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THE INTERNATIONAL HYGIENIC CONGRESS.
1260 attended by actual paralysis is a fact on which Bernhard first laid proper stress. The knee-jerk is one of the most delicate indicators of the state of the nervous system, and some small muscles come, perhaps, next to it in sensitivenesse.g., the neuro-muscular apparatus of the cilialY muscle, the pupil, and the ocular muscles. Cases of complete ophthalmoplegia have been recorded as the outcome of diphtheria. THE COLLEGE ELECTION. THE following are candidates for the vacancies in the Council of the Royal College of Surgeons at the next election on July 4th. The retiring members of Council are Sir James Paget, F.R.S., Mr. J. W. Hulke, F.R.S., and Mr. Christopher Heath. Sir James Paget does not come forward again, but Messrs. Hulke (Member 1852, Fellow 1857) and Heath (Member 1856, Fellow 1860) offer themselves for re-election. Those who have not previously had seats on the Council are in order of seniority as Fellows : Mr. Walter Rivington, Member 1859, Fellow 1863 ; Mr. George Cowell, Member 1858, Fellow 1867; Mr. H. G. Howse, Member 1865, Fellow 1868; Mr. Charles Steele, Member 1860, Fellow 1869; Mr. R. Lawson Tait, Member 1870, Fellow 1871; Mr. John Tweedy, Member 1872, Fellow 1876. This is the first year that the Fellows have had the privilege of voting by proxy, and it is expected that the contest will be an exciting one.
These showed themselves first of all in the connective tissue between the follicles along the lymphatic vessels leading to neighbouring cervical lymphaticglands. Ulcerations of the tonsils were observed in the crypts, but never on the free surface of the glands; sometimes cavities were found in the tonsils. In the living
developed tubercles.
subject
no
marked affection could
ever
be detected
naked
by the-
eye in the tonsils. The absence of disposition to external ulceration is explained by the supposition that the. deeper tissues form a far more suitable soil for the development of the tubercle bacilli than the superficial tissues-that, s, the mucous membrane covering the surface of the gland.
SCURVY IN THE RUSSIAN ARMY. DR. STATSEWICH, writing in the Russian Military Medical Journal on Scurvy in the Army, sums up his. conclusions as follows. 1. Scurvy is a non-contagious septic disease. 2. Epidemic prevalence of scurvy in the Russian army in time of peace directly depends upon bad diet. 3. Sporadic scurvy in regiments and military hospitals. occurs because many people are not used to exclusive and unpalatable diet. 4. The first and most important prophylactic measures against scurvy would be to discharge all the purveyors of victuals and to have abbatoirs in all garrison towns. 5. So-called superior flour should be excluded. 6. The following is a proper dietary for soldiers :-Twice a week, cabbage soup; twice, potato soup; once;. turnip soup ; once, pea soup ; once, maccaroni.
AMERICAN MEDICAL ASSOCIATION. THE programme of the fortieth annual meeting of the American Medical Association, which is to be held at Newport, R. I., on June 25th and following days, is published in the Journal of the American Medical Association of June 1st. The president of the year is Dr. W. W. Dawson of Cincinnati, who will deliver his address on the opening day. An address on Medicine will be given by Dr. Wm. Pepper of Philadelphia, one on Surgery by Dr. Phineas S. Conner of Cincinnati, and one on State Medicine by Dr. W. H. Welch of Baltimore. The list of subjects to be discussed is a large one, the various sections being :-(1) Practice of Medicine, Materia Medica, and Physiology; (2) Obstetrics and Diseases of Women; (3) Surzery and Anatomy; (4) State Medicine; (5) Ophthalmology ; (6) Diseases of Children ; (7) Dental and Oral Surgery; (8) Medical Jurisprudence ; (9) Dermatology and Syphilography; (10) Laryngology and Otology. THE TONSILS IN PHTHISIS. DR. DMOKHOVSKI publishes in a Polish medical journal, the Gazeta Lelcarshi, some important observations on the condition of the tonsils and the follicular glands at the base of the tongue in phthisical subjects. Strassmann had previously made some observations on the tonsils, and had found them affected in thirteen cases out of twenty-one which he examined. Dr. Dmokhovski was able to show some affection of the tonsils in every one of the fifteen cases examined post mortem, the lymphatic glands at the base of the tongue being also affected in nine of these cases. The lungs were in every instance decidedly affected, and in five there was slight tuberculous ulceration of the larynx. The ages of the subjects varied from eighteen to fifty-six. Presnmably the tonsils were infected from the mouth, the bacillary infection at first affecting the epithelial layers and subsequently the deeper tissues-viz., the lymphatic sinuses and the follicles themselves. The tuberculous character of these changes was made manifest either by the existence of large disseminated collections of Koch’s bacilli, or by the concomitant signs of general inflammation of the connective tissue, or by the occurrence of fully
THE INTERNATIONAL HYGIENIC CONGRESS.
