estimation! photos on Flickr

Kalanchoe tomentosa 'Dorothy Brown' by tanetahi

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In high definition macro shots, the bristly hairs are prominent. Early days yet, but so far Dorothy is keeping her chestnut brown tones throughout the year.

Once established in the ground (in an elevated and well drained position) K. tomentosa is surprisingly resistant to rotting during hot, wet, summer weather in Brisbane that brings other succulents down. So on account of that and it's cute looks, its a winner in my estimation.

Female Mountain Gorilla in Virunga National Park by Bruno Conjeaud

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2G9A5609.jpg Rwanda

Mon ami le photographe Gilles Martin est en couverture du magazine "Chasseurs d'images" ce mois-ci pour son combat en faveur de la protection des gorilles de montagne.

La dernière estimation qui a eu lieu en 2014 a porté sur un inventaire de 880 gorilles de montagne. Environ 350 au Rwanda, 450 en Ouganda et moins de 100 au Congo où ils sont toujours menacés.

Mais les gardiens de l'Ouganda et du Rwanda sont en train d'établir un nouvel inventaire et comme ils ont eu assez de bébés, ils pensent que le nombre de gorilles de montagne sauvages est en augmentation. Donc, c'est une petite étincelle d'optimisme dans un monde très stupide.

Tribute to Gilles Martin's work who was my guide on this travel.

The last estimation that happened in 2014 took an inventory of 880 Mountain Gorillas. About 350 in Rwanda side, 450 in Uganda and less than a hundred in Congo where they are always threatened.

But Uganda and Rwanda keepers are actually establishing a new inventory and as they had enough babies, they think that the number of Wild Mountain Gorillas is increased. So, it's a little spark of optimism in a very stupid world.

My friend photographer Gilles Martin is on the cover of the magazine "Chasseurs d'Image" this month for his fight for the protection of mountain gorillas.

This image is taken from United States Naval Medical Bulletin Vol. 14, Nos. 1-4, 1920 by Medical Heritage Library, Inc.

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Go to the Book with image in the Internet Archive

Title: United States Naval Medical Bulletin Vol. 14, Nos. 1-4, 1920

Creator: U.S. Navy. Bureau of Medicine and Surgery

Publisher:

Sponsor:

Contributor:

Date: 1920

Language: eng

Table of Contents

Number 1

PREFACE V

NOTICE TO SERVICE CONTRIBUTORS VI

SPECIAL ARTICLES:

ANTHROPOMETRIC STUDY AT ANNAPOLIS.

By Lieutenant L. B. Solhaug, Medical Corps, U. S. N 1

Medical and Hygienic Aspects of Submarine Service.

By Lieutenant Commander E. W. Brown, Medical Corps, U. S. N 8

Report on Facial and Jaw Injuries.

By Lieutenant Commander L. W. Johnson, Medical Corps, U. S. N 17

Military Orthopedic Hospitals in the British Isles.

By Lieutenant R. Hammond. Medical Corps, U. S. N. R. F. 65

HISTORICAL :

Medicine in Rome 103

EDITORIAL :

The New Year — Standards of Duty 127

IN MEMORIAM :

Edward Grahame Parker.

By Captain C. E. Riggs, Medical Corps, U. S. N 135

SUGGESTED DEVICES:

Changes in Scuttle Butts Aboard Ship.

By Lieutenant Commander J. A. B. Sinclair, Medical Corps,

U. S. N. R. F 137

An Emergency Evacuation Device 145

CLINICAL NOTES :

Bronchopulmonary Spirochetosis in an American.

By Lieutenant G. W. Lewis, Medical Corps, U. S. N 149

Encephalitis Lethargica.

By Lieutenant A. F. Kuhlman, Medical Corps, U. S. N 151

Defense of the Open-Air Treatment of Pneumonia.

By Lieutenant D. Ferguson, jr., Medical Corps, U. S. N 153

NOTES AND COMMENTS :

Carbon tetrachloride poisoning. —Civil service positions. — Serum treatment

in yellow fever. —" Deer-fly disease." — Request for specimens.—

Medical personnel of the French Navy.—Centenary celebrations. —Situs inversus.

—Italian view of prohibition. — Effects of prohibition In Chicago. — Treatment

of sterility. — Pilocarpine in influenza. —A death from anesthesia.- — Free

hospital service in Oklahoma City. —Birth rate of Manila. —Expansion of the

Faculty of Medicine, Paris. —Statistics on blindness. —French eight-hour law. —

Corporation philanthropy 155

REPORTS :

The Receiving Ship Barracks, New York.

By Commander W. G. Farwell and Lieutenant R. M. Krepps, Medical Corps,

U. S. N 163

Grounding of the U. S. S. Northern Pacific.

By Lieutenant J. C. Ruddock, Medical Corps, U. S. N 185

Impressions of a Reservist.

By Commander L. R. G. Crandon, Medical Corps, U. S. N. R. F 188

Number 2

PREFACE v

NOTICE TO SERVICE CONTRIBUTORS vi

SPECIAL ARTICLES:

Types of Neurological and Psychiatric Cases.

By Lieutenant Commander E. C Taylor, Medical Corps, U. S. N. R. F 191

Yellow Fever.

By Lieutenant Commander T. Wilson, Medical Corps, U. S. N 200

Asepsis of Abdominal Incisions.

By Lieutenant Commander F. H. Bowman, Medical Corps, U. S. N 208

Calcium Chloride Intravenously for Hemoptysis.

By Lieutenant Commander W. H. Fickel, Medical Corps, U. S. N 210

Hospital Records 213

HISTORICAL:

The Arabians and the First Revival of Learning 225

SUGGESTED DEVICES:

Hospital Garbage Disposal.

By Captain A. Farenholt, Medical Corps, U. S. N 237

The Flat-Foot Ladder 240

CLINICAL NOTES:

Chondrodysplasia with Exostoses.

By Lieutenant R. W. Hutchinson, Medical Corps, U. S. N 243

A Case of Vascular Syphilis.

By Lieutenant A. E. Kuhlmann, Medical Corps, U. S. N., and Lieutenant

Commander C. C. Ammerman, Medical Corps, U.S.N.R. F 245

Two Cases of Encephalitis Lethargica.

By Lieutenant Commander R. I. Longabaugh, Medical Corps, U. S. N 249

A Case of Foreign Body in the Head.

By Lieutenant Commander L. M. Schimdt, Medical Corps, U. S. N. 254

The Late Treatment of War Osteomyelitis.

By Lieutenant E. I. Salisbury, Medical Corps, U. S. N. R. F 255

Two Cases of Gas Gangrene.

By Lieutenant Commander L. M. Schmidt, Medical Corps. U. S. N 257

Gastric Ulcer with Perforation.

By Lieutenant G. G. Holladay, Medical Corps, U. S. N. R. F 259

Internal Ophthalmoplegia.

By Lieutenant Commander E. E. Woodland, Medical Corps, U.S.N 260

Open Treatment of a Fractured Metacarpal Bone.

By Lieutenant R. W. Auerbach, Medical Corps, U. S. N 263

Supernumerary Phalanx.

By Lieutenant R. S. Reeves, Medical Corps, U. S. N. R. F 265

A Cask of Ruptured Kidney.

By Commander K. It. Richardson, Medical Corps, U. S. N

Mustard Gas and the Cardiovascular System.

Ry Lieutenant Commander W. H. Michael, Medical Corps, U. S. N

A Case of Ulcer of the Sigmoid Flexure.

By Lieutenant H. R. Coleman, Medical Corps, U. S. N

A Case of Malposition.

By Lieutenant A. C. Toll inner, Dental Corps, U. S. N

PROGRESS IN MEDICAL SCIENCES :

General Medicine — Blood pressure and posture —Intramuscular Injections

of quinine in malaria — Vincent's disease Surgery — Appendicitis amongst

sailors— Transplanting of bone— Rectal ether anesthesia

Hygiene and Sanitation — Destruction of lice by steam

Eye, Ear. Nose, and Throat — Ocular phenomena in the psychoneuroses of

warfare —Ocular complications due to typhoid inoculations

NOTES AND COMMENTS:

Syphilis and the war—Bone surgery —National Research Council— Laboratories

in Poland— National Anaesthesia Research Society — Vanderbilt Medical School —

Municipal education in Detroit — Female medical matriculates— Degrees conferred

by Royal College of Surgeons of Edinburgh — Speech defects — Typhoid fever in

New York — Venereal diseases in California- — Omissions in the Annual Report of

the Surgeon General, 1919

REPORTS :

U. S. Navy Ambulance Boat No. 1.

By Chief Pharmacist's Mate D. V. De Witt, U. S. N

Physical Development in the Navy.

By Lieutenant B. G. Baker, Medical Corps, U. S. N

Venereal Prophylaxis at Great Lakes, III.

By Lieutenants D. It. Blender and L. A. Burrows, Medical Corps, U. S.

N. R. F

Report of 505 Tonsillectomies.

By Lieutenant W. P. Vail, Medical Corps, U. S. N. R. F

BOOK NOTICES

Number 3

PREFACE v

NOTICE TO SERVICE CONTRIBUTORS vi

SPECIAL ARTICLES :

History of the U. S. Naval Hospital, Chelsea, Mass.

By Captain N. J. Blackwood, Medical Corps, U. S. N 311

INSTRUCTION FOR THE HOSPITAL CORPS.

By Lieutenant Commander W. M. Kerr, Medical Corps, U. S. N. 338

Study of Two Cases of Diabetes Mellitus.

By Lieutenant L. F. Craver, Medical Corps, TJ. S. N 345

Flat Foot in the Navy.

By Lieutenant C. F. Painter, Medical Corps, U. S. N. R. F 359

Static Defects of the Lower Extremities.

By Lieutenant A. A. Marsteller, Medical Corps, U. S. N 365

Treatment of Malaria.

By Lieutenant Commander W. H. Michael, Medical Corps, U. S. N 367

Navy Recruiting.

By Lieutenant W. H. Cechla, Medical Corps, U. S. N 371

HISTORICAL:

American Founders of Gynecology 373

EDITORIAL :

"Bring Forth Your Dead "—Is Educational Prophylaxis Effective

381

William Martin —John Wolton Ross —Oliver Dwight Norton, Jr 389

CLINICAL NOTES:

Interdental Ligation for Jaw Fractures.

By Lieutenant W. F. Murdy, Dental Corps, U. S. N 391

A Temporary Stopping.

By Lieutenant Commander H. E. Harvey, Dental Corps, U. S. N 394

ASCARIASIS AND APPENDICITIS.

By Lieutenant Commander E. G. Hakansson, Medical Corps, U. S. N 394

Malarial Crescents.

By Lieutenant Commander W. H. Michael, Medical Corps, U. S. N_ 395

Poisoning by Jelly Fish.

By Commander A. H. Allen, Medical Corps, U. S. N 396

Traumatic Rupture of Kidney.

By Lieutenant Commander F. H. Bowman, Medical Corps, U. S. N 397

A Case of Erythema Multiforme.

By Lieutenant M. F. Czubak, Medical Corps, U. S. N 399

PROGRESS IN MEDICAL SCIENCES:

General Medicine. — Static back trouble—Benzyl benzoate —Relation of

anaphylaxis to asthma and eczema —High enema —Treatment of typhus —Thilerium

hominis 401

Mental and Nervous Diseases. —Insanity as a defense in crime —The nervousness

of the Jew— The Babinski reflex —Problems of delinquency —Encephalomyelitis in

Australia 408

Surgery. — Radium — Surgery of peripheral nerves — Referred symptoms in

diseases of gall-bladder and appendix—Intracranial pressure —Protection of the

skin in surgical operations—Anesthesia

from drugs administered by the mouth —A new skin-suture material —

Roentgen-ray problems , 414

Hygiene and Sanitation. — Birth control—Typhoid fever in vaccinated

troops —Detection of typhoid carriers —Streptococci in market milk

—Tuberculosis in San Francisco —An experiment in sanitary education —Oral

hygiene —Differential diagnosis between trachoma and follicular conjunctivitis

—Left - handedness —The Negritos of the Philippine Islands —Tropical Australia

425

NOTES AND COMMENTS :

American Society for the Control of Cancer — Pay of Italian medical officers

— The passing of the book worm— The neurotic girl —Control of druggists in

Michigan — English statistics on alcoholism —Prevention of simple goiter— Value

of quarantine against influenza in Australia —W. P. C. Barton, first chief of

the Bureau of Medicine and Surgery—Information on blood-pressure estimation

—Automobile accidents —Egyptian Medical School — Educational movement In U. S.

Army 443

REPORTS :

Health Conditions in Santo Domingo.

