1
1227 PARIS.-CANADA. Martin, D.D , Mr. Adam Dutnn, LL.B , the President of the North of Ireland Branch of the British Medical Association, the President and Secretaries of the Medical Students’ Asso- ciation, and the President and Secretaries of the Ulster Medical Society. The honorary secretaries will shortly draw ap and circulate a letter inviting subscriptions, to which it is certain that Dr. Redfern’s very numerous pupils, scattered all over the United Kingdom and the Colonies, will gladly respond. Belfast Dispensary Appointments. Belfast Dispensary Appointments. At a meeting of the Belfast Dispensary Committee held on Monday for the election of three medical officers the follow- ’ing gentlemen were appointed : Dr. Alexander, Dr. Jamison and Dr. Fulton. Before the election the enclosed resolution was discussed and passed by a large majority:-" That no gentleman holding any medical appointment under the Belfast Dispensary District will under any circumstances whatever be permitted to reside out of his sub-district, nor will he be :allowed to open any shop for the supply of medicines to other than private patients during the tenure of his office as medical officer; and that in case of a breach of this resolution he will be called upon to resign, and in case of refusal will be peremptorily dismissed.’’ May 16th. ________________ PARIS. (FROM OUR OWN CORRESPONDENT.) A Clinical Temperature Alar2inz. AN ingenious Frenchman-M. Tavernier by name-has recently invented an apparatus for registering a rise of tem- perature through friction in any part of a machine or in a mass of grain through fermentation. The apparatus consists of a small metallic bulb half-filled with ether, the bulb being hermetically sealed by a corrugated cover. Any elevation of temperature in the medium in which the bulb is placed causes, through the expansion of the ether vapour, a straightening out of the cover, which is then made to com- plete an electric circuit working an electric bell. Some medical friend has doubtless told M. Tavernier that in certain diseases-rheumatic fever, to wit-the discovery of hyper- pyrexia suddenly produced is of the utmost importance. Nothing can be easier than to fix his bulb in the axilla of the patient, any sudden rise in whose body-heat is announced by the ringing of the bell and the consequent rush of alarmed nurses and students to the rescue. Bat the inventor goes even further and dreams of a time when a whole series of patients in a ward shall wear his apparatus tucked in their armpits, each bulb being connected with a numbered in- dicator placed in the salle de garde, or house surgeon’s room. The dresser or house physician will then only have to lift his <eyes from his plate and read on the indicator the intelligence that No. 5 or 6 in such and such a ward has transgressed the limits of temperature. When will these halcyon days dawn upon us ? ? Essences as Antiseptics. M. Lucas-Championniere has recently, in his wards at Saint-Louis, given a trial to certain essences-such as essence of canella-as substitutes for carbolic acid, sublimate solu- tion &c. In this connexion I may remind the readers of THE LANCET that M Chamberland has proved experimentally in his laboratory the superiority of canella over even corrosive sublimate in antiseptic power. Being only slightly soluble in water, the essence of canella is irritating to the skin. Retinol has accordingly been utilised as a solvent, the solution thus obtained being at 1 per cent. devoid of all irritable properties. The essence of canella thus used must, however, be rectified, when it bears the name of cinnamol. An ointment composed of cinnamol, retinol and wax has been found to promote healing in aseptic wounds. Similar successful experiments have been made by M. Lucas-Championniere with the essences of vervain and geranium. It was noticed that absorption evidently took place, proof of it being discovered on analysing the urine. Mediterranean F’ever. , In the Annales de l’Institut Pasteur Dr. David Bruce l describes an affection which prevails throughout a large portion of the Mediterranean littoral and which, according to a him, who has made a long and careful study of it at Malta, is quite distinct from typhoid fever and malaria. 1 Clinically it reveals itself by fever, profuse perspiration and J constipation, and it is accompanied with or followed by sharp ( pains, either of a rheumatic or neuralgic type, with swelling of the joints or of the testes. It lasts generally several weeks. Post mortem there are found enlargement of the spleen and parenchymatous changesinseveral organs. Peyer’s patches are normal; neither the plasmodia of Laveran nor Eberth’s bacillus are present. The prognosis is comparatively favourable, only about 2 per cent. of the sufferers succumbing. The etiology of the disease remains a mystery, but Dr. Bruce succeeded so long ago as 1887 in isolating the microbe peculiar to it. To this micro-organism he has given the name "micrococcus Meliteusis. " It is a slightly oval micrococcus, found singly, rarely in pairs and never in chains. It has no power of spontaneous movement. The discoverer has always found it in the spleen and frequently in the liver and kidneys of those who have died of the disease. On one occasion puncture of the spleen during life yielded specimens. Pure cultures have been obtained in gelatinised beef bouillon. Attempts at cultivation on potato have failed. Pure cultures inoculated into mice, guinea-pigs and rabbits gave only negative results. Of seven monkeys inoculated four died after having presented the same symptoms as the human being, and the microbe was found post mortem in their organs. The other three monkeys recovered after prolonged illness. Disinfection of Paris Fever Nests. The asile de nuit represents in this capital the London workhouse. The recent typhus fever epidemic teaches suffi- ciently the r&ocirc;le that these "tramps’ barracks " may play in the propagation of disease. In Paris they are eighteen in number, three belonging to the municipality, four to the Societe de 1’Hospitalite de Nuit, the same number to the Societe Philanthropique, whilst the remaining seven were founded by divers philanthropists. A very sensible measure has just been decided upon by the Comite d’Hygiene et de Salubrite de la Seine in connexion with these refuges. Every evening special vans will be despatched to each asile. They will convey the clothing of all the newcomers to the municipal disinfecting ovens. In the morning they will be brought back, after having undergone a thorough disinfecting process. At bedtime nightshirts previously disinfected will be distri- buted to the inmates. May 16th. _________________ CANADA. (FROM OUR OWN CORRESPONDENT.) Regulations regarding Cholera. THE Provincial Board of Health, Ontario, has, under date April 11th, issued a series of regulations with reference to cholera which have been approved of by the Lieutenant- Governor in Council. Provision is made for the appoint- ment of medical inspectors should the disease appear on this continent, and their duties are defined ; instruction is also given as to the isolation of cases, the detention of suspects and the proper disposal of the dead. Pamphlet No. 1, 1893, is also issued as a guide for the proper carrying out of these regulations. The board recently had a series of lectures delivered upon the subject of cholera, with the view of having a staff of medical men fully pre- pared to deal with an outbreak of the disease should such unfortunately occur. Certainly, so far as Ontario is con- cerned, the board is prepared for prompt and efficient action. Dr. illontizambert, the officer in charge of the Dominion quaran- tine stations, has, it is stated, accommodation for nearly 500 cabin and 2000 intermediate passengers, and a landing place has been provided at Louise Dock, Quebec, for the con- venience of passengers from vessels with a clean bill of health. There they will be granted certificates of disinfection, as the Government are providing the necessary apparatus for such being done. Medical Appointments in Toronto. Professor Charles Sheard (Trinity) has been appointed Medical Health Officer for the City of Toronto at a salary of $3000 per annum. Dr. Uzziel Ogden, Professor of Gyn2ecology, has been elected Dean of the Medical Faculty, University of Toronto, in succession to Professor W. T. Aikins. Dr. G. Sterling Ryerson, Professor of Ophthalmology and Otology, Trinity Medical College, Toronto, was recently returned at a by-election as the third representative for Toronto in the Local Legislature by some 500 majority over Dr. W. W. Ogden, late Professor of Jurisprudence, University of Toronto.

