BMJ

C M Jankievicz, Med DiplSource: The British Medical Journal, Vol. 281, No. 6240 (Aug. 30, 1980), pp. 613-614Published by: BMJStable URL: http://www.jstor.org/stable/25441157 .

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BRITISH MEDICAL JOURNAL 30 AUGUST 1980 613

OBITUARY

Contributions to this column must be submitted exclusively to the BMJ.

H P RUFFELL SMITH AFC, MA, MB, BCH

Dr H P RufTel? Smith, who was an international

authority on the practice of and research into

aviation medicine, died at his home at

Thatcham on 4 August. He was 69.

Hugh Patrick Ruffell Smith was born on

19 June 1911, and educated at Highgate School, London;

Corpus Christi College, Cam

bridge; and the

London Hospital. After neurological and surgical ap

pointments at the

London Hospital he joined the Royal Air Force Medical

Branch in 1938; the outbreak of the second world

war saw him

already learning to

fly, and he was appointed to Flying Training Command, later to Second Tactical Air Force, as Command Flying Personnel Medical

Officer. His main career was then concerned

with human-factor and medical aspects of the

selection and care of aircrew and the study of

their air and ground environments. After the war Pat RufTell Smith became head of the

flight section of the RAF Institute of Aviation

Medicine, Farnborough, and subsequently head of the human capability section there.

During these years he built up a medical

flight section equipped with a broad range of current operational aircraft, in which he initiated and directed many inflight experi

ments in man?the first subject always being himself. Concern with aircrew fatigue led to

many sorties with crews and prolonged periods of duty in the Berlin airlift.

Pat RufTell Smith was associated with prac tical trials of protective clothing and equipment in flight, in the course of which he landed a

Mosquito on a frozen lake in Norway in

simulated survival conditions. During his

RAF service Pat rose to the rank of group

captain and was a renowned adviser for cockpit

layout and instrument presentation. His first

deck landing on an aircraft carrier was made at

an age when he might well have left such flying to younger pilots. In the 40 years that he held a pilot's licence he flew some 3000 hours and

piloted about 90 different types of aircraft.

In addition to bearing RAF wings he became a

graduate of the (then) Empire Central Flying

School, qualifying as an instrument rating examiner. After severe illness took from him his

valued flying licence he won it back and was

flying in California until shortly before he

died. Uniquely for a medical officer, he held

the AFC and two bars, was mentioned in

dispatches, and awarded the honour of Officer

Polonia Restitute.

On retiring from the RAF in 1961 Pat RufTell

Smith worked with the Medical Research

Council, where he turned his attention to the

medical aspects of working conditions in

occupations where hostile environments, time

change, shift working, and hazard contribute

to stress. His investigations included the work

load and working conditions of pilots and

cabin crews of BEA and BO AC, as well as

those of distant trawlermen (he shared much

winter climatic stress with them) and the

drivers of heavy goods vehicles (a study for

which he characteristically obtained a heavy commercial vehicle licence). He was a member

of the Medical Commission on Accident

Prevention and a member of the World

Health Organisation Expert Advisory Panel on

Occupational Medicine.

Of all his projects, the results of the studies

undertaken in the last phase of his working life gave him most satisfaction: empathy with

aircrews and continuing interest in flight

safety and efficiency drew him to the Ames

Research Centre in California, where he

carried out for NASA a simulator study of the

"Interaction of pilot workload with errors,

vigilance, and decisions." The resulting much

praised report confirmed and re-emphasised the importance of his previous work and philo

sophy, the basis of which has been used in

aeronautical and space programmes. His

inventiveness had a wide range, and up to a few

days before his death he was advising on the

design of advanced diagnostic medical equip ment. Pat acted as consultant to several

companies, including British Airways, various

aircraft manufacturers, and also British

Leyland (Bus and Truck Division)?where he was specially concerned with the design of a

bus for the disabled. A member of the

International Academy of Aviation and Space Medicine and a fellow of the Aerospace Medical Association, he was particularly

pleased to be a founder member (and later

chairman of the council) of the Ergonomics Research Society, and past president of the

International Ergonomics Association, as well as a liveryman of the Guild of Air Pilots and

Air Navigators, and a Freeman of the City of

London.

A puckish sense of fun, fearlessness, style, fine intellectual gifts, and practical skills made

Pat a marvellous companion?whether flying,

sailing, skiing, during an expedition, or at

work. A kind and steadfast friend once his

trust had been placed, he nevertheless had a

remarkable ability to nonplus anyone who was

too self-interested or overbearing. Few aircraft designed in the past 30 years

have not, directly or indirectly, benefited

from Pat Ruffell Smith's researches and in

spired advice; that he turned his talents to seek

and find solutions to human-factor problems related to working conditions on land or sea

indicates how remarkable he was. Most of all, his main consideration was for pilots and

aircrew, whose interests he would defend and

champion without reservation, Pat's great courage, good humour, and for

bearance during a long and severe final illness were typical of his unique character. He is

survived by his wife Annette, and a son and

daughter.?PW.