By Lieutenant Commander G. F. Cottle, Medical Corps, U. S. N 453

History of U. S. S. Pocahontas During the War,

By Lieutenant Commander M. Boland, Medical Corps, U. S. N 460

With the American Peace Commission.

By Commander A. D. McLean, Medical Corps, U. S. N 500

Testing Water for Storage Batteries.

502

Report from Naval Medical School Laboratory 505

BOOK NOTICES 505

Number 4

PREFACE V

NOTICE TO SERVICE CONTRIBUTORS VI

SURGICAL ACTIVITIES AT THE NAVAL

HOSPITAL, NEW YORK.

Interesting bone cases 512

Fractubes of the anterior tuberosity of the tibia and Osgood-Schlatter's

disease 516

Carrel-Dakin technique for empyema 527

Physical therapy 535

Occupational therapy 536

War wounds of the joints.

By Dr. L. Delrez, Faculty of Medicine Liege 537

A case or joint treatment by Willems's method 545

Chronic intestinal stasis 545

Carrel-Dakin technique in treatment of carbuncle 549

A case of sarcoma of the foot 550

A case of Jacksonian epilepsy with spastic contracture 551

A Case Of Osteoma Of The Humerus 552

A Case Of Bone Infection Resembling Sarcoma 552

Wound closures after Carrel-Dakin treatment 553

Ether in peritonitis 557

HISTORICAL:

The founders ok naval hygiene. Lind, Trotter, and Blane 563

EDITORIAL:

Hospital standards —As seen from within 629

SUGGESTED DEVICES :

Vision test apparatus.

By Lieutenant Commander H. W. Glltner, Medical Corps, U. S.N. R. F 637

Treatment of cement floors.

By Captain A. Farenholt, Medical Corps, U. S. N 638

CLINICAL NOTES:

Ophthalmitis in secondary syphilis.

By Lieutenant Commander W. H. Whitmore, Medical Corps, U. S. N 639

TWO CASES OF OPTIC ATROPHY.

By Lieutenant Commander C. B. Camerer, and Lieutenant G. L. McClintock,

Medical Corps, U. S. N 641

Arsphenamine in malaria.

By Lieutenant Commander W. H. Michael, Medical Corps, U. S. N 643

Ureteral calculus.

By Commander W. J. Zalesky and Lieutenant Commander P. F. Prioleau,

Medical Corps, U. S. N 644

PROGRESS IN MEDICAL SCIENCES :

General medicine. — Treatment of respiratory catarrhs.—Tests of thyroid

hypersensitiveness. —A diet sheet for nephritics.— Delayed arsenical poisoning

647

Surgery. —Open treatment of fractures. — Treatment of crushed extremities.

—Nerve injuries of the war 653

Hygiene and sanitation. —Disinfection of tubercular sputum. — Syphilis

in railroad employees 659

Tropical diseases. —Ulcerating granuloma 663

Eye, ear, .nose, and throat. — Frontal sinus drainage. —Anesthetics in throat

surgery. —Correction of nasal deformities

NOTES AND COMMENTS :

American Library Association.— Mental defects in the United States. —

"Tea-taster's " cough. — Scientific basis of carelessness. — "The

case against the prophylactic packet." —Treatment of leprosy. — Medical

training in London. —A new Army and Navy Club. — The Navy Mutual Aid

Association. — Medical school of the University of Virginia. —A new medical

quarterly. —Solar therapy. — Novarsenobenzol subcutaneously. —Economic loss

from rats. —The flight of mosquitoes. —A medical centenarian. — A French hospital

ship. — Potassium-mercuric-iodide.— Dermatitis in industrial work. —

Radium.— A twelfth century epitaph 663

REPORTS :

Arsenical preparations used intravenously.

By Captain E. S. Bogert, Medical Corps, U. S. N 679

Venereal disease in the Dominican Republic.

By Lieutenant J. W. Vann and Lieutenant B. Groesbeck, Medical Corps, U.

S. N 681

American legation guard, Managua, Nicaragua.

By Lieutenant Commander F. F. Murdock, Medical Corps, U. S. N_ 684

Sanitary conditions in Vladivostok.

By Lieutenant A S. Judy, Medical Corps, U. S. N 689

Hospital records.

Commander H. W. Smith, Medical Corps, U. S. N 698

HOSPITAL RECORDS.

By Commander E. U. Reed, Medical Corps, U. S. N 706

A DEATH FROM ETHER DUE TO STATUS LYMPHATICUS.

By Captain A. W. Dunbar, Medical Corps, U. S. N 714

Medical prophylaxis against venereal diseases.

By Lieutenant P. W. Dreifus, Medical Corps, U. S. N 715

BOOK NOTICES 718

INDEX 721

If you have questions concerning reproductions, please contact the Contributing Library.

Note: The colors, contrast and appearance of these illustrations are unlikely to be true to life. They are derived from scanned images that have been enhanced for machine interpretation and have been altered from their originals.

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Ss. Peter and Paul, Stoke, Kent by Jelltex

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Stoke is made of three small settlements, and in order to find the church, we visited Lower, Middle and Upper Stokes.

Situated among 20th century housing, on a sweep in the main road. It is a fine spot, and we arrived with the sun away to the west behind the church from the road, making photography difficult.

Through the attractive Lych Gate, one is presented with another sturdy church, with a wide, squat tower. Sadly for me, it was locked and no details of how to contact for access, so made do with some exterior shots, and somewhere else to go come the Heritage Weekend at some point.

----------------------------------------------

It is difficult to date accurately the first church building in Stoke, but we know from Edwards Hasteds ‘History of Kent’ published in 1798 the early history of the church: Stoke itself was given to the See of Rochester by Eadberht, King of Kent, sometime between 664 and 673 AD “for the good of his soul and for the remission of his sins.” This makes it one of the first donations of land to the church. It is likely that there were some settlements here in Roman times and that there were some salt workings on the marshes even in those days. In Saxon times Stoke was an important place, as we know by its name. In those days it was called Andschohesham, a “ham on the stockaded land.” In early Saxon days a place protected by a stockade would attract people needing a refuge for their cattle. It would become more important than a settlement ending with a “ton” or “ham.” Later the name was shortened to Estoches and it is recorded under this name in the Domesday Book of 1086. The entry for Stoches or Stoke states that there was a church with four servants and four acres of meadows. This and all the other land and villeins (a feudal tenant entirely subject to a lord or manor to whom he paid dues and services in return for land) were held by the Bishop of Rochester, (Picture above left Rena Pitsilli-Graham).

The earliest parts of the church, possibly the Nave, Chancel and aisles, date from the late 12th century. A report by the Canterbury Archaeological Trust (CAT) (Linklater 2010) gives a broad outline of the history of the building and indicates that the Naves arcades are also of this date with the north arcade perhaps being slightly later but “only by 20 years or so” Stoke church was dedicated only to St. Peter until at least 1524, with St Paul added some time after that. The Edward Hasted history still refers to it as St Peter only in 1789. The position of the church is due to the people of the village settling on the high ground above the Saltings. The village developed as scattered housing on the margins of the firm ground above the reaches of the highest tides, although the lower land was probably farmed as it would be very fertile. The oldest part of the present church dates from about 1175. However from earlier historical records of the building it is difficult to establish whether the South or the north aisle is thought to be the earliest. Historians have written that “the pillars of the south arcade are Norman, Octagonal and carry the massive quality so usual in Norman Work.” However, you will see the octagonal pillars are actually on the north side of the church and the south arcade has rounder squatter pillars, with arches of similar style. Another historian claims that it is this aisle which is the oldest, with Norman transition pillars, capitals and arches. It would certainly appear to be uncertain.

The Font at the rear of the south aisle is a circular tub shape, which has been claimed to be Norman, although others believe it to be Saxon; it is dated as 13th century by the listing description. Its simple shape and workmanship certainly incline to an earlier Saxon time, but at this stage it is unlikely to be established one way or the other.

he next addition was the other arcade and aisle, presumably on the north side. The original lancet window is still here, but the present glass is of a much more recent date. The chancel dates from the same date as the lancet window. Within the chancel is an ornamental stone coffin lid, near to the altar on the north side, while on the South side is the outline of the priest’s door, which would have led to a separate chapel dedicated to the Blessed Virgin Mary. On the same wall is a piscine niche with a foliated canopy.

In the South Aisle is a piscine with a fox and a lion head, the lion putting it’s tongue out . This is fourteenth century work, which supports the view that the south aisle was once the chantry for Malmaynes Hall, granted to the manor of Malmaynes Hall around 1380, and below the aisle was the family vault.

Many centuries later when the roof was being repaired the vault become flooded, and this is popularly supposed to have caused the pillar closest to the east window to have tilted out of true.

The fifteenth century was a busy time for the fabric of the church, with two windows in the north aisle being added, and the window above the font. The glass in these has been replaced at later dates. Most of the roof timbers date from this time. , as do the north and south door. The present door in the south wall is a modern addition, donated by the Royal Engineers, based in the Medway towns.

The Canterbury Archaeological Trust (CAT) (Linklater 2010) report states that the Tower may be as early as the 14th century, (there were bequests for the building work from 1479 onwards) and it may have been repaired or extended in the early part of the 16th century. The tower itself stands, but the steeple was never built, despite many donations from the people of Stoke and benefactors from further afield. The reason has never been fully explained. The tower seems to have been built or rebuilt from 1470 to 1550, and it may be that all the monies donated were used to build the tower. Some believe that the Reformation intervened and that the work was abandoned. Others believe that the siting of a steeple so close to the estuary would have been too dangerous, acting as a beacon to invaders. Whatever the reason, no steeple has ever been added to the tower, which at least gives us the opportunity to climb the 53 steps to enjoy the panoramic views from the top. Within the tower is the belfry, with three bells. These have were restored in 1980’s along with parts of the bell frame at a cost of many thousands of pounds.

The vault discovered in the vault centre of the South Aisle in 2009 has been shown to be an unusual double chamber, at 4.2 metres long, occupying the centre of the Aisle. This is thought to date from the 17-18th century. Substantial burials have been found to the East of the Aisle externally.

Over the last four centuries little new work has been added to the church, but various repairs have been carried out, including a major restoration programme in 1898 of the roofs and floors as described in a newspaper article of the time (see left). The architect was FC Lees of Victoria Street, Westminster. It appears that a North Porch was in existence and was either rebuilt or remodelled after 1898 according to the article. (See the restoration pages for details of works starting in 2014)

Over the years the glass in the windows has been replaced and there appears little or no documentation about the original or subsequent glass. In the lancet window in the north aisle there is a beautiful glass showing three pomegranates in tones of blue, turquoise and gold, (See picture right, Rena Pitsilli-Graham)

Nearby is a window designed and donated by Mrs Marjorie Crofts, depicting St. Francis of Assissi with rushes, poppies, and white dove and a kingfisher. This was made by Maile Studios of Canterbury and presented in 1995.

The main east window in the chancel is dedicated to the Goord family and dates from 1938. It was made by Celtic Studios of Swansea, a small studio founded in 1933 by Howard Martin and his cousin Hubert Thomas. They designed and made stained glass windows for houses, a cinema, a pub, chapels and churches and there is a large amount of their work in Toronto, Canada. The window here cost £409.10s and shows St. Peter and St. Paul with Christ in the centre panel. St Peter is holding two keys and St Pauls is holding a sword. No other examples of stained glass exist in the church.

Outside the church is a pretty lych gate in the boundary wall surrounding the churchyard. The wooden gates were given by the Bett family in 1995 in memory of Phillip Bett, a long standing and devoted church warden and servant of the church, (see pictures left, J Plumb).

On the outside wall by the south door is a holy water stoup, dating back some centuries. The church walls are constructed mostly of random rubble Kentish Ragstone. The church was listed Grade 1 in 1966. National Heritage defines this as 'of exceptional interest, sometimes considered to be internationally important; only 2.5% of listed buildings are Grade I.'

www.stpeterstpaulupperstoke.com/history

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THE last parish undescribed in this hundred, lies the next southward from that of Alhallows. A small part of it is within the hundred of Shamel. This place, as appears by the Textus Roffensis, was called Andscohesham in the time of the Saxons. In Domesday it is called Estoches and Stoches; and in later deeds by its present name of Stoke.

