File:United States Naval Medical Bulletin Vol. 5 Nos. 1-4, 1911 (IA NavalMedicalBulletin05141911).pdf

Vol. 5, No. 1

Preface... ... . ..... . . .. ......... .. ... .... . ... . .. . .... .. . . ..... . .. . . . ..... . v
Special articles ............. . ....... . . . .. . ............... . ............1
Diphtheria prophylaxis in the Navy. by C. S. Butler. .... . .. .. . ...1
Notes on "606," by Raymond Spear.. . .... .. . ... .. .. . ... ..... . ........ . . 4
Recent diagnostic methods in otology applicable to the naval service, by
G. B. Trible.... . . .. .... ...... . . .......... .. .. . .. 6
Bier's method of treatment in acute gonorrheal arthritis, by H.F. Strine. 12
Problems of sanitation in landing and expeditionary service in tropical and
subtropical regions, translation by P. J. Waldner.. .. . . .. . . . . . . . .. . .. .. 13
The mental examination of candidates for enlistment in the Navy and
Marine Corps, by Heber Butts.. . ......... . . . .............. . .... . . . .... 29
The recent outbreak of cholera in Italy, by C. J. Holeman.. ..... .. . .. . . . 38

United States Naval Medical School Laboratories... ... ... .. ... .. .......... . . 41
The United States National Museum in its relation to other Government
scientific collections, by P. E . Garrison .... . . . .. . .. . ..... . ..... .,..... 41
Specimens added to the helminthological collection, United States Naval
Medical School, June-August, 1910....... . ... . .... ... . . ........ . .... . 43
Recent additions to the pathological collection, United States Naval Medical School. . . . . . . . . . . . . . . . . . . . .. . . 43

Suggested devices............ . . . . . . . . .. . . . . .. . . ..... . . . .. . ... . . . ..... . . . .. . 46
A sanitary garbage-can holder, by H. C. Kellers. . . . . . . . . .. . . . . . . 46
The blanket splint, by F. X. Koltes..... ..... ... . . .. . . .. .. . . . . . . . . . . . . . . 45

Clinical notes.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Reports of four transfusions by the vein-to-vein method with curved glass
tubes, by A. M. Fauntleroy.. . . . . . . . .. . ...... . . . . . . . . . . . . . . 47
Bilateral inguino-superficial hernia with bilateral undescended testicle,
by H. C. Curl...... . ..... . .. . ... . . . . .. . . . . . . . . . . . . . . . . 51
Larvae in the deep urethra and bladder, by H. F. Strine..... ... .. . . .. ... 51
An extensive razor wound of throat, by W. G. Farwell. ...... . ....... ..... 62
Report of two cases of heat cramps on U. S. S. Charleston, by H. A. May... 53
Fatigue and exhaustion in the fireroom, by F. G. Abeken .... ... . ... .. . . 67
A case of diabetes mellitus, by J.B. Dennis and A. C. Stanley . ........... 58
Sciatica incident to physical test (50-mile walk), by J. A. B. Sinclair..... 58
Poisoning resulting from the injection of bismuth paste, by C. B. Camerer... 59

Current comment. . . . . . . . . . .  . . . 61
The medical library on the U. S. S. Solace... . ..... .. ......... .... . ... .. 61
Dioxydiamidoarsenobenzol in the treatment of syphilis. .. . .. . .. . . . . . . ... 61
New blank forms and instructions pertaining thereto.. . .. .... . ... . . ..... 63
A case of yellow fever reaches Honolulu . . . . . . . . . . . .  . . . . . . . . 65

