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A SYRINGE FOR SIALOGRAPHY
80
compactness, with administrative and clerical services centralised and the patients confined to the ground floor. He condemned the use of radiators as heating by convection and preferred the radiant type of ceiling heating with steel pipes through which hot water could be passed. Dr. BLYTH BROOKE said that a tuberculosis dispensary both externally and internally should be one to inspire confidence and create a friendly and homely atmosphere. He outlined the details of lay-out and illustrated his points with a plan of the Finsbury health centre. Dr. E. K. PRITCHARD, with experience of the new health services at Southwark, said that he was not in favour of conditioned ventilation, because it required closed windows and it was sometimes difficult to convince the tuberculous patient that you were practising what you preached. Dr. F. R. G. HEAF thought well of Dr. McDougall’s new hostel in view of the increased general demand for bed accommodation, and Mr. S. LOUTIT said that the designing of a tuberculosis institution should be the job of an outside architect and not of a borough surveyor. ,
NORTH OF ENGLAND OBSTETRICAL AND GYNÆCOLOGICAL SOCIETY a meeting of this society in Newcastle-on-Tyne May 10 Prof. E. FARQUHAR MURRAY, the president, delivered his presidential address, entitled Retrospect, Introspect, and Prospect outlining the main changes in gynaecological practice which had taken place since 1911. Perhaps the most striking change was the development of a sound pathology which took regard of the whole patient. This was exemplified by the alteration in the treatment of retroversion and prolapse. In London in 1911 a third to a half of the laparotomies performed As a conclusion to were for antefixing the uterus. it to was known irreverent juniors prolapse operations as the " all red route." After such a training it was
In obstetrics perhaps the most striking advance he had seen had been the almost complete disappearance of craniotomy and its replacement by caesarean section. Although the universal desire to provide ansesthesia for women in labour was commendable, under the present imperfect organisation of maternity services the idea that every midwife should have a powerful drug or apparatus at her disposal for every As a case was both dangerous and impracticable. matter of fact the vast majority of women passed through labour without any analgesia at all and took no harm whatever. By a judicious administration of the old-fashioned drugs it was possible to ensure a reasonably comfortable labour and a shorter and not intolerable second stage. For most women nature was not so terribly unkind as she was made out. In the teaching of obstetrics one of the faults of the present system was the absence of a senior resident with the necessary standing in hospitals where junior residents were being taught their job. There was also a shortage of posts where men could learn postgraduate obstetrics. With the evolution of maternity services there would be an increased demand for general practitioners with such experience, and in some way this problem of instruction must The provision by most public-health be solved. authorities of a comprehensive consultant obstetric service was commendable, although some places had ignored the doctors and displaced them entirely in favour of whole-time officers. Such a step had the most adverse effect.
AT
on
relief to find that there were many backaches and When he very few retroverted uteri as a cause. came to Newcastle in 1919 he found that ventrofixation had not been done for many years, although numerous papers were still being read advocating it. To the Manchester school belongs much of the credit for establishing that a thorough plastic vaginal repair was sufficient to cure prolapse. During the same period there had been a swing of the pendulum from radical surgery to conservatism. Fortunately the clean pelvic sweeps preferred by those who considered a tidy pelvic basin as of prime importance were less common now. Years ago he had been told by a general practitioner that those who believed in removing ovaries should be made responsible for the patients’ aftercare. The replacement of hysterectomy by myomectomy in suitable cases was another instance of the same change in outlook. On the other hand, much of the conservative surgery practised had been unsound-e.g., the performance of salpingostomies without proof of any patency between the tube and the uterine cavity. Hormone therapy certainly was one of the main bulwarks of conservatism, but he wished there were a more satisfactory method of testing the preparations before the market was flooded at great expense to the
NEW INVENTIONS A SYRINGE FOR SIALOGRAPHY
IN several cases I have experienced difficulty with the usual syringes in injecting Lipiodol into thesalivary ducts prior to sialography, and I have therefore designed the new type shown in the figure.
a
hospitals.
This syringe, which is made by John Bell and Croyden, has rendered the technique of injection more precise and less irksome for both the patient. and the operator.
--
-
HAMILTON BAILEY, F.R.C.S.
AN ELECTRIC UVIOMETER
Henry Allday and Sons of 19, Warstone Lane, Birmingham, 18, have designed their new A-T " uviometer on the principle of the photoelectric photographic exposure meter, the scale being calibrated directly in units of erythema dosage. The apparatus is easily portable, being some 5 in. long by 3t in. wide and 2 in. deep. It is said to be Messrs.
"
sensitive to radiations of between 2800 and 4000 the glass filter absorbing most of the radiations within the visible spectrum. If this is so it will register only the therapeutically valuable rays of a mercury-vapour lamp. It should be useful for comparing the emission of different sources of ultraviolet light or for estimating the deteriorationof a lamp after long use. The uviometer costs 15 guineas.
