1
1117 the day of the strain to the day of his death. There was testimony which justified the inference that the strain was much more than the ordinary strain of work. But the fundamental mistake of the county court judge lay in his having asked himself if the heart strain was or was not the sole cause of death ; the true question was whether it did or did not contribute to the death. This principle was laid down by the House of Lords in James v. Partridge, Jones and Co. (1933), where a dipper at some iron- works suffered from angina pectoris. The Court of Appeal was in doubt at first whether the Hilton case should not be sent back for a new trial. As, however, there was enough material to establish that the heart injury was due to the cranking up of the lorry and had been a contributory cause of death-in the words of the statute, a personal injury by accident. arising out of and in the course of the employment-the Court of Appeal awarded compensa- tion to Mrs. Hilton and put an end to the litigation. SCOTLAND (FROM OUR OWN CORRESPONDENT) THE NEEDS OF GLASGOW UNIVERSITY Sir Hector Hetherington, the new principal of the University of Glasgow, has been pointing out that some of the departments require larger staffs and that financial aid is wanted for the permanent equipment and maintenance of the University’s work. In addition, there are certain departments, such as those of geography and psychology, which ought to have, not a lectureship, but a full professorship. The new department of chemistry, he told the general council, will not only exhaust all the capital there is in sight, but will add considerably to the ordinary running charges of the University. Glasgow, he said, is the only university in the whole country where benefactions given for scholarships greatly exceed the benefactions given for other purposes. Thus during a period of six years Glasgow received ;E47,000 for land, buildings, equipments, and endowments, whereas in the same period no less than 130,000 was received for scholarships which, valuable though they are, do not aid the University directly. In contrast to Glasgow, Edinburgh received 300,000 in capital benefactions, and in addition 100,000 in scholarship money. ANTISEPTICS Presiding at the Cameron prize lecture delivered in Edinburgh last week by Prof. C. A. Browning of Glasgow, Prof. Sydney Smith remarked that previous holders of the prize include Pasteur, Lister, Behring, Manson, and Ehrlich. Prof. Browning’s title was Therapeutical Antiseptics, but he confined himself to the question of chemotherapy and local bacterial infections. In relation to their toxic properties for bacteria, he said, the acriflavine and proflavine compounds were much less toxic for the mammalian body as a whole than substances such as mercuric chloride. The field of chemical substances investigated has been a very wide one. One difficulty has been that when small animals are inoculated either infection does not take place at all or the animal dies. It was found, however, that a good imitation of a human wound infection can be obtained by inoculating guinea-pigs with diphtheria, and in the treatment of such lesions acriflavine has given better results than carbolic acid or saline solution. Likewise in experi- ments on intraperitoneal streptococcal infections it was found that a considerable majority of animals treated with acriflavine survived, whereas the untreated controls all died. Other observers have inoculated wounds with streptococci and found that treatment with acriflavine and proflavine is more effective than excision of the wound. Prof. Browning holds that these antiseptics act by damaging the virulence of the organisms and that it is not immediate killing of the organisms that is responsible for the cure. The flavines are known to be actively absorbed into the circulation, but experiments have shown that they are not carcinogenic, nor has Prof. Browning found that they inhibit healing process. Blacklock has demonstrated active mitosis in sections of wounds that have been treated with these dyes. Antiseptics cannot be expected to penetrate into the interior of cells or into masses of necrosed tissue and they cannot be maintained in sufficient concentration in the blood to exercise a useful bacteriostatic action there ; nor can they be directed to internal organs- with one exception, which is the urinary tract. Acriflavine by mouth or intravenously produces antiseptic urine in which neither B. coli nor staphylo- cocci will survive. Intestinal antisepsis has not been obtained. Mellanby tried the effect of acriflavine on transportable mammalian tumour and on trans- portable fowl sarcoma ; the latter, which is believed to be due to a virus, was unaffected, while the former did not grow on transplantation. IRELAND (FROM OUR OWN CORRESPONDENT) THE VICE-PRESIDENT ON SOCIAL SERVICES ON Oct. 28th Mr. Sean T. O’Kelly, vice-president of the Executive Council of the Irish Free State and also Minister for Local Government and Public Health, addressed the Dublin Chamber of Commerce on " Social Services." He described the expenditure on the school medical service as being, perhaps, the most valuable and productive part of the expenditure on public health. Public affairs, he said, were beset with grave perils which could be averted only by the unflagging pursuit of social justice. He recognised the importance of voluntary effort in regard to social services, and held it necessary that they should flourish side by side with statutory effort. To indi- vidual initiative and voluntary effort were due virtually all the social services conducted under the aegis of the State at present. New laws in relation to social services were mere machinery ; the driving force must be found in the spirit of the men and women of the country. Speaking of housing, Mr. O’Kelly said that at the beginning of his programme he estimated the housing need as 75,000 houses ; up to the present 35,226 had been provided. The curative system of the country in the county and district hospitals and similar institutions was under- going a real transformation. When the plans as regards hospitals had come to fruition he would claim that as regards hospitals the country would be second to none in the world. Important as were curative measures, preventive measures were still more important. The real hope of improving adult health and physique lay in attacking invalidity at its source in childhood. The results of such services could not be seen in a day, but in years to come their value would be apparent in the diminution in invalidity and mortality. He quoted some of the findings in the school-children inspected in the city of Dublin last year. The number inspected was

SCOTLAND

  • Upload
    ngothuy

  • View
    219

  • Download
    0

Embed Size (px)

Citation preview

Page 1: SCOTLAND

1117

the day of the strain to the day of his death. Therewas testimony which justified the inference that thestrain was much more than the ordinary strain ofwork. But the fundamental mistake of the countycourt judge lay in his having asked himself if theheart strain was or was not the sole cause of death ;the true question was whether it did or did notcontribute to the death. This principle was laiddown by the House of Lords in James v. Partridge,Jones and Co. (1933), where a dipper at some iron-works suffered from angina pectoris.The Court of Appeal was in doubt at first whether

the Hilton case should not be sent back for a new trial.As, however, there was enough material to establishthat the heart injury was due to the cranking up ofthe lorry and had been a contributory cause ofdeath-in the words of the statute, a personal injuryby accident. arising out of and in the course of theemployment-the Court of Appeal awarded compensa-tion to Mrs. Hilton and put an end to the litigation.

