Document mpRvEQwv7k17Gy9qz701ENmLg

THE dUAKI tKLY bULLtllN for METROPOLITAN NURSES Tolu*e 13, No. 3 July 1943 This new Industrial Exhibit was first shown at the American Industrial Physicians and Surgeons Annual Meeting, held at Detroit from April 2d to 8th, 1949. The oval-shaped window on the left is a miniature replica of our Indus trial Hygiene Laboratory? The seven small circular illuminated pictures, which flash on one after the other, illustrate some of the factors involved in a plant survey, namely: the plant environment, including safe physical conditions; light, temperature, humidity; fumes, gases, dust; checking radioactivity; plant nursing and medical facilities; analyses of accident facts; and evaluation of safety programs. The goal of a plant survey is shown in the large circular window at the right, which illustrates a safe and healthy worker. .. J!} Over 500 people stopped at the'Metropolitan Exhibit and requested 7,942 pieces of -Industrial and general health and safety material. Requests were also received for statisticaLda&Aiand for information on several aspects of industrial relations. NURSING BUREAU HEALTH and WELFARE DIVISION metropolitan life insurance company r^n^mir.pn S/C/M/Ms, 2507 pops two Thi fuorfsrly In 111 tin THE SOCIAL AND BIOLOGICAL CHALLENGE OF THE AGING POPULATION By Margaret Reid, Educational Director Tbls spring, at tbe New York Academy of Medicine, many medical and health workers from nearby States attended a two-day health education conference. An annual affair, this year's conference was unusually stimulating. The speakers were all authorities In their fields and for the most part, were orators-- or near orators! Attention was rapt and the response of the members was most enthusi astic. Ve like to think that the program was so well conceived and executed because our own Dr.Armstrong chaired the committee which planned it. The program read like a "who's who" and Included such men as Jean R. Oliver, H.D., of the Long Island College of Medicine; V.G. Yalaoras, M.D., The United Rations, Popula tion Division; the late-Frederick F.Tlsdall, H.D., Toronto Hospital for Sick Children, Canada; David Seegal.M.D., Director of Medi cal Services, Maimonides Hospital of Brook lyn; Edward B. Allen, M.D., Psychiatrist, Westchester Division, New York Hospital; Edward J. Stieglitz, M.D., Internist, Wash ington,D.C.; Eduard C. Lindeman, LL. D., Hew York School of Social Work; lingsley Davis, Ph. D., Associate Professor, Department of Sociology, Columbia University; Julius Hochman. Yice-President, International Ladies Garment Workers' Union; Dr. Y. lorenchevsky, Head of the Oxford Gerontological Research Unit.Oxford University, England; and Houston Peterson, Ph.D., Professor of Philosophy, Rutgers University. Practically all aspects of tbe aging problem were discussed at the conference. A brief resume follows. The Biology of Aging The structure of the single cell of tbe newborn and even of tbe embryo is similar in every respect to that of tbe single cell of the aged person. It is only when cells com bine to function as an organ that changes take place, these are due to accidents, in- .. -- -- -- f-RODuv- fectlons, nutritional disturbances, and general wear and tear. There is no "elixir of youth." Senescence begins when life be gins. Controllable Factors in the Aging Process The function of geriatrics Is to In crease the life span between disease, dis ability, and disaster. Delaying tbe undesir able effects of senescence seems to be large ly a matter of controlling infections, chronic illnesses, and nutritional disturb ances. Children and young men and women suf fering from severe malnutrition display many of the characteristics of the aged and sene scent person. Hypertension Is not infrequent at the age of 20 and has been known to exist at the early age of 10. Symptoms of arterio sclerosis are not Infrequently found In persons 20 years of age. The approach to the prevention of chronic illness is twofold. First, cootrol the agents of disease and Influence host re sistance. For example, if hemolytic strep tococcic infections were to he prevented in persons susceptible to rheumatic fever,rheu matic heart disease would soon be wiped out as a serious problem. Second, detect disease early and immediately start giving care to patients with chronic illness. The periodic physical examination, providing accurate, sound, early diagnosis, la essential to any program to prevent chronic Illness. Long-term or chronic illnesses may be classified as those that are largely controlled;those that are partially controlled; and, those which, at the present time, are uncontrolled. As Dr. Seegal listed various diseases under, these categories, one felt very optimistic about the problem of long term illnesses. In the list of largely con trolled illnesses are diabetes mellltus, hy perthyroidism, sprue, pellagra, scurvy, thrombocytopenic