- Email: [email protected]
KING EDWARD'S FUND.
1232
development of râles. Dr. Heise, commenting on theparallelism between clinical and X ray findings, suggests that " rales appear early in the stage of activity when inflammation is not too severe and
all interested in medicine in this Presidency. It may be observed that more than one local body in the mofussil has already opened Ayurvedic dispensaries in place of those equipped according to Western ideas.
want of
reappear when the inflammation subsides and allows air to flow freely in the smaller bronchi and bronchioles. in sufficient volume to set the mucus in vibration,. or that increased secretion of mucus may take place before any X ray evidence." The special diagnostic criteria adopted will be of interest to-
Madras, May 15th.
UNITED STATES OF AMERICA. (FROM AN OCCASIONAL CORRESPONDENT.)
sanatorium
Right to Prescribe. THE right to prescribe was stoutly maintained by a decision in the Federal District Court of New York, given on May 8th. Judge John C. Knox ruled that
superintendents.
The
Section 7, Title II. of the Volstead Act was unconstitutional in a suit brought by the Association for the Protection of Constitutional Rights. Section 7 limits the amount of alcohol in any form which a doctor may prescribe for any one patient to one pint in ten days. This limitation the judge regarded as arbitrary and without justification. Probably the intention of congress was not to restrict the prescription of necessary medicinal alcohol, but to prevent abuse of their privileges by dishonest physicians who might be tempted to issue prescriptions without any good professional reason. Medical men point out, however, that there is no limit placed on the amount of alcoholic liquor which a clergyman may order for sacramental purposes, and they consider that the profession of medicine is worthy of as much confidence as that of the Church. The prohibition authorities announce that regulations will not be relaxed until the decision has been reviewed in the Supreme Court. They are confident that it will then be reversed.
Automobile Fatalities in 1922. The National Automobile Chamber of Commerce has just issued a statistical record of the automobile accidents which haveoccurred in 1922. The total number of deaths from this cause is 14,000, as compared with 12,500 in the previous year. The death-rate from this cause is thus still rising ominously. In the last three completed years it has been 0.104,0.110, and 0’133 respectively per thousand population. The number of motor-cars registered per thousand population has in the same period increased from 87 to 115, so that the number of deaths per carhas slightly decreased. It is interesting to note from the statistics on mortality among doctors collected by the American Medical Association that medical men run a much greater risk than the general population. The number of deaths from automobile accidents in 1922 was 39, and 23 more deaths were due to collisions between trains and motor-cars. The number of qualified physicians in the United States is estimated at 146,000, hence it appears that their mortality-rate from this cause is more than three times that of the general population. Trudeau Sanatorium. thirty-eighth annual report of the Trudeau Sanatorium, just issued, is a mine of information for the statistician. The tables which it contains have been prepared according to suggestions made by the National Tuberculosis Association. One of them gives the present condition of all patients discharged in each year from the year 1885 onwards, the cases are divided into three classes (minimal, moderately advanced, and far advanced) with three subclasses in each class according to the condition at the time of discharge (apparently arrested, quiescent, and active). Of the patients discharged during the last year nearly onefourth had no rates, about one-tenth lost their rales, in nearly one-tenth the rales remained unchanged. Fewer râles were heard at discharge than on admission in nearly one-fifth, and more extensive rales in nearly one-tenth. Rales developed in new areas in about one-third. The X ray results were encouraging, showing clearing in no less than 150 out of 226 cases. Fifty of these cases had. however, an increase or The
KING EDWARD’S FUND. SPECIAL GRANTS TO LONDON HOSPITALS. WE published last week a brief report of theannual meeting of King Edward’s Hospital Fund for London, and we now print the list of grantsin connexion with the Combined Appeal. The question of hospital accommodation has a very important bearing on the position of the voluntary hospitals, and it is interesting to note that an Ambulances Cases Disposal Committee has been given thepowers of the General Council two inquire and report to the President and General Council on themethods at present employed for ascertaining wherebed accommodation is available at hospitals in the metropolitan and neighbouring areas for accident cases requiring admission ; and on the proposal that daily reports of vacant beds should be supplied to the police and ambulance authorities ; and to makesuch consequential recommendations as they may consider desirable."
