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dressing is left on for twenty-four hours, when the area is again washed and a boracic ointment (quarter strength) dressing applied. The Scarlet Red is used again at the end of another day, and so on alternately. It has been found that the continuous application of the Scarlet Red ointment is too irritating.-Canadian Practitioner.

Rate of Regeneration of Blood Platelets.

By repeatedly withdrawing, defibrinating and reinjecting blood, it was evident to Duke that the platelet count in dogs can be reduced to an extremely low level. When the reduction in platelets and fibrinogen has been carried to an extreme degree the animals display a marked tendency to bleed. The regeneration of platelets after their removal by defibrination is remarkably rapid and amounts, on an average, to about one-fifth of the entire number in the blood per day. From the exepriments and from observations on the platelet count in human beings, Duke believes that under the usual conditions of life platelets are utilized or destroyed and replaced in enormous numbers daily, and that the life-cycle of the platelet is extremely short, possibly a matter of a few days.

Use of Corpora Lutea for Symptoms of Artificial Menopause.

In

C. A. Hill has used extract of corpora lutea in doses of 5 grains three times a day in twelve patients from twenty-five to thirty-eight years of age from whom he had removed both ovaries and who showed very severe nervous symptoms. The nervous symptoms were completely relieved in every case. only two cases was there complete relief from flashes of heat, in another case suffering from insomnia which started after her operation over a year before and had continued ever since, and upon whom hypnotics gave no results, complete relief was experienced after using fifty capsules, each containing 5 grains. One case reported a notable increase in sexual desire, while in the remaining eleven no noticeable change was experienced.-Surg., Gyn. and Obst.

Endemic Malta Fever in Texas.

Gentry and Ferenbaugh state that Malta fever is endemic throughout the older goat raising sections of Texas. Although typhoid fever is prevalent throughout these sections, the authors believe that careful serum tests will show that a large propor

tion of the cases diagnosticated as atypical typhoid fever will be found to be suffering from infection with "the micrococcus melitensis. All cases of Malta fever found have occurred in territory devoted to goat raising and all patients either gave a history of drinking unboiled goat's milk, or were actively connected with the goat raising industry. While the authors have not yet found the micrococcus melitensis in the milk of goats, the positive serum test obtained in thirty-four per cent of goats examined points strongly to this animal as the source of infection.

The Eradication of Beriberi.

The Board for the Study of Tropical Diseases, of Manila, P. I., has issued a reprint of an article by Weston P. Chamberlain, major, Medical Corps, U. S. A., which appeared in the Philippine Journal of Science for April, 1911 (see New York Medical Journal, August 5, 1911, p. 303), on the eradication of beriberi from the native scouts by a simple change in their diet. The significant change was the substitution of sixteen ounces of undermilled rice (i. e., rice retaining the pericarp) for twenty ounces of highly milled or polished rice and a legumen, in this case mongos, a kind of bean, to make up the deficiency in quantity. The results were very remarkable. Beriberi disappeared completely from among the scouts, and, in the opinion of the board, the change in diet is solely responsible, for there were no changes in the sanitary condition of the scouts, no diminution in any other disease, and no diminution in beriberi itself among the Filipinos generally.

Sodium Citrate in Infantile Vomiting.

The New York Medical Journal, June 17, 1911, speaks editorially of an article in L'Union medicale du Canada for June, 1911, which deals with the almost specific effect of sodium citrate in the vomiting of nurslings and of bottle fed babies. Variot has established, after seven years' experimentation, the absolute harmlessness of the salt and its action, previously unsuspected, of regularizing the peristaltic contractions of the intestines, as well as its property of attenuating the curd of cows, milk. A neutral combination results from mixing twenty-three grains of sodium citrate with thirty-five grains of sodium bicarbonate, and from fifteen to thirty grains may be given daily to a nursling. Vomiting is due not only to superalimentation, but

to insufficiency of food, which also produces spasmodic contraction of the infantile stomach; in cases of both kinds sodium citrate acts with delightful certainty. To four ounces of water, two-thirds of an ounce of simple syrup may be added, and twenty-five grains of the sodium salt dissolved therein; of this mixture six or seven tablespoonfuls may be given in the twentyfour hours. It will be found to control vomiting, even in those cases where the mother's milk acts as an irritant.

Uterine Displacement.

The pathology of retro deviations of the uterus has been fully described, the types and degrees well classified, and the literature relating to the correction of this frequently encountered trouble has been clearly written, particularly by Gillian, Baldy and Dudley. A further, and we believe very excellent contribution to this subject has been made by Dr. George F. Shiley of Seattle.