purpura, familial hemolytic 1 2508 T\ Quartirly bulletin pogt thrir Jaundice, syphilis, hookworm, and amebiasis. professors, provide consultation services on Examples of partially controlled Illnesses a small fee basis to colleges and schools, Include diabetes Insipidus, Addison's Dis and participate In an expanded movement of ease, celiac disease, hemophilia, pulmonary adult education. The community needs to tuberculosis, osteomyelitis, and such mis organize for more than Just the physical cellaneous diseases as chronic lead poison comforts and economic needs of older people. ing, rheumatoid arthritis, and thrombo angi One left the conference realizing *ith tis obliterans. Before long, research may Dr. Stieglitz that "the only approach to the give us at least partial control over many problems of the aging is the multiple ap other chronic illnesses ehich no* seem un proach." Tbe biologist, the population ex controllable - such as arteriosclerosis, pert,the general practitioner and internist, leukemia, and multiple sclerosis. the sociologist,the union leader, the social Tbe very young and the very old have vorker, the health educator, and the nurse, similar characteristics; both are insecure; each In his or her field, applying research both depend upon faith and do not like to methods, and working together, can help to formulate objectives for themselves. A well- solve the many facets of tbe total problem. .. balanced emotions! life helps to delay some of the undesirable and uu*anted difficulties attending the aging process. Haturlty of emotions Is synonomous with an appreciation of real values In life. Slavish adherence to conventionality Is a sign of Immaturity. Motivation Is vitally Important if a person Is to help himself delay his senescence. Re habilitative therapy can control the severity of many non-curable disorders. Ve are vhat ve are today because of vhat has happened to us yesterday. The Sociological Challenge The avareness of uselessness Is the tragedy of old age. Many of the aged feel that they have lost status, affection, and honor in their homes and In our country to day. Vhere an attitude of neglect exists tovard the older person.lt may be attributed to three causes: the gross utilitarianistic philosophy permeating our country today; the extreme value placed upon, and the vorshlp TERRITORIAL SUPERVISORS MEETING 1949 The Spring meeting of the Territorial Supervisors vas held In the Home Office on April 20th and 21st. Interesting statements vere given by Dt. Armstrong on "Report of Health and Welfare Division;" by Dr. Dublin on "Observations on Current Public Health Conditions and Devel opments;" by Miss Haupt on "The Nursing Bureau," as veil as a discussion of the National Nursing Structure Committee; by Mr. A.C. Siegfried, Assistant Actuary, on "Re view of Current Social and Health Legisla tion In the 81st Congress;" by Dr. Wheatley on "Academy of Pediatrics Study of Child Health Servlces;"and by Miss York on "Commun ity Activities of Metropolitan Nurses." At luncheon, Dr. Lanza discussed "Atomic Energy In Relation to Public Health and Medical Therapy." given, youth; and the lack of feeling for `4 L tradition. , Prolonging tbe usefulness of the aging ANNOUNCEM E_N_t"s Miss Marie L. Johnson's' title has been 1 person is gn essential factor In delaying changed from Assistant Director to that of senescence. Society must plan to use the Associate Director of the Nursing -Bureau of knovledge, skills, and vlsdom of tbe person the Company. retired from employment; for example,retired Mrs. Jean Roberts' title has been professors can serve as itinerant teachers, changed from Territorial Supervisor to advise seminar groups of students and young Pacific Coast Nursing Director. 2509 PRODUCED S/C/M/Ms" \ "our TM fudrterjy fuiifti'n GETTING ACQUAINTED WITH THE_INDUSTRIAL HEALTH BUREAU By William J. McConnelf7"H.Tr --------Assistant Medical Director The purpose of the Company's Indus trial Health Bureau is to cooperate with industry in solving health problems af fecting workers.This activity was started in 1924. The everincreasing contacts with industrial con cerns among Metropolitan Croup policyholders resulted in the formation in 192& of an In dustrial Hygiene LaboratoryTTfle first of its kind ever established by an insurance company. Booklets on such subjects as silicosis, health protection In welding, prevention of oil pimples, and many others are available on request to executives of industrial or ganizations. In addition, special studies requested by Metropolitan Group-insured companies have been made on ventilation, lighting, sanita tion, control of toxic dusts and gases in the plant atmosphere, protective devices in hazardous processes, the role of physical examinations in industry, effects on the workers of toxic substances encountered in plant processes, the planning of industrial plant dispensaries, and many