the feeding of infants
TRANSCRIPT
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rule. The sole consolation which the viperous brood of
anarchists have upon an occasion such as the present is
that their crime sets the various Governments of the civilised
world in a ferment as to how to check the pest. The crimes
of anarchy are so futile, so stupid, and withal so easy to
carry out, that their terror consists in the impossibility of
foreseeing when they will happen. Any complacency thatthe anarchistic leaders may feel in the trouble that theyhave created will, we hope, be removed by drastic concertedmeasures against them. The United States will lead the
way with peculiar satisfaction, and the European nations
may be trusted to assist.
America and England have long been known as the twocountries where a man undergoes no disabilities for his
political opinions, and we do not think that either country is
likely to change in this respect. But anarchy is not a
political opinion-its preachers, teachers, and active membersare simply and solely pests of society and should be
remorselessly harried, even as a pack of rabid wolves wouldbe. The whole of Europe and of the various countries
of the two Americas will be searching for a remedy forthe state of things that makes anarchy possible. We do
not deny that in some cases anarchy is bred of povertyand oppression, or that a portion of the remedy for crimeis to be found in improving the social condition of
workers of every class. But in the meantime the
assassins, whether they are the actual perpetrators or
the instigators of murder, must be taught that punish-ment swift and terrible awaits them. It is impossible to
legislate for the removal of motive in an apparently motive-less crime, and where an assassin is willing to lay down hislife to accomplish a crime it is well-nigh impossible to
prevent him carrying his design into execution. Whether an
attack be successful or not, death, and that carried out in
private after a private trial, should inevitably follow. The
insensate vanity of the anarchist’s mind revels in the glorifi-cation of a public execution and the world-wide reportsof his trial, and these gratifications should be taken
away from him. But the head and front of the evil is the
propagandist, the man of culture and education who
scatters his glib vapourings about property and the
rights of man broadcast by means of. the press.
Authors and publishers of incendiary and seditious printsshould be punished as severely and in as uninteresting amanner as possible ; for though it be the educated brain
which conceives inflammatory articles, and the hand whichhas never done an honest day’s work which writes them,
yet the miserable beings who translate these theories
, into acts are the poor who are bred in misery and
nurtured in hopelessness. Their own misery, and
what they can do or cannot do, assume a disproportionateimportance in their eyes, and in the vapourings of
anarchist writers they see revelations of a Utopia. The
remedy is to shut off the stream of violent ideas at thefountain-head.
PAIGNTON (DEVON) COTTAGE HOSPITAL.-Thegarden fete recently held in aid of the funds of this hospitalwas a decided success. After the payment of .6112 as
expenses there remained a sum of .6241 which has beenhanded over to the institution.
Annotations.
THE CONDITION OF PRESIDENT McKINLEY.
" Ne quid nimis."
WE have received the following cable from Dr. M. D.
Mann, who, it will be remembered, was the actual operatorin the laparotomy performed upon Mr. McKinley. It is dated
Sept. 10th and worded as follows :-
" President’s condition eminently satisfactory. Barringunexpected complications convalescence is assured."
Everyone in these islands will, we are sure, rejoice at thenews which tells us that the United States are deliveredfrom the calamity of losing their elected ruler. The
dangers in gunshot wounds of the abdomen may be setdown as shock, hoemorrhage, and septic peritonitis. From
the two first the President may at this juncture be consideredquite safe. The injury which the bullet inflicted was to-
perforate both walls of the stomach. As, however, thatviscus was practically empty at the time of perforation,and as a laparotomy, together with localisation and
repair of the perforations, were performed within a veryshort time after the infliction of the injury, the danger ofperitonitis was reduced to a minimum. Although it cannotbe definitely asserted until a later date that this com-
plication will not arise, yet it may be confidently expectedthat it will not. The records of the Spanish-American war,and of our present, struggle in South Africa, show that thedanger of perforating gunshot wounds of the abdomen isfar less to-day than it was some years ago, and although arevolver makes a larger and more lacerated wound than asmall-calibre rifle, yet the prompt manner in which thewound was treated gives every hope for expecting a favour-able result. President McKinley’s life has, under Providence,been saved by the excellent surgery of our American con-fmeres, while the ministrations of Dr. Mann, Dr. Parmenter,Dr. Mynter, and the other well-known medical men
associated with the care of the case were enormouslyassisted by the fact that in the grounds of the exhibitionthere was a perfectly equipped emergency hospital. This
was a hospital for use and not for show, and, as a result,within a few minutes of the atrocious outrage the Presidentwas receiving every possible assistance that modern surgerycould devise.
