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DIARIES.
1710
history and the method by which its wings are folded up go far to redeem its bad character-which we own with sorrow it deserves-of damaging flowers. Mr. Enock’s admirable illustrations help to make his collaborator’s text plain at a glance ; not that we mean by this that Mr. Grant Allen writes unintelligibly, but "things seen are mightier than things heard." The book will make an admirable gift for any person who cares for country life, and even for the town dweller it will be useful, for he can see many of the subjects dealt with in the parks and open life
spaces. Traite
Pratique de Radiographie et de Radioscopie :: Technique et Applications Medicales. (A Practical Treatise on Radiography, Radioscopy, and their Medical Applications.) Par A. LONDE. Paris: Gauthier-Villars. 1898. Pp. xii. and 244. Price 7 francs.-In this comprehensive work M. Londe, who is at the head of the photographic and radiographic department of the Salpetriere, gives many fine reproductions of radiographs of bones not only in normal subjects but in malformations and also when presenting lesions due either to injury or disease. In undeveloped persons the progress of ossification may be observed and two of this kind are illustrated, one of them interesting
examples
being the hand of
mummy which from the state of the ossification was inferred to be that of a child eight years of age. The other case was that of a male patient, nineteen years of age and 41 in. high, admitted to the Salpetriere with myxcedema. Ossification was hardly more advanced than in a child of two or three years, but after five months’ thyroid treatment he was 13/4 in. taller and the radiographs taken then showed the bones of the hands and feet to be much better ossified than on the former occasion. In the chapter on foreign bodies embedded or swallowed, in addition to the ordinary method of passing the rays through the part in directions at right angles to each other, M. Londe describes four special contrivances for assisting the observer. One is a device of his own, a boxwood triangle with metallic pins projecting from it, which are photographed at the same time as the foreign body. Two of the other methods require the simultaneous use of two vacuum tubes ; they have been suggestedLby M. Brunel and Dr. Foveau de Courmelles and by Dr. Mergier. Various contrivances for use with fluorescent screens are shown and there is an illustration of Dr. de Bourgade’s clinical table on which an infirm patient may be laid; being hinged it can be inclined to a considerable extent and the observer can sit on a low chair underneath it when either using the fluorescent screen or placing photographic plates in position. The chapters on sources of electricity, various kinds of vacuum tubes, screens, &c., are tolerably full and altogether the book is one which can be an
Egyptian
recommended. JOURNALS AND REVIEWS. IN the December number of the British Journal of Dermatology the original part is entirely taken up with the report of an interesting debate on general exfoliative dermatitis, introduced by Dr. Walter Smith at the Dermatological Society of London. It is valuable as giving the views upon this serious disease of the skin held by some of the leading British dermatologists. The quarterly survey of dermatological literature and the report of the Dermatological Society of Great Britain and Ireland complete the number.
the disease, as-they may occur in other kinds of cell degeneration ; and (3) that Darier’s disease is a variety of ichthyosis from which clinically it may be distinguished by its localisation and by the presence of Darier’s papules and histologically by the proliferation of the papillx and of the rete Malpighii.. J. Schutz writes on the occurrence of leucoplakia oris in psoriasis and other dermatoses and gives the evidence con-tained in dermatological literature that psoriasis may attack mucous membranes. H. Apolant has a long paper on Antipyrin Eruptions, the literature of which is sufficiently formidable, amounting to four closely-printed pages of references. H. Napp and C. Grouven conclude the original articles. with the results of the TR. Tuberculin treatment in theDermatological Klinik at Bonn. Their experience, like that of others, is that while it exercises a beneficial influence on the tuberculous processes, too often the good effect does not last and the disease returns. At the same time whateverbenefit accrues is not accompanied by injury to the rest of the organism. The remainder of the number contains the usual reports of German dermatological societies and abstracts from recent literature. Scottish Medical and Surgical Journal.-In the December number Dr. Alexander James (Edinburgh) gives clinical details regarding 4 cases of Tuberculous Neuritis, the parts’. affected being both legs and feet in two cases, the left arm in 1 case, and the right arm, right leg, and right side of theface in the remaining patient. In connexion with this. subject Dr. James discusses the so-called " causeless. hemiplegia" which may occur in tuberculous persons and he describes an instance which he considers to be of thiskind. Dr. T. McHardy (Cullen) gives an account of a patient who had suffered from chronic gastric ulcer for twenty years, but found complete relief from all symptoms. after taking 1/16th or 1/12th of a grain of bichromate of potassium every six hours for twenty-two days. Dr. W. Stewart McDougall describes a case of Ascites in which paracentesis was performed over 100 times. Thepatient is a female pauper in Sutherlandshire ; in five years. over 4000 pints of fluid have been removed from herabdomen. -Dublin Journal of Medical Science.-The original articles. in the December number are by Dr. T. W. Grimshaw on theRelations between Preventive Medicine and Vital Statistics;. by Dr. R. H. Kennan on I I Relapse " in Scarlet Fever; and by Dr. J. W. Moore on Clinical Experiences of Septicaemia and Enteric Fever. Manchester Royal Infirmary Students’ Gazette.-An article, in the November number entitled the English Student in Vienna and written by Mr. F. H. Westmacott contains a. good deal of miscellaneous information which can hardly fail to be useful to English visitors arriving in the Austrian, capital for the first time. It seems that hospital work there begins at 7.0, 7.30, or 8 A.M. and goes on till 7 P.M. ThePathological Institute is " open day and night."
