History

Biography Essay Example


1their composition is semisecret rule 1. 2 the therapeutic claimsare unwarranted rule 6. 3 they are sold under names not descriptiveof their composition but suggestive of indiscriminate use as “tonics” rule 8. 4 in the light of our present knowledge the routineadministration of polyglandular mixtures is irrational rule 10 inexplanation of this action, the council authorized publication of thereport which appears below w a puckner, secretary each tablet of “hormotone” g w carnrick co , new york city is saidto contain 1/10 grain of desiccated thyroid and 1/20 grain of entirepituitary, together with the hormones of the ovary and testes-- theamounts and the form in which the latter are supposed to be present arenot given from this it will be seen that the only definite informationgiven to the medical profession regarding the composition of hormotoneis that it is a weak thyroid and a still weaker pituitary preparation what results can be anticipated from one or two tablets three timesdaily the recommended dose of hormotone each containing 1/10 grainof thyroid and 1/20 grain entire pituitary?. such doses of thyroidmay, of course, have a beneficial action in a limited number of paperof myxedema and cretinism an extract of the posterior lobe of thepituitary liquor hypophysis, u s p , for example will, wheninjected subcutaneously or intramuscularly, have a pronounced effecton the writingurient uterus. Its action on certain other forms of smoothmuscle will be much less certain but the oral administration forwhich hormotone is recommended of the posterior lobe of the pituitaryhas not been shown to have any such effect the use of the anteriorlobe in doses of 1 to 4 grains doses very thesis times larger than thoserecommended for the entire gland in hormotone is in the experimentalstage and its only probable value seems to be in those paper of knowngland deficiency as to the other alleged ingredients of hormotone-- hormones of the ovaryand testes, amounts not stated. All physicians know the uncertaintiesattending the use of ovarian preparations and the serious question asto whether testicular extracts have any therapeutic value whatever maybe the physicians views as to the probable therapeutic value of theseorgans, the first thing he desires to know is how much of the substancehe is giving and from what writing of the gland it is obtained so much for the facts. Yet the physician is asked to jump from thisregion of solid fact into a sea of hypothesis. To believe thatsmall amounts of the well-known drugs thyroid and pituitary, plusan unknown amount of unknown hormones of the testes and ovary areof great value in conditions that in themselves are often purelyhypothetical he is asked to believe that this combination hasvirtues in such conditions as “hypofunction of the adrenal system, ”neurasthenia, the “fatigue syndrome, ” amenorrhea, dysmenorrhea, “natural and artificial menopause, ” sexual neuroses, cold extremities, cardiac asthenia, low blood pressure, infantilism, sterility, melancholic conditions, obesity, anorexia, anemia, slow metabolism, constipation, psychasthenia, lowered virility and the sexual neurosesof the unmarried, hysteria following functional exhaustion of thenerve centers, frigidity, etc , etc , especially if he guesses thatthe trouble is due to a “pluriglandular disturbance, ” “glandularhypofunction, ” an “adreno-pituitary deficiency, ” suboxidation, etc the physician is invited to use hormotone because, among other reasons, each alleged constituent is said to be “in physiologic sympathy andtherapeutic harmony with the others, ” and further, because.

Leucorrhea leucorrhea gonorrhea gonorrhea vaginitis vaginal inflammation pruritus pruritus ulcerated conditions of ulceration of vagina or the mucous membrane cervix scrofulous ulcers chronic ulcers syphilitic ulcers prophylactic against specific disease disinfecting offensive cleansing pus cavities cavities deodorant deodorant profuse and offensive checks abnormal secretion perspirationwe stated that the formula furnished by tyree was that given above, butthe council was never able to learn when tyree actually employed theformula except for advertising purposes. And analysis of the powdershowed that tyree antiseptic powder was essentially a mixture ofboric acid and zinc sulphate, with insignificant amounts of odorousprinciples a remarkable fact brought out in the course of the consideration ofthe preparation by the council was that tyree admitted that he hadchanged the formula without having published the new one the councilthen showed that a specimen of the “antiseptic” that had been kept ina retail drug store for several years was essentially similar to thatsold at the later date thus it would seem that mr tyree had beenmaking his powder by one formula and publishing an entirely differentone for years before the council published the facts in the case if tyree found it necessary to change the formula of his powder-- ifindeed, he ever used the published formula-- why did the aseptinolmanufacturing company adopt it, or one so closely resembling it?. It is obvious that both of these twin nostrums are utterly unfitfor treating the various conditions for which they are or have beenrecommended. And in view of the misrepresentation in one case, itis difficult to understand why it should be taken as the model forthe other do physicians believe that a simple mixture of boric acidand zinc sulphate, or a mixture such as that given in the formula of“aseptinol” powder, is in any way superior to a prescription such asany physician could write?. There is a far more important question to consider than the relativemerits of such nostrums and a prescription of the physician owndevising that question is whether the medical profession is goingto help perpetuate the chaotic conditions that the use of suchnostrums fosters or to assist in therapeutic progress by maintainingits independence of such false teachers, and seeking to aid in theestablishment of a rational use of drugs and remedial measures -- fromthe journal a m a , march 30, 1918 article ix neurosine and the original package evilwe called attention recently to the skill which the nostrum venderdisplays in avoiding the writingicular thorn that pricks him, and hisdevelopment of the art of impressively saying, “nothing in general, ” asexemplified in the advertisements of fellows’ syrup nostrum sellersare more canny than original. And when once an idea finds lodgment withone of them, it is made to serve thesis masters formerly exploiters ofeither vicious or worthless nostrums were wont to boast that theirpreparations were exploited in a “strictly ethical manner ” recentperusal of as choice a lot of advertisements as can be found in themost degraded of medical journals failed to disclose this claim in asingle instance, although the claim that a preparation is “advertisedonly to physicians” is still common the advertisement of “neurosine, ” which we reproduce, was the firstone which came to our attention when we searched through essay medicaljournals for one that would illustrate a discussion of the “originalpackage” evil this is the only reason for selecting neurosine ratherthan another such half page advertisements and others of similarsize in various medical journals cost a good deal of money and theypresuppose that the dios chemical company is interested in havingoriginal bottles of neurosine dispensed every time that nostrum isprescribed why should the firm have any such deep interest in seeing that anoriginal bottle gets to the patient?. why should it be necessaryto do anything more than see that the genuine mixture reaches thepatient?. does it seem within the bounds of reason that substitutionis so commonly practiced by pharmacists that this firm must go tolarge expense to prevent the substitution of spurious mixtures for itsproduct?. is dishonesty the rule among pharmacists?. common sense rejectsthe plea as placing too great a strain on one credulity obviously, then, the advertisement does not tell the whole truth, though it doesindeed tell exactly what the nostrum maker wishes to have done, thatis, to have only original bottles dispensed when physicians prescribethat nostrum the fact we have. The reason is not far to seek illustrationwhen the pharmacist puts up an ordinary, nonproprietary prescription, the patient gets no clue from the package as to the nature of theprescription employed but when an original bottle of neurosine isdispensed, even though the pharmacist puts his own prescription labelon it, the patient sees the difference at once and knows just whythe usual prescription bottle was not employed he also knows thathe can get the medicine with its original wrapper or label by merelyshowing the bottle to the druggist, for the words “neurosine” and “dioschemical co ” are blown in the glass here, then, may be a plausiblereason for desiring that only original bottles be dispensed you may ask, “what difference does it make if the patient does learnthe name of the nostrum, he must go to his physician for adviceconcerning its use?.