SCOTLAND

(FROM OUR OWN CORRESPONDENT)

THE NEEDS OF GLASGOW UNIVERSITY

Sir Hector Hetherington, the new principal of theUniversity of Glasgow, has been pointing out thatsome of the departments require larger staffs and thatfinancial aid is wanted for the permanent equipmentand maintenance of the University’s work. In

addition, there are certain departments, such as thoseof geography and psychology, which ought to have,not a lectureship, but a full professorship. The newdepartment of chemistry, he told the general council,will not only exhaust all the capital there is in sight,but will add considerably to the ordinary runningcharges of the University. Glasgow, he said, is the

only university in the whole country wherebenefactions given for scholarships greatly exceedthe benefactions given for other purposes. Thus

during a period of six years Glasgow received ;E47,000for land, buildings, equipments, and endowments,whereas in the same period no less than 130,000 wasreceived for scholarships which, valuable though theyare, do not aid the University directly. In contrastto Glasgow, Edinburgh received 300,000 in capitalbenefactions, and in addition 100,000 in scholarshipmoney.

ANTISEPTICS

Presiding at the Cameron prize lecture deliveredin Edinburgh last week by Prof. C. A. Browningof Glasgow, Prof. Sydney Smith remarked that

previous holders of the prize include Pasteur, Lister,Behring, Manson, and Ehrlich. Prof. Browning’stitle was Therapeutical Antiseptics, but he confinedhimself to the question of chemotherapy and localbacterial infections. In relation to their toxicproperties for bacteria, he said, the acriflavine andproflavine compounds were much less toxic for themammalian body as a whole than substances such asmercuric chloride. The field of chemical substancesinvestigated has been a very wide one. One difficultyhas been that when small animals are inoculated eitherinfection does not take place at all or the animal dies.It was found, however, that a good imitation of ahuman wound infection can be obtained by inoculatingguinea-pigs with diphtheria, and in the treatment ofsuch lesions acriflavine has given better results thancarbolic acid or saline solution. Likewise in experi-ments on intraperitoneal streptococcal infectionsit was found that a considerable majority of animals

treated with acriflavine survived, whereas theuntreated controls all died. Other observers haveinoculated wounds with streptococci and found thattreatment with acriflavine and proflavine is moreeffective than excision of the wound. Prof. Browningholds that these antiseptics act by damaging thevirulence of the organisms and that it is not immediatekilling of the organisms that is responsible for thecure. The flavines are known to be actively absorbedinto the circulation, but experiments have shownthat they are not carcinogenic, nor has Prof. Browningfound that they inhibit healing process. Blacklockhas demonstrated active mitosis in sections of woundsthat have been treated with these dyes. Antisepticscannot be expected to penetrate into the interior ofcells or into masses of necrosed tissue and theycannot be maintained in sufficient concentration inthe blood to exercise a useful bacteriostatic actionthere ; nor can they be directed to internal organs-with one exception, which is the urinary tract.Acriflavine by mouth or intravenously producesantiseptic urine in which neither B. coli nor staphylo-cocci will survive. Intestinal antisepsis has not beenobtained. Mellanby tried the effect of acriflavineon transportable mammalian tumour and on trans-portable fowl sarcoma ; the latter, which is believedto be due to a virus, was unaffected, while the formerdid not grow on transplantation.

IRELAND

(FROM OUR OWN CORRESPONDENT)

THE VICE-PRESIDENT ON SOCIAL SERVICES

ON Oct. 28th Mr. Sean T. O’Kelly, vice-presidentof the Executive Council of the Irish Free State andalso Minister for Local Government and PublicHealth, addressed the Dublin Chamber of Commerceon " Social Services." He described the expenditureon the school medical service as being, perhaps, themost valuable and productive part of the expenditureon public health. Public affairs, he said, were besetwith grave perils which could be averted only by theunflagging pursuit of social justice. He recognisedthe importance of voluntary effort in regard tosocial services, and held it necessary that they shouldflourish side by side with statutory effort. To indi-vidual initiative and voluntary effort were due

virtually all the social services conducted under theaegis of the State at present. New laws in relationto social services were mere machinery ; the drivingforce must be found in the spirit of the men andwomen of the country. Speaking of housing, Mr.O’Kelly said that at the beginning of his programmehe estimated the housing need as 75,000 houses ;up to the present 35,226 had been provided. Thecurative system of the country in the county anddistrict hospitals and similar institutions was under-going a real transformation. When the plans as

regards hospitals had come to fruition he would claimthat as regards hospitals the country would besecond to none in the world. Important as werecurative measures, preventive measures were stillmore important. The real hope of improving adulthealth and physique lay in attacking invalidity atits source in childhood. The results of such servicescould not be seen in a day, but in years to cometheir value would be apparent in the diminution ininvalidity and mortality. He quoted some of thefindings in the school-children inspected in the cityof Dublin last year. The number inspected was