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HEALTH OF LARGE ENGLISH TOWNS.
547 of the face. This being so, it would be ungracious to com- similar diseases are compared. The book will be of use to plain that the book is not different from what it pretends to students after they have read larger works, and before prebe. While conceding the difficulty of the task of choosing senting themselves for examination, and will, no doubt, be
and selecting the points to be noticed and those to be passed, improved in later editions.
that, in our opinion, Mr. Mason has, For hit always upon the most suitable subjects. instance, we would gladly spare the poor and inadequate,
over,
we
must confess
not
HEALTH OF LARGE ENGLISH TOWNS.
compilations on erythema, roseola, urticaria, lichen, herpes,. eczema, psoriasis, parasitic diseases, acne, boils, &c., of the face, for a short notice of rodent ulcer, which is not even,
THE
FORTIETH
WEEK OF
1879.
ENGLISH mortality, judged by the Registrar-General’s. mentioned. urban statistics, showed an increase last week on the low It is only just to remark that the publishers have not have recently prevailed. In twenty of the largest rates that failed in their endeavours to make the book attractive. towns, containing nearly a third of the native population of England and Wales, 5091 births and 2818 deaths Lectures on Practical Surgery. By H. H. TOLAND, M.D., registered in the week ending last Saturday. The Professor of the Principles and Practice of Surgery and births were 91, and the deaths no less than 552, below the Clinical Surgery in the University of California. Second Edition. Illustrated. London : Triibner and Co. 1879. average weekly numbers during 1878. The deaths, however, THE preface of this book explains that Dr. Toland was showed an increase of 155 upon the low number returned in the previous week, and were more numerous than in any requested by his pupils to write a text-book of surgery, but week since the end of May last. The annual rate of morfeeling unable to undertake such a task, he agreed to " talk in the twenty towns, which had been equal to 19’4 tality a book that should contain the principles of surgery, with illustrations from his own experience." The lectures were and 18.8 in the two preceding weeks, rose to 19’9 last week. the thirteen weeks ending the 27th ult., the deathevidently delivered without much careful preparation, and During rate in the twenty towns averaged only 18’3 per 1000, bear obvious marks of being, in most cases, quite extemporaneous productions. We look in vain for a thorough dis- against 23’1, 20.6, and 23-8 in the corresponding periods of cussion of any one subject, nor do we find the clear rules the three years 1876-7-8. So low a summer death-rate in of practice or valuable practical hints such as we naturally these towns is without a recorded precedent. The lowest look for in lectures from one who often repeats that he has death-rates in these towns last week were 15’0 in Portsmouth, had long and extensive experience in his profession. A 15’4 in Leicester, 15’7 in Leeds and Nottingham, and 15’8 number of more or less interesting and striking cases are in Brighton; while the rates ranged upwards in the other referred to, but the value of these references is greatly towns to 24’0 in Bradford, 25’5 in Manchester, 26’1 in and 265inLiverpool. The deaths referred totheseven lessened by their want of accurate detail. As examples of Salford, zymotic diseases in the twenty towns showed a furprincipal the style of the work, wewill make one or two quotations. ther decline last week to 490, from numbers ranging between In reference to the treatment of wounds, Dr. Toland says : 654 and 520 in the five previous weeks ; 152 resulted from "As soon as an operation is completed, and before the diarrhoea, 146 from scarlet fever, and 68 from fever, princienteric. The annual death-rate from these seven haemorrhage has been arrested, administer a full dose of pally diseases averaged 3’5 per 1000 in the twenty towns, and sulphate of morphia. I think this is more important to ranged from 00 and 0’7 in Portsmouth and Wolverhampton success than the skilful use of the knife, the careful adjustto 5’3 and 5’5 in Newcastle-upon-Tyne and Norwich. The ment of the dressings, or, indeed, everything connected with deaths referred to diarrhœa continue to decline, and differ the operation combined." The diagnosis of aneurism is in but slightly from the average number for the season. The fatal cases of scarlet fever in the twenty towns, which had no way fully entered upon, but we are told that the pulsabeen and 144 in the three previous weeks, were 146 tion in an aneurism "generally corresponds with pulsations last 94, 118, week; they showed a further increase and the largest of the heart,"and that " sometimes, if the ear be applied proportional excess in Liverpool, Sunderland, and Newto the tumour, a bruit can be detected, which is called the castle-upon-Tyne. Of the 16 deaths from diphtheria, 8 aneurismal thrill." No one perusing these so-called lectures occurred in London and 8 in the nineteen provincial the latter