445 of fibrolysin had been injected, movements of the head and shoulders were easier and more extensive. At the end Neverof October the movements were almost normal. theless, some rigidity of the spine persisted, and the kyphosis and lordosis were still perceptible. Movements of the left shoulder-joint did not become quite normal. The upper ribs did not regain all their mobility, and the diaphragThe pains completely matic type of respiration persisted. the 5 disappeared, patient gained kilogrammes in weight, and resumed work. M. Rist does not doubt that if he had been able to combine gymnastics and massage with the administration of fibrolysin he would have obtained a still better result. The success of fibrolysin in such cases is not in accord with the pathological theory that spondylitis is primarilydaeto softening of the bones (rarefying osteopathy), and that ossification of ligaments follows as a compensaM. Rist tion for the insufficient solidity of the skeleton. suggests that there is at first hyperplasia of the peri-articular fibrous tissues, as otherwise it is impossible to explain the action of fibrolysin. It is noteworthy that the spondylitis had not lasted more than two months when the treatment was begun. With regard to the pulmonary tuberculosis, it at first seemed more serious than it was, because some of the symptoms which were supposed to be due to it were the result of immobility of the thorax from costo-vertebral arthritis. Expansion of the apices of the lung was therefore almost completely suppressed, the respiratory murmur was diminished, and dyspnoea, was increased. It is also noteworthy that the fibrolysin had no injurious effect on the pulmonary tuberculosis. The view has been put forward that the drug would interfere with cicatrisation of tuberculous lesions. ____
THE EFFECTS OF STRENUOUS ATHLETICS THE AMERICAN NAVY.
IN
IN the t7<’M?’K.
there was patent tuberculosis or tuberculosis was suspected ; in 16 there was neurasthenia associated with gastric complications. There were 25 cases of appendicitis and 15 of hernia, both of which conditions appeared to be associated particularly with a football record. The opinion is expressed that long distance racing is productive of serious harm. This severe arraignment of competitive athletics has been corroborated in civil life by experiences in The Bureau of Medicine and schools and universities. of the American Surgery Navy does not recommend that athletics in the navy should be entirely abandoned, but is of opinion that in their strenuous competitive form they are dangerous. Moderate athletics are encouraged, and in the Naval Academy the Swedish system of exercises is now being tried with satisfactory results.
ADMINISTRATION OF THE
PHARMACY ACTS.
DURING the last few years the duty of administering the clauses of the Pharmacy Acts, which belongs to the Pharmaceutical Society, has entailed a much greater amount of work than was the case before the enforcement of the Poisons and Pharmacy Act, 19 J8, by which enactment a new class of poison sellers—namely, a class licensed to sell arsenical sheep dips, weed-killers, and the like-was created. In the year before that Act came into force the society’s law department investigated 453 cases of alleged infringement of the Acts, but in the year following the enforcement of the 1908 Act four times the number of cases of alleged infringement were examined. The main cause of this increased activity was that the new class of licensed poison sellers, which consisted chiefly of seedsmen, florists, and ironmongers, had not been traiuei to understand the necessity of a precise observance of the precautions which the law requires to be taken when potent compounds are It sold by retail. In chemists’ shops the "poison book" has been used every day for the last 40 years or so, but an ironmonger had not bsen ascastomsd to take any precautionary measures of the kind when dealing with his customers, for the reason that it had been illegal for him to sell compounds of arsenic and nicotine. When the ironmonger obtained his poison licence he was apt to forget the conditions of sile with which he was required to comply, and hence the large increase in the number of cases of irregular sales of poisons which the Pharmaceutical Society was called upon to investigate. That the unqualified poison sellers are now acting with greater care seems to be indicated by the fact that last year the number of cases of alleged infringement of the Pharmacy Acts which were made the subject of inquiry was considerably less than in the previous year. Thus, according to the annual report of the registrar of the Pharmaceutical Society, which was presented at the February meeting of the council, the number of cases investigated in 1911 was 1344, against 1836 in 1910. The number of cases in which legal proceedings were instituted last year was 241, and, with few exceptions, penalties were paid by those against whom the proceedings were taken. In the majority of cases the offences were those of the sale of medicinal poisons, or the keeping of open shops for the sale of poisons by unqualified persons. In only 21 instances were proceedings taken against seedsmen or their assistants in 1911, whereas in the previous year 64 seedsmen and 39 assistants to seedsmen were proceeded against, which goes to show that licensed poison sellers are becoming acquainted with their obligations. In administering the Acts it is sometimes brought to the notice of the registrar that unqualified drug store keepers, in order to evade the Pnarmaoy Acts, sell preparations which should contain poisons from which the poison has been omitted. L’;1.st yea,
penal