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CORRESPONDENCE. is not necessary to have nephritis in order to have uremia. A uremic condi THE PASSING OF THE INDEX tion of the blood exists before nephri

MEDICUS. tis. Dr. J. W. Chambers related a case of

DETROIT, Mich., June 7, 1895. uremic convulsions in a pregnant woman

Editor MARYLAND MEDICAL JOURNAL : who died. The kidneys at the post

Dear Sir :- I notify you, as a submortem revealed no diseased condition. scriber, that the Index Medicus termiThere is no definite relation between

nated its existence under my supervision, the kidneys and the symptoms in these

with the April number. I have pubcases. Worry, uneasiness, etc., may

lished this journal since January, 1885, bring about this condition. Abuminu at an annual loss of from $500 to $1000, ria and casts are not so important as

in view of my interest in a purely scienit was formerly supposed. The general

tific publication, in which I had no mertendency at the present time is to bleed cenary interest whatever. This is a for everything. Dr. Michael's explana- larger sum than has been contributed tion of the efficacy of bleeding is prob- by any professional man or body of ably not correct, but it puts the patient professional men to this purpose. into a position to eliminate the poison. Owing to the hard times of 1893 the He spoke of the inadequate kidney en subscription list of this journal was countered by the surgeon.

greatly shrunken, and difficulty was Dr. Streett: His experience teaches

found in making collections from subthat all cases of albuminuria have nephri- scribers. The deficit in 1893 was a very tis. The methods of examining the

material sum, which was largely inurine are not sufficiently accurate. Cases

creased in 1894. Announcement was of albuminuria also present a small per

then made to the medical profession centage of urea. Casts, as Dr. Cham

that unless the subscription list of the bers has said, are often found, nearly journal could be placed upon a paying always hyaline.

basis I must discontinue its publication. Dr. E. G. Waters related a Many friends of the Index Medicus apin which the specific gravity of the pealed to me to defer action until they urine passed before eating in the morn

could by individual and organized effort ing was 1028, while that voided after arrange for an increased number of subeating had a specific gravity of 1000.

scriptions, or for a fund whereby its Dr. Pennington: The only symptom

continuance might be assured. After a to lead one to suspect albuminuria was

period of six months it is found that the a little indigestion for two or three prospective deficit this year, assuming weeks. Hysteria was out of the ques

that all subscriptions are collectible, will tion. The temperature next morning be nearly $2000. Inasmuch as I can was 101°. He mentioned a

case of not afford to carry such a burden I have uremic convulsions following scarlatina,

decided as above announced. cured by the hypodermic injection of

Very sincerely yours, the fluid extract of jaborandi. In the

(Signed) Geo. S. DAVIS. present case the depression was so great that he was afraid to try pilocarpine. USE OF MERCURY IN ACROMEGALY.He spoke highly of the use of nitro Dr. Schlesinger of Vienna (Medicine) reglycerine in cyanosis. As to the use of ports that a patient affected with acrowater as suggested by Dr. Streett, the megaly and at the same time with parpatient could not have swallowed. He

He alysis of the ocuio-motor muscle on the has had no experience with venesec- right side, with gray decoloration of the tion.

optic discs and hemianopsia, under the

influence of inunctions of mercury so far Eugene Lee CRUTCHFIELD, M. D.,

recovered that the ptosis disappeared and Recording and Reporting Secretary. the visual field is again nearly normal.

case

Medical

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MARYLAND

sick-list was 3624, which is a decrease com

pared with last year, but the average number Journal. of men sick daily was 365.90, which is an in

crease over last year. The number of deaths PUBLISHED WEEKLY.

was 56. It is interesting to note that there was a decrease in the number of cases of the

infectious diseases and typhoid fever over TERMS OF SUBSCRIPTION, $3.00 a year, payable

last year. in advance, including postage for the I'nited There were only five cases of smallpox, one States, Canada and Mexico. Subscriptions may begin with any date.

of which was leftover from last year, and there DATE OF PAYMENT.-The date following the suh

were 2063 vaccinations, of which 543 were sucscriber's name on the label shows the time to cessful and 1520 were unsuccessful. The which payment has been made. Subscribers are earnestly requested to avoid arrearages.

number of venereal cases was much larger CHANGES OF ADDRESS.--When a change of ad

than any previous year

The tables in condress is ordered, both the old and new address

nection with this report will be especially must be given. Notice should be sent a week in advance of the change desired.

interesting to the statistician and the little TO CORRESPONDENTS.- Original articles are so volume is a great credit to the Director-Genlicited from members of the profession through

eral. out the world. Reprints will be furnished in payment of accepted articles if the author's wish is so stated at the time.

