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OVARIAN GRAFTS.
973
cooperating with
and
supporting
all
public
health
will review
annually its appointments, and will
The vice-chairman will be movements, and in certain cases possibly forming a appoint the chairman. centrai clearing house for voluntary activities of this elected by the Advisory Council. The clerk to the
kind. The national Red Cross Society contemplated by Dr. Winslow is one that should include in its to 20 per cent. of the permanent membership from 10 but he points out the population of the country, impossibility of attaining such a standard unless the members receive something for their membership,
London County Council will act as clerk. The order of reference to the Council will be as follows :-
To assist the London County Council (1) by advising on matters specifically referred to it by that authority and on any other matters to which the Central Council may deem it expedient to direct attention ; and (2) in such other ways as that authority may suggest in connexion with the administration of the scheme for the welfare of the blind in London, especially with the object of securing the essential cooperation between the several societies and associations and between such societies and associations and the London County Council.
even more important point-are given something practical to do for the organisation of which they form a part. We agree with Dr. Winslow that the secret of the strength of the Red Cross movement undoubtedly lies in the fact that it constitutes a All meetings of the Central Council and its comchallenge to the spirit of human service. mittees will be held in private, and all expenditure incurred will, after prior sanction, be defrayed by the London County Council. The Special Committee TRYPANOCIDE. is taking immediate steps to obtain nominations to
and--an
IN a critical reviewof recent work on the treatment the Council from the various associations concerned. of sleeping sickness. Prof. Warrington Yorke discusses ’! the fundamental assumptions on wluch C. H. Marshall ’, and S. Vassallo base their optimism as to the efficacy OVARIAN GRAFTS. of serum treatment. These assumptions are, broadly Prof. Th. Tuffier contributes a valuable surgical speaking, (1) that although the administration of one dose of salvarsan or a substitute is sufficient to sterilise study of 230 ovarian grafts to a recent issue of the the blood-stream, symptoms reappear within a variable Bulletin of the French Academy of Medicine.l These performed with the twofold object of period, averaging about four months, and the disease operations were the menstrual flow after removal of the preserving to a fatal that termination ; (2) progresses quite when the uterus is left, and of obviating the early in the disease the trypanosomes appear to gain ovaries, disturbance following excision of the ovaries an impregnable position in the central nervous general and uterus. Two varieties of grafts were investigated, system, where they are protected from the action of the homograft derived from another woman, and the drugs and whence they can re-infect the blood. We which involved the use of a portion of the autograft, recently pointed out’that the presence of trypanopatient’s ovary. The former was found to be without somes in the cerebro-spinal fluid may be fortuitous, and it is by no means proven that they are invariably effect. The autograft, which must be fresh, was in the subperitoneal tissue, the subcutaneous present at any stage in the course of the disease. placed or in the mammary gland. If the graft does tissue, the Before 53 successful cases published by Dr. Marshall are accepted as cures Prof. Yorke con- not " take " it disappears in from six months to two siders that we ought to know what proportion of years. In successful cases no changes were observed for four to five months, the graft then commenced to cases (1) die, (2) are alive after more or less prolonged and might be painful for a few days before a when when treated with one or enlarge untreated, periods several doses of arsenic or antimony compounds, and ’, period was due. When menstruation was re-estabwhen subjected to prolonged treatment. In the !i lished, it occurred about five to seven months after the absence of sufficient controls to answer these questions operation, and was often irregular in quantity, Prof. Yorke contends that Marshall and Vassallo