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THE IMPERIAL WAR MUSEUM.
1281 in the hope that they might help in The bone was freshened by division with forceps, and a stump 1 cm. long thus preserved. The flap derived from the middle finger had then to cover the stumps of the first phalanges of the middle and ring fingers, over which it was reflected, an extensive surface of the palm, and a small surface of the dorsum of the hand. It could not do this completely ; there remained at the upper part of the palmar wound a small quadrilateral surface uncovered. Healing took place in a short time, but the patient was not able to resume his occupation of shoemaker, and the finger-stumps did not appear to assist in prehension. The results of the autoplasty, however, were excellent.
and
ring fingers
prehension.
"
This method of cheiroplasty by " boning a finger was practised before the war, and described at the Societe de Medecine de Nancy in 1911 by Gross. DIABETES AND INFLUENZA.
ACCORDING to Dr. Ketil Motzfeldt,’ of Christiania, cases of diabetes were published in connexion with the influenza epidemic of 1890, only a few instances of this association have been recorded during the last epidemic. He reports four cases in which the first symptoms of diabetes set in during an ordinary attack of influenza or shortly afterwards. In spite of the youth of the patients, who were aged 14, 15, 20, and 35 years respectively, the diabetes was of a very mild character, and in three cases the tolerance for carbohydrates increased considerably during the treatment. The first case was of special interest, inasmuch as the possibility of a panThe patient, creatic infection was suggested. a man aged 35, began to suffer from a peculiar deep-seated pain in the epigastrium during the first few days of his influenzal attack, and after the temperature had been normal for a week he developed thirst and polyuria. On admission to hospital a month later the urine gave a positive ferric chloride reaction; the sugar disappeared after five days’ treatment. The tolerance was tested 18 months later, when 500 g. of bread could be taken without glycosuria. After 50 g. of glucose glycosuria appeared and lasted for three hours.
though,numerous
____
LIGHT FILTERS FOR
MICROSCOPIC WORK.
WHILE for the ordinary purposes of laboratory technique the limits of microscopic vision have probably been reached with modern instruments, the results obtainable may be improved in many respects by a more careful manipulation of the means at our disposal. Kodak, Limited, have placed on the market a set of light filters for use with the microscope which should be of considerable value. These filters, known as the Wratten Visual " MFilters, are distinct from the standard square sets used for photomicrography, being circular in shape with a diameter of 35 mm., and designed to fit the ring usually supplied with the ordinary substage microscopic fittings. They are sold in sets of nine and include a variety of tints, dark blue when the highest resolving power is required, green for contrast with pink- and redstained specimens, red for contrast with blue- or green-stained specimens, and so forth. Two of the most useful of them are the neutral tint filter for modulating the intensity of illumination, and the " Tungsten to daylight" filter, which converts the light from an artificial iliuminant to equivalent 1
Norsk Magazin for Laegevidenskaben, April, 1920.
daylight. The latter should be particularly called for where daylight is not available, or where a constant form of illumination is required. THE IMPERIAL WAR
MUSEUM.
IT is doubtful whether a collection of exhibits like those now on view in the Imperial War Museum, opened by H.M. the King at the Crystal Palace on Wednesday, has ever deserved such absorbing attention. The war trophies from sea, land, and air are one and all of a most interesting description, and they are there in profusion. Apart from projectiles, weapons, guns, and other war materials, there are two sections of particular appeal to the medical profession-the naval and army medical exhibits. These sections not only illustrate the splendid service rendered by our great medical administrations, but are instructive also in regard to the methods of the enemy in this direction, and the ultimate straits to which Germany was reduced as the end approached. Lace curtains, for example, were used for bandaging, and spring wire cloth was made to replace rubber, and so forth. Again, examples are presented of all the appliances employed against poison gas attacks, and in the steps taken to supply the men with oxygen and various medicaments in the submarine. Much of the medical history of the war is here in graphic form, and the pictures are a very striking and attractive feature of the exhibition. We understand that the War Museum is to be a permanent one, so that the opportunity of studying the models and exhibits is to be open for all time. But we recommend an early visit, while the memory of events is fresh. SARCOMA OF THE
AT
BLADDER.
recent meeting of the Chicago Urological Dr. Charles Morgan McKennareported a case of sarcoma of the bladder in an unmarried woman, age 42, who had suffered from periodical haematuria from 4 to 6 months. On cystoscopic examination a papillomatous growth was seen which involved the orifice of the left ureter. Fulguration was performed five times at intervals of five days, and subsequently a suprapubic operation was carried out and the The ureter tumour removed. was divided about 14’ in. above its orifice and a transplantation made. Six months after the operation, when the case was reported, no recurrence had taken place. Histological examination of the tumour, which was about the size of a walnut and of very hard consistence, showed that it was a large spindle-celled sarcoma. According to Legueu sarcoma of the bladder is a very rare occurrence, only 55 cases having been recorded. It is more frequent in women than in men, and occurs mostly in early childhood and middle age. The tumour grows in the mucous membrane, is sessile, and rarely becomes pedunculated. It is usually situated at the base of the bladder in the neighbourhood of the ureter. Metastases are found:in the bones, prostate, and iliac vessels, and secondary nuclei occur in the lungs, liver, and spleen. In the subsequent discussion Dr. Louis E. Schmidt, who reported three cases in patients aged from 19 to 25, confirmed the rarity of sarcoma and pointed out that the prognosis was much better than that of carcinoma of the bladder. a
Society
1
The Urologic and Cutaneous Review, May, 1920.
and
ring fingers
prehension.
