1
218 councillors by the voters, and if it be really true that the memorialists represent a substantial number of the citizene it will be quite easy for them to show that they mean what they say at the next municipal election. The C%Mc7 Observer of July 6th states that" the medical officer has recommended a house-to-house inspection, but the matter proceeds no further." Since it rests with this officer to advise the council as to what is necessary, and since he has the responsibility of determining what are the causes of disease in his district, it is very ominous to find that when he gives his advice the matter proceeds no further." In view of the present aspect of affairs it may be asked by some why Chichester should receive State aid at which its represen tatives scoff, whilst other districts who would gladly get the advice of independent central experts are often denied that help on the ground of an insufficiency of staff. THE JUBILEE OF W. G. GRACE. AT fifty years of age a man’s natural force may pre- sumably be supposed to be abating. As medical journalists we are naturally interested in seeing the incomparable I I W. G." apparently as well able as ever he was to stand a long day’s fielding, to get runs, and to take wickets. The complicated muscular movements and the absolute corre- spondence of hand and eye which playing sound cricket requires are only to be really appreciated by those who under- stand anatomy and physiology. We are therefore all the more interested in Mr. Grace’s success, for although his fame has been won on other fields than those of the laboratory and the sick room we all remember with pride that he is a member of the profession of medicine and hence we have a double reason for offering our congratulations to one who has shown himself so proficient in every department of the national game. ENANTHEMATA. AT the annual meeting of the American Pediatric Society held in Cincinnati in the beginning of June Dr. F. Forch- heimer, of Cincinnati, read a paper on what he considered to be a characteristic enanthem of German measles. Accord- ing to the extract published in Pediatrios the enanthem is a macular, distinctly rose-red eruption upon the velum of the palate and the uvula, extending to, but not over, the hard palate. The spots are arranged irregularly, not crescenti- cally, are of the size of large pin-heads, and are very little elevated above the level of the mucous membrane. He studied the eruption in 22 cases. In no case had he seen the exanthem when there was not present a suggestion of the enanthem. The enanthem is very short-lived, fading away within the first 24 hours. It is the same eruption which is found upon the skin, characterised by the size of efflorescence, its arrangement, the absence of great infiltration, and, above all, by its colour, a pure pinky- rose-red, almost exactly the same as the "roseola" of typhoid fever. During the process of involution there are sometimes left pigmented deposits, usually of a yellowish or yellowish- brown colour, either in the form of spots or streaks. The difference between this enanthem and those of scarlet fever and measles is as follows : in scarlet fever the enanthem appears from twelve to twenty-four hours before the eruption. It appears on the pillars of the fauces in the form of characteristic puncta, then rapidly spreads over the mouth in the form of a scarlet-red coalescing eruption, which ends in desquamation, producing the strawberry tongue. In measles the enanthem begins upon the soft palate from thirty-six to forty-eight hours before the exanthem in the form of purplish papules arranged crescentically. Some of the subsequent speakers said that their experience confirmed that of Dr. Forchheimer and Dr. Jacobi made a, reference to the enanthem described by Koplik in measles, a report on which was published in a recent number of the Ð(nttsclie Medioinisohe iVoe7ie7ise7irift. THE HAMPSTEAD HEATH EXTENSION SCHEME. THE Lord Mayor presided on Tuesday over a public meet- ing at the Mansion House in furtherance of this scheme at which the speakers included the Marquis of Lorne, Lord Knutsford, Sir Samuel Wilks, Lady Jeune, Mr. Seymour Lucas, R.A., Canon Ainger, and Sir Henry Harben. Motions were carried unanimously approving of the endeavour that is being made to preserve the beauty and extend the area " of Hampstead Heath and calling upon the public to accord a generous response to the wider appeal that is now being made." Yesterday (Thursday) Sir Henry Harben, chairman of the local committee of the Hampstead Heath Extension Scheme, received a large number of visitors at Golder’s Hill during the afternoon, the result of which informal garden-party should be a large accession of sub. scriptions. - IRREGULAR MEDICAL PRACTITIONERS. I IN the House of Commons on Tuesday last Dr. Far- quharson asked the Chancellor of the Exchequer the following question: "Whether, having regard to the fact that a sum of &5000 a year of public money is paid to the Council of the Incorporated Law Society to assist them in purifying the legal profession, he could see his way to make a similar grant to the General Medical Council to enable them to undertake the prosecution of irregular medical practitioners." The Chancellor of the Exchequer said that the sum granted to the Council of the Incorporated Law Society was .E2500 and was only a small fraction of the yield from the special duty on solicitors’ certificates which went to the Exchequer. No such tax was imposed upon medical practitioners and therefore no question of a similar grant to the General Medical Council arose. Dr. Farquharson must have known that his question would elicit this obvious reply. We hope that he will not be deterred from making further moves in this and other directions towards obtaining for the General Medical Council further powers. - THE X RAYS IN MILITARY SURGERY. PROFESSOR KÜTTNER of Tubingen, who followed the last Greek war in connexion with the German Red Cross Society, has made some interesting experiments with the Roentgen rays at the Constantinople Hospital. In his report, just issued, he says that while the apparatus proved of service when applied with the screen it was rarely possible to take a satisfactory photograph on account of the difficulty of bringing the patients into the proper position. The former method proved often the only way to ascertain the site of a projectile which had entered the body and had remained there. This was applicable to all parts of the body except the stomach and head. A bullet in the brain, for instance, showed very indistinctly. (Last spring an arrangement of mirrors was exhibited at a soiree of the Royal Institution where a photograph of the brain showed in relief, thus enabling the operator not only to see the foreign body but also to measure correctly its distance from the outer wall of the cranium.) Professor Kiittner says it is noteworthy that splinters of bullets and of bone which had penetrated into the soft parts of the body could not be distinguished from each other. Also, he says, it was proved that the opinion that deep-lying masses of pus could be located was rroneous. Injuries to the central nervous system, the spinal cord, and the peripheral nerves were solely ascer- :ainable b the aid of the Roentgen rays, It was impossible

