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IMPROVED GAS-OXYGEN-ETHER OUTFIT.
NEW INVENTIONS.
T. L.
from the point of view of compensaThe incidence of the disease in this country is; pointed out to have greatly increased since the! introduction of compensation ; the incapacity caused is found to be largely due to the development of, psychoneurotic symptoms. The economic loss amounts: to at least a million pounds a year. In order to prevent and limit incapacity from this cause, the author recommends (a) a preliminary eye test before engagement, (b) provision of surface work for those affected, (c) right of appeal to the medical referee, (d) gradual limitation in amount of compensation paid, (e) a restricted policy of lump sum payments, and (f) the expansion of school medical service to include the selection of boys suitable for mining work. ENDOCRINOLOGIA E PATOLOGIA COSTITUTIONALE. Anno 1. 1922. Vol. I. Roma: Via Ludovisi 46. Pp. 41. Abbonamento annuo L.50.-This new periodical will be published quarterly. The first number has just been issued under the editorship of Prof. G. Viola of Bologna and Prof. N. Pende of Messina. The production is artistic, with a white cover having a foliate design embracing the motto " consensus unus con spiratio una, con sententia omnia." The paper and type are beyond praise. Besides an introductory editorial preface, there are articles by Prof. Viola on the Modern Significance of the Constitution, by Dr. L. Goldstein on Mental Diseases in Relation to the Endocrine-sympathetic Apparatus, and by Prof. Pende on Modern Applications of the Doctrine of Internal Genital Secretion, in which the theories and practice of Steinach are discussed, and also the effects of Voronoff’s testicular implantation ; the conclusion arrived at is that interesting as they are from the point of view of endocrine doctrine and its practical application, they cannot without great reserve be accepted, in the therapy of sexual insufficiency or perversion as methods, of cure for physiological old age, or as methods for re-juvenescence, for the reason that old age is not only a deterioration of sexual activity nor subordinate to insufficiency of the genital hormones. Therefore the restoring to an individual worn out in years his sexual powers, even though such a benefit were sufficiently lasting, and even admitting that it is a real benefit, would not be the same thing as restoring real youth. Dr. Albano describes a case of supernumerary testicle, Sexual a rare condition in a young man aged 19. development was complete at 12 years of age and afterwards was functionally exaggerated, cohabitation being almost daily. The height was a little under the average, the thorax much larger than abdomen, the skull large, and the trunk hairy. Intelligence active and disposition calm and optimistic. There was polycythaemia and a relative monocytosis. Considering the presence of a large sella turcica and absence of reaction with adrenalin, the question arises whether in this case the hyperorchidism was associated with hyperfunction of the two virilogenic glands, the pituitary and the suprarenal. A résumé in French is added to many of the articles. We wish the new journalistic adventure every success and congratulate the editors on the first number.
tion.
Llewellyn
.
.
,
1389
Annandale has a zoological paper on snails of the genera Bullinus and Physa in the Mediterranean Basin, while U. N. Brahmachari writes learnedly upon the chemotherapy of antimonial compounds illustrated. in kala-azar ; this is well paper Chatterjee describes on inadequate grounds a new flagellate parasitic in the human intestine. Entomological papers are represented by M. 0. T. lyengar on the larva of Anopheles annandalei; by S. R. Christophers on the development and structure of the terminal abdominal segments and hypopygium of the mosquito ; by W. S. Patton on Hypoderma crossii, sp. nov., parasitic in its larval stages in cattle and goats in the Punjab ; by P. R. Awati on a survey of biting insects of Assam with reference to kala-azar for the year 1921-22. Finally, J. A. Sinton has a short article on a possible fallacy in the thick-film method of examination for malaria parasites.
New Inventions.