Distribution
of Proceeds of Combined Appeal. Approval was given to the special distribution by the King’s Fund of the proceeds of the Combined Appeal. The hospitals to which grants are madeare those which accepted the invitation to cooperatein the appeal. Out of 127 invited to cooperate 120 accepted.
grant.-
Name of Hospital. .. .. .. .. .. £585 Hospital 875 All Saints’ Hospital .. .. .. .. .. .. 980 Antivivisection Hospital ......... 360 Baby Clinic and Hospital (Kensington) 630 Beckenham Cottage Hospital Belgrave Hospital for Children ....... 1,825. Acton
..
.....
.......
Blackheath and Charlton
Hospital
.....
525
......... 1,200 Bolingbroke Hospital 85. Brentford Cottage Hospital 760 British Hospital for Mothers and Babies (Woolwich) Cancer Hospital ............ 1,820 855Canning Town Women’s Settlement Hospital .... 925 Central London Ophthalmic Hospital ..... Central London Throat and Ear Hospital ... 1,000 Chelsea Hospital for Women ....... 1,130 Cheyne Hospital for Children ....... 1,325. City of London Hospital for Diseases of the Heart and 4,275Lungs (Victoria Park) ..... 1,540 City of London Maternity Hospital 825. Clapham Maternity Hospital ...... 7,415 Dreadnought Hospital (Seamen’s) East End Mothers’ Lying-in Home ...... 1,130 ........
..
........
Hospital ............
260 East Ham East London Hospital for Children 5,200 Elizabeth Garrett Anderson Hospital ...... 2,830 180 Eltham and Mottingham Cottage
Hospital Lvelina Hospital ........... Finchley Memorial Hospital Florence Nightingale Hospital for Gentlewomen French Hospital .. .. .. .. .. ..
....
........
....
General Lying-in Hospital.......... German Hospital ............ Grosvenor Hospital for Women ........
1,910, 625 665, 760
1,000, 2,430 725
............18,135 Guy’s Hospital Hampstead General and North-West London Hospital 4,865 790 Hendon Cottage Hospital .......... 850 Ilornsey Cottage Hospital . , , , for Hospital Consumption, Brompton (including Sanatoritmi at Frimley) 7,620 ...... 2,090 Hospital for Epilepsy and Paralysis 8,700 Hospital for Sick Children ...... 1,605 Hospital for Women (Soho-square) of St. John and St. Elizabeth ... 2,200 Hospital .......
.......
Hostel of God Hostel of St. Luke............ ............
Infants’ Hospital ............ Italian Hospital............
345, 200 725 490
1233 .Jewish Maternity Home Kensington, Fulham and Chelsea General Hospital .. Kensington Dispensary and Children’s Hospital.... King Edward Memorial Hospital (Ealing) ..........
£195 615 195
.. .. 795
King’s College Hospital .......... 18,150 Fever Hospital .......... 2,160 Homoeopathic Hospital ........ 2,985 Hospital .......... 23,360 Jewish Hospital .......... 1,120 Lock Hospital 3,605 Temperance Hospital ........ 2,935 Maternity Charity and District Nurses’ Home, Plaistow. 2,090 370 Metropolitan Ear, Nose and Throat Hospital.... Metropolitan Hospital .......... 5,610 Middlesex Hospital ............ 12,375 -iliddlesex Hospital Cancer Charity ...... 1,545 525 Mildmay Memorial Hospital Mission Mildmay Hospital .......... 1,850 Miller General Hospital for South-East London.... 4,635 Mothers’ Hospital of the Salvation Army .... 1,645 National Hospital for Diseases of the Heart .. 1,255 National Hospital for the Paralysed and Epileptic.. 6,185 Nelson Hospital (South Wimbledon) 695 Northeourt Hospital and Home for Sick Children (Hampstead) 1,185 North Islington Infant Welfare Wards...... 305 Paddington Green Children’s Hospital .. - ... 1,030 Passmore Edwards Hospital for Wood Green, &c... 415 Poplar Hospital for Accidents ....... - 2,145 Prince of Wales’s General Hospital ...... 6,065 350 Putney Hospital Queen Charlotte’s Lying-in Hospital...... 3,040 Queen Mary’s Hospital for the East End...... 5,120 Queen’s Hospital for Children ........ 6,695 Royal Dental Hospital of London ...... 1,545 Royal EyeHospital ............ 1,130 Royal Free Hospital ............ 11,330 Royal Hospital, Richmond .......... 1,230 Royal London Ophthalmic Hospital ...... 4,140 Royal National Orthopaedic Hospital ...... 