1
1513 ,. VOLUNTEER OFFICERS’ DECORATION. f The King has conferred the Volunteer Officers’ Decoration upon the undermentioned officers of the Volunteer Force :- Northern Commend Rifle: 5th Volunteer Battalion the Durham Light Infantry: Surgeon-Major Andrew Arthur Abraham. Scottish ComvLand: : Arlillery: : 1st Fifeshire Royal Garrison Artillery (Volunteers) : Surgeon-Major Robert Balfour Graham. Rifle: : 5th Volunteer Battalion the Royal Scots (Lothian Regiment): Surgeon-Lieutenant- Colonel James Mill. THE ROYAL NAVAL HOSPITAL, STONEHOUSE, PLYMOUTH. Inspector-General H. Mackay Ellis, Director-General of the Royal Navy Medical Service, made his annual inspection of the Royal Naval Hospital, Stonehouse,. on May 21st and 22nd. After the inspection of the medical and surgical wards he expressed his satisfaction with the result of the visit. The Director-General was accompanied by Inspector-General H. T. Cox, R.N., and the heads of departments. Correspondence. "Audi alteram partem." MELÆNA NEONATORUM. To the Editors of THE LANCET. SIRS, -In your annotation on the above subject in THE LANCET of May 25th, p. 1443, it is suggested that meloena neonatorum may "be one of the many pathological conditions produced by the virus of con- genital syphilis." This statement is supported by the authority of Dr. Balzer of the St. Louis Hospital, Paris, who states in his article on Syphilis in Brouardel and Gilbert’s " Trait6 de Medecine," 1906, that some newly born children succumb to intestinal haemorrhage associated with purpura, a condition known as " syphilis haemorrhagica neonatorum." " Dr. Still in his lectures on "Infantile Syphilis" also refers to this condition. Whether me]a3na neonatorum is always due to congenital syphilis may be open to dispute, but this diathesis is probably responsible for most cases. I am, Sirs, yours faithfully, New Cavendish-street, W., May 26th, 1907. C. F. MARSHALL. C. F. MARSHALL. CONVALESCENT HOME OF ADDEN- BROOKE’S HOSPITAL, CAMBRIDGE. To the Editors of THE LANCET. SIRS,-May we’ask you for space to appeal to Cambridge men and their friends for help in providing Addenbrooke’s Hospital with a seaside branch for convalescents, such as is now felt to be a necessary equipment for every great hospital ? 7 These seaside branches are quite distinct from the ordinary convalescent home to which admission may be obtained through subscribers’ letters for people needing merely rest and change of air. They are intended precisely for those whom such homes must of necessity exclude-viz., those who still need surgical care and dressings, including 1 men, women, and children from three years old. The 1 patients are nominated by the hospital staff and have all J been under treatment at the hospital. There are thus no i trivial cases. The removal of these patients at the earliest J possible moment after operations or other severe illness 1 gives much needed relief to the hospital wards, while the 1 bright seaside and open-air life completes the work of restoration as nothing else could. In response to an appeal made eight years ago by the medical and surgical staff of Addenbrooke’s Hospital for such a braDch the work was begun in a hired house by the seaside. The generosity of a few friends provided funds enough to try the experiment for some years and its success has been even beyond their hopes. But these funds are now exhausted ; the lease of the temporary home at Dovercourt has come to an end ; the committee has decided to build (no house not planned for this object being really suitable) and has secured an admirable site at Hunstanton. All that is now needed is .E3000, towards which B600 have already been given or promised. Donations will be gratefully received at Barclay’s Bank, Cambridge. I We are. Sirs. yours faithfully. L. DE BUNSEN, Honorary Treasurer of the Home ; DONALD MACALISTER. Consulting Physician to Addenbrooke’s Hospital. Cambridge, May 18th, 1907. SANITARY AUTHORITIES AND SANITARY OFFICERS. To the Editors of THE LANCET. SIRS,-Dr. J. H. Garrett, in his most excellent criticism on the administration of the Public Health Acts which appeared in THE LANCET of May 25th, p. 1447, has omitted to draw attention to what one may term the crowning absurdity of the law with regard to the appointment of medical officers of health. Dr. Garrett states that the law requires the medical officer of health to be a "registered medical practitioner invariably." This is not strictly correct. TheLocalGovern- ment Act, 1888, requires that he shall be legally qualified to practise medicine, surgery, and midwifery, but by the same Act authority is specially given to the Local Government Board to modify this requirement-that is to say, the Local Government Board has power to sanction the appointment of a quack." I am, Sirs, yours faithfully, R. BRUCE FERGUSON, M.D. Cantab., D.P.H., &c> London, N., May 27th, 1907. ALBUMINOUS BODIES PRESENT IN PATHOLOGICAL EFFUSIONS. To the Editors of THE LANCET. SiRS,—Many thanks are due to Dr. W. C. Bosanquet’s note on the above subject. I have been studying exudates and transudates from the same point of view during the past twelvemonth, but have adopted the plan of rendering the globulin precipitates free from salt by dialysis. I have supposed that globulin plus ammonium sulphate will keep unaltered for a long time and if that were the case this method would be devoid of the error against which we are warned. If the fluid to be examined be treated with the salt at once (as is possible in a hospital) need one fear any subsequent conversion of one globulin into another ? 7 These methods of analysis are naturally of no use clinically because it is a matter of days before the result is obtained, but as a subject of scientific research may we not still hope that the relative proportions of albumins, globulins, and the decomposition- products of proteids in these fluids are of profound interest ? Y I am. Sirs. vours faithfullv. OSKAR C. GRUNER, M.B Lond. Clinical Laboratory, Leeds General Infirmary, May 21st, 1907. A SOCIETY FOR THE PREVENTION OF VENEREAL DISEASE. To the Editors of THE LANCET. SIRS,-Some years ago the medical profession in Germany ormed a Society for the Prevention of Venereal Disease and ast month was held the first meeting of a similar society for Austria. Is it not possible to do something of the same sort n Great Britain 7 Perhaps some of our leading medical men night make a start in the matter, as everything has to iave a small beginning, and the three societies might work !0gether in harmony and find some cooperation possible. I am, Sirs, yours faithfully, May 27th, 1907. H. N. R. TRAINED NURSES ANNUITY FUND.-A drawing- room meeting will be held, by permission of Lord and Lady Ravensworth, at 71, Eaton-square, S.W., on Friday, June 14th, at 3.45 P.M., in furtherance of the objects of the- annuity fund for disabled nurses. The Earl of Hardwicke- will take the chair and the meeting will be addressed by Lord Loch, Lady Henry Somerset, and Dr. F. H. Champneys. Further information can be obtained from the honorary secretary, Dr. A. Ogier Ward, 73, Cheapside, London, E.C. R. BRUCE FERGUSON, M.D. Cantab., D.P.H., &c.