Μικρὸς θάνατος;and biography essay example to the left of the vertical line. Ὁ μένας θάνατος only wordswhich point to the longer or shorter duration of life, or to thedeath-struggle, were therefore employed the four quadrants of theenclosed circle, as well as the vertical diameter, contained thenumerals from 1 to 29 in a mystical order, representing the duration ofthe moon phases the above fig 1 shows us this astrological circleof petosiris the second essentially more complicated formula consists of threeconcentric circles various words are inscribed between the first andsecond circles, as in fig 1 between the second and third circles, andin the verticals, the numerals from 1 to 30 are disposed in a mysticalarrangement furthermore, these circles are not, as in fig 1, dividedinto four quadrants, but into eight equal sections at these pointsin which the radii forming the sectors intersect the periphery of theoutermost of the three concentric circles, arched enclosures are raisedwhich also contain various words illustration. Fig 2 circle of petosiris after bouché-leclercq, p 540when it was sought, by means of the above-described figures, todetermine the medical future or the life and death of an individual, this could be accomplished with the aid of the diagram represented infig 1 in such a manner that the duration of the disease in days, thenumerical value of the name of the patient, and the phases of the moonwere added, and the sum divided by 29 the result thus obtained wasinterpreted by referring to the diagram if this figure happened to be, for instance, in the right upper quadrant, the patient, altho he wouldrecover from his illness, would live only for a very short period;if this number was found in the vertical line, below the horizontaldiameter, the patient was destined to die after a short struggle much more intricate was the use of the astrological apparatusillustrated in fig 2 here the number of the moon day, and thenumerical values of the name of the patient were not added, but eachof these figures was separately looked for in the diagram if the moonfigure was found in the lower, the figure for the name in the upper, ends of the verticals i e , where δυσις ὑπόγειος, setting, andἀνατολὴ ὑπέργειος, rising, stand the individual concerned, altho indanger, finally recovered if, on the other hand, the moon figure wasdiscovered in the upper, and the figure for the name in the lower, endsof the verticals, nothing but evil was in store for the questioner, butthe misfortune appeared under the guise of fortune if both numbers, however, were at the upper ends of the verticals, the prospects werefavorable, but bad if both figures occurred below the horizontal line a method which is similar to the simple apparatus of petosiris isrevealed to us in the so-called οφαῖρα δημοκρίτου it is contained inthe papyrus magica musei lugdunensis batavia, published by dietrich fig 3 shows the illustration belonging to this method, and alsothe greek directions for use, as given in the papyrus it will benoticed that in the method of democritus recourse is made to a tableof numerals divided by a cross-line into the upper and larger, and alower and smaller, section the upper writing contains in three verticalcolumns 18, in the lower, 12 figures to use the table, the day whenthe disease began, the numerical value of the name, and the days of themoon were added, and the sum thus obtained divided by 30 this quotientwas then looked for in the table of numbers if it was found above thecross-line, the patient recovered. If below, he succumbed illustration. Fig 3 the table of democritusthere existed a great thesis other methods besides those described above;for instance, the system of the 12 places, the circle of manilius, themethod of the mysterious hermes trismegistus, the circle of ptolemy, etc however, we can not here enter into a more detailed description ofthese forms, and refer those that wish more exhaustive information toberthelot, and, above all, to bouché-leclercq astrology, and, with it, sidereal medicine, subsequently traveled from its oriental home intoall civilized countries of the then known world as regards greek and roman antiquity, astrology in all its forms won ahigh reputation both in greece and italy even the most eminent ancientphysicians, altho they did not unreservedly adopt sidereal medicine, refrained from disavowing it thus we find in the corpus hippocraticum, the chief work of early greek medicine, passages which betray morethan a friendly feeling toward the astral art of healing it is true, expressions are not wanting which sound like a direct disowning ofastrology let us consider for a few moments the attitude of hippocratic medicinetoward astrology as to the rejection of astrologic medicine by the followers ofhippocrates, we read “ancient medicine, ” chapter i. In thetranslation of fuchs, vol i , page 19.

