- Email: [email protected]
BISMUTH AS A LOCAL APPLICATION IN BURNS.
452
point is furnished by the action of the vestry of St. George- should these be required. He then goes on to state the - Martyr against the superintendent of the Black- his view as to the houses of refuge, and he suggests friars Salvation Army Shelter in which Dr. Waldo stated in that certain houses should be rented by the authority for a evidence-which was corroborated by Inspector Edwards and period of six months ; and he explains that he has secured not denied by the defendant’s counsel-that a man, who was the cooperation of the Metropolitan Asylums Board as to notified on June 25th as suffering from small-pox, had slept in the use of ambulances, litters and bearers. A scheme for the the Army shelter in the Blackfriars-road on the previous night division of the district into special cholera areas has been matured and arrangements have been made with druggists as and that on the 25th theman had informed the I I lieutenant on him." to The in charge of the shelter that he had Finally, he refers to the question drugs, disinfectants &c. spots "
11
lieutenant," in reply, said" you had better go
to the to that the man had show went The evidence infirmary. " walked, in company with a fellow-lodger, to the Lambeth Infirmary, whence he was directed to the St. Saviour’s Union Northern Relief Station in the Borough, where he was isolated ; and that he was afterwards sent to the Asylums Board Small-pox Hospital by ambulance. In this case, had the-authorities of the shelter been under the protective provisions of the Common Lodging-house Acts, the "lieutenant" would have been compelled by a clause of these Acts to have communicated with the union medical officer, the relieving officer, and with the commissioner of police or his officer. "
HEMIPLEGIA AND THIRD NERVE AFFECTION. DR. EDUARD MENZ has published in the 1viewer Klinische Wochenschr’ijt a case illustrating this affection. The patient a child six years of age, who when ten months old had an illness characterised by restlessness ; the extremities of the right side became weak and the left Motor power improved in eye was turned outwards. the course of a few weeks, but the child became subject to attacks of tonic spasm associated with unconsciousness. When the patient came under observation at the age of six, as already mentioned, the right side of the face was smaller than the left. Both eyes were divergent, the left pupil was immobile, the right pupil was not, and the left eye in attempting to turn inwards could not pass beyond the middle line. Upward and downward movement was abolished in both eyes, but the fundi were normal. The right side of the mouth was paretic and the tongue deviated to the right. The right upper and lower limbs were small and their muscles badly developed. There was difficulty in carrying out the movements, a certain amount of contracture being present and the reflexes were increased on the right side. Dr. Menz considers the condition probably to depend on a lesion in the left crus cerebri crossing the middle line, and thus involving the fibres of the right third nerve as well as those of the left. was
CHOLERA
PROSPECTS AND ARRANGEMENTS IN THE METROPOLIS.
TOWARDS the end of last June the Loc’tl Government Board issued a memorandum on choleraI rospects by their medical officer to metropolitan and certain other sanitary authorities, and they asked the several metropolitan authorities to inform them of the arrangements which they had decided on with a view of giving effect to the cholera regulations which might be issued in case the disease made its appearance in London. One report which has been prepared by Mr. F. W. Alexander, the medical officer of health for Bromley and Poplar, dealing with the subject, is an excellent type of the preliminary work which it is so desirable should everywhere be carried out within the area of the metropolis. Mr. Alexander has- made certain arrangements for immediately entering into temporary possession of plots of land near the docks and elsewhere for the erection of hospital buildings. He describes the sites and specifies their areas and points of convenience, and he explains what provisional agreements have been entered into as to their use. He next refers to the temporary hospitals which he has in view, and he explains that he has made preparations for the use of tents
of nurses, the placarding of the district with bills should the need for this arise and other matters. Mr. R. M. Talbot, themedical officer of health for the Bow division, has also. made a report on somewhat similar lines, but in briefer form. If all the London sanitary authorities have been equally well advised and have acted on the advice given them, London will be well prepared for meeting any anticipated emergencyy, it is sincerely to be hoped that uniformly good work has everywhere been arranged for in advance.
BISMUTH
AS A
LOCAL
APPLICATION
IN BURNS.
