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753 as students from the wards of the Infirmary, and have decided to afford to female students facilities for clinical and patho- logical instruction separately from male students. It remains to be seen how this will be received by the fifty-three male students who recently sent in an ultimatum demanding the exclusion of ladies, under threat of withdrawal to some other school. The governors of St. Mungo’s College and the directors of the Infirmary are in an awkward predicament. It is really a pity that they departed from their first resolu- tion to exclude ladies. It is quite clear and universally admitted that it is neither practicable nor desirable to carry on the clinical teaching of both sexes in mixed classes; it is also absurd to suppose that the clinical education of women can be satisfactorily carried on in sets of wards set apart for them. To have a thorough, all- round education women must have the same privileges as men- that is, they must have the free run of an entire hospital in all its departments. All the cases suitable and valuable for purposes of instruction cannot be seen in one or two ’’ sets " of wards. The difficulty experienced by Queen Margaret’s College students in keeping up their clinical study in an institution so far removed from the scene of their systematic and theoretical work will continue as great as heretofore. The only sensible and permanent solution of the trouble is the adoption of some such scheme as that suggested a few weeks ago in these columns-namely, the amalgama- tion of the Medical Faculty of Queen Margaret’s College with the Muirhead Trust, and the appropriation of their combined funds to the building and endowment of a school near the Victoria Infirmary, to which the entire medical faculty of Queen Margaret’s College might be transferred, a proper arrangement having first of all been come to with the governors of the Victoria Infirmary, securing that hospital for the clinical instruction of women exclusively. Notification of Dicarrhaœal Diseases. The Glasgow local authority has issued an order to the effect that British cholera and choleraic diarrhoea are to be regarded as diseases which must be notified on the usual infectious diseases forms, this order to remain in force till the end of November next. This is doubtless in view of the pos- sible appearance of cholera amongst us. Meantime the city remains clear of the disease, the two patients (Russian Jews) who suffered from it a week or two ago having been dismissed well from the fever hospital. The passengers who were associated with these patients were isolated, and all of them escaped the disease. Sept. 20th. IRELAND. (FROM OUR OWN CORRESPONDENT.) Suspected Case of Cholera at Qiieensto7vn. ON arrival of the Eppleton steamer at Queenstown on Sunday last considerable excitement was created when it was stated that a case of choleraic diarrhoea was on board. The vessel was placed in quarantine, and Dr. Hodges, medical officer for the port of Cork, visited the steamer and found the patient was suffering from choleraic symptoms not of a dangerous character. The case was isolated and removed on the following day to the Queenstown Intercepting Hospital. Oittbrea7z of Fever in Kilkenny. The county gaol has been closed by sealed order of the Local Government Board in consequence of the epidemic of fever alleged to prevail in the prison. Surg.-Lieut.-Col. Magee has recommended the closing of the James-street police station, inasmuch as several constables have con- tracted fever and have been removed to the fever hospital-a suggestion which has been adopted by the Urban Sanitary Board. Kerry Lunatic Asylum. The monthly meeting of the board of governors was held last week, presided over by the Earl of Kenmare. The governors had under consideration the appointment of an assistant resident surgeon, as recommended by the Privy Council, at a salary of E100 a year, with rations &c. amount- ing to about £80. After some discussion the following was adopted: "That the medical superintendent apply, on behalf of the Board, to the Privy Council as to whether, by the new rules 46 and 47, the appointment of a second medical officer is mandatory on the Board before a vacancy occurs in the office of visiting physician. " Suggestions for the Early Treatment of Cholera. The Royal College of Surgeons in Ireland have furnished, amongst others, the following suggestions for the use of the- public as to the treatment of early or suspicious symptoms. when cholera is threatened or epidemic : The College advise no alteration in the habits of living where these have pre- viously been moderate and regular. All excess should be- carefully avoided, especially in the use of alcoholic drinks, as it is well known that the intemperate most certainly fall victims to the most fatal type of cholera as of other epidemic diseases. All debilitating causes should be care- fully avoided, such as excessive and long-continued fatigue and fasting, overcrowding, exposure to moist, stagnant air,. or to air loaded with organic efliuvit. During the prevalence of cholera any person affected by any of the following com-- plaints should at once obtain medical advice : (1) Diarrhoea. or looseness of the bowels ; (2) vomiting or sickness of’ stomach ; (3) pains in the stomach or bowels ; (4) pains or cramps in the legs. While such aid is being obtained the patient should be put to bed immediately and warmth should be encouraged by the application of heat to the body and limbs. Also, in case of sickness of stomach, a large mustard poultice should be applied over the abdo men. In the event of cramps ensuing diligent rubbing oii the limbs should be resorted to. Sept. 21st. PARIS. (FROM OUR OWN CORRESPONDENT.) A New Treatment tf Oophoro-salpingitis. EVERY