DIARIES. LETTS’S well-known diaries (Cassell and
Co.), in their 1899’ comprehensive as usual, ably supplying the needs of the offlee, the home, and the individual, whilst the Medical Diary " continues to provide members of the profession with a handy note-book, conveniently carried in the Archiv für Dermatologie und Syphilis. Band xlvi., Heft 3. pocket, in which may be recorded the names of patients. (Archives of Dermatology and Syphilis. Vol. xlvi., No. 3.)- visited each day, lists of nurses with their residences, midThis number contains an article by E. Doctor on the wifery, vaccination, and Factory Act engagements, things. Relationship of Darier’s Disease to Ichthyosis, in which he wanted and lent, and accounts rendered, &c. There is also concludes-(1) that Darier’s disease is connected with the hair given much useful information which is sure to be needed at, follicles and sweat gland ducts with hyperkeratosis ; (2) that some time. it is generally but not always associated with hyperkeratosis, Wright’s Improved Physicians’, Surgeons’, and Consuftants’ and that the so-called Darier’s bodies are partly evidence Visiting List (John Wright and Co., Bristol) is presented of the parakeratosis but do not form a feature peculiar to in three different forms. Forms A and C are the usual editions, ’’
are as
1711 annual editions, and form B, designed for perpetual use, is medicament which may be selected can be dropped and the not restricted to any particular month or year. No doubt hot air drawn through, thus medicating the air inhaler. ALEXANDER DUKE, F.R.C.P. Irel. Cheltenham. this latter feature has its advantages in not a few cases, and
particularly so in very small or very extensive practices. The compiler of all three is Mr. Robert Simpson, L.R.C.P., L.R.C.S. Edin. The usual provision is made for recording in a convenient form the details of visits made and of engagements entered into, nurses’ addresses, cash accounts, &c. Form C also supplies the needs of practitioners who are certifying surgeons under the Factory and Workshops Act.
PUBLIC VACCINATORS IN THE WEST OF ENGLAND.
