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A PATHOLOGICAL RESEARCH FELLOWSHIP.
886
record, had passed through the nasal duct into the Moreover, doubtless through slight differences in throat and so into the ear. It was more probable successive drawings of the vertebral column, too that the otitis was due to the mother, who still had much apparent movement of the bony structures
specific discharge. As the otorrhoea proved to be took place, including even alternate narrowing very obstinate, the possibility of gonococcal infec- and widening of the spinal canal. The use of a tion suggested itself, and on bacteriological examina- stamp for the fixed portions of the vertebral column tion typical gonococci were found in the ear dis- would have averted this curious illusion and saved charge. Treatment with 1 per cent. protargol was time in drawing. Dr. Robinson excused the jerky instituted and rapid recovery took place. The movements on the score of the enormous expense case illustrates the necessity of making a bacterioinvolved in the drawings, but for experimental logical examination in all cases of obstinate and demonstration, if not for selling purposes, it otorrhcea in infants, especially in those who have would have proved more effective to concentrate on previously suffered from ophthalmia; for, where either vertex or breech and show the same number a
indicated, specific treatment with protargol followed of drawings spread
by potassium permanganate leads to .days.
in
over
one
presentation only.
few The pictures of actual labour on the living subject were also disappointing, though the birth area certainly filled the picture, and the movements of the A PATHOLOGICAL RESEARCH FELLOWSHIP. emerging child were shown as clearly as possible. AT a time when hospital finance is becoming Since in’ the vertex case no attempt was made to more and more difficult it is pleasing to note that guard the perineum-doubtless so as not to obscure the value of organised clinical research is recog- the view of the child’s movements-we may connised by a few generous souls. St. Bartholomew’s clude that the object was the demonstration of Hospital Medical School has become the recipient the physiology as opposed to the management of of a sum of money sufficient to endow a research labour; such movements, however, as are visible into " the Pathology and Treatment of Lymph- to an observer facing the perineum form too small adenoma." This is due to the munificence of Mrs. a part of the whole complicated process to be of L. B. Rose, of Bedford, who has so arranged that any help to a student. As to the possible value of sufficient funds are available for the research to these films in teaching the management of labour, he carried on for a period of ten years if necessary. the most important duty of the obstetrician in a Working expenses are also provided for, and the normal case is to guard the perineum, and the sum given is sufficient to support a second spectacle of an unaided delivery with a torn peri. researcher if the board of electors to the fellow- neum is of negative educational value. It will not ship deem it desirable. The gift should have tend to improve the practice of the student, only attraction for workers from all parts of the too prone to regard a tear merely as an opportunity ,country, for it has been decided by the hospital for practice in putting in stitches, if this accident authorities to throw open the Rose Research is deliberately allowed to occur in what should be Fellowship for competition by any who may amodelfilm. In any case, the doctrine that a person ,desire to apply. Lymphadenoma is still a disease should be allowed to conduct labour without of which little is known, either on the pathological having watched actual delivery and having received The available material is practical instruction in technique at the bedside or therapeutic side. and although it is expected that the would surely be indefensible; films of the natural scanty, research will for the most part be carried on at subject could in no way replace such instrucSt. Bartholomew’s Hospital, powers are given to tion. The omission of the customary warm flannel the electors from time to time to permit a part of it round the buttocks of the breech baby, and the being performed elsewhere. It will be seen that demonstration of pictures of a case insufficiently the fellowship is generously conceived, and its prepared, seem to show that the preparation of a holder will be a fortunate person. really satisfactory obstetric film is very difficult. Dr. Robinson should have discarded all unsatisfactory films and have delayed release until he NORMAL LABOUR ON THE CINEMA. could show a model one, if he wished to convince Dr. Drummond Robinson has spent time, trouble, his audience that his subject is suitable for cinematoand money on the obstetrical films recently shown graph teaching. Such films might be useful in the at the Royal Society of Medicine, but we do not future for training midwives in this country or in share the apologetic attitude adopted by those India, especially if less prominence were given to the members of the society who criticised them in actual delivery in comparison with the preparations ,detail. The principle of teaching by cinematograph, therefor. They should comprise pictures of antewhere practicable, has long been accepted, and it natal clinics, the taking of measurements, and is in the details of its application to any subject testing of urines; hygienic under-garments for that an individual film must stand or fall, especially pregnant women should be shown, and pictures of if it is offered for sale to teaching institutions. In Dr. the fittings of a lying-in hospital. Midwives and Robinson’s films the diagrammatic line drawings in students should be seen washing up, putting on sagittal section were similar to those seen in many sterile gowns and gloves, otheis making and arrangtext-books. Had they been sufficiently numerous ing the bed, and movable tables with accessories ,-to give an impression of continuous movement should be demonstrated; other pictures might show .when released at a fast pace, they might have been the adaptation of a small cottage to the purpose of helpful, though drawings of such complicated a lying-in room. Certain details in Dr. Robinson’s movements in two dimensions only are always film, such as the cleaning of the baby’s eyes, the jaw difficult to interpret. The baby moved down and shoulder traction method of extracting a breech in a series of jerks comparable to those made baby, and subsequent resuscitation from asphyxia, by the minute hands of certain large clocks were excellently shown. Had the pictures been worked by electricity; no one attitude merged offered only as a demonstration of possibilities, and into the next even rapidly enough to cause the criticism invited, we should have congratulated disagreeable flicker associated with a slow film. all concerned on the enterprise, and trusted that ____
cure
a
record, had passed through the nasal duct into the Moreover, doubtless through slight differences in throat and so into the ear. It was more probable successive drawings of the vertebral column, too that the otitis was due to the mother, who still had much apparent movement of the bony structures
specific discharge. As the otorrhoea proved to be took place, including even alternate narrowing very obstinate, the possibility of gonococcal infec- and widening of the spinal canal. The use of a tion suggested itself, and on bacteriological examina- stamp for the fixed portions of the vertebral column tion typical gonococci were found in the ear dis- would have averted this curious illusion and saved charge. Treatment with 1 per cent. protargol was time in drawing. Dr. Robinson excused the jerky instituted and rapid recovery took place. The movements on the score of the enormous expense case illustrates the necessity of making a bacterioinvolved in the drawings, but for experimental logical examination in all cases of obstinate and demonstration, if not for selling purposes, it otorrhcea in infants, especially in those who have would have proved more effective to concentrate on previously suffered from ophthalmia; for, where either vertex or breech and show the same number a
indicated, specific treatment with protargol followed of drawings spread
by potassium permanganate leads to .days.