practitioner is aware of the unsatisfactory means- at our disposal (short of abdominal section) for the treatment of the above condition. At the best, in most cases, the patient is relieved of the acute symptoms, leaving the disease in a chronic stage for a weary length of time. Dr. Auvard of Paris announces the successful treatment of two cases by means of intermittent pressure, which he applies in the following manner : A Gariel’s air pessary is introduced into. the vagina and a bag filled with shot is simultaneously main- tained over the site of the abdominal induration. The weight of the shot is gradually increased from 750 to 1500 grammes. and the bag is kept applied for from two to three hours every morning and evening. During the interval (the pessary being also removed) hot vaginal injections and a cold enema. are administered. In one case quoted. where a very tender swelling the size of a hen’s egg could be felt in the right, broad ligament, the tumefaction had completely disappeared after ten days of this treatment, and in three weeks the woman was well. In another case of oophoro-salpingitis induced by intra-uterine exploration, internal and external intermittent pressure, by means of a Gariel pessary and a shot-bag weighing one kilogramme, practised once daily for an hour and a half, relieved all the suffering and greatly reduced the- swelling. Toxicity of the Serum in, Cases of Eclampsia. Puerperal convulsions are now generally regarded as the outcome of auto-intoxication. Bouchard has demonstrated the lessened toxicity of the urine passed, often only in diminished quantity, by such patients. It occurred to, Dr. Chambrelent of Paris to supplement these observations- of Bouchard by examining the serum of the blood drawn during the attacks. Taking as a basis the fact already established by Rummo that 10 cubic centimetres of healthy human serum is the quantity necessary to kill one kilo- gramme of rabbit-i. e , 10 cc. to each kilogramme of body- weight-he found that this degree of toxicity was greatly , exceeded when eclamptic serum was employed, and that there was a constant relation between the poisonous pro- perties of the serum and the gravity of the case. Six... patients were the subjects of the above experiments at the- Obstetric Clinic of the Paris Faculty. Paris, Sept. 21st. _______________ NEW YORK. (FROM OUR OWN CORRESPONDENT.) First Appearance of Cholera. THE steamship Moravia left Harmburg on Aug. 18th (the day,, on which cholera was discovered in that city) with 358 emigrant. passengers. Cholera appeared on the first day out and con--
Transcript of PARIS.
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as students from the wards of the Infirmary, and have decidedto afford to female students facilities for clinical and patho-logical instruction separately from male students. It remains
to be seen how this will be received by the fifty-three malestudents who recently sent in an ultimatum demanding theexclusion of ladies, under threat of withdrawal to some otherschool. The governors of St. Mungo’s College and the
directors of the Infirmary are in an awkward predicament.It is really a pity that they departed from their first resolu-tion to exclude ladies. It is quite clear and universallyadmitted that it is neither practicable nor desirable to
carry on the clinical teaching of both sexes in mixed
classes; it is also absurd to suppose that the clinicaleducation of women can be satisfactorily carried on insets of wards set apart for them. To have a thorough, all-round education women must have the same privileges as men-that is, they must have the free run of an entire hospital inall its departments. All the cases suitable and valuable forpurposes of instruction cannot be seen in one or two ’’ sets
"
of wards. The difficulty experienced by Queen Margaret’sCollege students in keeping up their clinical study inan institution so far removed from the scene of theirsystematic and theoretical work will continue as great asheretofore. The only sensible and permanent solution of thetrouble is the adoption of some such scheme as that suggesteda few weeks ago in these columns-namely, the amalgama-tion of the Medical Faculty of Queen Margaret’s Collegewith the Muirhead Trust, and the appropriation of theircombined funds to the building and endowment of a schoolnear the Victoria Infirmary, to which the entire medicalfaculty of Queen Margaret’s College might be transferred, aproper arrangement having first of all been come to with thegovernors of the Victoria Infirmary, securing that hospitalfor the clinical instruction of women exclusively.
Notification of Dicarrhaœal Diseases.The Glasgow local authority has issued an order to the
effect that British cholera and choleraic diarrhoea are
to be regarded as diseases which must be notified on the usualinfectious diseases forms, this order to remain in force till theend of November next. This is doubtless in view of the pos-sible appearance of cholera amongst us. Meantime the cityremains clear of the disease, the two patients (Russian Jews)who suffered from it a week or two ago having been dismissedwell from the fever hospital. The passengers who wereassociated with these patients were isolated, and all of themescaped the disease.Sept. 20th.
IRELAND.(FROM OUR OWN CORRESPONDENT.)
Suspected Case of Cholera at Qiieensto7vn.ON arrival of the Eppleton steamer at Queenstown on
Sunday last considerable excitement was created when itwas stated that a case of choleraic diarrhoea was on board.The vessel was placed in quarantine, and Dr. Hodges,medical officer for the port of Cork, visited the steamer andfound the patient was suffering from choleraic symptoms notof a dangerous character. The case was isolated and removedon the following day to the Queenstown Intercepting Hospital.