GHEORGHE LUPASCU MD, DSC

Professor Gheorghe Lupascu, head of the chair of parasitology at the University of

Bucharest and chief of the department of

parasitology at the Cantacuzino Institute, has died in Bucharest at the age of 71.

Gheorghe Lupascu was born in 1908 at

Botosani, Moldavia, and graduated from the

University of Bucharest. From undergraduate

days he was attracted by microbiology and

joined the staff of the department of para

sitology at the Cantacuzino Institute. In 1940 he pursued his studies at the Instituto

Superiore de Sanita in Rome and became

particularly interested in malariology. Lupascu was appointed professor at the University of Timisoara in 1947 and greatly increased

research and teaching in medical parasitology in Rumania; with others, he reorganised the

public health activities in 1949-50, which, within 20 years, eradicated malaria from his

country. Professor Lupascu's research eluci

dated the part played by Plasmodium malariae in maintaining foci of infection, the importance

of detecting blood donors as frequent cryptic carriers of plasmodia, and the methods of

permanent cure. Among 200 papers, his studies on malaria treatment of neurosyphilis, and

researches on trichinellosis, hydatid disease, and trichomoniasis were outstanding.

In 1954 he became deputy director and

head of the department of parasitology at the

Cantacuzino Institute. As a member of the WHO Expert Committee on Malaria Lupascu

attended many international meetings, where

his wide experience, lively mind, unfailing courtesy, and oratorial talents won him

respect and many friends. His great love and

knowledge of Italian and Byzantine art were

reflected in his priceless collection of paintings and old icons.

Professor Lupascu's death deprives the

Rumanian scientific and medical community of one of its illustrious members and he will

be sadly missed by friends and colleagues

throughout the world.?LJB-C.

CMJANKIEVICZ MEDblPL

Dr C M Jankievicz, who was formerly assistant

surgeon at the Horton General Hospital at

Banbury, died suddenly on 30 May at the age of66.

Clement Marian Jankievicz was born at

Sroda, Poland, on 17 November 1913, edu

cated at Cracow and Poznan, and at the

Cavalry Officers School at Grudiadz, after

which he was commissioned in the 8th Lancers at Cracow. He graduated in medicine at

Poznan University in 1938 and held house

appointments at the Katowice Hospital until

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614 BRITISH MEDICAL JOURNAL 30 AUGUST 1980

the outbreak of war in 1939, when he became

medical officer to the 8th Lancers. After the

collapse of Poland he escaped to Turkey, was

appointed medical officer to the Polish

Embassy in Ankara, and from 1940 to 1942 was surgical registrar at No 1 Military Hospital in Tehran, As assistant surgeon, and later

officer-in-charge, 49 Field Surgical Unit in the

2nd Polish Corps (under General Anders), Dr Jankievicz served with the 8th Army in the

North African and Italian campaigns, includ

ing the actions at Monte Cassino and Ancona.

From 1946 to 1949 he was assistant surgeon to

No 11 Polish Hospital in England.

Although incomplete command of English

prevented Dr Jankievicz from obtaining the

postgraduate degrees necessary to realise his

full potential, his profound knowledge, sound

judgment,, and surgical skill were recognised in his appointment as casualty officer at the

Horton General Hospital, Banbury, in 1949, and later as assistant orthopaedic and trau

matic surgeon. The rest of his life was devoted

to the Horton, where he made his home, and

he retired in 1979 to a house near the hospital, which elegantly, reflected his fastidious taste

and was convenient for him when acting as

locum for his orthopeadic colleagues. r

Unsparing in his care of patients and

generous with help to colleagues, particularly

general practitioners, Dr Jankievicz combined

dedication to his art with wide social and

cultural interests, courage and discipline with

irresistible charm. It was inevitable that

"Janky," as he was affectionately known, should become a legend in his own time. He

earned the gratitude of patients and the respect of all who worked with him, but it is for his warmth and humanity that he will be sadly missed.?GRN.

J A BOWEN-JONES MB, BS, DOBSTRCOG, DA

Dr J A Bowen-Jones, who was formerly in

general practice, at Basingstoke, died peacefully in hospital on 27 June after a long illness. He

was 64.

John Anthony Bowen-Jones was born on

15 February 1916 in Cardiff, where his father was a general practitioner, educated at Epsom

College, and received his medical training at

Guy's Hospital, London, where he graduated in 1939. After house appointments at Guy's

he joined the Royal Naval Volunteer Reserve,

having developed a love of the sea when sailing with his grandfather at Abersoch, and he

continued with this interest throughout his life

by maintaining contact with the RNVR and

sailing with his family at the Frensham Ponds

Sailing Club. After a short assistantship at Windsor,

Tony Bowen-Jones joined the Basingstoke

practice in 1948, and remained there until

illness forced an early retirement in 1974.

During this time he shared a keen interest in

local affairs with his wife. His medical ability and selfless dedication to his patients won him

great affection and recognition, and he became

chairman of the medical staff committee it the

Cottage Hospital and chairman of the Wessex

Division of the BMA, as well as being medical

officer at the Maternity Home and Farleigh House School. Though quiet by nature, Tony

Bowen-Jones possessed a wonderful sense of

humour which enlivened many an occasion

and, together with his musical ability, made

open house at Winchester Street a popular rendezvous.

