- Email: [email protected]
DRUGS, SURGICAL INSTRUMENTS, APPLIANCES, AND FOODS.
316 does not suffer from any other disease or disability DRUGS, SURGICAL INSTRUMENTS, which would make him a danger as a driver. When this form has been filled up and signed, the next step APPLIANCES, AND FOODS. Subsection of Section 5. on Certain (2) depends B.M.A. EXHIBITION AT EASTBOURNE. diseases or disabilities having thus been specified on (Concluded from p. 266.) the declaration form, "if from the declaration it is from such that the applicant suffering any appears .disease or disability as aforesaid, the licensing Surgical Instruments and Appliances and Clinical authority shall refuse to grant the licence." To these Apparatus. uncompromising words several provisos are attached. [9] Adair, Dutt and Co., Ltd. (Mortimer House, One relates to invalid carriages, another to existing 37-41, Mortimer-street, W. 1), representing B. Braun, motorists, .9, third proviso gives the refused applicant of Melsungen, showed an improved model Sphygmoa right to claim a test. But he can only claim a test manometer in a dark oak case ; a Hydrostatic where there are no such diseases or disabilities as Dilating Set which supersedes the de Ribes’ bag, are prescribed ; the prescribed diseases and disabilities using sterile pig- or sheep-bladders filled with glycerin; here are epilepsy, liability to sudden giddiness or and sterile catgut Kuhn, claimed to be an absolutely sterile ligature material of standardised absorptionfainting, and inability to read letters and figures as on time and greater tensile strength than other catgut a car number-plate at 25 yards in good daylight, of similar thickness.-[60] Allen and Hanburys, Ltd. with glasses if worn. It follows that the eyesight (48, Wigmore-street, W. 1), showed their latest model .disability is final; if it exists, the licensing authority of the St. Bartholomew’s Hospital Operating Table, cannot grant a licence. Subsection (5) gives a right with a new patent self-locking device for the Trendelenof appeal to a court of summary jurisdiction to burg position and an improved head-flap, designed Mr. T. P. Dunhill, for goitre operations ; the " any person who is aggrieved by the refusal of a by " A. and H." Patent Knife with detachable blades to a licence." But the licensing authority grant and stainless steel handle ; Souttar’s latest improved Court of Appeal says this does not mean that a person Craniotome ; a new Adenoid Planewith removable who is refused a licence on account of the eyesight blades, designed by Mr. 0. Popper ; the Gastro.disqualification can appeal to a court of summary photor, an intra-gastric camera 1 ; Kirschner’s Wire jurisdiction. " It is impossible to hold that he is a Fracture Extension Apparatus and Mr. Max Page’s Chevalier Jackson’s (Esophaperson aggrieved by the refusal to grant him a licence modified pattern ; when the licensing authority has no alternative but goscopy and Bronchoscopy instruments ; Bayeux’s to refuse." The case therefore goes back to the Subcutaneous Oxygen Injection Apparatus ; the Bath and Chair for colonic lavage ; the London justices in Cumberland with an intimation that they Suda Chorda Catgut, in which the iodine used is Hospital lave no power to interfere ; the decision of the controlled to prevent any reduction of tensile strength, licensing authority (refusing the licence) must stand. and the London Hospital Ligatures and Sutures.The Master of the Rolls nevertheless observes that the [42] Antiphlogistine was once more shown as the Minister of Transport, who prescribes the questions best-known method for the continuous application of moist heat.-[63] Arnold and Sons (in association on the form of declaration of physical fitness, might well " consider whether this question is framed so as with Savory and Moore, Ltd., and John Bell and to embrace cases where defective eyesight ought to Croyden, 50-52, Wigmore-street, W. 1) showed the be a ground for refusing a licence to drive a motor-car, latest model of the Arnold Operation Table, with movement for the Trendelenburg position, and whether it does not-as it stands-cause improved an instrument-table in stainless steel, a new transexperienced motor-drivers to be excluded from former for heating cautery burners which can be driving when, if the question was in somewhat used off any supply, direct or alternating, at any ,different terms, they would be able to satisfy all voltage, and is absolutely earth-free ; Mr. Frank requirements as to capacity to drive a motor-car." Harvey’s improved Sigmoidoscope and Rectal SpecuMeanwhile, as Lord Justice Slesser remarked, there slum 2 ; and a complete range of Marylebone sutures is nothing to stop the applicant trying again if he can and ligatures.-[3] The British Hanovia Quartz Lamp Co. (Slough, Bucks) showed, among their .get glasses which will fit him to read the letters and light and heat lamps and accessories, the Duofigures at 25 yards. in one the
Driver’s Disability. Another recent case under the Road Traffic Act turned on the possible disability of deafness. The proceedings were under that part of the Act which - relates to the driving of " public service vehicles." The Road Traffic Commissioners had refused a man a licence on the ground of occasional deafness ; the magistrate’s court at Birmingham allowed his appeal subject to conditions that he should always have a conductor on his vehicle and that he should wear an instrument to aid his hearing. The applicant said he was deaf only when in a quiet room ; when in a motor-car,with the vibration of the engine and the noise of the traffic, he could hear perfectly. He could hear passengers speaking to him. Dr. J. S. Crabbe said that the applicant suffered from catarrhal ..deafness, which meant that he had extreme difficulty in hearing in a quiet room but no difficulty where there was vibration or noise. Deafness
as
a
BATH ROYAL UNITED
HOSPITAL APPEAL.—It is
.announced that the sum of .8100,000 appealed for in order to build the new hospital in Combe Park has now been raised.
