« ForrigeFortsett »
ity of the urine to be examined is taken at age of active phosphorio acid, that is, the 15 deg. C. If the temperature differs from amount which is capable of neutralizing an this figure, a correction is made according to equal atomio weight of base, in E, whiob is a printed table. The total acidity, that is to the excess of urinary density over that of say, the acidity from all sources, is now cal. water. When the readings show that both calated, and is expressed in terms of the RA and R P are below the normal, the ex. amount present in a hundred parts of the planation is simple enough. It is that there excess of the urine over that of distilled water is an insufficient quantity of phosphorio aoid at the same temperature. In this way the in the blood and the symptoms are there. errors inseparable from the varying amount fore due, at least in part, to the deposition of water in different samples of the same of earthy phosphates in certain organs and person's urine are altogether avoided. The tissues, the treatment resolving itself into degree of dilution of a specimen, always the administration of phosphoric acid in hitherto a matter of difficulty may thus be gradually increasing amounts. An examin. disregarded. Thus, if the specimen in ques. ation according to Joulie's method will not tion shows a speoific gravity of 1.020, the ex. only establish the fact of byperacidity or subcoss (which is called E) is 20, because the acidity, as the case may be, but will give us density of the water at 15 deg. C. is kpowp the degree of the deviation from the normal to be 1.000. The total acidity is calculated and at the same time inform us of the proper by means of precipitation with a standard line of treatment. solution of sucrate of calcium (10 grammes
Determination of Lead in the Urine.-A. of powdered obalk and 20 of sugar to a liter of
Lederer, Chicago (Jour. A. M. A., May 26), distilled water). The figure thus obtained is
remarks on the disadvantages of tbe methods Α
usually employed in testing for lead in the called A. Thus we have — x 100 = R A
urine, and describes the test which he uses E
and for which he claims special advantages (i.e., the percentage of total acidity in E).
in accuracy, quickness and simplicity. It The normal standard for R A as worked out
consists in precipitating the lead, free from by Joulie is between 4 and 5-as nearly as
all organic matter, by means of potassium possible 4.5. But, as we have already seen,
seen, sulphate in sulphurio acid solution, washing
unhee in aninho this total acidity is from our point of view A
down the insoluble sulphate thus precipitamatter of secondary importance. What we
ted with distilled water, and passing hydrowish to ascertain is the amount which the
gen sulphid gas through it. The slightest acid phosphates contribute to this acidity;
yellowish-brown discoloration proves that in other words, how much of this is service
lead is present. A great advantage of this able phosphoric acidity, and how much,
test, he says, is that even if bismuth is presof it is organic, fortuitous, and undesira.
ent, it will not affect it, nor will any other ble. The next step is therefore to determine
substance that is likely to be present. By the amount of phosphoric acid, combined
comparison with artificial lead solutions con. and uncombined, which is present in the
tuining 1 mg., 2 mg., 3 mg., etc., of lead, given speoimen. This is calculated by the
per liter, a simple quantitative colorimetric olassical moethod with nitrate of uranium and
method oan be established. ferrocyanide of potassium, and is expressed in terms of the amount present in 100 parts Mortality After Prostatectomy.-B. Tenney of the excess of the urinary density over that and H. M. Chase, Boston (Jour. A. M, A., of water at the same temperature. If we call May 12), bave analyzed the mortality statis. the total phospbatio contents thus obtained tios of over a thousand cases of prostatec
tomy, with special reference to the mortality, P, we have the following formula – x 100 counting as fatal cases all within six weeks
of the operation and excluding such statis= R P (i.e., the ratio of the phosphates; in tios as cover only a shorter period of observaother words, the percentage of total phos- tion, though they might give a more favora. pbatic contents in E). The normal standard ble result. The mortality by the perineal for R P as estimated by Joulie is between 11 operation in their statistics is slightly less and 11.5, as noarly as possible 11.17. In than that of the suprapubic method, and the order tc find what we are in search of, name- difference is very much less in the statistics ly, the amount which the phosphates con of their collection than in those collected by tributed to the total acidity, it is necessary to Proust, Watson and Escat. There is also a
RP 11.17 decidedly rising mortality from the sixth to divide R P by RA, thus: --=--= the eightb decade, the percentages being, re
RA 4.5 spectively, 5.8, 9.5 and 15, thus indicating 2.45. This represents the normal percent. the advantages of early operation. The sta
tistics also show certain fatal periods; in the PROF. WILLIAM H. WELCH, of Baltimore, 73 deaths more occurred in the first forty has been elected a member of the Board of eight hours than in any other two days, 23 Trustees of the Carnegie Institution, in place in all. In the seventh, eighth and ninth of the late Secretary of State Hay. days there were 12 deaths; on the tbirteenth, fourteenth and fifteenth there were 6 deaths, A NEW SOURCE OF ALCOHOL.-A Madaand from the twentieth to the twenty-second gascar plant, jutropha manihot, is the source days, inclusive, 7 deaths. Two-thirds of all of starch extensively used in the manufacthe deaths occurred during these fatal periods. ture of glues. It also furnishes food for both The duration of life following the two opera man and beast, and promises to rank bigb tions is almost identical. The favorable sta- as a source of alcohol. tistios of certain operators are noted. Out of the 617 perineal operations, we find two men
REGENERATION OF Lost Parts.—T. H. doing 211 operations and losing 2 cases within Morgan, New York (Jour. A. M. A., May 5), 12 days, as compared with 206 of the other reviews the facts and theories regarding the operators with 22 deaths in the same period. regeneration of lost parts in certain animals Including the suprapubic operations, there is and the failure to do so in others. The ques. a total of 45 fatalities in 790 operations within tion, he says, is possibly of some practical the same period. These two men mentioned importance, for if we could determine why do not appear to have used the most rapid man, dues not replace a lost arm or leg, we method or to bave specially selected their might perhaps go further and discover bow cases. The presence of vesical calculus did artificially to bring about this process. Renot seem to have any favorable influence on generation appears to bim as only a pbase the mortality, as claimed by Moullin, Riobard. of the general phenomenon of growth, and son and others. The authors think that many if this is the case, why, he asks, does an ani. of the fatalities must have been avoidable, mal that has ceased to grow begin to reand insist on the importance of due prep generate rapidly when a part has been rearation of the patient, special care in the moved If we turn the question around the selection and use of the anesthetic, and other way and ask, why does an anima! greater attention to the after-care. A pros. stop growing at a certain stage, we may attatectomy is not a completed piece of handi. tack the problem at closer quarters. It is work, like most clean laparotomies and dis evidently not because the cells bave lost the secting operations, but needs constant atten. power of growth: their power in this direction for forty-eight hours especially, and later tion seems unlimited, nor oan it, as he shows, at intervals.