Angstrom units,
compactness, with administrative and clerical services centralised and the patients confined to the ground floor. He condemned the use of radiators as heating by convection and preferred the radiant type of ceiling heating with steel pipes through which hot water could be passed. Dr. BLYTH BROOKE said that a tuberculosis dispensary both externally and internally should be one to inspire confidence and create a friendly and homely atmosphere. He outlined the details of lay-out and illustrated his points with a plan of the Finsbury health centre. Dr. E. K. PRITCHARD, with experience of the new health services at Southwark, said that he was not in favour of conditioned ventilation, because it required closed windows and it was sometimes difficult to convince the tuberculous patient that you were practising what you preached. Dr. F. R. G. HEAF thought well of Dr. McDougall’s new hostel in view of the increased general demand for bed accommodation, and Mr. S. LOUTIT said that the designing of a tuberculosis institution should be the job of an outside architect and not of a borough surveyor. ,
NORTH OF ENGLAND OBSTETRICAL AND GYNÆCOLOGICAL SOCIETY a meeting of this society in Newcastle-on-Tyne May 10 Prof. E. FARQUHAR MURRAY, the president, delivered his presidential address, entitled Retrospect, Introspect, and Prospect outlining the main changes in gynaecological practice which had taken place since 1911. Perhaps the most striking change was the development of a sound pathology which took regard of the whole patient. This was exemplified by the alteration in the treatment of retroversion and prolapse. In London in 1911 a third to a half of the laparotomies performed As a conclusion to were for antefixing the uterus. it to was known irreverent juniors prolapse operations as the " all red route." After such a training it was
In obstetrics perhaps the most striking advance he had seen had been the almost complete disappearance of craniotomy and its replacement by caesarean section. Although the universal desire to provide ansesthesia for women in labour was commendable, under the present imperfect organisation of maternity services the idea that every midwife should have a powerful drug or apparatus at her disposal for every As a case was both dangerous and impracticable. matter of fact the vast majority of women passed through labour without any analgesia at all and took no harm whatever. By a judicious administration of the old-fashioned drugs it was possible to ensure a reasonably comfortable labour and a shorter and not intolerable second stage. For most women nature was not so terribly unkind as she was made out. In the teaching of obstetrics one of the faults of the present system was the absence of a senior resident with the necessary standing in hospitals where junior residents were being taught their job. There was also a shortage of posts where men could learn postgraduate obstetrics. With the evolution of maternity services there would be an increased demand for general practitioners with such experience, and in some way this problem of instruction must The provision by most public-health be solved. authorities of a comprehensive consultant obstetric service was commendable, although some places had ignored the doctors and displaced them entirely in favour of whole-time officers. Such a step had the most adverse effect.
AT
on
relief to find that there were many backaches and When he very few retroverted uteri as a cause. came to Newcastle in 1919 he found that ventrofixation had not been done for many years, although numerous papers were still being read advocating it. To the Manchester school belongs much of the credit for establishing that a thorough plastic vaginal repair was sufficient to cure prolapse. During the same period there had been a swing of the pendulum from radical surgery to conservatism. Fortunately the clean pelvic sweeps preferred by those who considered a tidy pelvic basin as of prime importance were less common now. Years ago he had been told by a general practitioner that those who believed in removing ovaries should be made responsible for the patients’ aftercare. The replacement of hysterectomy by myomectomy in suitable cases was another instance of the same change in outlook. On the other hand, much of the conservative surgery practised had been unsound-e.g., the performance of salpingostomies without proof of any patency between the tube and the uterine cavity. Hormone therapy certainly was one of the main bulwarks of conservatism, but he wished there were a more satisfactory method of testing the preparations before the market was flooded at great expense to the
NEW INVENTIONS A SYRINGE FOR SIALOGRAPHY
IN several cases I have experienced difficulty with the usual syringes in injecting Lipiodol into thesalivary ducts prior to sialography, and I have therefore designed the new type shown in the figure.
a
hospitals.
This syringe, which is made by John Bell and Croyden, has rendered the technique of injection more precise and less irksome for both the patient. and the operator.
--
-
HAMILTON BAILEY, F.R.C.S.
AN ELECTRIC UVIOMETER
Henry Allday and Sons of 19, Warstone Lane, Birmingham, 18, have designed their new A-T " uviometer on the principle of the photoelectric photographic exposure meter, the scale being calibrated directly in units of erythema dosage. The apparatus is easily portable, being some 5 in. long by 3t in. wide and 2 in. deep. It is said to be Messrs.
"
sensitive to radiations of between 2800 and 4000 the glass filter absorbing most of the radiations within the visible spectrum. If this is so it will register only the therapeutically valuable rays of a mercury-vapour lamp. It should be useful for comparing the emission of different sources of ultraviolet light or for estimating the deteriorationof a lamp after long use. The uviometer costs 15 guineas.
Angstrom units,