therapy unit, embodying apparatus Alpine sun lamp and a Sollux heat lamp ; a new combination unit incorporating the super-Kromayer and the standard Alpine sun lamps, and an oto-rhinolaryngological water-cooled lamp which, unlike the Kromayer, can be used in any position and is light to handle.-[35] Campoirette, Ltd. (252, Regentstreet, W. 1), showed Camp surgical supports, particularly the patent adjustment on their surgical belt which gives a very light adaptable rigid support.[8] Cameron’s Surgical Specialities, Ltd. (57c, New Cavendish-street, W. 1), gave demonstrations with the Electro-diagnostoset, which is now well known as a complete set of electrically lighted investigation instruments ; and the Cauterodyne, a radio-frequency cautery scalpel.-[24] Stanley Cox, Ltd. (39, Gerrardstreet, W. 1), showed an efficient and portable Autogram X ray apparatus, which automatically calculates and
measures
the necessary exposure ; and
portable diathermy apparatus weighing only 38 pounds.-[18] H. E. Curtis and Son, Ltd. (7, Mandeville-place, W. 1), demonstrated an entirely new corset-belt, En Mains Croisées, supporting the abdominal wall by three pairs of interlacing elastic straps set obliquely at the front.-[19] C. W. Dixey a
1
See THE LANCET, July 25th, 1931, pp. 174 and 177. 2 THE LANCET, 1931, i., 1033.
317 and Son, Ltd. (19, Old Bond-street, and 20, Welbeckstreet, W. 1), amidst a wide range of ophthalmic apparatus, drew attention to their cases of test lenses ; the Maddox, cheiroscope for training children with squint; and the Mackie slit lamp, introduced to provide an efficient, simple, sturdy instrument at moderate cost.-[65] Down Bros., Ltd. (21-23, St. Thomas’s-street, S.E. 1), had a full display of surgical instruments, including Howarth’s improved Chevalier Jackson’s bronchoscopy and cesophagoscopy instruments with recent lens
improvements ;
a
complete
selection of Meurice Sinclair’s operative instruments for fractures, and new fracture instruments by Mr.
a substantial part of the blood out of the general circulation-in heart failure and cardiac asthma ; the Tycos dermatherm, for accurate measurement of surface temperatures, and apparatus for tubal insufflation.-[40 and 41] T. J. Smith and
shunting-throwing
Nephew, Ltd. (42, Tavistock-square, W.C. 1), presented Elastoplast, an elastic adhesive strapping which is already a favourite treatment for varicose ulcers and veins, and many sprains and other injuries; and also Cellona, an entirely new plaster-of-Paris bandage which is light and clean, somewhat elastic and easily cut, and which can be completely moistened. in plain water in a few seconds.-[80] Edward Taylor, Ltd. (Salford, Lancs), showed their range of adhesive and medicated plasters, including Flexoplast, a selfadhesive antiseptic elastic bandage ; Emergoplast, a simple dressing for immediate application to minor injuries, which is supplied with various medications, with and without perforation, full spread or part spread ; and zinc oxide plaster spread on white wool felt of three different textures.