IMPROVED
GAS-OXYGEN-ETHER OUTFIT. THE illustration shows an alternative pattern for my gas-oxygen-ether outfit designed for use at the front during the war, and subsequently modified for in home hospitals. In its present form the stand is entirely ot metal, and is intended for use with large cylinders. The new pattern is made two sizes, the
use
in smaller
taking
2 x 200 gallon N 20 and two oxygen cylinders up to 20 feet size. The larger size takes 2 x 500 gallon N20 and two oxygen cylinders up to 40 feet size, and is a convenience when the in machine is constant use. A further improvement is the sight feed and ether vessel, which are with screwed-on bottles. The size of the glass
portion has been tending reduced, to greater strength and the total internal capacity has been maintained by a metal
THE INDIAN JOURNAL OF MEDICAL RESEARCH for October contains a report prepared by the Inter- extension. A useful accessory is made for intatrach- -e national Health Board of the Rockefeller Foundation insufflation. This is a unit which fits into the top upon the distribution and control of hookworm disease of the upright and comprises a mercury gauge in India. It includes much accurate information combined with a special mercury safety valve which and should become the standard reference for all is very easily adjusted to blow off at any desired future work on ankylostomiasis in India. J. F. Caius pressure. The device entirely removes the rather and Dr. K. S. Mhaskar continue their studies upontroublesome necessity for measuring the quantity of the correlation between the chemical composition of mercury ] If desired a cylinder of in the valve. anthelminthics and the therapeutic values of thecompressed air can be used for insufflation instead same ; W. F. Harvey contributes a continuation ofcof the, gases. For heating the ether bottle there is the articles on bacteriological and laboratory tech-an adjustable electric heater which also heats the nique, and with lyengar discusses the advantagesanaesthetic vapour at the same time. of single and fractional dosage in prophylactic inoculation. F. W. Edwards continues a synopsis ofi Messrs. Coxeter and Sons, Pancras-road, London, adult Oriental culicine mosquitoes. R. Row con- N.W. 1, are the manufacturers. tributes a study upon the morphological changes H. EDMUND G. BOYLE, O.B.E., in the Leishman-Donovan body in culture. Dr. Upper Wimpole-street, W. M.R.C.S., L.R.C.P. "
INDIA IN 1921-22.
1390
far as possible the effect of the rise in prices, the Government has opened up an area in Burma for a cinchona plantation. Meanwhile renewed efforts are being made to stamp out the pest. The Ministry of Public ]B(’alth in Bengal has been THE following extracts are taken from the annual struggling hard against the difficulties imposed by financial review prepared for presentation to Parliament in stringency. Conferences have been held by district board? accordance with the requirements of the Government throughout the affected districts to formulate anti-malarial of India Act (5 & 6 Geo. V., Chap. 61), and recently measures and schemes of water-supply, and to draw up issued under the name of Mr. Rushbrook Williams, schemes of finance. A malarial observatory to consider and correlate the various data has been established at Director of the Central Bureau of Information. Sonarpur in Bengal, and an additional research officer has been sanctioned. Further, important anti-malarial sanitary Sanitation. lu successive reports mention has been made of the schemes have been undertaken, and only await a more (tilliculties attending the task of sanitary reform in India. favourable financial situation to come to fruition. Towards the amelioration of leprosy, from which India, The meagre resources of the administration have hitherto been able to accomplish but little in the face of widespread like many Eastern countries, suffers, recent research has popular apathy among 270 million persons. The problem done much. The success by injection with hydnocarpus is in many respects educational, and its solution must and other oils has enabled the relief of leprosy to be placed that necessarily be slow. For it will be almost impossible to on a highly effective basis. Recent research indicates asylums may be transformed into hospitals for treatsafeguard India from a heavy death-rate punctuated by leper disastrous epidemics until a change can be introduced into ment instead of being institutions for the isolation of sufferers. the prevailing ideas regarding hygiene. It is not merely the The noble work accomplished by the Mission to Lepers thsu significance, and if only public support widespread poverty of the Indian masses which lends acquires an added sanitation in India its peculiar difficulties. Far more serious be forthcoming in sufficient degree, many patients may be is the tenacious adherence even of the educated classes to restored to their homes and to societv. the prospects are less hopeful ; the social custom and observances often diametrically opposed to the dictates of hygiene. It is indeed difficult to imagine year was a bad one. Outbreaks of exceptional severity how the public health of India can be satisfactory until the occurred. As usual, the influence exerted by large confundamental conditions which govern it have been improved. centrations of pilgrims at all the most holy places was very Only with the amelioration of the social and economic status marked. The control of the disease should in theory be of the masses, in conjunction with an increase in the recep- easy ; and where elaborate arrangements can be made, Bombay Government for tivity of the classes to new ideas, will the lamentable such as those carried out by thethe centres associated with backwardness in hygiene be radically remedied. Through the help of the pilgrims visiting town and country alike there is urgent need of implanting1the Sinhast fair, excellent results are achieved.