included 2 in Liverpool and 2 in Mancan fail to regret that the labour expended upon them had not towns; chester. The deaths referred to fever rose to 68 from 37 and been concentrated upon a few, and thus been of far greater 54 in the two preceding weeks; the mortality from this service to the students and profession. As they are, they disease was somewhat greater in London than in the add nothing to our knowledge, and are hardly worthy of the provincial towns. Small-pox caused four more deaths in London (including two of unvaccinated children in one great American School of Surgery. family at Hackney), but not one in any of the nineteen provincial towns. The number of small-pox patients The Student’s Guide to Surgical Diagnosis. By CHRISTO- large in the Metropolitan Asylum Hospitals continues to decline; PHER HEATH, F.R.C.S., Holme Professor of Clinical on the 4th inst. were but 45, against numbers declining Surgery in University College, London, and Surgeon to steadily from IIIthey to 56 in the six preceding weeks. Four University College Hospital, London. J. andA. Churchill. new cases of small-pox were admitted to these hospitals 1879. during last week, against 6 and 7 in the two previous weeks. THIS little book is an attempt to give the student the aid he requires to form an accurate and rapid diagnosis of SCHOLARSHIPS.—At St. Bartholomew’s Hospital surgical cases. Teachers who have tried to do this will be Mr. to Heath the of the task Mr. Henry Lewis Jones, B.A. of Caius College, Camready acknowledge difficulty has undertaken, and those who are familiar with Mr. bridge, and Mr. T. W. Shore, Southampton, have obtained Open Scholarships in Science, value 9130 each, and Heath’s teaching will be prepared to find in this book a the Mr. Thistleton that of £30.—At the Middlesex Hospital thoroughly practical attempt to cope with the difficulty. Mr. C. H. Forbes has obtained the Entrance Scholarship of The chapter contains some valuable" Heads..625, and Mr. A. W. Ogle that of :E20, each tenable for two for Reports on Surgical Cases," prepared by Mr. Godlee, years.-At Westminster Hospital Mr. H. V. Hart bas obwhich have been in use at University College Hospital for tained the Houldsworth Entrance Scholarship of £100 (£50 some years. Each region of the body is dealt with in a per annuir for two years), and Mr. J. Swain that of £20.— At Guy’s Hospital Mr. G. E. Halstead has obtained the separate chapter, and the main salient features of each of; Open Scholarship of £131 5s., in classics, mathematics, and the common affections are then enumerated in single para- modern languages, and Mr. W. Fowler, B.A., that of .6131 5s., graphs, and there are several tables in which the signs of in chemistry, physics, botany, and zoology.
English were
.
introductory
.
.
and selecting the points to be noticed and those to be passed, improved in later editions.
that, in our opinion, Mr. Mason has, For hit always upon the most suitable subjects. instance, we would gladly spare the poor and inadequate,
over,
we
must confess
not
HEALTH OF LARGE ENGLISH TOWNS.
compilations on erythema, roseola, urticaria, lichen, herpes,. eczema, psoriasis, parasitic diseases, acne, boils, &c., of the face, for a short notice of rodent ulcer, which is not even,
THE
FORTIETH
WEEK OF
1879.
ENGLISH mortality, judged by the Registrar-General’s. mentioned. urban statistics, showed an increase last week on the low It is only just to remark that the publishers have not have recently prevailed. In twenty of the largest rates that failed in their endeavours to make the book attractive. towns, containing nearly a third of the native population of England and Wales, 5091 births and 2818 deaths Lectures on Practical Surgery. By H. H. TOLAND, M.D., registered in the week ending last Saturday. The Professor of the Principles and Practice of Surgery and births were 91, and the deaths no less than 552, below the Clinical Surgery in the University of California. Second Edition. Illustrated. London : Triibner and Co. 1879. average weekly numbers during 1878. The deaths, however, THE preface of this book explains that Dr. Toland was showed an increase of 155 upon the low number returned in the previous week, and were more numerous than in any requested by his pupils to write a text-book of surgery, but week since the end of May last. The annual rate of morfeeling unable to undertake such a task, he agreed to " talk in the twenty towns, which had been equal to 19’4 tality a book that should contain the principles of surgery, with illustrations from his own experience." The lectures were and 18.8 in the two preceding weeks, rose to 19’9 last week. the thirteen weeks ending the 27th ult., the deathevidently delivered without much careful preparation, and During rate in the twenty towns averaged only 18’3 per 1000, bear obvious marks of being, in most cases, quite extemporaneous productions. We look in vain for a thorough dis- against 23’1, 20.6, and 23-8 in the corresponding periods of cussion of any one subject, nor do we find the clear rules the three years 1876-7-8. So low a summer death-rate in of practice or valuable