MEDICINE AT KHARTOUM.

MEDICINE AT KHARTOUM.

614 unknown glass is essential. According to a chart in a paper by Sir Arnold Lawson Crookes’s glass is constant in its absorption almost irrespectiv...

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614 unknown

glass is essential. According to a chart in a paper by Sir Arnold Lawson Crookes’s glass is constant in its absorption almost irrespective of the tint, Crookes A and Crookes B being practically identical in their absorptivepower as far as the ultra-violet rays are concerned, but they only absorb raysof a shorter wave-length than about 360 , ,. London smoked glass No. 4 has a similar effect. Fieuzal glass No. 2 cuts off all the ultra-violet rays. For the operator it is desirable Amber does not. to secure the maximum amount of visible radiation with a minimum transmission of any rays with a wave-length shorter than 400 . V.. For the patient the choice need not be so restricted, partly on account of the short time during which he is exposed to the action of the rays and partly because in his case there is no objection to cutting off some of the visible light. The manufacturers of Arcos glass claim for it a total absorption of ultra-violet, as well as greatly reduced transmission of heat rays, and they supply an easily sterilisable form of goggles.

published

MEDICINE AT KHARTOUM.

medical officer of health of these towns ; pathological teaching by the Wellcome Research Laboratories. As a consequence the school budget is maintauied at a figure which would otherwise be quite impossible* the total expenditure for the year 1925 with the first and second-year classes under training was only B2447. When the third- and fourth-year classes come under training the expenditure will increase in proportion and additional sources of income will have to be found. The progress made during these first two years points clearly to success in the future, and we hope that no question of financial stringency will be allowed to hinder a work so important to the material progress of the country and to the welfare of its people.

UNIVERSITY OF EDINBURGH: THE D.T.M.&H. AND D.P.H. THE Students’ Number of THE LANCET was published this year at a time when the regulations for the degrees of B.Sc. and D.Sc. in Public Health at the University of Edinburgh were under consideration, but the regulations for the diplomas in Tropical Medicine and Hygiene and in Public Health are in order, as are the regulations for the diploma in Psychiatry. Candidates for the D.T.M. & H. diploma medicine and surgery must be graduates in of the University or hold corresponding degrees or qualifications from other sources, and the full course of instruction is given during the autumn term, beginning therefore in October. The diploma of the University in Public Health is granted to candidates of a similar standing, and the course is divided into two parts, for which examinations are held twice annually, in March and July for Part I., and in October and December for Part II. The course, which extends over 12 calendar months, begins in October, and provision is made by the University for instruction in all the subjects, while candidates must study for at least two of the three terms in the University. Detailed particulars regarding these diplomas, which are contained in full in the University Calendar, may be obtained from the Dean of the Faculty of Medicine at the University. This notice was accidentally omitted from the Students’ Number of THE LANCET.

THE School of Medicine at Khartoum, founded as memorial to Lord Kitchener, is designed to meet the need for native doctors in a rapidly developing country. Native doctors are needed to work under British doctors at the larger hospitals, to take sole charge of smaller hospitals, and to engage in field work against the endemic diseases-malaria, bilharziasis, ankylostomiasis, yaws, and syphilis-which are interfering with the increase of the population The school was and diminishing its efficiency. opened in February, 1924, by the late Sir Lee Stack and work was commenced with a first-year class of ’, ten students selected from young men who had completed their course of training at the Gordon College. A further class of eight students was admitted in January, 1925. The report, which has just been issued, tells of the work completed by the end of that year. Photographs show the handsome buildings, the lay-out of the laboratories, dissecting room, lecture room, and library, and students at work in them. The school stands in three and a half acres of land lying on the western side of the main avenue running north from the railway station to the Palace, which faces the Blue Nile, rebuilt on the foundations THE COOMBE HOSPITAL. of Gordon’s Palace. On the other side of the avenue IN is the Khartoum Civil Hospital. Adjacent to the anticipation of the Coombe Hospital centenary hospital and fronting the medical school new research celebrations, which have been held in Dublin this laboratories are being erected, and provision is being week, Dr. T. P. C. Kirkpatrick has contributed to the made in these laboratories for the teaching of pathology. September number of the Irish Journal of Medical A school hostel, under construction 200 metres away, Science a sketch of the history of the hospital. In will afford immediate accommodation for 40 students 1821 the Meath Hospital moved from the house it had and admit of extension if called for later. The house occupied in the Coombe for just half a century to its of the medical registrar responsible for the work and present site in Long-lane. The vacant house was taken conduct of the students is situated in the school by Dr. Kirby, head of one of the private medical enclosure. The curriculum covers a period of four schools, who established 50 beds in it and used it for years. The first year is devoted to the preliminary the clinical instruction of his students. Some years sciences ; the second to anatomy, physiology, and later the question arose of providing accommodation histology; the third to medicine, surgery, and for maternity cases on the south side of the city, as pathology ; and the fourth year continues the third- patients suffered hardship in making the journey to year subjects and includes also lectures and demon- the Rotunda Hospital, which was then the only In 1826 it was strations in public health, midwifery and gynaecology, maternity institution in Dublin. and a brief course in forensic medicine. Clinical arranged to take one ward in Kirby’s Hospital for teaching is given in the well-equipped Civil Hospital, maternity work, and thus the Coombe Hospital began which has 100 beds and a large out-patient department. its special work. In 1829 the surgical part of the The hospital at Omdurman, a town of 80,000 inhabit- hospital was closed and the institution became the ants separated from Khartoum by the White Nile, Coombe Lying-in Hospital, with Dr. Richard Reed affords additional material for clinical demonstrations. Gregory as its first master. From the first the hospital Importance is attached to the teaching of public health, paid much attention to teaching, and issued certificates for which the three towns with their combined popula- to the pupils who attended its practice. These certiWith the ficates were accepted by the Royal Colleges of Surgeons tion of 130,000 provide ample scope. all teachers the of the belong to in Ireland, of England, and of Edinburgh, as well as registrar, exception the Government medical and scientific staff : thus by the medical boards of the Navy, Army, and Indian the medical and surgical teaching is given by the Medical Services. When, some years later, the Rotunda physician and the surgeon of the Khartoum and Hospital began to issue diplomas in midwifery which Omdurman hospitals; public health teaching by the purported to be qualifications to practise, the Coombe followed suit, and acute controversy a,rose between the two institutions, the Rotunda holding that as the British Journal of Ophthalmology, 1925. a,

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