Experiences of a Hospital Rehabilitation Officer ', Br. reed. J., 2, 240.
T r a u m a t i c Epilepsy
Russel finds that, after 20 years, only 25 per cent of survivors of penetrating brain wounds show grand mal epilepsy, usually with a very low frequency of fits. Earlier, the incidence had been over 40 per cent. His observations, therefore, strengthen an earlier belief that traumatic epilepsy may become less troublesome with increasing age. Jennett has re-emphasized those factors which predispose to late traumatic epilepsy. They are early fits (those within a week of injury), intracranial haematoms, and dural penetration. Prolonged post-traumatic amnesia alone does not predispose to late epilepsy. RUSSEL, W. R. (1969), 'Epilepsy following the Brain Wounds of World War I1--20 Years after ', J. Neurol. Neurosurg. Psychiat., 32, 64; JENNETT, W. B. (1969), ' F u r t h e r Studies in Traumatic Epilepsy', Ibid., 32, 65.