Washtenaw County. Dr. James F. Breakey, Ann Arbor; Dr. H. B. Britton, Ypsilanti; Dr. R. B. Canfield, Ann Arbor; Dr. H. W. Emerson, Ann Arbor; Dr. N. B. Foster, Ann Arbor; Dr. C. George, Jr., Ann Arbor; Dr. H. Malagan, Ann Arbor; Dr. Reuben Peterson, Ann Arbor; Dr. V. C. Vaughan, Ann Arbor; Dr. U. J. Wile, Ann Arbor. Wayne County. Dr. De Witt C. Adams; Dr. Edward J. Agnelly; Dr. Herman F. Albrecht; Dr. Frank C. Anderson; Dr. Warren L. Babcock; Dr. Frederick W. Baeslack; Dr. Max Ballin; Dr. Don C. Bartholomew; Dr. Charles Barton; Dr. Robert J. Baskerville; Dr. Robert Beattie; Dr. Harold A. Beck; Dr. Clarence H. Belknap; Dr. William O. Benjamin; Dr. Zina B. Bennett; Dr. Harry S. Berman; Dr. Isadore I. Bittker; Dr. Fred H. Blanchard; Dr. Jacob R. Bolasny; Dr. Edmund W. Bolio; Dr. Ralph H. Bookmyer; Dr. Richard F. Boonstra; Dr. Henry R. Boyes; Dr. Frank B. Broderick; Dr. Clark D. Brooks; Dr. William H. Browne; Dr. Wm. S. Brownell; Dr. Bruno B. Brunke; Dr. John D. Buck; Dr. Frederick G. Buesser; Dr. Glenn A. Bulson; Dr. John K. Burns, Jr.; Dr. Lowell M. Bush; Dr. Thos. P. Camelon; Dr. Geo. H. Campau; Dr. Duncan A. Campbell; Dr. Clarence Candler; Dr. Edward K. Carmichael; Dr. Glenn B. Carpenter; Dr. James G. Carr; Dr. Henry R. Carstens; Dr. John H. Carstens; Dr. Albert E. Catherwood; Dr. Aaron Lee Chapman; Dr. Clarence A. Christensen; Dr. Harold F. Closz; Dr. Don A. Cohoe; Dr. Homer C. Collins; Dr. Lannes I. Condit; Dr. Ray Connon; Dr. Bernard F Corbett; Dr. Langdon T. Crane; Dr. Ernest K. Cullen; Dr. Hampton P. Cushman; Dr. Samuel S. Danziger; Dr. Milton A. Darling; Dr. Jos. L. Desrosiers; Dr. Harry F. Dibble; Dr. John C. Dodds; Dr. Daniel R. Donovan; Dr. Ira G. Downer; Dr. David B. Downing; Dr. George A. Drescher; Dr. Leo J. Dretska; Dr. Adolph E. Dreyer; Dr. Charles F. DuBois; Dr. Frederick Eakins; Dr. Clarence H. Eisman; Dr. Rollan R. Ensor; Dr. Arthur W. Erkfitz; Dr. George E. Fay; Dr. Ray L. Fellers; Dr. Charles J. Foley; Dr. Antonio J. Font; Dr. Walter D. Ford; Dr. Henry E. Fraser; Dr. George E. Frothingham; Dr. Claude B. Gaines; Dr August E. Gehrke; Dr. Isaac S. Gellert; Dr. Wm. S. Gonne; Dr. John W. Gordon; Dr. James Gostanian; Dr. Raymond S. Goux; Dr. Wm. Gramley; Dr. Hunter L. Gregory; Dr. Thos. R. K. Gruber Dr. Samuel C. Gurney; Dr. E. W. Haass; Dr. Carl Hanna; Dr. Beverly D. Harison; Dr. Winfred B. Harm; Dr. Albert E. Harris; Dr. Earl R. Harris; Dr. John G. Harvey; Dr. James W. Hawkins; Dr. Austin W. Heine; Dr. Wm. Henderson; Dr. Preston M. Hickey; Dr. Louis J. Hirschman; Dr. Geo. Hoffmeister; Dr. Arthur D. Holmes; Dr. Lawrence N. Host; Dr. Abraham W. Hudson; Dr. Harold S. Hulbert; Dr. Leroy W. Hull; Dr. Willard H. Hutchins; Dr. James W. Inches; Dr. Harry H. Jackson; Dr. Byron H. Jenne; Dr. Alpheus F. Jennings; Dr. Charles G. Jennings; Dr. Nathan J. Jessup; Dr. Morrell M. Jones; Dr. Ladislaus R. Kaminski; Dr. Zeno L. Kaminski; Dr. Wm. J. Kane; Dr. John F. Kelly; Dr. Johnston B. Kennedy; Dr. Wm. Y. Kennedy; Dr. Frederick C. Kidner; Dr. Edw. D. King; Dr. Paul A. Klebba; Dr. Geo. L. Koessler; Dr. Abraham Kovinsky; Dr. Albert H. Krohn; Dr. Duffield R. Kruger; Dr. Alfred D. LaFerte; Dr. Rudolph H. Lambert; Dr. Carl N. Larsen; Dr. Bror H. Larsson; Dr. A. F. J. Lecklider; Dr. Ernest C. Lee; Dr. Henry R. Leibinger; Dr. Daniel J. Leithauser; Dr. Alfred E. Lemon; Dr. Paul H. Lippold; Dr. Nelson MacArthur; Dr. Robert B. Macduff; Dr. Frank B. MacMullen; Dr. Otis B. Mallow; Dr. Vincent S. Mancuso; Dr. Walter W. Manton; Dr. Thos. B. Marsden; Dr. Robert M. Martin; Dr. James D. Matthews; Dr. Kenneth F. Maxey; Dr. Emil V. Mayer; Dr. Willard D. Mayer; Dr. Frederick McAfee; Dr. Arthur McArthur; Dr. James H. McCall; Dr. Wm. R. McClure; Dr. Carey P. McCord; Dr. Crawford W. McCormick; Dr. Theodore