26o THE JOURNAL OF PHARMACOLOGY. 



Prevention of Tuberculosis. At the Munich meeting of the 

 l^ibcrculosis Commission, held mader the auspices of the German Na- 

 turforscher und Aerzte-Versammlung, Italo-Tonta, of the Milan, sum- 

 marized in an admirable way the regulations which should be estab- 

 lished by the authorities for the prevention of tuberculosis. These 

 regulations are so concisely and clearly stated that they might well be 

 embodied in a tract and scattered broadcast through the world. They 

 are as follows : 



A Case of Opium Poisoning Followed ey Recovery. Bartels 

 describes the following case: The patient, a feeble female baby, ten 

 weeks of age, showed the typical signs of malnutrition and the hydro- 

 cephaloid condition of ill-fed infants sulTering frolii cholera infantum. 

 Although put on rational treatment and dietetic management the num- 

 hev of the movements did not diminish. A medicine containing, among 

 otber things, a minute quantity of opium was therefore given. As the 

 baby was very restless during the night, the nurse gave several large 

 doses of the remedy. In response to an urgent appeal, the author saw 

 the l)abv at eight o'clock the next morning and found it apparently dead 

 It was of a pale, livid color, felt cold to the touch, no respiration, no 

 pulse nor cardiac action could be determined. The reflexes had entire- 

 Iv disappeared even from the half-closed eyes. As the appearance 

 suggested death from opium poisoning rather than from cholera in- 

 fantum, treatment for the former condition was begun at once." There 

 was a])parently no result from the routine treatment, as artificial res- 

 piration, irritation of tlie skin, rbythmical traction of the tongue, etc. 

 As soon as faradization of the phrenics was started by the use of a bat- 

 tery sent for in the meantime, a short, feeble respiration took place. 

 This faradization was ke]it up altogether for ten hours, a large flat 

 electrode was ke])t over the e]Mgastrium and a small one over the phre- 

 nic nerve in the neck. Electricity was applied intermittently and alter- 

 nately on both sides al>out fourteen to sixteen times a minute. Even 

 four hours after this treatment had been started there was no radial 

 pulse, no spontaneous respiration or movement of any kind. At the 

 end of ten hours the body began to get warm. Artificial means to keep 

 u]) the body heat had to be employed until then. The reflexes and 

 respiration returned.^ The bal)y recovered entirely from the efifects of 

 the poisoning, had no more diarrhea and thrived nicely. — Munchner 

 Med. Wochcnschrifi. No. 5, 1900. 