others. Thus through exceptional library facilities and the personal experience of Staff members, supplemented by the many sources of informa tion made available through its vide and numerous contacts with health work in indus try .the IndustriaL.gejlth Bureau is prepared to furnish practical, assistance to Metropoli tan Group-insured -firms submitting problems for its consideration. Information Vn- general health matters may be handled through correspondence, but it is believed that better results are ob tained when plant representatives make per- 'PRODUOFr r- sonal visits to the Bureau, where their pro blems can be discussed freely with the Staff and where protective devices can be demon strated. The physical and chemical service laboratories are well equipped to make studies in all phases of industrial hygiene. Laboratory facilities include solvent vapor measuring devices, mercury vapor detectors, sound meters to determine noise levels,Geiger counters to detect the presence of radio-act ive substances, carbon monoxide indicators, and velometers for measurement of air flow. Individual plant studies are conducted for Metropolitan Group-insured firms upon the invitation, and with the full coopera tion of, management. Studies are made vhen circumstances warrant a more detailed exam ination of plant working areas for the pur pose of evaluating various factors affecting employee health'. Definite knowledge of plant operations based on observations and labora tory analyses of environmental contaminants is obtained in this way and serves in the development of protective measures. In addition to individual plant studies, occasional major surveys of selected indus tries, usually sponsored by associations re presenting the Industry, are conducted for the purpose of determining the specific health hazards coanon to the industry, and of outlining effective measures for their control. An example of such a study is the report on "Health Hazards in the Foundry In dustry", published in the Journal of Indus trial Hygiene, July 1934. These studies represent a cross-section of the particular industries selected for study, and the par ticipating plants are not always chosen from among our Insured Groups. Such general studies are made without cost to the indus try,and represent a contribution by the Com pany to the health of workers in industry and, therefore, to the field of public health. 2~ * ^ fht Cuorttrjy gullttin pago flat MISS GUILFORD RETIRES nal of gun ing, has so Justly earned the Hary Adelaide Nutting Nursing Award. Tou will read in your professional maga zines the inspiring story of her vision and leadership In nursing. Ve in the Metropolitan are indebted to her for her cooperation with the Health and Welfare Division as a whole, for publication of, or reference to, aany of our materials. The Quarttrly guilt tin is es On April 28, 1949, after aore than 24 years of Company service, Hiss Elizabeth Guilford retired as Director of the Home Economics Bureau. Hiss Guilford caae to the Metropolitan on September 22, 1924 to handle specialized correspondence dealing with home economics matters. In July 1934 she was naaed the head of the newly. established Boae Econoaics Bureau. Miss Guilford van responsible for the conception and writing of aost of the pamph lets dealing with nutrition published by the Company. She was also responsible for an active teaching program for Field Kurses through the aedlum of Nutrition Institutes and for a considerable volume of personal and technical advice on nutrition to policy holders and others. In addition to her Com pany activities. Hiss Guilford gave valuable assistance to numerous outside professional organizations where she served both as an officer and a committee member. In anticipation of her retirement, Hiss Guilford aided in the selection and intro duction of her successor,Hiss A.June Brlcker, (See the October 1948 Guorferjy BuJJet in) who became Director of the Home Economics Bureau on April 4, 1949. (Air best wishes for many happy years go with Miss Guilford on ber retu^nrto her gardening interests and home in Pennsylvania. ^ ' t.$Si,^C7rU < HISS ROBERTS RETIRES r:0\u,sis,j pecially grateful to ber for guidance and suggestions throughout the life of our pub lication. The gratitude and best wishes of all the aeabers of our Staff go to ber as she reaps the deep satisfaction of an outstanding career. CONGRATULATIONS 25 Years of Service HISS ANNIE MATTHEWS was originally as signed to the Center in Danville. Ya. After 18 years In this Center, she was transferred to Memphis, Tenn. Kiss Matthews has the knack of adjusting well to all situations and of working harmoniously with all groups. Over the years, she has given good nursing care to policyholders. A "green thumb" has helped Hiss Matthews grow beautiful flowers all year round In her garden. MRS. CLARA HOYEt has spent 25 years with the Coapany in Torrington, Conn. Her patients respond well to her friendly inter est and considerate care. She maintains as excellent relationship with Managers,Agents, doctors,and other health workers in the com munity. Mrs. Novey is well-known in ber com munity and respected by all with whoa she comes in contact. 