Imatges de pàgina

Some bleeding also from the brachial wound. The axillary was tied by Mr. Skey on this day. The patient has been discharged quiie well, though hemorrhage several times occurred after the ligature of the axillary, evi. dently from the whole calibre of that vessel.

Operations for Enlarged Buna.Case 1.—A woman, aged 22, was admitted, under the care of Mr. Cock, into Guy's Hospital, having an enlarged bursa, the size of a walnut, beneath the tendon of the flexor carpi ulnaris muscle. It bad occasioned great pain by pressure on the ulnar nerve, and had caused contraction of the little ring finger. Mr. Cock laid it freely open, removed some small melon seed-like bodies, and left the cavity to fill by granulation. There has been no undue inflammation, and the healing is now all but complete. Cote 2.—A man, aged 26, was admitted into Guy's Hospital, under the care of Mr Birkett, on account of a ganglion in connection with the tendon of the peroneus tertius, which had given bim much trouble It had been twice laid open, but when healed the fluid had on each occasion resecreted. Mr. Birkett dissected it out, together with some fibres of the tendon to which it adhered. The suppuration which followed extended up the leg, but it suhsided after a time, and the wound healed.—Med. Times and Gaz., June 23 and 30th, 1855.


Committee on Medical Topography and Epidemics, of the American Medical Association.—At the last annual meeting of the American Medical Association in Philadelphia, May, 1855, a committee was appointed of one member from each State and Territory, and one from the Army and one from the Navy of the United States, to report upon the medical topography and the epidemic diseases of the United States, and the most successful treatment of the latter.

A circular was issued, signed by several members of this committee, viz: by James W. Thompson, M. D., of Delaware ; Jacob M. Gemmil, M.D., of Pennsylvania; G. Mendenhall. M. D., of Ohio; J. H. Beech, M. D., of Michigan: Joseph Maumn, M. D., of Rhode Island; and Thomas Miller,

M. D., of the District of Columbia, requesting the members to assemble at Newport, on Tuesday, the 14th day of August; and on that day, in the Redwood Library, Drs. Thomson of Delaware, Smiih ol New Jersey, Perkins of Vermont, Mauran of R. Istand, and Shut tuck of Mass., were present. The meeting was called to order, at 10 A. M., Dr. Thomson was chosen chairman, and Dr. Mauran, Secretary.

On motion, it was voted, unanimously, that Drs. Dunn and King, of Newport, and Dr. Sterner, of Baltimore (all permanent members ol the Association), be invited to participate in the discussions of the committee.

It mas toted—thai the first business in order be the reading of communications from members of the committee not able to be present, viz : Drs. Weston of Maine, Peaslee of New Hampshire, Mendenhall of Ohio, Sutton of Kentucky, Beech of Michigan, Haskins of Tennessee, and Wroth of Maryland.

After the reading and due consideration of these communications and a free interchange of opinions, a sub committee was constituted by the appointment of Drs. Perkins, Smith, and Shattuck, to takellie subject of the communications and views of members into consideration, and to report at the next meeting; and the committee adjourned to meet at the same place at 5 o'clock P. M.

The committee came together at the appointed time, when the following report was made and adopted :—

Report of the Sub- Cammittee.—" The written communications of those ahsent and the expressed opinions of those present, show there is but one opinion on the part of all as to the importance of prompt and effective measures being at once taken to secure the collection of such facta and histories, as may enable the committee to draw up their reports satisfactorily. The subjectmatter is ao vast, that many collaborators are needed. Each member of the committee has the power to associate with him any professional brethren who may be able and willing to take part in the work. Very valuable aid can be rendered by State and County Societies, whose co operation it ia advisable to invite. At the same time some members of the Committee are mistaken in supposingthat the reports must first be made to, and adopted by a State or County Society. A proposition to this effect was mode, but was not adopted by the Convention— one.obvious reason for this refusal being found in the fact that there are no such societies in many States and Counties.

"Your Sub-Committee think it desirable to try to get the histories of all epidemics which have prevailed since the settlement of the country. Our reports must be made by the first of May, 1858, but we must at once set about seeing what materials we can get together. A general appeal to all members of the profession seems desirable, and a form of circular is subjoined, which it is proposed to send out as extensively as possible. Each member will make his own researches according to time and facilities, and in this way, when the Committee next come together, they may hope to have a mass of material, from a careful examination of which, shape and direction may be given to the reports."

At a meeting of the Committee at the same place, on the 15th of August, Doctors Mauran and Shattuck were appointed a SubCommittee to print and send the circulars to the ahsent members,, with an account of the proceedings.

