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erans.

The tendency of the present day seems to Baltimore and each one demands a hospital be towards erecting small hospitals for an and there are many denominations also, and if

especial object and the ques each religious sect sets out to care for the Small Hospitals. tion is, Do these small hos bodies as well as for the souls of its members

pitals answer every purpose and the number of weak hospitals be multiand are they as great a benefit to the patients plied here, poor work will be encouraged and for whom they are erected as the larger build good work will be sacrificed to a belief, and ings? In some cases they are and in others the amount of good will not be in proportion the erection of a small hospital is only for to the money and energy expended. Perhaps the gratification of some desire on the part of the Baptist hospital may follow Pastor a body of men or of a denomination.

Kneipp's inethods and thus combine religious The Germans say that the worst insect in belief and special treatment. Churches should American is the sect, because in most parts of make haste slowly to erect denonfinational Germany there are only the Roman Catholics hospitals, even such powerful and influential and the Protestants, which are usually Luth denominations as the Baptists.

In this country, however, denomina Another phase of the case is the statement tion runs riot and churches split and divide that the Church Home and Episcopal Hospital to form separate weak and struggling branches which has lately acquired money through a differing from the parent stem in some trifling legacy is now taking steps to erect a small point but which involve principle with a large hospital in the neighborhood of Baltimore for P on the part of those interested. These de the care and treatment of consumptives. This nominations seek to keep their own together does not profess to be a denominational hoswhether in a state of health or disease and pital but it is an institution for the treatment for this reasou denominational hospitals have of a certain class of cases and it will be so sprung up in so many cities. Here the de comprehensive in character that all diseases nominational spirit holds all other interests of the chest may receive attention and the subservient to it. It is doubtful if the best object of the hospital will be kept steadily in scientific work is done in such institutions view while the denominational character of and if the best interests of the patients are

the institution will in no way affect its proalways preserved.

gress. A movement made about a year ago to The latest denomination in Baltimore and start a hospital for consumptives was a failure Maryland to agitate the subject of a hos on account of insufficient backing but in this pital is the Baptist, which is one of the new move supported by prominent men, and most powerful and far reaching sects in thi an institution already in existence with no country. As an outcome of a large Baptist ideas of personal advancement, the chances convention held in Baltimore in July at which for success are very favorable. it was necessary to erect a hospital tent in which to care for the large number of those MANY a physician pays long professional needing medical advice, it has been decided visits when shorter ones would be better for to take steps to erect a Baptist hospital in

the patient, more acceptable to Baltimore. Other denominations have their More Time. the family and would do less harm hospitals and why should not the Baptists

to the physician, who can be exhave theirs ? The methods of treatment will act, careful and clear in his directions withnot be different from those used in other ad out being fussy. vanced hospitals, but it is a question whether An exchange very pertinently asks how it the application of all the machinery necessary was that Marion Sims, Flint, Agnew, Keating, for a small as for a large modern hospital is Fordyce Barker, Sir Andrew Clark, Charcot, not a waste of material and if one large and Billroth, and others, had so much time for complete hospital would not do more good literary work? And yet their professional than several small ones.

duties were certainly as pressing as any one's Of course the hospital for the treatment of we know. It would seem that they felt the a certain class of diseases, as an eye hospital, necessity of keeping their brains in good workor one for the treatment of diseases of women, ing order by writing ; and if they thought can do better work when apart; but when it is so, no one could hardly be excused from sayconsidered that there are seven schools in ing, “Oh! I can find no time for writing.”

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MEDICAL ITEMS.

By the will of Mr. Thomas 0. H. P. Burn

ham, a wealthy old bookseller of Boston, the We are indebted to the Health Department

Massachusetts General Hospital is made reof Baltimore for the following statement of

siduary legatee and has already been paid cases and deaths reported for the week end over two hundred and fifty thousand dollars. ing July 27, 1895.

A training school for nursing attendants

has been established in New York City, the obo Diseases.

