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Yellow Fever In America Source: The British Medical Journal, Vol. 2, No. 974 (Aug. 30, 1879), p. 347 Published by: BMJ Publishing Group Stable URL: http://www.jstor.org/stable/25251815 Accessed: 24/02/2010 14:22
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August 30, 1879.]

THE

BRITISH

MEDICAL
Burmese

JOURNAL. 347

For 5 dollars a week a patient can have a small ward to himself, day. and for 8 dollars a large well-furnished ward. Patients who have themselves than obtain certificates would rather pay for hospital money a city order. before When it is well required by the mayor granting of hospital known as to payment fees, but little trouble will be found, as patients will or either pay for themselves (if they have the money) their application at the obtain the necessary guarantee before presenting A very large revenue can be insured by making the rule very hospital. in cases of emergency). I held In Hamilton, strict (except, of course, and we did not for nearly nine years, the position of house-surgeon was we that enforce the paying system ; the result got very little money from patients because just as well they knew they could be admitted, * are so as paupers'. well looked after, that I think the English poor to educate them to take care of them you will have very hard work to hospital When selves. here, we find them very inde they come at the idea of paying insolent for hospital and almost dependent, on them in England. showered which treatment, they say is almost cases, and eye and ear cases, are all treated in the same way Lying-in as regards admission. and about 250 medical We have 320 beds, The hospital block contains seven acres of land." students. in the hospitals of Vienna. A similar rule prevails, we are informed, YELLOW FEVER From 6th to August IN AMERICA.

on the conditions to Calcutta and Madras students specified in the correspondence. In his last administration report, from which we glean many of the facts alluded to above, Mr. Aitchison makes fre * to the want which, it is hoped, will now be supplied. quent reference POSTURE AND TEMPERATURE. that the different positions of the body have a long been known on of the blood, and consequently influence on the distribution great etc. are and the production of heat, nutrition this knowledge On It has by method of treating dysentery by raising the pelvis founded the American a pillow the sacral region; under N?laton's method of restoring that are in danger of being patients through chloroform asphyxiated etc. the head, the fact that the right leg is Perhaps by lowering than the left may be explained in the same generally more developed

the number of new cases 12th, inclusive, August was of fever in the city of Memphis of yellow 161, and the number number of cases for this year to August deaths 32. The whole 13th was 422, and number the whole of deaths 106. By order of the of War, for the use 500 army tents have been forwarded Secretary of in camp. The Howard Association had six have refugees on duty, and have furnished nurses, medicines, stimulants, the immediate neighbour The disease has extended beyond in July, and cases have been re hood where the first cases developed in the in so many different localities ported and deaths have occurred fever physicians and food. a formal on August Board of Health, 9th, made a few new a general In New York, epidemic. on Dix' at the hospital All received Island. been in have been discharged. One fatal case has occurred A very severe epidemic is reported from Tampico, Mexico. the of

of people sleep on their right side, therefore the flow the majority way; to the right leg than to the left. considerable of blood must be more that animals In 1854, Brown- S?quard observed that had been suspended showed a considerable with their head downwards increase of sensibility. on rabbits, and Salath? Later on, Regnard by experiments proved by on dogs and rabbits, that, when the head is held perpen experiments the sensibility of the animals decreases dicularly upright, considerably, and cardiac action become weaker, the respiration and death ensues. More the experiments of Tarchanoff have shown how great an recently, in the circulation in the brain has on the influence a temporary change of the psychomotor centres ; an increased flow fof blood irritability anaemia lowers it. A physician the irritability, in St. Peters heightens that a changing showed from the recumbent to burg, Dr. W. Kernig,

that city, declaration cases have the patients Brooklyn. An order

a difference of a few decimals the sitting position in the tem produced In 1878, Dr. Wolff found that by raising the arm and letting perature. ? it fall again, a difference of 41 to 54o Cent, arose in the temperature. Dr. Jassezky No. 20, 1879) has {St. Petersburg. Median. Wochenschrift, to elucidate the following I. What in recently endeavoured points. fluence have the different of the body on the temperature of positions 2. What in this influence either its various parts? changes are wrought of the heart or by other affections of the heart, by fatty degeneration were conducted The experiments the lungs, and the blood-vessels? in The patient was lying on his bed in a horizontal the following way. in position, with his arms and legs stretched out straight, and dressed His his underclothing. in temperature was then taken simultaneously both clenched the mouth, the rectum, the axilla, the first fists, between and second toes on both feet, and in the ear; for the two latter pur was wrapped After poses, the thermometer up in cotton-wool. twenty were taken out, and the patient, the thermometers still lying minutes, were on his back, lifted up both arms ; the thermometers then again as before. to remain twenty minutes and allowed The fre introduced, twice in both quency of the pulse and the respiration were also counted was two hours The later. The in repeated experiment positions. were made were on whom either healthy or the experiments dividuals catarrhal'pneumonia, suffering from recurrent fever, cardiac affections, and follicular chronic gastritis, enteritis. The total arterial sclerosis, was one hundred and two. The results which number of the experiments were obtained may be summed up as follows. of the arms or Raising an acceleration of the pulse and the respiration, while the legs produces The changes in the temperature? falls in the raised parts. temperature more striking in all cases where the circula pulse, and respiration were to overcome. obstacles the legs tion had greater Thus, e.g., raising a much greater difference in the temperature, etc., than raising produces the legs being larger than the arms a greater the arms, probably because In comparing the body. the quantity of blood is thrown back upon and on healthy it was found results obtained on patients individuals, of temperature were much that in the latter the differences less'striking fever patients than in the former. offered^ the most pregnant Typhoid as and respiration, which increased differences of temperature, pulse, as soon as apyrexia set long as the febrile process rose, and decreased come patients to typhoid fever patients, in. Next suffering from cardiac Patients from gastric affections ; then phthisical patients. suffering the slightest differences. affections present

men to duty as volunteer sur two medical which assigned Board geons for yellow fever service, under the direction of the National of Health, Medical has been revoked, neither having had the fever. and Dr. Daniel M. Burgess, of the Navy, Inspector Somerset Robinson, a resident of Havana, to duty at Matanzas and have been assigned to perform the duties of inspectors. Havana respectively, BURMESE YOUTHS Much IN INDIAN MEDICAL COLLEGES.

the last ten years in difficulty having been experienced during for service in British and this subordinates Burmah, procuring medical to a certain extent, been aggravated by the formation difficulty having, for each province, of a distinct class of civil hospital assistants the Chief to the governments of British Burmah applied of Bengal Commissioner these governments to ascertain whether and Madras would undertake the training of Burmese In reply, both youths for service in Burmah. assist

and Madras to of Bengal the governments their readiness expressed re The Bengal Government in the matter. stated that it would students as are fit to benefit by the instruction ceive as many Burmese on the government, so long as no extra expense is entailed and stipu lated that the students should be fairly advanced in English. The Madras Government stated that it was in a position to receive annually Medical students if they join at the opening of the session of the in October of each year, and that each student should College at lectures in college, pay annually a fee of fifteen rupees for attendance and ten rupees per annum for practising in the General Hospital. The has requested the Chief Commissioner Local Government that, besides as to the character and physical fitness of the young satisfying himself of students be of a certain standard. The Chief the education men, five Burmese Commissioner Burmese their readiness and Madras thanked the Governments of Bengal to undertake in being willing the medical education for sending youths, and he is now making arrangements for of out