1
1318 T was obtained from nux vomica 120 years ago. Opium, one of the items in the Ebers papyrus, was not dis- placed by morphine until the middle of last century. Cinchona bark was known to the Incas of Peru before the Spanish conquest in 1540, but quinine was not introduced to medical practice until nearly three hundred years later. Valuable too are the chapters on chemical drugs and synthetic products, treated historically. In the chapter on sophistication the author recalls the part played by THE LANCET in the passing of the Adulteration of Food Act of 1860. Nine years earlier analyses published in our columns had shown that " nearly all the most useful and important articles of the materia medica were grossly and systematically adulterated, often to an enormous extent." At that time, the author remarks, America was obliged to appoint inspectors to examine the imports of drugs and to order the rejection of consignments which were sophisticated. The only criticism of a book so full of information and usefulness is the choice of illustrations. The Truth about Vivisection By Sir LEONARD ROGERS, K.C.S.I., LL.D., M.D., F:R.C.P., F.R.C.S., F.R.S., Hon. Treasurer, Research Defence Society. London : J. and A. Churchill. 1937. Pp. 182. 5s. IT is clearly the doctor’s business to know on what basis his profession rests and to defend it with vigour and knowledge. His answers to a patient’s inquiry on the subject should be well informed and outspoken ; for antivivisection propaganda is aimed at the very root of all orthodox medical belief and practice. This excellent little book can be com- mended therefore not only to the general public but also to medical men, many of whom will (or should) wish to be informed of the present position of vivi- section. It would be hard indeed to find anyone so well qualified to explain it, both by high distinc- tion in medical research and by devotion to the cause of truth, as is Sir Leonard Rogers. His account is logical, fair, and interesting, and should convince any reasonable and intelligent reader of the necessity for experiments on animals. All the stock arguments of the antivivisectionists, most of them well outworn, are answered, and the whole business of licensing and certification is accurately explained. It is unfor- tunate that whereas the antivivisection societies have large sums of money (a total annual income of about E40,000) entirely devoted to clamorous and not too scrupulous propaganda, practically no effort or money is devoted to the defence of research. The reason is that those who believe in medical research are either wholly occupied in its pursuit or else regard its position as so impregnable as to need no defence. There are some too, perhaps, but we think not many, who, so long as they can enjoy the fruits of research while evading any obloquy attached to it, are content to be indifferent or to hedge. Education, Sir Leonard concludes, is the only remedy. If the teaching of elementary physiology formed a part of general education (as very sensibly urged by Dr. L. P. Lockhart 1) it would soon be apparent to everyone that the antivivisection campaign is wholly mis- chievous and against the common good, and the occa- sional doctor who thinks fit to lend his name to such propaganda would not be able to get away with it. 1 Lancet, Nov. 20th, 1937, p. 1177. NEW INVENTIONS A CLAVICULAR SLING THE sling (Fig. 1) is one which I have found particularly useful in conditions, such as fracture of the clavicle and dislocation of the acromioclavicular joint, where it is necessary to elevate the point of the shoulder. The ordinary triangular sling when used to exert pressure pulls the neck forwards and is uncomfortable and inefficient; when applied by the St. John Ambulance method it is more effective in raising the shoulder but equally uncomfortable. The sling I have devised takes the weight on the sound shoulder, the loop passing under the normal axilla being adjusted quite loosely. The same sling can be used for either arm. Daily abduction of the shoulder- joint can be done by the masseur by supporting the point of the elbow and undoing the two larger buckles. For fractured clavicles and dislocated acromio- clavicular joints I use in conjunction with the arm sling the brace illustrated in Fig. 2. It embodies no new principle, but is more comfortable than the two handkerchiefs method or the padded back-splint. FIG. 2 The belt round the waist prevents the brace from slipping upwards. The sling and brace are made by Mr. G. W. Baker of the Wingfield-Morris Workshops, to whom I am indebted for suggestions in their construction. D. C. CORRY, M.D. Lond., F.R.C.S. Eng., Assistant Surgeon and Surgeon with charge of Fractures, Radcliffe Infirmary, Oxford.