During his 25 years of practice he built up a reputation for dedicated family doctoring at its finest?backed by a thorough knowledge of medicine and anaesthetics?which was much

appreciated, and he will always be remembered

for this by colleagues, hospital staff, patients, and all who knew him. He is survived by his

wife, two sons, and one daughter.?ADJW.

G NAGELSCHMIDT DPHIL

Dr G Nagelschmidt, a distinguished mineralo

gist who worked closely with the Medical

Research Council, died on 19 July at the age of 74.

Gunter Nagelschmidt became a lecturer in

mineralogy at the University of Rostock after

taking his doctorate at Berlin University, and was one of several German scientists who came

to Britain in the early 1930s.

PLVAH writes : the value of interdisciplinary effort is well illustrated by Dr Nagelschmidt's career.; After his work in Germany was

interrupted by the Nazi regime he came to

Britain in 1933, where he was successively

occupied at the Royal Institution, Rothamsted

Experimental Station, and the Safety in Mines

Research Establishment of the Ministry of

Fuel and Power, becoming finally deputy chief scientific officer, and he was for some

years a member of the Medical Research

Council's Occupational Health Committee.

Nagelschmidt collaborated with the MRC's

investigation of pneumoconiosis in South

Wales coal-miners and coal-trimmers in 1940

3, and later in the studies of the MRC

Pneumoconiosis Research Unit, Cardiff.

Nagelschmidt brought the techniques of x

ray detraction analysis and electron microscopy into assessment of airborne dust, coal-mine

strata, and dust in lungs at necropsy; and he

laid down guidelines for this type of work.

He and his colleagues held the view that most

dust in coal-mines constituted a hazard, its

pathogenicity being aggravated by silicates and

quartz (even though the latter is present in

small amounts). Legislation for improved

protection of miners was influenced by his

findings. Gunter Nagelschmidt is survived by his

wife and two daughters.

JE FORAN MB, BCH, BAO

Dr J E Foran, who was a general practitioner at Barking, died on 13 July after a short illness

during a holiday in Dublin. He was 76.

John Edward Foran was born on 27 July

1903, qualified in medicine at University

College, Cork, at the age of 22, and then came

to England. After a period in general practice he joined the medical branch of the Royal Air

Force, in which he served for four years, his

duties taking him to Aden, Egypt, and

Palestine. In 1930 Dr Foran left the RAF and

entered general practice at Barking. At the

beginning of the second world war he volun

teered for service in the Forces but, as a

senior general practitioner, was asked to

remain in his practice, where he experienced the bombing raids on the East End of London, in one of which his own home was partially

demolished. After the war he continued in

practice at Barking, combining this with

appointments in industrial medicine?his

special interest being skin diseases. Dr Foran was prominent in Roman Catholic

medical circles in London, was personal physician to the Bishop of Brentwood, and received papal honours by being made a

Knight of St Gregory and Knight Commander of the Holy Sepulchre of Jerusalem. A general

practitioner in the old style, Dr Foran was a

perceptive physician, guide, counsellor, and friend to generations of patients at Barking,

who will find him irreplaceable. A big man in

stature, personality, and professional ability, he loved life and his fellow men, was a wit and a superb raconteur, and his friends will find him equally irreplaceable.

Dr Foran is survived by his wife Josephine; by their son John, who is a doctor; by their

daughter Mary, whose husband, John Mc

Cusker, is also a doctor; and by two grand children, Fiona and Gerard.?TH.

C J S SERGEL MA, MB, BCH, FRCS

Mr C J.S Sergei, who was a surgeon and

missionary doctor, died on 21 May at the age of 69.

*

Charles John Scott Sergei was born in Rio de Janeiro on 12 May 1911, the son of

missionaries.

?/^jg???&?L' From Monkton

in 1937 and subse

quent resident posts he sailed for Uganda in 1938 as a missionary. A year after arriving in

Western Uganda he joined the East African Medical Corps and served throughout the war,

eventually becoming a major. On leaving the Medical Corps Charles

Sergei returned t? Mengo Hospital, Kampala, and worked there almost continuously until he left Africa in 1952. He loved surgery but, like

most missionary doctors, was an all-rounder and careful and thorough in all he did. He was a true missionary, who delighted in going out to village churches as an "ambassador for

Christ" (his favourite phrase), together with African brethren.

In 1947 Charles married Betty Stileman, and after they returned to England he took the

FRCS and went into practice at Great Shel

ford, near Cambridge, In his spare time he

coached the crews of his old college. Sailing also became an absorbing hobby, and when he retired in 1976 the family moved to Milford on-Sea to be near his boat.

Both in active practice and in retirement Charles's kindliness and cheerful infectious Christian faith left a deep impression on his

friends. He had decided to give up his boat, and it was while he was handing it over on a

farewell trip that he had his last coronary attack. He is survived by his wife, who remains at Milford, and their two daughters, who are

both trained nurses, the elder also having a

social sciences degree.?WRB.

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