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THE CHADWICK PRIZEMEN.
508
immediate
poverty for his family,
and this appre-
Naucler contrasts these
findings
with those of Pro.
hension, also, takes its rise largely from the fessor Bang and others, who have argued that the
feeling that such poverty
must lead to lack of education. But the medical men who have taken thought for the position by insuring their lives, have found in existing circumstances the payment of premiums a heavy burden, and the relief of this responsibility is one direction which grants from the War Emergency Fund may very usefully take. There is also the burden of the loan to purchase house or practice; interest charges are pressing heavily on many of the doctors who were away with the colours, while timely help will enable them to make good a position which has been jeopardised by world events, and not by personal rashness. We are able to say that any officers. applying for assistance on such grounds as we have set out will be heard sympathetically. Communications should be made to the Honorary Secretary of the Fund at 11, Chandos-street, Cavendishsquare, London, W. 1. ____
THE BLOOD
PRESSURE IN PULMONARY TUBERCULOSIS.
pressures in the
systemic and the pulmonary circu. lations are independent of each other. It may be, as Naucler suggests, that the coincidence of a high systemic blood pressure and haemoptysis is not direct, and that both may be due to a third common factor. As to the value of the blood pressure in the early diagnosis of tuberculosis, it is disappoint. ing to find that though it was subnormal in 60 per cent. of Naucler’s patients in the first stage, both in this and in the second stage perfectly normal pressures occurred frequently. It would therefore seem that a low pressure is very suggestive of tuberculosis in doubtful cases, but a normal pressure must not be interpreted as excluding tuberculosis. THE CHADWICK PRIZEMEN.
THE Chadwick trustees have awarded a gold medal and a prize of JE100 to each of the two medical officers in the British service deemed to have distinguished themselves most in promoting the health of the men under their care. The selection has been made by the director-generals of the medical services, and at 5 P.M. on Monday, March 8th, in the lecture-room of the Royal Society of Arts, Sir Robert Hill will present SurgeonCommander Edward L. Atkinson, D.S.O., R.N., and Sir John Goodwin will present Brigadier-General W. W. 0. Beveridge, D.S.O., A.M.S., to Sir William Collins, who will make the presentation. At the conclusion of the ceremony Sir John Goodwin will deliver the first of a series of three lectures on Military Hygiene in Peace and War.
curious fact that in spite of numerous into the blood pressure in pulmonary tuberculosis, and the unanimity of most observers, the diagnostic and prognostic significance of a low blood pressure in doubtful cases of tuberFrench and culosis is commonly overlooked. American writers attach great importance to this sign, and both Papillon and Regnault have found it a useful guide at a stage when the physical examination of the chest is negative. German writers are, on the whole, less impressed by the diagnostic In a recent publication,l value of this sign. PSYCHICAL SCIENCES. Reinhold Naucler has combined a review of the literaIN two numbers of the Anglo-F1’ench Reviewture of this subject with a long series of original those for December, 1919, and January, namely, investigations. These showed that though con- 1920-there appears an interesting article by siderable individual variations of the blood presM. Camille Flammarion entitled, Les Sciences sure might be found in groups of cases classified The celebrated French astronomer Psychiques. according to Turban, yet the average pressure sank his that the answers to questions, expresses uniformly with the extent and severity of the disease. manifestationsbelief of levitation, and other phenomena And even in the matter of individual cases the obtained by or through the agency of mediums highest pressures were observed in Turban’s stage I., are genuine manifestations of the existence of a the lowest in moribund cases. Both diastolic and force existing in the universe for which at present systolic pressures were lowered by the disease, but the diastolic was less affected than the systolic there is no name. He quotes what he wrote in 1906: "Psychical manifestations confirm that pressure. It was also noted that the fall of the from other sources-namely, which we know pressure depended rather on the malignity of the the that mechanical explanation of Nature purely disease than on its anatomical distribution; in is and that there exists in the insufficient some cases characterised by considerable malaise, Universe besides something apprehended matter. but by few and insignificant chest signs, the It is not matter which rules the world; it pressure was extraordinarily low. Measurements is an element which is both dynamic and of the blood pressure in the same individual over In another article written in 1888 he psychic." a long period sometimes showed that a comparais an intelligent, unknowable The Universe said, tively high pressure might come down with a run ’ resultant of forces (dynamisme)." From observaif the disease was rapidly progressive, whereas in tions which he has made at varying intervals from other cases an originally low pressure might fall 1861 and onwards he concludes: (1) That gravitation only a trifle during the further course of the can be counterbalanced by contrary forces; (2) that disease. A comparison of the blood pressure with the human is possessed of an invisible force being the weight curve showed that the average pressure which can move objects more or less heavy without was higher among those who gained weight than in contact with them; (3) that the levitation being in and these those whose weight was stationary; of heavy objects-for example, tables-can be again it was higher than in those who lost brought about by the simple contact of the hands weight. There was also a definite parallelism of experimenters whose wills are united in the with regard to the blood pressure and haemodesire to obtain such levitation; (4) still more, such ptysis. Not only was haemoptysis comparatively movements can be obtained without any contactfrequent among the subjects of a high blood for instance, a chair will move towards the experipressure, but the severity - of the haemoptysis also his wish; (5) answers may be obtained to at menter corresponded with the height of the blood pressure. questions, such answers being given by knocks 1 Acta Medica Scandinavica, vol. lii., Fasc. III., 1919. corresponding to a conventional code of letters of IT is
a
investigations
"
immediate
poverty for his family,
and this appre-
Naucler contrasts these
findings
with those of Pro.