THE JUBILEE OF W. G. GRACE

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councillors by the voters, and if it be really true that thememorialists represent a substantial number of the citizeneit will be quite easy for them to show that they meanwhat they say at the next municipal election. The C%Mc7

Observer of July 6th states that" the medical officer has

recommended a house-to-house inspection, but the matterproceeds no further." Since it rests with this officer to advisethe council as to what is necessary, and since he has the

responsibility of determining what are the causes of diseasein his district, it is very ominous to find that when he giveshis advice the matter proceeds no further." In view ofthe present aspect of affairs it may be asked by some whyChichester should receive State aid at which its representatives scoff, whilst other districts who would gladly getthe advice of independent central experts are often deniedthat help on the ground of an insufficiency of staff.

THE JUBILEE OF W. G. GRACE.

AT fifty years of age a man’s natural force may pre-sumably be supposed to be abating. As medical journalistswe are naturally interested in seeing the incomparableI I W. G." apparently as well able as ever he was to stand along day’s fielding, to get runs, and to take wickets. The

complicated muscular movements and the absolute corre-

spondence of hand and eye which playing sound cricket

requires are only to be really appreciated by those who under-stand anatomy and physiology. We are therefore all the moreinterested in Mr. Grace’s success, for although his fame hasbeen won on other fields than those of the laboratory and thesick room we all remember with pride that he is a memberof the profession of medicine and hence we have a doublereason for offering our congratulations to one who has shownhimself so proficient in every department of the national

game.

ENANTHEMATA.

AT the annual meeting of the American Pediatric Societyheld in Cincinnati in the beginning of June Dr. F. Forch-heimer, of Cincinnati, read a paper on what he consideredto be a characteristic enanthem of German measles. Accord-

ing to the extract published in Pediatrios the enanthem is amacular, distinctly rose-red eruption upon the velum of thepalate and the uvula, extending to, but not over, the hardpalate. The spots are arranged irregularly, not crescenti-cally, are of the size of large pin-heads, and are very littleelevated above the level of the mucous membrane. He

studied the eruption in 22 cases. In no case had he seenthe exanthem when there was not present a suggestion ofthe enanthem. The enanthem is very short-lived, fadingaway within the first 24 hours. It is the same eruptionwhich is found upon the skin, characterised by the size