Progress in medical sciences. . ....... ... . .. . . . .. . . . ... . . .. . .... . ... .. ... . .. 67
General medicine. . .. .. ... . . .. . .... .. ... .. . .. . . .. . .. ..... .. . .. ........ 67
A modern conception of the psychoneuroses; status thymolymphaticus and its relation to sudden death; the Cammidge test in experimental pancreatitis and other conditions; hiccough in course of diaphragmatic pleurisy treated by Laborde's method ; fatigue the cause of enuresis; pellagra, some clinical and other features of the disease; is mercury a specific in pulmonary tuberculosis; a case of an acute febrile and probably infectious disease of unknown origin; further remarks on duodenal alimentation ; pemphigoid eruptions in typhoid
fever, A. W. Dunbar and J . L. Neilson . .. . .... . ... . . . .. . ... . . . .. 67
Surgery - The special field of neurological surgery, five years later; hypodermic injections in action, suggestions for simplifying their administration; the result of 168 operations for hernia; modern treatment of
fractures; report of two cases of revolver shot wound of the brain; haemophilia; the exclusion of the skin in surgery; removal of foreign bodies
from the bronchi; some notes on the use of nitrous oxid and oxygen for
prolonged anesthesia; the end results of prostatectomy, R. Spear and
E. Thompson ... . . . .. .. . .. . .... . . , . . . . . . . . . . . . . . . . . . . . 76
Hygiene and sanitation - Ventilation of ships, particularly merchant ships;
oral prophylaxis; recruiting in the German army; concerning the sources
of infection in cases of venereal diseases in the city of New York; the
effect of a mosquito net on the air within it, H. G. Beyer and C. N.
Fiske. .. . . .. ... . .. . .. . . .. . ... . . . . . .. . .. . . . ... . .... .. ... .... .. .. ..... 87
Tropical medicine - The rationale of quinine prophylaxis; a case of sleeping
sickness studied by precise enumerative methods; statistical study of
uncinariasis among white men in the Philippines, C. S. Butler.. . .. .. . .. 95
Pathology and bacteriology - A case of typhoid meningitis; complement fixation in thrombo-angiitie obliterans; personal observations on the Ehrlich-Hata "606;" certain aspects of the bacteriology of bacillary dysentery; a rapid presumptive test for diarrhea caused by the gas bacillus; investigation into the acid-fast bacteria found in the faeces with special reference to their presence in cases of tuberculosis; on the nature of the cellular elements presence in  milk; infection of a still-born infant by an amoebiform protozoan (entamooba mortinatalium), O. J . Mink.. . . ..... . 99
Medical zoology  - Ulcerating granuloma of the pudenda a protozoal disease
(preliminary communication); report of 15 cases of hymenolepis nana,
P. E. Garrison ... .... ... . ... ... .... .. ... ... . . . . . . . . . . . . .. . . . . .. . . . .. 102
Chemistry and pharmacy - Studies in OEdema. VI. The influence of adrenaline on absorption from the peritoneal cavity, with some remarks
on the influence of calcium chloride on absorption ; the action of mercury
and iodine in experimental syphilis; a protein reaction in the blood of the insane; chemistry of the antigen used in the Wassermann reaction; a lack of oxygen not a cause of death in cases of diminished air pressure; influence of mercury on the results of the serum reaction in antisyphilitic treatment; quantitative determination of albumin in the urine;
E.W. Brown and O. G. Ruge ............. . ............ ... ..... 104
Eye, ear, nose, and throat - The use of carbon dioxide snow in eye work;
preliminary communication of a new method for the prevention and treatment
of sympathetic ophthalmitis, E. M. Shipp......... .. . .. ... ... .. . 106
Reports and letters .. . . . ...... . .... . .... . ... . . ... . ... .  .. . . . .. . . 109
A visit to the Leper Settlement, Molokai, Hawaii, J. D. Gatewood .... ... . 109
Report on the meeting of the American Public Health Association, 1910,
C. N. Fiske. . ... ......... .. .. . .. . . . ... . . . ...... . . . .... .. . . ..... ... . . . 114
Report on the meeting of the American Hospital Association, 1910, A. W.
Dunbar.. . .. .. .... . ... . ... .. . .. .. .. . . . .... ... ... ... .. .. .. ... . ....... 117
The latest word from Ehrlich........ . .............................. . .. 122

Vol. 5, No. 2

Preface... ... .. ... .. ........ ... .................. .... ..... .............. vii
Special articles.....................125
The intravenous administration of "606" in 56 case, by G. B. Trible and
H. A. Garrison ...................... 125
Ehrlich discusses "606," translation, by Dr. J.C. Bierwirth. . ...... . . . ... 134
Satisfactory results with a simplified Wassermann technique (Emery), by
E. R. Stitt. ..................... 142
Further notes on the preparation of a culture medium from dried blood
serum, by E. W. Brown... . . .. .... . . .. . .. .... . . ... ........ .. .. . .... 144
Note on the existence of Agchylostoma duodenale in Guam, by W. M. Kerr. .....................145
Intestinal parasites found among the crew of the U.S.S. South Dakota, by
E.G. Parker. .... . ..... .. . ..... .. . ..... ...... . .... ... . . ... .. ...... . 145
Results of an examination of Filipino mess attendants for intestinal parasites,
by W. A. Angwin and C. E. Camerer ..................... 147
The practical use of carbon dioxide snow as seen at the West London Hospital, by G. D. Hale. .. .... . .. . . . .. ... . . . .......... . .......... . ..... . 148
Nomenclature for causes of physical disability in the Navy, by 0. N.
Fiske.. . .. . .......................... . .. .. . .... .. . . .. ...... .. .. .. . 149

