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"MEDICAL SCIENCE ABSTRACTS AND REVIEWS."
797
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he pursues, in case it can furnish any useful hints to persons of diseases of the spleen, purporting to be complete, of the medical profession. TTo is careful in providing the I a list of published cases of the rare Gaucher’s best matter and keeps it a long time before lie puts it to use I disease omitted one published in the Journal of —sometimes seven or eight years. And, in order to lessen Pathology and Bucteriology, though its authenticity its virulence, he lirst dries it im peat smoke, and then never been in doubt. Again, when the mass it underground covered with camphor. Though many has of material dealt with is too great publication of recommend fresh matter this self-taught pracphysicians titioner fin
puts
THE INSURANCE MEDICAL SERVICE. As we go to press important decisions are being made on which depend the whole future of the panel service. Last week the Minister of Health met the National Health Insurance Consultative Councils for England and Scotland and on Oct. 2nd he received the Insurance Acts Committee of the B.M.A., when a final effort was made to make clear the standpoint of the doctors of the country. During the 48 hours following this meeting the considered reply of the Minister with the Government’s offer was to be in the hands of the Insurance Acts Committee which had arranged to meet on Oct. 4th to consider the position. Between this date and Oct. 18th, when the annual conference of the Panel Committee takes place, meetings of practitioners will be held throughout the country in order that their representatives on the Panel Committee will be well informed as to the feeling of the profession on the term of service put before them.
Whether this method originated with him or not cannot be proved, but if it did, then this " orra man " anticipated much of the recent work which has been done on these lines. ____
"MEDICAL SCIENCE ABSTRACTS AND REVIEWS."
‘Vrrm its ninth volume, of which the first number appeared on Oct. 1st, Medical Science Abstracts and Reviews enters on a new phase in its career. Following changes made last year on the surgical side, now under the control of Mr. C. C. Choyce. new editorial arrangements in the Section of Medicine have taken effect. This great subject will be divided under the following headings, each controlled by the editor named: General Medicine, Prof. F. R. Fraser; Cardio-vascular Diseases, Sir Thomas Lewis ; Metabolic Diseases, Prof. H. Maclean ; Respiratory Diseases, Prof. J. C. Meakins ; Diseases of the Nervous System, Dr. F. M. R. Walshe; while Prof. T. R. Elliott will act as associate editor for the whole COMPLEMENT DEVIATION IN TUBERCULOSIS. section. Reviews and abstracts will continue to be’ A LARGE amount of investigation of the Bordetpublished as before, but no attempt will be made’ Gengou reaction in pulmonary tuberculosis has been to cover the whole output of medical publications ;; done in this country by Lisle Punch and Hope Gosse future reviews will deal on suitable occasion withl among others, and recently in Italy Dr. N. Parise For has published the result of his own observations and selected articles or groups of observations. abstracts the general policy will be that of selecting researches which form an interesting comparison.! only such articles as appear to contain originalL The antigen used by him consists of a bacillary information with conclusions based upon trustworthyr emulsion prepared from old cultures of tubercle methods of observation and thought. Of a selectj bacilli (three to four years) on agar, in which the group of journals, however, all will be noticed com- agar is completely covered by a layer composed of pletely as each issue appears, a full list of contentsS numerous small scales, which are carefully scraped off being given, together with abstracts of all the more and then subjected to a lengthy emulsification in a important articles. In the October issue the current sterile glass mortar, 50 c.cm. physiological saline numbers of five journals-Heart, Brain, the Journall solution containing 1 per cent. carbolic acid being of Experimental ]I! edicine, the Journal of Infeetious added drop by drop. This antigen keeps well at Diseases, and the British Journal of Experimentall ordinary temperatures for 60 to 90 days. ExperiPathology-are thus treated, while reviews deal withI ments were made to show how the Bordet-Gengou Vincent’s disease and with the work of R. Magnuss reaction behaved (1) in healthy individuals, (2) in and his collaborators on the pharmacology of thes those affected with various non-tuberculous maladies, nervous system, with special reference to postural and in confirmed, and (4) in suspected tuberculosis. other reflex reactions. Sixty-four pages are devoted to Out of 14 healthy individuals, in 13 the result was well-chosen abstracts, and an index of subjects and1 definitely negative; out of 51 cases of non-tuberculous authors dealt with in Vol. VIII. concludes an admirablee diseases 48 were negative and seven positive, consisting number, which contains also a key to the initialss of four of syphilis, and one each of malaria, echinococcus formerly given at the end of each review and abstract.J. of lung, and influenza. Of 78 tuberculous cases, there This custom has now wisely been discontinued, thee were 24 in which Koch’s bacillus was found in the full name of each reviewer being set out. If com- sputum, 20 in which the clinical signs were definite plete anonymity is not to be preserved there is littlee with absence of tubercle bacilli in the sputum, and 34 point in publishing initials and withholding the keyY in which the physical signs were suspicious. The results till the index appears. obtained were as follows : Of the first 24 cases the reWe rejoice that the scope of the journal is to bes action was strongly positive in 22 and negative in the less ambitious, in that any attempt to deal with thee other two, who were in the last stage of the disease. whole output of medical literature is to be abandoned. L The explanation of this is to be found in failure of proIt must be admitted that in the past editing has not It duction of antibodies, due to a condition of anergy always implied selection and that certain sectionslS which is commonly met in tuberculous patients in the have occasionally been overwhelmed by the contterminal stages. It was for this reason, moreover, that tributions of one transcriber. The laudable anxiety the experiments were conducted with a serum obtained to give due credit to foreign authors, whose work k from patients certainly tuberculous, who, while they might not be easily accessible to British readers, hasLS ————————————————"—————————————————————— 1 La Riforma Medica, 1923, xxxix., July 23rd, 1923. led to some strange results. For example, in a review ’
11I (3) -
y
f
he pursues, in case it can furnish any useful hints to persons of diseases of the spleen, purporting to be complete, of the medical profession. TTo is careful in providing the I a list of published cases of the rare Gaucher’s best matter and keeps it a long time before lie puts it to use I disease omitted one published in the Journal of —sometimes seven or eight years. And, in order to lessen Pathology and Bucteriology, though its authenticity its virulence, he lirst dries it im peat smoke, and then never been in doubt. Again, when the mass it underground covered with camphor. Though many has of material dealt with is too great publication of recommend fresh matter this self-taught pracphysicians titioner fin
puts
THE INSURANCE MEDICAL SERVICE. As we go to press important decisions are being made on which depend the whole future of the panel service. Last week the Minister of Health met the National Health Insurance Consultative Councils for England and Scotland and on Oct. 2nd he received the Insurance Acts Committee of the B.M.A., when a final effort was made to make clear the standpoint of the doctors of the country. During the 48 hours following this meeting the considered reply of the Minister with the Government’s offer was to be in the hands of the Insurance Acts Committee which had arranged to meet on Oct. 4th to consider the position. Between this date and Oct. 18th, when the annual conference of the Panel Committee takes place, meetings of practitioners will be held throughout the country in order that their representatives on the Panel Committee will be well informed as to the feeling of the profession on the term of service put before them.
