Volume 48 · Issue 10 · 1934

The report by Dr. Snell* on the hospitals in China for the COUNCIL ON HOSPITALS is not only a fine piece of work for which the Association owes him warm thanks but one that is especially valuable at the present time in revealing both the strength and the deficiencies of the hospital system in this country.

Medical education has been a subject of great interest to the present generation, especially since the Great War of 1914-18. One of the outstanding reasons for this is increased public consciousness of the problems of health and disease. Among other reasons are the vast development of the medical sciences, the growth of large hospitals, and the great cost of modern medical education. A large number of articles many of them controversial in nature, have been published, indicating a widespread dissatisfaction with existing plans.

This report is limited to a study of noma occurring in children suffering from visceral Leishmaniasis. No attempt is made to make a complete review of the literature dealing with noma in children. Noma is known to be a very serious complication of any disease, the more devitalizing the primary disease the more difficult is it for the patient to overcome the noma process. KaIa Azar is recognized as one of the very devitalizing diseases. For this reason it is interesting to study the development and course of noma in these patients.

It is not common for monilia, or yeast infection of the vulva and vagina, to cause enough symptoms to make patients seek treatment. Most of the gynecological text-books give either very little or no space to the subject. Authors often consider that the occurrence of yeast cells in the vagina is of no clinical importance.

A knowledge of the geographical distribution of human blood groups provides the anthropologist with a criterion of great value in his study of racial origins and migrations. The Hirshfelds stimulated the study greatly by their invention of the racial (A/B) index.

The two-fold purpose of this report is to serve as a record for future reference of initial urban administrative conditions at this period, and second to suggest, preferably through an appraisal form, initial health procedures in urban practice based upon practicabilities of existing circumstances.

Mrs. P.Y.L., aet 24, Chinese para I. Hosp. No. 43489, was admitted to the Peiping Union Medical College Hospital on February 8th, 1934, in a semicollapsed condition. Her history was as follows: She was in the 33rd week of what, with tLe exception of four very slight attacks of vaginal haemorrhage lasting about a day apiece, had been a normal pregnancy. Morning vomiting had been very slight and bad quickly passed. She considered herself to be in perfect health.

Tuberculosis of the glands of the neck, and lymphosarcoma of the glands of the neck are two very common diseases found in Hainan. Hodgkin's disease, on the other hand, seems to be very rare. The diagnosis of two cases, confirmed by microscopical examination of the excised glands, are, therefore, of unusual interest, and are herewith reported.

A Chinese girl (Hosp. No. 3272) of nine years of age, was admitted to the Lester Chinese Hospital, Shanghai on Nov. 3rd, 1933 complaining of a painless growing lump in the front of her neck for three years duration.