United States Naval Medical School laboratories . . . . . . ..................... 159
An atypical typhoid bacillus, by O. J. Mink.. .. . .. ........ .. ........... 159
Notes on parasites found at animal autopsies in the Naval Medical School
laboratories during 1910, by C. S. Butler and P. E. Garrison.. . .. . ...... 159
Specimens added to the helminthological collection, United States Naval
Medical School, December, 1910-February, 1911 . .. ... . .  161
Additions to the pathological collection, United States Naval Medical
School, December, 1910-February, 1911 . .... .162

Suggested devices ...... . . . ... ... .. . . . . . . 163
An intestine tray for autopsies, by P. E. Garrison. . . .... .... .. .. .. .. .. ... 163
A suggested improvement in the method of taking finger prints, by F. H.
Brooks . .... .. .. .. . .. .. . .. .. ... . .... .. .. .. .. . . .. .... . . .. .. . ..... . .. 164

Clinical notes . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
A case of cholecystectomy, by R. Spear. . . . . .. . . . . . . . . . 167
A case of fracture of the skull, by W. M. Garton. . . ... ... . ... . ........ . .. 168
Hypernephroma of right kidney, nephrectomy with recovery, by A. M.
Fauntleroy... ... .. ... .. ..... .... . .. . . ..... ..... . .... . ............. . 169
A case of general chronic perihepatitis, by E. R. Stitt .. . . . . . .. ...... . ... 171
Bacillary dysentery showing extreme toxaemia, by E. R. Stitt........ .. .. 173
Report on 10 cases of syphilis treated with "606," by U. R. Webb....... 173
A suspected case of gangosa, by O. J. Mink.. . . .. . ...... . .... .. . . . .... .... 178
Lamblia intestinalis and ascaris lumbricoides associated with amoebic dysentery by G. B. Trible . . . . . ... ....... . . . . .. . .. .. ... . .... . ........ . . . . . . 178
A case of pernicious anemia showing points of resemblance to kala azar,
by E. R. Stitt . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . . . . 180
A case of amoebic dysentery with liver abscess by E. R. Stitt. . .. .. ... ... 180
A case of intussusception, by E. R. Stitt..... . . .. . . . . . .. ......... .. . .. . . . 181
Report of two unusual fracture cases, by J. B. Dennis and A. C. Stanley... 181
Associated tuberculosis and syphilis, by O. J. Mink and E. H. H. Old...... 182
An undesirable recruit, by Heber Butts............................ . . . . . 183
Report of six cases of appendicitis aboard the U.S. S. Tennessee, by M. K.
Johnson and W. L. Mann...... ... .......................... .. ........ 190

Current comment... .. .................................................... 193
Notification of venereal diseases.............. . .......................... 193
The use of salvarsan in filarial disease.. ...................... . .......... 194
Howard Taylor Ricketts...................................... . ........ 195
Typhoid vaccination. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . 195
Further notes on the new blank forms..................................... 196
The bacteriology of acute poliomyelitis............. . .... .. .. ...... ..... 197
Hospital facilities at Montevideo.... .... . .............................. 197
A correction. . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
A course of instructive lectures . ......................................... 197
Physical culture......... ... . . ........... .. .......................... . . 198