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Page 1: MELÆNA NEONATORUM

1513

,. VOLUNTEER OFFICERS’ DECORATION.f

The King has conferred the Volunteer Officers’ Decorationupon the undermentioned officers of the Volunteer Force :-Northern Commend Rifle: 5th Volunteer Battalion the

Durham Light Infantry: Surgeon-Major Andrew ArthurAbraham.

Scottish ComvLand: : Arlillery: : 1st Fifeshire RoyalGarrison Artillery (Volunteers) : Surgeon-Major RobertBalfour Graham. Rifle: : 5th Volunteer Battalion the

Royal Scots (Lothian Regiment): Surgeon-Lieutenant-Colonel James Mill.

THE ROYAL NAVAL HOSPITAL, STONEHOUSE, PLYMOUTH.

Inspector-General H. Mackay Ellis, Director-General of theRoyal Navy Medical Service, made his annual inspection ofthe Royal Naval Hospital, Stonehouse,. on May 21st and22nd. After the inspection of the medical and surgical wardshe expressed his satisfaction with the result of the visit.The Director-General was accompanied by Inspector-GeneralH. T. Cox, R.N., and the heads of departments.

Correspondence."Audi alteram partem."

MELÆNA NEONATORUM.To the Editors of THE LANCET.

SIRS, -In your annotation on the above subject inTHE LANCET of May 25th, p. 1443, it is suggestedthat meloena neonatorum may "be one of the manypathological conditions produced by the virus of con-

genital syphilis." This statement is supported by the

authority of Dr. Balzer of the St. Louis Hospital, Paris, whostates in his article on Syphilis in Brouardel and Gilbert’s" Trait6 de Medecine," 1906, that some newly born childrensuccumb to intestinal haemorrhage associated with purpura,a condition known as " syphilis haemorrhagica neonatorum."

"

Dr. Still in his lectures on "Infantile Syphilis" alsorefers to this condition. Whether me]a3na neonatorum isalways due to congenital syphilis may be open to dispute,but this diathesis is probably responsible for most cases.

I am, Sirs, yours faithfully,New Cavendish-street, W., May 26th, 1907. C. F. MARSHALL.C. F. MARSHALL.

CONVALESCENT HOME OF ADDEN-BROOKE’S HOSPITAL, CAMBRIDGE.

To the Editors of THE LANCET.