Cases

Deaths
Reported

ject of which is to furnish skilled and trained
attendants who shall be able to take care of

the chronic cases and will not demand such Smallpox... Pneumonia..

high pay as the ordinary trained nurse.

3 Phthisis Pulmonalis.

25

Dr. A. J. Dalrymple, a retired physician of Measles ..

13 Whooping Cough..

Baltimore, died in that city last week. Dr. Pseudo-membranous

Dalrymple was graduated from the University Croup and Diphtheria.

of Maryland in 1854, and after a few years of Mumps..

practice he retired to assist his brother, the Scarlet fever.

14 Varioloid..

well known pedagogue. Dr. Dalrymple was Varicella...

born in 1820. Typhoid fever.

6 5

Eye, Ear, Nose and Throat Clinic is the There are more than 300,000 persons, ac

title of a new quarterly publication emanatcording to careful estimates, connected with

ing from Kansas City, Mo., and edited by

Drs. Flavel B. Tiffany and James E. Logan, the drug trade in the United States.

and containing a department of neurology Dr. Howard A. Kelly of Baltimore will de

under the charge of Dr. John Punton. liver the address on gynecology at the fall meeting of the Tri-State Medical Society, in

The Third International Congress of PhysiDes Moines.

ologists will be held at Berne, from SeptemThe Sultan Drug Company of St. Louis

ber 9 to 13, 1895. Membership of the Conhas just issued an anatomical model painted

gress shall be open to all professors and in different colors, a great help to the student

teachers of biological science, belonging to a and physician.

medical faculty or any other similar scientific

body, as well as to all scientific men engaged Dr. B. B. Browne of Madison Avenue has

in biological research: purchased the house of the late Dr. Frank

The Fifth International Congress of Otology Donaldson and will soon leave his present

will be held at Florence, Italy, from Septemhome for his new house at 510 Park Avenue.

ber 23 to 26. The Committee of Organization Dr. J. H. Mitnick has removed his office to

includes the following American names : 309 North Exeter Street, and Dr. L. E. Neale

Drs. C. J. Blake and Orne Green of Boston ; has taken the offices corner of Calvert and

A. H. Buck, H. Knapp and St. John Roosa of Read Streets, Baltimore.

New York ; C. H. Burnett and Laurence Dr. James V. Crawford died last week at Turnbull of Philadelphia. his home in Warwick, Harford County, in

An order has been passed in Boston that all his fifty-sixth year. Dr. Crawford was grad

lunches sold in school buildings must be apuated from the University of Maryland.

proved by a committee on hygiene. The obDr. Benjamin S. Mackie, Passed Surgeon ject of this order is to exclude from the pupils' United States Navy, committed suicide last

menu the deleterious articles of food of which week at his home in Philadelphia. This is children are especially fond, but which the second suicide in the service within

threaten proper digestion, and hence proper short time.

nourishment of the brain. It is wise to begin Among the papers read at the meeting of the development of intelligence thus from the Litchfield County (Connecticut) Medical

the source,

and the practical lessons in reSociety on July 9, was one by Dr. William H. straint of the appetite so given the children Welch of Baltimore, on “The Antitoxine must be exceedingly valuable if they can be Treatment of Diphtheria.”

daily enforced.

PUBLIC SERVICE.

OFFICIAL LIST OF CHANGES IN THE STATIONS

AND DUTIES OF MEDICAL OFFICERS.

is one of the best works of its kind that has been presented to the people for many a day. The publisher is to be congratulated on the attractive appearance of the cover and the fine press work generally.

REPRINTS, ETC., RECEIVED.

UNITED STATES ARMY.

Week ending July 29, 1895. Leave of absence for one month, with permission to apply for an extension of one month, is hereby granted to Captain Junius L. Powell, Assistant Surgeon, United States Army.

The extension of leave of absence on account of sickness, granted First Lieutenant Alexander S. Porter, Assistant Surgeon United States Army, is further extended two months on account of sickness.

BOOK REVIEWS.