Progress in medical sciences...... . ................. . ..... . ............. . .. 199
General medicine - Haemoglobinuric fever on the Canal Zone; malingering; on the presence of a venous hum in the epigastrium in cirrhosis of the liver; the use of the X-ray in the diagnosis of pulmonary tuberculosis; mercury succinimid in the treatment of tuberculosis; high blood pressure in arteriosclerosis; the treatment and prognosis of exophthalmic goitre; some clinical methods of diagnosis of the functional activity of the heart; further notes on the treatment of paralysis agitans with parathyroid gland; on fever caused by the bite of the sand fly (Phlebotomus papatasii); Myzomyia roasii as a malaria carrier; a modified Caldwell kitchen incinerator for field use, by A. W. Dunbar and J. L. Xeilson....... 199
Surgery - The cause of death from shock by commercial electric currents
and the treatment of same; the best method of exposing the interior of the bladder in suprapubic operations; "606 "; a consideration of surgical methods of treating hyperthyroidism; genito-urinary diseases; radium therapy; the intravenous use of cocaine, report of a case; diseases of the stomach and duodenum from a surgical standpoint; dry iodine catgut; disinfection of the skin by tincture of iodine; the Roentgen-ray examination of the esophagus; solitary perforation of the ileum associated with strangulated and obstructed hernia; the time and method for prostatectomy; a practical mechanical method of end-to-end anastomosis of blood vessels; by R. Spear and E. \V . Thompson................... 213
Hygiene and sanitation - Sterilization of water on a large scale by means
of ultra-violet rays; nota sulla carne refrigerata e sui refrigeranti dei piroscafi; the American game of football, is it a factor for good or for evil? the hygiene of the simming pool ; "cordite eating"; the process of disinfection by chemical agencies and hot water; eggs, a study of eggs offered for sale as pure food; by H. G. Beyer and C. N. Fiske. ..... .. 226
Tropical medicine - Upon a new pathognomonic sign of malaria; a simple
method for the treatment of cholera; traitement de la trypanosomiase
humaine, by C. S. Butler. . .... .. ....... ... .. ...... . . . . ..... .. . ....... 237
Pathology and bacteriology -  A method for the bacteriological standardization of disinfectants; microorganism found in the blood of acute cases of poliomyelitis; experimental rssearches upon typhus exanthematicus
done at the Pasteur Institute of Tunis during the year l910; bacteriology of human bile with especial reference to the typhoid carrier problem; the control of typhoid in the army by vaccination; experiments on transmission of bacteria by flies with special relation to an epidemic of bacillary dysentery at the Worcester State Hospital, Massachusetts, 1910; experiences in the use of vaccines in chronic suppuration of the nasal access0ry sinuses; histological study of skin lesions of pellagra; a resume of the evidence concerning the diagnostic and clinical value of the Wassermann reaction; experimentelle Beitrage zum Studium des Mechanismus der Immunkorper und Komplementwirkung; by O. J . Mink.............. 240
Chemistry and pharmacy.-The preparation of thyroid extract for therapeutic
purposes; the action of urinary antiseptics; wird eingenommenes
Chinin mit der Muttermilch ausgeschieden? Uebergang von Arzenmitteln
in die Milch; the quantitative estimation of albumin in the urine, by Tsuchiya's procss; the quantitative determination of albumin according to Tsuchiya; on the stability of the solutions prepared for Bang's method of estimating sugar in the urine, by E. M. Brown and O. G. Ruge.. . .......... 251
Eye, ear, nose, and throat - Tests for color-vision ; a note on the use of scarlet red in corneal diseases; report on progress in otology; ear disease and its prevention; the prevalence of middle ear disease in the [British] army, with a suggestion for a remedy; peritonsillar abscess; by E. M. Shipp. . ........ . . 266

Reports and letters ............ 267
The surgical aspect of the engagement of La Ceiba, Honduras, by L. W.
Bishop and W. L. Irvine.......... . ......... . .. . ... . ....... . . . ...... 267
Extract from sanitary report of U.S.S. New Orleans, for the year 1901, by
W. F. Arnold... .. .. .. ....... ... . . . ... . . ... ..... . . ... . . . .. .. . . ....... 269

Vol. 5, No. 3

Preface...... ........... ................... .... ...... .... .. .... ...... .. ... v
Special articles: ·
Tropical diseases in their relation to the eye, by E. M. Shipp.... .... . . . . 271
Intravenous administration of salvarsan, by G. B. Trible and H. A.
Garrison. ... . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . 285
The mental examination of 50 recruits who became insane soon after enlistment, by Heber Butts........ . . . . . . . . . . . . . . . . . . . . . . . . . 295
Diagnosis and treatment of hernia in the Navy, by B. F. Jenness.... .. ... 313