THEtremendous experiment"continues to give rise to crop of arguments and discussions in many parts of the country. The matter came up before the Okehampton Board Smith’s Pjcysieia,ns’ and Surgeons’ Visiting List, Diary, &c., of guardians on Dec. 10th and it was stated that, taking last and is Viney, 52, Long-acre, W.C.) for 1899 (Hazell, Watson, year as a basis when the fees paid for vaccination amounted the successor of fifty-two previous issues, and is therefore to £31, the minimum offer made by the committee would well advanced in the good opinions of the profession. Pro- be .S81, but that on the scale demanded by the medical men vision is made for jotting down the usual visits, engagements, the sum would be £118. One of the committee said that if every union adopted the terms which the medical men asked &c., in a form convenient to the busy practitioner, and the in that union the cost to the whole country would be half a varied information at the beginning of the diary adds million instead of as in last year £89,000. The committee understood that "all the vaccination medical men in the ,materially to its value. From Messrs. Bemrose, 23, Old Bailey, E.C., comes a country held a conference and that the fees to be accepted were fixed at that conference." it was decided Monthly Diary which provides twelve handy little note- that the fees demanded could notEventually be paid. The matter now books, one for each month in the year, suitable for carrying rests with the Local Government Board. in the waistcoat pocket, and useful for jotting down those At Camelford on Dec. 9th Mr. Jerome and Mr. Wade many little items which, when once thought of or come appeared before the board of guardians with regard to fees. The minimum was 5s., but they asked 8s. 6d. Mr. J. Taylor across, the busy man finds it absolutely necessary to "make a of Trevalga proposed giving 6s. 6d. Mr. Yenning of note of " if they are to be rescued from oblivion.-A similar St. Cleather to give the minimum and this was proposed idea is carried out in My Month,’s Engagements, Diary, and carried by 14 votes to 12. The medical officers refused to Memoranda (R. Bridges and Co., 92, Chancery-lane, W.C.), accept this and the matter was adjourned for a fortnight. At Bodmin on Dec. 10th a long discussion took place the twelve monthly parts being provided with a neat leather without any definite decision being arrived at. case, with pockets, which has the merit of being thin and At Helston, on Dec. 10th, the vaccination committee ’ therefore not cumbersome. recommended in connexion with the new Act that a fixed fee be paid in all cases, to include mileage; that the district for vaccinating purposes be rearranged; and that the vaccination officers be paid 3d. for every birth registered, Is. for every registration of successful primary vaccination, and 9d. for transmitting a certificate to another district. The committee had also considered the replies from the several public vaccinators, all of whom, except Mr. Leverton-Spry of St. Keverne, asked for a registration fee of 2s. 6d. A NEW FORM OF WARM DRY AIR INHALER. instead of Is. offered by the board, but otherwise THE indiscriminate use of steam inhalation in bronchitis accepted the scale of fees offered. Mr. Leverton-Spry and other respiratory affections I hold to be a mistake, and I was now willing to accept Is. registration fee. The committee decided to adhere to their original offer of Is. am quite satisfied that better It was proposed that if the medical men did not accept the Is. registration fee to apply to the Local Government Board to results can be elect one medical officer for the whole union. The present had (in some holders had been served with twenty-eight days’ notice to cases, at least terminate their present contracts so as to give the board of chronic of guardians a free hand. The resolutions were carried. We acute bronchido not quite understand by what right the Helston Board of tis) by the use of Guardians have given their public vaccinators twenty-eight hot-air inhalation. The illusdays’ notice so as to have a free hand, unless, indeed, there was some clause in the original contract bearing on such a tration reprenotice. The Vaccination Memorandum of Oct. 18th, 1898, sents a form of inhaler says (Art. I., par. 1.): " Provided that nothing in this article portable shall affect the validity of any contract for public vaccinamade at my made under any Order hereby rescinded." tion suggestion by At Barnstaple the vaccination committee having met the Messrs. Arnold and public vaccinators of the union recommended to the BarnSons, staple Board of Guardians the following scale of fees :Smithfield, Art. 3 (a) 2s. 6d. instead of Is., as the committee considered which so far as the latter fee too small for the amount of work; and I can discover is the only in(b) 5s. for each successful case of vaccination and also a fee haler of this of Is. per mile for each visit after the second mile, but in kind that can be no case is the total fee to exceed 2 guineas except by a held in the hand special order of the board. The guardians adopted this of the patient. resolution. a
New Inventions.
or
Onemouthpiece acts
as a
funnel
filling the receptacle with boiling water, a
DIPHTHERIA
for
constant
tem-
perature being
The inhaler consists of a cylinder containing a spiral tube like the worm of a still ; one end forms the core of the handle through which the outer air enters, the other end communicating with the
mouthpiece. by underneath. There is another mouthpiece spirit-lamp enclosing a piece of felt or spongiopiline, into which
maintained
a
any
IN
CARDIFF.-The medical officer
of health of Cardiff (Dr. Walford) in his report to the Health Committee on Dec. 13th stated that for the four weeks ended Dec. 3rd 78 cases of diphtheria had been notified, compared with 32 in the preceding four weeks. Dr. Walford added that the whole of the surrounding districts of Glamorganshire were suffering from an increase in the’number of cases of diphtheria.