5,665 Royal Northern Hospital (with which is amalgamated the Royal Chest Hospital, City-road) ...... 13,650 Royal Waterloo Hospital for Children and Women.. 2,120 Royal Westminster Ophthalmic Hospital ...... 1,065 St. Andrew’s Hospital (Dollis Hill) 650 St. Bartholomew’s Hospital ........ 16,610 St. Columba’s Hospital .......... 825 St. George’s Hospital .......... 9,000 St. John’s Hospital, Lewisham .... 2,315 St. John’s Hospital for Diseases of the Skin.... 1,030 St Luke’s Hospital for Advanced Cases...... 595 St. Mark’s Hospital ............ 910 St Mary’s Hospital ............ 8,240 St. Mary’s Hospital for Women and Children, Plaistow 2,010 St. Monica’s Home Hospital........ 355 St. Peter’s Hospital for Stone ... 1,020 of Limited St. Saviour’s Hospital for Ladies Means (Osna280 burgh-street) St. Thomas’s Hospital .......... 16,455 Samaritan Free Hospital for Women ...... 1,300 London London London London London London
........
......
..............
............
TUBERCULOSIS. Tuberculosis in Bradford. THE Medical Research Council has issued as one of its Special Report Series an investigation by Dr. Harold Vallow of tuberculosis in insured persons accepted for treatment by the Bradford Health Committee. The period covered is July 15th, 1912, to April 30th, 1921, and a special study was made of the 584 cases of pulmonary tuberculosis applying for In addition, there were 20 treatment in 1914-16. cases of non-pulmonary tuberculosis. It was found that of the 204 patients in the first stage, only seven, or 3-4 per cent., had died from pulmonary tuberculosis, whereas of the 158 second-stage patients, 87, and of the 222 third-stage patients, 220 had died from pulmonary tuberculosis. The treatment given was sanatorium, hospital, and domiciliary treatment, but little information is vouchsafed as to the duration and character of the sanatorium and hospital treatment, and the character and extent of the domiciliary treatment given are not fully described. Apparently no distinction has been made between sputum-positive and sputum-negative cases, and owing to these and other important omissions, it is difficult to form an estimate of the value of the tuberculosis work in Bradford. It would be well if, in the preparation of reports of this kind, a uniform procedure were to be followed, so that a fair comparison could be made between the tuberculosis organisations in the various parts of the country.
......
............
Santa Claus Home ... 465 South-Eastern Hospital for Children .. 1,485I South London Hospital for Women ...... 2,525 345 Stoke Newington Home Hospital for Women 205 Streatham Babies’ Hospital
(Sydenham)
....
........
........ 12,360 University College Hospital Victoria Hospital for Children ........ 2,830 Walthamstow, Wanstead, and Leyton Children’s and General Hospital .......... 1,070 410 Weir Hospital (Balham) West End Hospital for Nervous Diseases...... 1,795 715 Western Ophthalmic Hospital........ West London Hospital .......... 7,700 Westminster Hospital 7,210 Willesden Hospital ........... 1,635 ..........
Hospital
Wimbledon Winifred House Invalid Children’s Convalescent Home Woolwich and PIumstead Cottage Hospital .... Woolwich and District War Memorial Hospital....
525
..........
Hospital
300
..............
Total..........
Special distribution by King Edward’s Hospital Fund, as above,
.8
s.
d.
145
3,300
£365,000 ,&bgr;
s.
d.
0 8
0 9
8
9
viz. :: on account, August, ........ 150,000 0 0 Payments on account, October, 1922 .... 100,000 0 0 Final payments, June, 1923 .. 115,000 0 0 365,000 Other forms of distribution.. 48,214
Payments 1922
Total distribution
.... 413,214
DURHAM MEDICAL GRADUATES ASSOCIATION.—The meeting will be held at the College of Medicine, Newcastle-upon-Tyne, on June 25th, at 5 P.M., and the
annual annual
dinner
at
7.45
P.M.
on
King’s Hall, Armstrong College.
the
same
day
in
the
Any Durham medical
graduates who are not already members of the Association and who desire to join, are requested to communicate with the hon. secretary, (North), Royal Victoria Infirmary,
Newcastle-upon-Tyne.
