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is potent in the prevention of gas gangrene in con-
taminated wounds.

Suljathiazole has proved highly effective in the
treatment of pneumococcic pneumonia, gonorrhea,
acute osteomyelitis, carbuncles and large boils, and
in diffuse staphylococcic cellulitis.

It would appear that sulfapyridine. sulfathiazole
and sulfadiazine are equally effective in the treat-
ment of pneumococcic pneumonia: however, the
emphasis has recently been placed on sulfadiazine
because of its somewhat lower toxicity and better
tolerance by the patient.

In the treatment of gonorrhea in the male sul-
fathiazole is the drug of choice because of its
lowered toxicity, fewer renal complications and
better tolerance.

Since sulfathiazole is poorly soluble, it must be
administered orally. However, when oral admin-
istrations is impossible, or satisfactory concentra-
tions of the drug cannot be maintained by this
route. ,the sodium salt may be given intravenously,
0.06 Gm. per kilogram of body weight made up in
a S per cent solution of sterile, freshly-distilled
water. Subsequent doses are based upon 0.03 Gm.
per kilogram given at 6-hr. intervals.

In the treatment of pneumococcic pneumonia in
adults, the initial dose of sulfathiazole bv mouth
should be 4.0 Gm, then 1.0 Gm. q. 4 h. day and
night until the t. has been normal for 72 hours.
The drug may then be discontinued. If the re-



February, 1943



SOUTHERN MEDICINE & SURGERY



93



sponse after 48 hours is unsatisfactory, type-spe-
cific antipneumococcic serum should be adminis-
tered. For children the initial 0.15 Gm. per kilo-
gram (up to 25 kgm.) and the total daily dose.

To cure large boils or carbuncles, the initial dose
for adults should be 4.0 Gm., followed by 1.0 Gm.
q. 4 h. day and night for from S-7 days. In dif-
fuse staphylococcic cellulitis, lymphangitis, or
acute osteom\-elitis, 4 Gm. is the initial dose, then
1.5 Gm. q. 4 h. day and night as long as there is
evidence of a spreading infection. The dose is then
reduced to 10 Gm. q. 4 h. day and night and con-
tinued as indicated. In staphylococcic bacteremia
the initial dose for adults is 4.0 Gm. followed by
1.5 Gm. q. 4 h. until the t. has been normal for 48
hours. The dose may then be reduced to 1.0 Gm.
q. 4 h. for 14 days, then to 0.5 Gm. q. 4 h. for a
minimum of another 14 days. In severe staphylo-
coccic infections in children, the initial and total
daily dose should be 0.2 Gm. per kilogram.



A SIMPLE EFFICIENT SPLINT FOR FIRST-AID
CARE OF THE INJURED ARM OR LEG

'.\. II. Parcher, Ellsworth, in //. Maine Med. Assn.. Nov.)

If a Thomas, Keller-Blake or similar splint is not avail-
able, a board serves as a good splint.

The splint is made of i/g inch plywood, i'/, inches wide,
with an expanded head end. The combined splint, which
will fit either arm or leg, consists of three sections 12, 24
and 36 inches in length, respectively. Sections A and B
form an arm splint. Sections B and C form a leg splint.




The ^plinl has duuble slots and bolts with wing nuts as
a means for adjusting it quickly and firmly to different
lengths and angles. The broad headed end acts as a means
of fixation; as a spreader for a traction sling; to prevent
rotation of the extremity and for patient contact.




It may be applied either to the outer or the inner side
of the leg, and reversed for injuries about the ankle joint.
When fixed traction is indicated, the outer splint is prefer-
able and may be extended to reach well above the hip and
below the foot.




Section B alone makes a good inner arm-splint, and Sec-
tions A and B form an arm splint that is easily adjusted
for length and also for any desired angle at the elbow.

To stabilize the splint fixation bands from holes in the
head end cross over the shoulder and are tied under the
opposite shoulder.



