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THE LIVERPOOL MEDICAL INSTITUTION AND CREMATION.
886 action of the urine are observed not only in diabetics, but also at times in the course of the eruptive fevers in children with measles and scarlet fever. The researches of Jaka ch have confirmed this observation, and have shown that normally the blood and the urine always contain traces of acetone, the quantity of which may be increased in the exanthemata and in different chronic maladies, particularly carcinoma. Jaksch recognises three varieties of acetonuria-the diabetic, the febrile, and the carcinomatous. According to him the nature of the febrile process is a matter of indifference. He has noticed this symptom in pneumonia, in typhoid fever, in acute articular rheumatism, and in the eruptive fevers. He has even observed pronounced acetonuria in a case of mania without fever. Acetonuria or diaceturia may thus exist without acetonsemia; in other words, the red reaction of the urine with the perebloiide of iron may be produced in the absence of symptoms of acetonic toxaemia. Talamon relates the case of a girl of fifteen with a history of an attack of acute articular rheumatism with endocarditis. On the fifth day the temperature reached 105’&°, and the girl presented a condition of marked nervous excitement and delirium, this being characterised by incessant agitation and terrifying hallucinations, and accompanied by an odour of acetone in the breath and a ruby red reaction of the urine with the perchloride of iron. The delirium lasted five or six days and disappeared synchronously with the disappearance of the odour of acetone in the breath. From a study of the case reported, and from a review of the literature of the subject, Talamon concludes : 1. Certain of the nervous phenomena that appear in the course of acute febrile diseases may be attributed to acetonsemic intoxication. 2. These acetonsemic phenomena are characterised by the peculiar odour of acetone in the breath and the ruby-red reaction that the urine presents with the perchloride of iron. 3. The delirious aoetonsemia of articular rheumatism may simulate cerebral rheumatism, from which it is to be distinguished by the absence of hyperpyrexia and by the characteristics of the urine and of the breath.
word3d was not likely to meet with disapproval in a meet. ing of scientific men, and might reasonably pass, as it did, by a large majority. It simply asserted what had seldom been disputed-the permissive right of cremation. As much, no more, need be claimed for buxial, and on precisely similar grounds-those of sanitary advantage-provided the vault and the massive coffin be omitted. ARTIFICIAL CORNEA.
Wochenschrift publishes a seventh case transplantation of cornea by Professor V. Hippel of Konigsberg. There was a dark-brown central decoloration of the cornea, three millimetres in diameter, and reaching down to the membrane of Descemet, which had been caused by the action of nitrate of silver. Cocaine having been applied, the non-transparent part of the cornea down to the membrane of Descemet was cub into by a little trephine, the crown of which was four millimetres in diameter, and carefully removed. The author then excised by the same means a similar piece from the whole thickness of the cornea in a young rabbit, and transplanted this to the eye of his patient. It filled the wound exactly, and THE Berlin Klin.
of
level with the rest of the corner Iodoform was and both eyes were bandaged. Healing proceeded applied, without any trouble, and in six weeks the patient was discharged with a c)mpletely transparent cornea. was on a
PARAFFIN LAMP ACCIDENTS.
EVERY now and then we are reminded by some fresh disaster that the warnings which have been given and ought to have been impressed by a long series of lamp accidents are still very imperfectly appreciated. The recent deplorable occurrence in Liverpool, which it is expected will cost the lives of an entire family, exposes once more a common and radical failure in lamp construction-the lack of a self-extinguishing apparatus. It appears that on this occasion the lamp itself was broken in falling, a fact which suggests the further precaution of using a metal reservoir for ordinary household service. The MEETINGS OF THE SOCIETIES. self-extinguishing property, however, is clearly of even THE first meeting of the Clinical Society was held on greater The real danger resides in the consequence. Oct. 9 eh; the next will be on the 23rd. The Ophthalmo- flaming wick. Now that this important point is fully logical Society met on Oct. 15th, and the next meeting will recognised, it behoves manufacturers to provide every be on Nov. 12th. The Obstetrical Society adjourned from article produced with a simple automatic arrangement of July till Oct. 7th, and will meet again on Nov. 4th. The the kind referred to. No more than a trifling additional Medical Society of London will hold its first sitting on cost, if any, need be thus incurred, and the public should Oct. 19th, the Pathological Society on the 20th, the Royal be encouraged-nay, obliged by the mere absence of more Medical and Chirurgical Society on the 27th, and the Epidangerous, because defective, contrivances-to risk so much demiological Society on Nov. 18th. for personal security. It might even be worth while to institute a species of lamp registration according to a THE LIVERPOOL MEDICAL INSTITUTION AND recognised minimum of safety in construction. We must always remember, however, that it is impossible by any CREMATION. formation of rules or by merely mechanical changes to THE Liverpool Medico-Chirzcrgical Journal for July conrender needless the exercise of individual care andjudgment. tains a short article on Cremation, read by Dr. E. W. Hope at the Medical Institution. At so advanced a stage in the PATHOLOGY AND TREATMENT OF FACIAL controversy respecting the treatment of the dead we need NEURALGIA. not look for much that is new in argument. The paper in in not that it little is therefore DR in the ]3oston Medical and SurgicaJ singular PUTNAM,. possesses question claim to originality. It states the case for cremation, Journal, makes a contribution of interest and importance nevertheless, with clearness and moderation. The prospects to these much-discussed questions. He has examined in of reform in methods of burial,however, do not receive all ten nerves from eight patients who were operated on adequate recognition, and abuses which flourish under the for facial neuralgia, and in all except three more or less present system, though in a diminishing degree, are painted marked changes were found. The slighter changes convery dark. Perhaps the most noteworthy passage in this sisted in an infiltration of small cells in the nerve sheath paper is the resolution with which it closes: "That around the vessels and among the nerve fibres themselves, this Society recognises the sanitary advantages of cremation especially in the neighbourhood of the sheath. Thickening as a means of disposal of the dead, and considers the estabof the endoneural septa and of the interfibrillary substance lishment of a crematorium in Liverpool under suitable was also common, and the extreme condition consisted in the regulations as free from objection." A motion so discreetly conversion of entire bundles into a mass of wavy connective
,
word3d was not likely to meet with disapproval in a meet. ing of scientific men, and might reasonably pass, as it did, by a large majority. It simply asserted what had seldom been disputed-the permissive right of cremation. As much, no more, need be claimed for buxial, and on precisely similar grounds-those of sanitary advantage-provided the vault and the massive coffin be omitted. ARTIFICIAL CORNEA.
