To the Editor, The; Indian Medicai, GazUTTE. Sir,?I was much interested in the two accounts in the Gazette for December. 1929, and January, 1930, of a special kind of ulcer (\" Naga sore\") on the leg encountered by the writers in Gwalior and Rajputana respectively. From the authors' description of the sore, its site, its mode of onset, its resistance to anti-syphilitic measures, its relationship to economic conditions, and its common association with an enlarged spleen, I have no hesitation in identifying it with a certain variety of ulcer which occurs in South Kanara district, and runs an exactly similar course from beginning to end. The first few

Ulcus Tropicum in Kanara District.

The word shock as currently used covers essentially the following conditions: 1. Primary shock, characterized by direct reduction of blood pressure and other less precisely defined acute symptoms, attributed to nervous, circulatory or toxic causes. 2. Secondary shock, a more slowly developing condition, of better defined character but of disputed etiology. It has usually been produced experimentally by mechanical, thermal or other trauma of the limbs or of the intestine. Authorities are agreed as to the epochal importance of the physical concept, established by Phemister, 1 Blalock 2 and their collaborators and corroborated by numerous writers (Herbst, 3 Holt and Macdonald, 4 Harkins 5 and his collaborators, Underhill 6 and his collaborators, Roome and Wilson, 7 Aikawa 8 and others) through demonstration of a passage of protein-containing fluid resembling blood plasma into the injured tissues, with consequent increase of corpuscle counts and reduction of volume of the blood. The opposite

Physical and toxic factors in shock

In 1937 there were almost 8,000 deaths from fire in the United States Forty-five per cent of lethal burns are in children under 6 years of age, and in Penberthy's1series of 493 cases at the Children's Hospital in Detroit it was found that 80 per cent of these should be considered avoidable We, as physicians, should take a prominent part in a program of safety education directed toward preventing this needless loss of life It is now fifteen years since Davidson2began his revolutionary work on burns while he was resident surgeon at the Henry Ford Hospital This period marked the inception of a method of treatment which many of us believe is the best available at the present time, but more significant was the sudden arousal of interest in the subject of burns among physicians throughout this country and abroad The number of papers on burns

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The treatment of the patient with severe burns: clinical lecture at st. louis session

This article summarizes the remarkable development in the science and practice of blood transfusion during the 20 years either side of 1900, progressing through the challenges of surgical vascular access, the propensity of shed blood to clot and the more mysterious apparently arbitrary acute reactions (later revealed as due to blood group incompatibility), to describe in more detail, the developments at the Western Front, then giving a precis of the advances in the interwar years through to the mid-twentieth-century 'blood-banking'.

Blood transfusion and the World Wars

Control of hemorrhage

E. C. Davidson's 1 discovery of the life-saving qualities of the tannic acid crust therapy in the treatment of extensive burns has inaugurated a new era in the prognosis and treatment of such cases. Prior to that day, burns involving more than one third of the body surface were invariably fatal. Now, thanks to this treatment, lives are saved even when burns extend over more than one half of the body surface. This outstanding success has led to two results, the one being an indiscriminate use of tannic acid in burns of all kinds and sizes, and the other to attempts at improvement of the original Davidson technic. Before being in a position to form a judgment on either of these questions, one must have a clear mental picture of the reason for the results secured by the crusting of burns. To explain the nothing less than marvelous lifesaving qualities of the tannic acid treatment of extensive burns, recourse must be had to the concept of "white bleeding," i. e., the loss of an excessive amount

H.A. Dyniewicz

Papers

Compound solution of tannic acid

A study of vehicles for medicines

Cuticolor Preparations**Presented before the Section on Practical Pharmacy and Dispensing, A. Ph. A., Minneapolis meeting, 1938.

Vehicles For Medicines

The Vehicle Value of Syrup of Cherry, N. F. VI*