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Occlusion of nasal duct 1 1
Defective extra-ocular muscles 2 —
Progressive Myopia — 1
Persistent pupillary membrane 1 —
Abnormalities due to Infection
Sub-acute Conjunctivitis 1 —
Retinitis (Toxoplasmosis) 1 —
Blepharitis 1 —
Meibomian Cyst 1 —
Abnormalities due to Trauma
Cataract — 1
Abnormalities of Unknown Etiology
Macular Degeneration 1 1
ENURESIS SCHEME
Nocturnal enuresis (bed-wetting) is a common and distressing condition among
school-children.
One effective form of treatment is by electric buzzer apparatus and the Area Health
Department has for some years provided a scheme for the distribution of such
apparatus to the parents of affected children. A number of machines are available for
loan, free of charge, on receipt of a medical recommendation.
A report giving details of the working of the scheme and the results obtained has
recently been published by Dr. Taylor, Deputy Medical Officer of Health of Ealing
and Assistant Medical Officer, Middlesex County Council and is reproduced below
by kind permission of the Editor of The Medical Officer.
A SCHEME FOR THE TREATMENT OF ENURESIS BY ELECTRIC BUZZER
APPARATUS
By L O. Taylor, M.A., M.R.C.S., L.R.C.P., D.P.H.
Assistant Medical Officer, Area 7, (Ealing and Acton), Middlesex
Methods for the treatment of nocturnal enuresis by electrical devices have been
known for nearly 60 years. A number of devices have been available for private
purchase or hire from commercial firms, but only in recent years has this form of
treatment gained the general recommendation of the medical profession.
Encouraged by reports of the successful treatment of large series of patients both
in paediatric practice (Wickes, 1958) and in general practice (Gillison and Skinner,
1958), it was decided to establish a scheme for the distribution and use under supervision
of electrical buzzer apparatus in the administrative health area of Ealing and
Acton in the county of Middlesex. The area has a total population of approximately
250,000 and a school child population of some 30,000.
Originally a small number of manufactured machines were purchased. The high price
of these and reports of a home-made buzzer (Metcalfe 1959) led us to design and
produce apparatus of our own with a consequent saving in running costs. This
apparatus is described below.
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