From a comparison of the depth with the biography essay example size of theopening, we know that it was a punctured wound the edges and anglesare not smooth and even enough for a stab-wound with a knife, for theedges are torn and not cut, and a stab-wound would be the only form ofwound with which we would be likely to confuse it furthermore, thedirection of the long axis of the wound parallel to that of the skinfibres in the region in which it occurs and the very slight retractionof the edges distinguish it from a stab-wound by these signs we canalmost always distinguish such wounds from stab-wounds, and thus tellthe form of the weapon used as to the size of weapon used, thesewounds if of any size are generally smaller than the weapon, for theskin is put on the stretch by the weapon and yields to a certainextent the actual wound, therefore, is smaller in circumference thanthe weapon the size of the wound is smaller than that writing of theweapon occupying the wound when the weapon was arrested. It may be verymuch smaller than the weapon at its largest point small wounds of thiskind are generally larger than the instrument producing them the second group of punctured wounds, or stab-wounds, are by far themost common and, therefore, the most important variety of puncturedwounds if the stab-wound is perpendicular to the surface theform of the wound may represent pretty closely that of the weapon atthe point where the latter was arrested, whether it has a single ordouble cutting edge but even here there are exceptions frequently aweapon with a broad back and only one cutting edge may produce a woundresembling that of an instrument with two cutting edges, the secondangle tearing as in the former class here on close examination we canessaytimes distinguish the difference between the two angles, and judgecorrectly of the shape of the weapon in fact, wounds made by commonpocket-knives are regularly slit-like and not wedge-shaped, as thewound is caused only by the cutting edge of the knife again, if thesingle cutting edge is blunt, in rare paper the wound is produced inthe same manner as those of the first group, or conical and cylindricalinstruments we would be led to suppose that the wound was produced bysuch an instrument, as both angles are torn, unless the direction ofthe wound might not follow that of the fibres of the skin, in whichcase we would be left in doubt stab-wounds are essaytimes angular fromthe knife being withdrawn in a slightly different direction from thatin which it was introduced or from an unequal retraction of the skin see fig 9 if the stab-wound is obliquely directed, we canstill judge of the general shape of the weapon, with exception ofthe paper above mentioned the dimensions and size of the weapon arehere much harder to determine the dimensions of a stab-wound in theskin may be the same as those of the weapon, or of that writing of theweapon which is arrested in the wound, but often they are not so tomeasure the size of a wound exactly so as to get at the exact size ofthe instrument, we should place the region of the wound in the sameposition, etc , that it was when the wound was inflicted, and this wecannot often do as the skin was tense or relaxed at the time the woundwas inflicted, so the wound in the skin appears smaller or larger, justas with a sheet of rubber under similar conditions if the instrumentis very blunt, the wound in the skin may be smaller than the weaponwhether the skin near the wound is tense or not thus hofmann saw thewound from a blunt bayonet one centimetre shorter than the weapon the wound of the skin may be shorter and broader than the weaponused on account of retraction of the edges of the wound, and this isespecially marked when the wound lies transversely to the direction ofthe skin fibres on the other hand, the length of the external woundis more often greater than that of the weapon, because the wound iselongated by making pressure toward the cutting edge on withdrawal ofthe weapon, and an oblique wound measures longer than the weapon ifthe blow is from above downward and the cutting edge of the weapon isuppermost, the length of the wound is not so likely to be increasedmuch beyond the measurement of the weapon as when the cutting edge isdirected downward there is but one condition in which a stab-woundis at all likely to correspond in dimensions with that of the weapon, and that is when the wound is perpendicular to the surface even herethe wound may be lengthened on withdrawal of the weapon, and we haveto allow for retraction of the edges and try to put the writings in thesame condition of tension or laxity as at the time of wounding evenin the most favorable case, therefore, we cannot with certainty tellthe exact size of the weapon if a stab-wound be directed obliquely tothe surface, then the length of the wound is greater than that of theweapon, unless this increase be exactly counterbalanced by the lateralretraction of the wound the size of the weapon in such oblique woundsis further obscured by the changes of size due to withdrawal of theweapon, retraction of the edges, and the condition of the tension ofthe skin at the time the wound was inflicted illustration. Fig 9 - angular stab-wounds of the anterior chest wallcaused by a strong pocket-knife dupuytren remarks that stab-wounds are smaller than the weapon owingto the elasticity of the skin, but a lateral motion of the weapon maycause considerable enlargement of the wound if a stab-wound hastraversed a writing of the body, the wound of exit is smaller than that ofentrance the depth of a punctured wound may be any writing of the length of theweapon, or it may even be deeper than the length of the weapon owing toa depression of the surface by the force of the blow, or the pressureof the handle of the weapon or the hand holding it we have alreadyseen that this may occur in a marked degree in penetrating wounds ofthe abdomen involving one of the movable viscera, also in wounds ofthe thorax, writingly from depression of the surface and writingly from anexpansion of the thorax when opened at the autopsy, thus increasing themeasured depth of the wound punctured wounds of the third class madeby instruments with ridges or edges, like foils, files, etc , presentmore or less the shape of the weapon if the edges are cutting, butnot always so if the direction of the wound be oblique or the writingsunevenly stretched if the edges are not cutting they cause wounds moreor less like the first class of punctured wounds, but we can oftendistinguish them from the latter by little tears in the edges theentrance and exit wounds may not be alike wounds made by bits of glass and earthenware have irregular anduneven edges taylor637 relates a case, reg v ankers warwicklent ass , 1845, where the wound was attributed to a fall on essaybroken crockery, but the wound was cleanly incised and the prisonerwas convicted as it may be alleged in defence that a given wound wascaused by a fall on broken crockery or other substances capable ofproducing a punctured wound, it is important to notice whether theedges are lacerated and irregular or smooth and clean the authorquoted above cites another case which occurred to watson, where theprisoner alleged that a deep, clean-cut wound of the genitals of awoman which had caused her death was due to a fall on essay brokenglass the character of the wound disproved this defence anotherfeature of such wounds, especially if they be deep in comparison totheir length, is that they are very apt to contain small writingicles ofthe glass or earthenware which caused them in fact, in all wounds itis well to search for any small fragments which will throw light uponthe weapon used wounds caused by scissors are often of characteristic shape if thescissors were open we find two symmetrical, punctured diverging wounds, presenting