SIRS,-May we’ask you for space to appeal to Cambridgemen and their friends for help in providing Addenbrooke’sHospital with a seaside branch for convalescents, such asis now felt to be a necessary equipment for every greathospital ? 7 These seaside branches are quite distinct fromthe ordinary convalescent home to which admission may beobtained through subscribers’ letters for people needingmerely rest and change of air. They are intended preciselyfor those whom such homes must of necessity exclude-viz.,those who still need surgical care and dressings, including 1men, women, and children from three years old. The 1patients are nominated by the hospital staff and have all Jbeen under treatment at the hospital. There are thus no itrivial cases. The removal of these patients at the earliest J

possible moment after operations or other severe illness 1

gives much needed relief to the hospital wards, while the 1bright seaside and open-air life completes the work ofrestoration as nothing else could.

In response to an appeal made eight years ago by themedical and surgical staff of Addenbrooke’s Hospital forsuch a braDch the work was begun in a hired house by theseaside. The generosity of a few friends provided fundsenough to try the experiment for some years and its successhas been even beyond their hopes. But these funds are nowexhausted ; the lease of the temporary home at Dovercourthas come to an end ; the committee has decided to build(no house not planned for this object being really suitable)and has secured an admirable site at Hunstanton. Allthat is now needed is .E3000, towards which B600 have

already been given or promised. Donations will be gratefullyreceived at Barclay’s Bank, Cambridge.I ’

We are. Sirs. yours faithfully.L. DE BUNSEN,

Honorary Treasurer of the Home ;DONALD MACALISTER.

Consulting Physician to Addenbrooke’s Hospital.Cambridge, May 18th, 1907.

SANITARY AUTHORITIES AND SANITARYOFFICERS.

To the Editors of THE LANCET.

SIRS,-Dr. J. H. Garrett, in his most excellent criticism onthe administration of the Public Health Acts which appearedin THE LANCET of May 25th, p. 1447, has omitted to drawattention to what one may term the crowning absurdity ofthe law with regard to the appointment of medical officers ofhealth. Dr. Garrett states that the law requires the medicalofficer of health to be a "registered medical practitionerinvariably." This is not strictly correct. TheLocalGovern-ment Act, 1888, requires that he shall be legally qualified topractise medicine, surgery, and midwifery, but by the sameAct authority is specially given to the Local GovernmentBoard to modify this requirement-that is to say, the LocalGovernment Board has power to sanction the appointment ofa quack." I am, Sirs, yours faithfully,

R. BRUCE FERGUSON, M.D. Cantab., D.P.H., &c>London, N., May 27th, 1907.

ALBUMINOUS BODIES PRESENT INPATHOLOGICAL EFFUSIONS.

To the Editors of THE LANCET.

SiRS,—Many thanks are due to Dr. W. C. Bosanquet’s noteon the above subject. I have been studying exudates andtransudates from the same point of view during the pasttwelvemonth, but have adopted the plan of rendering theglobulin precipitates free from salt by dialysis. I have

supposed that globulin plus ammonium sulphate will keepunaltered for a long time and if that were the case this methodwould be devoid of the error against which we are warned.If the fluid to be examined be treated with the salt at once(as is possible in a hospital) need one fear any subsequentconversion of one globulin into another ? 7 These methodsof analysis are naturally of no use clinically because it is amatter of days before the result is obtained, but as a subjectof scientific research may we not still hope that the relativeproportions of albumins, globulins, and the decomposition-products of proteids in these fluids are of profound interest ? Y

I am. Sirs. vours faithfullv.OSKAR C. GRUNER, M.B Lond.

Clinical Laboratory, Leeds General Infirmary, May 21st, 1907.

A SOCIETY FOR THE PREVENTION OFVENEREAL DISEASE.

To the Editors of THE LANCET.

SIRS,-Some years ago the medical profession in Germanyormed a Society for the Prevention of Venereal Disease andast month was held the first meeting of a similar society forAustria. Is it not possible to do something of the same sortn Great Britain 7 Perhaps some of our leading medical mennight make a start in the matter, as everything has toiave a small beginning, and the three societies might work!0gether in harmony and find some cooperation possible.

I am, Sirs, yours faithfully,May 27th, 1907. H. N. R.

TRAINED NURSES ANNUITY FUND.-A drawing-room meeting will be held, by permission of Lord andLady Ravensworth, at 71, Eaton-square, S.W., on Friday,June 14th, at 3.45 P.M., in furtherance of the objects of the-annuity fund for disabled nurses. The Earl of Hardwicke-will take the chair and the meeting will be addressed byLord Loch, Lady Henry Somerset, and Dr. F. H. Champneys.Further information can be obtained from the honorarysecretary, Dr. A. Ogier Ward, 73, Cheapside, London, E.C.

R. BRUCE FERGUSON, M.D. Cantab., D.P.H., &c.