The
JY
Ray Diagnosis of Pulmonary Tuberculosis.
A small monographhas recently been published by Dr. Max Cohn on this subject. A particularly interesting chapter is devoted to the X ray diagnosis of miliary tuberculosis, and of all the forms of pulmonary tuberculosis, the miliary is, according to Dr. Cohn, the one which presents the most definite X ray picture. The X ray diagnosis of miliary tubercle of the lungs is barely ten years old, but it has been worked up to such a pitch of perfection that this condition may now be detected by the X rays earlier than by any other method. Dr. Cohn supports this claim by an account of a soldier admitted to his
hospital during the war for observation. There appeared to be little amiss with him apart from occasional attacks of lassitude ; the ordinary physical chest signs were negative. But the X rays showed the characteristic fine mottling, and after six weeks the patient died, and the necropsy confirmed the X ray diagnosis of miliary tubercle. Again and again Dr. Cohn has diagnosed miliary tubercle of the lungs at a stage when the clinical diagnosis halted between influenza, empyema, and an interlobar effusion. A Report on the Friedmann Vaccine. The Committee appointed by the Prussian Landtag to inquire into the merits of the Friedmann vaccine has now issued its report.2 It is not very helpful. This was, perhaps, inevitable. For as many members of the Committee had long ago ranged themselves on one or other side as inveterate enemies or enthusiastic advocates of the remedy, a unanimous report could hardly have been expected. The main report is a lukewarm analysis of the results achieved, and the nine members of the Committee not signing this report have dissociated themselves from it in two groups, the one insisting that the report is too favourable, the other too unfavourable. It would, therefore, seem that the result of the work of this Committee is to prove that the Friedmann remedy is useful, useless, neither, or both. 1 Tuberkulose Bibliothek. Die Lungentuberkulose im RöntgenJohann Ambrosius Barth. 1923. bilde. Leipzig: 2 Deut. med. Woch., April 13th, 1923.
development of râles. Dr. Heise, commenting on theparallelism between clinical and X ray findings, suggests that " rales appear early in the stage of activity when inflammation is not too severe and
all interested in medicine in this Presidency. It may be observed that more than one local body in the mofussil has already opened Ayurvedic dispensaries in place of those equipped according to Western ideas.
want of
reappear when the inflammation subsides and allows air to flow freely in the smaller bronchi and bronchioles. in sufficient volume to set the mucus in vibration,. or that increased secretion of mucus may take place before any X ray evidence." The special diagnostic criteria adopted will be of interest to-
Madras, May 15th.
UNITED STATES OF AMERICA. (FROM AN OCCASIONAL CORRESPONDENT.)
sanatorium
Right to Prescribe. THE right to prescribe was stoutly maintained by a decision in the Federal District Court of New York, given on May 8th. Judge John C. Knox ruled that
superintendents.
The
Section 7, Title II. of the Volstead Act was unconstitutional in a suit brought by the Association for the Protection of Constitutional Rights. Section 7 limits the amount of alcohol in any form which a doctor may prescribe for any one patient to one pint in ten days. This limitation the judge regarded as arbitrary and without justification. Probably the intention of congress was not to restrict the prescription of necessary medicinal alcohol, but to prevent abuse of their privileges by dishonest physicians who might be tempted to issue prescriptions without any good professional reason. Medical men point out, however, that there is no limit placed on the amount of alcoholic liquor which a clergyman may order for sacramental purposes, and they consider that the profession of medicine is worthy of as much confidence as that of the Church. The prohibition authorities announce that regulations will not be relaxed until the decision has been reviewed in the Supreme Court. They are confident that it will then be reversed.