On motion by Dr. Smith, seconded by Dr. Shattuck, it was

Voted, That the thanks of this Committee are hereby cordially tendered to the proprietors of the Redwood Library, for the free use of their commodious rooms, and also to our medical brethren at Newport, Doctors Dunn and King, for their continued courtesies and elegant hospitality extended to all the members of tho Committee whilst sojourning in their city.

Voted, Thot the proceedings be signed by the Chairman and Secretary.

Voted, That this meeting is now adjourned to I he first Wednesday in May, 18:6, at the city of Detroit.

James W. Tnomson, M. D.,


Josepn Maurax, M. D., Sec'y.

Circular.—The Committee of the American Medical Association "on Medical Topography, Epidemic Diseases, and most successful treatment thereof," address you this circular in their endeavour to get together materials for a medical history of the country. Please communicate to the address of the undersigned, any and all information which may enable him to make a report, in

which due credit will be given to each collaborator, and his name mentioned in con

I nection with facts and histories furnished hy ! him.

Please mention everything that has been printed or published about the medical history of your district, any topographical account of histories of particular eptdemics, and say how far your own obaervation enables you to vouch for facts therein presented.

Geological and physical charts are very desirable, as well as descriptions of pecutiar features of country or city.

Please mention all epidemiet of which you may have any knowledge, being particular to assign limits of time and space as exactly as possible, giving, in connection with each disease, the peculiar features of the country, city, ward, or street where it prevailed, with, slope of rocks,character of soil, meteorologi. cal records and ohservations, altitude above the ocean or adjacent bodies of water, character of the water, artificial changes as by eultivation, cutting down or planting of trees, sewerage, drainage, Ate. &c.

Any supposed causes of disease, peculiar symptoms, poet-mortem appearances, prevention, therapeutical influences, and all details of age, sex, nativity, occupation, Sic, of individuals, and of the duration and severity of disease at different periods, proportion of mortality, &c. Sec., should be given.

An early answer to this communition is I desired.

(This circular will be signed by the : respective members of the Committee of the ! several States through which it is to be ditj tributed.] —Boston Med. and Surgical Jr., ; Sept. 6, 1855.

j Mortality from Yellow Fever at New Orleant.—The total number of deaths in New j Orleans for the week ending Sept. 9, was j373. Yellow fever 255, other diseases 118. I It is stated that the epidemic reached its cutj minating point on the week ending the 20ih j of August, when the number of deaths was ;394. For the next week, ending the 27ib, | August, the deaths from yellow fever bad i fallen to 357; for the week terminating !September 3d, they were 301, and for the j last week, ending on the 9th, they were S5J. ] The whole number of deaths from yellow ! fever, reported by the Board of Health for ! the present season, amount to 1.950. The j yellow fever deaths in 1854, numbered 2,503. j The follow ing table of yellow fever dearhj

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Yellow Fever at the South —Yellow fever which prevatled to a dreadful extent in Norfolk and Portsmouth, and in a most malignant form, has now abated. It has broken out at Vicksburg, Yazoo city, Cooper's Well, Jackson, Canton, oil the plantations in Wilkinson County, and other places in Mississippi.

American Physicians in the Crimea.—Dr N. E. Gage in a letter from Berlin to the Editor of the New Hampshire Journal of: Medicine, states that " twenty-four American Physicians have now gone to the Crimea. I wish that a word expressed in your Journal would do any good in persuading our young medical men at home, that the prospect is really anything but encouraging, without one is qualified for the greatest physical trials, and for continual embarrassment from an ignorance of the language."

Atlanta Medical and Surgical Journal.— This is the title of a new candidate for Professional favour, edited by Dr. Jos. P. Loran and W. F. Westmorelann, Professors in the Atlanta Medical College. The first No., which appeared last month (September), is an interesting one, and manifests, a dignified catholic spirit on the part of its conductors. We wish it every success.

The Physician's Visiting List, Diary, and Book of Engagements for 1856.—We are indebted to Messrs. Lindsay & Blakistonforacopy of ibis convenient book,which we strongly recommend to the attention of those who have never used it. To those who have done so, no recommendation is necessary, they will, we are quite sure, consider the possession of it indispensable

f\ Dr. Benedict's Sonitarium at Magnolia, East Florida.—We take pleasure in recommending this institution, which is to be opened in November next to physicians, and to invalids laboring under affections of the throat and lungs. It is easy of access, being but one day's journey by steamboat, from Savannah or Charleston, and four days by sieamer, from Philadelphia or New York via Charleston or Savannah. The location has been selected after much observation and deliberation, as possessing as many if not more, advantages than any other in this country. The mean temperature of the winter montbs there is about 60° ; froat is rarely seen. The house is commodious, has large airy chambers, and is said in every respect to be well constructed for the purpose. Dr. Benedict, who was lately superintendent of the New York State Lunatic Asylum, is well known as a skilful and most humane physician, and the invalid may feel confident of receiving there every comfort which kindness and professional skill can afford.

