610 it is by lice and by lice only that the fever was spread. The measures taken became more rigid as time went on. At first men were allowed to keep their purses and tobaccopouches, but later they had to leave all their possessions behind. As to diagnosis, Dr. Potel notes that this is at first difficult, as there is so much resemblance to enteric. The temperature, A ONE-MAN "606" APPARATUS. however, is high and steady without the marked morning THIS apparatus is easily portable, easily taken to pieces remission of typhoid fever ; beside the cutaneous rash there for sterilisation, easily rearranged, and all the parts can be a blue rash on the is congested soft palate, there are punctate and it is safe. There are two vertical glass tubes replaced ; headache, wakefulness, abolition of the superficial reflexes, and a hebetude which may by persistent provocation be connected above by corks to an ordinary spray bellows, which by frequent compression give changed to irritation. During convalescence, it may be said, a continuous positive pressure within. the pre-existence of typhus is shown by exaggeration of the The water, or " 606,"runs through a deep and loss of the superficial reflexes, great wasting, poor metal tap, which is connected to the sleep, and nocturnal pains in the legs. In doubtful cases the ends of the tubes by rubber ; the tap of minims the of 40 injection patient’s blood, intlaperitoneally, is worked by a handle, which can be into a guinea-pig will produce in ten days the characteristic moved to and fro at will-beyond this .’! was fortunate to Dr. Potel in able very symptoms. being isthe usual tube. The handle is ., get an antityphus serum from Dr. Nicolle-apparently (it is turned towards the water-side, and not definitely stated) the non-centrifuged serum of an ass that tube is filled up and the water % carefully immunised.l Of 3 cases without serum 2 died ; of allowed to run until it is free of air, 31 treated by serum, cases equally grave, all but 1 recovered. when the clip is closed. The 606" The devoted work of the French medical staff who suffered B tube, which is divided into 30 c.c. so heavily in their splendid work for the refugee Serbian B and subdivided into soldiers is made clear in the report, from which it also ’ 10 c. c., is then filled appears that if the embarkation at Corfu had been definitely with one or more doses, the Serbians were while and over two delayed days, spread the corks firmly put in in turn being washed and shaved and embarked, and having and the air pressure their clothes boiled, this epidemic would have been much fully raised, and, the lighter. We learn that a medical officer stood out against corksholding, the receiving the Serbians till these things were done, and if he operation can be had had his way his orderlies would have been saved from started. Directly the vein is entered the water runs down disease, and his country from much unnecessary expense. the glass and the handle can be then switched on to the " 606 " and the measured quantity allowed to run in. The 606 " is then turned off, and it is washed in by the water till the colour disappears in the window. On the first occasion I gave 22 injections, and I have always found it to work well, and since then I have given 41 in an hour. The FROM left hand must always be on the needle and the right hand free to move the handle, &c. THE The apparatus. called the Simplex606 " Infusion Set, is manufactured by A. Day, 8, Albemarle-street, Clerkenwell, TOILET LANOLINE (WELLCOME BRAND). E.C. 1, and is obtainable from all surgical houses. (BURROUGHS, WELLCOME AND CO., SNOW HILL S. ROBERTSON, BUILDINGS, LONDON, E.C. 1.) House Surgeon, London Lock Hospital, THE curious characteristic of dry wool fat of readily emulsifying into a uniform cream with water renders it a valuable skin application. Hydrous lanoline is thus easily MODIFIED ANCHOR TOURNIQUET. absorbed by the skin, rendering it supple and IN the ordinary pattern of Samway tourniquet, though without leaving a greasy impression. The sample submitted the anchor catch gives a satisfactory hold, it is not easy to to us contained, according to our analysis, exactly 30 per fix the instrument at the required tension. nor can it be cent. of water, while it was entirely free from mineral detached. These shortcomings are due to the lack of rapidly matter. On heating, the creamy mass melted and the water of the any part and wool fat separated, and after a time a clear yellow oil remained.- It is pointed out that while this preparation apparatus upon xa’ which a firm puris primarily intended for toilet use it is also suitable for chase can be application in many skin conditions, particularly as the obtained. Toprowool fat employed is highly refined. It is delicately vide this I have perfumed. had a handle JARDOX added in rigid (JARDOX LIMITED, CRYSTAL PALACE WORKS, continuity with ANERLEY. LONDON, S.E.20.) the anchor. The Jardox is a viscid meat expression which, in addition to form is suffici’ the ordinary extractives and bases of meat, contains a ently shown by notable proportion of finely divided fibrin, as well as the illustration. v coagulable albumins. On analysis the following results It will be found total meat that a tourniquet were obtained: Moisture, 35’00 per cent. ; derivatives, 55’30 per cent. ; mineral matter, 9-70 per cent. fitted with this ^ The meat derivatives were made up of 50 per cent. extrac- modified anchor tives and bases, and 530 per cent. of fibrin and albumin. can be readily applied at any tension and can be rapidly The presence also of a notable proportion of proteoses detached, even when out of sight. The pattern shown has was confirmed, inasmuch as a material yield was obtained on been made for me by Messrs. Allen and Hanburys,Wigmorethe addition of saturated ammonium sulphate solution. The street, W. C. MAX PAGE, M.B., M.S. Lond., mineral matter was chiefly salt and potassium phosphate. Captain, R.A.M.C. (S.R.). The flavour is agreeably "beefy" and not too rich. Besides its stimulating properties, this preparation provides a definite PRESENTATION TO A MEDICAL MAN.-Mr. F. C. food value due to proteoses, fibrin, and albumin, which renders who has been medical officer of the Fitzgerald, it useful for invalid purposes and also for general use as an Newtownbutler district ofdispensary co. Fermanagh for the past emergency restorative. 40 years, has been presented by his patients with an illuminated address and a cheque for £350, his wife receiving a 1 THE LANCET, 1916, i., 1187. gold watch.
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