RT Journal T1 ITaly JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1929 FD August 3 VO 93 IS 5 SP 394 OP 395 DO 10.1001/jama.1929.02710050048025 UL http://dx.doi.org/10.1001/jama.1929.02710050048025 AB Hygiene as Applied to Railway Coaches  A few years ago, the state railways published hygienic regulations and imposed certain penalties on persons who failed to observe such regulations while traveling in railway coaches. The regulations were rigidly enforced with the result that while, in 1926-1927, there were 20,021 charges brought, in 1927-1928 the number was reduced to 15,722. By a recent decree, spitting in railway coaches is prohibited, and the restriction will doubtless soon be extended to include the waiting rooms of railway stations.Surgical Operations on Board Transatlantic Steamers  In February of this year, on board the steamer Roma, the ship's physicians Drs. Gallini and De Ferrari performed an emergency laparotomy on an American passenger with perforated gastric ulcer. On the following voyage, the same physicians performed an appendectomy on a waiter of the steamship service. The patient presented generalized peritonitis. The operations were successful.The Antituberculosis Society of