A. McGraw, Jr.; Dr. George E. McKean; Dr. Angus McLean; Dr. H. O. McMahon; Dr. Charles H. Merrill; Dr. Ellsworth P. Mills; Dr. Robert C. Moehlig; Dr. Stephen G. Mollica; Dr. Harold L. Morris; Dr. Walter Muellenhagen; Dr. Charles R. Mueller, Jr.; Dr. Thos. F. Mullen; Dr. Arthur J. Neumann; Dr Frederick H. Newberry; Dr. Arthur W. Newitt; Dr. Harry J. Noble; Dr. Ralph A. Norris; Dr. Wm. A. O'Brien; Dr. Harold F. Ohrt; Dr. Geo. V. Oill; Dr. Robert W. G. Owen; Dr. Leon E. Pangburn; Dr. W. R. Parker; Dr. G. C. Penberthy; Dr. O. W. Pickard; Dr. Lyman J. Pinney; Dr George E. Potter; Dr. Presley L. Pound; Dr. Wm. H. Price; Dr. Wynand V. Pyle; Dr. O. M. Randall; Dr. Claude B. Ray; Dr. Harry W. Reed; Dr. Heinrich A. Reye; Dr. James M. Robb; Dr. Paul C. Rohde; Dr. Herman H. Runo; Dr. Frank L. Ryerson; Dr. Homer E. Safford; Dr. Wm. G. Schlegelmilch; Dr. Harry B. Schmidt; Dr. Ernest C. Schultz; Dr. James B. Seeley; Dr. Ward F. Seeley; Dr. A. M. Shafer; Dr. Reed A. Shankwiler; Dr. Lyle O. Shaw; Dr. Harold K. Shawan; Dr. Wm. L. Sherman; Dr. Burt R. Shurley; Dr. Arthur R. Smeck; Dr. A. L. Smith; Dr. Clarence V. Smith; Dr. Eugene Smith, Jr.; Dr. Frank H. Smith; Dr. Frederick J. Smith; Dr. T. H. Smith; Dr. Clarence Stefanski; Dr. Frank T. F. Stephenson; Dr. Alexander M. Stirling; Dr. Lindley H. Stout; Dr. Luther H. Stout; Dr. Frank Suggs; Dr. Hugh A. Sullivan; Dr. Angus P. Sutherland; Dr. Rolfe Tainter; Dr. Griffith A. Thomas; Dr. Arthur R. Timme; Dr. Charles L. Tomsu; Dr. Harry N. Torrey; Dr. Emmett C. Troxell; Dr. Arthur Turner; Dr. Clyde R. Van Gundy; Dr. James A. Van Horne; Dr. George Van Rhee; Dr. Colin C. Vardan; Dr. John W. Vaughan; Dr. Victor C. Vaughan, Jr.; Dr. Milton D. Vokes; Dr. Frank B. Walker; Dr. Jos. A. Wall; Dr. Charles R. Walsh; Dr. Frank N. Wilson; Dr. George W. Wilson; Dr. Robert A. Wollenberg; Dr. Grover C. Wood; Dr. Harry B. Yoh; Dr. John C. Young, Detroit. Joseph H. Chance, Eloise; Dr. Robert H. Carmichael, Hamtramck; Dr. Martin W. Caveney, Highland Park; Dr. Geo. S. Foden, Highland Park; Dr Richard H. Juers, Highland Park; Dr. Thomas B. Henry, Northville; Dr. Lewis N. Tupper, Redford; Dr. Roy Du B. Tupper, Redford; Dr. Howard B. Kinyon. Trenton; Dr. Romeo H. Earle, Wayne; Dr. Glen L. Coan, Wyandotte; Dr. Wm. H. Homer, Wyandotte; Dr. Joseph G. Knapp, Wyandotte. PROPAGANDA FOR REFORM. Leonard Ear Oil.-This is an alleged cure for deafness, sold by A. O. Leonard, New York City. Formerly it was sold on the mail-order plan as an accessory to Leonard's Invisible and Antiseptic Ear Drums. Now the "Ear Oil" is sold in drug stores. The Department of Health in the city of New York found it essentially to be liquid petrolatum with camphor, eucalyptol and alcohol emulsified by a soft soap, prosecuted Leonard, and prohibited the sale of the "Ear Oil” in New York City. The sale of the "Ear Oil" has also been prohibited in Cleveland (Jour. A.M.A., Dec. 7, 1918, p. 1932). Emetin Bismuth Iodid.-The Council on Pharmacy and Chemistry reports that because of the apparently good results obtained with it, emetin bismuth iodid has been accepted for New and Nonofficial Remedies. Emetin bismuth iodid is insoluble in water and dilute acids, but is decomposed by alkalis, and thus should pass the stomach unchanged but exert its action in the intestines. Those who have reported on the use of the drug in amebic dysentery report that the disappearance of ameba from stools was generally complete and apparently permanent even in chronic cases of carriers and in cases where the hypodermic administration of emetin has failed. Purging and vomiting, however, are not entirely avoided. The drug is usually given in a single dose of three grains at the midday meal for twelve days (Jour. A.M.A., Dec. 