The articles written for medical journals CORRESPONDENCE upon subjects of general or may be divided into many classes. One class is special interest, prompt intelligence of local matters of interest to the profession, items of news,

that in which the author etc., are respectfully solicited. Marked copies of other publications sent us should bear the notice

Medical References. simply relates a case and " marked copy "on wrapper.

gives it unadorned to the Address: MARYLAND MEDICAL JOURNAL, profession. Such work is often enhanced in 209 Park Ave., Baltimore, Md.

value if several cases are cited and some inWASHINGTON OFFICE:

ferences or conclusions are drawn. In other Room 22 Washington Loan and Trust Co. Building.

instances the author will search the literature

honestly through and see what has been said BALTIMORE, JULY 6, 1895.

before him, and if necessary quote or para

phrase it so that the reader may compare The recent war between Japan and China without going through the same research. and the superiority of the former country

Too many men, however, relate a few cases, over the latter in every

draw some conclusions and then tack on a The Japanese Navy. particular makes a report long list of formidable references from sevof the health of the Japa

eral languages to give an effect to their work. nese Navy especially interesting. This is is Of course these authors have looked up every sued by the Director-General Yasuzumi San

reference and verified them in most cases, eyoshi, F. R. C. S., Eng., H. M., and is a but it not infrequently happens that the refvery carefully prepared report. It is for the erences will be found in some encyclopedia, twenty-sixth year of Meiji, which is 1893. as the Index Medicus, and are simply copied

From this work it is seen that the number to impose on an unsuspecting public. Such of cases of disease and injury returned for the

work is bound to be found out in the end. twenty-sixth year of Meiji shows a decrease When ground which has been untouched in comparison with the preceding year, but as for a long time is gleaned over and the literathere was a decrease in the number of cases ture of the subject is brought together, it is of influenza and intermittent fever, whose only right that a list of references should be course is short, and also a decrease in the given that the reader who so desires may look mean daily force of the service this year, it is up what most interests him and may use found that the ratio of cases for the total force what he wishes in his own work. But the has increased somewhat when compared with habit too frequently indulged in of tacking the preceding year.

on a list of references which have never been The mean daily force in the service for this looked up and which the author could never year was 9322 men and the total number of read, even if he did look them up, is entirely cases of disease and injury entered on the wrong and brings no glory on his head, as

man.

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* * *

those who know soon find out. Work should he certainly earns it when he is a medical be honestly done and no attempt made at imposing on the less well-read members of the For such work to have value it should be profession, and the scattering broadcast of done by men who understand their business, such work put into attractive reprints may for there is no more difficult work than acdeceive patients and admiring lay friends, commodation work and the fitting of glasses but this superficiality is soon shown up by by skilled hands takes brains, consumes time the profession.

and is worth money, and no corporation

should have such important work done by The daily papers have called attention

those who would give their services. more than once to the need of sanitary super Unfortunately the bosses and political heads vision of children in the

do not always pick out the best physicians to Defective Vision public schools, as well as of do the city work. This fortunately for Baltithe schools themselves, and

more has its exceptions, but this is a notable whatever steps may be taken to remove sani

exception. If the eyes of the school children tary and other defects will show their traces are defective at birth and this defect grows in an improvement in the general condition

worse during school life, the correction of school children.

should be made by those who understand, A committee was appointed by the Balti else a bad eye may be made worse and a good more City School Board, the object of which

eye may be damaged by improper glasses. is to investigate the subject of defective This whole subject of the sanitary supervivision among public school children. About sion of the public schools is unusual and thirty per cent. of the graduating class of the

important and nothing short of a special Baltimore City College this year wore eye committee of intelligent men could begin glasses and any person who has studied at

this. the German universities will remember the large proportion of students who wear glasses. It is with some degree of satisfaction that It looks, too, as if defective vision were on the Health Department of Baltimore looks the increase and it is high time that attempts

back on its work in the past were made to prevent these defects at an Food Inspection. year in inspecting food and early age when it can often be done.