Automobile Fatalities in 1922. The National Automobile Chamber of Commerce has just issued a statistical record of the automobile accidents which haveoccurred in 1922. The total number of deaths from this cause is 14,000, as compared with 12,500 in the previous year. The death-rate from this cause is thus still rising ominously. In the last three completed years it has been 0.104,0.110, and 0’133 respectively per thousand population. The number of motor-cars registered per thousand population has in the same period increased from 87 to 115, so that the number of deaths per carhas slightly decreased. It is interesting to note from the statistics on mortality among doctors collected by the American Medical Association that medical men run a much greater risk than the general population. The number of deaths from automobile accidents in 1922 was 39, and 23 more deaths were due to collisions between trains and motor-cars. The number of qualified physicians in the United States is estimated at 146,000, hence it appears that their mortality-rate from this cause is more than three times that of the general population. Trudeau Sanatorium. thirty-eighth annual report of the Trudeau Sanatorium, just issued, is a mine of information for the statistician. The tables which it contains have been prepared according to suggestions made by the National Tuberculosis Association. One of them gives the present condition of all patients discharged in each year from the year 1885 onwards, the cases are divided into three classes (minimal, moderately advanced, and far advanced) with three subclasses in each class according to the condition at the time of discharge (apparently arrested, quiescent, and active). Of the patients discharged during the last year nearly onefourth had no rates, about one-tenth lost their rales, in nearly one-tenth the rales remained unchanged. Fewer râles were heard at discharge than on admission in nearly one-fifth, and more extensive rales in nearly one-tenth. Rales developed in new areas in about one-third. The X ray results were encouraging, showing clearing in no less than 150 out of 226 cases. Fifty of these cases had. however, an increase or The
KING EDWARD’S FUND. SPECIAL GRANTS TO LONDON HOSPITALS. WE published last week a brief report of theannual meeting of King Edward’s Hospital Fund for London, and we now print the list of grantsin connexion with the Combined Appeal. The question of hospital accommodation has a very important bearing on the position of the voluntary hospitals, and it is interesting to note that an Ambulances Cases Disposal Committee has been given thepowers of the General Council two inquire and report to the President and General Council on themethods at present employed for ascertaining wherebed accommodation is available at hospitals in the metropolitan and neighbouring areas for accident cases requiring admission ; and on the proposal that daily reports of vacant beds should be supplied to the police and ambulance authorities ; and to makesuch consequential recommendations as they may consider desirable."
Distribution
of Proceeds of Combined Appeal. Approval was given to the special distribution by the King’s Fund of the proceeds of the Combined Appeal. The hospitals to which grants are madeare those which accepted the invitation to cooperatein the appeal. Out of 127 invited to cooperate 120 accepted.
grant.-
Name of Hospital. .. .. .. .. .. £585 Hospital 875 All Saints’ Hospital .. .. .. .. .. .. 980 Antivivisection Hospital ......... 360 Baby Clinic and Hospital (Kensington) 630 Beckenham Cottage Hospital Belgrave Hospital for Children ....... 1,825. Acton
..
.....
.......
Blackheath and Charlton
Hospital
.....
525
......... 1,200 Bolingbroke Hospital 85. Brentford Cottage Hospital 760 British Hospital for Mothers and Babies (Woolwich) Cancer Hospital ............ 1,820 855Canning Town Women’s Settlement Hospital .... 925 Central London Ophthalmic Hospital ..... Central London Throat and Ear Hospital ... 1,000 Chelsea Hospital for Women ....... 1,130 Cheyne Hospital for Children ....... 1,325. City of London Hospital for Diseases of the Heart and 4,275Lungs (Victoria Park) ..... 1,540 City of London Maternity Hospital 825. Clapham Maternity Hospital ...... 7,415 Dreadnought Hospital (Seamen’s) East End Mothers’ Lying-in Home ...... 1,130 ........
..
........
Hospital ............
260 East Ham East London Hospital for Children 5,200 Elizabeth Garrett Anderson Hospital ...... 2,830 180 Eltham and Mottingham Cottage
Hospital Lvelina Hospital ........... Finchley Memorial Hospital Florence Nightingale Hospital for Gentlewomen French Hospital .. .. .. .. .. ..
....
........
....
General Lying-in Hospital.......... German Hospital ............ Grosvenor Hospital for Women ........
1,910, 625 665, 760
1,000, 2,430 725
............18,135 Guy’s Hospital Hampstead General and North-West London Hospital 4,865 790 Hendon Cottage Hospital .......... 850 Ilornsey Cottage Hospital . , , , for Hospital Consumption, Brompton (including Sanatoritmi at Frimley) 7,620 ...... 2,090 Hospital for Epilepsy and Paralysis 8,700 Hospital for Sick Children ...... 1,605 Hospital for Women (Soho-square) of St. John and St. Elizabeth ... 2,200 Hospital .......
