of medical science. The hospital is filled with specimens of the results of such causes, acting on the human body -from one point of view, Nature's experiments with poisons cunningly elaborated in the tissues of the body, or with viruses coming from without, upon blood and bone, muscle and brain. Much of the work of this new department will be connected with the results of these experiments. The laboratory is also fortunate in being located in a great manufacturing city, where the effects of different occupations, of trades dangerous or offensive by reason of dusts, or of vapors, or of waste products, can be readily observed and the materials for study obtained. There is an immense field for a sanitary clinic here, and in the habitations, the streets, the water-supply, and the sewers of Philadelphia. These clinics, however, can not, as a rule, be reported for the press, either lay or medical, since to do so would, to a great extent, defeat their object; the great majority of the sick in houses and manufactories must be considered as strictly private patients, and their affairs held as confidential. In the case of public institutions, or of public nuisances, a somewhat different rule may apply. applied, and he who aspires to be his brother's keeper must know how his brother lives. Labor questions, education questions, maritime and inter-State commerce questions, and methods of municipal finance and government are all intimately connected with matters of personal and public hygiene, and economic consequences, as well as health, must be considered in the advice and regulations of the sanitarian. I count it as fortunate, therefore, that there is a law school and a school of finance and political economy in this University to which the Department of Hygiene can look for advice and friendly criticism when these are needed, as they surely will be. And now a very few words as to the needs of the laboratory. First of all, it needs men-men thirsting for knowl edge, and fitted by previous training and education to come here and acquire that knowledge, not merely the knowl edge that exists in books or that the teachers in this laboratory may possess, but that which is yet unknown, the weight of that which no one has yet put in the balance—the shape, and size, and powers for good or evil of things whose existence has not yet been dem onstrated-men who will patiently and Practical hygiene is to play an im- earnestly seek the answers to the portant part in municipal government, questions, "What?" "When?" and to secure the best form of which is now "How?" in the hope that thus they one of the most urgent questions of the may by and by obtain some light day. Many of the questions to be de- upon the more difficult problems of cided by city officials as to to water-whence?" and "whither?" even if supplies, sewage disposal, etc., require they may never be able to answer expert knowledge to answer. "why?" Of course, the subject of hygiene and the work of a university department devoted to the increase and diffusion of knowledge in sanitary science extends far beyond the experiments and demonstrations for which this laboratory is specifically fitted. Bacteriology, chemistry, pathology, physics, and medical and vital statistics give us the foundations, but sociology and jurisprudence must also be studied in their relations to sanitation to obtain the best results. It is in and to the home and the workshop that these results are to be There are not many such young men whose tastes will be in the direction of these lines of research, and of these there will be very few who will have the means to support themselves while engaged in the work. We need, therefore, the means to help them in the shape of half a dozen fellowships, paying about $500 a year each, and granted only to those who give satisfactory evidence of capacity and zeal. The second thing we want is a demand on the part of the public for really skilled, well-trained sanitary investigators and officials such as we hope to send out from here; we want a market for our product; we want the legislators of this and other States, and of our rapidly growing municipalities, to be educated to appreciate the importance and practical value of such health officials, and to give the best of them employment. Thirdly, the laboratory wants the co-operation and assistance of sanitary authorities and inspectors, and especially of those of this city and State. It needs to know from time to time what they are interested in and are working at, to have the opportunity of showing to its students cases of special interest-sick houses, localized epidemics, special forms of nuisance. And, on the same principle and for the same reasons, it desires to have its attention called to special methods of heating, ventilating, and draining buildings, and especially public buildings, such as schools, hospitals, prisons, churches, and theatres, and to matters connected with the hygiene of manufacturing establishments and special occupations, methods of disposal of offensive or dangerous waste products, of protecting workmen against dusts, gases, etc. In short, we want to know how these things are managed by the men who have a practical interest in them; and if, in our turn, we can suggest improvements, we shall be glad to do so. Fourth, the laboratory wants a reference library as complete as it can be made, and always up to date. Many of the books and journals required must be purchased, and for this purpose a special fund is needed, but many of the works required can only be obtained