ANNUAL MEETING THE AMERICAN FOUND.iTION
FOR TROPICAL MEDICINE
At the annual meeting January 19th, at the University
Club in New York City, plans submitted by the Executive
Committee to obtain $100,000 in gifts to provide for ex-
pansion of activities in the current year were approved.
The Foundation, established by the American Academy of
Tropical Medicine, was incorporated in New York State
in 1940. It has been an agency through which individuals
and business concerns with interests in tropical areas can
aid in strengthening facilities in this country for study and
research in tropical diseases. The activity will be along the
lines originally established for the Foundation:

1. Support of graduate departments in tropical medicine
at .American medical schools.

2. Grants for fellowships in tropical medicine.

3. Financial aid for exchange of faculty.

4. Support of technical journals in the field.
.>. Support of research by grants in aid.



VV.\R Production Board Order Affects Vitamin
Capsules

To conserve vitamin A supplies during wartime, W. P.
B. order L-40 limits the content of capsules to 5,000 vita-
min A units.

In compliance with this order, capsules of Mead's Oleum
Percomorphum .SO^ With Viostcrol now contain 83 mg.
of oil, equivalent to 5,000 vitamin A units and 700 vitamin
D units per capsule.

The new size capsule is now supplied in boxes containing
48 and 192 capsules — about twice the number of capsules
without increase in price.



All patients with hypertension should be thoroughly
examined urologically early in the di.sease to determine
whether or not the source of the elevated pressure is in
the urinary tract, and whether that source can be eradi-
cated. Children can develop hypertension with as severe
symptoms and as rapid fatal termination as adults. They
mav be examined easily urologically.

— \V. J. Mc.Martin. in //. /Irk. Med. Soc.. Jan.



SOUTHERN MEDICINE & SURGERY



February, 1943



NEWS



DR. W. D. HADEN SER\"ES THREE TERMS AS
MAYOR OF CHARLOTTESVILLE

After three terms as Mayor and 12 consecutive years as
a member of the City Council. Dr. W. Dandridge Haden,
prominent in both the civic and business world of Char-
lottesville, is retiring from the official life of Charlottes-
ville.

Dr. Haden retired from medical practice a number of
years ago.

Much of the credit for the erection of the city's new
high school building was due to Dr. Haden. He also was
active in obtaining for the city a new armory for the local
military unit, the Monticello Guard.

With other members of the commission. Dr. Haden has
been scanning postwar prospects of civic development and
outlined a program of work projects to insure adequate
expansion of public services, and to cushion the shock
when postwar employment slump threatens. These include
a new water basin, city hall, highways and better parks.



Regular meeting Catawba Valley Medical Society,
Tuesday evening. January 12th, 1943, at 7:30 p. m., in
Hickory, N. C, at Hotel Hickory.
Program
Report on 12.000 Tonsillectomies, by Dr. W. F. Elliott,
Lincolnton.

Headaches and Dizziness from Hypertension Controlled
by Histamine Phosphate Treatment, by Dr. Clyde R. Hed-
rick, Lenoir.

Winning the Peace, by Dr. James M. Northington, Char-
lotte.

L. A. CROWELL, JR., M.D.,
Secretary-Treasurer.



Rowan-Davie Medical Society Dinner Meeting, Yad-
kin Hotel, February 4th, 1943, 6 p.. m.

Speaker: Dr. Bennett Poole, Professor of .\llergy. Bow-
man Gray School of Medicie. Subject: Allergic Patient.

B. L. Field, Sec.



Dr. D. Heath Nisoet announces the reopening of his
office January 1st, Suite 222 Professional Building, Char-
lotte, N. C. Practice limited to Gastroenterology.



