Volume 63 · Issue 3-4 · 1944

Primary carcinoma of the scalp seems to be a rare condition, as we failed to find any collective study of such cases in the English literature. According to Hu and Chin (1), in the western countries, basal cell carcinoma is much more common than squamous cell carcinoma, but in China it is less frequent. Furtbermore, this affection presents peculiar features in its course and treatment which are quite different from cancers of other internal or external organs of the body. For these reasons, we feel that an analysis of the 35 cases seen in the Peiping Union Medical College Hospital, in a period of twenty years, may be reported. In each instance, except three, the diagnosis was established by histopathological examination of the tumor tissue; these cases were admitted to the Surgical and Tumor Services. The three exceptions were patients who entered the hospital for conditions other than the tumor itself, and the diagnosis was based upon general physical examination.

Wuhu is the center of the rice-growing districts of Anhwei Province in the Yangtze Valley where benign malaria is endemic in the summer and fall. Malignant malaria, sometimes known as subtertian, tropical, or estivo-autumnal malaria, occurs sporadically. In the late summer of this year, malignant malaria made its appearance with ten or more admissions daily. Over a third of the hospital beds were occupied by the more serious ones, while those who could walk about were treated in the dispensaries and given quinine.

The influence of clothing on personal comfort is related to the sensations of heat and humidity produced. These sensations are directly related to the prevailing environment. For example a comfortably clothed individual sitting in still air at approximately 60°F. dry bulb temperature and 50 per cent relative humidity loses some 44 per cent of the body heat by radiation to the surroundings, 31 per cent by convection and conduction to the air and 20 per cent by evaporation of moisture from the lungs and skin, while the remaining 5 per cent heat lost is accounted for by the heat required to warm the inspired air and the food to body temperature. What constitutes a comfortable amount of clothing is a matter of empirical observation with regard to the climate of the living and working environment, the type of occupation, the age, sex and diet of the individual.

In a review on chemotherapy of acute infectious diseases (1), the writer was not, at that time, aware of another compound of sulphonamide which has been developed and used in the continental Europe in 1939 (2). It is known as para-amino-benzene sulfonacetamide, having the structural formula as follows.

The present epidemic of cerebrospinal fever which involved many districts of Chekiang and Kiangsu provinces broke out in the beginning of February 1944 and lasted until the end of May. The peak in Shanghai was around April 10 when the cases were not only more numerous but also more severe. The present report is based upon 62 cases admitted to a private hospital under the personal care of the writer in a period of three months, from February 29 to May 29, 1944.

Our knowledge of Diphtheria is most satisfactory in that we know the cause of the disease and its mode of transmission; we are able to check its spread and possess specific preventives, a precise measure of susceptibility and a curative agent of great potency.

There are two common systems dealing with the disposal of human excreta, namely: 1. The water-carriage system; and 2. The conservancy system.

A female patient, aged 24, Hospital number 108916, was admitted to the St. Elizabeth's Hospital on November 24, 1943, with the complaint of intermittent attacks of dull aching pain over the left iliac region for 3 days, and amenorrhoea for 5 months. Starting at 3 a. m. on November 21, the patient was awakened by a sudden pain in the left iliac region accompanied by a sense of severe abdominal distension. This pain lasted for about seven hours, disappeared and returned for another few hours. Patient had about six such attacks on the first day, each lasting for a few hours. There was no fever, no nausea and no vomiting. On the second day the pain became more severe and continuous. Late in the evening, a doctor was called in and the patient received an injection which she believed to be morphine. This relieved her only for a few hours. On the third day, the pain became unbearable; she began to have nausea and vomiting. She then came to this hospital. On the day of admission she had three attacks of vomiting. There was no vaginal bleeding throughout. Patient was constipated for four days.