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THE HEALTH OFFICER FOR ABERDEEN.
537 the southern portion of the peninsula. Schrönn is a Bavarian, having been born at on the Saale.
practice throughout Dr. Otto
Hof,
THE CONVERSION OF CONSOLS.
von
-
PROFESSOR KUSSMAUL.
MR. GoacHBN’s
new
Stock
having
been
already
dealt
in, it is idle to put forward objections to his conversion scheme, or to dwell on the hardships which will inevit-
[ result to investors here and there from the comA HOLIDAY CONTRI]BUTOR writes :-The Medical Faculty of ably reduction of incomes drawn from the public funds. 1 pulsory the University of Strasburg on the 3rd inst. entertained atIt is perhaps more satisfactory to consider the operation a public banquet the distinguished clinical teacher Geheim under the other aspect of the relief which it will afford to Rath Professor Kussmaul, on his changing the academic the British taxpayer; and indeed the class of taxpayers is career for that of a consultant at Heidelberg. Dr. Goltz, as I so much larger than the class of fundholders that the popuDean of the Faculty, whose gifts as an after-dinner speaker larity in a general sense of any scheme which tends to are famous through Germany, outshone himself in doing benefit the former at the expense of the latter is almost a justice to the toast of the evening, scoring point after point matter of course. The reduction proposed by the Chancellor amid the rapturous plaudits of the four hundred banqueters, of the Exchequer will amount at first to per cent. upon the and emphasising each witty allusion and humorous sally stock held or to 8per cent. of the income drawn from it, and with a gigantic percussion hammer and pleximeter which, this will eventually be doubled. This in the not very in honour of the guest, he had substituted for the usual common case of an income drawn wholly from 3 per cent. mallet of the toastmaster. He concluded by predicting that Government stocks will be a very serious diminution, and Kussmaul, though abdicating the professor’s chair, will yet it may be feared that many charities, among which not a speak with authority in the medical councils of Europe, and few medical charities must be reckoned, will feel the pinch. that humanity will owe him an ever-increasing debt so long In such cases it is a point to be considered whether it is as his opinion and practice can be appealed to. Dr. Z6pffel, not worth while to seek other and more remunerative inRector of the University, made a personal contribution to the vestments for the displaced funds; and although the present toast by dwelling on the kindly and clubable qualities that of securities makes the duty of reinvesting one had endeared Kussmaul to his colleagues and to all with high price of more than ordinary difficulty, it is at least undeniable whom he came in contact; and added that if the Strasburg that a better return may be obtained upon carefully chosen school ever attains the high ideal it has set itself, not only as securities of a perfectly sound description than the new a guiding light in science but as a bulwark of German civilistock offers. It appears to us that it will now become the sation, it will owe its success in great measure to the power clear duty of the guardians of charitable trusts who exercise and the influence of Kussmaul as a worker and a teacher. of investment, to face this problem, Dr. Freund, Professor of Gynaecology, was the next speaker, discretionary powers and submit to no impairment of the incomes subject to and after referring in humorous strain to the accident that their administration which it is possible by good husbandry had made Kussmaul a physician-to wit, an accident to his to avoid. foot which induced temporary lameness, and with it an interval of sage reflection,-he evoked peals of langhter HOSPITAL PROVISION NEAR BRADFORD. from his audience by hinting that, their names being THE conference which Dr. Barry, representing the Local identical in meaning, the Oribasius of the fourth century Government Board, has had with the sanitary authorities was no other than the Kussmaul of the nineteenth, but that around Bradford, who are entitled to receive a sum of the clinical teacher of Strasburg had greatly improved on from the Corporation in compensation for their his alter ego, the body physician to the Emperor Julian the money the " right to send patients into the borough fever Apostate. This was a highly effective sally, " Oribasius losing is already taking practical effect. The Shipley being an exact equivalent in Latin for the German hospital, Local Board have chosen a site which they propose to utilise "Kussmaul" (literally ’°kiss-mouth"). Professor von with the Windhill Local Board; it has been decided then the toast of their Recklinghausen gave guest’s family, jointly that a pavilion shall be erected on the model plan recomand took