.......
Hostel of God Hostel of St. Luke............ ............
Infants’ Hospital ............ Italian Hospital............
345, 200 725 490
1233 .Jewish Maternity Home Kensington, Fulham and Chelsea General Hospital .. Kensington Dispensary and Children’s Hospital.... King Edward Memorial Hospital (Ealing) ..........
£195 615 195
.. .. 795
King’s College Hospital .......... 18,150 Fever Hospital .......... 2,160 Homoeopathic Hospital ........ 2,985 Hospital .......... 23,360 Jewish Hospital .......... 1,120 Lock Hospital 3,605 Temperance Hospital ........ 2,935 Maternity Charity and District Nurses’ Home, Plaistow. 2,090 370 Metropolitan Ear, Nose and Throat Hospital.... Metropolitan Hospital .......... 5,610 Middlesex Hospital ............ 12,375 -iliddlesex Hospital Cancer Charity ...... 1,545 525 Mildmay Memorial Hospital Mission Mildmay Hospital .......... 1,850 Miller General Hospital for South-East London.... 4,635 Mothers’ Hospital of the Salvation Army .... 1,645 National Hospital for Diseases of the Heart .. 1,255 National Hospital for the Paralysed and Epileptic.. 6,185 Nelson Hospital (South Wimbledon) 695 Northeourt Hospital and Home for Sick Children (Hampstead) 1,185 North Islington Infant Welfare Wards...... 305 Paddington Green Children’s Hospital .. - ... 1,030 Passmore Edwards Hospital for Wood Green, &c... 415 Poplar Hospital for Accidents ....... - 2,145 Prince of Wales’s General Hospital ...... 6,065 350 Putney Hospital Queen Charlotte’s Lying-in Hospital...... 3,040 Queen Mary’s Hospital for the East End...... 5,120 Queen’s Hospital for Children ........ 6,695 Royal Dental Hospital of London ...... 1,545 Royal EyeHospital ............ 1,130 Royal Free Hospital ............ 11,330 Royal Hospital, Richmond .......... 1,230 Royal London Ophthalmic Hospital ...... 4,140 Royal National Orthopaedic Hospital ...... 5,665 Royal Northern Hospital (with which is amalgamated the Royal Chest Hospital, City-road) ...... 13,650 Royal Waterloo Hospital for Children and Women.. 2,120 Royal Westminster Ophthalmic Hospital ...... 1,065 St. Andrew’s Hospital (Dollis Hill) 650 St. Bartholomew’s Hospital ........ 16,610 St. Columba’s Hospital .......... 825 St. George’s Hospital .......... 9,000 St. John’s Hospital, Lewisham .... 2,315 St. John’s Hospital for Diseases of the Skin.... 1,030 St Luke’s Hospital for Advanced Cases...... 595 St. Mark’s Hospital ............ 910 St Mary’s Hospital ............ 8,240 St. Mary’s Hospital for Women and Children, Plaistow 2,010 St. Monica’s Home Hospital........ 355 St. Peter’s Hospital for Stone ... 1,020 of Limited St. Saviour’s Hospital for Ladies Means (Osna280 burgh-street) St. Thomas’s Hospital .......... 16,455 Samaritan Free Hospital for Women ...... 1,300 London London London London London London
........
......
..............
............
TUBERCULOSIS. Tuberculosis in Bradford. THE Medical Research Council has issued as one of its Special Report Series an investigation by Dr. Harold Vallow of tuberculosis in insured persons accepted for treatment by the Bradford Health Committee. The period covered is July 15th, 1912, to April 30th, 1921, and a special study was made of the 584 cases of pulmonary tuberculosis applying for In addition, there were 20 treatment in 1914-16. cases of non-pulmonary tuberculosis. It was found that of the 204 patients in the first stage, only seven, or 3-4 per cent., had died from pulmonary tuberculosis, whereas of the 158 second-stage patients, 87, and of the 222 third-stage patients, 220 had died from pulmonary tuberculosis. The treatment given was sanatorium, hospital, and domiciliary treatment, but little information is vouchsafed as to the duration and character of the sanatorium and hospital treatment, and the character and extent of the domiciliary treatment given are not fully described. Apparently no distinction has been made between sputum-positive and sputum-negative cases, and owing to these and other important omissions, it is difficult to form an estimate of the value of the tuberculosis work in Bradford. It would be well if, in the preparation of reports of this kind, a uniform procedure were to be followed, so that a fair comparison could be made between the tuberculosis organisations in the various parts of the country.
