Two cases of placenta accreta are reported: a case of complete placenta accreta treated by hysterectomy; a case of partial placenta accreta, treated by manual removal, in which there was extreme uterine atony without postpartum haemorrhage. The etiology, clinical features, diagnosis and pathology are outlined briefly. A plea is made for the conservative treatment of placenta accreta, in the absence of haemorrhage, in the young patient desirous of a family.
Brill's disease has been shown to be recrudescent epidemic typhus fever. The strains of rickettsiae isolated from cases have the charateristics of epidemic typhus rickettsiae and differ from murine typhus rickettsiae. Six cases of Brill's disease occuring in Johannesburg have been seen during the past decade. One case is descriptionbed in detail.
* A paper read at the Witwatersrand Post-Graduate Medical Association on 26 February 1952. The Transvaal Association for the Care of Cerebral Palsy, a private charitable organization, has been running a School for educable cerebral children for the past 3 years. The type of children accepted have been classified, and the work undertaken has been outlined briefly. Underlying the programme is a policy of treating the child as a whole psycho-biological organism. The various phases of physiotberapy, speech therapy, education and emotional development are all dealt with separately, but tbe whole plan of training is well co-ordinated through a well-trained arid devoted staff. The parents, too, have a part to play and this is stressed in group meetings and private interviews. The progress made can be judged by noting the improvement in the 2 cases quoted. In the former the physical improvement and plan of treatment is stressed. In the latter the general physical, educational, emotional and social progress (which were all marked) can be well seen. The most benefit in suitable cases will only come to those who have treatment started at an early age.