DIED



Dr. John Armstead Winstead, S3, a native of Nash
county, N. C, died in Raleigh December 25th. He was
educated in the schools of Nash County and at the Uni-
versity of North Carolina, graduated in Medicine from the
North Carolina Medical College, class of 1914, licensed to
practice in N. C. in 1914 and joined the Medical Society
in 1916. During his early medical practice, he was asso-
ciated with his uncle. Dr. Poovey, in Lancaster, S. C. In
World War I he served overseas with distinction in one
of the medical units that saw front-line duty. Returning
from overseas, he resumed his medical practice at Rocky
Mount where he was affiliated with Park View Hospital.
Later he did postgraduate work in Peliatrics at the Uni-
versity of Maryland School of Medicine, was certified by
the American Board of Pediatrics, and was a member of
the American Academy of Pediatrics. Since 1940 he had
been on the staff of the North Carolina State Board of
Health, where he served as Senior Examining Physician
with the Division of Industrial Hygiene.



Dr. James R. Sparkman, Spartanburg, S. C, died at his
home January 4th, following a long illness. Members of
the Staff of Base Hospital 65, of World War I, will recall
that Dr. Sparkman served with us for ,i time.



Dr. Walter Boone, of Gaffn.-y, S. C, died suddenly on
New Year's Day. He was a graduate of Johns Hopkins
University Medical School, cla^s of 1919.



Medical College or Vikglnia



Dr. Eugene Kellersberger, General Secretary of the
American Mission to Lepers of New York, spoke to the
senior students in the school of medicine, and to the
monthly faculty and staff meeting on January 14th.

Dr. Jacques P. Gray, dean of the school of medicine,
spoke to the membership of the Southside Community
Hospital, Farmville, on January 20th.

Dr. William T. Sanger, president, spoke on the Foods
for Victory School program sponsored by the Office of
Civilian Defense in Norfolk on January 20th.

Dr. Randolph H. Hoge, assistant professor of surgery,
has been elected a fellow of the American College of Sur-
geons.

Dr. J. H. Weatherby, research associate in pharmacol-
ogy, has been commissioned Lieutenant (s.g.) in the Navy
and ordered to Pensacola, Fla., for active duty.

The W. K. Kellogg Foundation of Battle Creek, Mich.,
has made an additional grant of $5,000 for student loans
in the school of medicine.

Dr. Rolland J. Main, professor of physiology, recently
spoke to the Richmond Dietetic Association on Recent Ad-
vances in Endocrinology.

Dr. Fred J. Wampler, professor of preventive and in-
dustrial medicine, attended the Congress on Industrial
Health in Chicago January llth-13th.

It is expected that the Honorable Colgate W. Darden,
Jr., Governor of Virginia, will make the Commencement
address on the night of March 20th.

Dr. W. T. Sanger, president, and Miss E. Louise Grant,
dean of the school of nursing, attended a conference on
pre-medical and pre-nursing studies at the College of Wil-
Ham and Mary on January 15th.

Dr. Jacques P. Gray, dean of the school of medicine,
and Dr. W. T. Sanger, president, will attend the Congress
on Medical Education and Hospitals, Chicago, the middle
of February.

Dr. Lewis E. Jarrett, director of the hospital division,
attended a meeting of the board of trustees of the Amer-
ican Hospital Association, Chicago, February 8th- 14th.



University cr \'ir';im\



At the meeting of the Southern Medical Association in
Richmond, Va., on November 13th, Dr. D. C. Smith was
elected Chairman of Section in Dermatology and Syph-
ilology.

On Wednesday, January 6th, the Winthrop Chemical
Company of New York City and Windsor, Ontario, show-
ed in the amphitheater motion pictures on The Treatment
of Malaria with .Atabrine. and Regional .\naesthesia.

On Friday, January 8th, Dr. W. H. Brown, Dean,
School of Public Health, University of North Carolina,
gave two lectures; one on Malaria, the other on Parasitic
Infections. These lectures were under the auspices of The
National Research Council and were given in the amphi-
theater.



