GENERAL PARALYSIS 



control in certain professional 

 matters. The council is composed 

 of 27 members chosen by the 

 different Universities of England, 

 Scotland, Ireland, and Wales, the 

 Royal Colleges of Physicians, and 

 Royal Colleges of Surgeons of 

 England, Edinburgh, and Ireland, 

 the Apothecaries' Society of Lon-, 

 don, and the Apothecaries' Hall of 

 Ireland ; five members nominated 

 by the Crown through the privy 

 council ; and six members or direct 

 representatives elected by the 

 medical practitioners of England, 

 Scotland, and Ireland. Its principal 

 duties are : To keep the medical 

 register, i.e. the list of medical men 

 who have complied with regula- 

 tions made by the council and have 

 passed a qualifying examination. 

 Unless a medical man is registered 

 he does not possess the privileges 

 which have been granted by law to 

 members of the medical profession. 



The General Medical Council 

 alone has the right to place a doctor 

 on the list or to remove his name ; 

 to supervise the examinations con- 

 ducted by universities and colleges 

 entitled to grant medical qualifica- 

 tions, in order to satisfy itself that 

 a proper standard of skill and 

 knowledge is maintained ; to frame 

 regulations for professional con- 

 duct, breach of which may render 

 the offender liable to be struck off 

 the register, e.g., advertising or 

 canvassing for patients, covering 

 or assisting unqualified practi- 

 tioners, etc. ; and to publish, and 

 from time to time issue revised edi 

 tions of the British Pharmacopoeia, 

 i.e. a book containing a list of medi- 

 cines and compounds, together with 

 the manner of preparing them and 

 their appropriate doses. 



General Paralysis of the In- 

 sane. Disease of the brain charac- 

 terised by progressive mental and 

 physical deterioration, terminating 

 in insanity and paratysis. By far 

 the most frequent cause of the 

 disease is syphilis, and many au- 

 thorities hold that this is invariably 

 an antecedent factor. Contributory 

 causes are worry and long-continued 

 occupation involving severe mental 

 strain. The pathological changes 

 most often found on post-mortem 

 examination are thickening of the 

 covering membranes of the brain 

 and atrophy of its convolutions. 



The onset of the disease is in- 

 sidious, and the early symptoms 

 are likely only to arouse suspicion 

 in a medical man. Changes of 

 character are common. A man may 

 become inattentive and forgetful, 

 launch out into rash enterprises 

 and squander his money, or he may 

 take to drink, become morose and 

 irritable, and commit offences 

 against decency, steal, or display 



3462. 



other immoral tendencies. Blur- 

 ring of the speech in pronouncing 

 certain words, and shght tremu- 

 lousness of the lips and tongue 

 are often early symptoms. 



As the disease progresses the 

 mental symptoms become more 

 marked. A characteristic feature 

 is the appearance of delusions 

 associated with grandeur, the in- 

 dividual, perhaps, imagining him- 

 self to be of high rank or great 

 learning, or to possess unbounded 

 wealth. Periods of depression or 

 melancholia may interrupt the 

 condition of exaltatiori, and out- 

 breaks of acute maniacal excite- 

 ment may occur in which the 

 sufferer may do violence to himself 

 or inflict grave injuries upon others. 

 Attacks resembling epileptic sei- 

 zures may supervene, the sight may 

 be affected owing to atrophy of the 

 optic nerve, and the gait may be- 

 come abnormal. In the last stages 

 the patient becomes completely de- 

 mented, paralysed, and emaciated, 

 death occurring from exhaustion, 

 pneumonia, or other intercurrent 

 disease. 



The prognosis is bad, death 

 usually occurring within a few 

 years. Occasionally the condition 

 remains stationary for a number of 

 years. Medical treatment is rarely 

 of much avail, but the effect of 

 potassium iodide may be tried and 

 drugs of the salvarsan class may be 

 administered. 



General Service Medal , NAVAL. 

 Instituted by King George V, in 

 1915. to be awarded for service 

 in minor naval 

 warlike opera- 

 tions. These 

 may be either 

 in the nature 

 of belligerency 

 or of police, if 

 they are con- 

 sidered of suf- 

 ficient import- 

 General Service Medal ance to justify 

 issued in 1847 the award of a 

 medal. The riband of the medal 

 is red (four strips) and white (three 

 strips). It was first awarded, with 

 a clasp inscribed " Persian Gulf, 

 1909-1914" to officers and men 

 who were employed in operations 

 for the suppression of arms traffic 

 in the Arabian Sea or Persian Gulf, 

 between Oct. 19, 1909, and Aug. 1 

 1914. An earlier naval general ser- 

 vice medal was struck, in June, 1847, 

 and given to members of all rank? 

 who took part in the Napoleonic 

 and several subsequent campaigns. ' 



Later a general service medal 

 was conferred on those who fought 

 in the Indian war of 1799-1826; 

 and later medals included that of 

 1908, and one for operations against 

 Afghanistan, in 1919. 



General Steam 

 Navigation Co. flag; 

 red on white back- 

 ground 



GENESIS 



General Steam Navigation 

 Co., Ltd. British steamship com- 

 pany. Founded in 1824, it has now 

 a fleet of about 

 forty vessels. 

 Its services are 

 the carriage ot 

 cargo between 

 London and 

 the ports on 

 the E. coast of 

 England, Lon 

 don, and Bor- 

 deaux, Havre, 

 Amsterdam, and Rotterdam ; Lon- 

 don and Oporto ; also to ports in 

 Italy; and between Leith and 

 Glasgow. It carries passengers 

 from Harwich to Hamburg and 

 from London to the Mediterranean 

 ports ; and in summer, tourists to 

 Southend, Margate, and Ramsgate. 

 Its headquarters are 15, Trinity 

 Square, London, E.C 



Generator. Apparatus tor 

 producing electricity. A voltaic cell 

 may be described as a generator, 

 but the term is more particularly 

 applied to a dynamo or alternator 

 in which mechanical energy is 

 converted into electrical energy. 

 See Alternator , Dynamo : Elec- 

 tric Power. 



Generoso. Peak of Switzer- 

 land, in the canton of Ticino. It 

 rises from the S.E. end of Lake 

 Lugano, near the Italian frontier, 

 to a height of 5,590 ft., and is 

 ascended by a rack and pinion rly. 

 from Capolago. There is an hotel 

 on a terrace, 3,960 ft., and another 

 on the Kulm, at an alt. of 5,295 ft. 



Genesee (pleasant valley). 

 River of the U.S.A. Rising in the 

 N. of Pennsylvania, it flows N. by 

 W. and N. by E. through New 

 York state to Lake Ontario, 7 m. 

 below Rochester. It is 140 m. long 

 and is remarkable for its falls at 

 Portage and at Rochester, which 

 provide waterpower. 



Genesis (Gr., origin). First 

 book of the Pentateuch or rather 

 Hexateuch. The name is taken 

 from the Septuagint title, the 

 Generation of the World. The 

 Hebrew title is In the Beginning. 

 The book falls into two main divi- 

 sions : (a) Creation stories and 

 primeval history, Gen. i-xi, 26 ; 

 (6) History and stories of the patri- 

 archs. Gen. xi, 27-1, 26. It is com- 

 posed of a number of narratives, 

 more or less independent in origin 

 ond based upon popular tradition. 



Division (a) includes stories of 

 the creation of the universe, of 

 4 >he fall of man, of the deluge, and 

 of the tower of Babel. Division (6) 

 includes an Abraham narrative, 

 a Jacob story, and a Joseph 

 narrative. Some of the stories in 

 these narratives (e.g. that of the 

 deluge) bear some resemblance to 



