Last week. 12 32 5 I 2 2 . 2 I I I 29 10 2 4 5 6 1361212 313 2 Annual rate per 1,000 Deaths under 1 year.. Deaths between 1 and 5 years. Health Officer. OHIO HEALTH BULLETIN. 91 164 102 Infectious Diseases reported to the Ohio State Board of Health in 38 cities. and towns during the week ending January 15, 1892. Diphtheria: Akron, 2 cases, I death; Bellaire, I case, I death; Carey, 2 cases; Cincinnati, 29 cases, 10 deaths; Cleveland, 21 cases, 9 deaths; Delphos, I case; Elmwood, 2 cases, Fostoria, I case; Greenville, 2 cases; Findlay, I case, I death; Lancaster, 2 cases; Lima, 6 cases; Mansfield, 5 cases; Newton Falls, 2 cases; Norwalk, I case; Toledo, 6 cases, I death. Total, 84 cases and 23 deaths. Scarlet Fever: Akron, 8 cases; Carey, I case; Cincinnati, 27 cases, 3 deaths; Cleveland, 7 cases; Cleves, I case; Coshocton, 6 cases; Elmore, 5 cases; Garrettsville, I case; Geneva, 5 cases; Iron ton, 2 cases; Lancaster, II cases; Mansfield, i case; Newton Falls, 2 cases; Norwalk, I case; Ohio City, I case; Salem, I case; Tiffin, 2 cases; Toledo, 2 cases; Zanesville, 2 cases. Total, 86 cases and 3 deaths. Typhoid Fever: Cincinnati, 5 cases, 6 deaths; Cleveland, I case, I death; Coshocton, 2 cases; Geneva, 2 cases; Ripley, I case, I death. Total, II cases and 8 deaths. · Whooping Cough: Cleveland, 2 deaths; Elmore, 12 cases; Leetonia, 8 cases; Newton Falls, I Total, 21 cases and 2 deaths. case. Measles: Cincinnati, 16 cases; Cleveland, 8 cases; Garrettsville, 14 cases; Toledo, I death. Mortality Report for the week end- Total, 38 cases and I death. BEEF TEA. The opinion is frequently expressed nowadays by physicians that beef tea is of no value as a food, but is simply a solution of stimulating or refreshing saline elements. If this is so it should be generally known, for beef tea is often administered in adynamic states, as a substitute for, or in alteration with, nourishing substances such as milk. We are convinced that the prejudice against rightly-prepared beef tea is without proper foundation; and we prefer this home-made substance to the different meat extracts sold in the shops, which may vary greatly in their composition, and are often disagreeable to the taste. In order to make a nourishing beef tea, a pound of tender, lean meat should be chopped fine and allowed to soak two or three hours in a pint of cold water. The vessel should then be heated on the stove (not to the boiling point), for two or three hours longer, until the water has evaporated to half a pint. If the meat be delicate and free from gristle and tendinous matter, and if it be not heated to the boiling point, there will be no scum to skim off of the top nor fibrous residue to remain on the bottom; but the mixture will consist of a brownish liquid, with brown flakes floating in it. When properly seasoned it is as delightful an article of food as can be presented to an invalid; and the maker will soon have a great reputation among the sick for her dainty dishes. We cannot believe that the preparation, thus described, served unstrained, does not contain the strength of the meat. The nourishing elements of the meat surely do not evaporate, and they are neither skimmed away, nor left behind in the vessel. Where else, then, can they go, except into the stomach of the invalid? We admit that some invalids cannot digest the brown flakes of the tea, which produces relaxation of the bowels. But such persons could probably not digest the casein of milk either; as in certain cases of typhoid fever. When, however, the stomach and intestines have any digestive power at all, we would recommend the preparation above described as an alternative for milk. A sick person can in this form take a pound or more of beef in twenty-four hours, if there be no relaxation of the bowels, such as sometimes follows the use of all soup preparations. The various modifications of this method, such as heating the meat with little or no water in a bottle, are good; but the method given is perhaps the most elegant. The main points are to use lean, tender beef, to soak it for hours in cold water, and on no account to bring it to the boiling point in the final slow heating.