The late Dr. Mareton StMf.—Extract from the minutes of the Philadelphia Association for Medical Instruction :—

"At a special meeting held by the Association this evening, for the purpose of taking action in regard to the death of their late Associate, Moreton Stille, M. D., who departed this life on the 20th inst., it was unanimously

Resolved, That in Dr. Moreton Stille we have to lament a most zealous and efficient colleague; one who in all the relatione of life was most exemplary and unexceptionable ; as a friend, earnest and steadfast; as a man, upright and punctilious ; as a gentleman, affable and courteous ; as a physician, mature in judgment, skilful and humane; and self-sacrificing in his efforts to promote the interests of his profession.

Resolved, That we will attend the funeral of our late member, to-morrow, at 4 o'clock P. M.

Resolved, That a copy of these resolutions be transmitted to the family of the deceased, as an expression of our deep sympathy with them in their sad bereavement."

Ellerslie Wallace, Sec'y, August 22, 1855.

Pnil'a, Aug. 23, 1855. At a meeting of the students of the "Phi

ladelphia Association for Medical Inetruc- j tion" held this morning, the following preamble and resolutions were unanimously adopted:— j

Whereas, It has pleased an all-wise Providence to remove from our midst a valuable t instructor and friend, Dr. Mureton Stille, Lecturer on the Principles and Practice of Medicine in the Association, whose able and conscientious discharge of his duties has filled us with esteem, and whose moral worth and valuable counsels have thrown around us the closest ties of affection: Therefore,

Resolved, That while we bow submissively to the Divine decree, we make this expression of heartfelt sorrow for his death and respect for his memory; feeling that not to ourselves alone, but that to medical j science at large, his loss is one of no ordinary character.

Resolved, That we sincerely sympathize with the family and friends of the deceased in their bereavement.

Resolved, That we will attend the funeral and wear the usual badge of mourning for thirty days.

Resolved, That a record of the proceedings of this meeting be sent to his family, and likewise be published in the "Medical News" and " Medical Examiner''

S. Baiter, Chairman.

E. Strudwicr, Sec'y.

Orituary Record—Died, at Reading, Pennsylvania, September 12th, Isaac HiesTer, M. D , in the 71st year of his age.

In New York, on the 12th of August, in the 65th year of his age. Dr. J. C. Buss.

In Washington, on the 12th September, Henry S. Hielrell, M. D., Surgeon U. S. A.

At Laona, Illinois, at a venerable age, Stepnen W. Williams, M.D., formerly of Deerfield, Mass.


Death from Chloroform.—A young lady,! Miss Naylor, residing with her friends in Hanover street, Sheffield, was for some time; past in the habit, notwithstanding the remon- j 8tranees of those about her. of inhaling j chloroform for the purpose of producing trance, and allaying the pain consequent,

upon an affection of tic douloureux, to which she was much subject. The result, as might be conjectured, was, that the sufferer inhaled an over dose of the anaesthetic agent, and upon her friends entering her room one morning this week, they found her a lifeless corpse in bed, with the bottle which hsd contained the chloroform by her side. Dr. Bartolone was called in, but he found I he body quite rigid, and the vttal spark had been extinct for some hours.—Lancet, Sept. 1.

Epidemic of Gangrenous Ergotism okserved in the Hotel-Dieu of Lyons, by Dr. Barrier.—Many years have elapsed since gangrenous ergotism had been observed at the Hotel-Dieu of Lyons, in any other than a perfectly sporadic form; but during the last year about thirty patients have been admitted into that institution labouring under this species of gangrene, and coming for the most part from the departments of Isfere, Loire, Haute-Loire,and Ardeche. A few belonged to the Rhone and other neighbouring departments. The epidemic seems, to judge from the cas« treated in the institution, to have attacked men in preference to women. The age of the patients varied from 12 to 60 years. The majority of the patients were, previously to the debility due to the gangrene, in a stats of constitutional or acquired weakness, which must have presented an unfavourable predisposition. The gangrene chiefly attacked the feet and hands, and from them ascended towards the trunk. In no [ was the head or trunk affected with: fication ; in the greater number the gangrene destroyed an entire, or almost an entire, foot; in some, a toe only; in others, the two lower liml,s mortified nearly to the knee. In a child, aged 14, the disease did not stop until it had reached the middle of the thigh.