INDIA
IN
1921-22.
Concerning cholera,
,
’
T. L.
from the point of view of compensaThe incidence of the disease in this country is; pointed out to have greatly increased since the! introduction of compensation ; the incapacity caused is found to be largely due to the development of, psychoneurotic symptoms. The economic loss amounts: to at least a million pounds a year. In order to prevent and limit incapacity from this cause, the author recommends (a) a preliminary eye test before engagement, (b) provision of surface work for those affected, (c) right of appeal to the medical referee, (d) gradual limitation in amount of compensation paid, (e) a restricted policy of lump sum payments, and (f) the expansion of school medical service to include the selection of boys suitable for mining work. ENDOCRINOLOGIA E PATOLOGIA COSTITUTIONALE. Anno 1. 1922. Vol. I. Roma: Via Ludovisi 46. Pp. 41. Abbonamento annuo L.50.-This new periodical will be published quarterly. The first number has just been issued under the editorship of Prof. G. Viola of Bologna and Prof. N. Pende of Messina. The production is artistic, with a white cover having a foliate design embracing the motto " consensus unus con spiratio una, con sententia omnia." The paper and type are beyond praise. Besides an introductory editorial preface, there are articles by Prof. Viola on the Modern Significance of the Constitution, by Dr. L. Goldstein on Mental Diseases in Relation to the Endocrine-sympathetic Apparatus, and by Prof. Pende on Modern Applications of the Doctrine of Internal Genital Secretion, in which the theories and practice of Steinach are discussed, and also the effects of Voronoff’s testicular implantation ; the conclusion arrived at is that interesting as they are from the point of view of endocrine doctrine and its practical application, they cannot without great reserve be accepted, in the therapy of sexual insufficiency or perversion as methods, of cure for physiological old age, or as methods for re-juvenescence, for the reason that old age is not only a deterioration of sexual activity nor subordinate to insufficiency of the genital hormones. Therefore the restoring to an individual worn out in years his sexual powers, even though such a benefit were sufficiently lasting, and even admitting that it is a real benefit, would not be the same thing as restoring real youth. Dr. Albano describes a case of supernumerary testicle, Sexual a rare condition in a young man aged 19. development was complete at 12 years of age and afterwards was functionally exaggerated, cohabitation being almost daily. The height was a little under the average, the thorax much larger than abdomen, the skull large, and the trunk hairy. Intelligence active and disposition calm and optimistic. There was polycythaemia and a relative monocytosis. Considering the presence of a large sella turcica and absence of reaction with adrenalin, the question arises whether in this case the hyperorchidism was associated with hyperfunction of the two virilogenic glands, the pituitary and the suprarenal. A résumé in French is added to many of the articles. We wish the new journalistic adventure every success and congratulate the editors on the first number.
tion.
Llewellyn
.
.
,
1389
Annandale has a zoological paper on snails of the genera Bullinus and Physa in the Mediterranean Basin, while U. N. Brahmachari writes learnedly upon the chemotherapy of antimonial compounds illustrated. in kala-azar ; this is well paper Chatterjee describes on inadequate grounds a new flagellate parasitic in the human intestine. Entomological papers are represented by M. 0. T. lyengar on the larva of Anopheles annandalei; by S. R. Christophers on the development and structure of the terminal abdominal segments and hypopygium of the mosquito ; by W. S. Patton on Hypoderma crossii, sp. nov., parasitic in its larval stages in cattle and goats in the Punjab ; by P. R. Awati on a survey of biting insects of Assam with reference to kala-azar for the year 1921-22. Finally, J. A. Sinton has a short article on a possible fallacy in the thick-film method of examination for malaria parasites.
New Inventions.
