"Having decided in 1932 to establish a Medical Research Institute in which teaching would be subsidiary to research and not designed for rees or diplomas the organization of the Institute naturally fell into three Alvisions of Physiol Pathologlcal and Clinical sciences, the latter with special relations to the Lester Chinese Hospital." the report states. "Our relations with the Hospital have been more intimate than with any other institution and this ie appropriate, since it was undoubtedly Mr. Lester's interest in the Shanghat Road Hospital which led him to provide not only for the Hospital but also for a Medical Institute. The organization of clinical research has come relatively Into in the development of the iological sciences and this is due to the difficulties inherent in the fact that the interests of the patient who becomes a subject for research and of the hospital organization surrounding him, must be safeguarded at all costs, essential however' that the results of laboratory research should be clinically tested and that the laboratory programme should be determined by' finical needs. 'This does not necessarily' mean that all laboratory re-'Search must be ad hoc research. It ig very desirable that it should be fundamentally biological but the ultimate purpose of medical research must be Kept in view. However, in spite of these diMeulties advances in our Knowledge of clinical science have been made by members of the Clinical Unit, Dr. Plait was instru. mental during his ye years work definitely adding to our knowledge of nutritional deficiency diseases more especially in regard to the diagnosis and successful treatment of acute beri-beri, a disease previously fatal in a large number of cases.
"On the surgical side, Dr. Gordon Thompson and Dr. Gray carried out a full programme of-surgical work, contributing to the relief of a large number of. patients with advances more particularly in the field of Urology. Two members of the pres-out surgical staff of the Hospital were trained in the surgical department of the Clinical Unit and were given Holt travelling. fellowships, from which they have now returned to take up senior positions on the Hospital staff, Laboratory Divisions "When one turns to the laboratory divisions of the Institute it will be seen that the work done has extended over a wide field which It is impossible to cover in this short review. The Division of Physiology has mage a reputation for itself mainly In the feld of nutrition," Very valuable spade work has been accomplished in the analysis of Chinese foods and in this connection "Dr. Read's experience in the field of Chinese medicine has of course been Invaluable. The discovery of vita ming and the importance of accessory food factors has ied to the immediate application of this knowledge fo the study of Chinese diets and medicines ud it is remarkable how meny elinical signs and symptoms among Chi. nese patients can now be explained in terms of vitamin and mineral de-Aeieney.
"The Division of Pathology has! continued its activities in applied Search in the eld of Public Health.
parasitology snail borne diseases and in entomology mosquito borne diseases have occupied most of the time, In bacteriology important ad~ vanees have been made in our know-edge of the water vibrios in relation to the incidence of cholera and in immunology, an Important advance has been made in the serum treatment of typhoid fever, while the department of tissue pathology has conducted a diagnostic service to
over China.
Which specimens are sent from all "Last, but not least, should be men-toned the excellent work carried out by the Photographic Department in the dissemination of knowledge gained by research, by illustration of Ieetures, publications and in the accurate objective record of scientife observations. hen one looks to the future it is obvious that the curtailment of staff, determined by the evacuation of 1937, has been a. serious set-back to the' progress of the Institute but with a small staff much can be done along academic lines which could not bbe done when outside claims were more insistent. Tt may be that through adversity we shall find our true position in the scheme of things and that with a new phase begun We can look forward to the fulure with some degree of optimism."
Text read from the printed page and cleaned; old type leaves the occasional error.