EADBERHT, king of Kent, gave part of his land for the good of his soul, and the remission of his sins, to the bishopric of St. Andrew, in Rochester, and Ealdulf, bishop of it, in the district called Hohg, at a place there called Andscohesham, containing, by estimation, ten ploughlands, together with all things belonging to it, in fields, woods, meadows, fisheries, saltpans, &c. according to the known and established bounds of it; which gift was confirmed by archbishop Nothelm and king Æthelberht, in the metropolitical city, in 738. This estate was afterwards wrested from the church of Rochester during the troublesome times of the Danish wars, and was afterwards purchased by earl Godwin of two men, who held it of the bishop of Rochester, and sold it without the bishop's knowledge. The earl was succeeded in it by his eldest son, earl Harold, afterwards king of England, after whose death, William the Conqueror attaining the crown, seised on all the late king's estates, and gave this manor, together with other land at Stoke, among other premises, to Odo, bishop of Baieux, his half brother. But Lanfranc, archbishop of Canterbury, recovered the manor of Stoke from him, in the solemn assembly held at Pinenden-heath, in 1076, and afterwards restored it, with its church, to Gundulph, bishop of Rochester, and the church of St. Andrew, (fn. 1) which gift was confirmed by archbishop Anselm, and by several of his successors, archbishops of Canterbury.

The manor of Stoke is thus described in the general survey of Domesday, taken about four years afterwards, under the general title of the bishop of Rochester's lands.

In How hundred. The same bishop (of Rochester) holds Estoches. In the time of king Edward the Confessor, it was taxed at five sulings, and now at three. The arable land is five carucates. In demesne there are two carucates, and 10 villeins, with five borderers, having 4 carucates. There is a church, and 4 servants, and 4 acres of meadow. In the time of king Edward, and afterwards, and now it was, and is worth eight pounds and 20 pence, and yet he who holds it pays 13 pounds and 20 pence.

This manor was, and is belonging to the bishopric of Rochester; but earl Godwin, in the time of king Edward, bought it of two men, who held it of the bishop, and this sale was made without his knowledge.

But after that, William being king, Lanfranc the archbishop recovered it against the bishop of Baieux, and from thence the church of Rochester is now seised of it.

Gundulph, bishop of Rochester, having divided the revenues of his church between himself and his convent, allotted this manor to the share of the monks, ad victum, that is, to the use of their refectory; (fn. 2) and the same was confirmed to them, by several of the succeeding kings, archbishops, and bishops of Rochester. (fn. 3)

On bishop Gilbert de Glanvill's coming to the see of Rochester in 1185, he found it much impoverished, by the gifts of several of the best estates belonging to it made by bishop Gundulph, to the monks of his priory. This occasioned a dispute between them, the bishop claiming this manor, among others, as having belonged to the maintenance of his table. In consequence of which, though he wrested the church of Stoke from them, yet they continued in possession of this manor, with its appendages, till the dissolution of the priory in the reign of king Henry VIII.

In the 7th year of king Edward I. the bishop of Rochester claimed certain liberties, by the grant of king Henry I. in all his lands and fees, and others by antient custom, in the lands of his priory in Stoke, and other lands belonging to his church; (fn. 4) which were allowed by the jury, as they were again in the 21st year of that reign, upon a Quo warranto; and again in the 7th year of king Edward II. and they were confirmed by letters of inspeximus, granted by king Edward III. in his 30th year. In the 21st year of king Edward I. on another Quo warranto, the prior of Rochester claimed that he and his predecessors had, in the manors of Stoke, &c. view of frank-pledge, from beyond memory, which was allowed by the jury. He also claimed free-warren, by grant from Henry I. but the jury found that neither he nor his predecessors had used it, therefore it was determined, that they should remain without that liberty, but king Edward I. by his charter, in his 23d year, granted that liberty to the prior and convent in all their demesne lands of this manor, among others; so that no one should enter on them, either to hunt, or to take any thing which belonged to warren, without their licence, on the forfeiture of ten pounds. In the 15th year of king Edward I. the manor of Stoke was valued at nine pounds.

On the dissolution of the priory of Rochester in the 32d year of king Henry VIII. this manor was surrendered, with the other possessions of it, into the king's hands, who presently after, in his 33d year, settled it, on his new-founded dean and chapter of Rochester, with whom the inheritance of it continues at this time.

There is a court-leet and court-baron held for this manor.

In 1720, Jacob Sawbridge, one of the South-Sea directors, purchased the lease of the manor-farm of Stoke, under the yearly rent of twenty eight pounds, clear of all taxes, the rack rent of which, was ninety pounds per annum. The present lessee is the Right Hon. John, earl of Darnley.

TUDERS, formerly spelt Teuders, is a manor in this parish, which antiently was held of the bishop of Rochester, as of his manor of Stoke.

In the 12th year of king John, this estate was held by Hugo de Stokes, as half a knight's fee, of the bishop of Rochester, by knight's service. (fn. 5) His descendant, Theodore de Stokes, afterwards possessed it, (fn. 6) and ingrafted his name on it; for from that time this manor was called Theodores, and for shortness, Tudors; and Philipott says, he had seen an antient roll of Kentish arms, wherein Tudor of Stoke bore the same coat armour with Owen Theodore, vulgarly called Tuder, being Azure, a chevron between four helmets argent.

After this name was extinct here, this manor came into that of Woodward; one of whom, Edward Woodward, possessed it at the latter end of Henry VIII's reign. His descendant, in the beginning of the reign of queen Elizabeth, conveyed it to John Wilkins gent. of Stoke parsonage, who died in the 19th year of that reign, and was succeeded in it by his kinsman and heir, George Wilkins, gent. who married Elizabeth, one of the daughters of Mr. John Copinger, of Alhallows, by whom he left no issue. He lies buried in this church. His arms were, Gules, on a chevron argent, a demi lion between two martlets sable, between three welk shells or; one of whose descendants, about the beginning of king Charles I's reign, alienated it to Bright, and Edward Bright, clerk, died possessed of it in the year 1670, on which this estate, by virtue of a mortgage term, passed into the possession of William Norcliffe, esq. of the Temple, London, whose widow possessed it after his decease, and since her death it is become the property of the Rev. Mr. Henry Southwell, of Wisbeach, in the Isle of Ely, who is the present owner of it.

Hugo de Stokes, owner of this manor in the reign of king Stephen, gave the tithes of it to the monks of St. Andrew's, in Rochester, to whom it was confirmed by archbishop Theobald, and the prior and convent of Canterbury, (fn. 7) and by several bishops of Rochester. (fn. 8)

At the dissolution of the priory, in the 32d year of king Henry VIII. this portion of tithes, together with the rest of the possessions of the monastery, was surrendered into the king's hands, who settled it next year, on his new-erected dean and chapter of Rochester, where it now remains.

This portion of tithes, called Tudor's portion, was surveyed soon after the death of king Charles I. in 1649, when it was returned, that the same arose out of the tenement of Tudors, and several other tenements, called Bartons, in the parish of Stoke, with six fields, containing by estimation, fifty-three acres; the improved value of which premises was five pounds per annum, all which were let by the late dean and chapter, anno 3 king Charles I. to Sarah Wilkins, at 6s. and 8d. per annum.

The present lessee is Baldwin Duppa Duppa, of Hollingborne, in this county.

MALMAYNES is a manor in this parish, now commonly known by the name of Maamans Hall, which was given, as well as that of Stoke, by the Conqueror, at his accession to the crown, to his half-brother, Odo, as has been already mentioned; and when archbishop Lanfranc recovered the latter from the bishop, at the noted assembly of the county at Pinenden, as having before belonged to the church of Rochester, this manor was then likewise in his possession. Accordingly it is thus entered in the survey of Domesday, under the general title of that prelate's lands:

The same Ansgotus (de Rochester) holds of the bishop (of Baieux) Stoches. It was taxed at two sulings. The arable land is two carucates, and there are in demesne . . . with seven borderers. There is one fishery of two shillings. In the time of king Edward, and afterwards, it was worth one hundred shillings, now one hundred and ten shillings. Anschil held it of king Edward.

On the disgrace of the bishop of Baieux in 1083, this, among the rest of his estates, was confilcated to the crown. After which it became part of the possessions of the family of Malmaines, a branch of which resided here, and fixed their name on it. John de Malmaines, son of Henry, died possessed of it in the 10th year of king Edward II. In the 20th year of king Edward III. the heirs of Thomas de Malmayns, of Hoo, paid aid for three quarters of a knight's fee, which John Malmayns before held here of the king.

Richard Filiot seems soon afterwards to have been in possession of this manor, which passed from him into the family of Carew, and Nicholas Carew, of Bedington, in Surry, died possessed of it in the 14th year of king Richard II. His son, Nicholas de Careu, armiger, de Bedington, as he wrote himself, (fn. 9) in the 9th year of king Henry V. conveyed this manor by sale to Iden; from which name it passed, in the latter end of king Henry VIII's reign, to John Parker, whose arms were, Sable, on a fess ingrailed argent, between three hinds tripping or, three torteauxes, each charged with a pheon of the second, which coat is now quartered by lord Teynham. (fn. 10) His sole daughter and heir, Elizabeth, carried it in marriage to John Roper, esq. of Linsted, who was first knighted, and afterwards created baron of Teynham, in this county. His son, Christopher, lord Teynham, died in 1622, and by his will devised this manor to his second son, William Roper, esq. who alienated it, in the reign of king Charles I. to Jones, in whose descendants it continued till the reign of king George I. when it passed by sale from them to Baldwin Duppa, esq. who died in 1737, and his son, Baldwin Duppa, esq. of Hollingborne-hill, possessed it at his death in 1764, since which it has continued in the same family the present owner, being Baldwin Duppa Duppa, esq. of that place.

Sir John Malmeyns, of this parish, in 1303, made his petition to Robert, abbot, and the convent of Boxley, appropriators of this church; that as he was, on account of his house being situated at such a distance from the parish church, often prevented from attending divine service there, he might be enabled to build an oratory, for himself and his family, on his own estate, and might have a priest to celebrate divine services in it. To which the abbot and convent assented, provided, as far as might be, no prejudice might by it accrue to the mother church, themselves, or the vicars of it, which licence was confirmed by Thomas, bishop of Rochester, that year.

RALPH MALESMÆINS, about the reign of king Henry I. became a monk of the priory of St. Andrew, in Rochester, and on that account granted to the monks there his tithes of Stoches; and after his death Robert Malesmæins, his son, confirmed it, as did Theobald, archbishop of Canterbury, Ralph, prior and the convent of Canterbury, and several of the succeeding bishops of Rochester.

At the dissolution of the priory of Rochester, in the 32d year of king Henry VIII. this portion of tithes was surrendered into the king's hands, who granted it the nextyear, by his dotation charter, to his new-erected dean and chapter of Rochester, where the inheritance of it now remains.

The present lessee, under the dean and chapter, is Baldwin Duppa Duppa, esq. of Hollingborne-hill.

Reginald de Cobham, son of John de Cobham, possessed lands in this parish, and in the 14th year of king Edward III. procured free-warren in all his demesne lands in Stoke.

King Henry VIII. in his 32d year, granted to George Brooke, lord Cobham, a marsh, called Coleman's, alias Bridge-marsh, lying in Oysterland, alias Eastland, in Stoke; and other premises, parcel of the priory of Christ-church, to hold in capite, by knights service.

CHARITIES.

RICHARD WHITE, of Chalk, gave by will in 1722, an annual sum of money to the poor of this parish not receiving alms, vested in Mr. John Prebble, and of the yearly product of ten shillings.

STOKE is within the ECCLESIASTICAL JURISDICTION of the diocese and deanry of Rochester. The church, is dedicated to St. Peter.

In the chancel are these brasses: one for John Wilkins, gentleman, born in this parish, married Elizabeth, daughter of John Coppinger, esq. of Alhallows, obt. s. p. 1575, arms, Wilkins impaling Coppinger, and other coats, one for William Cardiff, B. D. vicar, obt. 1415; another for Frances Grimestone, daughter of Ralph Coppinger, esq. and wife of Henry Grimestone, esq. obt. 1608.

This church was antiently an appendage to the manor of Stoke.

King Henry I. gave his tithe of Stoke to the church of St. Andrew, and Gundulph, bishop of Rochester, and when he allotted the manor of Stoke to the share of the monks of his convent, the church passed as an appendage to it, and it continued with them, till bishop Gilbert de Glanvill took this church, among other premises, from them, and annexed it again to his see, where it remained till Richard, bishop of Rochester, with the consent of his chapter, granted the appropriation of it to the abbot and convent of Boxley for ever; saving the portions of tithes, which the prior and convent used to take, from the demesnes of Sir Henry Malmeyns, and those arising from the free tenement of Theodore de Stokes, and the portion of four sacks of wheat due to the almoner of Rochester, and of four sacks of wheat due to the lessees of St. Bartholomew, which they used to take by the hands of the rector of the church, and which for the future they should receive by the hands of the abbot and convent, saving also all episcopal right, and a competent vicarage to be assessed by him, which instrument was dated in 1244. Soon after which, the bishop endowed this vicarage as follows:

First, he decreed, that the perpetual vicar of it should have all the altarage, with all small tithes, excepting hay, which should remain to the parson; and that he should have the chapel, and the cemetery of it, and the crost adjoining, and one mark of silver yearly, at the hand of the parson of Stoke, and that the vicar should sustain all burthens due and accustomed, and contribute a third part to the repair and amendment of the chancel, books, vestments, and other ornaments.