food supplies. Impure, adulThere are many causes, direct and indirect, terated milk, diseased meats and decaying which contribute to defective vision and vegetables have all been discovered and conthese lie not only in the children themselves fiscated and destroyed, and it is hard to caland their family history, but also in the situa culate the amount of good done by the pretion and general position of the school build vention of the consumption of such unfit ings. It is a far-reaching question and one food. Of course much poor food finds its that should be discussed from'every side be way into the markets and is used, but the fore a decision is reached. Oculists may be vigilance of the inspectors under the able needed, but so also are sanitarians and hygien- guidance of the health commissioner has ists.

been the means of confiscating food unfit for The one flaw in these suggestions is that consumption and has deterred many through the oculists would gladly offer their services fear of loss from exposing such food for sale. free. This should not be allowed. Such This good work is especially beneficial in the work is difficult and there is no reason why warmer months when fruit and vegetables the physician should not be paid for his work soon decay and spoil, and when the temptaas well as anyone else. There is always a tion is so great to sell them. Crabs also and great tendency for medical men to offer their fish have received attention from the inspecservices free for just such purposes, not be tors and in this way the sickness and morcause they desire to be philanthropic, but be tality of the city has decreased and a feeling cause they wish to make themselves better of security has been obtained. known. It is not usually found that the best It is very gratifying that the courts so far men will undertake such work as this. The have upheld the inspection and confiscation time consumed is great, the pay little and if of bad food and milk and have realized the the laborer is worthy of his hire at any time, importance of this law.

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The scientific world has suffered a great loss in the death of Thomas Huxley.

The colleges of the State of Washington have adopted a four years' course.

Mikulicz succceds Trendelenburg at Bonn, who took Thiersch's place at Leipsic.

The Philadelphia Medical and Surgical Reporter will hereafter be edited and published in New York.

A Frenchman now living in Russia is said to have attained the immense age of one hundred and twenty-six years.

Dr. William G. Grace, a London physician, has made a greater reputation for himself in playing cricket than in medicine.

The Rush Medical College of Chicago announces that it will give the degree of Doctor Medicinae Civitatis or Doctor of State Medicine.

As a result of the examination held by the Massachusetts Board of Registration in Medicine on June 4, twenty of the twenty-eight applicants examined were accepted.

The ninth annual meeting of the American Orthopedic Association will be held at Chicago, September 17, 18 and 19, 1895. Dr. John Ridlon is president of this Association.

A meeting of health officials was held in New York last week and rules were formulated relative to the quarantine and detention of vessels and persons coming from yellow fever ports.

A doctor's health has been estimated by an Atlanta, Ga., jury to be worth just $400. The discrepancy between the jury's estimate and that of the unfortunate physician was $9,600.

The International Congress of Thalassotherapy which met at Bologne last year will meet again this year in August and will consider the treatment of disease by sea air and sea bathing.

It is said that the latest sensation in Paris is the alleged important discovery by a M. Groussier of an infallible law whereby the paternity of children who have no acknowl. edged father may be ascertained.

A committee of the Spanish Chamber of Deputies has reported in favor of making vaccination compulsory in Spain. It is expected that the proposed measure will encounter some opposition.when it comes under discussion in the Chamber.

Dr. Albert C. Gorgas, for many years a surgeon in the United States Navy, died last Sunday at Philadelphia. Dr. Gorgas had held many important positions and was at the time of his death connected with the Naval Museum of Hygiene at Washington.

St. Luke's Hospital of New York expects to move its patients to its new building in the fall. As a result of this proposed change, and the sale of a good many lots on its present property, it has been obliged to decline to receive new patients for the present.

The food inspectors of Baltimore report that during the month of June they inspected 10,130 gallons of milk, of which 630 gallons were applied. . Four arrests for the sale of impure milk were made; one of the men paid his fine, and the other three cases were taken to court. Professor Tonry made thirty-nine analyses of milk. Besides a quantity of vegetables and fruit, 29,570 pounds of meat, poultry and fish were condemned.

By the will of the late Rufus Waterhouse of New York City, St. Luke's Hospital will receive about $200,000 to establish a ward for consumptive sewing women or consumptives dependent on sewing women. Mr. Waterhouse was a large wholesale clothing manufacturer and saw much misery among sewing women and his wife died of phthisis, both of which facts led to this form of bequest. Mr. Percy H. Pyne also left this same hospital $20,000.