THE treatment of extensive burns by bismuth, which is. Dr. Bardleben in the Friedrichshain Hospital, Berlin, is stated by Dr. Spigearni of Moscow to have succeeded. admirably in the case of a man who was accidentally burnt in a Russian bath by means of a jet of superheated steam. The burn covered the face and the whole surface of the body, with the exception of the feet, the legs and the lower third of the thighs. When Dr. Spigearni saw him he had been for six days under the care of another surgeon, who had applied iodoform. This was completely caked by the purulent and serous discharges from the blisters and the temperature was. nearly 102° F. After cleansing the surface thoroughly by means of absorbent cotton wool and boracic lotion it was well powdered over with subnitrate of bismuth enveloped in an absorbent cotton wool dressing, the latter being omitted from the face, and quinine and stimulants were ordered. A marked improvement soon began to show itself ; the dressing wa& changed three times in the course of the three weeks during which the man remained under treatment, when he was completely cured. No sign of bismuth poisoning was observed.
employed by
NAMES AND TRADE-MARKS.
deeply rooted conviction of the commercial value of and trade-marks has been amply shown by the amount of energy recently displayed in the litigation connected with Kutnow’s Improved Effervescent Carlsbid Powder." Th& fame of the Carlsbad waters and their efficacy are matters beyond dispute, and it is well known that, with a view of’ rendering the benefits more accessible and also doubtless from certain commercial considerations, a salt has been prepared from the Carlsbad "Sprudel" mineral water. As long ago. as April, 1890, application was made for the registration of a trade-mark comprising the words "Kutnow’s Improved Effervescent Carlsbad Powder," with a picture of the rock at Carlsbad, surmounted by a chamois, and with the words, "Hirschensprung or Deer Leap, Carlsbad." The municipality and their lessee opposed this registration and the whole matter has ultimately reached the High Court of Justice. It was argued on behalf of the municipality that the device of the rock and the chamois might mislead persons into the idea that they were buying the salts of which the municipality were the sole proprietors, and that the word"I Carlsbad" might give the impression that the improved effervescing powder was the natural salt of some spring instead of being an artificia} manufacture. Mr. Justice North, before whom the case was argued, decided all points in favour of the applicant, holding that a picture of a well-known object, the property of one person, might be adopted as a trade-mark by another, and that the word ’’ Carlsbad’’ in connexion with a powder merely indiTHE
names
point is furnished by the action of the vestry of St. George- should these be required. He then goes on to state the - Martyr against the superintendent of the Black- his view as to the houses of refuge, and he suggests friars Salvation Army Shelter in which Dr. Waldo stated in that certain houses should be rented by the authority for a evidence-which was corroborated by Inspector Edwards and period of six months ; and he explains that he has secured not denied by the defendant’s counsel-that a man, who was the cooperation of the Metropolitan Asylums Board as to notified on June 25th as suffering from small-pox, had slept in the use of ambulances, litters and bearers. A scheme for the the Army shelter in the Blackfriars-road on the previous night division of the district into special cholera areas has been matured and arrangements have been made with druggists as and that on the 25th theman had informed the I I lieutenant on him." to The in charge of the shelter that he had Finally, he refers to the question drugs, disinfectants &c. spots "
11
lieutenant," in reply, said" you had better go
to the to that the man had show went The evidence infirmary. " walked, in company with a fellow-lodger, to the Lambeth Infirmary, whence he was directed to the St. Saviour’s Union Northern Relief Station in the Borough, where he was isolated ; and that he was afterwards sent to the Asylums Board Small-pox Hospital by ambulance. In this case, had the-authorities of the shelter been under the protective provisions of the Common Lodging-house Acts, the "lieutenant" would have been compelled by a clause of these Acts to have communicated with the union medical officer, the relieving officer, and with the commissioner of police or his officer. "
HEMIPLEGIA AND THIRD NERVE AFFECTION. DR. EDUARD MENZ has published in the 1viewer Klinische Wochenschr’ijt a case illustrating this affection. The patient a child six years of age, who when ten months old had an illness characterised by restlessness ; the extremities of the right side became weak and the left Motor power improved in eye was turned outwards. the course of a few weeks, but the child became subject to attacks of tonic spasm associated with unconsciousness. When the patient came under observation at the age of six, as already mentioned, the right side of the face was smaller than the left. Both eyes were divergent, the left pupil was immobile, the right pupil was not, and the left eye in attempting to turn inwards could not pass beyond the middle line. Upward and downward movement was abolished in both eyes, but the fundi were normal. The right side of the mouth was paretic and the tongue deviated to the right. The right upper and lower limbs were small and their muscles badly developed. There was difficulty in carrying out the movements, a certain amount of contracture being present and the reflexes were increased on the right side. Dr. Menz considers the condition probably to depend on a lesion in the left crus cerebri crossing the middle line, and thus involving the fibres of the right third nerve as well as those of the left. was
CHOLERA
PROSPECTS AND ARRANGEMENTS IN THE METROPOLIS.