occasion to acknowledge how much his own field, mended by the Local Government Board, and that it shall that of pathological anatomy, owed to Kussmaul’s work. contain or twelve beds so contrived as to secure separaThis remark brought up Professor Liicke, who said that, as tion of diseases as well as of sexes; and the Shipley authority a surgeon who appreciated the value of treatment, he could have unanimously determined to apply to the central add his tribute of recognition to the catholic teaching oi for the issue of a provisional order uniting the their guest, in honour of whom he called for a special toast authority two districts as a Joint Hospital District. "To the Unity of the Healing Art." So ended a memorabh evening, in which academic orators of exceptional brillianc3 vied with each other in bidding God-speed to an illustriou; THE HEALTH OFFICER FOR ABERDEEN. colleague in a new departure in his life work. IT is sincerely to be hoped that candidates for the ippointment of Medical Officer of Health for the City of Aberdeen will carefully consider the terms of the appointPURPURA HÆMORRHAGICA AFTER A MENTAL ment. The holder of this office will be required to act in SHOCK. addition as police surgeon, medical attendant at the City DR. ED. DE SMET of Brussels has recently had a case of a Hospital, and examiner of the quality of gas, and will be young woman of a highly nervous temperament who, in further required to devote the whole of his time to the consequence of a severe fright, experienced an eruption of duties of the appointment. Assuming that the payment for purpura baemorrhagiea, though she had never had any attendance upon the police force is at the rate of four eruption of the kind before. Some four months subse- shillings per man per annum, the usual club rate, the quently, however, in consequence of a fall, a similar erup- remaining duties will be paid for at the rate of about tion made its appearance. The treatment was directed fifteen shillings per day, for the whole salary is only S300 mainly to the nervous system, which was evidently very a year. Moreover, the medical officer of health must not much affected. Dr. de Smet refers to M. Lenoir of Lille, be absent more than one day without leave, and is obliged who has published cases of various skin diseases-eczema, to provide a substitute at his own expense when absent. psoriasis, herpes, pemphigus, and vitiligo-which have Such is the estimation in which the Town Council of followed a mental shock. Aberdeen hold important medical services. The salary is -
ten
538
utterly inadequate, and we presume the Town Council have no proper appreciation either of the health interests of their district or the welfare of the police and of the poor who are admitted into their hospital.
full convenience for 250 passengers of the first and 160 I has of the second class. That she is fitted up with every luxury
goes without saying, but the point that most pleased us in our survey of her was the admirable quality of her sani. tary arrangements, which, under the able direction of the naval architect of the company, Mr. de Remussett, have DR. COE ON THE USE OF THE UTERINE been extended to all parts of this floating palace. The CURETTE. sanitary skill is best shown in the ventilation, in which the exhaust system is carried out so completely that every of the for use curette the A VERY instructive paper on the fibToids was to uterine relief of haemorrhage due recently closet and sink is cleansed as it is used by a current of freh read before the Obstetrical Section of the New York Academy air, and is transformed into a ventilator for pure air. Conof Medicine. The author drew attention to the fact that nected with the medical department there is a hospital, and the hsemorrhage usually took the form of excessivemenstrual for the provisioning of the passengers and crew with fresh. flux, and also that the bleeding came from the hypertrophied food there is a refrigerator and an enormous cold storage chamber. Altogether the Oceana goes forth on her first mucous membrane of the uterus generally, and not, as is often supposed, from that portion of it covering the project- voyage worthy of her name and her mission. ing surface of the tumour. In support of the latter proposition, he states that the hsemorrhage is frequently out of THE HEALTH OF LINCOLN. proportion to the size of the tumour, the most dangerous THE Town Council of Lincoln have wiqely decided to attacks often occurring where the fibroid is small, but where consider the question of placing their infectious hospital on examination the mucous membrane is discovered to be on a more permanent and tfhcient footing, without waiting thick, spongy. and vascular. Dr. Coe, whilst admitting that for the stimulus which another prevalence of infectious the use of the curette is only a palliative measure, contends It seems further