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1227PARIS.-CANADA.

Martin, D.D , Mr. Adam Dutnn, LL.B , the President of theNorth of Ireland Branch of the British Medical Association,the President and Secretaries of the Medical Students’ Asso-ciation, and the President and Secretaries of the UlsterMedical Society. The honorary secretaries will shortly drawap and circulate a letter inviting subscriptions, to which it iscertain that Dr. Redfern’s very numerous pupils, scattered allover the United Kingdom and the Colonies, will gladlyrespond.

Belfast Dispensary Appointments.Belfast Dispensary Appointments.At a meeting of the Belfast Dispensary Committee held on

Monday for the election of three medical officers the follow-’ing gentlemen were appointed : Dr. Alexander, Dr. Jamisonand Dr. Fulton. Before the election the enclosed resolutionwas discussed and passed by a large majority:-" That nogentleman holding any medical appointment under the BelfastDispensary District will under any circumstances whateverbe permitted to reside out of his sub-district, nor will he be:allowed to open any shop for the supply of medicines toother than private patients during the tenure of his office asmedical officer; and that in case of a breach of this resolutionhe will be called upon to resign, and in case of refusal will beperemptorily dismissed.’’May 16th.

________________

PARIS.(FROM OUR OWN CORRESPONDENT.)

A Clinical Temperature Alar2inz.AN ingenious Frenchman-M. Tavernier by name-has

recently invented an apparatus for registering a rise of tem-perature through friction in any part of a machine or in amass of grain through fermentation. The apparatus consistsof a small metallic bulb half-filled with ether, the bulb beinghermetically sealed by a corrugated cover. Any elevation oftemperature in the medium in which the bulb is placedcauses, through the expansion of the ether vapour, a

straightening out of the cover, which is then made to com-plete an electric circuit working an electric bell. Somemedical friend has doubtless told M. Tavernier that in certaindiseases-rheumatic fever, to wit-the discovery of hyper-pyrexia suddenly produced is of the utmost importance.Nothing can be easier than to fix his bulb in the axilla of thepatient, any sudden rise in whose body-heat is announced bythe ringing of the bell and the consequent rush of alarmednurses and students to the rescue. Bat the inventor goeseven further and dreams of a time when a whole series of

patients in a ward shall wear his apparatus tucked in theirarmpits, each bulb being connected with a numbered in-dicator placed in the salle de garde, or house surgeon’s room.The dresser or house physician will then only have to lift his<eyes from his plate and read on the indicator the intelligencethat No. 5 or 6 in such and such a ward has transgressed thelimits of temperature. When will these halcyon days dawnupon us ? ?