A LARGELY ATTENDED meeting was held at the Parkes. Museum on Tuesday of the delegates appointed by. the various universities, colleges, and learned societies to organise the arrangements for the International Hygienic Congress of 1891, which will meet in London. Sir Spencer Wells, who had attended the meetings of previous congresses in continental capitals, took the chair, and Dr W. H. Corfield and Mr. Shirley Murphy, the English members of’ the Permanent Committee of the International Congress, acted as honorary secretaries. Dr. Corfield explained the preliminary steps that had been taken to constitute s general committee, and the following gentlemen were elected members of an executive committee with power to add to their number :-Sir Douglas Galton, K.C.B., Professor Frankland, Professor Hayter Lewis, Dr. Thorne Thorne, Dr. Mapother, Dr. Mouat, Mr. E. Hart, Professor Cor-field, and Mr. Shirley Murphy. SYPHILIS COMPLICATED WITH SCURVY. DR. TALYSIN, having under his care two cases of syphilis. complicated with scurvy, and finding no mention in literature of the best treatment of the two diseases when occurring simultaneously, resolved, after a consultation with his. colleagues, to treat the syphilis alone. The mercury given, though it soon produced a formidable degree of cachexia, was continued for about a month, by which time thesyphilitic affection had entirely disappeared. Only then was the scurvy treated. It was cured in about six weeksthe administration of by quinine and acids combined with, food. strengthening -
THE SANITARY WORKS IN NAPLES. ON the 16th inst., in presence of the King and Queen of Italy and the Prince of Naples, the loveliest of Mediterranean cities began her long-deferred work of sanitary rehabilitation. The nature and extent of this we shall take another opportunity of indicating from official sources. In the meantime, we may congratulate the Neapolitan muni-
These showed themselves first of all in the connective tissue between the follicles along the lymphatic vessels leading to neighbouring cervical lymphaticglands. Ulcerations of the tonsils were observed in the crypts, but never on the free surface of the glands; sometimes cavities were found in the tonsils. In the living
developed tubercles.
subject
no
marked affection could
ever
be detected
naked
by the-
eye in the tonsils. The absence of disposition to external ulceration is explained by the supposition that the. deeper tissues form a far more suitable soil for the development of the tubercle bacilli than the superficial tissues-that, s, the mucous membrane covering the surface of the gland.
SCURVY IN THE RUSSIAN ARMY. DR. STATSEWICH, writing in the Russian Military Medical Journal on Scurvy in the Army, sums up his. conclusions as follows. 1. Scurvy is a non-contagious septic disease. 2. Epidemic prevalence of scurvy in the Russian army in time of peace directly depends upon bad diet. 3. Sporadic scurvy in regiments and military hospitals. occurs because many people are not used to exclusive and unpalatable diet. 4. The first and most important prophylactic measures against scurvy would be to discharge all the purveyors of victuals and to have abbatoirs in all garrison towns. 5. So-called superior flour should be excluded. 6. The following is a proper dietary for soldiers :-Twice a week, cabbage soup; twice, potato soup; once;. turnip soup ; once, pea soup ; once, maccaroni.