TOWARDS the end of last June the Loc’tl Government Board issued a memorandum on choleraI rospects by their medical officer to metropolitan and certain other sanitary authorities, and they asked the several metropolitan authorities to inform them of the arrangements which they had decided on with a view of giving effect to the cholera regulations which might be issued in case the disease made its appearance in London. One report which has been prepared by Mr. F. W. Alexander, the medical officer of health for Bromley and Poplar, dealing with the subject, is an excellent type of the preliminary work which it is so desirable should everywhere be carried out within the area of the metropolis. Mr. Alexander has- made certain arrangements for immediately entering into temporary possession of plots of land near the docks and elsewhere for the erection of hospital buildings. He describes the sites and specifies their areas and points of convenience, and he explains what provisional agreements have been entered into as to their use. He next refers to the temporary hospitals which he has in view, and he explains that he has made preparations for the use of tents
of nurses, the placarding of the district with bills should the need for this arise and other matters. Mr. R. M. Talbot, themedical officer of health for the Bow division, has also. made a report on somewhat similar lines, but in briefer form. If all the London sanitary authorities have been equally well advised and have acted on the advice given them, London will be well prepared for meeting any anticipated emergencyy, it is sincerely to be hoped that uniformly good work has everywhere been arranged for in advance.
BISMUTH
AS A
LOCAL
APPLICATION
IN BURNS.
THE treatment of extensive burns by bismuth, which is. Dr. Bardleben in the Friedrichshain Hospital, Berlin, is stated by Dr. Spigearni of Moscow to have succeeded. admirably in the case of a man who was accidentally burnt in a Russian bath by means of a jet of superheated steam. The burn covered the face and the whole surface of the body, with the exception of the feet, the legs and the lower third of the thighs. When Dr. Spigearni saw him he had been for six days under the care of another surgeon, who had applied iodoform. This was completely caked by the purulent and serous discharges from the blisters and the temperature was. nearly 102° F. After cleansing the surface thoroughly by means of absorbent cotton wool and boracic lotion it was well powdered over with subnitrate of bismuth enveloped in an absorbent cotton wool dressing, the latter being omitted from the face, and quinine and stimulants were ordered. A marked improvement soon began to show itself ; the dressing wa& changed three times in the course of the three weeks during which the man remained under treatment, when he was completely cured. No sign of bismuth poisoning was observed.
employed by
NAMES AND TRADE-MARKS.
deeply rooted conviction of the commercial value of and trade-marks has been amply shown by the amount of energy recently displayed in the litigation connected with Kutnow’s Improved Effervescent Carlsbid Powder." Th& fame of the Carlsbad waters and their efficacy are matters beyond dispute, and it is well known that, with a view of’ rendering the benefits more accessible and also doubtless from certain commercial considerations, a salt has been prepared from the Carlsbad "Sprudel" mineral water. As long ago. as April, 1890, application was made for the registration of a trade-mark comprising the words "Kutnow’s Improved Effervescent Carlsbad Powder," with a picture of the rock at Carlsbad, surmounted by a chamois, and with the words, "Hirschensprung or Deer Leap, Carlsbad." The municipality and their lessee opposed this registration and the whole matter has ultimately reached the High Court of Justice. It was argued on behalf of the municipality that the device of the rock and the chamois might mislead persons into the idea that they were buying the salts of which the municipality were the sole proprietors, and that the word"I Carlsbad" might give the impression that the improved effervescing powder was the natural salt of some spring instead of being an artificia} manufacture. Mr. Justice North, before whom the case was argued, decided all points in favour of the applicant, holding that a picture of a well-known object, the property of one person, might be adopted as a trade-mark by another, and that the word ’’ Carlsbad’’ in connexion with a powder merely indiTHE
names