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TRAINED NURSES FOR PATIENTS OF SMALL MEANS
1375
NOTES, COMMENTS, AND ABSTRACTS CUTANEOUS WOUNDS JOINED WITHOUT SUTURE To obviate the disadvantage, in joining the edges of a wound, of making a series of new puncture wounds for the passage of the threads, Dr. EJNAR DUJARDIN, of Copenhagen, proposes the following method, which he has practised successfully. At a distance of about I cm. from the edges of the wound (W) slips of adhesive plaster (L-L1) are attached to the skin, their borders being shaped according to the shape of the wound. A narrow border (B-Bi) of the plaster strips is left unattached to the skin, and through these free borders silk threads (T1- T6) The borders are are sewn from slip (L) to slip (Ll).
Diagrams illustrating the closure of wounds without by Dr. Dujardin’s method.
then stuck
together (B to B 1) and on tightening and knotting the threads the wound edges are carefully approximated. Care must be taken that the adhesive plaster slips are placed in such a way that the pull is longitudinal and not transverse. If the wound is particularly deep the tension may be reduced by applying through the subcutaneous tissue (G-G1) ring-shaped countersunk catgut sutures (C) which do not touch the epidermis (E) and which are tightened and knotted before sticking the adhesive plaster slips together. Dr. Dujardin says that this method, apart from the good result from a cosmetic point of view, has the advantage of being painless. LEPERS IN MALAYA
EvERY leper in Malaya is required by law to be segregated, and this law is strictly enforced. With the object of providing model conditions of housing, control, and treatment, the Government of the Federated Malay States opened in 1930 a free leper settlement at Sungei Buloh, 12 miles north-east of Kuala Lumpur, an accountof which has been prepared for publication by Dr. G. A. Ryrie, the medical superintendent. The settlement, which covers 57 acres, has accommodation for about 1000 lepers, who are housed in 13 large wards and some 150 separate dwelling houses. There is a school for 80 children, hospital wards are provided for advanced cases and for the sick, and out-patient buildings for examination and treatment of ambulatory inmates. All patients, except a few patently beyond aid, receive regular treatment, and they are encouraged to look forward to ultimate discharge, which is permitted when they have been clinically and bacteriologically free from symptoms for six months. 1
The Leper Settlement at Sungei Buloh in the Federated the Malaya
Malay States. Printed for the Government by Publishing House Limited, Singapore, 1933.
Dietetic, biochemical, and serological experiments, and investigation into the action of new drugs, are carried out with the aid of two volunteer groups kept under ward supervision. An interesting feature of the settlement is the endeavour to control the lepers without any coercion, physical or mental. Dr. Ryrie says : " The settlement is not on an island; there is no wall—only a demarcating wire fence-and any of these legally detained patients could escape if they wanted to. There are no outside guards or police, and the settlement is only a mile from the main road to the capital. In spite of this, very few ever attempt to escape, and most of these return voluntarily in a short time." This is effected by giving the patients responsibility and a share in the management of the institution, by providing them with plenty of suitable occupation and recreation, and by surrounding them with an atmosphere of fairness and naturalness. Four shops managed by the inmates are subject to only two restrictions-that no opium or alcohol is on sale, and that nothing but metal money, which can be easily sterilised, may pass as - currency. Married quarters are supplied in each section. The birth-rate is low, and, as no child is ever born with leprosy, those born in the settlement are protected by being removed at the age of two weeks to the general hospital in Kuala Lumpur, where they are cared for at Government expense. When parents are discharged from the settlement their children are suture returned to them; others are adopted. The work of the settlement is undoubtedly an advance in international endeavour to secure suitable conditions and adequate treatment for lepers, and when it is realised that the patients are of many different nationalities and at least half a dozen religions, it says much for the methods employed that administrative trouble is avoided and that a courteous and cheerful atmosphere prevails.
TRAINED NURSES FOR PATIENTS OF SMALL MEANS THE chairman of committee of the Nursing Sisters’
Institution, 10, Collingham-road, London, S.W.5,
calls our attention to the facilities provided by this institution. It was founded by Mrs. Elizabeth Fry, in 1840, for providing fully trained nurses at a reduced fee for those of small means. All members of the staff are fully trained State-registered nurses and are fully competent to undertake the nursing of all acute cases of illness : those sent to maternity patients hold, in addition to their certificate for general training, the certificate of the C.M.B. The fees charged are from £2 12s. 6d. per week, and a billeting fee of 21Is. to £110s. is charged for boarding out nurses who cannot be accommodated in the patient’s home. Our readers will be glad to have the address of the institution for the benefit of patients unable to afford the full fees for the services of a private nurse. Further particulars may be obtained from the lady superintendent at the institution. LONDON OUT-PATIENT TIME-TABLE
King Edward’s Hospital Fund has brought out new edition, revised to May, 1934, of a hospital out-patient time-table, setting out the hours at which medical, surgical, and other special cases are dealt with at the voluntary hospitals within the radius of a
11 miles from St. Paul’s. The time-table should be of assistance not only to the various social agencies,
NOTES, COMMENTS, AND ABSTRACTS CUTANEOUS WOUNDS JOINED WITHOUT SUTURE To obviate the disadvantage, in joining the edges of a wound, of making a series of new puncture wounds for the passage of the threads, Dr. EJNAR DUJARDIN, of Copenhagen, proposes the following method, which he has practised successfully. At a distance of about I cm. from the edges of the wound (W) slips of adhesive plaster (L-L1) are attached to the skin, their borders being shaped according to the shape of the wound. A narrow border (B-Bi) of the plaster strips is left unattached to the skin, and through these free borders silk threads (T1- T6) The borders are are sewn from slip (L) to slip (Ll).