AMERICAN MEDICAL ASSOCIATION. THE programme of the fortieth annual meeting of the American Medical Association, which is to be held at Newport, R. I., on June 25th and following days, is published in the Journal of the American Medical Association of June 1st. The president of the year is Dr. W. W. Dawson of Cincinnati, who will deliver his address on the opening day. An address on Medicine will be given by Dr. Wm. Pepper of Philadelphia, one on Surgery by Dr. Phineas S. Conner of Cincinnati, and one on State Medicine by Dr. W. H. Welch of Baltimore. The list of subjects to be discussed is a large one, the various sections being :-(1) Practice of Medicine, Materia Medica, and Physiology; (2) Obstetrics and Diseases of Women; (3) Surzery and Anatomy; (4) State Medicine; (5) Ophthalmology ; (6) Diseases of Children ; (7) Dental and Oral Surgery; (8) Medical Jurisprudence ; (9) Dermatology and Syphilography; (10) Laryngology and Otology. THE TONSILS IN PHTHISIS. DR. DMOKHOVSKI publishes in a Polish medical journal, the Gazeta Lelcarshi, some important observations on the condition of the tonsils and the follicular glands at the base of the tongue in phthisical subjects. Strassmann had previously made some observations on the tonsils, and had found them affected in thirteen cases out of twenty-one which he examined. Dr. Dmokhovski was able to show some affection of the tonsils in every one of the fifteen cases examined post mortem, the lymphatic glands at the base of the tongue being also affected in nine of these cases. The lungs were in every instance decidedly affected, and in five there was slight tuberculous ulceration of the larynx. The ages of the subjects varied from eighteen to fifty-six. Presnmably the tonsils were infected from the mouth, the bacillary infection at first affecting the epithelial layers and subsequently the deeper tissues-viz., the lymphatic sinuses and the follicles themselves. The tuberculous character of these changes was made manifest either by the existence of large disseminated collections of Koch’s bacilli, or by the concomitant signs of general inflammation of the connective tissue, or by the occurrence of fully
THE INTERNATIONAL HYGIENIC CONGRESS.
A LARGELY ATTENDED meeting was held at the Parkes. Museum on Tuesday of the delegates appointed by. the various universities, colleges, and learned societies to organise the arrangements for the International Hygienic Congress of 1891, which will meet in London. Sir Spencer Wells, who had attended the meetings of previous congresses in continental capitals, took the chair, and Dr W. H. Corfield and Mr. Shirley Murphy, the English members of’ the Permanent Committee of the International Congress, acted as honorary secretaries. Dr. Corfield explained the preliminary steps that had been taken to constitute s general committee, and the following gentlemen were elected members of an executive committee with power to add to their number :-Sir Douglas Galton, K.C.B., Professor Frankland, Professor Hayter Lewis, Dr. Thorne Thorne, Dr. Mapother, Dr. Mouat, Mr. E. Hart, Professor Cor-field, and Mr. Shirley Murphy. SYPHILIS COMPLICATED WITH SCURVY. DR. TALYSIN, having under his care two cases of syphilis. complicated with scurvy, and finding no mention in literature of the best treatment of the two diseases when occurring simultaneously, resolved, after a consultation with his. colleagues, to treat the syphilis alone. The mercury given, though it soon produced a formidable degree of cachexia, was continued for about a month, by which time thesyphilitic affection had entirely disappeared. Only then was the scurvy treated. It was cured in about six weeksthe administration of by quinine and acids combined with, food. strengthening -
THE SANITARY WORKS IN NAPLES. ON the 16th inst., in presence of the King and Queen of Italy and the Prince of Naples, the loveliest of Mediterranean cities began her long-deferred work of sanitary rehabilitation. The nature and extent of this we shall take another opportunity of indicating from official sources. In the meantime, we may congratulate the Neapolitan muni-