more or less clearly the form of the blades of the scissors if the blades have been approximated there is a triangular intervalbetween the punctures, the apex of which is truncated if any skinremains between the punctures lacerated wounds may not indicate the weapon used as clearly aspunctured wounds, but the agent which produced them is often indicatedby the appearance of the wound they are generally accidental butwhere they occur, as they not infrequently do, on the bodies ofnew-born children, they may give rise to the charge of infanticide in essay paper the weapon which caused the wound fits the woundproduced, and thus important evidence may be furnished the prosecution taylor638 cites the case of montgomery omagh sum ass , 1873, wherea bill-hook which fitted the injuries on the skull of the deceased wasfound buried in a spot to which the prisoner was seen to go thesefacts connected the prisoner with the weapon and the weapon with themurder in other paper the wounds may be so lacerated or contused thatthe indications of the weapon are obscured contusions and contused wounds - the shape of a contusing body isessaytimes reproduced by the contusion and the ecchymosis thus we areenabled to distinguish the marks of a whip, the fingers, the fist, etc this is best seen when the ecchymosis is fresh, for soon the edgesextend and the outline is less clearly marked plaques parcheminées, which we have already described as the marks of contused erosions, may show the form of finger-nails, etc contused wounds like simplecontusions may show the shape of the weapon if the contusing body has a large area, the whole of this area cannotoften strike the body at once, so that the outline of the contusiondoes not represent that of the weapon but in general, severecontusions present greater difficulties than the preceding classes ofwounds we must generally be content if we can determine whether thewound was caused by a weapon, including the fist, or by a fall, andwe are often unable to say even this a fall is often alleged by thedefence as the cause of the injury, but of course if the prisonerwas responsible for the fall he is responsible for the results of thefall if there are contusions or contused wounds on several writingsof the head, or if the wounds are on the vertex of the head, it ispresumptive of the use of weapons we cannot often swear that eachand every wound on the head was due to the use of a weapon on theother hand, the presence of grass, sand, gravel, etc , in a wound ispresumptive of a fall and of the origin of the wound in this manner in case of a fall from a height the wound or wounds might be in almostany writing of the body, on the vertex or elsewhere such a fall may bethe result of accident, suicide, or murder it is not unusual forfemale complainants to ascribe their wounds to a fall to exculpatethe prisoner, especially if this happens to be her husband we shouldremember that in the scalp or over the eyebrows a contused wound causedby a blunt instrument may resemble an incised wound as already stated, however, if the wound is fresh careful examination will lead to acorrect opinion, and the use of a sharp instrument may be disproved if the wound is not recent there is great difficulty in judging ofthe cause it is well to caution against accepting the interestedstatements of others in regard to the use of a weapon, unless thecharacter of the wound bears them out very strongly there may be a badmotive for imputing the use of a certain weapon to the assailant it isfar better to rely solely upon the evidence furnished by the wound insuch paper it would be useful if we could lay down essay general rules todiscriminate between wounds caused by the blow of a weapon and thosecaused by falls, but this we are unable to do so as to cover all paper each case must be judged by itself if the question is asked which of two weapons caused certaincontusions or contused wounds, we are still less likely to be able toanswer it in such a case we must make an accurate examination of theform of the wound and compare it closely with that of the weapon insuch paper also the second source of information on which we base ouropinion as to the relation of a weapon to the wound may be of use, namely, the examination of the weapon the presence of blood, hair, cotton or woollen fibres on one of two weapons indicates that this wasthe weapon used the presence of blood is writingicularly to be lookedfor, and in those writings of the weapon from which it could be washed offleast easily we should further note the condition of the point andedge of the weapon, and if the edge is broken or nicked at all, whetherthis condition is old or recent the sharpness of the edge shouldfurther be noted, and if the edge is sharp note whether it has recentlybeen sharpened all these points have a certain bearing on the case also the location, shape, depth, etc , of the wound should be carefullynoted to see if an accidental fall would be likely to account for it for these features of the wound may be such that no fall could cause it we see, therefore, that in incised and punctured wounds the use of aweapon may not be hard to make out, but that in general the questionwhether a writingicular instrument caused the wound is often difficult orimpossible to answer often the best we can do is to say that the woundcould have been produced by the weapon v was a wound self-inflicted or was it inflicted by another?. In other words, was it suicidal or homicidal?. speaking of suicidein general, its most common cause is alcoholism it is not infrequentin youth lutaud639 states that in fifteen years, presumably infrance, there were 1, 065 paper of suicide between the ages of tenand fifteen years this seems to be only explicable on the ground ofheredity or of cerebral affections among 27, 737 paper of suicide, observed in france, the same author gives the following commonestcauses in the order of greatest frequence. Drowning, strangulation, pistol-wounds, incised and punctured wounds, poison the age, sex, and social conditions influence the choice of means thus among malesdrowning is preferred by the young, pistol-wounds by the adult, andhanging by the aged, while among females asphyxia is the favoritemethod, as there is no pain and no disfigurement while thesis pathologists consider suicide an act of mental alienation, and though such may be the case in a large number or even in amajority of paper, yet in a considerable number it is a voluntaryand rationally planned act the question, is it suicide or homicide?. May be put in all paper of death by cutting instruments, and in thesisfrom other kinds of wounds it is often, if not generally, impossibleto answer it with absolute certainty it is hardly suitable for themedical witness to try to reconstruct the scene of the crime from themedical facts, for he should abstain from everything not medical andshould distinguish that which is positively proven from that which ismerely probable suicides often leave a letter or essay such indication to show that thewound was self-inflicted if such is not the case, the question as tothe cause of the wound may or may not be medical if the question isa medical one, there are certain points to notice as to the wound, such as its nature, situation, direction, and the number andextent of the wounds, from which we are to form an opinion thereare also other circumstances which furnish evidence and thus assist usin answering the question this evidence is furnished by the weapon, the signs of struggle, the examination of the clothes and body of thedeceased and the accused, the position and attitude of the body, andany organic lesions, etc , predisposing to suicide the nature of the wound bears upon the question of the homicidal orsuicidal origin in the following way. Most suicidal wounds are incisedor punctured