Less common in the upper extremities, the gangrene most frequently implicated one or more fingers; it sometimes reached, but seldom passed, the wrist. Local examination seemed, obaerves M. Barrier, to demonstrate the existence in almost all the patients, of either primary or secondary arteritis. We regret very much that the surgeon-in-chief of the Hotel-Dieu of Lyons did not avail himself of these cases to give a tolerably complete description of arteritis. The gangrene in general was dry; still there were some cases of moist gangrene. In most instances the surgeon confined himself to waiting for the spontaneous separation of the mortified portions, regulating as much as possible those stumps which presented bony projections, or too unequal flaps. Amputation of the leg Wrs twice performed at the place of election ; one of the patients recovered, the other died. This epidemic presents the closest resemblance to that of 1814, which Wrr described by Dr. Janson, of the Hotel-Diett of Lyons.—Dublin Medi oil Press, August 29, 1855, from Gazette Hebdomadaire, August 3,1855, p. 581.

The Ingestion of the Cysticrrcus Cellulo svs the Cause ofTania.Dr. KucnenmeisTer, of Zittau, has published in the Wiener Med. Wochenschrifl, (No. I., 1855,) a series of experiments made upon an individual condemned to capital punishment, which j would tend to show that the taenia solium is i generated by the cysticerci cellulosi which! we swallow with our food. The culprit was made to ingest, mixed up with various articlea of fund, seventy-five cyaticerct. ai periods varying from one hundred and thirty tot twelve hours before decapitation. The j entozoa were procured from the mesentery of a pig and rabbit; the first used were of j the variety of cysticercus " tenuicollis" and '. pisiformis;'' but the latter and greater portion were actual cysticerci cellulosi. The intestines were examined forty-eight hours after death. In the duodenum was found a little tenia adherent to the mucous membrane; and in the water used to wash this portion of the bowel, other specimens of tenia, about the sixth of an inch long, were also seen. It is supposed that these were the result of the cysticerci which were first swallowed one hundred and thirty hours before death, as not a trace of those ingested near the time of decapitation was discovered.

M. KUchenmeister concludes from these experiments—1. The cysticercus, introduced into the economy of man, is transformed into the ttenia solium. 2. The mode of transmission of the Itenia solium is the same as that of all the entozoa which originate from cysticerci. 3. Men become affected with the tenia solium by eating either uncooked articles of food, or cooked and ingested cold, as procured from pork-butchera, &C

The author has succeeded, as had before him Benedeus, in generating the cysticircus

cellulosus in the pig by administering joints of the tenia. This result was, however, not obtained with the dog or sheep. He urges upon his professional brethren to repeat his experiments, but to begin earlier ihun he did. and contrive to make a prisoner likely to suffer capital punishment, ingest fresh cysticerci, at the distsnce of four weeks, several times over. The experiment is, according to Dr. KUchenmeister, quite justifiable; for even in case the man were not condemned, it would be an easy matter to expel ihe artificially produced tenia.—Lancet, July 28, 1855.

Experiments on the Smoke of Tobocco.—In Froriep's Journal, of a recent date, an interesting article has been published on the habit of tobacco smoking, and on poisoning by nicotine. Amongst the facts there mentioned, are the experiments instituted by M. Malapert, a pharmacien of Poitiers. Hip intention was to ascertain the exact quantity of nicotine abaorbed by smokers, in proportion to the weight of tobacco consumed.

The apparatus used consisted of a stone jar, in which the tobacco was made to burn, connected with a series of bottles communicating by tubes. The bottles were either empty, or contained some water mixed or not with a little sulphuric acid. From a few experiments, it was found that, in the smoke of tobacco extracted by inspiration, there is ten per cent, of nicotine. Thus a man who smokes a cigar of the weight of seventy grains receives in his mouth seven grains of nicotine mixed with a little watery vapour, tar, empyreumatic oil, &c. Although a large proportion of this nicotine is rejected, both by the smoke puffed from the mouth, snd by the saliva, a portion of it is nevertheless taken up by the vessels of the buccal and laryngeal mucous membrane, circulated with the blood, and acts upon the brain. With those unaccustomed totheuse of tobacco, the nicotine, when in contact with the latter organ, produces vertigo, nausea, headache, and somnolence; whilst habitual smokers are merely thrown into a state of excitement, similar to that produced by moderate quantities of wine or tea.

From further investigations it is found that the drier the tobacco the less nicotine reaches the mouth. A very dry cigar, whilst burning, yields a very small amount of watery vapour; the smoke cools rapidly, and allows the condensation of the nicotine

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