Wochenschrift publishes a seventh case transplantation of cornea by Professor V. Hippel of Konigsberg. There was a dark-brown central decoloration of the cornea, three millimetres in diameter, and reaching down to the membrane of Descemet, which had been caused by the action of nitrate of silver. Cocaine having been applied, the non-transparent part of the cornea down to the membrane of Descemet was cub into by a little trephine, the crown of which was four millimetres in diameter, and carefully removed. The author then excised by the same means a similar piece from the whole thickness of the cornea in a young rabbit, and transplanted this to the eye of his patient. It filled the wound exactly, and THE Berlin Klin.
of
level with the rest of the corner Iodoform was and both eyes were bandaged. Healing proceeded applied, without any trouble, and in six weeks the patient was discharged with a c)mpletely transparent cornea. was on a
PARAFFIN LAMP ACCIDENTS.
EVERY now and then we are reminded by some fresh disaster that the warnings which have been given and ought to have been impressed by a long series of lamp accidents are still very imperfectly appreciated. The recent deplorable occurrence in Liverpool, which it is expected will cost the lives of an entire family, exposes once more a common and radical failure in lamp construction-the lack of a self-extinguishing apparatus. It appears that on this occasion the lamp itself was broken in falling, a fact which suggests the further precaution of using a metal reservoir for ordinary household service. The MEETINGS OF THE SOCIETIES. self-extinguishing property, however, is clearly of even THE first meeting of the Clinical Society was held on greater The real danger resides in the consequence. Oct. 9 eh; the next will be on the 23rd. The Ophthalmo- flaming wick. Now that this important point is fully logical Society met on Oct. 15th, and the next meeting will recognised, it behoves manufacturers to provide every be on Nov. 12th. The Obstetrical Society adjourned from article produced with a simple automatic arrangement of July till Oct. 7th, and will meet again on Nov. 4th. The the kind referred to. No more than a trifling additional Medical Society of London will hold its first sitting on cost, if any, need be thus incurred, and the public should Oct. 19th, the Pathological Society on the 20th, the Royal be encouraged-nay, obliged by the mere absence of more Medical and Chirurgical Society on the 27th, and the Epidangerous, because defective, contrivances-to risk so much demiological Society on Nov. 18th. for personal security. It might even be worth while to institute a species of lamp registration according to a THE LIVERPOOL MEDICAL INSTITUTION AND recognised minimum of safety in construction. We must always remember, however, that it is impossible by any CREMATION. formation of rules or by merely mechanical changes to THE Liverpool Medico-Chirzcrgical Journal for July conrender needless the exercise of individual care andjudgment. tains a short article on Cremation, read by Dr. E. W. Hope at the Medical Institution. At so advanced a stage in the PATHOLOGY AND TREATMENT OF FACIAL controversy respecting the treatment of the dead we need NEURALGIA. not look for much that is new in argument. The paper in in not that it little is therefore DR in the ]3oston Medical and SurgicaJ singular PUTNAM,. possesses question claim to originality. It states the case for cremation, Journal, makes a contribution of interest and importance nevertheless, with clearness and moderation. The prospects to these much-discussed questions. He has examined in of reform in methods of burial,however, do not receive all ten nerves from eight patients who were operated on adequate recognition, and abuses which flourish under the for facial neuralgia, and in all except three more or less present system, though in a diminishing degree, are painted marked changes were found. The slighter changes convery dark. Perhaps the most noteworthy passage in this sisted in an infiltration of small cells in the nerve sheath paper is the resolution with which it closes: "That around the vessels and among the nerve fibres themselves, this Society recognises the sanitary advantages of cremation especially in the neighbourhood of the sheath. Thickening as a means of disposal of the dead, and considers the estabof the endoneural septa and of the interfibrillary substance lishment of a crematorium in Liverpool under suitable was also common, and the extreme condition consisted in the regulations as free from objection." A motion so discreetly conversion of entire bundles into a mass of wavy connective
,