be entirely attributed to an equilibrium between food supply and consumption. The
question seems to be one of inbibition, and Dr. H. McC. Johnson has been appointed
he suggests, as a possible explanation of to the St. Loius Board of Health to succeed
the cessation of growth, a definite response Dr. H. W. Bond, who is now Health Com.
to a condition of mutual pressure or tension missioner.
of the cells on each other. When this is AN AMBULANCE ADVENTURE.-Some two
reached growth stops, and when we alter the years ago Mr. E. E. Carruthers, of Scranton,
tension by removing a part it begins again. Pa., having been injured in East St. Louis,
The facts of regeneration of lost parts in the was removed in an ambulance. He alleged
vertebrates are given and the reason why it at the time that he had been robbed of a
fails in mammals and in man are discussed. pocketbook oontaining $150. On May 10th
Morgan does not think tbis can be due to the ambulance was undergoing repairs when
greater complication of structure or to any on tearing way the lining, a pocketbook con.
process of natural selection. He thinks it taining $150 and Mr. Carruthers's card was
more probably due to tbe fact that different found therein. The amount was forwarded
tissues have very different rates of regenerato bim by check.
tion. In the higher mammals the failure to
regenerate is observed in cases in which carTHE STATE PENITENTIARY HOSPITAL. tilage begins to change to bone, and be At a meeting of the State Board of Prison thinks the main trouble is in the slowness of Inspectors, at Jefferson City, on May 9th, it the bones to regenerate in time with the other was decided to push ahead with the enlarge tissues. He says: "If the tissue in man still ment and modernization of the old prison possess the power to regenerate, may we not hospital, for which purpose $50,000 was ap hope in time so to adjust their rate of regen. propriated by the last legislature. The ward. eration that the replacement of a lost limb en expects to bave the building completed may be produced? I can not but think that by the end of the year.
some day this may be accomplished."'
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It is a divine gift bestowed upon us as a life Contributions and books for review should be addressed to the editori, 319 and 320 Century Building, St. Louis, Mo. preserver, a health promoter, a joy generator,
a success maker. Life with the average man MEDICAL MISCELLANY is too serious at best. · Never lose an oppor
tunity for relaxation from the stress and The establishment of a state tuberculosis
strain of your business or profession. Every sanatorium in Iowa has been facilitated by draught of laughter, like an air-cushion, the passage of a bill in the legislature appro. eases you over the jolts and the hard place priating $50,000 for the purpose.
on life's bighway. Laughter is always A BULLETIN issued by the Interstate Com.
healthy. It tends to bring every abnormal merce Commission shows that during the
condition baok to the normal. It is a panamonths of July, August and September last
cea for heartaches, for life's bruises. It is a 1053 were killed and 16,386 injured among
life prolonger. passengers and employees of steam roads in The United States...
A SYSTEM OF VENEREAL PROPHYLAXIS PRICE OF RADIUM.-Henri Farjas, of
THAT IS PRODUCING RESULTS. —G. Shear. Paris, in his latest list of radium prepara
man Peterkin (Seattle, Wash.) says the edutions, quotes the following prices: Pure ra.
cation of the individual in the law of sex is dium bromide, one milligramme, $80; one
the only feasible means, at our present stage centigramme, $800; one decigramme, $8,000;
of evolution, of lessening or preventing ven. one gramme, $80,000. To this must be
ereal diseases. From sociologic, economic, added the import duty of twenty-five per
ethic and physiologic laws, eto., scientifio cent. At this rate the commercial value of
facts are taken as premises, and from these one grain of radium in the United States
conclusions drawn to prove that this fact would be more than $5,000.
must be recognized. With these principles
as a working basis, pamphlets-five in numIn response to a suggestion from the Na. ber-have been issued by a Committee on tional Association for the Study and Preven. Prophylaxis of Venereal Diseases of the tion of Tuberculosis, President Roosevelt bas Washington State Medical Association. The appointed a committee to investigate the san. pampblets are appended in full, and Dr. itary condition existing in the government Peterkin gives the reason for using them as offices and workshops, with a view to recom. a means of disseminating such knowledge mending measures for the prevention of tu- and for presenting the amount and characberculosis. The members of the committee ter of knowledge they contain. The posi. are: Surgeon-General Robert M. O'Reilly, of tion is taken that business principles of the U. Š. Army; Surgeon-General P. M. today can be ethically applied in leading Risey, of the U.S. Navy; and Surgeon-Gen. man, who must and will niake his own moreral Walter Wyman, of the Public Health ality, to the next succeeding evolutionary and Marine Hospital Service.
stage of his morality.-American Medicine.