PUBLIC SERVICE.

one of the clever insane man who thinks that all persons are mentally unbalanced except himself. His idea is to show that not all degenerates belong to the lower classes and are criminal prostitutes, anarchists and such like, but often authors, artists and others may reach a point of eccentricity approaching insanity. Persons who follow blindly certain crazes, the founders and disciples of certain schools of music, art, literature, etc., may all be degenerates. Those easily excited, the enthusiastic, especially the youth, are led off by this or that fad and join the great army of degenerates.

This is an attempt at a scientific criticism of this subject and is very ably written even if rather diffuse. It is divided into sections or books; the first one being entitled " Finde-Siecle," the second 'Mysticism,” the third «

'Ego-mania," the fourth “Realism" and the fifth and last “The Twentieth Century.” No one is spared in these chapters. Tolstoi, Wagner, Zola, Ibsen and others are all described and analyzed. The final chapter is on the Prognosis and Therapeutics of Degeneracy. The book is one that demands a careful reading and while ephemeral in character will hold a large audience of readers.

UNITED STATES ARMY.

Week ending July 1, 1895. Leave of absence for one month to take effect about July 1 is granted First Lieutenant Champe C. McCulloch, Assistant Surgeon.

Leave of absence for one month to take effect between July 1 and 10, with permission to apply for an extension of 10 days, is granted Major Blair D. Taylor, Surgeon.

First Lieutenant Frederick P. Reynolds, Assistant Surgeon, now at Fort Sam Houston, will proceed to Fort Bliss, Texas, not later than July I and report for temporary duty during the absence on leave of Major Blair D. Taylor, Surgeon.

UNITED STATES NAVY.

Week ending June 22, 1895. Medical Director A. A. Hoehling placed on Retired List.

Medical Inspector G. W. Woods ordered for examination preliminary to promotion to Medical Director.

Surgeons G. F. Winslow and R. A. Marmion ordered for examination preliminary to promotion to Medical Inspectors.

UNITED STATES MARINE SERVICE.

Fifteen days ending June 15, 1895. George Purviance, Surgeon, relieved from duty, at Philadelphia, Pa., (temporarily) and detailed for duty on Board relating to Ford's Theater disaster, June 8, 1895.

W. A. Wheeler, Surgeon, detailed as Chairman of Board for physical examination of canditates for Revenue Cutter Service, June 1, 1895.

S. D. Brooks, Passed Assistant Surgeon, granted leave of absence for twenty-one days, June 14, 1895.

J. H. White, Passed Assistant Surgeon, detailed as Recorder of Board for physical examination of candidates for Revenue Cutter Service, June 1, 1895.

W. J. Pettus, Passed Assistant Surgeon, granted leave of absence for thirty days, June 6, 1895.

L. E. Cofer, Assistant Surgeon, to inspect unserviceable property at San Diego Quarantine Station, June 12, 1895.

H. S. Cumming, Assistant Surgeon, relieved from temporary duty at Boston, Mass., and ordered to rejoin his station at New York, N. Y., June 3, 1895.

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REPRINTS, ETC., RECEIVED.

Catalogue Law Battery Co. New York.

Report of the Kensington Hospital for Women. Philadelphia, 1895.

Sixth Annual Report of the State Board of Health of Florida. Jacksonville, 1895.

When to Wear Glasses and How to Choose Them. By Dr. Arthur G. Hobbs, Atlanta.

College of Physicians and Surgeons of Chicago. Fourteenth Annual Announcement. 1895.

Scopolamine as a Mydriatic. By Arthur G. Hobbs, M. D., Atlanta. Reprint from the Refractionist.

Aseptic Prophylaxis of Asiatic Cholera; Arsenization. By Reginald Barkley Leach, M. D., Paris, Texas.

The Writings of Mauriceau. By Hunter Robb, M. D. Reprint from the Johns Hopkins Hospital Bulletin.

A Case of Acute Delirium. By Thomas P. Prout, M. D., Morris Plains, New Jersey. Reprint from the Medical News.

PUBLICATIONS. DEGENERATION. By Max Nordan. Trans.

lated from the Second Edition of the German work. Fourth Edition. New York : D. Appleton & Co., 1895.

In this remarkable production the author, a German physician and a pupil of Lombroso, seems to think that the whole world is going to the “ demnition bow-wows” and reminds

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