20 Tears of Service MISS VIRGINIA SYETTENHAM. Except for six months' Staff experience in St. Louis County, Mo.,' Miss Swettenbam has spent her entire time with the Company in Alton. 111. She takes an active part in professional and community affairs and is highly regarded by all who have worked with her. Her patients The Nursing Bureau of the Metropolitan appreciate ber excellent care and teaching. takes pleasure in paying a warm tribute to Miss Swettenbam has also coapleted the pub Hiss Mary Roberta, who, upon retirement Hay lic health nursing program at George Peabody 4th as Editor-In-Chief of the Anorican Jour College, Nashville, Tenn. 23Ii 'PRODUCED S/C/M/Ms pagt Jix Tht ?uorfrJy 3ull$tin CONFERENCE ON CANCER CONTROL By Hiss Sue Jacobs, Staff Nurse, Paducah, Ky. A tvo-day con ference on cancer control was held in Paducah, Ky. last December under the Auspices of the McCracken County Health Department. Public health nur ses from 15 Vest Kentucky counties met to discuss various control measures for cancer, nov the 02 cause of death in the United States. Before the meeting opened, a true and false test of. 57 questions vas given to each nurse. This test vas based on a reading list that had been mailed to each County Health Department before the meeting. At the opening of the meeting,Miss Elizabeth Valker, Nursing Consultant, Cancer Control Division of the United States Public Health Service, discussed and ansvered each question. At this meeting, it vas emphasized that cancer has developed into a definite public health problem because It kills more than 180,000 persons a year. Hovever, It should be kept in mind that the rise In cancer mor tality Is due in part to reduction In deaths from other important causes; to the increase in the average age reached by Americans, and to more frequent reporting of cancer on death certificates. The public health nurse Is in a strategic position to help physicians In cancer detection, treatment, and care. Fa miliarity vlth the symptoms of cancer vill help her to knov vben to urge patients to see their physician for diagnosis. Dr. C.J. Purdy, Riverside Hospital radiologist, said that at the present time more vomen ..between 30 and 54 years of age die of cancer than of any other disease. Stressing the possibility of curing cancer, or at least establishing a higher cure rate. Dr. Purdy listed 12 danger signals that de- nrnw.".-.' . ,w,.. sand early examination and diagnosis: 1. Any persistent lumps or thickening, especially in the breast, lips, or tongue; about the neck, armpit, or groin. 2. Any sore that does not seem to be heal ing normally vlthln 10 days, particularly about the tongue, mouth, or Ups. 3. Progressive changes In color or size in a mole, vart, or birthmark. 4. Any Irregular bleeding or discharge. 5. White patches Inside the mouth or per sistent vblte spots on the tongue. 6. Persistent hoarseness, unexplained coughs, or difficulty in svallovlng that lasts more than tvo weeks. 7. Swelling or pain in a bone, especially if the pain gets vorse at night. 8. Persistent and unexplained indiges tion. 9.. Alternating constipation and diarrhea. 10. Pain and difficulty in urinating. 11. Sudden loss of velght. 12. Unexplained feeling of fatigue. Miss Valker discussed the history and technique of the Papanicolaou smear. The "CTC" or the Papanicolaou smear test is one of the most recent, developments for early detection and diagnosis of uterine cancer. This cytologic test, vben Interpreted by competent, especially trained physicians and pathologists, having adequate facilities for laboratory examinations, may make earlier detection of cancer possible. Thus treatment may be begun at an earlier stage. The test has been correct in 98 percent of the cases as checked by biopsy. This vaginal smear technique, vlth certain tech nical modifications,has also proved success ful vlth secretions from the cervix, pros tate, and lungs, and also vlth urine and JgLa<iUsVtVri.c J. u,ices. ```'Dr. R.V. Robertson, a Paducah surgeon. , diVoussed the medical aspects of cancer. Ee . * 01* it; pounded home the theme of early diagnosis as the primary factor in controlling this dread ed malady. Dr. Robertson gave an interest ing and informative talk on the treatment, .,. V. 2513 The Quorttrly Fulleti* page ttvtn character, predisposing causes, symptoms, Dear Mrs. Payne: and prevention of cancer of the shin, south, reast, digestive organs, uterus, genltourinary, and respiratory organs. In discuss I enjoyed your visit yesterday very much and was pleasantly surprised to learn of the health activities that the Metropoli ing