MEDICAL MUNIFICENCE.

MEDICAL MUNIFICENCE.

THE PRIORY CHURCH OF ST. BARTHOLOMEW THE GREAT. quoted that about half of the total deaths occurring in a period of eleven years took place in the co...

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THE PRIORY CHURCH OF ST. BARTHOLOMEW THE GREAT.

quoted that about half of the total deaths occurring in a period of eleven years took place in the course of last year, which shows that either the

mortality

last year has been

exceptionally heavy, or that, as appears to the mortality for the preceding ten years way incorrectly stated.

us more

could

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hardly

advocacy as

it has in the paper

notice. ____

MEDICAL MUNIFICENCE.

probable,

has been in

survive such

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hospital at Newport (Mon.) dates from 1867, its having been a dispensary which was established in nucleus 1839.It was enlarged in 1882 and 1887, and now contains THE PRIORY CHURCH OF ST. BARTHOLOMEW fifty beds; but nevertheless it is inadequate to the requireTHE GREAT. ments of the population, and as further extension of the ARCHITECTS, artists, ecclesiologists, and medical men, premises is impracticable the managers have resolved to especially St. Bartholomew’s men, must take an interest in acquire a fresh site and erect a hospital containing at least the well-being of the fine old building which, owing to the eighty beds. The scheme is well supported, for Lord is and carelessness of those who are dead and of the present hospital, has presented a chairman gone, rapacity Tredegar, the sole remaining portion of the beneficent institution site consisting of three acres of land fronting the Cardiff founded by Rahere which he saw with his own eyes. Much road, while Dr. and Mrs. Cxarrod Thomas of Newport have has been done to heal the wounds inflicted by the creatures munificently ofEered to contribute the sum of £5000 on conof Henry VIII., but much still remains to be done. The dition that £15,000 over and above the value of the site choir has been restored to something like its former dignity, shall be provided by other donors. At a public meeting held but some .f:1500 are still urgently needed to liquidate debts in Newport townhall, on March llth, the liberality of these incurred for work already carried out. We would earnestly benefactors was warmly acknowledged, and it was decided that the new building should be called the Newport and appeal to all medical men and antiquarians for help in good work so well begun. In this church the founder of the Hospital. oldest London hospital lies, and everyone interested in hosRAILWAY HYGIENE. pitals, especially those belonging to that great foundation, ought to respond to the appeal on this account. SubscripIF we are ahead of other countries in the matter of general tions may be sent to the Rector, Sir Borrodaile Savory, sanitation it is perhaps possible that in certain branches Sir 12, King - street Chambers, West Smithfield, E.C. of hygiene other countries are ahead of us, at any rate Borrodaile Savory is the son of the late Sir William Savory. the public interest in the subject is far less apathetic. Thirty-four years ago we dealt in an exhaustive manner with CRANIOTOMY FOR IDIOCY AND IMBECILITY. the subject of the influence of railway travelling on health, IN the new semi-monthly journal Pediatrics an article and the articles when republished were welcomed by a wide appears on this subject which it is a little difficult to take circle of the travelling public, inasmuch as they suggested seriously-at least, in some of its aspects. It is the work of many much-needed cautions and substituted facts for the Dr. Dana, and after enumerating the results in 81 cases in vague theories which then prevailed. Many needed which the operation has been done-viz., 35 improved, 22 reforms have since been made, but these do not keep pace not improved, and 24 deaths-he endeavours to answer a with the ever-increasing railway traffic of the country. series of questions-viz. : 1. What class of cases is thus At the commencement of the year loud cries were raised benefited ? 2. How much are they benefited and in what by the public in the press concerning the inadequate light, direction ?7 3. What is the kind of operation which secures warmth, and ventilation of the carriages on some of the the benefit ? 4. What are the dangers of the opera- railway lines, and we then added our protest to that of the At the last Congress of the American Public In reference public. tion ? 5. How does the operation act ? to the first question Dr. Dana thinks two classes Health Association no less than four papers dealing with of cases are suitable for operation-viz., congenital the matter of Railway Hygiene were read, three of which idiots and a class in whom the mental defect is find a place in the journal of the association, and some of less obvious and who are more correctly described as the points brought out would lead us to suppose that in this imbeciles. Cases in which cerebral diplegia is associated direction our American cousins are a good way ahead of It is rightly pointed out that with regard to with mental defects are not considered suitable cases ourselves. The results are seen in the greater I cleanliness the condition of the cars is dependent on for operation. tractability of the children, and the improvement in those in charge of them, and it is gratifying to learn speaking, swallowing, and cleanliness. The best opera- that there seems to be an increasing disposition in tion he believes to be linear craniotomy with lateral America on the part of the railway corporations to branches, and the dangers, although the death-rate has endeavour to see that the employes carry out the work hitherto been a heavy one, are now much reduced. But entrusted to them in a proper manner. Of course the conDr. Dana’s theory as to the efficacy of the operations, ditions of railway travelling in America are very different or, rather, as to the reasons for its occasional modified from our own, but when we remember the slovenly and efficacy, is the part of the paper which it is not easy careless way in which we have seen carriages cleaned on to take seriously. He believes that the operation, in so far English lines we wish as much could be said for our own as it is efficacious, is so because of its profoundly disciplinary railway companies. As showing the remarkable effect upon the idiot. He says : ’’ The operation of cranio- advance that is continuing to be made in this direction, tomy upon children in institutions attracts the attention of it is stated that the Wagner Car Company have instinurses and medical officers, and the children get more care tuted a school of instruction for all their employes in and more stimulating words and help in various directions. the prompt and safe handling of passengers and traffic. I would repeat, therefore, that it is in my opinion largely In a paper on the ventilation of railway coaches is a through its pedagogic influence that an improvement in. passage which is worth quoting : "Finally," says the writer, these cases takes place, and that the operation is allied in. "it should be remembered that in all ventilating underits effect to a severe piece of castigation." Surely a stranger takings but one-half of the requirements are fulfilled when plea for an operation has never been brought forward1 Asi the most perfect apparatus conceivable is furnished. The we have said before, it is diffi cult to take the writer of suchi excellence of a tool does not ensure the quality of its a statement seriously. If the operative procedure to whichL product. Quite as much depends upon the uses as upon th it refers were not already sufficiently discredited we think itj tool, and not infrequently a superior apparatus is made in THE

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