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THE MEDICAL INSURANCE AGENCY.
253 internal cuneiform and a second strand was inserted to the cuboid by means of silk strands. Silk strands were attached to the periosteum of the tibia and inserted into the scaphoid to correct the pronation and abduction of the foot. Eight months later the foot was in good position and motion of In the treatthe transplanted muscle was beginning. ment of infantile paralysis Dr. Soutter insists on certain No operarules. All deformity can be prevented. one for some tion (except simple deformity) should be undertaken until massage, electricity, and muscle training have been used for three or four years. In attaching silk ligament to the tibia the periosteum is slit longitudinally ; No. 14 or 16 or 20 silk is quilted up the everted edge on one side and down the everted edge on the other. This gives a strong attachment. The everted edges of periosteum stretch, like other tissues, with the growth of the child. The double silk is then carried down and inserted well under the periosteum and superficial portion of the bone by means of a blunt, short curved needle. After the operation a plasterof-Paris bandage is worn for from eight to ten weeks. Silk ligaments stiffen the ankle-joint sufficiently to prevent lateral motion but allow dorsal motion, so necessary in walking. Hence their advantage over arthrodesis.
the secretions are modified and the attacks are rapidly suppressed. It exerts a reflex irritating action on certain branches of the pneumogastric nerve, especially in the nasopharyngeal region. It has been said to have a hypnotic effect but Dr. Artault considers that the narcosis is indirect, the sleep following the administration of the drug being due to fatigue and therefore natural. The drug is administered in the form of extract, decoction, and tincture. The dose of the extract is 7½ to 30 grains during the day and of the tincture 30 to 60 minims. The decoction is made by boiling 45 grains of the dried, entire plant in one pint of water and making the volume of the finished product up to one pint. It is administered in doses of one teacupful three or four times a day, preferably between meals. In twice these dose; the decoction produces irritation, vomiting, and other unpleasant symptoms. In cases where the administration of the proper dose of the decoction causes irritation in the throat it should be diluted with water until the acrid taste is suitably reduced. ____
THE
MEDICAL
INSURANCE AGENCY.
As a result of eight months’ working of this agency the Medical Insurance Committee has received a satisfactory report from the secretary and agent. The work has been hard FIRE ON A TUBE RAILWAY. and as yet the returns are not large but a satisfactory start THE fire which occurred on the City and South London has been made and a profit secured from the beginningTube Railway on July 16th last seems to us to bring once mainly owing to the economy of management. The agency again into prominence the fact that the chief danger of has now some 1650 insurers under the Employers’ Liability underground electric traction arises out of the short path Act. As separate policies are issued for any form of medical which the powerful electric current is prone to take, or short- assistance outside domestic service the agency has sent out circuiting. The public safety rests in fact on the complete- probably 3000 policies in all. Other insurances represent :ness with which the preventive measure of insulation is ’, life, 10; personal accident, 18; burglary, 31 ; fire, 40 ; I motors, fidelity, and other individual policies, 8. carried out. In spite of the care which is taken provide an insulated installation evidence is now and LIQUID HELION. again forthcoming that the precautions occasionally break down. This may some day result in the sacrifice of THE telegram published in the Times of July 20th to the human life either by panic or by actual disaster-dealing effect that Professor Onnes of Leyden had succeeded in phenomena. We have frequently expressed apprehension obtaining a substantial quantity of liquid helion is of the in these columns as to the horrible consequences of electric greatest scientific interest. It appears that about 60 cubic leakage on the tube railways and the public have a right centimetres of the liquid have been obtained, which must to expect that to avoid it every effort which it is humanly mean that Professor Onnes had a relatively large quantity of possible to take shall be taken. The great conveni- helion gas at his disposal for the purpose. It is remarkable ence of the tube railways is on all sides admitted, and it is that the boiling point of helion is 4’30 only above absolute only fair to add that the record of accidents is marvellously zero, but no attempt to obtain the solid state seems to have trivial considering how enormous is the traffic dealt with on succeeded even under high exhaustion and when reduced to the London tubes. In the incident referred to the greatest a The question within 30 of absolute zero. temperature credit is due to officials and passengers alike who by their remains whether there exists another element with a boiling calm, unexcitable conduct averted consequences which might point nearer to the absolute zero than this. We referred easily have been of a serious character. The result of the to Professor Onnes’s researches in a leading article in Board of Trade inquiry will be awaited with interest as THE LANCET of March 14th, p. 798. determining what was the defect in the electrical machinery in this instance. Dr. Adolf Meyer has been director of the
to
appointed
____
THE VALUE OF EUPHORBIA IN ASTHMA AND BRONCHIAL CATARRH. IN Nouveaux Renaedes of June 24th Dr. M. Artault contributes an article on the value of euphorbia in the treatment of asthma and bronchial catarrh. Euphorbia pilulifera has been used to some extent in these conditions and in paroxysmal dyspnoea, laryngeal spasm, whoopingcough, angina pectoris, coryza, and hay fever. It appears to act directly on the respiratory and cardiac centres. Dr. Artault suggests that the relatively small popularity which this drug has enjoyed is due to the fact that it is not generally recognised in the pharmacopoeias. He states that all species of euphorbia have a similar anti-asthmatic effect and that the most active is euphorbia peplus, or devil’s milk. It is recommended in all cases of dyspnoea whether of pulmonary or pneumogastric origin. When given in asthma
recently founded Henry Phipps department for the study and treatment of insanity at the Johns Hopkins Hospital, Baltimore, and professor of psychiatry at that University. He is native of Switzerland and has been director of the PathoInstitute of the State Hospital of New York, at Wards Island, since 1902, and professor of psychiatry at Cornell University since 1904, and has made several contributions to the literature of psychological medicine. He has for long been an advocate of I I psychopathia hospitals," such as the projected institution of which hewill have charge and of which an account was published in THE LANCET of July 4th, p. 38. Dr. Meyer is to proceed to Europe with Mr. Atterbury, the chosen architect, to study the construction of similar institutions on the continent.
