the medical profession to dissipate the popular notion that non-combatant troops of the Medical Dept. are seeking a safe service. Practically all statistics show that the actual risk is higher for the medical dept. for officers or enlisted men, than for the line). Mortality from shock has diminished. Gas gangrene (fatal and non-fatal) involved 3%. Tetanus 1: 2000. Abdominal wounds gave a mortality of 18% (formerly about 65%); thoracic 10.27%; cranio-cerebral 9.67%. Fractures have given remarkably favorable results, under the general technic of excision and immediate or delayed suture. Persistence of Peripheral Pulsein Wounds of Arteries, Fiolle, Le Prog. Med., Feb. 23, noted persistence in 3 of 12 "dry wounds" of arterial trunks and advises that the region of the wound should be explored. Mediastinal Emphysema of Traumatic Origin. Gatellier, Le Prog. Med., Feb. 23, observed 5 cases in 209 wounds. Dyspnoea, syanosis and gas infiltration above the sternum are the chief signs. Thoracotomy with suture of the lung or subclavicular section and aspiration of air from all pockets are the anternative operations. Renal Wounds. Chevassu, Le Prog. Med., Feb. 23, observed 46 recent and 10 old wounds. Haemorrhage and infection indicate immediate operation but nephrectomy should not be done unless absolutely necessary. usually control the haemorrhage. urinary abnormalities. Suture and tamponage Old cases rarely show Bazy, ibid., had removed only one kidney for war wound. He insisted on the superiority of the transverse anterior route of operation. Lapointe believed in intervention in lumbar and lumbo-abdominal wounds but had practiced only two nephrectomies. 46 Abdominal Wounds Treated in a Divisional Ambulance. Seguninat, Le Prog. Med., Feb. 23. Operated 34 times with 12 cures. The interval before operation was 411⁄2 hours or more. Interlobitis in the Tuberculous. Charles Sabourin, Presse Med., Feb. 19, employs this term, indefensible etymologically, to call attention to localized inflammations or the pleura. He considers membranous pleurisy in form of shirt buttons as serious especially in weak individuals. Metapneumonic adhesive pleurisies cause adhesions of the lobes to each other and may surround the pericardium. Serous effusions are al most always absorbed, and may prove benign in facilitating the healing of pre-existing tubercular lesions. Every crisis of bacillar activity confers a certain degree of immunization. Sudden Death With Nervous Phenomena in Case of Wound of Lung. Piery, Lyon Med., April, 1917, reports the case of a soldier wounded by a ball entering at the base of the neck, the wound of exit of the size of a dime, being between midway between the posterior border of the scapula and the spine. Signs of haemothorax and pneumothorax were found 10 days later but not at X-ray examination 6 days later still. At this time, the patient had rapid respiration but there was no cyanosis and the pulse was normal. He soon lost consciousness and oxygen, ether and caffeine injections failed to revive him, death occurring in half an hour. A fracture of the 4th rib was demonstrated but no explanation of the sudden death. Intracardiac Projectile. Hartmann, Le Prog. Med., Feb. 9, reports the successful extraction of a ball from just above the apex, the patient having had a pulse of 140. 12-2 1 hr. 52 min. Duration of transit of small intestine, by first bolus, Duration of transit of small intestine of whole meal. .134-42 hrs. 3-312 314 hrs. Time after which the whole meal 3-32 3-12 hrs. is collected in colon..... 2-4 hrs 1. The beginning of gastric evacuation is scarcely influenced by small doses of papaverine-20 m.g. per kilo., is retarded by larger doses, by 30 m. g. more than by 50. 2. With all three doses, the evacuation proceeds more slowly than normal, the delay increasing with the dose. 3. The appearance of the first bolus in the colon is, perhaps, a little more rapid with the 20 m.g. dose, but delayed by the larger ones. 4. The same remark obviously applies to transit of the small intestines. 5. In all dogs to which papaverine was given, the calibre of the small intestine was reduced and there was intense peristalsis. Cancer and Pancreatic Lithiasis. masses Jean Minet, Le Prog. Med., Mch. 9, reports a case of death from pulmonary apoplexy, the liver being studded with cancerous varying in size from that of a pea to that of a nut, the pancreas also being cancerous and enlarged to the size of an orange, the intraglandular portion of the duct being filled with rounded mossy calculi. The cancer was of cylindroepitheliomatous type, the calculi being pure calcium carbonate. Aneurysm and Aortic Insufficiency. Felix Ramond and Postina, Le Prog. Med., Mch. 9, report a case in a young soldier, aortic dilatation and insufficency of the valve following a wound from an aerial torpedo. Death ensued in three months (rupture not being mentioned). Necropsy revealed that the essential cause was an old syphilitic aortitis, the traumatism being an added factor. Superior Mesenteric Embolism-Rapid Gangrene of Intestine. Guibe and Moreau, Le Prog. Med., Feb. 9, cites a case following toxic appendicitis. SOCIETY MEETINGS Brief reports and announcements of meetings of societies of Western New York, and those of general scope, are requested from Secretaries. Copy should be on hand the fifteenth of the month. Full transactions will be published at cost of composition. The Gross Medical Club held their bi-monthly meeting at the Motor Boat Club House, Silver Creek, N. Y., Thursday, Aug. 15th, as the guest of Dr. O. B. Barber. A most interesting and instructive address, Crime and the Human Race, was given by Mr. Henry J. Girvin, Chief of the Buffalo Department of Police. Capt. and Surgeon T. J. Kee of the British Army also addressed the meeting giving some first hand information from an experience of over two years on the western front. Dr. B. E. Smith the president acted as toastmaster at the dinner which was served later on the broad veranda of the club overlooking Lake Erie. NERAL LIBRARY OCT 1 1 1918 Established 1845 by AUSTIN FLINT, M .D. EDITOR AND PUBLISHER: A. L. BENEDICT, A. M., M. D. Publication Office, 1724 Niagara Street, Buffalo, N. Y. Foreign: Sir William Osler, M.D., LL.D., Oxford, Eng. UNIV. OF MIGH New York State: Grover W. Wende, M.D., Buffalo. Rochester. Prof. P. K. Pel, M.D., Charles Haase, M.D., Elmira. Amsterdam, Holland. Rene Gaultier, M.D., Paris, France. J. George Adami, M.D., LL.D., F.R.S., Montreal, Can. Henry W. Hill, LL.D., Buffalo, CARMINZYM Tablet Digestive Antacid Carminative "It gives relief”—this is the general report on the use of Carminzym in the particular clinical condition in which it is indicated-acid, flatulent indigestion. In acute attacks as variously induced-fatigue, chill, unsuitable food, etc., its prompt service is especially grateful. As a resource in chronic cases it is found not only directly helpful, but useful in promoting the systematic treatment -therapeutic and dietetic. There are other special conditions in which Carminzym is proving of service. Inquiries invited. Samples to physicians. Two sizes-vials of 30 and vials of 100 Tablets. Fairchild Bros. & Foster |