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SOUTHERN MEDICINE & SURGERY



February, 1943



BOOKS



ATLAS OF OVARIAN TUMORS, by Gemma Barzilai,
M.D., New York City, with a Preface by Fred W. Stew-
art, M.D., Pathologist, Memorial Hospital for the Treat-
ment of Cancer and Allied Diseases, New York City.
25S original illustrations, 45 in colors, on 58 plates, 264
pages, 854x11. Gnme &■ Stratton, Medical Publishers, 443
Fourth Ave., New York City. Cloth, $10.00.
Grime & Stratton, Medical Publishers, 443 Fourth Ave.,
tures reproduced in the Atlas were selected from
material studied by the author in leading institu-
tions of gynecology in America and in Europe.
Detailed legends, printed on the facing pages,
make the study easier. The histopathologic char-
acteristics of each tumor are thoroughly described.
Gross pathologic features, clinical signs and symp-
toms, and best treatment are given in sufficient
detail.

The Atlas coordinates morphologic appearance
with clinical problems in a way to delight the read-
er whose chief interest is in applying knowledge to
the diagnosis and cure of disease.
Contents

1. Granulosa Cell Tumor

2. Theca Cell Tumor

3. Arrhenoblastoma

4. Virilizing Lipoid Cell Tumor

5. Disgerminoma



6. Teratoma

Adult Teratoma
Embryonal Teratoma

7. Fibroma

8. Sarcoma and Fibrosarcoma

9. Brenner Tumor

10. Endosalpingioma

11. Seroanaplastic Carcinoma

12. Pseudomucinous Adenoma

13. Pseudomyxoma Ovarii et Peritonei

14. Pseudomucinous Adenocarcinoma

15. Mesonephroma

16. Fecondary Ovarian Tumors (Krukenberg Tu-
mors, Other .Secondary Tumors).



PSYCHOSOMATIC MEDICINE, by E4ward Weiss,
M.D., Professor of Clinical Medicine, Temple University
Medical School, Philadelphia, Pa. ; and O. Spurceon Enx-
! ISH, M.D., Professor of Psychiatry, Temple University
Medical School, Philadelphia, Pa. 687 pages. 1943. W. B.
Saunders Co., Philadelphia and London. S8.Q0.

This book is based on knowledge of the fact that
understanding illness and treating sick people re-
quire something more than knowledge of disease.
It seems remarkable that a clinician who entered
clinical medicine through the doors of pathology
would be so impressed by the importance in medi-
cine- of disease conditions for which he can find no
explanation in pathology, gross or microscopic.



BIPEPSONATE



Calcium Phenolsulphonate 2 grains

Sodium Phenolsulphonate 2 grains

Zinc Phenolsulphonate, N. F 1 grain

Salol, U. S. P 2 grains

Bismuth Subsalicylate, U. S. P 8 grains

Pepsin. U. S. P 4 grains

Average Dosage

For Cluldien — Half drachm every fifteen minutes for
s\\ dosfs. then every hour until relieved.
For .Adults — Double the above dose.

How Supplied

In Pinl5. Five-Pints and Gallons to Physicians and
Druggists only.



Burwell & Dunn Company



Manufacturing
Established



Pharmacists
in ltt7



CHARLOTTE, N. C.




ent to any physician in the U. S.
request



February, 1943



SOUTHERN MEDICINE & SURGERY



97



Chapter heads are:

Psychosomatic medicine; personality develop-
ment and psychopathology ; the cardiovascular sys-
tem — emotional factors in organic heart disease;
essential hypertension; the gastrointestinal sys-
tem; the endocrine system and metaboHsm; the
genitourinary system and the sexual function; the
respiratory system; the central nervous system;
special senses — eye, ear, skin; allergy, dentistry,
arthritis; military medicine; general principles of
psychotherapy; "normal" problems in psychother-
apy; special therapeutic procedures; training in
psychosomatic medicine.

A well-balanced book, useful to any practitioner
of medicine.



MILIT.\RY SURGICAL MANUALS, VOLUME IV—
ORTHOPEDIC SUBJECTS, prepared and edited by the
Subcommittee on Orthopedic Surgery of the Committee on
Surgery of the Division of Medical Sciences of the Na-
tional Research Council. 306 pages with 79 illustrations.
W. B. Saunders Co., Philadelphia and London, 1942. $3.00.
The military surgical manual is well worthy to
go along with previously published manuals of
this series. Subjects of unusual interest include
treatment of ununited fractures, fundamental prin-
ciples and rontgenologic evidence, compression
fractures, fracture dislocations, acute hematogen-
ous osteomyelitis, subacute infections of bone.