duration, and time of recurrence. Dr. Tuffier found have produced no satisfactory evidence that intra- the most favourable subjects for grafts to be young thecal injections of salvarsanised. serum sterilise adults ; in patients over 40 years the grafts were not infected cerebro-spinal fluids. The doubt expressed successful. The average persistence of menstruation in all cases was, however, only one to two years, as by such an authority in tropical medicine as Prof. the transplanted ovaries appeared to undergo a Yorke on the efficacy of the method which the mission senescence. precocious the Diseases Prevention Tropical recently organised by to Association was primarily designed test, adds strength to our plea to the medical officers in charge THE TESTING OF CLINICAL THERMOMETERS. thereof not to confine their investigations to a single method but to explore trypanocide in general. IN reply to a recent question in the House of Commons concerning the inaccuracy of a large percentage of clinical thermometers in use in this country, Mr. Stanley Baldwin, President of the Board of Trade, CENTRAL COUNCIL FOR LONDON BLIND. stated that he hoped next session to reintroduce the IN pursuance of the scheme for the welfare of Bill dealing with the testing of thermometers, which blind persons in the County of London, which was was introduced bv the Government earlier in the approved by the London County Council in July session and abandoned owing to lack of time. Mr. last, the Council has now decided upon the constitu- Baldwin also stated that most British manufacturers tion and order of reference to the Central Advisory of clinical thermometers are voluntarily having their Council which will be appointed under the scheme. products tested at the National Physical Laboratory, The Council will consist of : (a) One representative where the fee charged for large quantities is 3d. per appointed by each of 19 associations and institutions instrument, but where any single clinical thermometer located in the London area. (b) Not more than six can also be tested on payment of a fee of Is. 6d. In persons, selected by the London County Council, a circular issued a few days ago by the British Lampwith special knowledge of the needs of the blind. blown Scientific Glassware Manufacturers’ Association, (c) The chairman and vice-chairman of the Special Ltd., it is pointed out that, whilst makers of good Committee of the London County Council dealing clinical thermometers would naturally depend upon with the welfare of the blind. (d) One representa- the ordinary course of business to obtain orders tive appointed by the Minister of Health. (e) One solely on quality or make, only rarely do instruments name or trade-mark. The bulk are representative appointed by the Board of Education. bear the makers’ ‘’ (f) One representative appointed by the Royal labelled with Best British Make," or some similar College of Surgeons of England. The County Council phrase, and it is very difficult to trace the maker of a faulty instrument. This association of manufacturers 1 Tropical Diseases Bulletin, Oct. 15th, 1921. 2 THE LANCET, Sept. 10th, p. 573. 1 Bulletin de l’Académie de Médecine, 1921, No. 30.
cooperating with
and
supporting
all
public
health
will review
annually its appointments, and will
The vice-chairman will be movements, and in certain cases possibly forming a appoint the chairman. centrai clearing house for voluntary activities of this elected by the Advisory Council. The clerk to the
kind. The national Red Cross Society contemplated by Dr. Winslow is one that should include in its to 20 per cent. of the permanent membership from 10 but he points out the population of the country, impossibility of attaining such a standard unless the members receive something for their membership,
London County Council will act as clerk. The order of reference to the Council will be as follows :-
To assist the London County Council (1) by advising on matters specifically referred to it by that authority and on any other matters to which the Central Council may deem it expedient to direct attention ; and (2) in such other ways as that authority may suggest in connexion with the administration of the scheme for the welfare of the blind in London, especially with the object of securing the essential cooperation between the several societies and associations and between such societies and associations and the London County Council.