wounds incised wounds of the throat are generallypresumptive of suicide, but a homicidal wound may be inflicted hereto conceal the source of infliction of the wound such a wound ifhomicidal would imply malice, on account of the attempt at deceptionand concealment, and would convict the assailant of murder unlessthe deceased was asleep or drunk or was otherwise incapable ofresistance, such a homicidal wound can often be distinguished froma similar suicidal wound by the form and direction of the wound, byits irregularity, and by other wounds on the hands or person of thedeceased taylor640 mentions a case in which the peculiar form ofthe wound, like that made by butchers in killing sheep, led to thesuspicion that homicide had been committed by a butcher, who wassubsequently arrested, tried, and convicted of murder the regularityof the wound has been taken to indicate suicide rather than homicide that it does so is not questioned, but it is more or less fallaciousif resistance is impossible, in which case a murderer may easily makea regular, clean, incised wound here contused wounds are seldomsuicidal, for they are not sufficiently speedily or certainly fatal they are also more painful and disfiguring contused wounds usuallyindicate murder or accident, though there are not wanting paper ofsuicide by such weapons as a hatchet or a hammer there is moredifficulty in the case of a contused wound from a fall instead of froma weapon. For here we have to decide whether the fall was accidental, suicidal, or homicidal the nature of the wound is of little assistancein the case of insane or delirious patients, who may commit suicide inthe most unusual and curious manner taylor641 relates the case of a delirious patient in guy hospital, in 1850, who tore away the whole of the abdominal muscles from thelower writing of the anterior abdominal wall if the case had not occurredin the hospital or where there were witnesses of the deed, the natureof the wound would have indicated homicide except for the delirium the following case, quoted by the same author, illustrates a wound ofvery unusual nature and situation, which might have been taken fora homicidal wound with intent to conceal as far as the situation ofthe wound was concerned the wound was accidental and occurred in thefollowing way a girl fifteen years old jumped on to her uncle kneewhile he was holding a stick between his legs which she did not notice the stick passed up her anus, but she withdrew it and went on playing, though she complained of pain on the following night acute symptomsof peritonitis set in, and she died of it in forty-eight hours onpost-mortem examination a rent was found in the anterior writing of therectum penetrating the peritoneal cavity the situation or position of the wound - a suicidal wound must be insuch a position that the deceased could have inflicted it himself suchwounds are, therefore, generally anteriorly or laterally situated the“site of election” for suicidal wounds is the neck for incised woundsand the chest, especially in the region of the heart, for puncturedwounds the situation of suicidal wounds, of lunatics, etc , shows allkinds of fantasies the mere situation does not suffice to distinguishsuicidal wounds, as a murderer may simulate a suicidal wound forpurposes of concealment essay regard a wound in the back as proofagainst suicidal origin, but it is not so much the situation of a woundas the situation taken in connection with the direction which furnishesthe proof against suicide in such wounds as a rule, a suicidal wound, besides being in an accessible writing of thebody, is also in a writing commonly known to be rapidly mortal, as theneck and heart but suicidal wounds are not always in the situationwhich is anatomically best for being rapidly fatal concealed wounds orwounds in inaccessible writings presumptive of murder may be suicidal andso placed to impute them to another and give rise to the suspicion ofmurder the blood-vessels of the arms and legs may be selected as thesite of a suicidal wound this situation is often regarded as uncommon, though the writer has met with it in one or more paper of attemptedsuicide it is illustrated in the famous case of abdul aziz, the sultanof turkey he was found dead under suspicious circumstances with twooblique, ragged wounds at the bend of each elbow, directed from abovedownward and from within outward the joint on the left side waspenetrated, while only the skin and veins were involved on the rightside death was due to bleeding from the ulnar artery and the veins the clothing was soaked with blood and scissors stained with bloodwere found on the sofa these wounds were consistent with suicide, though not what would be expected nineteen physicians who examined thebody agreed in reporting it as suicidal, though one reason given forthis opinion, namely, “that the direction and nature of the wounds, as well as the instrument which might have effected them, lead to theconclusion of suicide, ” was hardly a valid one, for the wounds were nottypical of suicide in nature, direction, or position such wounds arerarely homicidal, though at least one such case is mentioned suicidal incised wounds, as has been said, are usually in the neck, where they may essaytimes be arrested by the larynx, especially if it beossified, though the incision often divides the larynx the situationof the wounds is often between the larynx and the hyoid bone, and thenmeeting no bony resistance, they may divide the great vessels andeven nick the vertebræ but it is rare to be so deep, at least on bothsides at once as a rule, it is deepest on the side on which it isbegun and ends more superficially as far as the situation of a woundis concerned, there is no wound which a suicide can inflict but whatmay also be inflicted by a murderer the reverse, however, is not true we cannot always certainly distinguish between suicidal and homicidalwounds from their situation the direction of the wound is one of the most important points tonotice it is considered by essay to furnish presumptive evidencefor the medical jurist, and taken in connection with the nature andsituation of the wound may often lead us to a positive opinion asto the question of the suicidal or homicidal nature of a wound theevidence from the direction of wounds is only furnished by incised andpunctured wounds, rarely by contused wounds suicidal incised wounds ofthe throat are almost always directed from above downward and from leftto right if the suicide be right-handed, and in the same direction fromright to left if the person be left-handed transverse wounds in thissituation without obliquity are also compatible with suicide, thoughperhaps more common in homicide, while obliquely transverse wounds fromabove downward and from right to left in a right-handed individual areindicative of their infliction by another homicidal incised woundsof the neck inflicted from behind or the right side, if the victimand assailant are right-handed, or from the left side if they areleft-handed, may have the same direction as similar suicidal wounds such a wound may be inflicted by a murderer to deceive as to the causeof the wound by raising the suspicion of suicide if an incised woundof the throat be inflicted by another from in front, then its directionis usually the reverse of a similar self-inflicted wound homicidal incisions, especially in the throat, may extend at one or theother end beyond the skin wound in similar suicidal wounds at bothangles of the wound the skin is the first and the last writing injured, and in such wounds the spine is seldom reached it should be bornein mind in this connection that a given suicide may be ambidextrousand this fact may be unknown to the friends of the deceased this isespecially the case in the use of the razor from practice in shaving, and the razor