Diagrams illustrating the closure of wounds without by Dr. Dujardin’s method.
then stuck
together (B to B 1) and on tightening and knotting the threads the wound edges are carefully approximated. Care must be taken that the adhesive plaster slips are placed in such a way that the pull is longitudinal and not transverse. If the wound is particularly deep the tension may be reduced by applying through the subcutaneous tissue (G-G1) ring-shaped countersunk catgut sutures (C) which do not touch the epidermis (E) and which are tightened and knotted before sticking the adhesive plaster slips together. Dr. Dujardin says that this method, apart from the good result from a cosmetic point of view, has the advantage of being painless. LEPERS IN MALAYA
EvERY leper in Malaya is required by law to be segregated, and this law is strictly enforced. With the object of providing model conditions of housing, control, and treatment, the Government of the Federated Malay States opened in 1930 a free leper settlement at Sungei Buloh, 12 miles north-east of Kuala Lumpur, an accountof which has been prepared for publication by Dr. G. A. Ryrie, the medical superintendent. The settlement, which covers 57 acres, has accommodation for about 1000 lepers, who are housed in 13 large wards and some 150 separate dwelling houses. There is a school for 80 children, hospital wards are provided for advanced cases and for the sick, and out-patient buildings for examination and treatment of ambulatory inmates. All patients, except a few patently beyond aid, receive regular treatment, and they are encouraged to look forward to ultimate discharge, which is permitted when they have been clinically and bacteriologically free from symptoms for six months. 1
The Leper Settlement at Sungei Buloh in the Federated the Malaya
Malay States. Printed for the Government by Publishing House Limited, Singapore, 1933.
Dietetic, biochemical, and serological experiments, and investigation into the action of new drugs, are carried out with the aid of two volunteer groups kept under ward supervision. An interesting feature of the settlement is the endeavour to control the lepers without any coercion, physical or mental. Dr. Ryrie says : " The settlement is not on an island; there is no wall—only a demarcating wire fence-and any of these legally detained patients could escape if they wanted to. There are no outside guards or police, and the settlement is only a mile from the main road to the capital. In spite of this, very few ever attempt to escape, and most of these return voluntarily in a short time." This is effected by giving the patients responsibility and a share in the management of the institution, by providing them with plenty of suitable occupation and recreation, and by surrounding them with an atmosphere of fairness and naturalness. Four shops managed by the inmates are subject to only two restrictions-that no opium or alcohol is on sale, and that nothing but metal money, which can be easily sterilised, may pass as - currency. Married quarters are supplied in each section. The birth-rate is low, and, as no child is ever born with leprosy, those born in the settlement are protected by being removed at the age of two weeks to the general hospital in Kuala Lumpur, where they are cared for at Government expense. When parents are discharged from the settlement their children are suture returned to them; others are adopted. The work of the settlement is undoubtedly an advance in international endeavour to secure suitable conditions and adequate treatment for lepers, and when it is realised that the patients are of many different nationalities and at least half a dozen religions, it says much for the methods employed that administrative trouble is avoided and that a courteous and cheerful atmosphere prevails.
TRAINED NURSES FOR PATIENTS OF SMALL MEANS THE chairman of committee of the Nursing Sisters’
Institution, 10, Collingham-road, London, S.W.5,
calls our attention to the facilities provided by this institution. It was founded by Mrs. Elizabeth Fry, in 1840, for providing fully trained nurses at a reduced fee for those of small means. All members of the staff are fully trained State-registered nurses and are fully competent to undertake the nursing of all acute cases of illness : those sent to maternity patients hold, in addition to their certificate for general training, the certificate of the C.M.B. The fees charged are from £2 12s. 6d. per week, and a billeting fee of 21Is. to £110s. is charged for boarding out nurses who cannot be accommodated in the patient’s home. Our readers will be glad to have the address of the institution for the benefit of patients unable to afford the full fees for the services of a private nurse. Further particulars may be obtained from the lady superintendent at the institution. LONDON OUT-PATIENT TIME-TABLE
King Edward’s Hospital Fund has brought out new edition, revised to May, 1934, of a hospital out-patient time-table, setting out the hours at which medical, surgical, and other special cases are dealt with at the voluntary hospitals within the radius of a
11 miles from St. Paul’s. The time-table should be of assistance not only to the various social agencies,