OLD TOWNS AND NEW NEEDS.
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323 OLD TOWNS AND NEW NEEDS. municipalities will follow the example set by Portsmouth, and whilst such efforts are worthy of encouragement it is of the utmost importance that the organisation should be complete, and that reliance should not be based on I one method of treatment only. OLD TOWNS AND NEW NEEDS. " Old Towns and New Needs " and the " Town Extension Plan are two lectures which were given in the early part of this year under the Warburton Trust, the first by Mr. Paul Waterhouse, who is responsible for the erection of several buildings in Manchester, and the second by Mr. Raymond Unwin. Both lectures should appeal to those who have at heart the improvement of our towns. Mr. Waterhouse gives six axioms on old towns and new needs, of which we quote four. Nothing in town-planning is impossible. Nothing is too expensive; it will be more expensive to-morrow. A hundred guineas spent on advice are better than £ 10,000 paid out in error. Ugliness is the most expensive luxury and beauty is the cheapest of necessities. Two excellent lectures, which we commend to all who are interested in the subjects with which they deal. RETINAL HÆMORRHAGE IN PURPURA HÆMORRHAGICA. RETINAL haemorrhage in purpura hsemorrhagica is rare. In the Gazette Hebdomadaire des Science liledicales de Bordeaux Dr. Et. Ginestous has reported the following case. A married woman, aged 64 years, came to hospital on March 13th, 1912, complaining of loss of vision, particularly in the left eye. She had had no children or miscarriages. After the least injury she suffered from severe epistaxis. In May, 1910, after great excitement ecchymotic patches appeared, first on the legs, then on all parts of the body. These spots disappeared in 20 days, but were almost immediately followed by others, and since that time she never remained more than a fortnight free from them. In July abundant epistaxis repeatedly occurred. During the last four months the epistaxis had ceased, but was replaced by haemorrhage from the gums, at first slight, then more abundant. In January, 1912, melæna occurred. Under calcium chloride slight improvement took place, but on March 10th loss of vision was noticed. On examina- tion vision in the right eye was found reduced to 1/3 and in the left to 1/50. The refraction was normal. The ophthalmoscope showed a slight haemorrhage on the outside of the right disc and encroaching on it ; the disc itself was pale. In the left eye there were more extensive lesions ; above, below, and inside the disc there were hæmorrhages. On the following days fresh retinal haemorrhages occurred, so that the right disc became surrounded with a ring of blood and another haemorrhage invaded the upper part of the left disc. The patient looked anæmic and her whole body was covered with ecchymoses of the size of a lentil, varying in colour according to the stage of their evolution. The gums were congested and jagged and showed a band of vinous colour along their free edge. They bled on the slightest touch. A systolic murmur was heard at the apex and was propagated into the axilla. With Pachon’s sphygmometer a maximum blood pressure of 17 and a minimum of 9 were found. The pulse was 90. The other organs were normal. The urine contained a trace of albumin, but neither red blood corpuscles nor casts. Blood examination showed red corpuscles 3,317,000 and white 11,160. A differential count gave polynuclear neutrophiles 79 per cent., myelocyte neutrophiles 0-33, lymphocytes 17, mononuclears 2-5, and eosinophiles 0-30. Retinal haemorrhage in purpura haemorrhagica is of great significance, and in the published cases has been precursory of death. Recovery has occurred only in young patients. -- THE Congress and Exhibition of the Royal Sanitary Iiisti- tute was opened at York on July 29th by the Archbishop