IMPROVED
GAS-OXYGEN-ETHER OUTFIT. THE illustration shows an alternative pattern for my gas-oxygen-ether outfit designed for use at the front during the war, and subsequently modified for in home hospitals. In its present form the stand is entirely ot metal, and is intended for use with large cylinders. The new pattern is made two sizes, the
use
in smaller
taking
2 x 200 gallon N 20 and two oxygen cylinders up to 20 feet size. The larger size takes 2 x 500 gallon N20 and two oxygen cylinders up to 40 feet size, and is a convenience when the in machine is constant use. A further improvement is the sight feed and ether vessel, which are with screwed-on bottles. The size of the glass
portion has been tending reduced, to greater strength and the total internal capacity has been maintained by a metal
THE INDIAN JOURNAL OF MEDICAL RESEARCH for October contains a report prepared by the Inter- extension. A useful accessory is made for intatrach- -e national Health Board of the Rockefeller Foundation insufflation. This is a unit which fits into the top upon the distribution and control of hookworm disease of the upright and comprises a mercury gauge in India. It includes much accurate information combined with a special mercury safety valve which and should become the standard reference for all is very easily adjusted to blow off at any desired future work on ankylostomiasis in India. J. F. Caius pressure. The device entirely removes the rather and Dr. K. S. Mhaskar continue their studies upontroublesome necessity for measuring the quantity of the correlation between the chemical composition of mercury ] If desired a cylinder of in the valve. anthelminthics and the therapeutic values of thecompressed air can be used for insufflation instead same ; W. F. Harvey contributes a continuation ofcof the, gases. For heating the ether bottle there is the articles on bacteriological and laboratory tech-an adjustable electric heater which also heats the nique, and with lyengar discusses the advantagesanaesthetic vapour at the same time. of single and fractional dosage in prophylactic inoculation. F. W. Edwards continues a synopsis ofi Messrs. Coxeter and Sons, Pancras-road, London, adult Oriental culicine mosquitoes. R. Row con- N.W. 1, are the manufacturers. tributes a study upon the morphological changes H. EDMUND G. BOYLE, O.B.E., in the Leishman-Donovan body in culture. Dr. Upper Wimpole-street, W. M.R.C.S., L.R.C.P. "
INDIA IN 1921-22.
1390
far as possible the effect of the rise in prices, the Government has opened up an area in Burma for a cinchona plantation. Meanwhile renewed efforts are being made to stamp out the pest. The Ministry of Public ]B(’alth in Bengal has been THE following extracts are taken from the annual struggling hard against the difficulties imposed by financial review prepared for presentation to Parliament in stringency. Conferences have been held by district board? accordance with the requirements of the Government throughout the affected districts to formulate anti-malarial of India Act (5 & 6 Geo. V., Chap. 61), and recently measures and schemes of water-supply, and to draw up issued under the name of Mr. Rushbrook Williams, schemes of finance. A malarial observatory to consider and correlate the various data has been established at Director of the Central Bureau of Information. Sonarpur in Bengal, and an additional research officer has been sanctioned. Further, important anti-malarial sanitary Sanitation. lu successive reports mention has been made of the schemes have been undertaken, and only await a more (tilliculties attending the task of sanitary reform in India. favourable financial situation to come to fruition. Towards the amelioration of leprosy, from which India, The meagre resources of the administration have hitherto been able to accomplish but little in the face of widespread like many Eastern countries, suffers, recent research has popular apathy among 270 million persons. The problem done much. The success by injection with hydnocarpus is in many respects educational, and its solution must and other oils has enabled the relief of leprosy to be placed that necessarily be slow. For it will be almost impossible to on a highly effective basis. Recent research indicates asylums may be transformed into hospitals for treatsafeguard India from a heavy death-rate punctuated by leper disastrous epidemics until a change can be introduced into ment instead of being institutions for the isolation of sufferers. the prevailing ideas regarding hygiene. It is not merely the The noble work accomplished by the Mission to Lepers thsu significance, and if only public support widespread poverty of the Indian masses which lends acquires an added sanitation in India its peculiar difficulties. Far more serious be forthcoming in sufficient degree, many patients may be is the tenacious adherence even of the educated classes to restored to their homes and to societv. the prospects are less hopeful ; the social custom and observances often diametrically opposed to the dictates of hygiene. It is indeed difficult to imagine year was a bad one. Outbreaks of exceptional severity how the public health of India can be satisfactory until the occurred. As usual, the influence exerted by large confundamental conditions which govern it have been improved. centrations of pilgrims at all the most holy places was very Only with the amelioration of the social and economic status marked. The control of the disease should in theory be of the masses, in conjunction with an increase in the recep- easy ; and where elaborate arrangements can be made, Bombay Government for tivity of the classes to new ideas, will the lamentable such as those carried out by thethe centres associated with backwardness in hygiene be radically remedied. Through the help of the pilgrims visiting town and country alike there is urgent need of implanting1the Sinhast fair, excellent results are achieved.
INDIA
IN
1921-22.
Concerning cholera,
,
’