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TREATMENT OF TUBERCULOSIS
Infection In The Glands
RADICAL EXCISION ADVOCATED
"Plus ca change plus c'est la ment of tuberculosis in Scotland meme chose" is an adage which. are valid In England. There is If not true of all medical pro- evidence that the clinical course blems, can certainly be applied to of tuberculosis in Scotland, the methods of treating tuber- differs from that in the south; culous glands in the neck. Some moreover, in Scotland, in both thirty years ago a radical enuclea | bone and gland disease, there is tion of the glands. was the AC- a higher incidence of Infection cepted routine practice; there fol with the bovine organism. In his lowed a vogue of conservative report to the Science Committee methods, of which the most im- of the British Medical Associa- portant was based on removing tion, published in the "British the supposed primary focus of in- Medical Journal" of January 17, fection and relying on the natural | 1914 (p. 125), Phelp Mitchell made or atimulated resistance to over the following statement: "Cow's come infection In the glands. milk containing bovine tubercle Other procedures were often embacilli is clearly the cause of 90 pirical, but in generat fell into per cent. of the cases of tuber- line with methods usel in the culous cervical glanda in infants treatment of other types of tuber- and children realding in Edin- culous infection. Conservative burgh and district, and is respon- mensures have been given a fair sible for by far the larger pro- trial, and still have ardent ad portion of tuberculous cervical vocates; if, however, we accept glands in children during the the evidence which Mr. Gordon | milk-grinking period of life (0 to Brace gives in the present Issue 5 years)." There does not appear of the British Medical Journal to be any conclusive evidence as (p. 1030), it would appear that to the exact type of organism res- the full circle has been turned, ponsible for adenitis in the south- And that surgical treatment is ern area of Britain. once again to be regarded as the method of choice for the majority of established infections.
Study of 330 Cases
of
Important Conclusions
Mr. Gordon Bruce's most Im- portant conclusiona are that glands in the neck remaining per- Mr. Bruce basing his conclusions sistently enlarged after three on a study of 330 cases of cervical months are nearly always tuber- adenitis treated during four con- culous in nature, and that if secutive years at Aberdeen. there is clinical evidence of their strongly advocates the radical ex- having undergone caseation the cision of glands diagnosed as most satisfactory results are ob- tuberculous in which there stained by their onucleation. The elinical evidence of caseation. complications of extracapsular From his investigations he is abscess and sinus formation han- satisfied that this condition is dicap the surgeon la his dissec- present in all glands which have tion; they do not contraindicate been subject to alternate attacks operation, but lead to a lower of swelling and periods standard of final results, both as quiescence. He finds that re- to scar condition and perman- moval of diseased tonsils has no ency. These views are worth marked effect on the glandular careful study; certainly most sur- condition, and is frankly sceptical xeons at the present time, though of the valua of heliotherapy in they would probably give con- relation to the local condition of servative methoda a trial for long- all but early cases. In supporter than three months, tend to con- of the latter view he quotes Dr. form to them. The surgery of Margaret Tod, who, in surveying | the radical operation is not a group of cases treated by this simple; injuries to Important means in Edinburgh, stated that nerve and majer, bloot vessels In no case had it effected a cure. have not always been avoided,
A Sound Procedure
and in this connection Mr. Bruce's If these gland infections are paper contains considerable recognised as being local rather amount of than systematic in nature, the British Medical Journal. radical removal of the diseased The following programme will be tissue, so far broadcast to-day from the Hong Kong presents itself as a sound proce- As is practicable, Broadcasting Station Z.B.W. on 359 dure. Mr. Gordon Bruce is clear-
-2nd floor.
TO-DAY'S RADIO
metres:-
Broadcast By Z.B.W.
ON 350 METRES
5.00-6.00 p.m.-English
gramme,
"The New Moon--Vocal Gema",
Hammerstein & Romberg, Columbia Light Opera Co.
་
1
interesting
detail.-
BRITISH POLICY
Danger Of Dictation
From The Admiralty
Washington, Yesterday. Mr. Stimson to-day states that there in no reason to believe that Rear- Admiral Hilary Jones has changed his to the Five Power Conference us an mind about accompanying Mr. Stimson
Froy of the opinion that few cases of tuberculous adenitis are blood infections, adducing as evidente the fact that in 306 per cent, of his series the infection was op- "On with the Show, 1929.
parently limited to the gland area Selection". Debroy Somers Band. oporated on. In no case belong- (With Vocal Chorus bying to this group was there found
Tom Barrett). "Second Movement from
evidence of tuberculous infection 'Symphonie Pathetique","
elsewhere before or after opera adviser. Tschaikowsky, arr.tlon, The argument for radical
W. Robertson. excision is further supported by commenting
The "New York Evening Telegram," "Scene De Ballet",
on prevalent ramours the view that De Berict, arr. W. Sear, well established complete resolu-
once cascation is about Rear-Admiral Hilary Jones, The J. H. Squire Celeste Octet.