of efflorescence, its arrangement, the absence of greatinfiltration, and, above all, by its colour, a pure pinky-rose-red, almost exactly the same as the "roseola" of typhoidfever. During the process of involution there are sometimesleft pigmented deposits, usually of a yellowish or yellowish-brown colour, either in the form of spots or streaks. Thedifference between this enanthem and those of scarlet feverand measles is as follows : in scarlet fever the enanthem

appears from twelve to twenty-four hours before the eruption.It appears on the pillars of the fauces in the form of

characteristic puncta, then rapidly spreads over the mouthin the form of a scarlet-red coalescing eruption, which endsin desquamation, producing the strawberry tongue. In

measles the enanthem begins upon the soft palate fromthirty-six to forty-eight hours before the exanthem in theform of purplish papules arranged crescentically. Some ofthe subsequent speakers said that their experience confirmedthat of Dr. Forchheimer and Dr. Jacobi made a, reference to

the enanthem described by Koplik in measles, a report onwhich was published in a recent number of the Ð(nttsclieMedioinisohe iVoe7ie7ise7irift.THE HAMPSTEAD HEATH EXTENSION SCHEME.

THE Lord Mayor presided on Tuesday over a public meet-ing at the Mansion House in furtherance of this scheme atwhich the speakers included the Marquis of Lorne, LordKnutsford, Sir Samuel Wilks, Lady Jeune, Mr. SeymourLucas, R.A., Canon Ainger, and Sir Henry Harben. Motionswere carried unanimously approving of the endeavour thatis being made to preserve the beauty and extend the area

"

of Hampstead Heath and calling upon the public to

accord a generous response to the wider appeal that is nowbeing made." Yesterday (Thursday) Sir Henry Harben,chairman of the local committee of the Hampstead HeathExtension Scheme, received a large number of visitors at

Golder’s Hill during the afternoon, the result of whichinformal garden-party should be a large accession of sub.scriptions.

-

IRREGULAR MEDICAL PRACTITIONERS.

I IN the House of Commons on Tuesday last Dr. Far-

quharson asked the Chancellor of the Exchequer the

following question: "Whether, having regard to the factthat a sum of &5000 a year of public money is paid to theCouncil of the Incorporated Law Society to assist them inpurifying the legal profession, he could see his way to makea similar grant to the General Medical Council to enablethem to undertake the prosecution of irregular medicalpractitioners." The Chancellor of the Exchequer said thatthe sum granted to the Council of the IncorporatedLaw Society was .E2500 and was only a small fraction

of the yield from the special duty on solicitors’ certificateswhich went to the Exchequer. No such tax was imposedupon medical practitioners and therefore no question of asimilar grant to the General Medical Council arose. Dr.

Farquharson must have known that his question wouldelicit this obvious reply. We hope that he will not be

deterred from making further moves in this and otherdirections towards obtaining for the General Medical Councilfurther powers. -

THE X RAYS IN MILITARY SURGERY.

PROFESSOR KÜTTNER of Tubingen, who followed the lastGreek war in connexion with the German Red Cross Society,has made some interesting experiments with the Roentgenrays at the Constantinople Hospital. In his report, justissued, he says that while the apparatus proved of servicewhen applied with the screen it was rarely possible to takea satisfactory photograph on account of the difficulty ofbringing the patients into the proper position. The formermethod proved often the only way to ascertain the site

of a projectile which had entered the body and hadremained there. This was applicable to all parts of the

body except the stomach and head. A bullet in the brain,for instance, showed very indistinctly. (Last spring anarrangement of mirrors was exhibited at a soiree of the RoyalInstitution where a photograph of the brain showed in relief,thus enabling the operator not only to see the foreign bodybut also to measure correctly its distance from the outer wallof the cranium.) Professor Kiittner says it is noteworthythat splinters of bullets and of bone which had penetratedinto the soft parts of the body could not be distinguishedfrom each other. Also, he says, it was proved that the

opinion that deep-lying masses of pus could be located wasrroneous. Injuries to the central nervous system, the

spinal cord, and the peripheral nerves were solely ascer-:ainable b the aid of the Roentgen rays, It was impossible