Souttar; ox-bone plates and spoons by Hamilton Bailey; the up-to-date Quadrant model operation table with several important recent modifications, including an oil-pressure pump, and diathermy cautery knives and endotherms.—[25] The Dowsing Radiant Heat Co., Ltd. (91-93, Baker-street, W. 1) announced that their well-known heating apparatus can now be purchased outright or hired for long periods, and also showed the Dexter home washing Books. machine, which uses only a quarter of a unit an hour.[20] Fassett and Johnson, Ltd. (86, Clerkenwell-road, Tindall and Cox (7 and 8, Henrietta[12] Baillière, E.C.), together with their usual range of adhesive street, W.C. 2) were showing QuanCovent Garden, plasters, drew special attention to the new Ready- titative Clinical by J. P. Peters andaid, combining a sterilised gauze pad, medicated with D. D. Van Slyke ;Chemistry," Bioassays," by J. C. Munch ; boric acid, attached to a strip of flesh-coloured of the Pickett-Thomson Research Laboraadhesive plaster, ventilated to allow filtered air to " AnnalsVolume VII. ; " Leonardo Da Vinci," by reach the wound.-[13] The Genito-Urinary Manu- tory," J. P. McMurrich, and some new volumes in the Co. W. the sole Students’ Aids facturing (28A, Devonshire-street, 1), Series.-[39] J. and A. Churchill, Ltd. agents for J. Eynard et Cie, Paris, and for Stilles, (40, Gloucester-place, W. 1), drew attention to new Stockholm, showed, among many instruments, and Andrewes’ " Surgical Pathology and Bowlby laryngoscopes, bronchoscopes and oesophagoscopes Morbid Anatomy," revised by Geoffrey Keynes ; by V. E. Negus ; empyema drainage-tubes by A. Rogers and Megaw’s Tropical Medicine Romanis Kidd’s new model automatic Tudor Edwards ; and Mitchiner’s " Surgical Emergencies " ; Osgood boomerang stitcher ; the diathermy knife, and and Haskins’ Text-book of Laboratory Diagnosis "s;. radium instruments.- The Holborn Surgical and to a number of new volumes in the " Recent Instrument Co., Ltd. (26, Thavies Inn, E.C. 1), Advances " which now numbers 28, notably series, emphasised the advantages of their new twin-pump Gray’s " Allergy," Beaumont’s Medicine," now in operation table fitted with a pedal whereby the its sixth edition, Findlay’s Chemotherapy and. surgeon can produce the Trendelenburg position Imms’s Constable and Co., Ltd. Entomology."without using his hands ; Stutzer’s patent surgeon’s (10 and 12, Orange-street, W.C. 2), had on their stool, on which the surgeon sits in a comfortable stand " The Practical Treatment of Diabetes," by saddle and can tilt himself forward by a foot lever ; T. Izod Bennett ; "The Metabolism of Tumours," the Brilite tongue spatula, with a lamp in the handle, by Otto Warburg; " The Social Control of the reflecting light along the specially polished glass Mentally Deficient," by Stanley Powell Davies ; and"
"
"
"
"
"
"
"
the Protector uterine forceps, which seize the cervix without lacerating it, and which can be hooked into the Schonenberg self-retaining speculum ; and an improved form of Simpson’s lithotomy straps in the form of canvas boots so that the legs are not cut.-[29] Johnson and Johnson (Great Britain), Ltd. (Slough, Bucks) displayed a and other appliances, range of ligatures, sutures " including the well-known K. Y." jelly ; the Tek toothbrush, with a small head to get inside the dental arch ; and Johnson’s baby products. [49 and 61]] Mayer and Phelps (59-61, New Cavendish-street, W. 1) had a large selection of instruments and appliances on view, including the M.P. clinical lamp designed for the obstetric wing of University College Hospital—a useful lamp for general examinations ; Lambert Roger’s skull plough with electric motor ; Prof. D. Dougal’s new model for teaching obstetrics to a class-a porcelain sink with basin shaped like the posterior half of the uterus ; and an improved breast pump in which the milk is drawn through a wide aperture into the bottle, which is boilable.[23] Rayner and Keeler, Ltd. (100, New Bond-street, W. 1), among their display of ophthalmic instruments, drew attention to their full range of retinoscopes and ophthalmoscopes ; the Edridge-Green colour perception lantern and bead-box test ; the internally illuminated drum test type, and a luminous object perimeter-scotometer. [14] A halometer and a tonsil suction apparatus by Dr. F. C. Eve, and an inhaler for open ether administration by W. Stanley Sykes.-[52] Short and Mason, Ltd. (Aneroid
tongue-depressor;
" The Modern Medical Monographs " series.Food Education Society (29, Gordon-square, W.C.1) displayed a number of books and pamphlets on diet and domestic subjects, including " Children’s Diet," by Charles Hecht ; Vegetables : Their Life without. Use, Abuse and Neglect " ; Servants," by Harold Begbie, and " The Truth about Fat."-[43] H. K. Lewis and Co., Ltd.. (136 and 140, Gower-street, W.C. 1), pointed out. " Diseases of the Tongue," by W. G. Spencer and Stanford Cade ; " The Physical and Radiological Examination of the Lungs," by James Crocket ;. " The Alcohol Habit and its Treatment," by W. E. Masters; Fundamental Principles of Ray Therapy : An Elementary Text-book for Nurses, Students and Practitioners," by William Beaumont ;;. A Text-book on the Nursing and Diseases of Sick ’ ’i Children," edited by Alan A. Moncrieff, and also, medical stationery.-[31]] The I many varieties of Press Oxford University (Amen House, Warwicksquare, E.C.4) selected for special recommendation C. B. Heald’s " Injuries and Sport : A General Guide to the Practitioner " ; Hurst and Stewart’s " Gastric and Duodenal Ulcer " ; new editions ofKer’s " Infectious Diseases," Still’s " Common Disorders and Diseases of Childhood," Wright’s " Applied Physiology," and Price’s " Text-book of the Practice I of Medicine," " Bibliotheca Osleriana," and William Brown’s " Science and Personality." The