of York, President of the Institute. In his inaugural address the Archbishop dwelt on the sanitary progress of the last 50 years, and expressed a hope that the clergy would take their place as teachers, guides, and campaigners in extend- ing that progress. He referred to the housing problem, approved the Bill for dealing with the mentally deficient, and declared himself in favour of amendment of the marriage laws, so as to declare marriages null and void within a specified time, where material facts had been with- held, disclosing insanity, epilepsy, or venereal disease. WE are asked to announce that the library and offices of the Royal Society of Medicine will be closed from Thursday, August lst, to Saturday, August 31st, inclusive. WE regret to record the death last week of Mr. Edward Stanmore Bishop, F.R.C.S.Eng., of Manchester, honorary surgeon to the Ancoats Hospital. An obituary notice of Mr. Bishop will appear in a later issue. LONDON (ROYAL FREE HOSPITAL) SCHOOL OF MEDICINE FOR WOMEN (UNIVERSITY OF LONDON).-The following appointments are announced : - Mr. F. Wood . Jones, M.B., B.S., D.Sc. Lond., demonstrator in anatomy, St. Thomas’s Hospital Medical School, to be lecturer and head of the department of anatomy, in succession to Mr. F. G. Parsons, F.R.C.S.Eng., who has resigned ; Mr. J. A. ’ Gardner, M.A. Oxon., F.I.C., to be lecturer in organic chemistry and head of the department of chemistry, in succession to Miss C. Evans, D.Sc., who has resigned ; Miss . Widdows, B.Sc., to be lecturer in inorganic chemistry t Miss M. D. Waller, B.Sc., to be demonstrator in physics. The St. Dunstan’s medical exhibition, value f.60, for three or five years, has been awarded to Miss A. M. Kerr, of the Clapham High School. The school scholarship, value f.30, has been awarded to Miss E. M. Scarborough, of Trinity 1 Hall, Southport. The Dr. Edith Peachey Phipson post- e graduate scholarship, value £ 40, has been awarded to Miss rC. L. Houlton, M.B., B.S. Lond. MIDDLESEX HOSPITAL MEDICAL SCHOOL.-The _ following scholarships, medals, prizes, and certificates were 3awarded at this school during 1911-12 :-Inorganic chemistry: ’ Prize, D. A. R. Aufranc ; certificates, R. E. S. Webb, H. W. w Lewis, and A. K. Ince Jones. Organic chemistry : Prizes, D. W. J. Andrews and W. H. Lloyd (equal); certificate, e D. C. Ogilvie. Physics : Prize, D. A. R. Aufranc ; certificates, e R. E. S. Webb, H. W. Lewis, and G. D. Moore. Biology : Prize, e H. W. Lewis; certificates, J. R. S. Bowker, C. J. L. Wells, Ll A. Selby Green, and G. Hoffmeister. Practical pharmacy : ti Prize, A. B. Hacking. Histology: Prize, W. T. Warwick. e Embryology: Prize, L. G. Phillips; certificate, R. H. e Fleming. Physiology: Prize, L. G. Phillips; certificates, d S. W. M. Jones, E. R. Lovell, R. H Fleming, A. T. , Dally, and A. Lawrey. Practical anatomy : Prize, S. W. M. Jones ; certificate, E. R. Lovell. Anatomy: Prize, S. W. M. e Jones. Bacteriology: Prize, F. H. Kelly ; certificates, d G. E. Beaumont and A. J. Juett. Pathology : Prize, A. 0. ir Gray; certificates, 0. C. Link and S. H. Keys. Forensic c medicine and public health : Prize, A. 0. Gray. Pharmaco- o logy : Prize, R. H. Fleming ; certificates, C. J. B. Way and L. G. Phillips. Practical midwifery: Prize, A. 0. Gray; n certificate, G. E. Beaumont. Practical surgery: Prize, A. 0. Gray ; certificate, R. J. Harley Mason. Midwifery: Le Prize, G. E. Beaumont; certificate, J. P. Shaw. Surgery: d Prize, C. Helm ; certificate, A. 0. Gray. Medicine : Prize, d A. 0. Gray ; certificate, S. H. Keys. Second year’s it exhibition, S. W. M. Jones. Hetley clinical prize, T. L. Hardy and C. Helm (equal). Freeman scholarship, L. C. ’e Rivett. Lyell medal and scholarship and first Broderip 5, scholarship, T. L. Hardy. Second Broderip scholarship, va E. A. Wilson and H< J. S. Shields (equal).
Transcript of OLD TOWNS AND NEW NEEDS.