Richard, bishop of Rochester, in 1280, at the instance of the prior and convent of Rochester, made enquiry in what manner the monks used antiently to retain their tithes in their manors, and in what manner they used to impart them to the parish churches of the same, when it was certified, that in the manor of Stoke, the parish church took the whole tithes of sheaves only, but of other small tithes, as well as of mills and hay, it did not, nor used to take any thing; and he decreed, that the parish church of Stoke should be content with the tenths of the sheaves of all kind of corn only. All which was confirmed to them by John, archbishop of Canterbury, by his let of inspeximus, in the year 1281.

In 1315 the abbot and convent of Boxley, as appropriators of the church of Stoke, claimed an exemption of tithes for a mill newly erected by them in the parish of Halstow, for the herbage of their marsh of Horsemershe, and for the rushes increasing, and the lambs feeding in it, before Walter, archbishop of Canterbury, and his commissaries, then visiting this diocese, as metropolitan, which claim was allowed by the decree of the archbishop, &c. that year.

On the dissolution of the abbey of Boxley, in the 29th year of king Henry VIII. the church and vicarage of Stoke, together with the rest of the possessions of that monastery, were surrendered into the king's hands.

Soon after which, this rectory, with the advowson of the vicarage, was granted by the king to William Goodwyn, to hold in capite by knights service, and he, in the 36th year of that reign, alienated it with the king's licence, to John Parke, whose only daughter, Elizabeth, carried these premises in marriage to John Roper, esq. of Linsted, afterwards created lord Teynham; who in the 9th year of queen Elizabeth, alienated them to John Wilkins, gent. (fn. 11) who levied a fine of them in Easter term, anno 17 of that reign, and died possessed of them in the 19th year of it. He was succeeded in this parsonage and advowson by his kinsman and heir, George Wilkins, one of whose descendants, in the beginning of king Charles I's reign, alienated them to Bright, from which name they were sold to Baldwin Duppa, esq. since which they have passed in like manner as Malmains-hall, before described, to Baldwin Duppa Duppa, esq. the present proprietor of the parsonage and advowson of the vicarage of Stoke. The rectory of Stoke pays a fee farm to the church of ten shillings and eight-pence per annum.

The vicarage of Stoke is a discharged living in the king's books, of the clear yearly certified value of thirty pounds, the yearly tenths being 17s. 2d.

In 1650, this vicarage, on the survey then taken of it, was valued at forty pounds, (fn. 12) Mr. Thomas Miller, then incumbent.

¶NICHOLAS DE CARREU, senior, lord of the manor of Malmeynes, in this parish, with the licence of king Edward III. which was afterwards further renewed and confirmed by king Richard II. in the 12th year of that reign, anno 1388, founded A CHANTRY for two priests in this church of Stoke; and he then, by his deed, endowed it with one messuage and one acre of land, in this parish, for their habitation and their maintenance, an annual rent of twenty-four marcs out of his manor, called Malemeynesemanere, which was confirmed by William, bishop of Rochester, who with the consent of his convent, made rules and orders for their presentation and admission, from time to time, and for the good order and celebration of divine rites in it, to which instrument the bishop, the prior and convent of Rochester, Nicholas de Carreu, and John Maister, and John Buset, chantry priests, severally set their seals.

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Title: United States Naval Medical Bulletin Vol. 3, Nos. 1-4, 1909

Creator: U.S. Navy. Bureau of Medicine and Surgery

Publisher:

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Date: 1909

Language: eng

Table of Contents

Number 1

Preface vii

Special articles 1

The artificial illumination of naval vessels (a study in naval

hygiene), by J. D. Gatewood 1

A simple operation for hemorrhoids, by H. F. Hull 22

Suggested devices 25

A metal suspensory, by W. B. Grove 25

A short and accurate method of calculating the age in years and months,

by E. M. Brown 25

Card for index system to be used in preparing smooth quarterly form

"X" at recruiting stations, etc., by C. R. Keen 27

Clinical notes 29

A case of angina Ludovici, by W. S. Pugh 29

A case of Vincent's angina, by G. F. Clark 31

Rupture of the iris; two cases, by R. K. Riggs 32

Wood alcohol poisoning; 13 cases, 3 deaths, by R. A. Baehmann 33

A case of virulent chancroids, by D. C. Gather 36

A case of septicemia successfully treated with Steam's streptolytic

serum by M. F. Gates . 39

An unusual case of undescended testicle, by E. M. Brown 39

Current comment 41

United States Pharmacopeial Convention 41

Concerning extracts or abstracts for publication 4l

Measuring the height of recruits 43

Suggestions for the study of heat exhaustion 44

Perfected routine of dosage, etc., in the treatment of tuberculosis by

the administration of mercury, by B. L. Wright 46

Has the chemical examination of water practical value to the military medical

officer? by P. '.T'. Waldner 47

An aid in throat and laryngeal examinations, by E. M. Brown 50

Progress in medical sciences 51

Laboratory —An anatomical peculiarity noted in specimens of hook worm

from Culebra 51

Preliminary note on the lesions of anchylostomiasis in the intestines of

dogs, by O. J. Mink 51

Preliminary note on nematode found in the liver of a wild rat, by O.

J.Mink 52

Chemistry and pharmacy — Note on the disintegration of tablets;

influence of benzoic acid and benzoates on digestion and health: address on the

clinical examination of urine, with especial reference to estimation of urea;

determination of pepsin by the edestin test, E. W. Brown and P. J. Waldner 52

Surgery —Review of advances; the operative treatment of recent

fractures of the femoral shaft; the treatment of fractures by mobilization and massage;

has surgical treatment lessened mortality from appendicitis; when to operate

for appendicitis; diffuse septic peritonitis, due to appendicitis; local

anesthesia of a limb by venous transfusion after expulsion of blood; on

narcosis under an artificially restricted circulation; the correlation of

glands with internal secretion; improved technique for the detection of

tubercle bacilli in the urine; relief of the wounded during battle, H. C. Curl

and H. W. Smith 54

Pathology and bacteriology —On the so-called fatty degeneration of the adrenals;

three cases of squamous celled carcinoma of the gall bladder; the practical

value of the demonstration of spirochaeta pallida in the early diagnosis of

syphilis; C. 8. Butler and O. J. Mink 65

Medical zoology — Plague in ground squirrels (a review); the prevalence

and distribution of the animal parasites of man in the Philippine Islands, with

a consideration of their possible influence on the public'

health; preliminary note on a protozoan in yaws; the intestinal protozoa

of man, R. C. Holcomb • 67

Tropical medicine — Ankylostomiasis in the Tropics; bilharziasis among women

and girls in Egypt; a report of several cases with unusual symptoms caused by

contact with some unknown variety of jellyfish; the diagnosis of latent

malaria; haemolysins and antihaemolytic substances in the blood of malarial

patients, E. R. Stitt 73

General medicine —The direct inspection of the gastric mucous membrane;

toxemia from the standpoint of perverted metabolism; a rapid method of

test-meal removal, lavage, and inflation; the therapeutics of diseases which

involve the internal secretions (mercury in the treatment of tuberculosis — its

mode of action —a warning); Flexner's serum in the treatment of epidemic

cerebrospinal meningitis; vascular crises; the curative influence of extracts

of leucocytes upon infections in animals, R. M. Kennedy 77

Hygiene and sanitation —Koch's standpoint with reference to the

question of the relation between human and bovine tuberculosis; the prevention of

tuberculosis; tropical lands and white races; sanitary report of the operations

of the naval expeditionary corps (German) in southwest Africa and in east

Africa; growth and naval military service; a study in measurements of cadets at

the naval school; on growth in height of youths serving their time in the army;

the value of fencing as a sport from hygienic and ethical point* of view; on-

the significance of the ophthalmo-reaction for the army; hematuria caused by a

parasite akin to bilharzia; the complex nature of typhoid etiology and the role

played by animals and man in the spread of the typhoid group of diseases; amoebae

carriers, H. G. Beyer 90

Reports and letters 195

Annual meeting of the American Pharmaceutical Association, Alrik Hammar,

delegate 105

Report of an epidemic of typhoid on the U.S.S. Maine, by M. S.

Elliott. 106

Report of an epidemic of grippe on the U. S. S. Charleston, by M. F.

Gates. 109

Number 2

Preface vii

Special articles 111

The treatment of tuberculosis and the results observed during the year 1908

(at the United States Naval Hospital, Las Animas, Colo.), by B. L. Wright 111

Laboratory studies and observations during the year 1908 (at the United

States Naval Hospital, Las Animas, Colo.), by A. B. Clifford 114

Tonsillar hypertrophy; a menace to the service, by B. F. Jenness 120

The ice bag in the treatment of typhoid fever, by G. Tucker Smith 122

Treatment of typhoid fever by colon irrigations, by the late C. G.

Alderman 124

Suggested devices 129

Description of a pit incinerator furnace, by R. C. Holcomb 129

Clinical notes 131

Report of a case of malignant endocarditis, following chancroid, by I.

Franklin Cohn 131

A case of multiple infected wounds from bear bite, by C. C. Grieve 132

A case presenting successive liver abscesses, by H. C. Curl and H. W. Smith

134

Cerebro-spinal fever, by J. G. Field 135

Current comment 141

Gangosa in Haiti 141

Hookworm disease in recruits from the Southern States 141

Care of ears and eyes in the Japanese navy 142

The question of ear protection in the British navy 142

Report relative to a series of experiments conducted on board the U. S.

S. Ohio during target practice, with "Plasticine" for the protection

of the ear drums during heavy gun fire, by W. M. Garton 142

Hygienic rules, with particular reference to venereal prophylaxis, in

the Austro-Hungarian navy 144

Experiments with gonococcic vaccine, by W. M. Garton 145

Thyroidal enlargement among applicants for enlistment in the Northwest,

by W. A. Angwin 147

Progress in medical sciences 148

Laboratory — Sterilization of catgut, by H. W. Smith 148

Chemistry and pharmacy — Fluidglycerates, pharmaceutical and physiological

aspect; the importance and significance of the chemical examination of the

gastric contents after a test meal, with a new method for estimating the

ferment activity of the gastric contents; demonstrations of enzymes and

antienzymes; studies on the chemistry of anaphylaxis; the clinical value of

viscosity determination; the viscosity of the blood; the detection and

quantitative determination of B-oxybutyric acid in the urine; a new method for

the quantitative estimation of albumin in the urine; concerning the diagnostic

value of Cammidge crystals in pancreatic diseases, E. W. Brown and P. J.

Waldner 150

Surgery — Review of advances; cerebral decompression; operative treatment

of acute gonorrheal epididymitis; appendectomy in diffuse septic peritonitis;

concerning technique of skin grafting; treatment of hypertrophy of the prostate

by injections of alien blood; the value of the Cammidge reaction in the diagnosis

of pancreatic disease; the Cammidge reaction in experimental pancreatitis; the

syphilis case sheet; the thymus in Basedow's disease; the effect of mammalian

pituitary on tetany after parathyreoidectomy, and upon the pupil; hemorrhage in

jaundice controlled by blood transfusion; on the haematogenic origin of

purulent nephritis through the staphylococcus; the snapping hip; three cases of

liver abscess treated by aspiration and injection of quinine, H. C. Curl and H.

\V. Smith: 156

Pathology and bacteriology — Widal’s

reaction with sterilized cultures; a new medium for typhoid work; report on a

further series of blood cultures from seventy-four cases of typhoid and

paratyphoid fever; the histology of liver tissue regeneration; typhoid bacilli

and gall bladder; the occurrence and distribution of the spirochaeta pallida in

congenital syphilis; experiments on the differentiation of cholera and

cholera-like vitrios by complement fixation;

C. S. Butler and O. J. Mink 166

Medical zoology —What is "schistosoma mansoni;" pulmonary

bilharziasis; filariasis and elephantiasis in southern Luzon; the diagnosis of African

tick fever from the examination of the blood; the parasite of

Kula Azar and allied organisms; a new human nematode-strongylus gibsoni;

report of the Permanent Commission for the Suppression of Uncinariasis; on the

supposed occurrence of the filaria immitis in man, R. C. Holcomb 174

Tropical medicine —An inquiry concerning the etiology of beriberi; have

trypanosomes an ultramicroscopical stage in their life history?; atoxyl as a

curative agent in malaria, E. R. Stitt 179

General medicine —The treatment of acute inflammatory conditions by

Bier's hypertemia; treatment of tetanus with subarachnoid injections of

magnesium sulphate; the serum diagnosis of syphilis; tubercle bacilli in the

sputum; a summary of the most recently published work on the doctrine of

opsonins; experimental investigation on "simple continued fever," H.

