The Dublin Journal of Medical Science (Volume 86) (Paperback)

This historic book may have numerous typos or missing text. Not indexed. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1888. Not illustrated. Excerpt: ... occupies most of the remainder of the lecture. Of the lecture on Yellow Fever we shall only remark that the characteristics of the disease are well described (p. 53); that, according to Dr. Lawscn, it "is met with not only in the continued form, but also as a remittent, and from time to time even as an intermittent;" and that, in his opinion, importation or contagion is not a necessary condition of the development of an epidemic. Even the Lisbon epidemic of 1856 and the following year "arose" not from contasrion from without but from the extension of a pandemic wave. This view is supported by Dr. Lyons in his report on the Lisbon epidemic. These opinions of the lecturer on yellow fever prepare us to find him non-contagionist in his teaching on cholera. Instances which he cites "show conclusively that malignant cholera may spring up in a locality far removed from the place where it is epidemic, without being introduced by persons labouring under it" (p. 83). It is needless to mention that the conclusive instances are cases in which importation could not be traced. One instance showing, with the highest probability of which the circumstances admit, that an epidemic was due to an imported case outweighs in demonstrative power fifty cases in which importation could not be detected. The evidence of the one witness who saw the prisoner steal the spade rightly prevailed over that of the score who did not see the theft committed. In a recent case a certain suit of tweeds " arose" in a prison-ward. The most careful inquiry failed to establish importation. Was it imported, nevertheless? or was it simply a result of a " pandemic wave?" NOTE ON ANATOMY AND PHYSIOLOGY OP THE PHRENIC NERVE IN MAN. Mr. Wagstaffe calls attention to the frequent branch from the phrenic ner...