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'Diagnosis of Acute Appendicitis-Vomiting of a Green Matter, From 1426 M. Demons) and treatment of cancer of the rectum (reporter, results of new researches and replies to criticisms. The fifth M. Quénu). and last, now before me, presents the book in its definitive form-the whole subject threshed out by the light of Peritonitis from Ruptureo Gall-bladder in a Pregnant Woman; Operation; Recovery. accumulated observation and discussion and illustrated by an atlas containing 102 plates with figures of every kind- Dr. Siredey 1 reports a case of a woman aged twenty-six tattooings, statistical and, indeed, and three months in whom the photographs, diagrams, years pregnant following every adjunct that can throw light; on the text. It which three before admission into pictorial symptoms, began days consists of three large octavos, in great part recast or re- hospital with a sharp pain in the right iliac fossa, led to the written, the first of which traces back crime to its genesis, of acute of a matter, ’diagnosis appendicitis-vomiting green beginning with the savage or the barbarian and coming down exquisite abdominal tenderness, tympanites and constipation, by atavic stages to "pazzia morale" " (moral madness) and no even An incision into the iliac fossa " gas passing. right the " cattiveria (naughtiness) which is normal or revealed a healthy appendix, but the peritonitis being found congenital in children ; from this it proceeds to, to be more marked in the upper part of the abdominal cavity analyse the physical and mental features of the the incision was prolonged upwards, with the result that a "delinquente nato" or criminel-n 6." she second volume stream of pure bile escaped from the neighbourhood of the describes those patients whom psychiatry calls "moral gall-bladder. This reservoir was, in fact, found ruptured. maniacs" and "epileptics," and who in their essential The ruptured edges were carefully sutured, and after a features, physical and mental, reproduce the type of the effected the skin toilette of the abdominal cavity had been "uomo delinquente." Then follows an examination of incision was ceased on the stitched. Vomiting morrow, "epilepsy in its protean forms as the basis of delinquency, cicatrisation was complete in a fortnight, and the woman is illustrated by studies of "criminali di passione" and now not been What " " quite well, gestation having interrupted. "criminali d’occasione (according as passion " or " oppor- caused the rupture of the gall-bladder ? This problem tunity"" determines their crimes) ; " criminali pazzi" be that the had never suffered cannot solved, seeing patient (criminal lunatics) are next discussed and with them other from biliary colic or jaundice and that no bacteriological secondary forms of crime. The third volume, substantially examination of the was peritonitic pus practicable. a new treatise, goes thoroughly into the social factors of The Continental Anglo-American Medical Society. crime and the means of combating them. It constitutes to those who accuse him The annual and dinner of this useful and flourish- Lombroso’s reply critics of meeting causes of the criminal and who which includes in its ranks almost all the British neglecting the external ing society, him with of all and American established on the Continent of charge relieving society responsibility by practitioners to the moral oi the indi- Europe and in Northern Africa, takes in Paris, ascribing everything degeaeration place to-day is an when seventeen candidates for them- vidual. This eminently interesting-even fascinating- membership present of the full of ratiocination and selves. This brings the number of members up to 100. Dr. portion work, ingenious Barnard of Paris resigns the post held by him for the last striking deductions, as, for instance, where he shows that not but wealth become a factor of crime. three years of honorary secretary and treasurer, and is only poverty may succeeded by Dr. Bull, also of Paris. The most novel and at the same time the most important Nov. 10th. part of the volume is that devoted to "therapeutics "-a ______ part sure to arouse vehement and far-reaching discussion. It contains (inter alia) an elaborate impeachment of the system ROME. of repression in actual use and an almost enthusiastic recognition of educational methods and (FROM OUR OWN CORRESPONDENT.) proposed practised by English philanthropists. This is a truly eloquent vindication of medical prophylaxis brought to bear on Typhoid Fever at Assisi. tender and plastic infancy and vigilantly followed up or to adult or mature THE of Propertius ( Rome’s greatest through boyhood puberty age birthplace elegiac manhood. It the whole a further poet"), of the saintly Francis, and of Metastasio has too brings subject stage attractions-artistic, historical, and than that reached at the last (the fourth) Congress of many picturesque-to Criminal and will lead to fresh make its condition a matter of indifference to Anthropology, up starting- sanitary for the next which will meet in Holland in the world. An of points congress, travelling explosion typhoid fever, the of the Two facts in connexion with cases, at the Collegio Convitto closing year century. numbering thirty-four Lombroso and his work are not to be alone has filled the town and its near ignored-his sincerity neighbour He has himself truth with alarm and down His and his industry. convinced of the Perugia brought Excellency and of the social value of his and he has formed the Minister of Public Instruction with a medical positions, them a of inductive research which is associated expert to inquire into its cause, present stamping out, and by patience future prevention. Already the Prefect of Perugia, within with the Teutonic rather than the Latin type of character. No student of whether drawn to the on its whose competence it lay to give notice of the initial in- crime, study dications of the epidemic, has been severely reprimanded medical or on its legal aspect, can afford to neglect the for neglect of duty; and still further inculpation of local Uomo Delinquente" of the Italian pathologist, and the announcement of its recent as authority is expected, as the water-supply, to which the fever this, publication, practically is traced, is scandalously impure and defective. A sharp a fresh, and at the same time a final, exposition of its lesson will be these Umbrian resorts if the author’s views cannot but be interesting to readers of taught moneyed THE LANCET and the visitor on whom so much of their livelihood depends gives profession. them a wide berth for a season. The policy of laissez-faire Oct. 30th. is too distinctively Italian, especially in the matter of sanita- tion and civilised decency, not to require the admonition VIENNA. that affects Italy in her most sensitive part-the pocket. Things have not yet reverted to the familiar precedent when (FROM OUR OWN CORRESPONDENT.) the Neapolitan syndic received the thanks of the munici- for returns as to the of pality having suppressed presence The Treatment cholera, and so retained the tourist clientele which otherwise of Actinomycosis. would have been scared away. But the recent conduct of DR. JOSEF JURINKA, assistant to Professor Wölfler of the local authorities at Verona, Bracciano, and Perugia looks Prague, has described two cases of actinomycosis of the jaw and one perilously near such a relapse to reprehensible custom, and case of perityphlitis actinomycotica which he has for the good of Italy, as well as of the stranger, ought to be successfully treated by iodide of potassium. One of the stigmatised with all the publicity that can be given to it. patients whose jaw was affected was in a very serious condi- tion, as the right half of the face from the temple to the jaw "L’ Uomo Delinquente." was occupied by a hard swelling ; the skin was thickened and This among our medical or medico-legal publications is rugose, bluish in colour, and permeated by a great many the event of the quarter, being the fifth edition of Lombroso’.-! fistulous canals, which discharged a purulent fluid containing greatest work. The first appeared at Milan in 1876-a little granules of actinomyces. The administration of iodide of volume of 200 pages. The second, third, and fourth came potassium and the opening of the abscesses were followed out at intervals of a few years, steadily increased by the by diminution of the pain and stiffness of the jaw, after which the secretion decreased and the fistulous canals became 1 Société Médicale des Hôpitaux, Oct. 30th, 1896. closed, but as other abscesses formed subsequently Dr. Jurinka,.
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