14, 1918, p. 2013). PNEUMONIA PROPHYLAXIS. E. A. Fennel, Washington, D. C. (Journal A.M.A., Dec. 28, 1918), notices the slight attention that has been given to prophylaxis as compared with treatment during the recent epidemics. Theoretically, he says, any disease of microbic origin, in which spontaneous recovery is at all possible, should yield' to specific prophylactic measures. That spontaneous recovery from pneumonia is possible has been long known and Fennel reviews the history of the prophylaxis methods, the work of Wright, Lister, Austin, and others in the development of prophylaxis of this disease. Especially the work of Lister is noted, who was able to construct a vaccine limited to those types most potent in the production of lobar pneumonia on the Rand in South Africa. Cecil and Austin have prepared a saline pneumococcal vaccine, much after the fashion of Lister, which was used at Camp Upton under the direction of Colonel Russell to vaccinate 12,519 men and proved an efficient prophylactic. It has, however, certain distinct disadvantages. Its production on a large scale is difficult and somewhat expensive and the time limit of its usefulness, owing to comparatively rapid autolysis, must be short. It must be given, to be effective, in at least three and preferably more doses at seven day intervals, hence the difficulties are obvious. Almost all these disadvantages, however, are overcome by the use of a pneumococcus lipovaccine in which the bacteria are suspended in an oil or lipoid vaccine. Not only does the oil retard absorption, but there is reason to believe that the lipoid substances directly reduce the toxicity. Such a vaccine was elaborated late in 1917. The work on it was somewhat delayed as a triple lipovaccine had to be perfected, one that subsequently came into use in the Army instead of the saline. One of the lipovaccines in the tests which could be given in one dose and cause only slight reaction was found to be so far superior to the other three types that it was made on a larger scale, and the wisdom of adopting it as a general but voluntary measure in the army was confirmed. The method of its production is detailed, and it is said to be imitated by several commercial firms. Preliminary clinical reports seem to be highly satisfactory. Fennel does not here consider the many "mushroom" vaccines that have sprung up during the pandemic and credits them with little established value. A vaccine for this purpose must come from a source that is beyond criticism and capable of large production. The author has attempted to impart briefly the essential, basic principles of surgical nursing, relying largely on illustrations to aid the concise statements in the text. The work is divided into nineteen chapters, beginning with the preparation of a room and its equipment in a private house, taking up the preparation of the patient, the duties of the nurse before, during and after operation, anaesthesia, the preparation of materials, the surgeon's kit, catheterization, the operation for appendicitis, and various hospital methods. The book throughout is rational and follows generally accepted procedure. An excellent table appears on page 135, giving common postoperative complications and their usual sequence. This should be of great service to the nurse in putting her on guard against these conditions. There are in all 255 illustrations, which are distributed over 267 pages, a veritable motion picture method of instruction, and one which is intensely practical. The chapter on the hospital methods is composed almost entirely of illustrations, and should be most convenient in teaching the nurse these necessary procedures. Miscellany SUMMARY OF STATE LAWS AND RULINGS RELATING