THE CARE OF THE BABY. A Manual for

Mothers and Nurses, containing Practical Directions for the Management of Infancy and Childhood in Health and Disease. By J. P. Crozer Griffith, M. D., Clinical Professor of Diseases of Children in the Hospital of the University of Pennsylvania. Octavo, cl., pp. 392. Price $1.50. Philadelphia: W. B. Saunders, 1895.

This little book is a very reliable guide for mothers and intelligent nurses. It opens with a chapter on the hygiene of pregnancy and then follows a consideration of the characteristics of a healthy baby and the growth of its mind and body. The chapter on baby's diseases has been written with a view to making it comprehensible and useful to mothers who for reasons may not have a physician at hand and this chapter is particularly well done and will serve as a guide to the mother when in doubt, but only of course when the physician cannot be obtained, for knowledge acquired in this way by a woman, however intelligent, cannot compare with the experience of a physician. Illustrations are inserted here and there and in many cases they are good. The author has made his statements clear and they can be understood by almost anyone of ordinary intelligence. This book at this season of the year should be of immense value to mothers, but, as in all such works, it is difficult to draw the line between what a non-professional person should know and what should be left to the physician. Books like this, on the whole, are of benefit but in too man

cases they fall into bad hands and work harm to the innocent infant. This

Medico-chirurgical College of Philadelphia, 1895-1896.

Denver School of Medicine. Fifth Annual Bulletin, 1895-1896.

Missouri Medical College. Fifty-fifth Annual Announcement, 1895-1896.

Annual Announcement and Catalogue of the Baltimore Medical College. 1895-1896.

Thirteenth Annual Announcement of the Medical Department of Niagara University. 1895-1896.

College of Physicians and Surgeon, Baltimore, Md. Annual Announcement and Catalogue. 1895-1896.

Evisceration of the Eyeball. By L. Webster Fox, M. D., Philadelphia. Reprint from the Medical Bulletin.

Woman's Medical College of Baltimore, Fourteenth Annual Announcement and Catalogue. 1895-1896.

The Annual Announcement of the New York Post-Graduate Medical School and Hospital for 1895-1896.

The Fifty-second Annual Report of the Mount Hope Retreat for the year 1894. By Charles G. Hill, M. D.

Report for the year 1894-1895. Presented by the Board of Managers of the Observatory of Yale University to the President and Fel. lows.

The Medical Profession and the State. The Alumni Oration. By Hon. Marriott Brosius, Lancaster, Pa. Reprint from the Medical Bulletin.

The Use of Vaccine-Serum in the Treatment of Variola. By Llewellyn Eliot, A. M., M. D., of Washington, D. C. Reprint from the Medical News.

Burns of the Cornea ; Electric Light Explosion causing Temporary Blindness ; Traumatic Injuries to Eyes ; Hypopyon. By L. Webster

ox, M. D. Reprint from the Medical Bulletin.

CURRENT EDITORIAL COMMENT.

PUBLISHERS' DEPARTMENT. All letters containing business communications, or referring to the publication, subscription, or advertising department of this Journal, should be addressed as undersigned.

The safest mode of remittance is by bank check or postal money order, drawn to the order of the Maryland Medical Journal; or by Registered letter. The receipt of all money is immediately acknowledged.

Advertisements from reputable firms are respectfully solicited. Advertisements also received from all the leading advertising agents. Copy, to ensure Insertion the same week, should be received at this omce not later than Monday.

Physicians when communicating with advertisers concerning their articles will confer a favor by mentioning this Journal. Address: MARYLAND MEDICAL JOURNAL,

209 Park Avenue, Baltimore, Md.

NOTES.

IT is stated that the best remedy for bedwetting in children is normal liquid ergot.

Fifteen-GRAIN doses of salipyrine is advised in the treatment of menorrhagia of the climacteric.

A MILD gargle will usually be more beneficial in simple pharyngitis than a markedly astringent one.

NURSING.

