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general with the training school for officers at West Point. In view of this fact, Congress will be asked to give the Army School of Nursing a military status, in order that it may become a part of the Army.

Under these conditions, the student nurses will receive the relative rank, of cadets instead of the present status of civilian employees, of the Medical Department of the Army.

The practical nurses of Rochester, N. Y., met on August 1st, to form an organization, the object of which, is the protection of the public from imposition by persons not qualified to take care of the sick.

While the above association is open to all nurses who can furnish satisfactory references, it is primarily for undergraduates and practical nurses. Application of new members must be substantiated by recommendation from at least one physician and one patient.

The practical nurses, who are qualified to care for the sick should be protected from inexperienced women, who are entirely unqualified for such work. The Association, will hold one meeting each month, which will be addressed by a physician.

HOSPITAL INFORMATION BUREAU IN THE NEW YORK ACADEMY OF MEDICINE BUILDING. (Abstracted from "Hornsby's Hospital Magazine," August, 1922.)

The need of a central agency of information, about hospitals, developed after a survey of hospital work in New York City, made by The Public Health Committee, of the New York Academy of Medicine.

This Bureau, was organized with the United Hospital Fund, at 15 West 43 St. The aims of the Bureau, are to keep in touch with hospital work and progress, in New York City, to furnish information to those interested in the administration, record keeping and other facts concerning hospital work, organization and facilities.

The hospital needs of the City should be studied and made known to the public; exhibits will be prepared; a library

of hospital reports, and statistics maintained; record forms and blanks used in several departments of the hospital will be kept on file.

Information concerning hospitals, will be published annually or. more frequently, and uniformity in hospital reporting will become standardized. The Bureau will assist in administrative and efficiency studies which will be valuable to both private and municipal hospitals and will be submitted to them upon request.

Abstracts from the Pacific Coast Journal of Nursing, September, 1922.

An interesting announcement has been made that the University of Wales, is considering an arrangement for issuing a Nursing Diploma, similar to the type of diploma, which is now issued by Leed's University. College members of the profession have reason to be proud of this new recognition of Nursing as one of the professions.

At the first Annual Meeting of the British Legion, in London, a resolution was passed, which permits membership of ex-service women. A feature of the proceedings, was an impressive service, which was conducted at the Cenotaph.

CHOROPRACTORS AND
CHURCHES

The Boston Medical and Surgical Journal, says:

"Two methodist churches, one in Elkhart and one in Fort Wayne, Indiana, have given the chiropractors the use of their edifices for propaganda purposes. This is a clever move. Any quack could appeal to an audience of medically uneducated persons and make fools of a certain proportion. Claims of successful treatment of diseases have enriched pretenders from the earliest times. The ability to analyze and to apply sound reasoning to the problems of daily life is denied to many. The associations of church life carry a certain endorsement of the views presented, to some minds. This is an illustration of the use of good material for unholy purposes. In the East we expect the chiropractors to use all possible means for the purpose of

securing endorsement, but we cannot conceive of the possibility of lending churches to advancing the interests of the cults in this state. When the campaign for legalizing the chiropractors is inaugurated in this state, we trust that the average intelligence will not permit the desecration of holy places."

We would like to know what is going to happen when supposedly decent doctors not only refer patients to chiropractors and members of other cults for treatment, but, in some instances, even share reception rooms with them. We ask the Boston editor how we can possibly overcome quackery of any sort when such conditions exist. It seems to us that medical men are becoming more and more members of the joke class, for they simply cannot seemingly help hobnobing with all sorts of irregulars. But then, look at the medical organization, the regular one we mean. Almost anybody, unless guilty of some real crime. can get in-and it does carry some rascals, so we have been told. After we have cleaned house, then perhaps we may talk more about others. Not before.

THE TIME IS AT HAND when almost every physician is called upon to relieve the discomfort and suffering occasioned by ulcer, hemorrhoids, chafing, dermatitis and other morbid processes, the un

derlying cause of which is local inflammation. Local inflammation, heretofore, has been exceedingly hard to reach and to relieve by local applications. An investigation into the nature and action of local inflammation brought to light some interesting facts which show conclusively that the causes of local inflammation are to be found in a study of the electropathology of such conditions. This is an extremely interesting subect which has not received from the Profession the attention it deserves. As a result of such a study, together with a vast amount of laboratory and clinical research, the Dionol Company, of Detroit, Michigan, was enabled to place at the disposal of physicians a preparation, Dionol, whose remarkably satisfactory action and results have been proven in the treatment of conditions above referred to. Dionol contains no drugs. It is easy and simple of application. It is prompt and satisfactory in action and effect. Its use can be applied to so many different conditions, all of which can be traced back to the same cause, that it will repay any physician, first, to make a clinical test of Dionol and then to keep it in mind, and at hand, for the many uses that will be found for it especially during the summer season. Interesting literature dealing with the nature and action of Dionol, with a sample of the product, will be sent to any physician on request to The Dionol Company, Detroit, Michigan.

For Forty Years

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Western Medical Times

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Entered at the Postoffice at Denver, Colorado, as mail matter of the Second Class.