A CLAVICULAR SLING

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1318 T

was obtained from nux vomica 120 years ago. Opium,one of the items in the Ebers papyrus, was not dis-

placed by morphine until the middle of last century.Cinchona bark was known to the Incas of Perubefore the Spanish conquest in 1540, but quininewas not introduced to medical practice until nearlythree hundred years later. Valuable too are thechapters on chemical drugs and synthetic products,treated historically. In the chapter on sophisticationthe author recalls the part played by THE LANCETin the passing of the Adulteration of Food Act of1860. Nine years earlier analyses published in ourcolumns had shown that " nearly all the most usefuland important articles of the materia medica weregrossly and systematically adulterated, often to anenormous extent." At that time, the author remarks,America was obliged to appoint inspectors to examinethe imports of drugs and to order the rejectionof consignments which were sophisticated. The

only criticism of a book so full of information andusefulness is the choice of illustrations.

The Truth about VivisectionBy Sir LEONARD ROGERS, K.C.S.I., LL.D., M.D.,F:R.C.P., F.R.C.S., F.R.S., Hon. Treasurer,Research Defence Society. London : J. and A.Churchill. 1937. Pp. 182. 5s.

IT is clearly the doctor’s business to know onwhat basis his profession rests and to defend it withvigour and knowledge. His answers to a patient’sinquiry on the subject should be well informed andoutspoken ; for antivivisection propaganda is aimedat the very root of all orthodox medical belief and

practice. This excellent little book can be com-

mended therefore not only to the general public butalso to medical men, many of whom will (or should)wish to be informed of the present position of vivi-section. It would be hard indeed to find anyoneso well qualified to explain it, both by high distinc-tion in medical research and by devotion to thecause of truth, as is Sir Leonard Rogers. His accountis logical, fair, and interesting, and should convinceany reasonable and intelligent reader of the necessityfor experiments on animals. All the stock argumentsof the antivivisectionists, most of them well outworn,are answered, and the whole business of licensingand certification is accurately explained. It is unfor-tunate that whereas the antivivisection societies havelarge sums of money (a total annual income of aboutE40,000) entirely devoted to clamorous and not tooscrupulous propaganda, practically no effort or moneyis devoted to the defence of research. The reasonis that those who believe in medical research areeither wholly occupied in its pursuit or else regardits position as so impregnable as to need no defence.There are some too, perhaps, but we think not many,who, so long as they can enjoy the fruits of researchwhile evading any obloquy attached to it, are contentto be indifferent or to hedge. Education, Sir Leonardconcludes, is the only remedy. If the teaching ofelementary physiology formed a part of generaleducation (as very sensibly urged by Dr. L. P.Lockhart 1) it would soon be apparent to everyonethat the antivivisection campaign is wholly mis-chievous and against the common good, and the occa-sional doctor who thinks fit to lend his name to suchpropaganda would not be able to get away with it.

1 Lancet, Nov. 20th, 1937, p. 1177.

NEW INVENTIONS

A CLAVICULAR SLING

THE sling (Fig. 1) is one which I have foundparticularly useful in conditions, such as fractureof the clavicle and dislocation of the acromioclavicularjoint, where it is necessary to elevate the point of theshoulder. The ordinary triangular sling when used

to exert pressure pulls the neck forwards and isuncomfortable and inefficient; when applied by theSt. John Ambulance method it is more effectivein raising the shoulder but equally uncomfortable.The sling I have devised takes the weight on thesound shoulder, the loop passing under the normalaxilla being adjusted quite loosely. The same sling canbe used for either arm. Daily abduction of the shoulder-

joint can be done by the masseur by supporting thepoint of the elbow and undoing the two larger buckles.For fractured clavicles and dislocated acromio-

clavicular joints I use in conjunction with the armsling the brace illustrated in Fig. 2. It embodies nonew principle, but is more comfortable than the twohandkerchiefs method or the padded back-splint.

FIG. 2

The belt round the waist prevents the brace fromslipping upwards.The sling and brace are made by Mr. G. W. Baker

of the Wingfield-Morris Workshops, to whom I amindebted for suggestions in their construction.

D. C. CORRY, M.D. Lond., F.R.C.S. Eng.,Assistant Surgeon and Surgeon with charge of

Fractures, Radcliffe Infirmary, Oxford.