"
This method of cheiroplasty by " boning a finger was practised before the war, and described at the Societe de Medecine de Nancy in 1911 by Gross. DIABETES AND INFLUENZA.
ACCORDING to Dr. Ketil Motzfeldt,’ of Christiania, cases of diabetes were published in connexion with the influenza epidemic of 1890, only a few instances of this association have been recorded during the last epidemic. He reports four cases in which the first symptoms of diabetes set in during an ordinary attack of influenza or shortly afterwards. In spite of the youth of the patients, who were aged 14, 15, 20, and 35 years respectively, the diabetes was of a very mild character, and in three cases the tolerance for carbohydrates increased considerably during the treatment. The first case was of special interest, inasmuch as the possibility of a panThe patient, creatic infection was suggested. a man aged 35, began to suffer from a peculiar deep-seated pain in the epigastrium during the first few days of his influenzal attack, and after the temperature had been normal for a week he developed thirst and polyuria. On admission to hospital a month later the urine gave a positive ferric chloride reaction; the sugar disappeared after five days’ treatment. The tolerance was tested 18 months later, when 500 g. of bread could be taken without glycosuria. After 50 g. of glucose glycosuria appeared and lasted for three hours.
though,numerous
____
LIGHT FILTERS FOR
MICROSCOPIC WORK.
WHILE for the ordinary purposes of laboratory technique the limits of microscopic vision have probably been reached with modern instruments, the results obtainable may be improved in many respects by a more careful manipulation of the means at our disposal. Kodak, Limited, have placed on the market a set of light filters for use with the microscope which should be of considerable value. These filters, known as the Wratten Visual " MFilters, are distinct from the standard square sets used for photomicrography, being circular in shape with a diameter of 35 mm., and designed to fit the ring usually supplied with the ordinary substage microscopic fittings. They are sold in sets of nine and include a variety of tints, dark blue when the highest resolving power is required, green for contrast with pink- and redstained specimens, red for contrast with blue- or green-stained specimens, and so forth. Two of the most useful of them are the neutral tint filter for modulating the intensity of illumination, and the " Tungsten to daylight" filter, which converts the light from an artificial iliuminant to equivalent 1
Norsk Magazin for Laegevidenskaben, April, 1920.
daylight. The latter should be particularly called for where daylight is not available, or where a constant form of illumination is required. THE IMPERIAL WAR
MUSEUM.
IT is doubtful whether a collection of exhibits like those now on view in the Imperial War Museum, opened by H.M. the King at the Crystal Palace on Wednesday, has ever deserved such absorbing attention. The war trophies from sea, land, and air are one and all of a most interesting description, and they are there in profusion. Apart from projectiles, weapons, guns, and other war materials, there are two sections of particular appeal to the medical profession-the naval and army medical exhibits. These sections not only illustrate the splendid service rendered by our great medical administrations, but are instructive also in regard to the methods of the enemy in this direction, and the ultimate straits to which Germany was reduced as the end approached. Lace curtains, for example, were used for bandaging, and spring wire cloth was made to replace rubber, and so forth. Again, examples are presented of all the appliances employed against poison gas attacks, and in the steps taken to supply the men with oxygen and various medicaments in the submarine. Much of the medical history of the war is here in graphic form, and the pictures are a very striking and attractive feature of the exhibition. We understand that the War Museum is to be a permanent one, so that the opportunity of studying the models and exhibits is to be open for all time. But we recommend an early visit, while the memory of events is fresh. SARCOMA OF THE
AT
BLADDER.
recent meeting of the Chicago Urological Dr. Charles Morgan McKennareported a case of sarcoma of the bladder in an unmarried woman, age 42, who had suffered from periodical haematuria from 4 to 6 months. On cystoscopic examination a papillomatous growth was seen which involved the orifice of the left ureter. Fulguration was performed five times at intervals of five days, and subsequently a suprapubic operation was carried out and the The ureter tumour removed. was divided about 14’ in. above its orifice and a transplantation made. Six months after the operation, when the case was reported, no recurrence had taken place. Histological examination of the tumour, which was about the size of a walnut and of very hard consistence, showed that it was a large spindle-celled sarcoma. According to Legueu sarcoma of the bladder is a very rare occurrence, only 55 cases having been recorded. It is more frequent in women than in men, and occurs mostly in early childhood and middle age. The tumour grows in the mucous membrane, is sessile, and rarely becomes pedunculated. It is usually situated at the base of the bladder in the neighbourhood of the ureter. Metastases are found:in the bones, prostate, and iliac vessels, and secondary nuclei occur in the lungs, liver, and spleen. In the subsequent discussion Dr. Louis E. Schmidt, who reported three cases in patients aged from 19 to 25, confirmed the rarity of sarcoma and pointed out that the prognosis was much better than that of carcinoma of the bladder. a
Society
1
The Urologic and Cutaneous Review, May, 1920.