history and the method by which its wings are folded up go far to redeem its bad character-which we own with sorrow it deserves-of damaging flowers. Mr. Enock’s admirable illustrations help to make his collaborator’s text plain at a glance ; not that we mean by this that Mr. Grant Allen writes unintelligibly, but "things seen are mightier than things heard." The book will make an admirable gift for any person who cares for country life, and even for the town dweller it will be useful, for he can see many of the subjects dealt with in the parks and open life
spaces. Traite
Pratique de Radiographie et de Radioscopie :: Technique et Applications Medicales. (A Practical Treatise on Radiography, Radioscopy, and their Medical Applications.) Par A. LONDE. Paris: Gauthier-Villars. 1898. Pp. xii. and 244. Price 7 francs.-In this comprehensive work M. Londe, who is at the head of the photographic and radiographic department of the Salpetriere, gives many fine reproductions of radiographs of bones not only in normal subjects but in malformations and also when presenting lesions due either to injury or disease. In undeveloped persons the progress of ossification may be observed and two of this kind are illustrated, one of them interesting
examples
being the hand of
mummy which from the state of the ossification was inferred to be that of a child eight years of age. The other case was that of a male patient, nineteen years of age and 41 in. high, admitted to the Salpetriere with myxcedema. Ossification was hardly more advanced than in a child of two or three years, but after five months’ thyroid treatment he was 13/4 in. taller and the radiographs taken then showed the bones of the hands and feet to be much better ossified than on the former occasion. In the chapter on foreign bodies embedded or swallowed, in addition to the ordinary method of passing the rays through the part in directions at right angles to each other, M. Londe describes four special contrivances for assisting the observer. One is a device of his own, a boxwood triangle with metallic pins projecting from it, which are photographed at the same time as the foreign body. Two of the other methods require the simultaneous use of two vacuum tubes ; they have been suggestedLby M. Brunel and Dr. Foveau de Courmelles and by Dr. Mergier. Various contrivances for use with fluorescent screens are shown and there is an illustration of Dr. de Bourgade’s clinical table on which an infirm patient may be laid; being hinged it can be inclined to a considerable extent and the observer can sit on a low chair underneath it when either using the fluorescent screen or placing photographic plates in position. The chapters on sources of electricity, various kinds of vacuum tubes, screens, &c., are tolerably full and altogether the book is one which can be an
Egyptian
recommended. JOURNALS AND REVIEWS. IN the December number of the British Journal of Dermatology the original part is entirely taken up with the report of an interesting debate on general exfoliative dermatitis, introduced by Dr. Walter Smith at the Dermatological Society of London. It is valuable as giving the views upon this serious disease of the skin held by some of the leading British dermatologists. The quarterly survey of dermatological literature and the report of the Dermatological Society of Great Britain and Ireland complete the number.
the disease, as-they may occur in other kinds of cell degeneration ; and (3) that Darier’s disease is a variety of ichthyosis from which clinically it may be distinguished by its localisation and by the presence of Darier’s papules and histologically by the proliferation of the papillx and of the rete Malpighii.. J. Schutz writes on the occurrence of leucoplakia oris in psoriasis and other dermatoses and gives the evidence con-tained in dermatological literature that psoriasis may attack mucous membranes. H. Apolant has a long paper on Antipyrin Eruptions, the literature of which is sufficiently formidable, amounting to four closely-printed pages of references. H. Napp and C. Grouven conclude the original articles. with the results of the TR. Tuberculin treatment in theDermatological Klinik at Bonn. Their experience, like that of others, is that while it exercises a beneficial influence on the tuberculous processes, too often the good effect does not last and the disease returns. At the same time whateverbenefit accrues is not accompanied by injury to the rest of the organism. The remainder of the number contains the usual reports of German dermatological societies and abstracts from recent literature. Scottish Medical and Surgical Journal.-In the December number Dr. Alexander James (Edinburgh) gives clinical details regarding 4 cases of Tuberculous Neuritis, the parts’. affected being both legs and feet in two cases, the left arm in 1 case, and the right arm, right leg, and right side of theface in the remaining patient. In connexion with this. subject Dr. James discusses the so-called " causeless. hemiplegia" which may occur in tuberculous persons and he describes an instance which he considers to be of thiskind. Dr. T. McHardy (Cullen) gives an account of a patient who had suffered from chronic gastric ulcer for twenty years, but found complete relief from all symptoms. after taking 1/16th or 1/12th of a grain of bichromate of potassium every six hours for twenty-two days. Dr. W. Stewart McDougall describes a case of Ascites in which paracentesis was performed over 100 times. Thepatient is a female pauper in Sutherlandshire ; in five years. over 4000 pints of fluid have been removed from herabdomen. -Dublin Journal of Medical Science.-The original articles. in the December number are by Dr. T. W. Grimshaw on theRelations between Preventive Medicine and Vital Statistics;. by Dr. R. H. Kennan on I I Relapse " in Scarlet Fever; and by Dr. J. W. Moore on Clinical Experiences of Septicaemia and Enteric Fever. Manchester Royal Infirmary Students’ Gazette.-An article, in the November number entitled the English Student in Vienna and written by Mr. F. H. Westmacott contains a. good deal of miscellaneous information which can hardly fail to be useful to English visitors arriving in the Austrian, capital for the first time. It seems that hospital work there begins at 7.0, 7.30, or 8 A.M. and goes on till 7 P.M. ThePathological Institute is " open day and night."