M. Kennedy 182

Hygiene and sanitation —On the application of heat for the purification

of water with troops in the field; catarrhal icterus of eberthian origin; the epidemic

of typhoid fever on H. M. S. Regina Elena; the treatment of sweat-foot in the

army; a contribution to our knowledge of the spread of cerebro-spinal

meningitis; on book disinfection on the large scale; the etiology of impetigo

contagiosa; tuberculosis in the British army and its prevention; symptoms that

may be attributed to soldering with the oxyhydrogen

flame; tactics and the health of the army, H. G. Beyer 189

Reports and letters 203

Seventeenth annual meeting of the Association of Military Surgeons,

Manley H. Simons, delegate 203

Report and recommendations of a board of officers, convened at the navy-yard,

Mare Island, Cal., on the precautionary methods to be taken to prevent the invasion of bubonic

plague at that station 205

Number 3

Preface VII

Special articles 211

Notes on the treatment of elephantiasis by the internal administration

of tinctuia ferri cbloridi, by P. S. Rossiter 211

A few notes on syphilis, by W. J. Zalesky 215

A note on the pathology of epidemic asthma, by O. J. Mink 222

Report on sixteen cases of heat prostration, with remarks on etiology,

by A. G. Grunwell 223

Reviews 231

Liver abscess from the point of view of etiology and prophylaxis; pathology

and differential diagnosis; and treatment (3 papers), by G. B. Crow,, J. A. B.

Sinclair, and J. F. Cottle 231

Suggested devices 245

Appliances improvised on sick bay bunks, by C. M. De Valin 245

Clinical notes 247

A case of fracture of patella, with operation at sea, by N. J.

Blackwood.. 247

A case of n current nasal hemorrhage, by Raymond Spear 250

A case of traumatic pneumonia, by C. F. Sterne 252

A case of liver abscess, by M. A. Stuart 254

Current comment 255

Hospital corps efficiency report 255

Physical defects found on reexamination of recruits 255

Some observations on the berthing of enlisted men of the navy, with suggestions

for improvement, by L. W. Curtis 256

The value of a chemical examination of water, by E. R. Noyes 257

Progress in medical sciences 267

Laboratory —A method for the preparation of flat worms for study, by O.

J. Mink and A. H. Ebeling .. 267

The formalin method for the clinical estimation of ammonia in the

urine, by E. W. Brown 269

Bang's method for estimation of sugar in the urine; the Edestin method for

the estimation of pepsin in stomach contents 273

Chemistry and pharmacy — Concerning the fractional precipitation of

albumin in the spinal fluid of normal cases luetics, functional and organic nervous

diseases and their bearing upon the differential diagnosis of dementia

paralytica, tabes dorsalis, tertiary and late syphilis; quantitative determination

of several sugars in the presence of each other in diabetic urines; the butyric

reaction for syphilis in man and in the monkey; excretion of amino acids in

pregnancy and after parturition; the relation between the protein content of

the blood serum and that of serous fluids; the further separation of antitoxin

from its associated proteins in horse serum, E. W. Brown and P. J. Waldner...276-279

Surgery —The Hodgen splint; surgical anemia and resuscitation; mechanism

underlying artificial respiration; a new theory of surgical shock; carbon

dioxide snow in the treatment of augioma; bursitis subacromialis, or

periarthritis of the shoulder joint; report on the local anesthetics recommended

as substitutes for cocaine; further researches on the etiology of endemic

goiter; auto- and iso-transplantation, in dogs, of the parathyroid glandules;

partial, progressive, and complete occlusion of the aorta and other large

arteries in the dog by means of the metal band; C. F. Stokes, R. Spear, and H.

W. Smith 279-289

Pathology and bacteriology —A simple method for the diagnosis of

syphilis; differential methods for detecting the typhoid bacilli in infected

water and milk; a peculiar intralobular cirrhosis of the liver produced by the protozoal

parasite of kala azar; the pathological anatomy of atoxyl poisoning; an

observation on the fate of B. Bulgaricus in the digestive tract of a monkey; a

contribution to the pathology of the spleen; a note, on the histology of a caue

of myelomatosis with Bence-Jones protein in

the urine; a new method for the recognition of indol in media; the rapid

diagnosis of rabies (a new stain for negri bodies); C. S. Butler and O. J. Mink

289-297

Medical zoology —Anew intestinal trematodeof man; some applications of the

precipitin reaction in the diagnosis of hydatid disease; bilharzia, hematobia,

and circumcision; trichocephaliasis; R. C. Holcomb ...... 297-306

Tropical medicine — Rice and beriberi; on the etiology of ulcerative

granuloma of the pudenda; amaebic dysentery with abscess of the liver in a patient

who had never been out of England; E. R. Stitt 306-308

General medicine —The dietetic treatment of diabetes; artificial

hyperemia in the treatment of pulmonary tuberculosis; remarks on the treatment of

gastric ulcer by immediate feeding; present status of the tuberculin tests; T.

W. Richards S0S-315

Hygiene and sanitation — On 'a new and practical method of securing bodily

cleanliness for our men on board ship; on the heat-conducting power of linoleum

as compared to that of floors made of wood or of

betone; on the discrimination of unrecognized diseases and on a disease

of overcrowding in ships, especially at

Malta; H. G. Beyer 315-320

Reports and letters 321

Guam; reports on health and sanitation for the years 1907 and 1908, by F.

E. McCullough and G. L. Angeny. 321

Number 4

Preface vii

Special articles 335

The hospital camp at Norfolk, Va., by P. A. Lovering 335

The teaching of tropical medicine outside of the Tropics, by E. R.

Stitt 308

Ethyl chloride as a general anaesthetic, by L. W. Johnson 344

Chronic nephritis in recruits, by B. F. Jenness 347

Supplementary report on the investigation of Samoan conjunctivitis, by P.

S. Rossiter 349

Points on embalming practicable on board ship, by C. Schaffer 351

Reviews 355

Surgical shock; a review of recent literature, by H. W. Smith 355

Suggested devices 365

Installation of an X-ray apparatus on the U. S. S. Maryland, by A.

Farenholt 365

Method of fumigation of vessels at Hamburg 368

An oxygen apparatus 370

An easily constructed bunk tray, by C. M. Oman 371

Clinical notes 373

Operations upon the kidney. United States naval hospital, New York, by G.

T. Smith 373

A report on two cases of dentigerous cysts, by D. N. Carpenter 374

A case of mammary development in the male, by E. M. Brown 376

Operative treatment of epididymitis, by W. S. Pugh, Jr 376

Two cases from report of U. S. S. Hancock—1908: (1) Retinal hemorrhage,

(2) myocarditis with rupture, by P. Leach 377

A case of fracture of the skull; operation and recovery, by F. W. F.

Wieber. 378

Carron oil in the treatment of otitis media suppurativa (acuta), by R.

E. Riggs 379

Fracture of skull and gunshot wound of lung, with recovery, by W. S.

Pugh, Jr ..... 381

Two unusual appendix cases, by R. R. Richardson 382

Proctoclysis in typhoid fever, by C. F. Stokes 384

Current comment 385

Subscription price of the Bulletin 385

Note on New York Post-Graduate Medical School 385

Note on contributions to the Bulletin 385

Note on annual meeting of American Medical Association on revision of pharmacopeia

386

Note on inquiry concerning clothing in the Tropics 386

Note on publicity concerning venereal disease in California 387

Review of Gatewood's Naval Hygiene 387

Note on the work at Tay Tay 388

Medical examination of army recruits, by A. E. Peck 389

Notes on the treatment of syphilis, by W. S. Hoen 391

Views on the treatment of typhoid fever, by H. A. May 393

Progress in medical sciences 397

Laboratory —Benedict's method for the estimation of glucose in the

urine; estimation of uric acid in the urine, Folin-Schaffer; clinical method

for the estimation of uric acid, modification of the Folin-Schaffer process; test

for blood in the urine; two methods for the estimation of albumin in the urine,

by O. J. Mink and E. W. Brown 397

Chemistry and pharmacy —The excretion in urine of sugars other than

glucose; experiments and experiences, pharmacological and clinical, with

digitalis, squill, and strophanthus; a reagent for the detection of reducing

sugars; on the antagonism of alcohol to carbolic acid ; the antitoxic activity

of iodine in tuberculosis; new experiments on the physiological action of

sulphuric ether; contribution to the physiology of the glands —further

contributions on the function of the spleen as an organ of iron metabolism;

modifications in the chemical composition of the blood serum in victims of

carbon dioxide poisoning, by P. J. Waldnerand C. Schaffer 402

Pathology and bacteriology —Studies on typhoid fever; chloroform

poisoning — liver necrosis and repair; the importance of blood cultures in the

study of infections of otitic origin; the cultivation of the spirocheeta

pallidum; the cultivation of the bacillus leprae; the chemistry of the liver in

chloroform necrosis; the present status of the whooping-cough question; the

conveyance of whooping cough from man to animals by direct experiment; serology

of syphilis, by C. S. Butler and O. J. Mink 407

Medical zoology — Schistosomiasis at Bahia; contribution to the study

of schistosomiasis in Bahia, Brazil; notes on malaria and kala-azar; endemic

amoebic dysentery in New York, with a review of its istribution in North America; filaria

(microfilaria) philippinensis; the distribution of filaria in the Philippine

Islands; acariens and cancers—acariens and leprosy; necator americanus in

Ceylon; anaemia due to trichocephalus dispar; study of the protozoa of J. H.

Wright in sixteen cases of Aleppo boil, by R. C. Holcomb 411

Tropical medicine — Infantile kala-azar; on the identity of beri-beri

and epidemic dropsy; Malta fever in South Africa; leprosy in the Philippine

Islands and its treatment; the various types of plague and their clinical

manifestations, by C. S. Butler 417

Hygiene and sanitation —The means by which infectious diseases are

transmitted; a critical study of the value of the measurements of chest expansion

and lung capacity; notes on the sanitation of yellow fever and malaria; the

house fly as a disease carrier, by H. G. Beyer 419

General medicine —A study of the aural and laryngeal complications of

typhoid fever, especially as observed in hospital practice; the problem of

cancer considered from the standpoint of immunity; nine cases of typhoid fever

treated with an antiendotoxic serum, by T. W. Richards 425

Surgery —Some practical points in the application of the bismuth paste

in chronic suppurative diseases; the sequence of the pathological changes in appendiceal

peritonitis; direct blood transfusion by means of paraffin-coated glass tubes;

the use of animal membrane in producing mobility in ankylosed joints, by C. F.

Stokes and R. Spear 431

Reports and letters 489

American Medical Association, by M. F. Gates 439

Report on the Second International Conference for Revision of Nomenclature

of Diseases and Causes of Death, by F. L. Pleadwell 445

Report upon medical relief measures at Messina, Sicily, by M. Donelson.

. 449

Reports of medical relief measures at Adana, Turkey, by J. T. Miller

and L. W. McGuire 452

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This image is taken from United States Naval Medical Bulletin Vol. 9, Nos. 1-4, 1915 by Medical Heritage Library, Inc.

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Title: United States Naval Medical Bulletin Vol. 9, Nos. 1-4, 1915

Creator: U.S. Navy. Bureau of Medicine and Surgery

Publisher:

Sponsor:

Contributor:

Date: 1915

Language: eng

Table of Contents

Number 1

PREFACE v

SPECIAL ARTICLES:

Shock, anoci-association and anesthesia.

By Surg. A. M. Fauntleroy 1

The proposed personnel, organization, and equipment of a hospital ship

By Surg. E. M. Blackwell and Chief Pharm. O. G. Ruge 28

The application of Wassermann's reaction to the SOLUTION OF THE

ETIOLOGY OF TROPICAL ULCERATIONS.

By Surg. C. S. Butler 51

Some theories as to the origin of Jackson's veil.

By Asst. Surg. J. M. Lynch, M. R. C 62

A RESUME OF ETIOLOGICAL FACTORS CONCERNED IN YELLOW FEVER.

By Passed Asst. Surg. C. B. Camerer 65

Some observations on the examination of recruits.

By Passed Asst. Surg. J. J. S. McMullin 70

Experience of a surgeon during the occupation of Vera Cruz.

