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Captain and Assistant Surgeon, M. V. M., No. SOO Dart-
mouth Street, Boston, Mass.
Marine-Eospital Service.— Official List of the Changes of
Stations and Dulits of Medical Officers of the United States
Marine- Hospital Service for the Fifteen Days ending February
15, 1893:
Pdkviance, George, Surgeon. Detailed as chairman of the
board for examination of assistant surgeons for promotion,
to convene in Washington, D. C, March 11, 1895. Febru-
ary 8, 1895.
Married.
Henriques — Oakbt. — In Morristown, N. J., on Thursday,
Febroary 14th, Dr. H. A. Henriques and Mrs. Alice Dudley
Oakey {nee Mulligan).
Died.
Ashton. — In Philadelphia, Buy Divalproex on Monday, February 11th, Dr.
Samuel K. Ashton, aged seventy-three years.
Bailey.— In Pittstield, Mass., on Saturday, February 9tli,
Dr. Charles Bailey, aged seventy-four years.
346
LETTERS TO THE EDITOR.— PROGEEnmOS OF SOCIETIES. [N. Y. M«p^jh)^,
BowLES.-In SpriDRfield, Mass., on Tuesday, February 12th,
Dr. Stephen Wnlhice Kowles, in his sixtieth year.
RosE.-In Palmyra, O., on Tuesday, February 12th, Dr. L.
C. Rose, aged forty-five years.
f ctttrs to \\t €^\iat.
THE "DEVELOPMENT" OF INSANITARY CONDITIONS.
Washington, February IS, 1S95.
To the Editor of the New Yorh Medical Journal:
Silt: I set too high a value on the columns of the JoMr/iflZ
to occupy space in discussing tlie meaning of a word which
may be found in " Webster" Buy Divalproex Online or any of the other dictionaries;
but as an editorial in your issue of February 0th calls in qiies
tion the applicability of the word '' develop " in the third para-
graph of the bill to appoint a commission to investifiate the
subject of the polUitinn of rivers and other natural sources of
water supply, and reflects on the literary qualifications of those
concerned in framing the bill, 1 feel called upon to claim space
for a few words, as I had the honor to draft that bill at the re-
quest of those interested in the subject. " One of the sections,"
your editorial states, " provides tliat ' at the next session of
Congress the commission shall submit sufh suggestions as may
seem desirable for the purpose of remedying any insanitary con-
ditions that may have been " developed " by its work.' Surely
this is not what the framer of the bill meant, for he can hardly
intend that tlie commission shall go into the business of devel-
oping insanitary conditions ; ho h.as simply lapsed into sloppy
Enalish." This i* precisely what the framer of the bill meant
and intended. The transitive verb develop means to take a
thing out of the wrappings or obscurities in which it is envel-
oped. The thing referred to is in existence, but it is not ap-
parent until its existence is developed by some agency. It may
be intangible, an idea, for instance, but the existence of the idea
may be developed by tlie use of words spoken or Generic Divalproex written. It
may be invisible as is the photographic picture, which can be
seen only after it has been developed by certain chemical solu-
tions, or it may be a very material and substantial thing, as a
hostile firniy in line of battle, the position of which may be de-
veloped by reconnoiteriug parlies. Tlie first two illustrations
are analogues and the last is tlie homologue, from the literary
stiindpoint of "the insanitary conditions which may be devel-
oped [Synonyms : uncovered; unfolded; laid open ; disclosed;
exhibited ; unraveled ; disentangled ; detected.— Tl'ets^er] by the
labors of a commission of competent investigators."
Some person.^, through ignorance or carelessness, use the
word in the sense of to produce or to cause to come into exist-
ence. Against these the charge of lapsing into slovenly Eng-
lish may be preferred with justice, but certainly not against
those who give the word its true value.
Please oblige me by publishing this communication, that the
unmerited slur on the Janguage of U. R. 8481 may not be passed
over in silence. Cuarles SMiRT,
Major and Surgeon, V. S. A.
tious method of opening the cranial cavity without much loss
of bony tissue, as in ordinary trephining. Undoubtedly the
preservation of the wall of the cranium in its integrity is of the
greatest consequence, in that it makes it possible to secure re-
pair of the excised disc of bone and subsequent protection to
the intracranial parts. Such an article as this one referred to
should create considerable sensation in the surgical world, not,
however, from the originality of the idea, but rather from the
fact that at this late date a claimant should appear for honors
long since won by another. In the New York Medical Record
of February 10, 1894, appeared an article by Dr. J. S. Pyle, of
Canton, Ohio, describing a new method of opening tlie cranial
cavity by means of what is known as the diamond drills.
On comparing Pyle's and Cotterill's operations, one can
readily observe the simplicity of the former as compared with
the latter. Pyle's is a short, direct method of accomplishing a
definite purpose, while Cotterin's is laborious and complicated.
Pyle incises the scalp in the selected place and. with a sliding
or rocking motion, cuts quickly through the skull with his dia-
mond drill, leaving a sm.all peninsula of bone uncut. This
peninsula is fractured in laying hack the flap, but the circula-
tion in the loosened fragment of hone is not interfered with.
The parts coaptate nicely, bony union is established, and the
cranial contents are better protected than by the old trephine
method.
Ootterill's method, with its complicated incisions and nu-
merous perforations, arrives at the same result, but by a more
devious route. In no respect does it surpass Pyle^s operation.
It has no claim on the profession not fully covered by its pre-
decessor. The diamond drills have come to stay.
Fbaxkus Siioff, M. D.
Iprotecbmas of _§oneties.
METHODS OF TREPHINING.
AxTELL, Neb., Januarn 25, 1895.
To the Editor of the New York Medical Journal :
Sir: In your Journal of January 19, 1895, under the head-

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