323OLD TOWNS AND NEW NEEDS.
municipalities will follow the example set by Portsmouth,and whilst such efforts are worthy of encouragement it
is of the utmost importance that the organisation shouldbe complete, and that reliance should not be based on I
one method of treatment only.
OLD TOWNS AND NEW NEEDS.
" Old Towns and New Needs " and the " Town Extension
Plan are two lectures which were given in the early part ofthis year under the Warburton Trust, the first by Mr. PaulWaterhouse, who is responsible for the erection of severalbuildings in Manchester, and the second by Mr. RaymondUnwin. Both lectures should appeal to those who have atheart the improvement of our towns. Mr. Waterhouse givessix axioms on old towns and new needs, of which we quotefour. Nothing in town-planning is impossible. Nothing is tooexpensive; it will be more expensive to-morrow. A hundred
guineas spent on advice are better than £ 10,000 paid out inerror. Ugliness is the most expensive luxury and beauty isthe cheapest of necessities. Two excellent lectures, whichwe commend to all who are interested in the subjects withwhich they deal.
--
RETINAL HÆMORRHAGE IN PURPURAHÆMORRHAGICA.
RETINAL haemorrhage in purpura hsemorrhagica is rare.
In the Gazette Hebdomadaire des Science liledicales deBordeaux Dr. Et. Ginestous has reported the following case.A married woman, aged 64 years, came to hospital onMarch 13th, 1912, complaining of loss of vision, particularlyin the left eye. She had had no children or miscarriages.After the least injury she suffered from severe epistaxis. In
May, 1910, after great excitement ecchymotic patchesappeared, first on the legs, then on all parts of the body.These spots disappeared in 20 days, but were almost
immediately followed by others, and since that time she
never remained more than a fortnight free from them. In
July abundant epistaxis repeatedly occurred. During thelast four months the epistaxis had ceased, but was replacedby haemorrhage from the gums, at first slight, then moreabundant. In January, 1912, melæna occurred. Undercalcium chloride slight improvement took place, but on
March 10th loss of vision was noticed. On examina-
tion vision in the right eye was found reduced to 1/3and in the left to 1/50. The refraction was normal.
The ophthalmoscope showed a slight haemorrhage on
the outside of the right disc and encroaching on it ; thedisc itself was pale. In the left eye there were more
extensive lesions ; above, below, and inside the disc therewere hæmorrhages. On the following days fresh retinal
haemorrhages occurred, so that the right disc becamesurrounded with a ring of blood and another haemorrhageinvaded the upper part of the left disc. The patient lookedanæmic and her whole body was covered with ecchymosesof the size of a lentil, varying in colour according to thestage of their evolution. The gums were congested andjagged and showed a band of vinous colour along theirfree edge. They bled on the slightest touch. A systolicmurmur was heard at the apex and was propagated intothe axilla. With Pachon’s sphygmometer a maximumblood pressure of 17 and a minimum of 9 were found.The pulse was 90. The other organs were normal. Theurine contained a trace of albumin, but neither red bloodcorpuscles nor casts. Blood examination showed red
corpuscles 3,317,000 and white 11,160. A differential count
gave polynuclear neutrophiles 79 per cent., myelocyteneutrophiles 0-33, lymphocytes 17, mononuclears 2-5,and eosinophiles 0-30. Retinal haemorrhage in purpura
haemorrhagica is of great significance, and in the publishedcases has been precursory of death. Recovery has occurredonly in young patients.
--
THE Congress and Exhibition of the Royal Sanitary Iiisti-tute was opened at York on July 29th by the Archbishop ofYork, President of the Institute. In his inaugural addressthe Archbishop dwelt on the sanitary progress of the last50 years, and expressed a hope that the clergy would taketheir place as teachers, guides, and campaigners in extend-ing that progress. He referred to the housing problem,approved the Bill for dealing with the mentally deficient,and declared himself in favour of amendment of the
marriage laws, so as to declare marriages null and void
within a specified time, where material facts had been with-held, disclosing insanity, epilepsy, or venereal disease.