____
THE FEEDING OF INFANTS.
IT is not surprising that at the present time, a season inwhich more than in any other infantile enteritis withdiarrhoeal is apt to be prevalent, the question of milk-supplyand milk dieting in infancy should have come into promin-ence. At the last meeting of the British Medical Associationat Cheltenham Dr. George Reid, medical officer of health ofStaffordshire, added his contribution to this subject in apaper on infant mortality in relation to the employment ofmarried women in factories, in which he insisted on the
necessity of a milk diet for infants to the exclusion of sub-stitute foods. It is to be remembered that even milk itselfwhen artificially reconstructed in a laboratory, desiccated,and then prepared with water as a food has proved to be in-sufficient for nutritive purposes and that its use is liable to,be followed by scurvy and other signs of tissue starvation.Nor do we consider that the addition of a fresh foodsubstance to this imperfect diet can be relied upon to obviatethe evils which it entails. Experience has shown thatthe employment of such substitutes for fresh milk, how-ever chemically correct, can at best only serve a temporarypurpose. Natural milk must remain the true diet of infancy
741
and there is a limit to the extent to which it may be inter-
fered with. In a leading article in THE LANCET of
August 24th we noted the fact that simple boiling or
heating to the degree required for sterilisation does
not appear to influence the nutritive value of milk. Wereferred to the value of this practice as a safeguard againstbacterial contamination. It is necessary, however, to
remember that this part of the question, and, indeed, thewhole subject’ of nutrition, has a domestic as well as a
physiological side. The infective process which results inenteritis arises in all probability as often from want of careat home as from a faulty milk-supply. Mothers and nurses,it is true. are now much more alive to the need of scrupulouscleanliness in regard to everything that relates to the
feeding of infants than they were even a few years ago.Trouble still arises nevertheless and cases of dysentericdiarrhoea, if less common and less frequently fatal thanformerly, are far from unusual. Its prevention ought not tobe a very difficult matter. But the medical man must
remember that no instruction to mothers and nurses can be
too elementary. The commonest lessons of cleanliness
must be taught, and all the influence of the practitionerwill be required, particularly among factory hands and
the poorest classes, to ensure attention to the teaching.
SELF-HELP.
AT Sandgate recently there was opened a new convalescenthome. The lines upon which this and the parent insti-tution at St. Margaret’s Bay, Dover, are being run are suchas would have rejoiced the heart of the late Dr. SamuelSmiles. Eighteen years ago it occurred to a few workingmen, who were endowed with a more than usual share ofadministrative capacity and desire to benefit their fellows,and who were already connected with the Hospital Satur-day Fund, that a home run by a committee of workingmen; and supported principally by small weekly subscrip-tions collected. amongst themselves, would become popularwith craftsmen generally. The result greatly exceeded theirexpectations. Substantial aid was, however, rendered in theearly days by the late Mr. Samuel Morley, after whom thehome at St. Margaret’s Bay was named "Morley House."A liberal supporter was also found in the late Sir Alfred
Bevan and the building just opened at Sandgate bears thename of the "Bevan Memorial Home." Patronised by HisMajesty the King, with the Earl of Aberdeen as president,and with a voluntary committee of men drawn from varioustrades who are elected annually by their fellow mechanics,the supporters of the institution are assured that any moneysubscribed is expended to the best advantage. The com-
mittee visit the home at intervals of three weeks and inspectevery detail, making a tour of the building throughout. In the
evening an hour or two is spent in the recreation-room withthe inmates. Criticism on the conduct of the home is invited
and any suggestions for its improvement are discussed.A liberal dietary is provided, and the food, though plain, isgood. The inmates are not hampered with a number ofirritating rules, the idea being to permit as much individualfreedom as possible. It speaks well for the working ofthe system that out of 12,000 patients who have passedthrough Morley House " only one case of misconduct anddrunkenness has been brought to the notice of the com-mittee. The new home is for the reception of either male 0]female patients, adult or juvenile, who are considered eligiblEby the committee. A number of medical men act as hono-
rary examining officers, and every patient has also to bE
passed by the medical officer to the Home. For a year omore until the last few months the new Home has beeiused as an auxiliary hospital for wounded soldiers returneefrom South Africa. Some of our readers may be glad t(
know of the existence of this home on behalf of thei
humbler patients, though, indeed, there is no lack of
applicants for admission. The purchase of the buildingand the alterations necessary to fit it for the requirementsof the institution have cost between .616,000 and &17.000,and the charitably disposed could not well bestow their
help upon a more deserving object.