DIARIES. LETTS’S well-known diaries (Cassell and
Co.), in their 1899’ comprehensive as usual, ably supplying the needs of the offlee, the home, and the individual, whilst the Medical Diary " continues to provide members of the profession with a handy note-book, conveniently carried in the Archiv für Dermatologie und Syphilis. Band xlvi., Heft 3. pocket, in which may be recorded the names of patients. (Archives of Dermatology and Syphilis. Vol. xlvi., No. 3.)- visited each day, lists of nurses with their residences, midThis number contains an article by E. Doctor on the wifery, vaccination, and Factory Act engagements, things. Relationship of Darier’s Disease to Ichthyosis, in which he wanted and lent, and accounts rendered, &c. There is also concludes-(1) that Darier’s disease is connected with the hair given much useful information which is sure to be needed at, follicles and sweat gland ducts with hyperkeratosis ; (2) that some time. it is generally but not always associated with hyperkeratosis, Wright’s Improved Physicians’, Surgeons’, and Consuftants’ and that the so-called Darier’s bodies are partly evidence Visiting List (John Wright and Co., Bristol) is presented of the parakeratosis but do not form a feature peculiar to in three different forms. Forms A and C are the usual editions, ’’
are as
1711 annual editions, and form B, designed for perpetual use, is medicament which may be selected can be dropped and the not restricted to any particular month or year. No doubt hot air drawn through, thus medicating the air inhaler. ALEXANDER DUKE, F.R.C.P. Irel. Cheltenham. this latter feature has its advantages in not a few cases, and
particularly so in very small or very extensive practices. The compiler of all three is Mr. Robert Simpson, L.R.C.P., L.R.C.S. Edin. The usual provision is made for recording in a convenient form the details of visits made and of engagements entered into, nurses’ addresses, cash accounts, &c. Form C also supplies the needs of practitioners who are certifying surgeons under the Factory and Workshops Act.
PUBLIC VACCINATORS IN THE WEST OF ENGLAND.