By Asst. Surg. G. T. Vaughan, M. R. C 75

Experiences with marine expeditionary force in Mexico.

By Asst. Surg. R. M. Little, M. R. C 76

Treatment of chronic posterior urethritis.

By Medical Inspector G. T. Smith 80

A NEW METHOD OF EXAMINING STOOLS FOR EGGS.

By Passed Asst. Surg. C. M. Fauntleroy, Public Health Service, and Passed

Asst. Surg. R. Hayden 81

An account of the yellow fever which prevailed on board the United

States Ship Jamestown in 1866-67 at Panama.

By Passed Asst. Surg. W. M. Kerr 82

UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:

Additions to the pathological collection 111

Additions to the helmintholoqical collection 111

SUGGESTED DEVICES:

A card index of specific cases.

By Passed Asst. Surg. R. B. Henry 113

The otoscope as an anterior urethroscope.

By Passed Asst. Surg. W. G. Steadman, jr 114

CLINICAL NOTES:

Advance report concerning heliotherapy and ionic medication as employed

at Las Animas, Colo.

By Passed Asst. Surg. C. J. Holeman 119

Compound comminuted fracture of skull.

By Passed Asst. Surg. T. W. Raison 120

A case of reamputation of the leg.

By Surg. R. Spear 122

Tenoplasty for contracture of hamstring tendons.

By Surg. R. R. Richardson 123

Neosalvarsan and mercury in unilateral luetic palsy of abducens.

By Asst. Surg. S. Walker, M. R. C 124

EDITORIAL COMMENT:

Southern Medical Association 127

The William A. Herndon Scholarships, University of Virginia 127

PROGRESS IN MEDICAL SCIENCES:

General medicine. —-The diagnosis and treatment of cholecystitis. The duration

of infection in scarlet fevor. By L. W. Johnson. Diphtheria mortality with and

without the use of antitoxin. By W. E. Eaton.

Observations on the Wassermann reaction. By R. Sheehan 129

Mental and nervous diseases. —The role of hypnotics in mental disease

with indications for their selection and employment. Hereditary ataxia. Psychic

disturbances of dengue. By R. Sheehan 133

Surgery.— Medical arrangements of the British Expeditionary Force. The

home hospitals and the war. The wounded in the war; some surgical lessons. By

L. W. Johnson. The significance of the Jackson veil.

The fate of transplanted bone and the regenerative power of its various

constituents. A plea for the immediate operation of fractures. By A. M.

Fauntleroy and E. II. H. Old 140

Hygiene and sanitation. —Study of a swimming pool with a return purification

system. The period of incubation of diphtheria cultures. Subsistence on board

battleships. The chemical disinfection of water.

Sterilization of water supplies for troops on active service. The

Lettsomian lectures on dysentery. Antimosquito work at Panama. By C. N. Fiske

and R. C. Ransdell 147

Tropical medicine. —Malaria and the transmission of diseases. Prevention

of malaria in the troops of our Indian empire. Researches in sprue. By E. R.

Stitt 152

Pathology, bacteriology, and animal parasitology. —Is pellagra due to

an intestinal parasite? By C. N. Fiske. Laboratory studies on tetanus. The

cultivation of the tubercle bacillus. The bacteriology of pyorrhea alveolaris.

Experimental production of purpura in animals. By A. B. Clifford and G. F.

Clark 156

Chemistry and pharmacy.—On the influence of atmosphere, temperature, and

humidity on animal metabolism. The influence of moisture in the air on

metabolism in the body. Biochemical studies of expired air in relation to

ventilation. The absorption of protein and fat after resection of one-half of

the small intestine. By E. W. Brown and O. G. Ruge. . . 158

Eye, ear, nose, and throat. —Relation of arterial hypertension to subconjunctival

hemorrhage. Ocular manifestations of arteriosclerosis and their diagnostic and

prognostic significance. Salvarsan treatment and optic neuritis. Eye in

locomotor ataxia. The direct method of the intralaryngeal operation.

Inflammation of the accessary sinuses. Normal horse serum in hemorrhage from

nose and throat operations. Tonsillectomy, its indications and choice of

operation. The correction of nasal deformities by mechanical replacement and

the transplantation of bone. By E. J. Grow and G. B. Trible 162

REPORTS:

Points of interest about the Mexican constitutionalist wounded at

Mazatlan.— By Surg. P. S. Rossiter 167

Sanitary report of marine brigade. —By Surg. D. N. Carpenter 173

Report of work at the field hospital of the marine brigade, Vera Cruz,

Mexico. —By Surg. D. N. Carpenter 177

Number 2

PREFACE vii

SPECIAL ARTICLES:

The operative treatment of chronic intestinal stasis.

By Asst. Surg. W. S. Bainbridge, M. R. 0 179

Symposium on intelligence tests.

Service use of intelligence tests.

By Passed Asst. Surg. R. Sheehan 194

The value of the mental test and its relation to the service.

By Passed Asst. Surg. G. E. Thomas 200

Mental defectives at Naval Disciplinary Barracks, Port Royal, S. C.

By Passed Asst. Surg. H. E. Jenkins 211

Review and possibilities of mental tests in the examination of applicants

for enlistment.

By Acting Asst. Surg. A. R. Schier 222

Observations on deep diving.

By Passed Asst. Surg. G. R. W. French 227

Tuberculosis.

By Surg. E. Thompson 253

Observations on seven cases of cerebrospinal fever.

By Passed Asst. Surg. D. C. Cather 259

The posterior urethra and bladder in a hundred cases of chronic gonorrhea.

By Passed Asst. Surg. A. L. Clifton 265

UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:

Additions to the pathological collection 271

Additions to the helminthological collection 271

SUGGESTED DEVICES:

Apparatus for securing traction of lower extremities.

By Surg. H. A. Dunn 278

CLINICAL NOTES:

Leukopenia of a marked degree in a fatal case of pneumonia.

By Medical Director E. R. Stitt 275

GASTRIC CHANGES FOLLOWING GASTROENTEROSTOMY.

By Passed Asst. Surgs. H. F. Hull and O. J. Mink 275

TWO CASES OF MALARIA TREATED WITH SALVARSAN.

By Passed Asst. Surg. E. U. Reed 278

PSEUDOLEUKEMIC ANEMIA OF INFANCY OCCURRING IN TWINS.

By Asst. Surg. S. Walker, M. R. C 280,

EDITORIAL COMMENT:

George Perley Bradley, medical director, United States Navy. . . 283

A new quarterly naval medical journal 285

The Harrison law 285

PROGRESS IN MEDICAL SCIENCES:

General medicine. —Differentiation of the diseases included under chronic

arthritis. By L. W. Johnson. The war and typhoid fever. By G. F. Clark. Use of

the Schick test in the suppression of a diphtheria outbreak. By R. Sheehan. The

present status of the treatment of advanced cardiac decompensation. The

influence of diet upon necrosis caused by hepatic and renal poisons. Syphilitic

nephritis. Is emetin sufficient to bring about a radical cure in amebiasis? A case of a

large aneurism of the arch of the aorta with use of bronchoscopy. By E. Thompson

and E. L. Woods 287

Mental and nervous diseases.—The importance of the bony sinuses accessory

to the nose in the explanation of pains in the head, face, and neck. Spinal

decompression in meningomyelitis. Fleeting attacks of manic depressive

psychosis. Epilepsy and cerebral tumor. The ductless glands and mental disease.

Acute paraplegia. By R. Sheehan 295

Surgery. —The Freiburg method of Dammerschlaf or twilight sleep. By W.

G. Steadman. Observations on the seminal vesicles. By H. W. Cole. Rubber

gloves; a technique of mending. A note upon the wounds of the present campaign.

By L. W. Johnson. The silence of renal tuberculosis. Acute hemorrhagic

pancreatitis. Preservation of the iliohypogastric nerve in operation for cure

of inguinal hernia. Aperiosteal amputation through the femur. A modified

incision for approaching the gall bladder. The occurrence of acute

emphysematous gangrene (malignant edema) in wounds received in the war. Note on

the wounds observed during three weeks' fighting in Flanders. The naval action

off Helgoland. By A. M. Fauntleroy and E. H. H. Old 299

Hygiene and sanitation. —Massachusetts Association of Boards of Health;

report of question meeting. The disinfecting properties of gaslight on air of

room. Sewage disinfection for vessels and railway coaches. The prophylaxis of

malaria with special reference to the military service. By C. N. Fiske and R.

C. Ransdell 313

Tropical medicine. —Benzol in bilharzia. By E. L. Woods. Kala-azar and

allied infections. Observations on the eggs of ascaris lumbricoides. By E. R.

Stitt 319

Pathology, bacteriology, and animal parasitology. —The occurrence of

certain structures in the erythrocytes of guinea pigs and their relationship to

the so-called parasite of yellow fever. Observations on myeloid sarcoma with an

analysis of fifty cases. By G. F. Clark. A new and rapid method for the

isolation and cultivation of tubercle bacilli directly from the sputum and

feces. Appendicitis treated with

anticolon bacillus serum and vaccine. The retention of iron in the organs

in hemolytic anemia. By C. S. Butler and A. B. Clifford 321

Chemistry and pharmacy. —The analysis of emulsions. Notes on the estimation

of morphin and Lloyd's reagent. By P. J. Waldner. Merck's annual report of

recent advances in pharmaceutical chemistry and

therapeutics. By E. W. Brown and O. G. Ruge 326

Eye, ear, nose, and throat. —The tonsils as a habitat of oral

entamebas. By O N. Fiske. Enucleation of the eye under local anasthesia. On a

modification of Siegrist's method of local anesthesia in enucleation of

the eyeball. The use of pituitary extract as a coagulant in the surgery

of the nose and throat. Value of roentgenography in diagnosis of diseases of

the larynx and trachea. The difficulties and dangers of exploratory puncture of

the antrum of Highmore. By E. J. Grow and G. B.Trible 331

REPORTS:

Extracts from annual sanitary reports. —Notes on marine recruiting. By

F. H. Brooks. Notes on recruiting. By J. B. Bostick. Economy in use of hospital

supplies. By A. R. Wentworth. Venereal prophylaxis. Examination of civil

employees. By C. N. Fiske. Industrial notes from Boston yard. By N. J.

Blackwood. Notes on tropical hygiene. By A. Stuart. Battleship ventilation. Use

of barracks during . overhaul period. By T. W. Richards. Sanitary notes from

the U. S. S. Ozark. Malarial prophylaxis. By R. W. McDowell. Sanitary notes from

the U. S. S. Virginia. By G. L. Angeny 335

The Schick Test and the use of diphtheria antitoxin.

By Passed Asst. Surg. J. J. A. McMullin 362

Number 3

PREFACE vii

SPECIAL ARTICLES:

The normal heart in the Navy.

By Surg. G. F. Freeman 363

Surgical diagnosis and technic involving the appendix.

By Surg. A. M. Fauntleroy 381

Functional testing of the ear.

By Passed Asst. Surg. G. B. Trible 400

A few points in diagnosis of gastric and duodenal ulcer by means of the

X-ray.

By Passed Asst. Surg. A. L. Clifton 410

The damage of syphilis to the Navy.

By Passed Asst. Surg. G. F. Cottle 414

Recent conceptions of bronchial asthma.

By Asst. Surg. M. H. Sirard, M. R. C 419

UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:

Additions to the pathological collection 423

Additions to the helmintholooical collection 423

SUGGESTED DEVICES:

A venereal head.

By Passed Asst. Surg. G. F. Cottle 425

A NEW MESSING SYSTEM FOR NAVAL HOSPITALS.

By Hosp. Steward F. E. Simmons 426

Messing arrangements in the U. S. Naval Hospital, Philadelphia.

By Surg. H. A. Dunn and Chief Pharm. P. J. Waldner 428

Castor oil. An aseptic dressing on the field of battle.

By Asst. Surg. A. E. Gallant, M.R.C 430

CLINICAL NOTES:

A case of fracture-dislocation of spine. Laminectomy.

By Surg. R. E. Ledbetter and Asst. Surg. H. Priest 433

A CASE OF ANEURYSM OF THE LEFT POSTERIOR INFERIOR CEREBELLAR ARTERY.

By Passed Asst. Surg. E. L. Woods 434

A CASE OF MALIGNANT ENDOCARDITIS. By Passed Asst. Surg. M E. Higgins

436

A POSSIBLE NEW X-RAY SIGN OF TUBERCULOSIS.

By Surg. E. Thompson and Hosp. Steward H. L. Gall 436

A CASE OF PURPURA HEMORRHAGICA (?) WITH MARKED LEUKOPENIA. By Passed

Asst. Surg. W. L. Mann, jr 438

Report of twenty-eight cases of pyorrhea alveolaris treated with emetin

hydrochlorid.