ON PATHOLOGICAL DREAMING.
PROFESSOR A. PICK of Prague contributes an interestingarticle on Pathological Dreaming to the July number of theJ01trnal of Mental Science. Students of psychologicalmedicine have long recognised the similarity which dreamsbear to the delusions of the insane or the waking delirium ofthe opium-eater. Dreams may have a pathological significancein certain neuropathic conditions. For example, the dreamsof chronic alcoholism are continued into waking life,thereby influencing conduct, and in certain forms of
hysteria and erotomania day-dreams of a voluptuous naturemay occur occasionally which are hardly distinguishablefrom reality by the patient. For the peculiar perversionof the mental state attending the latter condition HavelockEllis has lately proposed the name auto-erotism.
" Both
Pierre Janet and Nileke state that some degree of cerebral
exhaustion underlies the tendency to abnormal forms ofreverie and day-dreaming, and the latter refers to quitedefinite conditions, such as the fatigue of balls and
weddings, as among the causative agencies. Professor
Pick records three interesting cases, the clinical and
mental symptoms of which he gives at some length. Case 1was that of a man, aged 43 years, a goldsmith. During the10 years of his married life his wife had noticed that the
patient often during the day and night spoke to himself,sometimes softly and sometimes loudly, and as though heimagined himself to be among his fellow-workmen, at thetown council, or before the deputy mayor. ’’ If spoken tohe ceased at once, but gave no explanation, exceptonce when he said that 2tario2as tltoug7tts carne to him
against his 7vill, 1’vlâch he had to speak out althoughhe knero that it mas all 1tntrlle." " Latterly this eon-
dition had grown worse, following upon certain obscure
"seizures -tremblings of the limbs and noddings ofthe head, attended by loss of consciousness-frequentlywitnessed by his wife. The patient had been since a childof a suspicious nature, readily deluding himself with theidea that people wished to poison him. In the other class of
seizures before described, where he gesticulated and talkedwith himself, he retained a certain confused consciousnessand memory of what was happening, and on being ques-tioned he would state that he was experiencing a sort
of dreaming and dream-acting which sometimes felt so
real that he could not distinguish it from actuality. His
physical state showed nothing special and the nervous
system presented no clearly hysterical stigmata. His con-
dition improved a little under treatment and regular work,so that the night-dreaming disappeared and that by daybecame less frequent. Case 2 was that of a law student, aged23 years, who complained of suffering from ’’ phantasies
"
and an excessive proneness to reveries and dream-picturesof masturbation from his eighth to his eighteenth year.
Latterly he developed the idea that people were unfriendlyand disdainful to him and sometimes experienced suicidalpromptings. On one occasion he fancied that he was presentat a duel, but the sensation was so vivid that he " seemedreally to see the people who were present." Optical impressionsplayed the chief part in the dreamings, but he also heardI- voices. " He had various physical indications of neur-
asthenia and degeneracy. Case 3 was that of a clerk, aged18 years, who had manifested peculiar aberrations of conductin the form of petty embezzling and theft, loose living andfastness, and a tendency to fantastic lying (pseudologia