says that the most serious aspect of "Marche Pompeuse....W. Beckor. tion without operation does not the gossip is its effect upon London. "The Midget and the
occur. In this event removal of The Journal adds: "While there has Hippopotamus", Cellan Kottauna primary focus of infection, such never been much chance of an Ad-
Band of Grenadier Guards. as the tonsil, carnot be expected
miral's dictating "Cavalleria Rusticana-Intermezzo",
American policy,
(a) Opening Chorus,
to do more than prevent further there is a real danger of the Ad- miralty dominating British policy, in a similar manner to what it did at the cured Geneva Conference. If there is to be
The
DZ
(b) Easter Hymn Mascagai. infection. There is no doubt that
The J. H. Squire Celeste Octet. in many cases apparently "Glel of my Dreams" Clapp & Kalua. by conservative methods the in-a cruiser reduction Mr. Ramsay Mac- "Happy Days and Lonely Nights"
Rose & Fisher.
fection in the glands has been Donald must shake the Admiralty from Layton & Johnstone American Bot tuberculous, but streptococcal. the seat of power that it long ago
Duettists with Piano. Streptococcal Infections may precede usurped. "Liebestraum (Dream of Love)
or accompany tuberculous Infec-
"The obstacles ahead are, however, No. 3"
Liast. tion in (a) Waltz in a Flat (Brahms);
some instances, or they in no way lessoned by the confidence of (b) Spring Song Mendelssohn. may be the sole lesion in chroni President Hoover and his associates in
Pianoforte Solo by William cally enlarged glands. In general chief obstacles are the question
the success of the Conference. they are
present in the early parity of the Italian and French navies "Rhapsodie No. 2"
stage, but many remain dormant and the Japanese desire for a cruiser. for a considerable time, causing ratio of 7 to 10 with Britain and the Pro- flare-up in the wound after a United States, instead of 3 to 5 as laid radical operation. It is interest-down for capital ships at the Washing- Weathering to note that in 187 operations ton Conference.
performed by Mr. Bruce patlenta developed accondary streptococcal House, however, refuses to be daunted infection of a severity which was
by the difficulties ahead."-Reuter's thought worth recording.
American Service.
Murdoch,
(Liszt, arr. Willoughbyste Octet
6.00-7.00 p.m.-Chinese
gramme.
7.48 p.m.-Evening Report.
9.00 p.m.Evening General Pro-
gramme.
9.00-9.15 pm
(Approx.)--Mr.
A. C. Braine-Horthell of the Hong Kong University will speak from the Studio. "Song Hits-Organ Medley",
Organ Solo by Quentin |
M. MacLean. "Symphonie Espagnole" (Bix Parts)
Into; Opus 21,
'Different Clinical Courses
It has been a matter of discus- sion how far conclusions based on the results obtained in the treat-
Leo Strockeff & Orchestra. MY APPETITE?
Part 1 Allegro non troope
Part 2 Allegro non troppo
(Completion)
Part 3 Scherzanda
Part 4 Andante
Part 5 Hondo `(Fint Häll} Part 6 Rondo (First Half}
(Completion). "Rose Marle
(Indian Love Call),
Dust: Edith Day & Derek Oldham, (Rose Marie), Tencr,
Derek Oldham. "La Gloconda: Dance of the Houra”
(Ponchielli) Colombia: Symphany
Orchestra. Tarantelle for Flute and Clarinet"
(Saint-Saens-Op. 4), "Becond Serenata" (Torelli),
Eastbourne Municipal Band. "La Boheme Sélections” (Puccini),
New Queen's Hall. Light Orchestra. "Lilac Time--Vocal Gems?
(Ross & Schubert),
Columbia Light Opera Company. 10.00 p.m. (Approk.) News Bul-
$10330
SPLENDID
THANKS,
SINCE PINKETTES
REGULATED,
MY INTERIOR ACCOMMODATION ||
Liver torpor and Intestinal Inactivity are the chief causes of lack of appatite, of spirit, and of cheerfulness. The re- medy is Pinkettes. Gently yet surely these dainty littla laxatives correct liverishnasi, restore daily regularity, re- vive appetite, dispel gloom. Of chemists everywhers at 80 cents the vial.
"The most serious obstacle is that of submarine limitation. The White
REPLACING BRUCE
The "Rebels" Discuss Forming New Party
Canberra, Yesterday. Mr. J. G.. Latham ex-Attorney- General, was to-day elected leader of the Federal Nationalist. Party in suc césain to Mr. Bruce.***
Mr. Maxwell, who was expelled from the Party yesterday, entered 'to-day's meeting, and denounced Mr. Bruce for wrecking the Government and decimat- ing the Party. Mr. Hughes, Mr. Maxwell, and other "rebels” “subse- quently met and discussed the forma- tion to a new party.
A further evidence of the National
ist Party disruption is the resignation of Benator Maxey Greene.
Drive a Trusty "TRIUMPH
the Motor that never falls you
WEDNESDAY, NOVEMBER 20, 1929.
WITH ALL THE PEP
of a Jazz Band.
All, the Poise
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The Assurance
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The Attention that
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The Perseverance and Optimism of an Ancient Pedant learning to Play Ping Pong
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THE STAFF
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DOLLAR DIRECTORY CO.
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Dollar's worth.
are forging
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NEW 1930 ISSUE
1.
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