Kansas Medical Journal. The physician who makes his regular calls has much the advantage of the nurse, who in close proximity to the patient soon learns all the faults and foibles, and if there be in her makeup anything antagonistic to the individual traits of the patient, it will be a very unpleasant association. It is frequently the case that a change of nurse inakes a wonderful difference in the progress of the case. This is not necessarily because of a difference in ability, but in many instances it is simply the individualism.

THE INDEX MEDICUS.

Southern California Practitioner. In the cessation of the publication of the Index Medicus, the profession of America has met a great loss. How great it is, now is impossible to tell. It does not speak well for the general intelligence of the profession that their patronage was so small that it could not exist thereby. Those who have depended upon it will feel the loss deeply; all will be injured by its suspension, even though they may not realize the fact. We hope that the united efforts of the journals and leading physicians may create so great a demand for such a publication, that the Index Medicus may be revived. INVASION OF TUBERCLE BACILLI.

Archives of Pediatrics. The respiratory tract is by far the most common portal of entrance for these bacilli in young children. The lymph nodes at the bifurcation of the trachea present in a large number of cases the oldest lesions. Cavities, shrunken fibrous tissue and calcareous masses are well known to be older than cheesy masses, the miliary tubercle being the most recent lesion. Experiments have shown that dust particles readily reach these nodes, but do not pass beyond them, the glands acting as a filter. It has been demonstrated that tubercle bacilli may penetrate the mucous membrane and traverse the lymph channels without causing any lesion, the first lesion being found in the lymph glands, by which their progress has been arrested. These glands make a strong effort to withstand the ravages of the bacilli, and frequently succeed.

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CROUPOUS PNEUMONIA IN CHILDREN. READ BEFORE THE CLINICO-PATHOLOGICAL SOCIETY OF WASHINGTON, D. C., MAY 7, 1895.

By J. R. Wellington, A. M., M, D.,

Washington, D. C. It is not my intention in this short or the lungs become less resistant to its paper to enter into a detailed description influence. of this disease, but to speak more par Pathology.- This disease passes ticularly of those features characteristic through the three stages of congestion, of the disease in children.

red and gray hepatization, although these Although it was formerly thought three conditions often coexist in different that nearly all cases of pneumonia in portions of the same lobe. Another nochildren were broncho-pneumonia, yet ticeable feature is that the consolidation more recently competent observers claim at times begins in the center of the lobe that the croupous variety comprises one and does not reach the surface until the third of all the cases.

second or third day, a condition which Etiology.- As in adults, croupous explains the late appearance of the phypneumonia in children is nearly always sical signs. Rarely a portion of the a primary disease. While the chief lobe may remain unaffected. The lower predisposing cause is exposure to sud- right lobe is the most frequent seat of den cold or dampness, yet it occurs as the lesion although the apices are more frequently in warm as in cold climates. frequently involved than in the adult, It is more often seen in winter and and some competent authorities claim spring, yet the percentage of cases seen that the apex is the most common locain summer is greater than in adults. tion. Bilateral pneumonia is by no Susceptibility increases with age and it means uncommon. An accompanying is most common from the third to the bronchitis is nearly always present, afseventh year. Robust, well nourished fecting the opposite, less often the dischildren are more prone to this form eased lung When the inflammation than the weak and debilitated. Rarely reaches the surface, the resulting pleucroupous pneumonia is secondary to risy is seldom serious and empyema is measles, whooping cough, typhoid fever, rare, except when following typhoid or scarlet fever, etc.

other debilitating conditions. Abscess, The exciting cause is believed to be gangrene and chronic pneumonia are the pneumococcus of Fränkel, although fortunately less frequent than in the this is also found in a large percentage of adult. the cases of broncho-pneumonia, in cer Symptoms.- As in the adult, the disebro-spinal meningitis and in the saliva of ease begins suddenly, but instead of the healthy persons. It is supposed to be prolonged chill, vomiting is the most come more active after exposure to cold common symptom at the onset and is

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