breast cancer, he said the laportant tan Life Insurance Company provides for Its signs to watch for are: (1) discharge (2) asymmetry (3) difference in level (4) dimpling (3) puckering (6) orange peel appearance Dr. E.V. Jackson, another Paducah sur policyholders here In this city. Enclosed is Form Ho. 158-A which you left with me. I was, Indeed, flattered by your re quest for a copy of ay prenatal Instructions. These are also enclosed. I want -to again mention that this Is not their final form. geon, spoke on the sedical care of advanced I contemplate addition of more information cancer. He emphasized the following: Improve the patient's mental attltudejtry to relieve bis suffering; maintain bis general health; and resort to any measure to sake him sore comfortable. concerning vomiting in pregnancy, develop ment of the foetus, an explanation of the diet, and a few words about the conduct of labor. The Metropolitan booklet you left with me will be of considerable help la pre Mr. Cbarles P.Taylor, Kentucky Division of the American Cancer Control Society,spoke on the resources for cancer patients In Ken tucky. There are 18 cancer clinics In Ken tucky. Seventeen are equipped to diagnose d treat, and the 18th Is a mobile unit paring this material. Hoping we will again have some patients in common, I wish to remain, Tour* sincerely, Floyd L.Penlnger.M.D. (Thank yen, Sr. Ptningerl) Hulpped only for diagnosis. FROM OCR CAHADIAM HEAD OFFICE The cancer mobile unit goes into the counties only on order from the Medical Association. An educational program is con ducted before the arrival of the unit. All patients must be referred by their physician. As it would be impossible to screen the pub lic, each patient is sent in for examination of a specific part of the body. Patients who are found to require treatment are referred Dr. N.L. Burnette has reported that Mrs. Charles McArthur, a former nurse, died in Montreal on April 18, 1949, at the age of 93. It is believed that Mrs. McArthur may have been the laat living person on this continent who knew Florence Nightingale. Mrs. McArthur trained in St.Thomas Hospital, London, at the time Florence Nightingale was the Superintendent. to the nearest clinic. Zdltor'a note: for a eemploto description of tbo Papanicolaou aaear teat, read Kies Valker'a article, "Cytologic Teat for Cancer," published la the Aaerlcaa Journal of Xuxe- lag, January, 1949. MISS GERTRUDE MORRIS RESIGNS On July 3d Miss Morris resigned from the Company after about nine years of ser vice. Originally assigned sa a Staff Nurse INTERPRETIVE VISITS DO PAT The following letter was received by Mrs. Pauline Payne, Staff Nurse, Shreveport, **., after a visit to a doctor's office to in Easton, Pa.,Miss Morris later became Head Nurse and Local Supervisor, Queens,L.I., and a Territorial Supervisor'Southwestern and Midwestern Territories. f 'i.* Ve all wish her success in her new posi erpret our Nursing Service and to obtain tion as Assistant Director and Educational uis Maternity 1S8-A): Standing Orders 2513 (Form No. Director of the of taaha, Neb. S/C/M/Ms rPRODUCED Visiting Nurse Association pogt tight Tht fuortarjy till**, in SOKE STAJT ACTIVITIES Hospital on this subject. MRS.NORMA McKULLEN, Ve are pleaeed to report tbat our Nursee Tampa, Fla., alao discussed this subject are meeting their community responsibilities vlth the senior students at the Gordon-Keller as health teachers and workers lo stay ways. Tampa Municipal Hospital. They have been giving talks before various MRS. DORIS VILLIAMS, Corning, N.T.,also groups on health topics,Baking radio speech had the opportunity to discuss our Nursing es, participating la institutes and health Service vlth the student nurses of Alfred campaigns,and serving as sesbers or officers University School of Nursing. MRS. HELEN of various agencies and associations. Ve are GLOCKNER, Portsmouth, Ohio, discussed Public sorry that ve do not have the space to record Health Nursing vlth the student nurses of all the activities,, but ve knov you vlll be Mercy Hospital. interested_ln the follovlng: MISS BESS HacCULLOCH, Port Jervis,N.T., MISS GERTRUDE MORRIS,Territorial Super recently gave a talk on cancer to three visor, presented a paper on Contributions by health classes at Port Jervis High School. Voluntary Public Health Nursing Agencies to As a follov-up to Miss MacCulloch' talk,the Local Health Departaents at the Seventh Annu students made an interesting bulletin board al Meeting of the Kansas Public Health Asso display, vhlch Miss MacCulloch reports, "van ciation at Pittsburg, Ians., on April 26th. the talk of the school." HISS MART BRIGHTVELL, Lynchburg, Ya., Ve not# that MRS. PHTLLIS UTNE, Hanni actively participated in an Institute on bal, Mo., recently gave a talk to a group of rheumatic fever conducted by the Public student teachers at the Hannibal LaGrange Health Section, District Ho.3, Lynchburg, os