United States Medical School laboratories:
Davainea madagascariensis in the Philippine Islands, by P. E. Garrison. . 321
The interpretation of negative and weakly positive reactions in Noguchi's
complement fixation test, by M. E. Higgins... . .. . . . ....... . ......... 327
Specimens added to the helminthological collection, United States Naval
Medical School, March-May, 1911........ . . .. . . . . . . . . . . . . . . . .. 328
Specimens added to the pathological collection, United States Naval
Medical School, March-May, 1911. . . . . . . . . . .  . . . . . . . . . . . . . 328

Suggested devices:
An improvised X-ray apparatus, by H. A. Harris. . . . ..... . .. .. . .. . . . . . . 331
Fracture of mandible with improved method of adjustment, by W. A.
Angwin .. . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332

Clinical notes:
Gunshot wound of elbow, by Raymond Spear..... .. .. . .... . . . ... . . . ... . 335
Clinical symptoms appearing immediately after antityphoid inoculation,
by J. R. Phelps and G. F. Clark. . .. .... . .. ..... . . ... . . ... .. . .. . . . . . .. 336
Posterior gastro-enteroetomy three years after anterior gastro-enteroetomy,
by A. M. Fauntleroy... . .. ... .. ... . . ... . .. . . .. ... ... ... .. ..... . .. . . . 338
Pontine hemorrhage resulting from a blow in boxing, by H. C. Curl.. . . . . 340
Fracture of the zygoma, by R. B. Williams... ... .. . . ............ ....... 341
Death from unruptured thoracic aneurism, by E. P. Huff... . . .... . .. ... 342
A plastic pernicious anemia associated with agchyloetomiaeis, by E. R. Stitt. 345
Balantidium coli infection associated with amoebic dysentery, by G. B.
Trible..... . ..... ... . ... . . . ... . . . ....... . ........ . ..... .. . 346
Return of syphilitic symptoms after administration of salvarsan, by C. F.
Sterne. . ....... . .. . . . . .. . . ... . ..... . .... . ........ . .... . . . . .... . ... . . . 348
A case of syphilis which poeeibly demonstrates the efficacy of prophylaxis
against venereal diseases, by E. H. H. Old ... . . . . .. ..... 349
Cerebral syphilis in a native of Guam, by W. M. Kerr.. ... . . ... ... ..... 350
A case of autoserotherapy, by E. O. J. Eytinge and L. W. McGuire. ...... 351
Haemoglobinuric fever, by D. G. Sutton. . . . ...... . .. . .. .. . .... .. . .... .. 352
Shock caused by lightning stroke, by W. S. Hoen .... . .. . . ............ . . 353
An unusual cause of burn, by F. M. Munson.......... .. . . .. . ..... . .. .. 354
Traumatic extrusion of testicle, by J . A. B. Sinclair. . . .. . . . . ....... . ... 355

Current comment:
Criticisms and suggestions relative to the health records . .. .. . . . · 357
Distinguished honors conferred . . . . . . . . . . . . . . . . . . . . . . . . . . . 358
The closing exercises of the Naval Medical School... . ...... . .... . ... . . . 358