necessary that a disease afford. might that if the hypertrophied mucous membrane is thoroughly should be instituted into the sources of complete inquiry scraped away the danger from menorrhagia is for a time-it the city water supply. As now delivered, that supplyis may be for several months-greatly diminished. The ultimate to variations in quality; it is at the present subject c tuse, of course, remains under this plan of treatment, which moment under suspicion of having caused a recent excess is intermediate in point of severity between simple mediof diarrhoeal affections; and one member of the Town cation and the more formidable operations—oophorectomy, Council indicated the opinion he had as to the supply as myomotomy, and supra-vaginal amputation; the patient now delivered, by expressing a hope that all who consumed may be helped over the menopause, after which period it knew that it would be better to have it both filtered and the bsemorrlage becomes naturally less, or even ceases, boiled before drinking it. It would be difficult to have as the physiological stimulus no longer exists. Curetting adduced a much more potent argument in favour of the uterine cavity, according to Dr. Coe, is practically exhaustive investigation into the sources and risks of the free from danger to life, and in the majority of cases water supply of any city than that involved in this is an easy operation, and, in fact, the more severe the exhortation. menorrhagia the more likely is the surgeon to be able to practise it with ease and success. Where the os uteri is ANIMALS AND HOSPITALS FOR INFECTIOUS displaced upwards and the uterine cavity is narrow and DISEASE. tortuous, experience shows that the liability to menorrhagia A CORRESPONDENT has questioned us as to the possibility is for these reasons less than it is where the canal is elongated of dogs kept in a hospital for infectious disease provinga and dilated from submucous and intra-mural growths of source of danger to the inmates of houses into which they moderate size. Dr. Coe advises that iodine should be are admitted. The reply is necessarily that it depends upoa applied to the lining membrane after scraping with the dull the part of the hospital which the dogs frequent. If they wire curette, and that the application should be repeated have contact with persons suffering from typhus, scarlet several times. fever, diphtheria, or measles, we cannot doubt that they may play the part of carriers of contagion. Cats under FEVER IN LONDON. similar circumstances are not unfrequently regarded with DURING the week ending March 10 bh there has been an to be capable of suffering from increase in the number of cases of infectious disease suspicion. They appear and and, diphtheria, apart from this, their coats must admitted into the hospitals of the Metropolitan Asylums typhus afford ample opportunity for the retention of dust and Board, the patients suffering from scarlet fever amounting infective particles. Their wandering habits may take them to 107 as against 86 in the previous week, and the cases from the wards of a hospital to the homes of children and of enteric fever to 24, or more than twice the number other susceptible persons, and thus disease may arise the admitted during the preceding week. Three persons suffering of which is apt to escape detection. from small-pox were admitted, one each from the districts cause of St. George-in-the-east, Mile-end, and Poplar. No case COLONIAL "ECONOMY." of typhus was received. ___
-
-
WE learn from the Tasmanian Ne2vs that the Government of Tasmania, " with a view to secure economy without imIF Sutton or Hales, or any of the last century early pairing efficiency," has combined several appointments with pioneers of systems of ventilation applied to ships, could that of Government medical officer. Under the new arrangehave joined the party of politicians, scholars, engineers, ment, the gentleman who has been appointed will be official doctors, and merchants who visited the new vessel, the visitor of hospitals for the insane and chairman of that body, Occana, of the Peninsular and Oriental Company, on health officer for the port of Hobart, officer of health for Thursday last, they would have felt as much surprise as Wellington Hamlets, medical adviser to the Central Board of satisfaction at seeing to what an extent the great work Health, medical attendant on paupers at their own homes, which they commenced had gone on towards its completion. medical officer for the charitable institution of New Town, and 1 he Oceana is one of the finest vessels ever built for medical attendant of the permanent Defence Force. No invoyaging across to the Antipodes ; she carries 6400 tons, and formation is given as to the salary attached to this remarkable
SANITATION AFLOAT.
practice throughout Dr. Otto
Hof,
THE CONVERSION OF CONSOLS.
von
-
PROFESSOR KUSSMAUL.