College. She discussed vlth them various March 30th. Kiss Brlghtvell is a aeaber of health, problems vhlch teachers may encounter the Advisory Board for Colored Practical in the school room and pointed out vays to Purses for the State of Virginia; a neaber recognize these problems. The booklet, of the Board of Directors for District No.3; Ttaehtrt Stt, vas effectively used during and a aeaber of the City Planning Coaaittee this discussion. Mrs. Layne Is on the Board for CoBsunity Nursing Service. of Directors of the Health Council. She has HISS 0LIY1 VESCOAT, Asbury Park, N.J., also been Acting President of the District reports tbat "during the Cavalcade of Pro Nurses Association, and Is on the Board of gress, I assisted vlth the Chest X-ray Clinic the County Tuberculosis Association. on April 4th. The clinic vas held under the More and more Parent-Teacher Associa auspices of the Nev Jersey Tuberculosis Pro- tions are requesting talks by our nurses on graa, and la all, 2,040 X-rays sere taken." various health topics. MISS ELIZABETH Not too aany of us have had the inter PHILLIPS, Amsterdam,N.T., recently discussed esting experience of talking on the radio. childhood diseases at a local Parent-Teacher MISS HELEN RICHARDS, Kingston,N.T..explained Association meeting. MRS. BARBARA GATES, our Nursing Service on a local radio station Burlington,N.J., talked on "Healthy Children during Kingston's"Publlc Health Nurse Week." for a Healthy America",at the Delanco Parent Frequently, Metropolitan Nurses have Teacher Association meeting, on April 12th. - asked to discuss the Metropolitan Life Mrs. Gates reports that other aekbeW'of the 'Insurance Company Nursing Service and its panel included a superintendent' of schools, .'^nV'pert in the total health of the community s minister, and a local pbyaicl'an.^lUSS BESS 'before various groups of student nurses In HacCULLOCH, Port Jervis, N.T., vihowed the their communities. MRS. LEE FRIST, Gadsden, film Proof of tho Pudding to the Matamorae Ala., had the opportunity to talk vlth the Parent-Teacher Association on May 10th. She student nurses of the Holy Name of Jesus also gave a brief talk on nutrition, and dls- -v 2514 ^PRODUCED S/C/M/Ms' n Cuorfvrly iullefi* played literature on the subject. The folloving Huraea have been elected officers of various associations: HISS VIR GINIA PATTERSON, Joplin, Mo., Is president of the Fifth District Missouri State Nurses Association. MISS RUTH LEVIS, Shaaokln, Pa., Is on the Board of the local American Red Cross Chapter. MISS MARGARET HARRISON, Local Supervisor In Towson, Md., has been elected to serve on the Board of Directors of the Baltisore County Public Health Association. MRS. ELIZABETH GEHRIG, Akron, Ohio, Is to be commended on her fork In observing and reporting an open cistern to the Health Com missioner. Vhlle visiting a patient, Mrs. Gehrig found an open cistern, 125 feet deep and filled vltb vater,partially covered vith a dilapidated platform. After explaining the dangers of this open cistern to the family, Mrs. Gehrig called the Health Commissioner vbo took action immediately to correct this safety hazard. MISS FRANCES MURRAT, Middleton, Ohio, as part of an educational program, and In conjunction vith others in the community concerned vith safety measures, visited the fire bouse and observed a demonstration of the equipment used by the emergency squad. Several of our Nurses have sent in in teresting reports on meetings they have at tended. MRS. JOHANNA EEXXEDT and MRS. GLADYS STANBOROUGH, Union City, N.J., reported on a case conference held at the Nee Jersey Mental Hygiene Clinic,Graystone Ptrk,Morris Plains, N.J. Dr. Fuller, Chief Psychiatrist, com mented on the peculiar vay in vhlch members in our culture greet each other. Be felt that asking, "Horn are you?" and "Horn have you been?" focused -attention on possible illness, or at least-on the state of health. He preferred some ^statement like this, "Hoe nice to see you," or_,"l am so glad to see you." MRS. DOROTHY DEVLIN and MRS. MARGARET BLENXLE, Union City, N.J., reported on the meeting of the Nee Jersey State Tuberculosis PROL- . !_l W: zr/r pogo n(nt League in Nevark. Dr. A.E.Jaffin, President, suggested the folloving as leans of future control: routine chest X-ray, sputum examin ation, routine X-ray of diabetic patients, routine X-ray of pneumonia patients, routine X-ray of hospital admissions, preliminary tuberculin testing before use of X-ray in schools, and the use of BCG. He alao urged all against complacency and earned that tuberculosis Is far from under control. MISS LAURETTA VARDIAN, Oak Park, 111., reported on a talk given by Dr.Devlin on "The Basis of Neurotic Behavior." Dr. Devlin be lieves that behavior is alvays symptomatic and that neurotic behavior refers to a certain type or pattern of behavior. This behavior does not necessarily mean that the person acting in this