INDIGESTION — Its Diagnosis and Management, by
M.WTiN E. Rehfuss, M.D., Professor of Clinical Medicine;
and SuTHERUND M. Prevost, Lecturer in Therapeutics,
Jefferson Medical College, Philadelphia, Pa. SS6 pages
with 63 illustrations. W. B. Saunders Co., Philadelphia
and London, 1943. $7.00.

It is refreshing to see a book dedicated to the
general practitioner and written for the general
practitioner. Also, it is refreshing to see a discus-
sion of indigestion as such. Our British cousins
have never given up dyspepsia, and certainly we
see cases in which it is hard to find a better name.

Not all indigestion can be explained by disease
in the gastrointestinal or the circulatory system.
The author deals excellently with all kinds of in-
digestion, for the which his friend the general prac-
tioner is under many obligations to him.

THE 1942 YEAR BOOK OF PEDIATRICS, Edited by
Isaac A. Art, D.Sc, M.D., Professor of Pediatrics, North-
western University Medical School ; with the collaboration
of .^RTIIUR F. Abt, B.S., M.D., Associate Professor of
Pediatrics. Northwestern University Medical School. The
Year Book Publishers, 104 S. Dearborn St., Chicago. $3.00.

Among the important questions which this book
answers are:

What hypodermic medication is most effica-
cious in the respiratory depression of morphine in
the newborn?

What dose of vitamin K should be given, and
how. to the newborn to maintain a normal pro-



thrombin level and prevent or cure hemorrhage?

In case a newborn infant has exomphalos, what
would you do?

What is a tied nipple and how is its diagnosis
proved?

W'hat is the pyruvic acid test, and its signifi-
cance?

At what age is diagnosis of appendicitis most
difficult and why?

On what two laboratory findings does diagnosis
of congenital hemolytic jaundice rest?

What is a stimulating dose of pertussis vaccine?
How should it be used?

Which is best — serum alone, serum and the sul-
fonamides or the sulfra-drugs alone — for the cure
of meningococcic infection?

What is the prognostic significance of rheumatic
nodules in rheumatic infection?

What varieties of gonadal derangement in chil-
dren are most amenable to treatment?

What are three types of infantile cerebral palsy?
and how treat each?

Of what type of nephritis is anemia a part?

Which of these three — routine urinalysis, Addis
count, and sedimentation rate — detects earliest
those cases of glomerulonephritis in which latent or
chronic nephritis will develop?

What are the two most important new develop-
ments in the treatment of burns?

What is the limit of fluid to be given a dehy-
drated child per pound per 24 hours intravenously;
how much intraperitoneally in 10-20 minutes?

How many deaths occur annually in children
unr'er IS from tonsillectomy?

What are the relative merits of the massive sin-
gle dose and small daily doses of vitamin D in (1)
t'e cure of rickets, (2) the prevention of dental
caries?

Since you do not know the answers to all these
questions, you need this book if you assume the
health care of children.



THE YEAR BOOK OF INDUSTRIAL & ORTHO-
PEDIC SURGERY. Year Book Publishers, Inc., 304 S.
Dearborn St., Chicago. $3.00.

The develoi'ments in this field of surgery in the
past year, numerous and important beyond the
usral because of war. are fully set forth and care-
fully appraised.



PROBLEMS OF AGEING, Biological and Medical
Problems, Second Edition, Revised, Enlarged. E. V. Cow-
DRV, Editor. 900 pages. The Williams & Wilkins Com-
pany, Baltimore. $10.00.

The first edition published in 1939 and reprinted
in 1940 focused attention of many investigators,
physicians and administrators upon a problem of
great scientific and .social significance.