-Editorial, Maryland Med. Journal. A FOLK-LORE REMEDY FOR WHOOPING-COUGH. Dr. E. V. Hunt writes to The Lancet that while staying at Folkestone recently he got into conversation on whoopingcough one day with a bath chairman. The man said that he knew of a certain cure for this complaint, which was to cut some hair from the nape of the child's neck, put the hair between two pieces of bread and butter, and make a dog eat it. He said the dog caught the whooping-cough, and probably died of it, but the child recovered. On rather strong doubts on the point being expressed by the listener, he asserted it was positively true, for it had proved a cure in the case of his own children. Medical Record. Tancet-Clinic A Weekly Journal of Medicine and Surgery. NEW SERIES Terms, 83.50 per Annum. Entered at the Post Office at Cincinnati, Ohio, as second-class matter. Vol. XXVIII-No. 5. } Cincinnati, January 30, 1892. {WHOLE VOLUME LXVII. I. Preliminary Communication on the Exciting Causes 157 II. On the Influenza Bacillus and the Mode of Culti- 158 136 III. On a Micro-Organism in the Blood of Influenza 159 Chloroform in Labor. 136 Tetanus Cured with the Tetanus Antitoxine. 146 Celluloid Substitute for Bone. 147 147 Vaccination as a Prophylactic Against Influenza. 160 To Extract Ptomaines from Urine.-Action of the Pro- 161 148 150 Double Nephrolithotomy for Renal Calculi Complicated 163 164 Pyoctanine in the Treatment of Malignant Tumors.- The Treatment of Inoperable Uterine Carcinomata MISCELLANY. Solution of the Essential Organie ESSENCE OF PEPSINE Ingredient of the GASTRIC JUICE, Extractné -(FAIRCHILD). Directly from the Peptic Glands of the Stomach. SEXUAL PERVERSION. THE SECRETARY OF PUBLIC HEALTH. IDITORIAL NOTES. See Advertisement " VIN MARIANI" on Insert page viii. Apollinaris “THE QUEEN OF TABLE WATERS.” "Much favored by her Majesty." "The demand for it is great and increasing." 3 -THE TIMES, LONDON. "What a boon it would be to the Med ALE AND BEEF ical Profession if some reliable Chemist would bring out an Extract of Malt in combination with a well-digested or peptonized Beef, giving us the elements of Beef and the stimulating and nutritious BLOOD MUSCLE portions of Ale.” SOLD BY DRUGGISTS DR. J. N. LOVE, St. Louis, says:-Sinee the product has been brought under my notice I have prescribed it in the sick room to one hundred recorded cases. Patients who have suffered from loss of flesh, dependent upon various forms of Dyspepsia, when they partook of the Ale and Beef, "Peptonized," felt much benefited. I have now under my observation three patients, the victims of the dread disease pulmonary consumption, in which the digestive tract is demoralized, and in which it seems impossible to bring to bear any form of nutrition which is not disgusting to the patient. In all these cases the drink is a Godsend. A number suffering from prostration, following serious attacks of the recent epidemic of La Grippe accompanied by loss of appetite and a general feeling of worthlessness, were braced up and greatly benefited immediately after commencing the use of the Ale and Beef, "Peptonized." In half a dozen cases of typhoid fever, in which everything else was distasteful to the patient, the Ale and Beef, "Peptonized," pleased the palate, and nourished and strengthened the patient admirably. I feel personally under obligations to those who have presented so valuable a product to the medical profession, and many a tired and faded patient will be revived and strengthened by the life-giving drink, Ale and Beef, "Peptonized," which is a happy union, in that it contains mildly stimulating (alcohol in small quantity), gently tonic (a modicum of the active principle of hops), decidedly nutrient (malt and beef) and positive digestive (diastase and peptonoids) propertiesa union which is in harmony with well-known physiological principles, and will in my judgment