WE are asked to announce that the library and officesof the Royal Society of Medicine will be closed from
Thursday, August lst, to Saturday, August 31st, inclusive.
WE regret to record the death last week of Mr. EdwardStanmore Bishop, F.R.C.S.Eng., of Manchester, honorarysurgeon to the Ancoats Hospital. An obituary notice ofMr. Bishop will appear in a later issue.
LONDON (ROYAL FREE HOSPITAL) SCHOOL OF
MEDICINE FOR WOMEN (UNIVERSITY OF LONDON).-Thefollowing appointments are announced : - Mr. F. Wood
. Jones, M.B., B.S., D.Sc. Lond., demonstrator in anatomy,St. Thomas’s Hospital Medical School, to be lecturer andhead of the department of anatomy, in succession to Mr.F. G. Parsons, F.R.C.S.Eng., who has resigned ; Mr. J. A.
’
Gardner, M.A. Oxon., F.I.C., to be lecturer in organicchemistry and head of the department of chemistry, in
succession to Miss C. Evans, D.Sc., who has resigned ; Miss. Widdows, B.Sc., to be lecturer in inorganic chemistryt Miss M. D. Waller, B.Sc., to be demonstrator in physics.The St. Dunstan’s medical exhibition, value f.60, for three
or five years, has been awarded to Miss A. M. Kerr, of theClapham High School. The school scholarship, value f.30,has been awarded to Miss E. M. Scarborough, of Trinity
1 Hall, Southport. The Dr. Edith Peachey Phipson post-e graduate scholarship, value £ 40, has been awarded to MissrC. L. Houlton, M.B., B.S. Lond.
MIDDLESEX HOSPITAL MEDICAL SCHOOL.-The_ following scholarships, medals, prizes, and certificates were
3awarded at this school during 1911-12 :-Inorganic chemistry:’
Prize, D. A. R. Aufranc ; certificates, R. E. S. Webb, H. W.w Lewis, and A. K. Ince Jones. Organic chemistry : Prizes,D. W. J. Andrews and W. H. Lloyd (equal); certificate,e D. C. Ogilvie. Physics : Prize, D. A. R. Aufranc ; certificates,e R. E. S. Webb, H. W. Lewis, and G. D. Moore. Biology : Prize,e
H. W. Lewis; certificates, J. R. S. Bowker, C. J. L. Wells,
Ll A. Selby Green, and G. Hoffmeister. Practical pharmacy :ti Prize, A. B. Hacking. Histology: Prize, W. T. Warwick.e Embryology: Prize, L. G. Phillips; certificate, R. H.e Fleming. Physiology: Prize, L. G. Phillips; certificates,d S. W. M. Jones, E. R. Lovell, R. H Fleming, A. T., Dally, and A. Lawrey. Practical anatomy : Prize, S. W. M.
Jones ; certificate, E. R. Lovell. Anatomy: Prize, S. W. M.e Jones. Bacteriology: Prize, F. H. Kelly ; certificates,d G. E. Beaumont and A. J. Juett. Pathology : Prize, A. 0.ir Gray; certificates, 0. C. Link and S. H. Keys. Forensicc medicine and public health : Prize, A. 0. Gray. Pharmaco-
o logy : Prize, R. H. Fleming ; certificates, C. J. B. Way andL. G. Phillips. Practical midwifery: Prize, A. 0. Gray;n certificate, G. E. Beaumont. Practical surgery: Prize,
A. 0. Gray ; certificate, R. J. Harley Mason. Midwifery:Le Prize, G. E. Beaumont; certificate, J. P. Shaw. Surgery:d Prize, C. Helm ; certificate, A. 0. Gray. Medicine : Prize,d A. 0. Gray ; certificate, S. H. Keys. Second year’sit exhibition, S. W. M. Jones. Hetley clinical prize, T. L.
Hardy and C. Helm (equal). Freeman scholarship, L. C.
’e Rivett. Lyell medal and scholarship and first Broderip5, scholarship, T. L. Hardy. Second Broderip scholarship,va E. A. Wilson and H< J. S. Shields (equal).