"
"
"
"
Spas, Hospital Furniture, and Miscellaneous. Works, Walthamstow, E. 17), in addition to the [5] Buxton showed photographs of their hot andfamiliar Tycos sphygmomanometers and thermo- natural baths and therapeutic establishment, pointmeters, showed the Tycos venostat for blood ing out that a " cure ticket " for a period of three
318 be
Insurance Agency (B.M.A. House, Tavistock-square, W.C. 1) was represented by officials ready to give advice on all matters of insurance, and reminded visitors of the large grants given by this agency to medical charities every year. An innovation on this stand was the presence of the manager of the B.M.A. branch of the Westminster Bank, who information about stocks and shares, wills, settlements, and other banking matters.[10] The Medical Sickness, Annuity and Life Assurphotographs of practical uses of gas in hospitals ; Society, Ltd. (300, High Holborn, W.C. 1), had an incinerator ; stand to remind visitors that there is an and the Indusa heater for large apartments.- General Acoustics, Ltd. (77, Wig- insurancesociety managed by doctors for doctors.Co. (8, India-street, E.C. 3) displayed more-street, W. 1), showed Acousticon aids for the [16] deaf, including electrical and non-electrical apparatus, their well-known acid dentifrice.-[38] " The Practiand the Dime earpiece, which is moulded to the exact tioner (6-8, Bouverie-street, E.C. 4) was a newshape of the ear.-[27] Harrogate, in drawing atten- comer to the exhibition ; particular attention was tion to its great diversity of spa waters, stressed the invited to the July special number on fractures and mud (Fango) treatment given from a recently dis- accidents.-[26] Thermega, Ltd. (51-53, Victoriacovered bed in the medicinal water-bearing strata, street, S.W. 1), showed electrically heated cushions and also the system of training and certification of and blankets and couches, with special reference to nursing staff.-[2] Hoskins and Sewell, Ltd. (Bordes- a warmed couch-mattress which does much to ley, Birmingham), showed beds, cots and fracture encourage muscular relaxation.-[50] Whitfields Bedapparatus, particularly the St. Bartholomew’s patent steads, Ltd. (109 to 125, Watery-lane, Bordesley, wind-up mattress cot, which can be wound up at Birmingham), invited interest by their Lawson Tait either end, or the whole mattress can be raised to patent cardiac bedstead as designed for Sir Thomas waist-level for demonstration purposes ; the wheeling Lewis at University College Hospital ; Lawson Tait ward beds have several cunning devices so that a Barnet maternity bedstead with basinette, as designed bed can be wheeled in any direction ; Hoskite wheels for the Wellhouse Hospital, Barnet ; and the new and the Hoskins patent high-pressure lubrication Meurice Sinclair’s patent portable fracture apparatus make wardwork simpler, and Goldex and for fixing to any bedstead. Also displayed on this are pleasing modern metallic finishes for nursing- stand was the Harco sponge-rubber mattress, a home or nurses’-home beds.-[71] Kolynos Incor- great improvement on the old water-bed or air-bed, porated (Chenies-street, W.C. 1), presenting theirI with a loose cover made of acid-proof waterproof familiar dental cream, drew attention to liquid sheeting which can be removed for sterilisation Kolynos as a mouthwash or spray and Kolynos (Cassell, Andrews and Co., Ltd., Hardman-street, denture powder for artificial teeth.-[64] The Medical I Manchester).
weeks, covering
all treatments
prescribed,
can
obtained for three guineas.-[32] R. H. Dent (309, Oxford-street, W. 1) showed further developments of his Ardente hearing aids, particularly the new snug " type of earpiece which fits into the orifice without getting hot; and the new stethoscope for deaf doctors, smaller than the original but more sensitive. Ardente auditorium sets are now installed in many churches.-[21] The Eastbourne Gas Company (87-89, Terminus-road, Eastbourne) showed H
(Tavistock-square) trusts,gave
ance their usual Pepsodent
Silvex
PUBLIC HEALTH SERVICES REPORTS OF MEDICAL OFFICERS OF HEALTH. THE following are 1930 statistics of six boroughs :-
adequate maternity hospital ;
the opening of a new of the Victoria Hospital ; and the decision to proceed with a scheme for an additional water-supply from Latton. The higher infant mortality-rate was to neonatal deaths at one period, the deaths subse-
wing
due quentlybeinglow.
children
Registered stillbirths per 100 lire births: Gillingham, 3-6, Poole 4-0, Darwen, 5-5. * As
a
Swindon 4-3,
rule the estimate (R.-G.) for 1929 has been used.