By Passed Asst. Surg. A. H. Allen 440

Intravenous injection of neosalvarsan in concentrated solution.

By Passed Asst. Surg. C. B. Camerer 441

TRANSLATIONS:

Catheterization of the ejaculatory canals.

By Surg. R. A. Bachmann 443

Hospital ships.

By Pharm. S. Wierzbicki 452

First-aid stations and transportation of the wounded in naval battle.

By Med. Inspect. S. G. Evans 454

PROGRESS IN MEDICAL SCIENCES:

General medicine. —The value of typhoid vaccines in the treatment of typhoid

fever. By L. W. Johnson. The intravenous and intramuscular administration of

diphtheria antitoxin. The noninfective causes of so-called rheumatism. Not very

well known causes of hematuria. Prodromal symptoms of gallstones. Observations

on renal functions in acute experimental unilateral nephritis. By E. Thompson

and E. L.

Woods 469

Mental and nervous diseases. —A critical study of Lange'a gold reaction

in cerebrospinal fluid. Post-operative nervous and mental disturbances. The

significance of the unconscious in psychopathology. By R. Sheehan 475

Surgery. —The role of gastroenterostomy in the treatment of ulcers. Ether-oil

colonic anesthesia. By H. W. Smith. Ununited fractures treated by long-axial

drilling of the fractured bone-ends. By E. Thompson. War surgery. The

osteogenic power of periosteum; with a note on bone transplantation. The

technic of cholecystectomy. The German use of asphyxiating gases. Transfusion

by the syringe method. The North Sea action of January 24. The best method of

treating wounds sustained in action, especially during the early period after

their infliction. By A. M. Fauntleroy and E. H. H. Old 479

Hygiene and sanitation. —The possibility of conveying typhoid fever by

clothing, contaminated food, and soiled fingers. The microbic content of indoor

and outdoor air. By E. W. Brown. Some results of the

first year's work of the New York State Commission on Ventilation. By

C. N. Eiske and E. W. Brown. Tincture of iodin and the prevention of venereal

disease. Ability of colon bacilli to survive pasteurization.

The specific gravity of the human body. Lead poisoning in the manufacture

of storage batteries. By C. N. Fiskc and R. C. Ransdell 495

Tropical medicine.—Pathology of verruga peruviana. The importance of

tertiary yaws. By C. S. Butler. The treatment of ancylostomiasis. By A. B.

Clifford. Studies in malaria. New theories and investigations

concerning pellagra. Immediate relapse in tertian malaria after energetic

salvarsan treatment. By E. R. Stitt 502

Pathology, bacteriology, and animal parasitology. —A study of the endamebas

of man in the Panama Canal Zone. Lipoids in immunity. The mechanism of antibody

action. The diagnosis and treatment of

parenchymatous syphilis. The bacteriology of appendicitis and its production

by intravenous injection of streptococci and colon bacilli. By G. F. Clark. On

the filterability and biology of spirochetes. A differential study of

coccidiodal granuloma and blastomycosis. Notes on the diagnosis of Asiatic

cholera at autopsy. The morphology of the adults of the filarise found in the

Philippine Islands. By C. S. Butler and A. B. Clifford 508

Chemistry and pharmacy.—Coloring of bichlorid of mercury solutions. By

L. Zembsch. An experimental study of lavage in acute carbolic acid poisoning.

By A. B. Clifford. Notes on a new alkaloid found in

nux vomica. Preliminary note on a new pharmacodynamic assay method. By

P. J. Waldnar. Estimation of urea. Estimation of urea and indirectly of

allantoin in urine by means of urease. Urea; its distribution in and

elimination from the body. Results of the hypochlorite disinfection of water

supplies. A further study of the chemical composition and nutritive value of

fish subjected to prolonged period of cold storage. By E. W. Brown and O. G.

Ruge 515

Eye, ear, nose, and throat. —Treatment of trachoma with carbonic acid snow.

Samoan conjunctivitis Is there a natural or acquired immunity to trachoma?

Clinical and anatomical study of a case of isolated

reflex immobility of the pupil, paralysis, tabes, and cerebrospinal syphilis

being excluded. Protection against injury of the hearing.Chronic local

infection of the nose, throat, and ear as a cause of general infection. The

sympathetic syndrome (undescribed) of sphenopalatine or nasal ganglion

neurosis. Shell explosions and the special senses. By E. J. Grow and G. B.

Trible 521

REPORTS:

Extracts from annual sanitary reports. —A review of the treatment and

results at the U. S. Naval Sanatorium for Tuberculosis at Las Animas, Colo. By

G. H. Barber. Battleship ventilation. ( Permanent detail of stretchermen. By J.

S. Taylor. Genito-urinary disease at Chelsea. By G. B. Wilson. Malarial prophylaxis. By H.

L. Smith. Sanitary notes from the U. S. S. Washington. By H. A. May. Sanitary

notes

from the U. S. S. Michigan. By J. A. Murphy. Sanitary notes from the U.

S. S. Palos. By D. C. Post. Camp sanitation. By R. I. Longabaugh 527

Lymphatic leukemia complicated by priapism. By Passed Asst. Surg. J. J.

A. McMullin 542

The seventy-first annual meeting of the American Medico-Psychological

Association. By Passed Asst. Surg. R. Sheehan 544

Number 4

PREFACE vii

SPECIAL ARTICLES:

Observations upon the epidemiology of an outbreak of measles at the

Naval Training Station, Norfolk, Va.

By Surg. C. E. Riggs 647

The present status of the Hospital Corps. By Passed Asst. Surg. W. E.

Eaton , 556

The use of hospital ships in time of war.

By Passed Asst. Surg. R J. Straeten 565

Venereal disease aboard ship.

By Passed Asst. Surg. G. F. Cottle 571

Some dangers in passing the ureteral catheter to the kidney.

By Asst. Surg. B. C. Willis, M. R. C 577

Shanghai and Yangtze River hospitals.

By Passed Asst. Surg. R. H. Laning 679

Some medical aspects of the upper Yangtze River country.

By Asst. Surg. D. C. Post 620

Some medical conditions in China.

By Passed Asst. Surg. R. G. Davis 630

UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:

Additions to the pathological collection 635

Additions to the helminthological collection 635

SUGGESTED DEVICES:

An ambulance motor boat for hospital ships.

By Surg. E. M. Blackwell 637

CLINICAL NOTES:

Unusual type of typhus on U. S. S. Monocacy. Report of case. By Asst.

Surg. W. B. Hetfield 641

Injury by dynamite explosion. By Passed Asst. Surgs. G. C. Thomas and

L. W. Johnson 643

A case of hemorrhagic pancreatitis.

By Passed Asst. Surgs. G. C. Thomas and L. W. Johnson 644

Salvarsan in the treatment of schistosomiasis. Report of case.

By Asst. Surg. D. C. Post '645

An usually severe case of urticaria.

By Passed Asst. Surg. W. E. Eaton 650

Early reinfection with syphilis.

By Surg. T. W. Richards 651

A fatal cask of cecal ulceration with extensive complications.

Bv Passed Asst. Surg. W. L. Mann, jr 653

EDITORIAL COMMENT:

Scarcity and cost of medical supplies due to disturbance of European

markets 655

Bind your Bulletins 655

PROGRESS IN MEDICAL SCIENCES:

General medicine. —The recent epidemic of smallpox in New South Wales.

By L. W. Johnson. The causes of indigestion. A study of 1,000 cases. By E. H.

H. Old. Certain physical signs referable to the diaphragm and their importance

to diagnosis. An epidemic of influenza in the Island of St. Kilda. Pollen

therapy in hay fever. Studies in bronchial glands. Mode of action and use of

emetin in endamebiasis. The treatment of eczema with special reference to the

use of vaccine and the part played by bacteria in its etiology. Report of 50

cases. Study of diseases of stomach and duodenum by X-ray. Cure and recurrence of

syphilis. By E. Thompson and E. L. Woods 667

Mental and nervous diseases.—Differential diagnosis of general paresis.

What is paranoia? The cerebrospinal fluid in diagnosis and treatment. Raynaud's

syndrome. Raynaud's disease. What tests in childhood are best calculated to

throw light upon the capacities of mental defectives for future work. The

Binet-Simon method and the intelligence of adult prisoners. By R. Sheehan 669

Surgery.— Medical narrative of the arrangements of the first division

at the Battle of the Aisne. The medical aspects of modern warfare, with special

reference to the use of hospital ships. By T. W. Richards. Injuries to the bowel from shell and

bullet wounds. By L. W. Johnson. Account of six specimens of great bowel

removed by operation; observations on motor mechanism of colon. Symptomless

renal hematuria arising from tumors,

aneurysms in the renal pelvis, and early tuberculosis. The treatment of

urethral stricture by excision. Some observations on bone transplantation.

Blood transfusion by the citrate method. Disinfection of the hands and

abdominal skin before operation. Partial regeneration of bone. By H. W.Smith.

Epididymotomy for acute epididymitis as an out-patient procedure. By W. E.

Eaton. Occlusion of the pylorus. Prevalent fallacies concerning subacromial

bursitis. Its pathogenoesis

and rational operative treatment. Autogenous bone grafts versus Lane's

plates. A new procedure for the cure of chronic synovitis. Report on the

wounded in the action between the Sydney and the Emden.

By E. H. H. Old 672

Hygiene and sanitation. —Paint poisoning. By T. W. Richards. Sterilization

of water by chlorin. The prevalence of occupational factors in disease and

suggestions for their elimination. Bismuth-paste

poisoning —report of a fatal case. The making of a milk commission. Present

practice relating to city waste collection and disposal. A statistical study of

personal association as a factor in the etiology of pellagra. The influence of

age of the grandparent at the birth of the parent on the number of the children

born and their sex. By C. N. Fiske and R. O. Ransdell 694

Pathology, bacteriology, and animal parasitology. —Simple and efficient

contrast stain for B. diphtheriae. By C. N. Fiske. The heart muscle in

pneumonia. The sterilization of vaccines and the influence of the various

methods employed on their antigenic properties. The Wassermann and luetin

reactions in leprosy. By C. S. Butler and A. B. Clifford 700

Eye, ear, nose, and throat. —Relation of general arteriosclerosis to certain

ocular conditions. Eyestrain and ocular discomfort from faulty illumination. Hemorrhage

from the nose and throat. Diagnosis and conservative treatment of inflammation

of the accessory sinuses of the nose. Primary carcinoma of the tonsils. Nasal

polypi. By E. J. Grow and G. B. Trible 703

REPORTS. —Topographical extracts from annual sanitary reports:

Yangtze River ports. By Passed Asst. Surg. C. L. Beeching 707

Cape Haitien, Haiti. By Asst. Surg. C. P. Lynch 710

Santo Domingo and Haiti. By Passed Asst. Surg. E. A. Vickery 714

Vera Cruz, Santo Domingo, and Haiti. By Surg. R. W. Plummer 715

Santo Domingo. By Asst. Surg. J. B. Helm 716

Bluefields, Nicaragua. By Asst. Surg. C. P. Lynch 719

Alaskan ports. By Surg. W. S. Pugh, jr 723

INDEX 727

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Swamp smart weed . i have always liked to photograph this plant . In my estimation it is very photogenic . by Ron Young, Photos of nature, Ohio & SE Michigan. Nature Conservancy

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Tenta-Kalavasos Tenta-Tenda, Kalavasos, Vasilikos Valley, Republic Of Cyprus. by PHOTOGRAPHY by DM & DBM.

2

Tenta, also referred to as Kalavasos-Tenta or Tenda, is an Aceramic Neolithic settlement located in modern Kalavasos near the southern coast of Cyprus. The settlement is approximately 38 kilometres southwest of Larnaca and approximately 45 kilometres south of Nicosia. Tenta occupies a small natural hill on the west side of the Vasilikos valley, close to the Nicosia–Limassol highway.

The earliest occupation at the site has been dated to around 8000 BC, which is contemporary with the sites Shillourokambos and Mylouthkia, and notably predating Khirokitia by almost a millennium. It was still settled during the 6th millennium BC, but deserted at some point before the advent of the Cypriotic Ceramic Neolithic.

Six seasons of excavation in Tenta occurred from 1947 to 1984. The obtained data is of interest to studies of cultural change in Prehistoric Cyprus because Tenta's architectural remains, artefacts, human burials, flora and fauna have been "virtually unchanged for two millennia, suggesting that there was considerable continuity in social organisation as well as technological and economic practices."