MR. GoacHBN’s
new
Stock
having
been
already
dealt
in, it is idle to put forward objections to his conversion scheme, or to dwell on the hardships which will inevit-
[ result to investors here and there from the comA HOLIDAY CONTRI]BUTOR writes :-The Medical Faculty of ably reduction of incomes drawn from the public funds. 1 pulsory the University of Strasburg on the 3rd inst. entertained atIt is perhaps more satisfactory to consider the operation a public banquet the distinguished clinical teacher Geheim under the other aspect of the relief which it will afford to Rath Professor Kussmaul, on his changing the academic the British taxpayer; and indeed the class of taxpayers is career for that of a consultant at Heidelberg. Dr. Goltz, as I so much larger than the class of fundholders that the popuDean of the Faculty, whose gifts as an after-dinner speaker larity in a general sense of any scheme which tends to are famous through Germany, outshone himself in doing benefit the former at the expense of the latter is almost a justice to the toast of the evening, scoring point after point matter of course. The reduction proposed by the Chancellor amid the rapturous plaudits of the four hundred banqueters, of the Exchequer will amount at first to per cent. upon the and emphasising each witty allusion and humorous sally stock held or to 8per cent. of the income drawn from it, and with a gigantic percussion hammer and pleximeter which, this will eventually be doubled. This in the not very in honour of the guest, he had substituted for the usual common case of an income drawn wholly from 3 per cent. mallet of the toastmaster. He concluded by predicting that Government stocks will be a very serious diminution, and Kussmaul, though abdicating the professor’s chair, will yet it may be feared that many charities, among which not a speak with authority in the medical councils of Europe, and few medical charities must be reckoned, will feel the pinch. that humanity will owe him an ever-increasing debt so long In such cases it is a point to be considered whether it is as his opinion and practice can be appealed to. Dr. Z6pffel, not worth while to seek other and more remunerative inRector of the University, made a personal contribution to the vestments for the displaced funds; and although the present toast by dwelling on the kindly and clubable qualities that of securities makes the duty of reinvesting one had endeared Kussmaul to his colleagues and to all with high price of more than ordinary difficulty, it is at least undeniable whom he came in contact; and added that if the Strasburg that a better return may be obtained upon carefully chosen school ever attains the high ideal it has set itself, not only as securities of a perfectly sound description than the new a guiding light in science but as a bulwark of German civilistock offers. It appears to us that it will now become the sation, it will owe its success in great measure to the power clear duty of the guardians of charitable trusts who exercise and the influence of Kussmaul as a worker and a teacher. of investment, to face this problem, Dr. Freund, Professor of Gynaecology, was the next speaker, discretionary powers and submit to no impairment of the incomes subject to and after referring in humorous strain to the accident that their administration which it is possible by good husbandry had made Kussmaul a physician-to wit, an accident to his to avoid. foot which induced temporary lameness, and with it an interval of sage reflection,-he evoked peals of langhter HOSPITAL PROVISION NEAR BRADFORD. from his audience by hinting that, their names being THE conference which Dr. Barry, representing the Local identical in meaning, the Oribasius of the fourth century Government Board, has had with the sanitary authorities was no other than the Kussmaul of the nineteenth, but that around Bradford, who are entitled to receive a sum of the clinical teacher of Strasburg had greatly improved on from the Corporation in compensation for their his alter ego, the body physician to the Emperor Julian the money the " right to send patients into the borough fever Apostate. This was a highly effective sally, " Oribasius losing is already taking practical effect. The Shipley being an exact equivalent in Latin for the German hospital, Local Board have chosen a site which they propose to utilise "Kussmaul" (literally ’°kiss-mouth"). Professor von with the Windhill Local Board; it has been decided then the toast of their Recklinghausen gave guest’s family, jointly that a pavilion shall be erected on the model plan recomand took occasion to acknowledge how much his own field, mended by the Local Government Board, and that it shall that of pathological anatomy, owed to Kussmaul’s