Swindon.
Dr. Dunstan Brewer says that, although the year 1930 was a healthy one for the country as a whole, it Infant mortality was was not so in Swindon. the general mortality was no better than in recent years, and certain diseases were more prevalent than usual and showed a higher fatality. The chief events of 1930 were the reconstruction of the administrative block at the isolation hospital ; the building of
high ,I an
Themortality-rateamongpre-school’
also low, but at the school age the rate was All deaths under 20 were made the unfavourable. subject of inquiry, where the medical history of the person was known to the health department. There were 124 such deaths, and of these 11 were due to congenital defects, 7 to measles, 11 to whooping-cough, 9 to diphtheria, 9 to rheumatic infection, and 24 to prematurity. Dr. Brewer adopts the unusual custom of making epidemiological forecasts, which are printed in the health committee’s minutes month by month. These forecasts, some of which prove to be right and some wrong, are founded on a study of the local behaviour of disease and its variations in type and of the position of the disease in other parts of the world. Dr. Brewer is hoping that in the future it may be possible to forecast the behaviour of disease as accurately as that of the weather. There were 100 cases of true diphtheria with the high case-fatality of 9 per cent. Both deaths due to and notifications of non-pulmonary tuberculosis, other than meningitis, were higher than usual. Dr. Brewer believes that the higher notifications are in part due to the notifications of enlarged glands found during abdominal operations. He is not satisfied that we are getting a grasp of tuberculosis, and suggests that elaborate registers have confused the issue. He welcomes the latest Tuberculosis Order (1930). Under the Housing Act programme 500 new houses are to be erected, 50 of which will be allocated to rehousing persons displaced by closing or demolition orders. Housing in Swindon is exceptionally good for an industrial town. The amount of overcrowding is not great but does not diminish. The chief hospital lack is for general medical cases, although the new was
Driver’s Disability. Another recent case under the Road Traffic Act turned on the possible disability of deafness. The proceedings were under that part of the Act which - relates to the driving of " public service vehicles." The Road Traffic Commissioners had refused a man a licence on the ground of occasional deafness ; the magistrate’s court at Birmingham allowed his appeal subject to conditions that he should always have a conductor on his vehicle and that he should wear an instrument to aid his hearing. The applicant said he was deaf only when in a quiet room ; when in a motor-car,with the vibration of the engine and the noise of the traffic, he could hear perfectly. He could hear passengers speaking to him. Dr. J. S. Crabbe said that the applicant suffered from catarrhal ..deafness, which meant that he had extreme difficulty in hearing in a quiet room but no difficulty where there was vibration or noise. Deafness
as
a
BATH ROYAL UNITED
HOSPITAL APPEAL.—It is
.announced that the sum of .8100,000 appealed for in order to build the new hospital in Combe Park has now been raised.
therapy unit, embodying apparatus Alpine sun lamp and a Sollux heat lamp ; a new combination unit incorporating the super-Kromayer and the standard Alpine sun lamps, and an oto-rhinolaryngological water-cooled lamp which, unlike the Kromayer, can be used in any position and is light to handle.-[35] Campoirette, Ltd. (252, Regentstreet, W. 1), showed Camp surgical supports, particularly the patent adjustment on their surgical belt which gives a very light adaptable rigid support.[8] Cameron’s Surgical Specialities, Ltd. (57c, New Cavendish-street, W. 1), gave demonstrations with the Electro-diagnostoset, which is now well known as a complete set of electrically lighted investigation instruments ; and the Cauterodyne, a radio-frequency cautery scalpel.-[24] Stanley Cox, Ltd. (39, Gerrardstreet, W. 1), showed an efficient and portable Autogram X ray apparatus, which automatically calculates and
measures
the necessary exposure ; and
portable diathermy apparatus weighing only 38 pounds.-[18] H. E. Curtis and Son, Ltd. (7, Mandeville-place, W. 1), demonstrated an entirely new corset-belt, En Mains Croisées, supporting the abdominal wall by three pairs of interlacing elastic straps set obliquely at the front.-[19] C. W. Dixey a
1
See THE LANCET, July 25th, 1931, pp. 174 and 177. 2 THE LANCET, 1931, i., 1033.