vay is neurotic. Occasional ly, ve all resort to some neurotic type of behavior,such as aches and pains, anxieties, hostility, or aggressive behavior. Ve need to be loved and to give "lover-DflDeflinconcluded vith this injunction: "Keep normal and don't forget to get somebody to love." RECORD COMMITTEE Suggestions . for the revision of our nursing records have been received from time to time. Recently, a Record Committee vaa formed under the chairmanship of Miss Helen Snov, composed of Staff Nurses, Local Super visors, Territorial Supervisors, and four members of the Home Office Nursing Bureau Staff. Vith certain modifications, ve hare all agreed upon the objective found in an article published in the Journal of Social Cottaork for January 1949, entitled, "Diag nostic Recording," by Ruby Little. Miss Little pointed out: "It is perhaps lsportant to restate that the primary purpose of re cording is to further the process of extend ing help to the individual. The main use of the record is to bring together the signifi cant facts in the particular situation for study and consideration by the casevorker and for such help and direction as are neces sary by supervisors and consultants." Please send your suggestions for revisions to Miss Helen Snov, Area Supervisor. pogt ten Tht Quarterly Built tin FLAKEPROOFING WEARING APPAREL AND HOUSEHOLD FURNISHINGS As part of the Hose Safety Session, Greater Nee York Safety Council Convention, a very interesting talk and demonstration on flaaeprooflng materials were given last March by Mrs. Marie Schiaael, Instructor, Clothing and Textiles, Pratt Institute, Brooklyn,N.Y. Mrs.Schiaael reported that aany serious fires can be prevented by flaaeprooflng such fabrics and textiles as draperies, curtains, linens, bedclothing, and articles of cloth ing which you wear. The following table shows the degree of flaaaablllty of textiles before flaaeproof- lng: COTTON - Ignites quickly, holds a steady flaae, and is difficult to extinguish because of its tendency to saolder. LIKEN - Ignites with ease, keeps a steady flaae, and is easier to extinguish than cotton. WOOL - Difficult to ignite, keeps ex tinguishing itself, and is the least flammable of natural fibers. SILK - Accepts flaae, sputters and flashes but burns very slowly; it will extin guish Itself. WEIGHTED SILK - Chars only. Mrs. Scblnael quoted the United States Departaent of Agriculture Bulletin, No.1786, as giving the following solution and instruc tions for flaaeprooflng textiles: 1 pound Crystillne Borax 13 ounces Boric Acid 2 gallons of hot water Dissolve borax and boric acid in hot water, and then cool to rooa temperature. Always use the solution on dry fabric as aolsture adds water content. 'However, if the fabric does not accept aolsture, then add soap to fora a suds. If the aixture becoaes Jelly-like, dissolve over vara water (double-boiler principle). Dip fabrics until thoroughly vet and then wring out by hand. Always use a vara iron if fabrics are to be ironed. Effective flaaeprooflng solutions do not prevent fires but they can reduce serious 7ire"haxards7 Fabrics which have been treat ed with such a solution are made SLOW-BURN ING. They will not ignite readily nor burn rapidly, thus giving additional seconds in which to fight the fire. This lessens the danger of serious fires and severe burns. RAYON - Regenerated Type(cellulose origin) Accepts flaae easily, aay flash up, and is difficult to put out. Acctatd Type Flashes, drips and aelts, ends curl up la guany ball turning to hard residue. These guaay drippings aay cause deep skin burns. NYLON - Melts very slowly, also drips and aay cause deep skis burn. MILE FIBER - (Casein) known as AraVac in the United States. Ignites ,sJ.ow$7., but burns With a steady flaae. "csnoaics ASBESTOS - Non-flaamable. '^t GLASS FIBER - Non-fleasable - shows black after burning but this is due to carbon residue froa fire. PRODUCED S/C/M/Ms] REVISION OF NURSING TECHNIQUES The long-looked-for revision of Fursing in. the Font and Jursing Ttehniquts is under way. In preparation for the reylalon, Miss Margaret Reid has reviewed the cursing tech nique annuals and the current practices of aany leading institutions and agencies in tbs United States. The north, the south, the east, and the west, are all represented. University hospitals, other well-known hos- pltals, visiting nurse associations, and health departaents generously aade their procedures available. It is hoped, therefore, that this re vision, due for completion next fall, will be up-to-date and universal in its applica bility. Tht Quortsrlg Bullttin pagt tllvtn N BOV TO LIVE LONGER - Justus Schifferes. E.P. Dutton, New York, 1949. A direct, very sisplj written book on tbe principal causes of death, based on the latest Government statistics,and recent findlots of medical and public health authori ties. In addition to good discussions of the usual subjects - cancer, syphilis, tuber culosis, diabetes,cardio-vascular diseases there are also . some excellent chapters on subjects not usually included in such texts. For example, there is a chapter on "The Little Danger Signals" often ignored because of lack of knowledge;one on suicide, includ ing a presentation of Dr. Mennlnger'.s three components in the suicide act; and the final chapter, which sight be particularly helpful to nurses, giring the naaes and addresses of the organizations fron which help and infor mation on these rarious problems can be ob tained. LITE IS FOR LIVING - D. Ewen Cameron, M.D. MacMillan, New York, 1948. Dr. Cameron, Professor of Psychiatry at McGill University,has written a nontechnical text designed to help people who are groping their way through the confusions engendered by complications of present day living. He discusses the anxieties, guilt, damaging superstitions, . and hide-bound rules which form the basis for many behavior patterns. He attempts to show how a knowledge of moti vation and recognition of potentialities and limitations can help to make life more ef fective and more nearly the happy experience which it should be. RHEUMATIC FEVER; NURSING CARE IN PICTURES Sabra S. Sadler, R.N. J.B. Llpplncott, Philadelphia, 1949. One of tbe few texts available for re 2517 prc ference when actual nursing care in rneuaatlc fever is needed; demonstrates in pictures nursing hygiene and care in both acute and convalescent rheumatic fever cases. EMOTIONAL HYGIENE: THE ART OF UNDERSTANDING. Camilla Anderson, M.D. J. B. Llpplncott, Philadelphia, 1948. Fourth edition. A new edition of this useful book. NURSES HANDBOOK OF OBSTETRICS. Louise Zibrlskle, R.N. and Nicholson J. Eastnan, M.D. J.B. Llpplncott, Philadelphia, 1948. Eighth edition, THE ART OF CONFERENCE - Frank Valser. Harper Brothers, New York, 1948. Revised edition. THE PREMATURE INFANT - United States Chil dren's Bureau, Publication No. 325, 1948. TOUR CHILD FROM 6 TO 12 - United States Children's Bureau, Publication No.324, 1949. Price 20 cents, or may be borrowed from the Metropolitan Library. ALSO VORTH READING: THE STRUCTURE STUDY. African Journal of iursing, April 1949. SPEECH REHABILITATION FOLLOWING LARYNGECTOMY. James Greene, M.D. Jaerieon Journal of Sursing, March 1949. PROBLEMS' 07 COLOSTOMY PATIENTS - Public Eta 1th Iursing, January, 1949. CARE OF THE CANCER PATIENT AFTER HE RETURNS HOME. Alton Oschner. Journal of the Afri can Xtdical Association, August 28, 1948. Note: Members of the N.O.P.H.N. are prlvl- -leged to borroe books from tbe Nation al Health Council Library, 1790 Broad way, New York 19, N.Y. Miss A. June Brlcker, Director of the Home Economics Bureau reminds us that the pam phlet TEREX XZA1S A DAT, has a new face, in side and out. Ve hope you will like the changes, and will use this booklet to ad vantage. r -it **i*i M C1J* tvtll'9 9 7ht fuorttrlj Sullstin MISS BETSY BOYLIH JOINS METROPOLITAN TERRITORIAL SUPERVISORY STAfT On May 31. 1949, Miss Betsy Boylln vas appointed to the Nursing Service as a Territorial Super visor. She will also ^e available to as sist in integrating the principles of mental hygiene into our Staff Education Programs, as for example at Regional Conferences, and in the Teaching Centers. At the present time, she has not been assigned to any specific territory. Miss Boy1in is a graduate of St. Luke's Hospital School of Nursing, Ne York, N.Y. She received her B.S. from George Peabody College, Nashville,Tenn.; her M.S. in super vision In Public Health Nursing and a pro fessional diploma in Mental Hygiene from Teachers College, Columbia University. Previous to her appointment to the Com pany, Miss Boylln *as Supervisor and later Administrator of the Department of Health, Honolulu, Hivali. Prior to that, she had experience on the supervisory level at Ptlima Settlement, Honolulu, Hivali, and on staff level at the V.K. Kellogg Foundation, Battle Creek, Mich., and the Visiting Nurse Service of New York. Our very best wishes go to Miss Boylln in her nev position. Ve are delighted to have not only a veil equipped Territorial Supervisor,but someone upon whom ve can call to help us integrate the essentials of mental hygiene into our nursing services to policyholderu. C 0 N G R A TULATIONS 25 Years of Service Miss Annie Matthews ................ Memphis, Tenn. Mrs. Clara Belle Novey. . .Torrington, Conn. 20 Years of Service Miss Gabrielle Michaud. . Three Rivers, P.Q. Miss Cecile Richer................ .... . .Sorel, P.Q. Miss Virginia Swettenhaa................ Alton, 111. 15 Years of Service Mrs. Novella If. Dantzler. . Charleston, S.C. Mrs. Elizabeth Stock. . .San Leandro, Calif. Mrs. Virginia Bell Troutt . Knoxville, Tenn. 10 Years of Service Mrs. Pauline Brovn Payne. . .Shreveport, La. THE QUARTERLY BULLETIN METROPOLITAN LIFE INSURANCE COMPANY 1 MADISON AVENUE NEV YORK 10, N. Y. produced S/C/M/MS'. 2o4$ Printed to 0.3.A