be indorsed by careful bedside clinicians. DR. W. F. HUTCHINSON, Providence, R. I., says:-I have used Ale and Beef, "Peptonized," very freely during the past few months and am delighted with the effect obtained. One case was that of a hopeless paralytic, unable to retain any food and steadily failing, for whom I ordered one bottle daily. Her stomach never rejected it and has steadily gained since she commenced using it. PROF G. A. LEIBIG says: -J. MILNER FOTHERGILL, M.D. DEAR SIRS:-Answering yours of the 8th inst., will say that I have used the Ale and Beef, "Peptonized," in both hospital and private practice, and am much pleased with it. My house surgeons (Drs. F. R. Smiley and Geo. F. Hamel) inform me that it agrees with the stomach in cases where food can not be retained, and this agrees with my own experience. I had one case of a delicate lady with a forming pelvic abscess which involved the ovary. There was constant vomiting and retching. She retained the Ale and Beef, "Peptonized." This, after I had tried a number of things which had failed. She drank it steadily for a month, and it seemed to be, in her case, food, medicine and stimulant, all in one. It is an excellent thing. Keep up the good quality of the preparation and it will readily sell. Very respectfully, WILLIS P. KING, M.D., Ass't Chief Burgeon, Mo. P. Ry. "A careful chemical examination of the Peptonized Ale and Beef shows a much larger per cent. of nitrogenous blood and muscle-making matter over all other malt extracts, and that it is also rich in Diastase, giving it the power to digest BLOOD MUSCLE Starch Foods." PREPARED BY THE ALE BEEF COMPANY, DAYTON, O., U.S.A. Two full-sized bottles will be sent FREE to any physician who will pay express charges. In Corresponding with Advertisers, please mention THE LANCET-CLINIC. THE CINCINNATI LANCET-CLINIC: A WEEKLY JOURNAL OF MEDICINE AND SURGERY. New Series Vol. XXVIII. CINCINNATI, January 30, 1892. Whole Volume LXVII. Original Articles. THE ETIOLOGY AND TREAT- EQUINO-VARUS. A Paper read before the Academy of Medicine, BY TRAVIS CARROLL, A.B., M.D., CINCINNATI. It is my pleasure to present to you this evening the subject of congenital equino-varus. The fact that one encounters so frequently adults exhibiting this deformity, is sufficient evidence either that the present management during early life is faulty or inadequate, or that the laity, imbued with that traditional idea that once a club foot always a club-foot, has not been sufficiently impressed, that, taken at birth and the proper treatment persisted in, no child at the age of puberty should be so crippled. the other hand. the overstretched skin. There is a short- The causes of club-foot have been summed up by A. Sidney Roberts and Sam. Ketch in an admirable article on this subject in the "Reference Hand-book of Medical Sciences," as follows: 1. The theory of pathological changes affecting the fœtus in utero. 2. The theory of mechanical forces acting upon the child in utero. 3. The theory of heredity. The condition termed equino-varus, classified arbitrarily by some authors into three degrees, consists in a down ward, inward and backward twisting of the foot, especially marked with reference to that part anterior to the medio-tarsal joint. In extreme cases there is also an upward tendency so that the great toe approaches the inner side of the leg. The inner and inferior aspects of the foot are shortened and concave, the other upper surfaces convex and lengthened. While the curve extends throughout the whole foot, it H. W. Berg, of New York, an becomes angular in character at the especial advocate of this last theory as medio-tarsal joint, where the bones are the cause of congenital equino-varus, so far separated as to amount to a sub- by a study of the specimens seen at the luxation, leaving the prominent head of New York Hospital and Wood's Muthe astragalus to be felt plainly beneathseum, of Bellevue Hospital, with refer 4. The theory of arrest of development. 5. The non- or retarded rotation. |