317 and Son, Ltd. (19, Old Bond-street, and 20, Welbeckstreet, W. 1), amidst a wide range of ophthalmic apparatus, drew attention to their cases of test lenses ; the Maddox, cheiroscope for training children with squint; and the Mackie slit lamp, introduced to provide an efficient, simple, sturdy instrument at moderate cost.-[65] Down Bros., Ltd. (21-23, St. Thomas’s-street, S.E. 1), had a full display of surgical instruments, including Howarth’s improved Chevalier Jackson’s bronchoscopy and cesophagoscopy instruments with recent lens
improvements ;
a
complete
selection of Meurice Sinclair’s operative instruments for fractures, and new fracture instruments by Mr.
a substantial part of the blood out of the general circulation-in heart failure and cardiac asthma ; the Tycos dermatherm, for accurate measurement of surface temperatures, and apparatus for tubal insufflation.-[40 and 41] T. J. Smith and
shunting-throwing
Nephew, Ltd. (42, Tavistock-square, W.C. 1), presented Elastoplast, an elastic adhesive strapping which is already a favourite treatment for varicose ulcers and veins, and many sprains and other injuries; and also Cellona, an entirely new plaster-of-Paris bandage which is light and clean, somewhat elastic and easily cut, and which can be completely moistened. in plain water in a few seconds.-[80] Edward Taylor, Ltd. (Salford, Lancs), showed their range of adhesive and medicated plasters, including Flexoplast, a selfadhesive antiseptic elastic bandage ; Emergoplast, a simple dressing for immediate application to minor injuries, which is supplied with various medications, with and without perforation, full spread or part spread ; and zinc oxide plaster spread on white wool felt of three different textures.
Souttar; ox-bone plates and spoons by Hamilton Bailey; the up-to-date Quadrant model operation table with several important recent modifications, including an oil-pressure pump, and diathermy cautery knives and endotherms.—[25] The Dowsing Radiant Heat Co., Ltd. (91-93, Baker-street, W. 1) announced that their well-known heating apparatus can now be purchased outright or hired for long periods, and also showed the Dexter home washing Books. machine, which uses only a quarter of a unit an hour.[20] Fassett and Johnson, Ltd. (86, Clerkenwell-road, Tindall and Cox (7 and 8, Henrietta[12] Baillière, E.C.), together with their usual range of adhesive street, W.C. 2) were showing QuanCovent Garden, plasters, drew special attention to the new Ready- titative Clinical by J. P. Peters andaid, combining a sterilised gauze pad, medicated with D. D. Van Slyke ;Chemistry," Bioassays," by J. C. Munch ; boric acid, attached to a strip of flesh-coloured of the Pickett-Thomson Research Laboraadhesive plaster, ventilated to allow filtered air to " AnnalsVolume VII. ; " Leonardo Da Vinci," by reach the wound.-[13] The Genito-Urinary Manu- tory," J. P. McMurrich, and some new volumes in the Co. W. the sole Students’ Aids facturing (28A, Devonshire-street, 1), Series.-[39] J. and A. Churchill, Ltd. agents for J. Eynard et Cie, Paris, and for Stilles, (40, Gloucester-place, W. 1), drew attention to new Stockholm, showed, among many instruments, and Andrewes’ " Surgical Pathology and Bowlby laryngoscopes, bronchoscopes and oesophagoscopes Morbid Anatomy," revised by Geoffrey Keynes ; by V. E. Negus ; empyema drainage-tubes by A. Rogers and Megaw’s Tropical Medicine Romanis Kidd’s new model automatic Tudor Edwards ; and Mitchiner’s " Surgical Emergencies " ; Osgood boomerang stitcher ; the diathermy knife, and and Haskins’ Text-book of Laboratory Diagnosis "s;. radium instruments.- The Holborn Surgical and to a number of new volumes in the " Recent Instrument Co., Ltd. (26, Thavies Inn, E.C. 1), Advances " which now numbers 28, notably series, emphasised the advantages of their new twin-pump Gray’s " Allergy," Beaumont’s Medicine," now in operation table fitted with a pedal whereby the its sixth edition, Findlay’s Chemotherapy and. surgeon can produce the Trendelenburg position Imms’s Constable and Co., Ltd. Entomology."without using his hands ; Stutzer’s patent surgeon’s (10 and 12, Orange-street, W.C. 2), had on their stool, on which the surgeon sits in a comfortable stand " The Practical Treatment of Diabetes," by saddle and can tilt himself forward by a foot lever ; T. Izod Bennett ; "The Metabolism of Tumours," the Brilite tongue spatula, with a lamp in the handle, by Otto Warburg; " The Social Control of the reflecting light along the specially polished glass Mentally Deficient," by Stanley Powell Davies ; and"
"
"
"
"
"
"
"