practical hints such as we naturally these towns is without a recorded precedent. The lowest look for in lectures from one who often repeats that he has death-rates in these towns last week were 15’0 in Portsmouth, had long and extensive experience in his profession. A 15’4 in Leicester, 15’7 in Leeds and Nottingham, and 15’8 number of more or less interesting and striking cases are in Brighton; while the rates ranged upwards in the other referred to, but the value of these references is greatly towns to 24’0 in Bradford, 25’5 in Manchester, 26’1 in and 265inLiverpool. The deaths referred totheseven lessened by their want of accurate detail. As examples of Salford, zymotic diseases in the twenty towns showed a furprincipal the style of the work, wewill make one or two quotations. ther decline last week to 490, from numbers ranging between In reference to the treatment of wounds, Dr. Toland says : 654 and 520 in the five previous weeks ; 152 resulted from "As soon as an operation is completed, and before the diarrhoea, 146 from scarlet fever, and 68 from fever, princienteric. The annual death-rate from these seven haemorrhage has been arrested, administer a full dose of pally diseases averaged 3’5 per 1000 in the twenty towns, and sulphate of morphia. I think this is more important to ranged from 00 and 0’7 in Portsmouth and Wolverhampton success than the skilful use of the knife, the careful adjustto 5’3 and 5’5 in Newcastle-upon-Tyne and Norwich. The ment of the dressings, or, indeed, everything connected with deaths referred to diarrhœa continue to decline, and differ the operation combined." The diagnosis of aneurism is in but slightly from the average number for the season. The fatal cases of scarlet fever in the twenty towns, which had no way fully entered upon, but we are told that the pulsabeen and 144 in the three previous weeks, were 146 tion in an aneurism "generally corresponds with pulsations last 94, 118, week; they showed a further increase and the largest of the heart,"and that " sometimes, if the ear be applied proportional excess in Liverpool, Sunderland, and Newto the tumour, a bruit can be detected, which is called the castle-upon-Tyne. Of the 16 deaths from diphtheria, 8 aneurismal thrill." No one perusing these so-called lectures occurred in London and 8 in the nineteen provincial the latter included 2 in Liverpool and 2 in Mancan fail to regret that the labour expended upon them had not towns; chester. The deaths referred to fever rose to 68 from 37 and been concentrated upon a few, and thus been of far greater 54 in the two preceding weeks; the mortality from this service to the students and profession. As they are, they disease was somewhat greater in London than in the add nothing to our knowledge, and are hardly worthy of the provincial towns. Small-pox caused four more deaths in London (including two of unvaccinated children in one great American School of Surgery. family at Hackney), but not one in any of the nineteen provincial towns. The number of small-pox patients The Student’s Guide to Surgical Diagnosis. By CHRISTO- large in the Metropolitan Asylum Hospitals continues to decline; PHER HEATH, F.R.C.S., Holme Professor of Clinical on the 4th inst. were but 45, against numbers declining Surgery in University College, London, and Surgeon to steadily from IIIthey to 56 in the six preceding weeks. Four University College Hospital, London. J. andA. Churchill. new cases of small-pox were admitted to these hospitals 1879. during last week, against 6 and 7 in the two previous weeks. THIS little book is an attempt to give the student the aid he requires to form an accurate and rapid diagnosis of SCHOLARSHIPS.—At St. Bartholomew’s Hospital surgical cases. Teachers who have tried to do this will be Mr. to Heath the of the task Mr. Henry Lewis Jones, B.A. of Caius College, Camready acknowledge difficulty has undertaken, and those who are familiar with Mr. bridge, and Mr. T. W. Shore, Southampton, have obtained Open Scholarships in Science, value 9130 each, and Heath’s teaching will be prepared to find in this book a the Mr. Thistleton that of £30.—At the Middlesex Hospital thoroughly practical attempt to cope with the difficulty. Mr. C. H. Forbes has obtained the Entrance Scholarship of The chapter contains some valuable" Heads..625, and Mr. A. W. Ogle that of :E20, each tenable for two for Reports on Surgical Cases," prepared by Mr. Godlee, years.-At Westminster Hospital Mr. H. V. Hart bas obwhich have been in use at University College Hospital for tained the Houldsworth Entrance Scholarship of £100 (£50 some years. Each region of the body is dealt with in a per annuir for two years), and Mr. J. Swain that of £20.— At Guy’s Hospital Mr. G. E. Halstead has obtained the separate chapter, and the main salient features of each of; Open Scholarship of £131 5s., in classics, mathematics, and the common affections are then enumerated in single para- modern languages, and Mr. W. Fowler, B.A., that of .6131 5s., graphs, and there are several tables in which the signs of in chemistry, physics, botany, and zoology.
English were
.
introductory
.
.