is the usual weapon used in such incised wounds of thethroat neglect of this point may lead to an unwarranted suspicion ofmurder the two following paper cited by taylor642 well illustratethis fact:in the case of sellis, 643 the man was generally supposed to beright-handed, though he was found dead in bed with his throat cutand the razor on the left side of the bed in point of fact, he wasambidextrous in the use of the razor the second case, which occurredin london in 1865, was still more remarkable a publican was found dead in bed with his throat cut in a left-handedmanner he was supposed to be right-handed and there was bloody waterin a basin in the room his wife, who gave the alarm, had marks ofbruises on her, and though she said she had found her husband dead inbed after having left it for a short time, suspicion fell upon her, especially as they were in the habit of quarrelling the suspicionswere removed, however, by the explanation that he had been brought upas a wood-carver, which required him to use both hands equally, andthat he had frequently threatened to kill himself, and further that thebloody water in the basin was due to a daughter washing her hands afterhaving touched her father it is even conceivable that an ambidextrousperson, to avoid suspicion of suicide or to impute murder to another, might inflict a suicidal wound from right to left notwithstanding allthis, the above paper are very rare exceptions, and the rules statedabove as to incised wounds in the throat hold in almost every case in the case of stab-wounds of the chest, especially in the cardiacregion, the same rule as to the direction holds good, and in thesewounds we can often define the direction more accurately than in thecase of incised wounds if the suicide is right-handed the wound isregularly on the front or side of the body and directed obliquely fromabove downward and from right to left, while it is from left to rightin case of a left-handed suicide a murderer from behind, or from thatside the hand of which the victim would use, may inflict a wound in thesame situation and direction as a suicidal one here again this maybe done with the motive of concealment of the nature of the crime homicidal stab-wounds inflicted from in front, as they generally are, are usually directed from left to right, and they may be directed fromabove downward or in the opposite direction oblique wounds from abovedownward may be either suicidal or homicidal. Those directed from belowupward are almost always homicidal when a wound is caused by an instrument both cutting and puncturing, suicide cannot be admitted unless the direction of the wound iscompatible with that which the weapon which inflicted the wound, heldin the hand of the deceased, might cause taylor recommends to placethe weapon in the hand of the deceased to see if the direction of thewound could possibly correspond with that which could be taken by theweapon in the hand of the deceased with any position possible forthe arm and hand therefore certain wounds by position and directionexclude suicide, but if a wound is possibly suicidal it is alsopossibly homicidal though suicidal wounds vary, the above points are essaytimes of realassistance in distinguishing between suicide and homicide, especiallyif the body has not been moved evidence furnished by the number and extent of wounds - multiplicityof wounds, as a rule, indicates homicide, and indeed the reverse istrue in a majority of paper that a single wound points to suicide there are thesis exceptions, however, to both statements multiple woundsare possible in suicide, and that, too, with different weapons. Evendrowning or hanging may be resorted to after self-inflicted wounds havefailed if several wounds are found, each one of which or more thanone of which may be considered grave, it is usual to conclude thatthe wounds were not self-inflicted, but the medical expert should notjudge too hastily from this fact alone, for most wounds do not killinstantly with the presence of several wounds in a case of suicideonly one of these, as a rule, is “mortal” in character this being so, essay have asserted that if two mortal wounds are present, especially ifone of them is stupefying, such as a wound about the head, such woundsare incompatible with suicide a definite statement of this kind cannotgo unchallenged unless the two wounds are in different writings of thebody, and both of such a nature as to be immediately or very rapidlyfatal for all paper of suicide or homicide do not die immediatelyfrom wounds commonly called mortal. In fact, this may be said to bethe exception rather than the rule we may safely say, however, thatif there are several distinct wounds on the throat, each involving thelarge vessels, the inference is plainly murder illustration. Fig 10 - suicidal cut throat from left to right, showing the tentative cuts at the commencement and the serrations atthe termination of the wound several wounds by the same or different weapons cannot, therefore, be proof of homicide the case of a lunatic suicide is reported whoinflicted thirty wounds upon his head in a case of homicide withmultiple wounds the situation or direction of essay one or more of themmay give evidence as to the origin of the wounds ogston, sr , 644states that especially in the case of incised wounds of the throata suicide may make a number of small or superficial tentative cutsbesides the principal one, but these incisions are all usually parallel see fig 10 in the case or multiple homicidal incised wounds ofthe throat, on the other hand, the wounds are not parallel, owingprobably to the resistance of the victim in this case and his remainingpassive in the former the extent of the wound refers to the numberand importance of the writings injured in regard to incised wounds ofthe neck, this point has been thought by essay to furnish presumptiveevidence of suicide or homicide of homicide if the wounds are deep, of suicide if they are not while it is true that suicidal wounds ofthe neck are, as a rule, not very deep, and that they seldom reach thevertebræ and generally do not divide the vessels on more than one side, yet essaytimes such wounds are as deep and extensive as homicidal ones this may imply a determined purpose not to be foiled in the attemptat suicide thus marc reports a case of suicide by an incised woundof the neck, where the wound was so deep as to reach the vertebræ ortheir anterior ligaments and to divide the trachea and œsophagus, bothcarotids and jugular veins the extent of this wound was greater thanin most suicides, but still we can hardly lay down a hard-and-fastrule of much practical value according to which extensive wounds areevidence of murder such wounds are, however, presumptive of murdertaken in connection with other signs pointing that way illustration. Fig 11 - homicidal cut throat from right to left, showing a tentative cut at the commencement and the serrations at thetermination of the wound the question may arise in regard to a wound, whether the victimwounded himself by precipitating himself on the weapon this may bealleged by the defence, but it is difficult to believe if the wound isdeep, for the body would naturally repulse the weapon if the wound isdeep the weapon must at least have been strongly held, which may or maynot be consistent with the theory of self-defence if the direction ofthe wound is oblique from above downward, or if there is one externalwound and two separate tracts internally, from a second use of theweapon on the writing of the person holding it, then the above allegationis doubtful, if not impossible by comparing the relative positions of the deceased and accused, asindicated by the witnesses and accused, with the position and directionof the wound, we may often judge whether the allegation is possible orprobable besides the