......
............
Santa Claus Home ... 465 South-Eastern Hospital for Children .. 1,485I South London Hospital for Women ...... 2,525 345 Stoke Newington Home Hospital for Women 205 Streatham Babies’ Hospital
(Sydenham)
....
........
........ 12,360 University College Hospital Victoria Hospital for Children ........ 2,830 Walthamstow, Wanstead, and Leyton Children’s and General Hospital .......... 1,070 410 Weir Hospital (Balham) West End Hospital for Nervous Diseases...... 1,795 715 Western Ophthalmic Hospital........ West London Hospital .......... 7,700 Westminster Hospital 7,210 Willesden Hospital ........... 1,635 ..........
Hospital
Wimbledon Winifred House Invalid Children’s Convalescent Home Woolwich and PIumstead Cottage Hospital .... Woolwich and District War Memorial Hospital....
525
..........
Hospital
300
..............
Total..........
Special distribution by King Edward’s Hospital Fund, as above,
.8
s.
d.
145
3,300
£365,000 ,&bgr;
s.
d.
0 8
0 9
8
9
viz. :: on account, August, ........ 150,000 0 0 Payments on account, October, 1922 .... 100,000 0 0 Final payments, June, 1923 .. 115,000 0 0 365,000 Other forms of distribution.. 48,214
Payments 1922
Total distribution
.... 413,214
DURHAM MEDICAL GRADUATES ASSOCIATION.—The meeting will be held at the College of Medicine, Newcastle-upon-Tyne, on June 25th, at 5 P.M., and the
annual annual
dinner
at
7.45
P.M.
on
King’s Hall, Armstrong College.
the
same
day
in
the
Any Durham medical
graduates who are not already members of the Association and who desire to join, are requested to communicate with the hon. secretary, (North), Royal Victoria Infirmary,
Newcastle-upon-Tyne.
The
JY
Ray Diagnosis of Pulmonary Tuberculosis.
A small monographhas recently been published by Dr. Max Cohn on this subject. A particularly interesting chapter is devoted to the X ray diagnosis of miliary tuberculosis, and of all the forms of pulmonary tuberculosis, the miliary is, according to Dr. Cohn, the one which presents the most definite X ray picture. The X ray diagnosis of miliary tubercle of the lungs is barely ten years old, but it has been worked up to such a pitch of perfection that this condition may now be detected by the X rays earlier than by any other method. Dr. Cohn supports this claim by an account of a soldier admitted to his
hospital during the war for observation. There appeared to be little amiss with him apart from occasional attacks of lassitude ; the ordinary physical chest signs were negative. But the X rays showed the characteristic fine mottling, and after six weeks the patient died, and the necropsy confirmed the X ray diagnosis of miliary tubercle. Again and again Dr. Cohn has diagnosed miliary tubercle of the lungs at a stage when the clinical diagnosis halted between influenza, empyema, and an interlobar effusion. A Report on the Friedmann Vaccine. The Committee appointed by the Prussian Landtag to inquire into the merits of the Friedmann vaccine has now issued its report.2 It is not very helpful. This was, perhaps, inevitable. For as many members of the Committee had long ago ranged themselves on one or other side as inveterate enemies or enthusiastic advocates of the remedy, a unanimous report could hardly have been expected. The main report is a lukewarm analysis of the results achieved, and the nine members of the Committee not signing this report have dissociated themselves from it in two groups, the one insisting that the report is too favourable, the other too unfavourable. It would, therefore, seem that the result of the work of this Committee is to prove that the Friedmann remedy is useful, useless, neither, or both. 1 Tuberkulose Bibliothek. Die Lungentuberkulose im RöntgenJohann Ambrosius Barth. 1923. bilde. Leipzig: 2 Deut. med. Woch., April 13th, 1923.