ABSTRACTS 263 



Under the third heading, the use of autogenous vaccines is of chief 

 importance. Such vaccines have proved of great assistance in clearing 

 up foci of infection, as well as in exerting a beneficient action on ulcer 

 symptoms. Vaccines were used by the author in 38 cases with con- 

 stantly successful results. — M. W. C. 



The Treatment of Diphtheria Carriers with Iodized Phenol. W. O. Ott 



and K. A. Roy. Jour. A. M. A., 1916, 66, 800-802. 



The treatment of 17 diphtheria carriers by the use of iodized phenol 

 is reported. 



The solution (60 per cent phenol, 20 per cent iodine crystals and 20 

 per cent glycerin) was swabbed over the tonsils, uvula and posterior 

 wall of the phar^Tix in pharyngeal cases and over the entire anterior 

 part of the nasal cavity in nasal cases. Applications were made every 

 48 hours until negative cultures were obtained. 



No bad results were noted from the use of the preparation al- 

 though the application is painful for half a minute or less until the 

 anesthetic action of the phenol takes effect. 



Negatives cultures were obtained in 35 per cent of the cases after one 

 application; in 29 per cent after the second; in 12 per cent after the 

 third; in 6 per cent after the fifth and in 12 per cent after the sixth. 

 One case required 9 applications. 



Fifteen cases were followed from one to three weeks after leaving the 

 hospital and yielded negative cultures. — G. H. S. 



The Extent and Significance of Gonorrhea in a Reformatory for Women. 



Elizabeth A. Sullivan and Edith R. Spaulding. Journ. A. M. 



A., 1916, 66, 95. 



An exhaustive study of 500 women delinquents with respect to the 

 prevalence of gonorrheal infection; the nature, duration and extent of 

 the infection, together with its susceptibility to treatment; the effect 

 of the infection in producing other pathologic conditions; its relation to 

 birthrate; and general considerations of an economic and sociologic 

 nature. 



Among 522 cases examined, 395 or 75.7 per cent were found to be 

 gonorrheic. The average duration of infection was 4 years, 5 months, 

 the case of longest duration being 26 years. In 82.7 per cent of the 

 cases there had been no cessation of clinical symptoms since the initial 

 infections. With respect to treatment during the course of the infec- 

 tion, the clinical history of 378 cases showed that but 1 per cent had 

 received adequate medical treatment. 



A comparison of the birthrate among gonorrheic and non-gonorrheic 

 women showed that the average number of children among the former 

 was 1.1, among the latter, 2.8. 



The amount of treatment required to eradicate the clinical symptoms 

 depends on the duration of the disease previous to treatment. After 

 disease has lasted from 4 to 6 months without treatment, 10 to 12 

 months' treatment is usually necessary. — G. H. S. 