Today, the site is open to visitors (with entrance fee), and protected by a characteristic, modern cone-shaped roof. The roof is considered a local landmark, and the site a popular tourist attraction

The Vasilikos valley is located in the Larnaca District of southern Cyprus. The valley was known to be abundant in archaeological sites from numerous extensive surveys conducted due to excavations of accidentally discovered sites; however these sites were widely scattered in Cyprus.

According to local tradition, the name of the location refers back to 327 AD when Saint Helena, mother of Constantine I, stayed there in a tent (Greek: Tέντα). Helena supposedly pitched her tent after walking up the Vasilikos valley (Greek: Βασιλικός), vasilikos meaning "royal place or land".

The archealogical site of Tenta was first reported by Porphyrios Dikaios in 1940 when artefacts were discovered during the construction of a mining railway line. In 1947, Dikaios undertook a two-week archaeological excavation focused 25 metres south of the summit of Tenta. Eleven locals and several students from Brandeis University were employed to assist with the excavation. A detailed report of the excavation was never published, but a plan of the excavation was released in 1960, which showed a trench being excavated approximately five metres below and adjacent to a curvilinear wall.

Since many sites of Cyprus had only been fleetingly explored, Vassos Karageorghis, the Director of the Department of Antiquities of Cyprus, worked with Ian Todd, who had previously assisted in numerous excavations in Turkey and Iran, to direct the Vasilikos Valley project which included five seasons of excavation in Tenta between 1976 and 1984. The project was sponsored by Brandeis University and funded by the National Science Foundation.

To locate sites, Todd walked nineteen different transects across the valley from east to west – from the Kalavasos Dam to the coast. Each transect was positioned equidistant from each other. Problems of the archaeological field survey in Cyprus include erosion as many sites were situated on different gradients, which often affects the estimation of the size of a site as well as makes it more challenging for surveyors to find where artefacts are located. Furthermore, aggradation was also considered to be a potential problem impacting the discovery of sites due to the increase in land elevation.

Although the excavations ended in 1984, details about the findings were published as late as 2005.

All structures discovered in Tenta are curvilinear and thus from the Aceramic Neolithic period due to neighbouring Neolithic settlements like Khirokitia exhibiting similar features. From the excavations, it was discovered that public buildings were constructed at the summit of Tenta's natural hill, "first in stone and mudbrick, then entirely in mudbrick and finally entirely in stone." Furthermore, homes at the site were unearthed to find that the stone structures were built of limestone with a mixture of diabase locally accessible in the Vasilikos river. The walls of the curvilinear structures stood to one metre or more in height and were determined to vary thickness between 25 and 60 centimetres as well as varied in colour including grey, reddish-brown, light brown, and dark brown. The floors and walls of the buildings were often made of gypsum, lime, or a combination of both as well as "coated with a thin, whitish plaster layer laid on a base of friable mud plaster". The stones of the buildings were predominately found to be laid neatly in parallel as well as had within them platforms, benches and seats. The flat as well as domed roofs of the buildings in Tenta were constructed from branches, reeds, and rammed earth and the surfaces of the walls of the buildings were often intricately decorated such as a "painting depicting two human figures with upraised hands." Furthermore, approximately 40 to 45 structures were excavated in total, and it was estimated that the population in Tenta never exceeded 150 people based on the size and shape of the structures.

Approximately one thousand man-made artefacts crafted with stone, animal bone or shell were recovered from the Tenta excavations. The artefacts were found within and outside buildings as well as within soil deposits. All objects were retrieved using a sieve, which assisted in recovering many of the objects which were small and fragmented due to the rubbish that had enveloped them, especially in soil deposits. The artefacts found are predominantly from the Aceramic Neolithic period with the exception of two clay plugs, a characteristic of the Chalcolithic period, which were found in the wall of a building. Artefacts discovered on the settlement include stone vessels, axes, hammerstones, and chipped stone tools like blades. Furthermore, there is evidence of proficiency from the inhabitants of Tenta such as their complex shapes carved in stone vessels. Rare artefacts were also found inside the walls of structures "including pendants, beads, large arrowheads and ground-stone implements covered with ochre." Copious picrolite, a crystal varying from dark green to grey most commonly found in the Kouris Dam, was likely used by the villagers to make jewellery during the Aceramic Neolithic period. Furthermore, chert was used as a tool by the villagers of Tenta to break things by force as well as to start fires because sparks ignite easily when the rock is struck on a hard surface.

A selection of artefacts are displayed in the Cyprus Museum and the Larnaca District Archaeological Museum.

Fourteen human burials containing eighteen individuals were excavated at Tenta. The eighteen skeletons were buried in contracted positions and positioned to the internal house walls, within oval pits not accompanied with any gifts or offerings, just beneath the floors or outside the structures. The burials include adults, children and infants buried separately, except the remains of four infants buried together in one pit.

The average age at death for males and females was 30.5 years and 36.5 years respectively. This six-year gap between the sexes may be due to limitations of a small sample size as well as poor preservation and age averaging techniques, especially due to the differences in neighbouring Neolithic settlements in which the longevity of males is greater than females. Furthermore, the average height for males and females was 162.9 centimetres (5 ft 4.1 in) and 153.8 centimetres (5 ft 0.6 in), respectively. Analysis of the skeletons' teeth suggest that the inhabitants had generally good dental health as well as a diet sufficient in protein and carbohydrates. This is due to the inhabitants' main diet consisting of plants as well as domesticated or hunted animals like fallow deer, pig and cattle. Moreover, analysis of the eighteen skeletons determined that the inhabitants of Tenta may have suffered from hemolytic anemia and iron-deficiency anemia, as well as having practiced artificial cranial deformation due to 11.1% of them having their skulls bound. Such practices were also common in the neighbouring Neolithic settlement of Khirokitia, and also during later periods in Cyprus such as the Late Bronze Age.

The botanical remains from Tenta revealed the subsistence practices in the Aceramic Neolithic period. It was expected that the botanical remains of wheat, barley and various legumes would be found in Tenta based on the earlier excavations from the neighbouring Neolithic settlements of Kastros and Khirokitia. The remains were recovered using a froth flotation process designed by Anthony Legge. According to Todd, "[a]pproximately 10 litres of every excavated deposit were examined and sorted under low power (10×–50×) magnification using a Bausch and Lomb stereo microscope." Components of the plant such as roots, stems and seeds were analysed separately and were compared with modern samples. Only 175 from the 416 botanical remains recovered via froth flotation contained carbon to analyse accurately. There was a smaller amount of carbonised remains to analyse compared to neighbouring Neolithic settlements due to the damage from excavating the remains with picks and trowels. From the 2074 litres sieved out of 7764 litres of carbonised botanical remains via froth flotation, it was discovered that "domesticated plants from the site consist of emmer and einkorn wheat, barley (probably two-row), lentil and possibly pea."

The distribution of botanical remains as well as the fire pits and hearths inside and outside the architectural remains were examined and compared to neighbouring Neolithic settlements. It was discovered that more hearths and fire pits were outside and between buildings than inside them, suggesting that the cooking in the period was conducted outside. Two hearths from the site revealed that civilians had gathered wild resources for cooking such as fig, pistachio, grape, olive and plum, but the analysis of the botanical remains did not indicate the specific cooking process or storage practices in the Aceramic Neolithic period

From the excavations at Tenta, 2817 faunal bone fragments were recovered. As shown in the table below, the majority of bone fragments (99.7%) were from deer, pig and caprinae (sheep and goat), which highlights that the civilians of Tenta predominately surrounding these mammals coupled with the remaining 0.3% of fragments being cat, fox and rodent. From epiphyseal plate data obtained from the faunal remains, it was found that 72% of deer, 28% of pig, 60% of caprinae were culled as adults. A collection of antlers from deer were also found intact inside three buildings and believed to have been possibly showcased by villagers in Tenta as an achievement of their hunting.

The process of recovering the faunal remains involved sieving excavated deposits through all 1 cm, 5 mm and 3 mm meshes.[13] Despite this high standard process of retrieving faunal remains, the bone fragments recovered were fragile and there was a high risk of the bone splitting, which resulted in many of the bones breaking and splintering. Thus, the veracity of any interpretation of the faunal remains may contribute to preservation bias during faunal assemblage. The range of animals recovered in the neighbouring Neolithic settlement of Khirokitia similarly was mostly deer, pig and caprinae with a small representation of cat, fox and rodent in the bone fragments. Hence, the same array of animals – based on the husbanding of pigs and caprines and the hunting of deer – provided the basis for subsistence economies in the Aceramic Neolithic period. The main aim of culling these animals for the Tenta and Khirokitia villagers was to consume their meat, but also most likely use their skin and bones for clothes and tools. Furthermore, cats and foxes were most likely to have been imported by colonists and used for their pelts as well as exterminators of vermin such as rodents.

In 1994 to 1995, Vassos Karageorghis commissioned and the Anastasios G. Leventis Foundation funded the construction of a tent-like conical or "pyramidal" structure that improved the protection of the remnants of Tenta from the elements. The shelter consists of glulam beams coated by a PVC membrane and cost US$340,000 over the two year construction phase. The structure has been called a local landmark.

Aceramic is defined as "not producing pottery". In archaeology, the term means "without pottery". Aceramic societies usually used bark, basketry, gourds and leather for containers.

"Aceramic" is used to describe a culture at any time prior to its development of pottery as well as cultures that lack pottery altogether. A preceramic period is traditionally regarded as occurring in the early stage of the Neolithic period of a culture, but recent findings in Japan and China have pushed the origin of ceramic technology there well back into the Paleolithic era.

West Asia

In Western Asian archaeology it is used to refer to a specific early Neolithic period before the development of ceramics, the Middle Eastern Pre-Pottery Neolithic, in which case it is a synonym of preceramic or pre-pottery.

The Western Asian Pre-Pottery Neolithic A began roughly around 8500 BC and can be identified with over a half a dozen sites. The period was most prominent in Western Asia in an economy based on the cultivation of crops or the rearing of animals or both. Outside Western Asia Aceramic Neolithic groups are more rare. Aceramic Neolithic villages had many attributes of agricultural communities: large settlement size, substantial architecture, long settlement duration, intensive harvesting of seeds with sickles, equipment and facilities for storing and grinding seeds, and containers. Morphological evidence for domestication of plants comes only from Middle PPNB (Pre-Pottery Neolithic B), and by Late PPNB some animals, notably goats, were domesticated or at least managed in most of the sites.

Cyprus

Some of the most famous Aceramic sites are located in the Republic of Cyprus. There was an Early Aceramic Neolithic phase beginning around 8200 BC. The phase can be best thought of as a "colony", or initial settlement of the island. Until the relatively recent discoveries of the Akrotiri and the Early Aceramic Neolithic phases, the Aceramic Neolithic culture known as the Khirokitia culture was thought to be the earliest human settlement on Cyprus, from 7000 to 5000 BC.[5] There are a number of Late Aceramic Neolithic sites throughout the island. The two most important are called Khirokitia and Kalavasos-Tenta. Late Aceramic Cyprus did not have much external contact because of a lack of settlement in the west or northwest during the period. However, Late Aceramic Cyprus was a well-structured society.

Americas

The specific term Pre-Ceramic is used for a period in many chronologies of the archaeology of the Americas, typically showing some agriculture and developed textiles but no fired pottery. For example, in the Norte Chico civilization and other cultures of Peru, the cultivation of cotton seems to have been very important in economic and power relations, from around 3200 BC. Here, Cotton Pre-Ceramic may be used as a period. The Pre-Ceramic may be followed by "Ceramic" periods or a formative stage.

The Neolithic or New Stone Age (from Greek νέος néos 'new' and λίθος líthos 'stone') is an archaeological period, the final division of the Stone Age in Europe, Asia and Africa. It saw the Neolithic Revolution, a wide-ranging set of developments that appear to have arisen independently in several parts of the world. This "Neolithic package" included the introduction of farming, domestication of animals, and change from a hunter-gatherer lifestyle to one of settlement. The term 'Neolithic' was coined by Sir John Lubbock in 1865 as a refinement of the three-age system.

The Neolithic began about 12,000 years ago when farming appeared in the Epipalaeolithic Near East, and later in other parts of the world. It lasted in the Near East until the transitional period of the Chalcolithic (Copper Age) from about 6,500 years ago (4500 BC), marked by the development of metallurgy, leading up to the Bronze Age and Iron Age.

In other places, the Neolithic followed the Mesolithic (Middle Stone Age) and then lasted until later. In Ancient Egypt, the Neolithic lasted until the Protodynastic period, c. 3150 BC. In China, it lasted until circa 2000 BC with the rise of the pre-Shang Erlitou culture, and in Scandinavia, the Neolithic lasted until about 2000 BC