SOUTHERN MEDICINE & SURGERY February, 194

WHEN YOU SEND THEM




costlier tobaccos-



■bruarv, 1943



SOUTHERN MEDICINE & SURCEKY




J^Mi




YOUR friends, relatives, fighting in far-off
places . . . grimly battling against death,
infection . . . think what a smoke can mean
to them ... in comfort — in consolation . . .

And remember, too, Tvhen you go to send
that precious carton of cigarettes, that Camel,
by actual survey*, is the favorite of men in
the armed forces — for mellow mildness and
appealing flavor.

Your dealer sells Camels by the carton;
drop in and see him today.



With men in the Army, the Navy,
the Marine Corps, and the Coast
Guard, the favorite cigarette is
Camel.(Based on actual salesrecords
in Post Exchanges and Canteens.)



.the favorite brand in the Armed Forces'



SOUTHERN MEDICINE & SURGERY



February, 1943



Since that time three- groups have been formed
devoted to fact-finding, research formulations, and
action. Many members of each group are contrib-
utors to the new edition.

It reflects the progress made toward solution of
various age-problems. The material of the first
edition has been revised and nine entirely new
chapters by eleven new contributors have been
added.

Problems of Ageing has a wide perspective. It
supplies basic biological and medical data for at-
tack upon the less tangible psychological and social
aspects of ageing.

The great increase in the number of old persons
in our population, and the coming of war making
us realize that the old are still useful, makes the
knowledge this book contains of great usefulness.



CHUCKLES



THE INFLUENCE OF Z.'\NTHINE DRUGS AND

.-KTROPINE ON THE MORTALITY RATE

AFTER EXPERIMENTAL OCCLUSION

OF A CORONARY ARTERY

(G. V. URoy, et al., in Amcr. Heart J I.. 23:637 64,!, May)

The three drugs which are capable of influencing coro-
nary blood flow are theobromine sodium acetate, theophyl-
line ethylenediamine and atropine sulfate; most effective
theobromine sodium acetate. If the animal was "saturat-
ed" with the drug as a result of oral administration for
several days before the occlusion, and intramuscular injec-
tion immediately thereafter, there was no mortality (5
dogs) .

The increase in coronary flow after the administration
of atropine is less than 50 per cent, but the duration of its
action is much longer than that of a single intravenous
dose of one of the xanthines, intramuscularly. The dogs
which were receiving atropine alone appeared to experience
much more pain than when atropine and a xanthine were
given.

It should be evident from this work that the sooner
coronary vasodilation is achieved, or vasoconstriction pre-
vented, the more beneficial will it be



Duke Training More Nurses
The government asks 55,000 students to enter schools of
nursing this year.

Duke University is endeavoring to comply with the gov-
ernment's request by admitting additional classes to in-
crease enrollment in the immediate national emergency.
Previously the Nurses School of Duke University has
trained one class each year. It is now putting three classes
through a complete and thorough course, with another, a
fourth one. starting on April 1st. There will be, however,
room for only fifty students in the spring enrollment.

Althoueh the course at Duke University does not accept
high school graduates for entrances, this spring a young
woman may enroll if she has had as much as 15 semester
hours of previous college training. She may take the course
which awards, after three years of training and an added
year of classwork and supervised experience, the B.S. de-
gree in nursing.



A fisherman we know had to be taken to the hospital,
o.'^tensibly for treatment of injuries received in a three-hour
struggle with a large fish. It is believed that he severely
strained himself in his efforts to illustrate the size of his
catch.



When he applied for work he said that he never got
tired. After he got the job he was dozing in the office
with his feet on the desk.

Proprietor: "I thought you were a man who never got
tired?"

New Deal Pet: "I don't. This doesn't tire me."



"But isn't your son rather young to join the army?"
"Well, he is very young, but then, you see, he is only
going to join the infantry."



"No, I'm afraid I can't hire you. We can't use much
help just now."

"That's all right, sir. I wouldn't be so much help."



Upon going into the cowshed, the farmer was surprised



Online LibraryNorth Carolina. Comptroller's DeptSouthern medicine and surgery [serial] (Volume 105 (1943)) → online text (page 19 of 109)