in
over
one
presentation only.
few The pictures of actual labour on the living subject were also disappointing, though the birth area certainly filled the picture, and the movements of the A PATHOLOGICAL RESEARCH FELLOWSHIP. emerging child were shown as clearly as possible. AT a time when hospital finance is becoming Since in’ the vertex case no attempt was made to more and more difficult it is pleasing to note that guard the perineum-doubtless so as not to obscure the value of organised clinical research is recog- the view of the child’s movements-we may connised by a few generous souls. St. Bartholomew’s clude that the object was the demonstration of Hospital Medical School has become the recipient the physiology as opposed to the management of of a sum of money sufficient to endow a research labour; such movements, however, as are visible into " the Pathology and Treatment of Lymph- to an observer facing the perineum form too small adenoma." This is due to the munificence of Mrs. a part of the whole complicated process to be of L. B. Rose, of Bedford, who has so arranged that any help to a student. As to the possible value of sufficient funds are available for the research to these films in teaching the management of labour, he carried on for a period of ten years if necessary. the most important duty of the obstetrician in a Working expenses are also provided for, and the normal case is to guard the perineum, and the sum given is sufficient to support a second spectacle of an unaided delivery with a torn peri. researcher if the board of electors to the fellow- neum is of negative educational value. It will not ship deem it desirable. The gift should have tend to improve the practice of the student, only attraction for workers from all parts of the too prone to regard a tear merely as an opportunity ,country, for it has been decided by the hospital for practice in putting in stitches, if this accident authorities to throw open the Rose Research is deliberately allowed to occur in what should be Fellowship for competition by any who may amodelfilm. In any case, the doctrine that a person ,desire to apply. Lymphadenoma is still a disease should be allowed to conduct labour without of which little is known, either on the pathological having watched actual delivery and having received The available material is practical instruction in technique at the bedside or therapeutic side. and although it is expected that the would surely be indefensible; films of the natural scanty, research will for the most part be carried on at subject could in no way replace such instrucSt. Bartholomew’s Hospital, powers are given to tion. The omission of the customary warm flannel the electors from time to time to permit a part of it round the buttocks of the breech baby, and the being performed elsewhere. It will be seen that demonstration of pictures of a case insufficiently the fellowship is generously conceived, and its prepared, seem to show that the preparation of a holder will be a fortunate person. really satisfactory obstetric film is very difficult. Dr. Robinson should have discarded all unsatisfactory films and have delayed release until he NORMAL LABOUR ON THE CINEMA. could show a model one, if he wished to convince Dr. Drummond Robinson has spent time, trouble, his audience that his subject is suitable for cinematoand money on the obstetrical films recently shown graph teaching. Such films might be useful in the at the Royal Society of Medicine, but we do not future for training midwives in this country or in share the apologetic attitude adopted by those India, especially if less prominence were given to the members of the society who criticised them in actual delivery in comparison with the preparations ,detail. The principle of teaching by cinematograph, therefor. They should comprise pictures of antewhere practicable, has long been accepted, and it natal clinics, the taking of measurements, and is in the details of its application to any subject testing of urines; hygienic under-garments for that an individual film must stand or fall, especially pregnant women should be shown, and pictures of if it is offered for sale to teaching institutions. In Dr. the fittings of a lying-in hospital. Midwives and Robinson’s films the diagrammatic line drawings in students should be seen washing up, putting on sagittal section were similar to those seen in many sterile gowns and gloves, otheis making and arrangtext-books. Had they been sufficiently numerous ing the bed, and movable tables with accessories ,-to give an impression of continuous movement should be demonstrated; other pictures might show .when released at a fast pace, they might have been the adaptation of a small cottage to the purpose of helpful, though drawings of such complicated a lying-in room. Certain details in Dr. Robinson’s movements in two dimensions only are always film, such as the cleaning of the baby’s eyes, the jaw difficult to interpret. The baby moved down and shoulder traction method of extracting a breech in a series of jerks comparable to those made baby, and subsequent resuscitation from asphyxia, by the minute hands of certain large clocks were excellently shown. Had the pictures been worked by electricity; no one attitude merged offered only as a demonstration of possibilities, and into the next even rapidly enough to cause the criticism invited, we should have congratulated disagreeable flicker associated with a slow film. all concerned on the enterprise, and trusted that ____
cure
a