Progress in medical sciences:
General medicine - Plague in Manchuria and its lessons; the treatment of
arthritis deformans; hereditary haemophilia, deficiency in the coagulability
of the blood the only immediate cause of the condition; discussion of acidosis, by A. W. Dunbar and J . L. Neilson .. ........ .. ... .. . . .... 361
Surgery - Laceration of the axillary portion of the shoulder joint as a factor in the etiology of traumatic combined paralysis of the upper extremity; tuberculosis of the kidney and ureter; injuries to the kidneys with end results; fracture of the patella; acute emergencies of abdominal disease; intestinal obstruction due to kinks and adhesions of the terminal ileum; the functions of the great omentum; treatment of peritonitis consecutive to appendicitis; treatment of ascites by drainage into the subcutaneous tissue of the abdomen; special dangers associated with operations on the biliary passages and their avoidance; a simple method for the relief of certain forms of odynphagia; by Raymond Spear and Edgar Thompson....... ...... . . ... . ... ... ... .. 365
Hygiene and sanitation - Food requirements for sustenance and work; carbo-gasoline method for the disinfection of books; typhoid fever and mussel pollution; the duty of the community toward ita consumptives; some aspects of tropical sanitation; table jellies; the significance of the bacillus carrier in the spread of Asiatic cholera; the value of vaccination and revaccination; prophylaxie de la syphilis; the value of terminal disinfection; a method for determining the germicidal value and penetrating power of liquid disinfectants; by H. G. Beyer and C. N. Fiske........... 377
Tropical medicine - Further researches on the hyphomycetes of tinea imbricata; the action of 606" in sleeping sickness; the action of salvarsan in malaria; the application of "606" to the treatment of kala-azar; the specific treatment of leprosy; the role of the infective granule in certain protozoa! infections as illustrated by the spirochaetosis of Sudanese fowls, preliminary note; by C. S. Butler. . .... . . . ..... . .. .. .. . . . . ... . ... .... 389
Pathology and bacteriology - Ehrlich's biochemical theory and its conception
and application; researches on experimental typhoid fever; a record of 90 diphtheria carriers; the serum diagnosis of syphilis; by M. E. Higgins. . . . 392
Medical zoology - Note on the presence of a lateral spine in the eggs of
Schistosoma japonicum; onchocerciasis in cattle with special reference
to the structure and bionomic characters of the parasite; by P. E.
Garrison .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397
Chemistry and pharmacy - The preparation of a convenient and stable litmus solution; a method to demonstrate and estimate the digestive fermenta in the feces; a simple method for the estimation of ammonia in the urine of diabetics for the recognition of acidosis; new process for sterilizing water by potassium permanganate; the colorimetric estimation of dextrose in urine; a new method for the estimation of sugar in the urine; by E.W. Brown and O. G. Ruge . .. . .. ... . . . ..... ... . . 398
Eye, ear, nose, and throat - Examination of the nose and throat in relation
to general diagnosis, results in asthma; the nonsurgical treatment of
cataract; by E. M. Shipp..... . . . .. . .. .. .. . .... .. ... . 400

Reports and letters:
Plague conditions in North China, by W. D. Owens.......... .. .. ... ... 405

Vol. 5, No. 4

Preface ... .. . . . ............... . ...... ... ........................ .. ........ v

Special articles:
The tenth convention of the second Hague conference of 1907, and its
relation to the evacuation of the wounded in naval warfare, by F. L.
Pleadwell (first paper) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  409
Is gangoea a form of syphilis? by H. E. Odell....... .. ... . ............. 430
Salvarsan as a diagnostic and therapeutic agent in syphilis, by C. M.
George.... .. ............ ...... . . .. .... . . . .... . .. . 485
Flat foot and its relation to the Navy, by R. G. Heiner.. . ............... 451
Notes on submarine cruising, by I. F. Cohn............................ 455
Important features in the technique of carbon dioxide estimations in air,
by E. W. Brown... . ................. . .. . . . ... . ...... . ...... . ..... . . 457
The use of salvarsan on board the U.S.S. Michigan, by J . J. Snyder and
A. L. Clifton............. . . .. . . .............. . .................... . .. 459
Notes on vaccination, by A. B. Clifford... .. ........................... 461
The preparation of patient.e for operation at the United States Naval Hospital,
Norfolk, Va., by W. M. Garton.. . ..... .... .. .. ... . . . ...... ..... 462

United States Naval Medical School laboratories:
Specimens added to the helminthological collection, United States Naval
Medical School, June-Aug., 1911 ........ . ... .......... . .. . .. 465
Specimens added to the pathological collection, United States Naval
Medical School, June-Aug., 1911.................... . .... . .. .. . ... . .. 465

Suggested devices:
An apparatus for hoisting patients aboard the hospital ship Solace, by
E. M. Blackwell... . ............ . . . ................................ . . 467
An inexpensive and satisfactory ethyl chloride inhaler for general
anaesthesia, by J. H. Barton .. . . ... .. .. .. . . .. .. . .. .... ...... 469

Clinical notes:
Old "irreducible" dislocation of head of humerus, by H. C. Curl. . . . ... . 471
A case of brain tumor, by R. E. Hoyt.. .. .... .... . ...... . . .... . .. ........ 472
A case of brain abscess, by J. R. Phelps and G. F. Clark.. .. . .. . . . . . . .. . . 474
Report of two cases of cerebrospinal fever, by R. A. Bachmann.. . . . .... 477
A case of leprosy on board the U.S.S. Villalobos, by D. H. Noble....... 479
A case resembling gangosa, in which a treponema was found, by P. S.
Rossiter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 481
A case extensively burned, by N. T. McLean.. ... .... .. . . .. . .. ... ... . . . 481
Acute pemphigus following vaccination, by R. Hayden.... ... . .... ..... . . 482
Two interesting cases on the U.S.S. Prairie, by C. C. Grieve . .. . . . .... . . 486
An atypical case of typhoid fever, by L. W. Johnson... . ... . .. . .... . .. . .. 488
Tolerance of the peritoneum rarely seen, by P. R. Stalnaker and G. W.
Shepard. . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . . . . 489
Note on tincture of iodine, by R. Spear...... . . . . . ... . ... .... . .. . .. ..... 490
Notes on salvarsan, by R. Spear..... . ...... . .............. . ..... . . ..... 491