The writer desires to suggest a surgical procedure which, after three years' experience, has been found applicable to a limited number of cases, and the theory, as well as the end results, seem to justify a brief description of the plan, which we believe will be easily interpreted by the aid of the following

cuts.

The operation is a modification of the Alexander operation and the steps are as follows:

The round ligament is exposed, following which forward traction is made with a pair of well worn tissue forceps until the peritoneal surface is exposed and gently peeled back from the round ligament, and this we find can be done to a degree which permits more than two inches of gradually enlarging freshly exposed round ligament, without opening the peritoneal cavity. This step is repeated on the opposite side, when the rather large, firm, strong portion of the round ligament is transfixed on a level with the recently dislodged peritoneal surface and the same suture engages the posterior shelving border of Poupart's ligament well forward of the level of the internal ring, after which a second suture grasps the same tissues, but in addition to this it engages a substantial portion of the conjoined tendon. This has been styled the anti-hernia suture. If the muscular development seems immature, one or two similar sutures may be considered advisable; but no hernia has ever been reported following this procedure.

The superficial part of the wound is closed in the usual way.

[graphic][graphic]

It is not necessary to point out that this operation is limited to a comparatively small number of cases for the reasons.at it is clearly not indicated where the. uterus is heavy, where adhesions exist, and where other pelvic pathology, except the retro deviation, is present. Allison (Omaha).

In a certain school, a school boy of tender years is said to have produced the following essay on the camel: "The cannimel is a sheep of the desert. It is called a backteria because it has a hump on its back. The cannimal is very patient and will lie down and die without a groan, but when it is angry it gets its back up, which is called the hump. The shepherds of cannimals is called Arabs. When they live in towns they are called street Arabs. When the cannimal goes on a journey it drinks as much as it can, to last for many days. Such animals are called acquiducks. Those that cannot carry enough are called in-ebriates."-Exchange.

NOTES AND NEWS.

Dr. Wall of St. Joseph, Mo., is a new physician at Powell, Neb.

Dr. Platte of Exeter, Neb., has sold his practice to Dr. McCaw of Mount Union, Ia.

Dr. Ellis Bray has formed a partnership with Dr. G. A. Young of Ponca, Neb.

Dr. Herron of Pender, Neb., broke his wrist while cranking his auto early in October.

Carroll, Neb.. has a new physician in Miss Edna Heeren, who has recently located there.

Dr. A. P. Overgaard of Fremont was seriously ill during October, but is reported slowly recovering.

The public schools of Talmage were closed on account of the number of cases of infantile paralysis.

Dr. H. E. Wilson of Ogalalla has removed to the state of Washington, where he will locate near Spokane.

Dr. W. H. Hagey, a prominent physician of Norfolk, Neb., died suddenly from apoplexy, Oct. 8th, 1911.

Dr. H. Gifford has turned over to the city of Omaha, a tract of about five acres to be used as a public play ground.

Dr. Fox of Clarks, Neb., has disposed of his practice to Dr. Christie of Ceresco, Neb., and will probably locate in Florida.

A considerable number of cases of diphtheria in the public schools of

Omaha have been reported to the Health Commissioner.

Dr. J. A. Andrews of Holdrege, Neb., was robbed of $75 while in Hastings listening to President Taft's speech Oct. 5th.

Dr. J. B. Lichtenwallner of Dunbar, Neb., has disposed of his practice to Dr. A. L. Powell of Hebron and has removed to Omaha.

Dr. Edward A. Zaworski and Miss Praxeda F. Gluba, both of South Omaha, were married at the home of the bride Oct. 30th, 1911.

Dr. Henry Gibbons, Jr., Dean of the Cooper Medical College, San Francisco, died at his home after a short illness on September 27, aged 71 years. Dr. J. M. Aikin was assaulted the latter part of October and severely beaten about the face and head, by Dr. H. O. Munson, said to be a drug fiend.

The women in St. Paul in their annual "tag day," October 11, collected more than $15,000, which will be used in the campaign against tuberculosis.

Dr. H. G. Leisenring, Wayne, Neb., has sold his practice to Dr. F. C. Zoll of Marquette and has removed to southern California, where he will make his future home.

Dr. Wright Newman of Aurora was accidentally shot while hunting ducks the latter part of October and is likely to lose the sight of one of his eyes in consequence.

Dr. G. W. Strough of Hickman was in Omaha the latter part of October, where he was operated on for ischial fistula, but has recovered nicely and returned to his home.

Dr. Lumsden, federal health officer, was in Lincoln the early part of November, investigating the cause of typhoid fever, which has been prevailing in that city for some months.

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