256 A
THE LANCET RELIEF FUND. For Members
of the Medical Profession and
Orphans
and their Widows
when in Distress.
ALMONERS. THE PRESIDENT OF THE ROYAL COLLEGE OF PHYSICIANS OF LONDON. THE PRESIDENT OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND. THE PRESIDENT OF THE GENERAL MEDICAL COUNCIL.
THOMAS WAKLEY, L.R.C.P. Lond.
HON. AUDITOR. SIR THOMAS
SMITH, Bart.. K.C.V.O., F.R.C.S.Eng.
THIS FUND will be provided year by year in the month of January to the amount of at least £300 solely by the Proprietors of THE LANCET, and administered free of cost, for the purpose of affording immediate pecuniary assistance to Medical Men, or their Widows and Orphans, in cases of A,,ute Distress and Emergency, by the grant of money by way of loans free of interest, or gifts, as the circumstances of the various cases may require.
Applicants
must
satisfy
the Almoners of the Fund that
they
are
qualified
under the
following
regulation :The recipients shall be such
persons as satisfy the Almoners that they possess one or other of the following is to qualifications-that say : (a) That the applicant holds a registered medical qualification, and that he has fallen into pressing need of immediate pecuniary relief ; or (b) That they are persons who have been,
previously to the date of application, legitimately dependent upon some person holding a registered medical qualification, and that they have pressing need of immediate pecuniary relief." (In the case of Widows and Orphans, in order to come within the scope of the Fund, the death of the Husband or Father must have been of recent occurence.) To ensure the utmost despatch, the Application Form " upon the other side should be filled up and forwarded (in an envelope superscribed "THE LANCET Relief Fund ") to the Secretary, Mr. CHARLES GOOD, THE LANCET Offices, Strand, London, W.C. The application must be accompanied by two separate Testimonials (originals, not copies)-one from the Clergyman of the Parish or other resident Minister of religion, and one from a registered Medical Practitioner. Each Testimonial must state-(1) that the application addressed to the Almoners has been read; (2) how long the writer has known the applicant; (3) that the writer believes the statements made by the applicant to be perfectly truthful, and such as may be acted upon without further inquiry ; and (4) may state any other particulars that the writer desires to place before the Almoners.
Testimonials written for the AlmonerE of the Fund will in
no case
be returned.
256 B
Private and
Confidential.
APPLICATION FORM. To
the
Almoners
The applicant should here state 1.
The
of
Lancet
Fund.
Relief
shortly:—
The nature of the emergency that has arisen.
(In the case of given.))
Widomq and
Orphans
the full
2.
The circumstances out of which it has arisen.
3.
The amount of the grant desired, and whether
4.
If
expected
by way of loan,
to be
forthcoming.
by
state when the loan will be
name-
and date of death
way of loan
repaid;
of the Husband
(free of interest)
and from what
or
source
of
or
Father must be
gift.
the funds to repay it
are
256 C
5. Whether the
applicant is entitled or able in the circumstances which have arisen
of assistance ; and if so, what is the
6.
Medical
Whether the applicant is receiving,
or
extent of such assistance.
has received
during
the
past six months, pecuniary aid from any
Charity.
7. State how the
8.
expected nature and
to look to any other source
applicant is qualified to receive assistance ;
vide
regulation
on
first page.
Particulars of :
Applicant’s
age
Number in
family
How many
are
How many
are
How many
wholly dependent
-
self-supporting
_
partially dependent
Applicant’s Signature
______________________
_
_____________________.
Address
Date
____________________.
256 D
257 trismus which was becoming severe. This condition persisted until 5 A.M. when the respirations began to increase and by 6.30 A.M. they were practically normal. At 9 A.M. fuids could be freely taken, though facial spasm and trismus 3000 more units of antitoxin were adminiswere produced. tered. At 5 P.M. there was no opisthotonos but it appeared 12 times within the next 16 hours. On the 19th the effects of the second injection had been so alarming that hesitation The boy had been comatose for 12 .was felt in proceeding. hours. The result of the hesitancy was that from midnight until 9.30 A.M. there was continuous opisthotonos and convulsions occurred every two or three minutes. Two cubic centimetres of a 16 per cent. solution of magnesium sulphate were then injected and the head was elevated to prevent the fluid reaching the respiratory centres. Improvement again followed but injection again became necessary. In all, 11 injections were given and were followed several times by respiratory collapse lasting from 11 to 14 hours. The last injection .was given on August 29th. Recovery ensued. Of the value of the magnesium sulphate in relieving the spasms there could be no doubt. In THE LANCET of August 15th, 1908, p. 504, our Paris correspondent has also reported a successful case of this treatment.
noticeable inflammation was recorded. From observations made on 18 subjects of both sexes and various ages Dr. Lawson concludes that combinations of mercuric chloride with citric or tartaric acid are more irritant to the skin than is the case with mercuric chloride alone ; that mercuric bromide and mercuric iodide are also more irritant than mercuric chloride ; and that the least amount of irritation is produced by a 1 in 1000 solution of mercuric chloride in normal salt solution. In carrying out these experiments the following strengths were employed :-mercuric chloride, 1 in 500 and 1 in 1000 ; tartaric acid, 1 in 500 and 1 in 1000; citric acid, 1 in 1000 ; mercuric iodide, 1 in 1000, with potassium iodide 1 in 1000 ; mercuric bromide, 1 in 1000 and 1 in 2000, with potassium bromide 1 in 1000 and 1 in 2000 respectively. Dr. Lawson draws attention to the fact that in applying antiseptic dressings the water tends to evaporate at the edges, with the result that the solution at these points is more concentrated and tends to produce a local innammation. A similar result follows when a dressing is repeatedly moistened with an antiseptic solution.
a
BISMUTH
SUBNITRATE POISONING.
UNTIL recently bismuth has been regarded as non-toxic and the few recorded cases of poisoning after its use have MUSSELS AND ENTERIC FEVER. been ascribed to the presence of arsenic or other impurity. WITH regard to recent remarks on the polluted condition But it has now been shown that pure bismuth has toxic of the shores of Lancashire and North Wales, the report of properties and its recent administration for purposes of Dr. J. Marsh, medical officer of health of Atherton, near radiography has brought this fact more into evidence. In Manchester, is timely. He states that in a somewhat serious the .2V