a
logical
Dr. F. C. Gayton, who has for the last 25 years been senior assistant medical officer of the Surrey County Lunatic Asylum
the secretions are modified and the attacks are rapidly suppressed. It exerts a reflex irritating action on certain branches of the pneumogastric nerve, especially in the nasopharyngeal region. It has been said to have a hypnotic effect but Dr. Artault considers that the narcosis is indirect, the sleep following the administration of the drug being due to fatigue and therefore natural. The drug is administered in the form of extract, decoction, and tincture. The dose of the extract is 7½ to 30 grains during the day and of the tincture 30 to 60 minims. The decoction is made by boiling 45 grains of the dried, entire plant in one pint of water and making the volume of the finished product up to one pint. It is administered in doses of one teacupful three or four times a day, preferably between meals. In twice these dose; the decoction produces irritation, vomiting, and other unpleasant symptoms. In cases where the administration of the proper dose of the decoction causes irritation in the throat it should be diluted with water until the acrid taste is suitably reduced. ____
THE
MEDICAL
INSURANCE AGENCY.
As a result of eight months’ working of this agency the Medical Insurance Committee has received a satisfactory report from the secretary and agent. The work has been hard FIRE ON A TUBE RAILWAY. and as yet the returns are not large but a satisfactory start THE fire which occurred on the City and South London has been made and a profit secured from the beginningTube Railway on July 16th last seems to us to bring once mainly owing to the economy of management. The agency again into prominence the fact that the chief danger of has now some 1650 insurers under the Employers’ Liability underground electric traction arises out of the short path Act. As separate policies are issued for any form of medical which the powerful electric current is prone to take, or short- assistance outside domestic service the agency has sent out circuiting. The public safety rests in fact on the complete- probably 3000 policies in all. Other insurances represent :ness with which the preventive measure of insulation is ’, life, 10; personal accident, 18; burglary, 31 ; fire, 40 ; I motors, fidelity, and other individual policies, 8. carried out. In spite of the care which is taken provide an insulated installation evidence is now and LIQUID HELION. again forthcoming that the precautions occasionally break down. This may some day result in the sacrifice of THE telegram published in the Times of July 20th to the human life either by panic or by actual disaster-dealing effect that Professor Onnes of Leyden had succeeded in phenomena. We have frequently expressed apprehension obtaining a substantial quantity of liquid helion is of the in these columns as to the horrible consequences of electric greatest scientific interest. It appears that about 60 cubic leakage on the tube railways and the public have a right centimetres of the liquid have been obtained, which must to expect that to avoid it every effort which it is humanly mean that Professor Onnes had a relatively large quantity of possible to take shall be taken. The great conveni- helion gas at his disposal for the purpose. It is remarkable ence of the tube railways is on all sides admitted, and it is that the boiling point of helion is 4’30 only above absolute only fair to add that the record of accidents is marvellously zero, but no attempt to obtain the solid state seems to have trivial considering how enormous is the traffic dealt with on succeeded even under high exhaustion and when reduced to the London tubes. In the incident referred to the greatest a The question within 30 of absolute zero. temperature credit is due to officials and passengers alike who by their remains whether there exists another element with a boiling calm, unexcitable conduct averted consequences which might point nearer to the absolute zero than this. We referred easily have been of a serious character. The result of the to Professor Onnes’s researches in a leading article in Board of Trade inquiry will be awaited with interest as THE LANCET of March 14th, p. 798. determining what was the defect in the electrical machinery in this instance. Dr. Adolf Meyer has been director of the
to
appointed
____
THE VALUE OF EUPHORBIA IN ASTHMA AND BRONCHIAL CATARRH. IN Nouveaux Renaedes of June 24th Dr. M. Artault contributes an article on the value of euphorbia in the treatment of asthma and bronchial catarrh. Euphorbia pilulifera has been used to some extent in these conditions and in paroxysmal dyspnoea, laryngeal spasm, whoopingcough, angina pectoris, coryza, and hay fever. It appears to act directly on the respiratory and cardiac centres. Dr. Artault suggests that the relatively small popularity which this drug has enjoyed is due to the fact that it is not generally recognised in the pharmacopoeias. He states that all species of euphorbia have a similar anti-asthmatic effect and that the most active is euphorbia peplus, or devil’s milk. It is recommended in all cases of dyspnoea whether of pulmonary or pneumogastric origin. When given in asthma
recently founded Henry Phipps department for the study and treatment of insanity at the Johns Hopkins Hospital, Baltimore, and professor of psychiatry at that University. He is native of Switzerland and has been director of the PathoInstitute of the State Hospital of New York, at Wards Island, since 1902, and professor of psychiatry at Cornell University since 1904, and has made several contributions to the literature of psychological medicine. He has for long been an advocate of I I psychopathia hospitals," such as the projected institution of which hewill have charge and of which an account was published in THE LANCET of July 4th, p. 38. Dr. Meyer is to proceed to Europe with Mr. Atterbury, the chosen architect, to study the construction of similar institutions on the continent.
a
logical
Dr. F. C. Gayton, who has for the last 25 years been senior assistant medical officer of the Surrey County Lunatic Asylum