Denver Medical Times founded in 1882 by Thomas Hayden Hawkins, A.M., M.D. Published Monthly by the Medical Times Publishing Co., Denver, Colo

VOL. XLII

DENVER, COLO., DECEMBER, 1922 No. 6. (Full No. 491)

CONTENTS

Human Anthrax-Report of Two Cases
Cured by Antianthrax Serum; J. G.
Stulb, M.D., New Orleans, La....
Therapy and Publicity; S. E. Earp, M.D.,
Indianapolis, Indiana

175

....

178

Dibromin (conclusions from treating five hundred cases); W. B. Murray, M.D., Minneapolis, Minn.

179

Psycho-Analysis, Expertness, Etc.; Simon
R. Klein, M.D., New York City..... 181
Dyschesia or Rectal Constipation; W. H.
Foreman, M.D., Indianapolis, Ind...... 183
The Anti-Venereal Disease Campaign in
Porto Rico, 1918-1920; Herman Good-
man, M.D., New York City..

186

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Jejunostomy in Ileus and Peritonitis; A.
W. Morton, M.D., San Francisco, Cal... 192
Editorials-

Philosophy-The Human Understanding 195
The Western Medical Times for 1923.. 196
Department of Electrotherapeutics; Wil-
liam Martin, M.D., Editor-Hyperten-
sion

Department of Nursing-E. Mildred Davis,
A.B., R.N., Editor

BOOK REVIEWS-Pages 198 to 202

203

206

Mercurosal

A Dependable Antiluetic

WHEN spirochetes become arsenic-fast-tolerant of arsenic so that, temporarily

at least, no further impression can be made on them with Salvarsan or its derivatives-mercury becomes the sheet-anchor of antisyphilitic treatment.

In the short time since our Chemical Research Department developed Mercurosal, trustworthy evidence has accumulated to justify the conviction that this new synthetic compound is a dependable antiluetic, well adapted for administration by the intravenous or by the intramuscular route.

Clinical improvement following Mercurosal injections has been observed to come rapidly. In many cases, too, the sudden disappearance of a seemingly persistent Wassermann reaction has been clearly attributable to the Mercurosal treatment.

Low toxicity. Relatively high content of mercury. Organic combination
similar to the combination of arsenic in salvarsan. May be administered in-
travenously or intramuscularly with a minimum of discomfort to the patient.

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VOL. XLII

DENVER, COLO., DECEMBER, 1922

No. 6

Human Anthrax-Report of Two Cases Cured by Antianthrax Serum.

SYNONYMS

J. G. STULB, M.D.,
New Orleans, Louisiana.

Carbunculosis Contagioso; Charbon; Wool-Sorter's Disease; Mal de Rate; Mycosis Intestinalis; Anthracemia; Malignant Pustule; Splenic Fever.

GENERAL REMARKS

Anthrax is a specific, highly infectious disease and is common to most vertebrate animals, especially herbivera, who are exposed to the ravages of the infective host. It is communicable to man chiefly by secondary media of infection, such as the shaving brush, contact with the hide or hair of animals which have been inoculated by the charbon fly or by eating of the flesh of an animal infected with the disease. Instances have also been seen where the infection was transmitted from mother to fetus. In such unusual cases, however, the fetus was generally stillborn or if horn alive and apparently well, dying from anthrax a few days later.

An interesting case, showing the toxicity of the infection, is reported by King (Journal A. M. A., August 7, 1920, p. 376), in which he states that father and son, aged 46 and 21, lost a mule by death. The animal had been sick eight or ten days with a bad swelling of the head and one front leg. There were no sore or nasal discharge, and the mule was apparently paralyzed before death. About one hour after death, the hide was removed by the two men and sold. They stated that they found water under the ribs. Forty-eight hours after the skinning the animal, both were taken ill with chills and a temperature of 105 F. A

few hours later, painful papules appeared on the left index and right middle finger of the father and the external canthus of the left eye and point of the chin of the son. These lesions rapidly broke down in discharging ulcers, with depressed gangrenous bases, surrounded by an edematous induration. Ten days later, there was marked prostration in both cases and upon bacteriological examination, a disgnosis of anthrax was made. The organisms were found in the discharge from the ulcers. Treatment consisted of 40 c.c. of antianthrax serum given intravenously to each patient in 20 c.c. doses at one hour intervals. This was followed by a light reaction. Moist dressings of boric acid were applied to the eye and 50 per cent alcohol to the chin and finger lesions. The patients were discharged five days. later. They made a slow convalescence. Scars were left at the sites of the lesions, but no systemic ill effects followed. On account of the severe prostrations of these two subjects and the fact that ten days elapsed before actual treatment was resorted to, the recovery of these two cases is indeed remarkable and I thought it timely to mention same at length in this article.

One of my two cases is of more than passing interest, for it involved the head. The greatest fatality, according to Osler, is seen in cases of inoculation about the head and face, the mortality being about 26 per cent. The least mortality occurs in infection of the lower extremities.

Anthrax is a form of acute poisoning which may effect many individuals to

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