work. contain or twelve beds so contrived as to secure separaThis remark brought up Professor Liicke, who said that, as tion of diseases as well as of sexes; and the Shipley authority a surgeon who appreciated the value of treatment, he could have unanimously determined to apply to the central add his tribute of recognition to the catholic teaching oi for the issue of a provisional order uniting the their guest, in honour of whom he called for a special toast authority two districts as a Joint Hospital District. "To the Unity of the Healing Art." So ended a memorabh evening, in which academic orators of exceptional brillianc3 vied with each other in bidding God-speed to an illustriou; THE HEALTH OFFICER FOR ABERDEEN. colleague in a new departure in his life work. IT is sincerely to be hoped that candidates for the ippointment of Medical Officer of Health for the City of Aberdeen will carefully consider the terms of the appointPURPURA HÆMORRHAGICA AFTER A MENTAL ment. The holder of this office will be required to act in SHOCK. addition as police surgeon, medical attendant at the City DR. ED. DE SMET of Brussels has recently had a case of a Hospital, and examiner of the quality of gas, and will be young woman of a highly nervous temperament who, in further required to devote the whole of his time to the consequence of a severe fright, experienced an eruption of duties of the appointment. Assuming that the payment for purpura baemorrhagiea, though she had never had any attendance upon the police force is at the rate of four eruption of the kind before. Some four months subse- shillings per man per annum, the usual club rate, the quently, however, in consequence of a fall, a similar erup- remaining duties will be paid for at the rate of about tion made its appearance. The treatment was directed fifteen shillings per day, for the whole salary is only S300 mainly to the nervous system, which was evidently very a year. Moreover, the medical officer of health must not much affected. Dr. de Smet refers to M. Lenoir of Lille, be absent more than one day without leave, and is obliged who has published cases of various skin diseases-eczema, to provide a substitute at his own expense when absent. psoriasis, herpes, pemphigus, and vitiligo-which have Such is the estimation in which the Town Council of followed a mental shock. Aberdeen hold important medical services. The salary is -
ten
538
utterly inadequate, and we presume the Town Council have no proper appreciation either of the health interests of their district or the welfare of the police and of the poor who are admitted into their hospital.
full convenience for 250 passengers of the first and 160 I has of the second class. That she is fitted up with every luxury
goes without saying, but the point that most pleased us in our survey of her was the admirable quality of her sani. tary arrangements, which, under the able direction of the naval architect of the company, Mr. de Remussett, have DR. COE ON THE USE OF THE UTERINE been extended to all parts of this floating palace. The CURETTE. sanitary skill is best shown in the ventilation, in which the exhaust system is carried out so completely that every of the for use curette the A VERY instructive paper on the fibToids was to uterine relief of haemorrhage due recently closet and sink is cleansed as it is used by a current of freh read before the Obstetrical Section of the New York Academy air, and is transformed into a ventilator for pure air. Conof Medicine. The author drew attention to the fact that nected with the medical department there is a hospital, and the hsemorrhage usually took the form of excessivemenstrual for the provisioning of the passengers and crew with fresh. flux, and also that the bleeding came from the hypertrophied food there is a refrigerator and an enormous cold storage chamber. Altogether the Oceana goes forth on her first mucous membrane of the uterus generally, and not, as is often supposed, from that portion of it covering the project- voyage worthy of her name and her mission. ing surface of the tumour. In support of the latter proposition, he states that the hsemorrhage is frequently out of THE HEALTH OF LINCOLN. proportion to the size of the tumour, the most dangerous THE Town Council of Lincoln have wiqely decided to attacks often occurring where the fibroid is small, but where consider the question of placing their infectious hospital on examination the mucous membrane is discovered to be on a more permanent and tfhcient footing, without waiting thick, spongy. and vascular. Dr. Coe, whilst admitting that for the stimulus which another prevalence of infectious the use of the curette is only a palliative measure, contends It seems further necessary that a disease afford. might