TO THE PREVENTION OF BLINDNESS FROM BABIES' SORE EYES. The prevention of blindness from this cause depends upon (1) the education of the general public to its dangers; (2) the use of a prophylactic in every baby's eyes immediately after birth, and (3) the prompt treatment of any case that should occur. In addition to widespread publicity, certain legal provisions are necessary to accomplish the desired result. To ascertain how far these provisions exist in the various states, the National Committee for the Prevention of Blindness has made a study of those state laws and regulations which relate to the control of ophthalmia neonatorum. A tabulation of the provisions of these laws-those from each state having been approved by its Commissioner of Health as correct to December, 1918-is as follows: 1. The reporting of babies' sore eyes to the local health officer or to a physician is compulsory in 2. The reporting law is printed on the birth certificate in 41 States 10 States 5. The question as to whether or not precautions were taken against ophthalmia neonatorum is included on the birth certificate in ..... 6. Free prophylactic outfits are distributed in 17 States 19 States 22 States The Goldwater Ordinance.-In 1914 the Department of Health of the City of New York revised the Sanitary Code so as to require that no "patent medicine" should be sold in the city of New York unless the names of the potent ingredients are declared. The ordinance was bitterly fought by the "patent medicine" interests, the fight being led by E. Fougera and Co., E. N. Critenton Co., and H. Plantin and Son. Now the Appelate Court of New York has decided that the ordinance is void, but has upheld the principle that a disclosure of the formula of medicines may be required. The underlying principle of the ordinance was the right on the part of the city to require disclosure of ingredients, and that right the Appelate Court upholds (Jour. A.M.A., Dec. 21, 1918, p. 2093). Digestive Absurdities.—Scientific investigations have demonstrated beyond any doubt the irrationality of the combinations of digestive ferments which go to make up the various brands of aromatic digestive tablets, and all chemists and manufacturing pharmacists are familiar with these facts. The excuse for manufacturing them is that there is a call for them. It is a question whether the physician who ignorantly prescribes aromatic digestive tablets is not more morally sulpable than the pharmaceutical house that supplies what such physicians demand (Jour. A.M.A., Nov. 2, 1918, p. 1489). VENEREAL DISEASES AND THE WAR. Three per cent. of the million draftees whose examination blanks first reached the Adjutant General's office in Washington had a venereal disease when they reported at camp. According to the statement of the Surgeon General of the War Department, venereal disease constituted the greatest cause of disability in the army. For this condition, civilian communities have been responsible. Most cases of venereal disease in the army were brought in upon the induction of registered men. Virtually all cases were contracted within communities over which civil authorities have control. The Army has done more than its part in combating venereal disease. Civil communities must continue the fight with vigor. Reports from your state and city will be closely watched by Government officers and by the nation at large. EXPLANATION OF GRAPH. Taking Maine as an example, out of every hundred draftees who arrived at the various camps to which they were sent, two (on an average) had a venereal disease. Out of every 10,000, there were 202 who had a venereal disease. It should be noted that these figures apply only to the million men whose reports first reached the Adjutant General's office from the various Camp Surgeons. Later reports may change these results. The figures here used were furnished by the office of Surgeon General of the Army. The record for each state follows: NEW AND NONOFFICIAL REMEDIES. Emetine Bismuth Iodide.