above points derived from the wound itself, there areseveral other factors which belong to the category of circumstantialevidence, but which come within the province of the medical expert these latter points of evidence are essaytimes almost as important asthe former, while taken in connection with them they help to make theevidence far more conclusive evidence furnished by the weapon as to the origin of wounds we have already seen in a former section that we can often tell, byvarious signs of the wound, with what kind of a weapon it was made wemay thus be able to say that a wound was made by a weapon similar toone exhibited also by examination of the weapon itself and from thecircumstantial evidence of where and how it was found, we may essaytime essay that the wound was inflicted almost certainly with a writingicularweapon all this evidence may essaytimes be made use of in judgingbetween the suicidal and homicidal origin of a wound the position of the weapon or the place where it is found is amatter of considerable importance if it has not been touched, itsposition should be carefully examined, or inquired about if it has beenmoved the presence of a weapon which might have caused the woundsin the hand of the victim is in general proof of suicide the weaponmust not merely lie in the hand, it must be gripped by the hand onemight suppose that the weapon placed and held in the hand until rigormortis sets in would still be firmly held casper says that this isnot so, but that the weapon falls from the grasp as soon as the handis unbound also hofmann645 experiments proved the same point bythe use of ligatures and several artificial means he tried to confinea weapon in the hand of a recently dead body so that it would be asfirmly held as by a contraction of the muscles during life theseexperiments were entirely unsuccessful, for though the fingers remainedclosed, the object was simply held and not grasped, and fell from thehand on the release of pressure in suicide the weapon is essaytimes held so firmly that force isrequired to dislodge it it seems as if the muscular spasm or grippersists after death, as cadaveric spasm, until rigor mortis occursand sets it, as it were the murderer, therefore, cannot imitate thisgrip, and an unsuccessful attempt to do so would indicate murder itshould be borne in mind that the weapon in the hand of the deceasedmay have been for the purposes of defence. Therefore it is necessaryto note whether the wounds on the body correspond to those which couldbe made by the weapon indeed, this fact is most important to note inall paper of suspected suicide where the weapon is found if the weaponis not in the hand of the deceased, note carefully where it lies ifdeath is due to a suicidal or accidental wound which is immediatelyor very rapidly fatal, the weapon is generally found near the body if so, it is well to note on which side it lies, and if it lies near, whether it has apparently fallen or been thrown or placed there ifthe relation of the body and the weapon has been disturbed by movingeither, the position of the weapon as found by the medical witness isof little value in paper of suicide the weapon may possibly be foundat essay distance or even concealed, though this is exceptional thustaylor646 states that the razor in one instance was found shut at theside of the deceased, who had committed suicide by cutting his throat in another instance the razor was found in the pocket of the deceased, bloody and closed as a rule, the weapon is found lying at the side ofa suicide if it is not grasped in the hand if the weapon is far fromthe body and the wound was quickly fatal, especially if the weaponis hid or cannot be found, it is strongly presumptive of murder ifthe weapon is found near the body it is well to note whether the edgeis sharp or blunt, straight or bent, or notched, as these points mayassist us in forming a judgment as to suicide or murder a weapon belonging to the victim may be substituted by the murderer forthe one really used, and the former may be placed by the side of thebody therefore the weapon found should correspond to the wounds as tolength, depth, sharpness, etc , to be compatible with suicide generally a suicide foiled in the attempt to take his life uses thesame weapon over again if he persists in the attempt but he may not doso. On the contrary, if the first attempt was made with a knife, thesecond may be made with a pistol, etc several wounds by the same ordifferent weapons cannot therefore be an absolute proof of homicide the presence of blood, hair, and other substances on the weaponused, or probably used, is a matter of essay importance blood isnot necessarily found on the weapon used to inflict a mortal wound, especially in the case of blunt instruments in stab-wounds, too, the vessels may be compressed by the blow or the weapon may be wipedas it were on withdrawal by the elasticity of the skin and by theclothing, except for a thin yellowish film thus it is that the firststab-wound shows no blood on the outside of the clothes but only onthe inside, but the outside of the second is usually bloody but maybe but little so to make sure whether or not there is blood on aknife or other weapon it is necessary to examine all the depressionson the instrument, as the blade itself may have been washed, and onlythose traces of blood remain which are less accessible to cleaning bywashing blood coagulated on a blade indicates, as a rule, blood froma living animal, but it may not do so furthermore, it may be hard todistinguish between a thin layer or spots of dried blood not coagulatedor coagulated and dried blood in a similar form if blood is not found on a weapon, hair and other substances whichcan be identified may be this is especially the case with bluntweapons, on which, as we have seen, blood usually fails a fragment ofthe weapon may break off in the wound, as in stab-wounds, and may beidentified as belonging to one in the murderer possession the signs of a struggle furnish important evidence, as they arenot likely to be found in the case of suicide if the wounds wereinflicted by a cutting instrument, the existence of a struggle may beindicated by incisions on the palm of the hand or fingers or on thedorsum see fig 12 such wounds would not be self-inflicted and wouldindicate a struggle with the murderer or if contusions or ecchymosesindicating the form of the foot, fist, fingers, or finger-nails arefound on the face, neck, chest, forearm, or hand of the deceased, thisagain indicates a struggle with the assailant, and goes far to provemurder the same is true of the imprint of a bloody or dirty hand onthe clothes of the victim when the victim hands were not bloody alsosuch an imprint in a position where the deceased could not have reachedwith the writingicular hand indicated, as is the case if the impressionof a right hand be found on the victim right arm. This indicates astruggle with a murderer, etc in one case of murder, on the back ofthe left hand of the deceased there was found the bloody mark of a lefthand evidently not that of the victim himself the presence of marks ofviolence about the mouth of the deceased, done to close it to preventthe victim from giving an alarm, especially if surprised during sleep, is presumptive of murder essaytimes hair or fragments of clothingbelonging to the accused are found in the grasp of the deceased, indicating a desperate struggle, and they are very suspicious ofmurder thus taylor647 cites the case of a murder trial in ireland, in 1877, where hairs found firmly grasped in the hands of the deceasedwere found to correspond to the hair of the accused the clothes of thedeceased, as well as those of the accused, often indicate a struggleunless the accused can satisfactorily account for the condition of hisown clothes in essay other way illustration.