Essences as Antiseptics.M. Lucas-Championniere has recently, in his wards at

Saint-Louis, given a trial to certain essences-such as essenceof canella-as substitutes for carbolic acid, sublimate solu-tion &c. In this connexion I may remind the readers of THELANCET that M Chamberland has proved experimentally inhis laboratory the superiority of canella over even corrosivesublimate in antiseptic power. Being only slightly soluble inwater, the essence of canella is irritating to the skin. Retinolhas accordingly been utilised as a solvent, the solution thusobtained being at 1 per cent. devoid of all irritable properties.The essence of canella thus used must, however, be rectified,when it bears the name of cinnamol. An ointment composedof cinnamol, retinol and wax has been found to promotehealing in aseptic wounds. Similar successful experimentshave been made by M. Lucas-Championniere with the essencesof vervain and geranium. It was noticed that absorptionevidently took place, proof of it being discovered on analysingthe urine.

Mediterranean F’ever. ,

In the Annales de l’Institut Pasteur Dr. David Bruce ldescribes an affection which prevails throughout a large

portion of the Mediterranean littoral and which, according to ahim, who has made a long and careful study of it atMalta, is quite distinct from typhoid fever and malaria. 1

Clinically it reveals itself by fever, profuse perspiration and J

constipation, and it is accompanied with or followed by sharp (

pains, either of a rheumatic or neuralgic type, with swellingof the joints or of the testes. It lasts generally several weeks.Post mortem there are found enlargement of the spleen andparenchymatous changesinseveral organs. Peyer’s patches arenormal; neither the plasmodia of Laveran nor Eberth’s bacillusare present. The prognosis is comparatively favourable, onlyabout 2 per cent. of the sufferers succumbing. The etiologyof the disease remains a mystery, but Dr. Bruce succeeded solong ago as 1887 in isolating the microbe peculiar to it. Tothis micro-organism he has given the name "micrococcusMeliteusis. " It is a slightly oval micrococcus, found singly,rarely in pairs and never in chains. It has no power of

spontaneous movement. The discoverer has always found itin the spleen and frequently in the liver and kidneys of thosewho have died of the disease. On one occasion puncture ofthe spleen during life yielded specimens. Pure cultures havebeen obtained in gelatinised beef bouillon. Attempts atcultivation on potato have failed. Pure cultures inoculatedinto mice, guinea-pigs and rabbits gave only negative results.Of seven monkeys inoculated four died after having presentedthe same symptoms as the human being, and the microbewas found post mortem in their organs. The other threemonkeys recovered after prolonged illness.

Disinfection of Paris Fever Nests.’ The asile de nuit represents in this capital the Londonworkhouse. The recent typhus fever epidemic teaches suffi-ciently the r&ocirc;le that these "tramps’ barracks " may play inthe propagation of disease. In Paris they are eighteen innumber, three belonging to the municipality, four to theSociete de 1’Hospitalite de Nuit, the same number to theSociete Philanthropique, whilst the remaining seven werefounded by divers philanthropists. A very sensible measurehas just been decided upon by the Comite d’Hygiene et deSalubrite de la Seine in connexion with these refuges. Everyevening special vans will be despatched to each asile. Theywill convey the clothing of all the newcomers to the municipaldisinfecting ovens. In the morning they will be broughtback, after having undergone a thorough disinfecting process.At bedtime nightshirts previously disinfected will be distri-buted to the inmates.May 16th.

_________________

CANADA.

(FROM OUR OWN CORRESPONDENT.)

Regulations regarding Cholera.THE Provincial Board of Health, Ontario, has, under date

April 11th, issued a series of regulations with referenceto cholera which have been approved of by the Lieutenant-Governor in Council. Provision is made for the appoint-ment of medical inspectors should the disease appear onthis continent, and their duties are defined ; instructionis also given as to the isolation of cases, the detentionof suspects and the proper disposal of the dead. PamphletNo. 1, 1893, is also issued as a guide for the propercarrying out of these regulations. The board recently hada series of lectures delivered upon the subject of cholera,with the view of having a staff of medical men fully pre-pared to deal with an outbreak of the disease should suchunfortunately occur. Certainly, so far as Ontario is con-cerned, the board is prepared for prompt and efficient action.Dr. illontizambert, the officer in charge of the Dominion quaran-tine stations, has, it is stated, accommodation for nearly500 cabin and 2000 intermediate passengers, and a landingplace has been provided at Louise Dock, Quebec, for the con-venience of passengers from vessels with a clean bill of health.There they will be granted certificates of disinfection, as theGovernment are providing the necessary apparatus for suchbeing done.

Medical Appointments in Toronto.Professor Charles Sheard (Trinity) has been appointed

Medical Health Officer for the City of Toronto at a salary of$3000 per annum. Dr. Uzziel Ogden, Professor of Gyn2ecology,has been elected Dean of the Medical Faculty, University ofToronto, in succession to Professor W. T. Aikins. Dr. G.Sterling Ryerson, Professor of Ophthalmology and Otology,Trinity Medical College, Toronto, was recently returned at aby-election as the third representative for Toronto in theLocal Legislature by some 500 majority over Dr. W. W.Ogden, late Professor of Jurisprudence, University of Toronto.