that if the hypertrophied mucous membrane is thoroughly should be instituted into the sources of complete inquiry scraped away the danger from menorrhagia is for a time-it the city water supply. As now delivered, that supplyis may be for several months-greatly diminished. The ultimate to variations in quality; it is at the present subject c tuse, of course, remains under this plan of treatment, which moment under suspicion of having caused a recent excess is intermediate in point of severity between simple mediof diarrhoeal affections; and one member of the Town cation and the more formidable operations—oophorectomy, Council indicated the opinion he had as to the supply as myomotomy, and supra-vaginal amputation; the patient now delivered, by expressing a hope that all who consumed may be helped over the menopause, after which period it knew that it would be better to have it both filtered and the bsemorrlage becomes naturally less, or even ceases, boiled before drinking it. It would be difficult to have as the physiological stimulus no longer exists. Curetting adduced a much more potent argument in favour of the uterine cavity, according to Dr. Coe, is practically exhaustive investigation into the sources and risks of the free from danger to life, and in the majority of cases water supply of any city than that involved in this is an easy operation, and, in fact, the more severe the exhortation. menorrhagia the more likely is the surgeon to be able to practise it with ease and success. Where the os uteri is ANIMALS AND HOSPITALS FOR INFECTIOUS displaced upwards and the uterine cavity is narrow and DISEASE. tortuous, experience shows that the liability to menorrhagia A CORRESPONDENT has questioned us as to the possibility is for these reasons less than it is where the canal is elongated of dogs kept in a hospital for infectious disease provinga and dilated from submucous and intra-mural growths of source of danger to the inmates of houses into which they moderate size. Dr. Coe advises that iodine should be are admitted. The reply is necessarily that it depends upoa applied to the lining membrane after scraping with the dull the part of the hospital which the dogs frequent. If they wire curette, and that the application should be repeated have contact with persons suffering from typhus, scarlet several times. fever, diphtheria, or measles, we cannot doubt that they may play the part of carriers of contagion. Cats under FEVER IN LONDON. similar circumstances are not unfrequently regarded with DURING the week ending March 10 bh there has been an to be capable of suffering from increase in the number of cases of infectious disease suspicion. They appear and and, diphtheria, apart from this, their coats must admitted into the hospitals of the Metropolitan Asylums typhus afford ample opportunity for the retention of dust and Board, the patients suffering from scarlet fever amounting infective particles. Their wandering habits may take them to 107 as against 86 in the previous week, and the cases from the wards of a hospital to the homes of children and of enteric fever to 24, or more than twice the number other susceptible persons, and thus disease may arise the admitted during the preceding week. Three persons suffering of which is apt to escape detection. from small-pox were admitted, one each from the districts cause of St. George-in-the-east, Mile-end, and Poplar. No case COLONIAL "ECONOMY." of typhus was received. ___
-
-
WE learn from the Tasmanian Ne2vs that the Government of Tasmania, " with a view to secure economy without imIF Sutton or Hales, or any of the last century early pairing efficiency," has combined several appointments with pioneers of systems of ventilation applied to ships, could that of Government medical officer. Under the new arrangehave joined the party of politicians, scholars, engineers, ment, the gentleman who has been appointed will be official doctors, and merchants who visited the new vessel, the visitor of hospitals for the insane and chairman of that body, Occana, of the Peninsular and Oriental Company, on health officer for the port of Hobart, officer of health for Thursday last, they would have felt as much surprise as Wellington Hamlets, medical adviser to the Central Board of satisfaction at seeing to what an extent the great work Health, medical attendant on paupers at their own homes, which they commenced had gone on towards its completion. medical officer for the charitable institution of New Town, and 1 he Oceana is one of the finest vessels ever built for medical attendant of the permanent Defence Force. No invoyaging across to the Antipodes ; she carries 6400 tons, and formation is given as to the salary attached to this remarkable
SANITATION AFLOAT.