Oittbrea7z of Fever in Kilkenny.The county gaol has been closed by sealed order of the
Local Government Board in consequence of the epidemicof fever alleged to prevail in the prison. Surg.-Lieut.-Col.Magee has recommended the closing of the James-streetpolice station, inasmuch as several constables have con-tracted fever and have been removed to the fever hospital-asuggestion which has been adopted by the Urban SanitaryBoard.
Kerry Lunatic Asylum.The monthly meeting of the board of governors was held
last week, presided over by the Earl of Kenmare. Thegovernors had under consideration the appointment of anassistant resident surgeon, as recommended by the PrivyCouncil, at a salary of E100 a year, with rations &c. amount-
ing to about £80. After some discussion the following wasadopted: "That the medical superintendent apply, on
behalf of the Board, to the Privy Council as to whether, bythe new rules 46 and 47, the appointment of a secondmedical officer is mandatory on the Board before a vacancyoccurs in the office of visiting physician. "
Suggestions for the Early Treatment of Cholera.The Royal College of Surgeons in Ireland have furnished,
amongst others, the following suggestions for the use of the-public as to the treatment of early or suspicious symptoms.when cholera is threatened or epidemic : The College adviseno alteration in the habits of living where these have pre-viously been moderate and regular. All excess should be-
carefully avoided, especially in the use of alcoholic drinks,as it is well known that the intemperate most certainlyfall victims to the most fatal type of cholera as of otherepidemic diseases. All debilitating causes should be care-fully avoided, such as excessive and long-continued fatigueand fasting, overcrowding, exposure to moist, stagnant air,.or to air loaded with organic efliuvit. During the prevalenceof cholera any person affected by any of the following com--plaints should at once obtain medical advice : (1) Diarrhoea.or looseness of the bowels ; (2) vomiting or sickness of’stomach ; (3) pains in the stomach or bowels ; (4) pains orcramps in the legs. While such aid is being obtained thepatient should be put to bed immediately and warmthshould be encouraged by the application of heat to thebody and limbs. Also, in case of sickness of stomach,a large mustard poultice should be applied over the abdomen. In the event of cramps ensuing diligent rubbing oiithe limbs should be resorted to.
Sept. 21st. __ ________
PARIS.(FROM OUR OWN CORRESPONDENT.)
A New Treatment tf Oophoro-salpingitis.EVERY practitioner is aware of the unsatisfactory means-
at our disposal (short of abdominal section) for the treatmentof the above condition. At the best, in most cases, the patientis relieved of the acute symptoms, leaving the disease in achronic stage for a weary length of time. Dr. Auvard ofParis announces the successful treatment of two cases bymeans of intermittent pressure, which he applies in the
following manner : A Gariel’s air pessary is introduced into.the vagina and a bag filled with shot is simultaneously main-tained over the site of the abdominal induration. The weightof the shot is gradually increased from 750 to 1500 grammes.and the bag is kept applied for from two to three hours everymorning and evening. During the interval (the pessarybeing also removed) hot vaginal injections and a cold enema.are administered. In one case quoted. where a very tenderswelling the size of a hen’s egg could be felt in the right,broad ligament, the tumefaction had completely disappearedafter ten days of this treatment, and in three weeks the womanwas well. In another case of oophoro-salpingitis induced byintra-uterine exploration, internal and external intermittentpressure, by means of a Gariel pessary and a shot-bagweighing one kilogramme, practised once daily for an hourand a half, relieved all the suffering and greatly reduced the-swelling.
Toxicity of the Serum in, Cases of Eclampsia.Puerperal convulsions are now generally regarded as the
outcome of auto-intoxication. Bouchard has demonstratedthe lessened toxicity of the urine passed, often only indiminished quantity, by such patients. It occurred to,Dr. Chambrelent of Paris to supplement these observations-of Bouchard by examining the serum of the blood drawnduring the attacks. Taking as a basis the fact alreadyestablished by Rummo that 10 cubic centimetres of healthyhuman serum is the quantity necessary to kill one kilo-
gramme of rabbit-i. e , 10 cc. to each kilogramme of body-weight-he found that this degree of toxicity was greatly
, exceeded when eclamptic serum was employed, and thatthere was a constant relation between the poisonous pro-perties of the serum and the gravity of the case. Six...patients were the subjects of the above experiments at the-Obstetric Clinic of the Paris Faculty.Paris, Sept. 21st.
_______________
NEW YORK.(FROM OUR OWN CORRESPONDENT.)
First Appearance of Cholera.THE steamship Moravia left Harmburg on Aug. 18th (the day,,
on which cholera was discovered in that city) with 358 emigrant.passengers. Cholera appeared on the first day out and con--