THEtremendous experiment"continues to give rise to crop of arguments and discussions in many parts of the country. The matter came up before the Okehampton Board Smith’s Pjcysieia,ns’ and Surgeons’ Visiting List, Diary, &c., of guardians on Dec. 10th and it was stated that, taking last and is Viney, 52, Long-acre, W.C.) for 1899 (Hazell, Watson, year as a basis when the fees paid for vaccination amounted the successor of fifty-two previous issues, and is therefore to £31, the minimum offer made by the committee would well advanced in the good opinions of the profession. Pro- be .S81, but that on the scale demanded by the medical men vision is made for jotting down the usual visits, engagements, the sum would be £118. One of the committee said that if every union adopted the terms which the medical men asked &c., in a form convenient to the busy practitioner, and the in that union the cost to the whole country would be half a varied information at the beginning of the diary adds million instead of as in last year £89,000. The committee understood that "all the vaccination medical men in the ,materially to its value. From Messrs. Bemrose, 23, Old Bailey, E.C., comes a country held a conference and that the fees to be accepted were fixed at that conference." it was decided Monthly Diary which provides twelve handy little note- that the fees demanded could notEventually be paid. The matter now books, one for each month in the year, suitable for carrying rests with the Local Government Board. in the waistcoat pocket, and useful for jotting down those At Camelford on Dec. 9th Mr. Jerome and Mr. Wade many little items which, when once thought of or come appeared before the board of guardians with regard to fees. The minimum was 5s., but they asked 8s. 6d. Mr. J. Taylor across, the busy man finds it absolutely necessary to "make a of Trevalga proposed giving 6s. 6d. Mr. Yenning of note of " if they are to be rescued from oblivion.-A similar St. Cleather to give the minimum and this was proposed idea is carried out in My Month,’s Engagements, Diary, and carried by 14 votes to 12. The medical officers refused to Memoranda (R. Bridges and Co., 92, Chancery-lane, W.C.), accept this and the matter was adjourned for a fortnight. At Bodmin on Dec. 10th a long discussion took place the twelve monthly parts being provided with a neat leather without any definite decision being arrived at. case, with pockets, which has the merit of being thin and At Helston, on Dec. 10th, the vaccination committee ’ therefore not cumbersome. recommended in connexion with the new Act that a fixed fee be paid in all cases, to include mileage; that the district for vaccinating purposes be rearranged; and that the vaccination officers be paid 3d. for every birth registered, Is. for every registration of successful primary vaccination, and 9d. for transmitting a certificate to another district. The committee had also considered the replies from the several public vaccinators, all of whom, except Mr. Leverton-Spry of St. Keverne, asked for a registration fee of 2s. 6d. A NEW FORM OF WARM DRY AIR INHALER. instead of Is. offered by the board, but otherwise THE indiscriminate use of steam inhalation in bronchitis accepted the scale of fees offered. Mr. Leverton-Spry and other respiratory affections I hold to be a mistake, and I was now willing to accept Is. registration fee. The committee decided to adhere to their original offer of Is. am quite satisfied that better It was proposed that if the medical men did not accept the Is. registration fee to apply to the Local Government Board to results can be elect one medical officer for the whole union. The present had (in some holders had been served with twenty-eight days’ notice to cases, at least terminate their present contracts so as to give the board of chronic of guardians a free hand. The resolutions were carried. We acute bronchido not quite understand by what right the Helston Board of tis) by the use of Guardians have given their public vaccinators twenty-eight hot-air inhalation. The illusdays’ notice so as to have a free hand, unless, indeed, there was some clause in the original contract bearing on such a tration reprenotice. The Vaccination Memorandum of Oct. 18th, 1898, sents a form of inhaler says (Art. I., par. 1.): " Provided that nothing in this article portable shall affect the validity of any contract for public vaccinamade at my made under any Order hereby rescinded." tion suggestion by At Barnstaple the vaccination committee having met the Messrs. Arnold and public vaccinators of the union recommended to the BarnSons, staple Board of Guardians the following scale of fees :Smithfield, Art. 3 (a) 2s. 6d. instead of Is., as the committee considered which so far as the latter fee too small for the amount of work; and I can discover is the only in(b) 5s. for each successful case of vaccination and also a fee haler of this of Is. per mile for each visit after the second mile, but in kind that can be no case is the total fee to exceed 2 guineas except by a held in the hand special order of the board. The guardians adopted this of the patient. resolution. a
New Inventions.
or
Onemouthpiece acts
as a
funnel
filling the receptacle with boiling water, a
DIPHTHERIA
for
constant
tem-
perature being
The inhaler consists of a cylinder containing a spiral tube like the worm of a still ; one end forms the core of the handle through which the outer air enters, the other end communicating with the
mouthpiece. by underneath. There is another mouthpiece spirit-lamp enclosing a piece of felt or spongiopiline, into which
maintained
a
any
IN
CARDIFF.-The medical officer
of health of Cardiff (Dr. Walford) in his report to the Health Committee on Dec. 13th stated that for the four weeks ended Dec. 3rd 78 cases of diphtheria had been notified, compared with 32 in the preceding four weeks. Dr. Walford added that the whole of the surrounding districts of Glamorganshire were suffering from an increase in the’number of cases of diphtheria.