Current comment :
Instructions relative to medical returns ... ....... . ..... . ............... .493
Clinical cards .. ........... ... . . .. .. ... . .... . . . . . .. . ... . .. . ......... . . .494
Measles in Samoa . ................ .. . ... . . . . ... . ....................... .495
The conservation of the public health ........ . .................... .496
Closure of the naval stations at San Juan and Culebra ....... .. .. . . . ..... 498
New pavilion for the practice of thoracic surgery ........ . ..... ...... 498
The Bellevue Hospital nomenclature of diseases and conditions, 1911 .... .498

Progress in medical sciences:
General medicine - Pathological and experimental data derived from a
further study of an acute infectious disease of unknown origin; the mode
of transmission of leprosy; genesis of incipient tuberculisus; a method
for determining the absolute pressure of the cerebrospinal fluid; the after
history of cases of albuminuria occurring in adolescence; the stereoscopic
X-ray examination of the chest with special reference to the diagnosis of
pulmonary tuberculosis; the use of antiformin in the examination for the
tubercle bacillus; by A. W. Dunbar and J. L. Neilson ............. . . . 501
Surgery - The control of bleeding in operations for brain tumors; intravenous
anesthesia from hedonal; the difficulties and limitations of diagnosis in advanced cases of renal tuberculosis; the treatment of X-ray ulcer; nephroureterectomy; by Raymond Spear and Edgar Thompson .. 511
Hygiene and Sanitation - A simple method of purifying almost any infected
water for drinking purposes; the physiology of the march; wall paper and illumination; vaccination et serotherapie anticholeriques; upon the
inoculation of materia morbi through the human skin by fleabites; garbage receptacles; the relative influence of the heat and chemical impurity of close air; method for measuring the degree of vitiation of the air of inclosed spaces; by H. G. Beyer and  C.N. Fiske . .. . .. ..... . 518
Tropical medicine - The diagnosis of pellagra; researches upon acarids
among lepers; action of "606" upon malaria; by C. S. Butler ......... . 523
Pathology and bacteriology - An outbreak of gastroenteritis caused by
B. paratyphosus; infection of rabbits with the virus of poliomyelitis; the
mechanism of the formation of metastases in malignant tumors; a method
for the pure cultivation of pathogenic treponema pallidum; by Y. E .
Higgins .. .... .. .. . ..................... .. ..... . ............. . ...... . 528
Medical zoology - On Kwan's fluke and the presence of spines in
fasciolopsis; endemic Mediterranean fever (Malta fever) in southwest
Tcxas; by P. E. Garrison . ..... . .......... .. . . .... . .... . ........... . . . 532
Chemistry and pharmacy - Detection of blood by means of leuco-malachitegreen; an improved form of Heller's ring test for detection of albumin in the urine; an important reagent for Fehling's method for sugar estimation; method for the estimation of urotropin in the urine; detection of amylolytic ferments in the feces; new technique for the estimation of total nitrogen, ammonia, and urea in the urine; chemotherapy and "606" by E. W. Brown and O. G. Ruge ............... 533
Eye, ear, nose, and throat  - Defective vision and its bearing on the question
of fitness for service; "606 ' ' and eye diseases; by E. M. Shipp ... .. .. .538

Reports and letters:
American Medical Association meeting, by C. P. Bfagg .. .. .... . .....550
Sanitary report on Kiukiang, Kiangse Province, China, by D. H. Noble ...550
Index to volume V ...............559
Subject index .......... . ........ . ....................... 559
Author's index . . . ........ . ..... . ......... . ......... .  570

Subjects: bubonic plague; U.S.S. South Dakota; diabetes; China; Malaria; syphilis; venereal disase; sexually transmitted disease; NH Norfolk; hospital ship; USS Solace; USS Michigan; chemotherapy; diptheria; Smithsonian Instuitution; leprosy; polio; boxing; football; eggs; Honduras