hension, also, takes its rise largely from the fessor Bang and others, who have argued that the
feeling that such poverty
must lead to lack of education. But the medical men who have taken thought for the position by insuring their lives, have found in existing circumstances the payment of premiums a heavy burden, and the relief of this responsibility is one direction which grants from the War Emergency Fund may very usefully take. There is also the burden of the loan to purchase house or practice; interest charges are pressing heavily on many of the doctors who were away with the colours, while timely help will enable them to make good a position which has been jeopardised by world events, and not by personal rashness. We are able to say that any officers. applying for assistance on such grounds as we have set out will be heard sympathetically. Communications should be made to the Honorary Secretary of the Fund at 11, Chandos-street, Cavendishsquare, London, W. 1. ____
THE BLOOD
PRESSURE IN PULMONARY TUBERCULOSIS.
pressures in the
systemic and the pulmonary circu. lations are independent of each other. It may be, as Naucler suggests, that the coincidence of a high systemic blood pressure and haemoptysis is not direct, and that both may be due to a third common factor. As to the value of the blood pressure in the early diagnosis of tuberculosis, it is disappoint. ing to find that though it was subnormal in 60 per cent. of Naucler’s patients in the first stage, both in this and in the second stage perfectly normal pressures occurred frequently. It would therefore seem that a low pressure is very suggestive of tuberculosis in doubtful cases, but a normal pressure must not be interpreted as excluding tuberculosis. THE CHADWICK PRIZEMEN.
THE Chadwick trustees have awarded a gold medal and a prize of JE100 to each of the two medical officers in the British service deemed to have distinguished themselves most in promoting the health of the men under their care. The selection has been made by the director-generals of the medical services, and at 5 P.M. on Monday, March 8th, in the lecture-room of the Royal Society of Arts, Sir Robert Hill will present SurgeonCommander Edward L. Atkinson, D.S.O., R.N., and Sir John Goodwin will present Brigadier-General W. W. 0. Beveridge, D.S.O., A.M.S., to Sir William Collins, who will make the presentation. At the conclusion of the ceremony Sir John Goodwin will deliver the first of a series of three lectures on Military Hygiene in Peace and War.
curious fact that in spite of numerous into the blood pressure in pulmonary tuberculosis, and the unanimity of most observers, the diagnostic and prognostic significance of a low blood pressure in doubtful cases of tuberFrench and culosis is commonly overlooked. American writers attach great importance to this sign, and both Papillon and Regnault have found it a useful guide at a stage when the physical examination of the chest is negative. German writers are, on the whole, less impressed by the diagnostic In a recent publication,l value of this sign. PSYCHICAL SCIENCES. Reinhold Naucler has combined a review of the literaIN two numbers of the Anglo-F1’ench Reviewture of this subject with a long series of original those for December, 1919, and January, namely, investigations. These showed that though con- 1920-there appears an interesting article by siderable individual variations of the blood presM. Camille Flammarion entitled, Les Sciences sure might be found in groups of cases classified The celebrated French astronomer Psychiques. according to Turban, yet the average pressure sank his that the answers to questions, expresses uniformly with the extent and severity of the disease. manifestationsbelief of levitation, and other phenomena And even in the matter of individual cases the obtained by or through the agency of mediums highest pressures were observed in Turban’s stage I., are genuine manifestations of the existence of a the lowest in moribund cases. Both diastolic and force existing in the universe for which at present systolic pressures were lowered by the disease, but the diastolic was less affected than the systolic there is no name. He quotes what he wrote in 1906: "Psychical manifestations confirm that pressure. It was also noted that the fall of the from other sources-namely, which we know pressure depended rather on the malignity of the the that mechanical explanation of Nature purely disease than on its anatomical distribution; in is and that there exists in the insufficient some cases characterised by considerable malaise, Universe besides something apprehended matter. but by few and insignificant chest signs, the It is not matter which rules the world; it pressure was extraordinarily low. Measurements is an element which is both dynamic and of the blood pressure in the same individual over In another article written in 1888 he psychic." a long period sometimes showed that a comparais an intelligent, unknowable The Universe said, tively high pressure might come down with a run ’ resultant of forces (dynamisme)." From observaif the disease was rapidly progressive, whereas in tions which he has made at varying intervals from other cases an originally low pressure might fall 1861 and onwards he concludes: (1) That gravitation only a trifle during the further course of the can be counterbalanced by contrary forces; (2) that disease. A comparison of the blood pressure with the human is possessed of an invisible force being the weight curve showed that the average pressure which can move objects more or less heavy without was higher among those who gained weight than in contact with them; (3) that the levitation being in and these those whose weight was stationary; of heavy objects-for example, tables-can be again it was higher than in those who lost brought about by the simple contact of the hands weight. There was also a definite parallelism of experimenters whose wills are united in the with regard to the blood pressure and haemodesire to obtain such levitation; (4) still more, such ptysis. Not only was haemoptysis comparatively movements can be obtained without any contactfrequent among the subjects of a high blood for instance, a chair will move towards the experipressure, but the severity - of the haemoptysis also his wish; (5) answers may be obtained to at menter corresponded with the height of the blood pressure. questions, such answers being given by knocks 1 Acta Medica Scandinavica, vol. lii., Fasc. III., 1919. corresponding to a conventional code of letters of IT is
a
investigations
"