THE INVESTIGATION OF OTOSCLEROSIS.

THE INVESTIGATION OF OTOSCLEROSIS.

1143 important manufacturing concern now identified with fine chemicals, and especially with quinine. During those nine years many small-scale experi...

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1143

important manufacturing concern now identified with fine chemicals, and especially with quinine. During those nine years many small-scale experimental processes were tried at Plough-court, and incidentally

G. J. Jenkins, Mr. Herbert Tilley, Mr. Mr. J. F. O’Malley, and Dr. Dan McEenzie among others, and the council of the Section was empowered to act in accordance with it.

was realised, with the assistance of two outbreaks of fire, that the heart of the city was not the ideal HEALTH EDUCATION OF THE PUBLIC. place for the production of chemicals. John Thomas Barry, who was admitted a partner in 1818, had a Sir Arthur Keith, in an admirable after-dinner highly individual method of dealing with such speech which we report elsewhere (p. 1149), remarked troubles. Finding, one Sunday morning, that smoke on the real difficulty of getting through to the public was issuing from a cupboard, he pasted strips of paper with scientific medicine. Year by year young men over the crevices and sat down to read his Bible, and women, with the spirit and knowledge correctly estimating, as it turned out, that the supply of their craft,equipped out into the world to succumb to go of air would soon be exhausted. Barry is chiefly the craving for magic which lies deep in human remembered by his invention of evaporation in nature. The British Association, of which he is vacuo, the details of which were given in a paper this President, has for its central aim to share year presented to the Medical and Chirurgical Society in the knowledge of trained observers with the public 1819. William Allen, Barry’s senior partner, became at large. Another agency for the same purpose is by degrees a figure of European fame. A friend of the the League of Red Cross Societies, which publishes Duke of Kent, Queen Victoria’s father, he took a a monthly review in three languages, of which the leading part in religious and humanitarian projects English edition is called The World’s Health. The which had the Duke among their patrons, and contents of this review are not copyrighted, reprotravelled extensively to promote their success. The duction of the articles welcomed, being provided that in is told is volume which the story admirably printed due acknowledgment of their source is made. A and illustrated, although it is odd that none of the special number for October deals with certain problems compilers (of whom there have been three) has seen of health education. Dissemination of knowledge, fit to correct " the Linnaean Society" and " Sir as Sir George Newman lays down in a foreword, is Humphrey Davy." But the difficult transition from useless unless it is in a form readily understandable the record of past achievement to the description of by those to whom it is addressed. The channels present methods of manufacture has been accom- along which knowledge should be made to flow are plished with discretion. five in number: (1) sanitary environment; (2) healthy race ; (3) resistant body ; (4) methods of reducing mass infection; (5) early diagnosis and treatment of THE INVESTIGATION OF OTOSCLEROSIS. disease—and. tne neld lor public education in tnese AT a recent meeting of the Section of Otology of matters is boundless in extent and full of opportunity. the Royal Society of Medicine the President, Mr.Dr. Rene Sand, who advises the League on popular J. S. Fraser, delivered an interesting address uponhealth education, remarks that up to quite recent otosclerosis, in the course of which he made a times it was possible for a man to assume high proposal for a national investigation of the condition, responsibilities in mercantile life without having the saying that, while the problems appeared to concernslightest notion of the importance of hygiene in otology alone, for their satisfactory evaluation the industry ; and for citizens to found families while cooperation of other branches of the medical profes- being quite ignorant of domestic or sex hygiene. He sion was required. " Some medical men failed," he deprecates the use of technical arguments in matters said, to diagnose the disease when confronted with it. of diet, and advocates simple advice along the lines When he began the study of otology in 1904 he spent of what might be called intelligent omnivorousness. many useless hours in the hospital in testing patients The place par excellence for health education of this who were supposed to be suffering from chronic kind is in the schools. It is a side of the work which otitis media, and who showed no improvement after the school medical service, as at present constituted, middle-ear inflation. It had since dawned on him that cannot adequately tackle, and there is urgent need otosclerosis was not an uncommon disease, and he to improve the standard of health knowledge among found that 10 per cent. of his patients suffered from it. the teaching staffs in all the schools of the country, If the victims of it had been exclusively old, or past and, having done it, to send them out with a real middle life, it would not be so serious, but most of desire to teach what they know. Twenty minutes a the cases were in young people. Females were most week devoted to the simple things of health in every affected, in the proportion of three females to one school would within ten years do away with the need male. At least 50 per cent. of the subjects of it gave for most of the posters and pamphlets which Dr. a history of deafness in the family. Microscopical Sand deals with so well. Any practitioner having examination carried out in early stages showed areas to deal with young persons in industry will realise of spongy bone in the labyrinthine capsule and at the that one of the most hopeful ways of attempting to anterior margin of the oval window. Some of the bridge the " gap " from 14-16 years of age in the cases had also fragility of bones and blue sclerotics. medical benefit is so to educate children at school Dr. Albert Gray’s estimate was that 1 in every in the care of their health that they will be able in 200 people suffered from otosclerosis. In its produc- no small measure to bridge the " gap " for themselves tion the main fault seemed to lie in some abnormality by the simple method of avoiding sickness. Commonof endocrine glands, but inquiry had yet to go a long sense rules, devoid of fussiness or of the technicalities way before any association could be established which Dr. Sand condemns, will, if inculcated at school between this disease and malformation or inadequacy during the plastic age, last as an abiding asset through of ductless glands." Mr. Fraser went on to point life. There are many excellent black-and-white out that careful researches on the subject were now reproductions of various health propaganda posters proceeding in America, but he deprecated waiting in this number of The Fo7’M’s Health, together with for the American results, believing that cooperation a coloured inset of posters from different industries was better than competition, and that an international in all parts of the world. These are chiefly attempts inquiry would be the most potent means of arriving to educate workmen in accident prevention. The at the truth. The Otological Section thoroughly art of producing attractive posters is comparatively endorsed the proposal which his words led up to- new, and the specimens here given are good of their namely, that a central committee should be formed kind ; but it is necessary to be aware of certain by the Section to coordinate and organise research of drawbacks to their use. Employers may spend a wide character, the suggestion being to enlist much money on these things and forget the less

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the help of the large hospitals and teaching The proposal schools of the United Kingdom. was supported by Mr. Sydney Scott, Dr. Kerr Love, Sir William Milligan, Sir James Dundas-Grant,

important side of health the written and, to a still greater education-namely, degree, the spoken word. There is one curious omission from this health educational number-at

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