857
VENEREAL DISEASE IN LONDON AND ENVIRONS.
else to find supplementary allowances making up his wages to this amount. For the social department of a sanatorium of 100 beds a single whole-time health nurse is considered sufficient. Voluntary workers may help, but cannot replace her. No patient may be discharged until his future has been assured in advance.
publictuberculin
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VENEREAL DISEASE IN LONDON AND ENVIRONS. THE London County Council proposes to continue the arrangement, which has worked well in the past, of joining with the County Councils of Buckingham, Essex, Hertford, Kent, Middlesex, and Surrey, and the Croydon, East Ham and West Ham CountyBorough Councils, for the common utilisation of the facilities afforded by certain London hospitals for diagnosis and treatment of venereal diseases. During the year 1921 the number of patients’ attendances at the various clinicswas 496,209, as compared with 464,033 for 1920. The number of new cases was 25,418, representing a reduction of 5628. Only four clinics showed an increase of numbers.. The reduction is attributed mainly to the disappearance of abnormal conditions associated with the war and demobilisation. " No doubt it would be reasonable to assume," state the L.C.C. Public Health Committee, " that it is also due, to some extent, to the effects of the continuous anti-venereal
test
proved negative.
In
spite of misgiving
ana’sthetic would be borne, Sand performed on May 23rd resection of the left epididymis and right-sided vasectomy. The effects of the operation had been completely recovered from by June 15th. In a week s time from this both testicles were felt to be distended, the right more so. However, very little as
to whether
an
retrogression of senility occurred, and at the end of the month the animal was returned to its owner, who, on Oct. 25th, wrote that three or four weeks after discharge the dog became brisker, its appetite better, and its coat thicker. By the end of August it could run behind a bicycle slowly ridden and the sexual appetite revived : sight and hearing improved and it no longer slept all day. In September great strides were made, so that he again used it for sporting purposes and regarded it as equal in every way to a dog seven years old. The animal was again examined by the veterinarian already mentioned, who expressed great surprise at the change in it. The author concludes by recommending such treatment to the attention of the
veterinary profession.
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COMPULSORY EVIDENCE AT INQUESTS.
As many coroners are medical men it may be of interest to note a point dealt with exhaustively by Mr. Justice Riddell recently in the Supreme Court of Ontario in an appeal in which the decision of a coroner The point at issue was whether a was questioned. campaign." man already in custody upon a charge of manslaughter in respect of a death into which the coroner was INTERNATIONAL CONGRESS OF OTOLOGY. could he subpoenaed and compelled to give THE Tenth International Congress of Otology will inquiring evidence at the inquest. Mr. Justice Riddell, after take place in the Ecole de Médecine, Paris, on July 19th, reviewing at length the cases decided in English courts 20th, and 21st, immediately following the two days’ on the subject, held that such a person had the right to annual meeting of the Societe Francaise d’Otogive evidence and equally could be compelled to do so, Bhino-Laryngologie. The date originally fixed for and concluded by pointing out that the object with the Congress was altered to prevent its clashing with which the law is administered is to discover the actual the meeting of the British Medical Association at facts for the public safety, the duty being laid upon Glasgow; the French organisers of the Congress are every citizen to tell all he knows for the sake of the anxious to welcome a large number of English-speaking public at large. The question whether a person already visitors. The president of the British Organising committed for trial by magistrates, or in custody upon Committee is Dr. Urban Pritchard, the chairman, Sir a charge of murder or manslaughter, can legally be StClair Thomson, and the hon. secretaries are Dr. compelled to go into the witness-box in a coroner’s Lionel Colledge, 22, Queen Anne-street, London, W. 1, court in the same matter, appears, however, at any and Dr. J. S. Fraser, 50, Melville-street, Edinburgh, rate so far as this country is concerned, to be of either of whom is prepared to give all information academic rather than practical interest, because, concerning present arrangements. The subscription although there may be questions which such a witness to the Congress is Fr.100 ( £ 2 ), which should be might properly be made to answer, they are necessarily forwarded to the treasurer, Dr. G. Laurens, 4, Avenue few. This is because no such witness can be comHoche, Paris, 8°. Those who intend to read papers pelled to answer a question if the effect of his answer or join in debates should write direct to Dr. Hautant, might be to criminate himself. Consequently, a 28, Rue Marboeuf, Paris, 8°. It has been decided to person charged with the death, the subject of the hold an exhibition of anatomical and pathological inquest, is usually allowed, but not obliged, to be specimens (macroscopic and microscopic) connected present, and allowed, but not obliged, to go into the with diseases of the ear, nose, larynx, and pharynx. witness-box. should comThose who desire to exhibit municate the number and description of the latter to TREATMENT OF GASTRIC CRISES. Dr. P. Truffert, 2, Rue Ambroise Paré, Paris, 10°. Dr. Albert R. McFarland, assistant in the section on dermatology and syphilology of the Mayo Foundation, draws attention to the helplessness of the physician CANINE REJUVENATION EXPERIMENT. --
____
specimens
and the misery of the patient during the gastric Dr. Knud Sand communicates1 an interesting crises of abject in which hitherto hypodermic injection tabes, example of Steinach’s methods, which as an isolated of morphia has been the only method which can control case he does not wish to overstress, but which seems The condition is often the pain and vomiting. well attested and of a striking character. In May, mistaken for gall-stone colic or some similar definitely 1921, an acquaintance brought to him at a pathological cause, and the drug may have to be repeatedly institute in Copenhagen, a pedigree German pointer, organic before the true nature of the disease is employed 12t years old, whose life the owner despaired of owing discovered, by which time the habit of morphinism is to senile changes; he contemplated having the dog well established. After with many drugs killed. Sand took the precaution of sending the and different methods of experiments Dr. McFarland administration, animal to Prof. Hansen, of the Royal Veterinary and has found that the most mode of treatsatisfactory Agricultural College of the same city, for a preliminary ment, palliative only it is true, is the administration report. This affirmed that the dog suffered from of chloral hydrate and sodium bromide in large doses pronounced senility, with the symptoms of dull eyes, rectum. The results have been at least as good as thin coat, deafness, and thickened inelastic skin. It by those of morphia in the majority of the cases and the could move only with difficulty, was emaciated, and risk of establishing a drug habit has been avoided. often had incontinence of urine and faeces. There A watery solution of chloral hydrate and sodium were no signs of organic disease except cirrhotic bromide in which half an ounce (15 c.cm.) of the fluid which was
kidney,
almost universal in old dogs.
1Zeitschrift für Sexualwissenschaft, March, 1922.
A
1 Journal of the American Medical Association, March 18th, 1922.