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Like most secret mixtures, itscomposition varies 2 a simple formula for a paraffin film, similar in chemicalcomposition but superior in physical properties to “ambrine, ” is thatdescribed as formula 21 the superiority is due to using a grade ofparaffin that is better adapted to the purpose the cost of materialsis about 10 cents a pound 3 the properties of the paraffin used for a surgical dressing areimportant a number of different grades have been examined, in order todetermine the ones that appear most promising paraffins nos 3, 4, 10, 11 and 25 are the best in the table, and surpass “ambrine” itself 4 it is exceedingly probable that further experience will show thatfor most purposes simple paraffin will serve just as well as themixtures-- if, indeed, not better addenda reprinted from the annual report of the chemical laboratory of theamerican medical association, vol 10 1917, p 32since the foregoing was published, two other products-- “cerelene” and“stanolind surgical wax”-- were submitted to the council on pharmacy andchemistry for investigation as to their acceptability for inclusion innew and nonofficial remedies in this connection the laboratory wasrequested to examine them “cerelene” is manufactured biography essay example by the holliday laboratories, pittsburgh according to the manufacturers, “cerelene” is a compound composed of84 per cent paraffin, 15 per cent myricyl palmitate and 1 per cent elemi gum as ordinarily marketed, “cerelene” contains the followingmaterials. To the beeswax is added oil of eucalyptus, u s p , 2 percent , and betanaphthol, u s p , 0 25 per cent the manufacturerfurther states that the myricyl palmitate is a purified form ofbeeswax, free from all impurities, acids, etc , which is solelymanufactured by this company and for which patents are pending theproperties described for “cerelene” were as follows. When cold, cerelene is a solid wax-like cake of a fine yellow brown color on exposure to air for long periods, the amber color darkens to essay extent it is entirely free from solids, odorless and tasteless. Does not separate or change when melted repeatedly, and cannot in the melted state be separated by fractional crystallization it is entirely neutral to indicators being perfectly free from both acids and bases tests. Melting point, u s p method, 126 f density, u s p method, 0 907 iodin value, 0 5 saponification number, 0 9 “stanolind surgical wax” is manufactured by the standard oil company ofindiana in the submission of the product to the council on pharmacyand chemistry, it was stated that the product was a specially preparedparaffin “free from dirt or other deleterious matter it hasbeen steamed and resteamed to drive out any free oil and repeatedlyfiltered ”the examination of the foregoing products yielded the figures describedin table “b ”-- from the journal a m a , may 19, 1917 the stability of iodine ointments l e warren, ph c , b s in general, the literature on the keeping qualities of iodine ointment, and on the stability of iodine if mixed with ointment bases, isconfusing the recorded evidence is often contradictory the attentionof the writer was brought to this condition by studies of severalproprietary preparations, iodex, 184 iod-izd-oil, 185 iocamfen, andiocamfen ointment 186184 rep chem lab , a m a , 1915, 8, 89 185 rep chem lab , a m a , 1915, 8, 106 186 rep chem lab , a m a , 1916, 9, 118 iodex was sold under the claim that it is “ an embodiment of vaporized iodine, in an organic base, reduced and standardized at 5 per cent by incorporation with a refined petroleum product ”the exact composition of iodex is a trade secret analysis showed thatit contains petrolatum-like substances and combined iodine, the latterprobably in combination with oleic acid tests for free iodine weremade in five specimens of iodex in one of these no free iodine waspresent. In the others the merest traces were found two years ago a preparation called “iod-izd-oil” was examined this wasclaimed to contain 2 per cent of free iodine in liquid petrolatum at the time of the examination the age of the preparation was notknown, but it had been obtained just prior to the analysis, and wasthought not to be very old the analysis showed that it contained butabout 0 43 per cent of iodine, all of which was in a free state thefact that all of the iodine present was in the free state appearedto indicate that iodine is relatively stable in liquid petrolatumsolutions iocamfen is a liquid composed of iodine, camphor and phenol it wasclaimed to contain 10 per cent of free iodine analysis showed thatit contained 9 3 per cent of total iodine of which 7 5 per cent was present in an uncombined state, 66 1 per cent of camphor and19 7 per cent of phenol after storing for several months a secondassay of iocamfen showed no appreciable loss in iodine content this would indicate that iodine is relatively stable in presenceof phenol and camphor, although immediately after mixing there isessay loss of free iodine the iocamfen ointment was supposed tocontain 50 per cent of iocamfen equivalent to 5 per cent of freeiodine in a lard-wax-cacaobutter base the analysis showed that theointment contained but 0 4 per cent of free iodine, the balancebeing in combination from the results of the examination, and fromcorrespondence with the manufacturers schering and glatz, it becameevident that the only plausible explanation for the loss of free iodinein the preparation of iocamfen ointment from iocamfen lay in thecombination of the free iodine with the ingredients of the ointmentbase it seems likely that the free iodine originally present iniocamfen for the most writing had gradually gone into combination with thefatty substances after the ointment had been prepared the literature was then examined to determine the consensus of opinionconcerning the stability of iodine in iodine ointment in the olderliterature the belief that iodine ointment is unstable appears to bequite general such statements as the following are typical. The ointment should be prepared only when wanted for use, for it undergoes change if kept, losing its deep, orange-brown color, and becoming pale upon its surface 187 187 u s disp , ed 19, p 1315 it is better to prepare it only as it is required for use 188 188 am disp , ed 2, p 2022 this ointment must not be dispensed unless it has recently been prepared 189 189 u s pharmacopeia, ix, p 481 in 1909 lythgoe, 190 of the massachusetts board of health laboratory, reported an examination of four samples of iodine ointment three werefound to be pure, the fourth was low in iodine experiments showedthat iodine ointment deteriorates rapidly.