Document ModnyvyM3NwpMBJyXXjNmp7mk

Industrial Hygiene Digest May, 19o3 422 la Belgium Aware of a Human Distomatosls Problem? R. Vanbreuseghem, el al. Belg. T. Gentealt. |0, 467-479 (1962). (Belgisch,Tijdsehriirvoor Geneeskunde, Minderbroedersstraat 12, Louvain, Belgium*). With regard to 2 email outbreak* (one in the province of Luxembourg and one in Hcne- gouwen) the extent of the problem is discussed. In Belgium, watercress is also a source of in fection. The supply of watercress in that country is discussed and the prophylactic measures described. - - Public Health Eng, Abets. 423 Brucellosis. 1. A. Hinchiffe. Sanitarian (London) 7_1, 3-12. 18 (Oct. 1962). Brucellosis, more correctly called updulant fever, as a human disease is broadly dis cussed within the area oi the public health inspector's work and interest. In addition to an intro ductory historical section and final conclusion, 4 main headings were discussed: (l).the organ ism and. its source and reservoir; (2) infection of men; (3) detection; (4) control. There are 14 references to the subject. -- public Health Eng. Abate. 424 Observations on 125 Cases of Viper Bite. P. Ephratl. Harefuah 63, 315 (Nov, l, ,1962). Of the .125 cases of viper bite reviewed by the author, 3 are described in detail. One of those presented the classical course of envenomisation; cerebral edema at a manifestation of Quincke' s allergic edema developed .in the second one, and prolonged hypotension, probably as the .result of damage to the adrenal medulla, was observed in the third one. Jaundice (hepato cellular). fever, and melons were observed In other patlenti. Of the total number, 77 were mild cases. 26 moderately severe, 13 severe, ft very severe, and 3 fatal. Shock developed in 2.7 of the patients. A tourniquet was applied in 33 patients, but its therapeutic efficacy cannot ' be definitely estimated. In 24 cases the tourniquet was suddenly released; is 6 of these rapid progression of the local lesions took place, and in 12 manifestations of general envenomisation ensued. Non- specific treatment in the form of Quids, blood, or norepinephrine did not notice ably change the course of the severe cases. Antivenom serum was given to 46 patients, but only 14 received it in'adequate quantities (40 ml. or more). Early treatment with antivenom serum shortened the period of hospitalisation in the severe Cases. When the administration of serum was dstayed, hospitalisation was prolonged. In patients in whom signs of general en. venomisation appear early, the author recommends the intravenous administration of.from 50 to 80 ml. of serum. However, the use of large doses of antivenom serum involves dangers; a case of neuritis of the brachial plexus is described. -- J. Am. Med. Assn. References h Reviews SKIN DISEASES AND BURNS 425 Neurodermatoses in Industry: A Psychosomatic Approach. Sadie H. Zaidens. Ind. Med. h Surg. 32, 127-130 (Apr. 1963). ` The neurodermatoses occur in those who are either unduly submissive, with resulting sullen resentment, or those who are unusually ambitious, but who dare not express it for fear of recriminations. In both situations, repressed frustration and impotent rage are produced. The skin lesions represent the acting out of the repressed frustration and impotent rage that patients fear to express consciously. -- Author's summary * Address not in current List of Periodicals. S. 03121214