Whether this method originated with him or not cannot be proved, but if it did, then this " orra man " anticipated much of the recent work which has been done on these lines. ____
"MEDICAL SCIENCE ABSTRACTS AND REVIEWS."
‘Vrrm its ninth volume, of which the first number appeared on Oct. 1st, Medical Science Abstracts and Reviews enters on a new phase in its career. Following changes made last year on the surgical side, now under the control of Mr. C. C. Choyce. new editorial arrangements in the Section of Medicine have taken effect. This great subject will be divided under the following headings, each controlled by the editor named: General Medicine, Prof. F. R. Fraser; Cardio-vascular Diseases, Sir Thomas Lewis ; Metabolic Diseases, Prof. H. Maclean ; Respiratory Diseases, Prof. J. C. Meakins ; Diseases of the Nervous System, Dr. F. M. R. Walshe; while Prof. T. R. Elliott will act as associate editor for the whole COMPLEMENT DEVIATION IN TUBERCULOSIS. section. Reviews and abstracts will continue to be’ A LARGE amount of investigation of the Bordetpublished as before, but no attempt will be made’ Gengou reaction in pulmonary tuberculosis has been to cover the whole output of medical publications ;; done in this country by Lisle Punch and Hope Gosse future reviews will deal on suitable occasion withl among others, and recently in Italy Dr. N. Parise For has published the result of his own observations and selected articles or groups of observations. abstracts the general policy will be that of selecting researches which form an interesting comparison.! only such articles as appear to contain originalL The antigen used by him consists of a bacillary information with conclusions based upon trustworthyr emulsion prepared from old cultures of tubercle methods of observation and thought. Of a selectj bacilli (three to four years) on agar, in which the group of journals, however, all will be noticed com- agar is completely covered by a layer composed of pletely as each issue appears, a full list of contentsS numerous small scales, which are carefully scraped off being given, together with abstracts of all the more and then subjected to a lengthy emulsification in a important articles. In the October issue the current sterile glass mortar, 50 c.cm. physiological saline numbers of five journals-Heart, Brain, the Journall solution containing 1 per cent. carbolic acid being of Experimental ]I! edicine, the Journal of Infeetious added drop by drop. This antigen keeps well at Diseases, and the British Journal of Experimentall ordinary temperatures for 60 to 90 days. ExperiPathology-are thus treated, while reviews deal withI ments were made to show how the Bordet-Gengou Vincent’s disease and with the work of R. Magnuss reaction behaved (1) in healthy individuals, (2) in and his collaborators on the pharmacology of thes those affected with various non-tuberculous maladies, nervous system, with special reference to postural and in confirmed, and (4) in suspected tuberculosis. other reflex reactions. Sixty-four pages are devoted to Out of 14 healthy individuals, in 13 the result was well-chosen abstracts, and an index of subjects and1 definitely negative; out of 51 cases of non-tuberculous authors dealt with in Vol. VIII. concludes an admirablee diseases 48 were negative and seven positive, consisting number, which contains also a key to the initialss of four of syphilis, and one each of malaria, echinococcus formerly given at the end of each review and abstract.J. of lung, and influenza. Of 78 tuberculous cases, there This custom has now wisely been discontinued, thee were 24 in which Koch’s bacillus was found in the full name of each reviewer being set out. If com- sputum, 20 in which the clinical signs were definite plete anonymity is not to be preserved there is littlee with absence of tubercle bacilli in the sputum, and 34 point in publishing initials and withholding the keyY in which the physical signs were suspicious. The results till the index appears. obtained were as follows : Of the first 24 cases the reWe rejoice that the scope of the journal is to bes action was strongly positive in 22 and negative in the less ambitious, in that any attempt to deal with thee other two, who were in the last stage of the disease. whole output of medical literature is to be abandoned. L The explanation of this is to be found in failure of proIt must be admitted that in the past editing has not It duction of antibodies, due to a condition of anergy always implied selection and that certain sectionslS which is commonly met in tuberculous patients in the have occasionally been overwhelmed by the contterminal stages. It was for this reason, moreover, that tributions of one transcriber. The laudable anxiety the experiments were conducted with a serum obtained to give due credit to foreign authors, whose work k from patients certainly tuberculous, who, while they might not be easily accessible to British readers, hasLS ————————————————"—————————————————————— 1 La Riforma Medica, 1923, xxxix., July 23rd, 1923. led to some strange results. For example, in a review ’
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