even more important point-are given something practical to do for the organisation of which they form a part. We agree with Dr. Winslow that the secret of the strength of the Red Cross movement undoubtedly lies in the fact that it constitutes a All meetings of the Central Council and its comchallenge to the spirit of human service. mittees will be held in private, and all expenditure incurred will, after prior sanction, be defrayed by the London County Council. The Special Committee TRYPANOCIDE. is taking immediate steps to obtain nominations to
and--an
IN a critical reviewof recent work on the treatment the Council from the various associations concerned. of sleeping sickness. Prof. Warrington Yorke discusses ’! the fundamental assumptions on wluch C. H. Marshall ’, and S. Vassallo base their optimism as to the efficacy OVARIAN GRAFTS. of serum treatment. These assumptions are, broadly Prof. Th. Tuffier contributes a valuable surgical speaking, (1) that although the administration of one dose of salvarsan or a substitute is sufficient to sterilise study of 230 ovarian grafts to a recent issue of the the blood-stream, symptoms reappear within a variable Bulletin of the French Academy of Medicine.l These performed with the twofold object of period, averaging about four months, and the disease operations were the menstrual flow after removal of the preserving to a fatal that termination ; (2) progresses quite when the uterus is left, and of obviating the early in the disease the trypanosomes appear to gain ovaries, disturbance following excision of the ovaries an impregnable position in the central nervous general and uterus. Two varieties of grafts were investigated, system, where they are protected from the action of the homograft derived from another woman, and the drugs and whence they can re-infect the blood. We which involved the use of a portion of the autograft, recently pointed out’that the presence of trypanopatient’s ovary. The former was found to be without somes in the cerebro-spinal fluid may be fortuitous, and it is by no means proven that they are invariably effect. The autograft, which must be fresh, was in the subperitoneal tissue, the subcutaneous present at any stage in the course of the disease. placed or in the mammary gland. If the graft does tissue, the Before 53 successful cases published by Dr. Marshall are accepted as cures Prof. Yorke con- not " take " it disappears in from six months to two siders that we ought to know what proportion of years. In successful cases no changes were observed for four to five months, the graft then commenced to cases (1) die, (2) are alive after more or less prolonged and might be painful for a few days before a when when treated with one or enlarge untreated, periods several doses of arsenic or antimony compounds, and ’, period was due. When menstruation was re-estabwhen subjected to prolonged treatment. In the !i lished, it occurred about five to seven months after the absence of sufficient controls to answer these questions operation, and was often irregular in quantity, Prof. Yorke contends that Marshall and Vassallo duration, and time of recurrence. Dr. Tuffier found have produced no satisfactory evidence that intra- the most favourable subjects for grafts to be young thecal injections of salvarsanised. serum sterilise adults ; in patients over 40 years the grafts were not infected cerebro-spinal fluids. The doubt expressed successful. The average persistence of menstruation in all cases was, however, only one to two years, as by such an authority in tropical medicine as Prof. the transplanted ovaries appeared to undergo a Yorke on the efficacy of the method which the mission senescence. precocious the Diseases Prevention Tropical recently organised by to Association was primarily designed test, adds strength to our plea to the medical officers in charge THE TESTING OF CLINICAL THERMOMETERS. thereof not to confine their investigations to a single method but to explore trypanocide in general. IN reply to a recent question in the House of Commons concerning the inaccuracy of a large percentage of clinical thermometers in use in this country, Mr. Stanley Baldwin, President of the Board of Trade, CENTRAL COUNCIL FOR LONDON BLIND. stated that he hoped next session to reintroduce the IN pursuance of the scheme for the welfare of Bill dealing with the testing of thermometers, which blind persons in the County of London, which was was introduced bv the Government earlier in the approved by the London County Council in July session and abandoned owing to lack of time. Mr. last, the Council has now decided upon the constitu- Baldwin also stated that most British manufacturers tion and order of reference to the Central Advisory of clinical thermometers are voluntarily having their Council which will be appointed under the scheme. products tested at the National Physical Laboratory, The Council will consist of : (a) One representative where the fee charged for large quantities is 3d. per appointed by each of 19 associations and institutions instrument, but where any single clinical thermometer located in the London area. (b) Not more than six can also be tested on payment of a fee of Is. 6d. In persons, selected by the London County Council, a circular issued a few days ago by the British Lampwith special knowledge of the needs of the blind. blown Scientific Glassware Manufacturers’ Association, (c) The chairman and vice-chairman of the Special Ltd., it is pointed out that, whilst makers of good Committee of the London County Council dealing clinical thermometers would naturally depend upon with the welfare of the blind. (d) One representa- the ordinary course of business to obtain orders tive appointed by the Minister of Health. (e) One solely on quality or make, only rarely do instruments name or trade-mark. The bulk are representative appointed by the Board of Education. bear the makers’ ‘’ (f) One representative appointed by the Royal labelled with Best British Make," or some similar College of Surgeons of England. The County Council phrase, and it is very difficult to trace the maker of a faulty instrument. This association of manufacturers 1 Tropical Diseases Bulletin, Oct. 15th, 1921. 2 THE LANCET, Sept. 10th, p. 573. 1 Bulletin de l’Académie de Médecine, 1921, No. 30.