the Protector uterine forceps, which seize the cervix without lacerating it, and which can be hooked into the Schonenberg self-retaining speculum ; and an improved form of Simpson’s lithotomy straps in the form of canvas boots so that the legs are not cut.-[29] Johnson and Johnson (Great Britain), Ltd. (Slough, Bucks) displayed a and other appliances, range of ligatures, sutures " including the well-known K. Y." jelly ; the Tek toothbrush, with a small head to get inside the dental arch ; and Johnson’s baby products. [49 and 61]] Mayer and Phelps (59-61, New Cavendish-street, W. 1) had a large selection of instruments and appliances on view, including the M.P. clinical lamp designed for the obstetric wing of University College Hospital—a useful lamp for general examinations ; Lambert Roger’s skull plough with electric motor ; Prof. D. Dougal’s new model for teaching obstetrics to a class-a porcelain sink with basin shaped like the posterior half of the uterus ; and an improved breast pump in which the milk is drawn through a wide aperture into the bottle, which is boilable.[23] Rayner and Keeler, Ltd. (100, New Bond-street, W. 1), among their display of ophthalmic instruments, drew attention to their full range of retinoscopes and ophthalmoscopes ; the Edridge-Green colour perception lantern and bead-box test ; the internally illuminated drum test type, and a luminous object perimeter-scotometer. [14] A halometer and a tonsil suction apparatus by Dr. F. C. Eve, and an inhaler for open ether administration by W. Stanley Sykes.-[52] Short and Mason, Ltd. (Aneroid
tongue-depressor;
" The Modern Medical Monographs " series.Food Education Society (29, Gordon-square, W.C.1) displayed a number of books and pamphlets on diet and domestic subjects, including " Children’s Diet," by Charles Hecht ; Vegetables : Their Life without. Use, Abuse and Neglect " ; Servants," by Harold Begbie, and " The Truth about Fat."-[43] H. K. Lewis and Co., Ltd.. (136 and 140, Gower-street, W.C. 1), pointed out. " Diseases of the Tongue," by W. G. Spencer and Stanford Cade ; " The Physical and Radiological Examination of the Lungs," by James Crocket ;. " The Alcohol Habit and its Treatment," by W. E. Masters; Fundamental Principles of Ray Therapy : An Elementary Text-book for Nurses, Students and Practitioners," by William Beaumont ;;. A Text-book on the Nursing and Diseases of Sick ’ ’i Children," edited by Alan A. Moncrieff, and also, medical stationery.-[31]] The I many varieties of Press Oxford University (Amen House, Warwicksquare, E.C.4) selected for special recommendation C. B. Heald’s " Injuries and Sport : A General Guide to the Practitioner " ; Hurst and Stewart’s " Gastric and Duodenal Ulcer " ; new editions ofKer’s " Infectious Diseases," Still’s " Common Disorders and Diseases of Childhood," Wright’s " Applied Physiology," and Price’s " Text-book of the Practice I of Medicine," " Bibliotheca Osleriana," and William Brown’s " Science and Personality." The
"
"
"
"
Spas, Hospital Furniture, and Miscellaneous. Works, Walthamstow, E. 17), in addition to the [5] Buxton showed photographs of their hot andfamiliar Tycos sphygmomanometers and thermo- natural baths and therapeutic establishment, pointmeters, showed the Tycos venostat for blood ing out that a " cure ticket " for a period of three
318 be
Insurance Agency (B.M.A. House, Tavistock-square, W.C. 1) was represented by officials ready to give advice on all matters of insurance, and reminded visitors of the large grants given by this agency to medical charities every year. An innovation on this stand was the presence of the manager of the B.M.A. branch of the Westminster Bank, who information about stocks and shares, wills, settlements, and other banking matters.[10] The Medical Sickness, Annuity and Life Assurphotographs of practical uses of gas in hospitals ; Society, Ltd. (300, High Holborn, W.C. 1), had an incinerator ; stand to remind visitors that there is an and the Indusa heater for large apartments.- General Acoustics, Ltd. (77, Wig- insurancesociety managed by doctors for doctors.Co. (8, India-street, E.C. 3) displayed more-street, W. 1), showed Acousticon aids for the [16] deaf, including electrical and non-electrical apparatus, their well-known acid dentifrice.-[38] " The Practiand the Dime earpiece, which is moulded to the exact tioner (6-8, Bouverie-street, E.C. 4) was a newshape of the ear.-[27] Harrogate, in drawing atten- comer to the exhibition ; particular attention was tion to its great diversity of spa waters, stressed the invited to the July special number on fractures and mud (Fango) treatment given from a recently dis- accidents.-[26] Thermega, Ltd. (51-53, Victoriacovered bed in the medicinal water-bearing strata, street, S.W. 1), showed electrically heated cushions and also the system of training and certification of and blankets and couches, with special reference to nursing staff.