by gift. Thus we want all the reports of boards of health-State and municipal -of municipal engineers, water-works and water commissions, park commissioners, etc. We want the catalogues and circulars of all manufacturers of heating and ventilating apparatus, of plumbers' supplies and house fixtures, of electric and gas fixtures, of machinery and apparatus connected with water-supply and sewage disposal. We want copies of plans and specifications of large buildings of all kinds. And these things can only be obtained through the aid and good-will of manufacturers, engineers, architects, and sanitarians all over the country; and this aid I venture to ask, feeling sure it will be granted by those who know what is wanted. I will mention but one more special want to-day, and that is of means for the proper publication of illustrated reports and accounts of the work done in the laboratory. In the mean time we must be patient, and not too eager to touch the fruit of the blossom that is not yet blown.— N. Y. Med. Four. UNUSUAL MUTILATION IN CHILDBIRTH. The following case is reported by J. M. Barbour, M.B., in the London Lancet, and is certainly unique: M. K., an unmarried woman, traveling alone in a compartment of a suburban train, was suddenly seized with labor pains. Feeling a protrusion from the vagina, she states she attempted with some force to deliver herself, and broke the presenting limb-an arm. ln a moment of pain and frenzy she took a table knife from a tiffin basket, severed the limb below the elbow and threw it from the carriage window. A few minutes after she alighted from the train, and walked half a mile home. When seen, an half hour after the incident, a considerable quantity of arterial blood had escaped from the vagina into cloths and vessels, but an excellent pulse and an entire absence of pains hardly lent credence to her story. On examination the vagina was occupied by a ragged projection, which proved to be the "balance" of an arm presentation. The patient was placed under chloroform and much difficulty was experienced in turning, the management of a jagged stump greatly hindering manipulation. Eventually a full grown, well-nourished male child was delivered dead, with the right arm severed about two inches above the elbow. There was no funis pulsation; the stump was pale and flaccid, with a general pallor | not act. Patient became collapsed, with of the entire skin. The uterus was dilated pupils, slight twitching douched twice daily with solution of muscles of face, complete paralysis, and perchloride of mercury, and the patient became comatose and died in one and a made a good recovery. quarter hours after ingestion of the salt There was no autopsy. Am. Four Med. Sciences. This case singularly illustrates the exemption from criminality where mutilation occurs before the child is free from the maternal passages.- Western Med. Reporter. FATAL POISONING BY EPSOM Dr. Wm. Lang reports (Lancet, 1891) that a woman, about thirty-five years old, accidentally took four ounces. of sulphate of magnesia in a tumbler of hot water. She complained of burning pain in the stomach and bowels, choking feeling, power going out of arms and legs. The tongue and mucous membrane of the mouth were normal; no sickness, vomiting, or purging; pulse, 96 and regular. He gave as emetic, thirty grains of sulphate of zinc, which did LEUCORRHEA is, according to Dr. Louis Bauer, often due solely to con stipation, hence clearance of the bowels of their fecal contents is in many cases the chief and most effective treatment of that troublesome disorder.-Four. Am. Med. Assn. COUNTERFEIT MUMMIES. Seven teen mummies, recently purchased at a cost of $200,000 by the Berlin Museum, have been shown to be of recent manufacture and the handiwork of some wily Arabs of Alexandria.-Med. Record. BINDING.-A VOLUME ( year) of the Lancet- Clinic, cloth, leather back and corners, gilt lettering, for 75%. The Sequelae TO WHICH THE ESPECIAL ATTENTION OF THE MEDICAL PROFESSION IS CALLED, ARE THOSE WHICH FOLLOW LA GRIPPE AND ITS ALLIED COMPLAINTS. A "BROCHURE" CONTAINING THE PATHOLOGICAL AND PHYSIOLOGICAL ACTION OF ANTIKAMNIA, ALSO ITS USE IN GENERAL PRACTICE, WITH SAMPLES IN POWDER AND TABLET FORM, SENT FREE ON APPLICATION. ADDRESS: THE ANTIKAMNIA CHEMICAL COMPANY, ST. LOUIS, MO., U. S. A. WHEN PRESCRIBING ANTIKAMNIA, SEE THAT THE GENUINE IS DISPENSED, INSURING THE DESIRED RESULTS. ESSENCE OF 38-Pages Reading Matter in this Issue-38 THE CINCINNATI Lancet-Clinic A Weekly Journal of Medicine and Surgery. Specimen of an Unusually Large Post-Nasal Polypus, with Report of Case. By J. W. Murphy, M.D. 469 Two Cases of Pyosalpinx, with Exhibition of Specimens. By Rufus B. Hall, M.D. See Advertisement “6 VIN MARIANI" on Insert page x. Apollinaris "THE QUEEN OF TABLE WATERS." "Much favored by her Majesty." -WORLD, LONDON. Directly from the Peptic Glands of the Stomach. -TRUTH, LONDON. BRITISH MEDICAL JOURNAL. -THE TIMES, LONDON. "Cosmopolitan." “Cheap as well as good." "The demand for it is great and increasing." "The best beverage." "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 BLOODAN MUSCLE portions of Ale." SOLD BY DRUGGISTS. DR. J. N. LOVE, St. Louis, says: -Since 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. 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 hos pital 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 Very respectfully, WILLIS P. KING, M.D., Ass't Chief Surgeon, Mo. P. Ry. sell. "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 AND 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. |