Advanced trainees lacked confidence in a range of surgical procedures; and possible weaker areas were identified in the teaching experience of trainers. These limitations must be addressed by medical educators and training program coordinators.

No abstract

A descriptive survey of knowledge of genital herpes and attitudes to testing was conducted among antenatal clinic attendees at the Gold Coast Hospital, Australia. The study subjects showed a good knowledge of genital herpes, to a level that appears sufficient for an informed choice regarding herpes serology testing to be made. A preference for testing for genital herpes was suggested. Although serological testing is not routinely required, the results of the study indicate that discussion of genital herpes should be considered in the antenatal clinic setting.

Congenital heart block diagnosed antenally associated with multiple fetal abnormality The following report illustrates how the diagnosis of congenital heart block can be made before birth.

No abstract

revealed antibody and therefore a state of inm unity. The seronegative cases have remain.d seronegaFive after Ig prophylaxis and have delivered normal children with no increased levels of IgM in the cord sample. On the other hand if seroconversion had occurred following the administration of Ig the patient and her medical practitioner could be advised accordingly, but this has not occurred in our experience. It would probably be preferable, as suggested by Drs. Forrest and Menser, to have an Ig preparation with a high antibody titre, but as this is not generally available and becaus,e there is some variation in the antibody titre of the normal pooled Ig product, we have used a large dose of 3 g administered in two separate doses. Though this is considerably greater than what is advocated we think it is justifiable in the circumtances.-I am, etc.,

231between the ulcer and the cardiac orifice. The ulcer was irregular in shape with a 1-cm proximal lesion on the anterior wall and a distal 4-cm lesion immediately below it which encircled most of the oesophagus and which communicated with the aorta through a channel 0-3 cm in diameter. It was thought that the entrance to the aorta was at the site of an intercostal vessel which had been involved in the ulcer base. There were adhesions between the aorta and the oesophagus. Altered blood was present which was adherent to the ulcer base and the stomach contained a cast of clot. No radiographs of the oesophagus were available. At necropsy the ulcerated area appeared to occupy the midline.

Summary: A case is presented in which a scalp clip electrode was found in the rectovaginal septum 18 days after Caesarean section.