-A complex iodide of emetine and bismuth containing from 17 to 23 per cent. of emetine and from 15 to 20 per cent. of bismuth. It has the action of emetine, but when taken by mouth, it is less likely to cause vomiting than the soluble salts of emetine administered orally. It has been used with apparent good results in the treatment of chronic cases and carriers of amebic dysentery, even where the hypodermic administration of emetine has failed. The commonly used dose has been 0.2 Gm. (3 grains) daily for four days, either in a single dose at the midday meal or in divided doses. Emetine Bismuth Iodide-Abbott.-A brand of emetine bismuth iodide complying with the N. N. R. standards. The Abbott Laboratories, Chicago. Bismuth Emetine Iodide-Mulford.-A brand of emetine bismuth iodide complying with the N. N. R. standards. The H. K. Mulford Co., Philadelphia. Cachets Bismuth Emetine Iodide-Mulford, 2 grains. Each cachet contains 2 grains of bismuth emetine iodide-Mulford. The H. K. Mulford Co., Philadelphia. Creosote Carbonate-S. and G.-A brand of creosote carbonate, U. S. P. Schering and Glatz, Inc., New York. Guaiacol Carbonate-S. and G.-A brand of guaiacol carbonate, U. S. P. Schering and Glatz, Inc., New York (Jour. A.M.A., Dec. 14, 1918, p. 1997). During December the following articles have been accepted by the Council on Pharmacy and Chemistry for inclusion with New and Nonofficial Remedies: Non-proprietary articles: Benzyl Benzoate, Emetine Bismuth Iodide. Abbott Laboratories: Emetine Bismuth Iodide-Abbott. Hynson, Westcott and Dunning: Benzyl Benzoate-H. W. and D. Solution of Benzyl Benzoate, Miscible-H. Merck and Company: Diethylbarbituric Acid-Merck, Diethylbarbituric Acid-Merck Tablets, 5 grs. H. K. Mulford Company: Bismuth Emetine Iodide-Mulford. Cachets Bismuth Emetine Iodide-Mulford, 2 grains. E. R. Squibb and Sons: Chlorinated Eucalyptol-Squibb. Takamine Laboratory: Arsaminol. Arsaminol 0.1 Gm. Tubes. Arsaminol 0.2 Gm. Tubes. Arsaminol 0.3 Gm. Tubes. Arsaminol 0.4 Gm. Tubes. Arsaminol 0.5 Gm. Tubes. Arsaminol 0.6 Gm. Tubes. Solution of Benzyl Benzoate, Miscible-H. W. and D.-A solution of benzyl benzoate-H. W. and D. in 78 Gm. ethyl alcohol emulsified with 2 Gm. castile soap. It has the actions and uses of benzyl benzoate. Hynson, Westcott and Dunning, Baltimore, Md. Diethylbarbituric Acid-Merck.—A brand of barbital complying with the N. N. R. standards. The actions, uses and dosage of barbital (first introduced as veronal) are described in New and Nonofficial Remedies. Merck and Co., New York. Diethylbarbituric Acid-Merck Tablets, 5 grains. -Each tablet contains 5 grains of diethylbarbituric acid-Merck. Merck and Co., New York. Sodium Diethylbarbituric Acid-Merck.-A brand of barbital sodium complying with the N. N. R. standards. The actions, uses and dosage of barbital sodium are described in New and Nonofficial Remedies. Merck and Co., New York. Sodium Diethylbarbituric Acid-Merck Tablets, 5 grains. Each tablet contains 5 grains of sodium diethylbarbituric acid-Merck. Merck and Co., New York (Jour. A.M.A., Dec. 28, 1918, p. 2153). Benzyl Benzoate-H. W. and D.-A brand of benzyl benzoate complying with the tests and standards of N. N. R. Hynson, Westcott and Dunning, Baltimore, Md. To-day whatever may annoy, The word for me is Joy, just simply Joy Whatever there be of sorrow, I'll put off till to-morow And when to-morrow comes, why then 'Twill be To-day and Joy again. -John Kendrick Bangs. |