-[2] Hoskins and Sewell, Ltd. (Bordes- a warmed couch-mattress which does much to ley, Birmingham), showed beds, cots and fracture encourage muscular relaxation.-[50] Whitfields Bedapparatus, particularly the St. Bartholomew’s patent steads, Ltd. (109 to 125, Watery-lane, Bordesley, wind-up mattress cot, which can be wound up at Birmingham), invited interest by their Lawson Tait either end, or the whole mattress can be raised to patent cardiac bedstead as designed for Sir Thomas waist-level for demonstration purposes ; the wheeling Lewis at University College Hospital ; Lawson Tait ward beds have several cunning devices so that a Barnet maternity bedstead with basinette, as designed bed can be wheeled in any direction ; Hoskite wheels for the Wellhouse Hospital, Barnet ; and the new and the Hoskins patent high-pressure lubrication Meurice Sinclair’s patent portable fracture apparatus make wardwork simpler, and Goldex and for fixing to any bedstead. Also displayed on this are pleasing modern metallic finishes for nursing- stand was the Harco sponge-rubber mattress, a home or nurses’-home beds.-[71] Kolynos Incor- great improvement on the old water-bed or air-bed, porated (Chenies-street, W.C. 1), presenting theirI with a loose cover made of acid-proof waterproof familiar dental cream, drew attention to liquid sheeting which can be removed for sterilisation Kolynos as a mouthwash or spray and Kolynos (Cassell, Andrews and Co., Ltd., Hardman-street, denture powder for artificial teeth.-[64] The Medical I Manchester).
weeks, covering
all treatments
prescribed,
can
obtained for three guineas.-[32] R. H. Dent (309, Oxford-street, W. 1) showed further developments of his Ardente hearing aids, particularly the new snug " type of earpiece which fits into the orifice without getting hot; and the new stethoscope for deaf doctors, smaller than the original but more sensitive. Ardente auditorium sets are now installed in many churches.-[21] The Eastbourne Gas Company (87-89, Terminus-road, Eastbourne) showed H
(Tavistock-square) trusts,gave
ance their usual Pepsodent
Silvex
PUBLIC HEALTH SERVICES REPORTS OF MEDICAL OFFICERS OF HEALTH. THE following are 1930 statistics of six boroughs :-
adequate maternity hospital ;
the opening of a new of the Victoria Hospital ; and the decision to proceed with a scheme for an additional water-supply from Latton. The higher infant mortality-rate was to neonatal deaths at one period, the deaths subse-
wing
due quentlybeinglow.
children
Registered stillbirths per 100 lire births: Gillingham, 3-6, Poole 4-0, Darwen, 5-5. * As
a
Swindon 4-3,
rule the estimate (R.-G.) for 1929 has been used.
Swindon.
Dr. Dunstan Brewer says that, although the year 1930 was a healthy one for the country as a whole, it Infant mortality was was not so in Swindon. the general mortality was no better than in recent years, and certain diseases were more prevalent than usual and showed a higher fatality. The chief events of 1930 were the reconstruction of the administrative block at the isolation hospital ; the building of
high ,I an
Themortality-rateamongpre-school’
also low, but at the school age the rate was All deaths under 20 were made the unfavourable. subject of inquiry, where the medical history of the person was known to the health department. There were 124 such deaths, and of these 11 were due to congenital defects, 7 to measles, 11 to whooping-cough, 9 to diphtheria, 9 to rheumatic infection, and 24 to prematurity. Dr. Brewer adopts the unusual custom of making epidemiological forecasts, which are printed in the health committee’s minutes month by month. These forecasts, some of which prove to be right and some wrong, are founded on a study of the local behaviour of disease and its variations in type and of the position of the disease in other parts of the world. Dr. Brewer is hoping that in the future it may be possible to forecast the behaviour of disease as accurately as that of the weather. There were 100 cases of true diphtheria with the high case-fatality of 9 per cent. Both deaths due to and notifications of non-pulmonary tuberculosis, other than meningitis, were higher than usual. Dr. Brewer believes that the higher notifications are in part due to the notifications of enlarged glands found during abdominal operations. He is not satisfied that we are getting a grasp of tuberculosis, and suggests that elaborate registers have confused the issue. He welcomes the latest Tuberculosis Order (1930). Under the Housing Act programme 500 new houses are to be erected, 50 of which will be allocated to rehousing persons displaced by closing or demolition orders. Housing in Swindon is exceptionally good for an industrial town. The amount of overcrowding is not great but does not diminish. The chief hospital lack is for general medical cases, although the new was