FISTULA (Lat. for a pipe or tube), a term in surgery used to designate an abnormal communication leading either from the surface of the body to a normal cavity or canal, or from one normal cavity or canal to another. These communications are the result of disease or injury. They receive different names according to their situation: lachrymal fistula is the small opening left after the bursting of an abscess in the upper part of the tear-duct, near the root of the nose; salivary fistula is an opening into the salivary duct on the cheek; anal fistula, or fistula in ano, is a suppurating track near the outlet of the bowel; urethral fistula is the result of a giving way of the tissues behind a stricture. These are examples of the variety of the first kind of fistula; while recto-vesical fistula, a communication between the rectum and bladder, and vesico-vaginal fistula, a communication between the bladder and vagina, are examples of the second. The abnormal passage may be straight or tortuous, of considerable diameter or of narrow calibre. Fistulae may be caused by an obstruction of the normal channel, the result of disease or injury, which prevents, for example, the tears, saliva or urine, as the case may be, from escaping; their retention gives rise to inflammation and ulceration in order that an exit may be obtained by the formation of an abscess, which bursts, for example, into the gut or through the skin; the cavity does not close, and a fistula is the result. The fistulous channel remains open as long as the contents of the cavity or canal with which it is connected can pass through it. To obliterate the fistula one must remove the obstruction and encourage the flow along the natural channel; for example, one must open up the nasal duct so as to allow the tears to reach the nasal cavity, and the lachrymal fistula will close; and so also in the salivary and urethral fistulae. Sometimes it may be necessary to lay the channel freely open, to scrape out the unhealthy material which lines the track, and to encourage it to fill up from its deepest part, as in anal fistula; in other cases it may be necessary to pare the edges of the abnormal opening and stitch them together.
(E. O.*)
FIT, a word with several meanings. (1) A portion or division of a poem, a canto, in this sense often spelled “fytte.” (2) A sudden but temporary seizure or attack of illness, particularly one with convulsive paroxysms accompanied by unconsciousness, especially an attack of apoplexy or epilepsy, but also applied to a transitory attack of gout, of coughing, fainting, &c., also of an outburst of tears, of merriment or of temper. In a transferred sense, the word is also used of any temporary or irregular periods of action or inaction, and hence in such expressions as “by fits and starts.” (3) As an adjective, meaning suitable, proper, becoming, often with the idea of having necessary qualifications for a specific purpose, “a fit and proper person”; and also as prepared for, or in a good condition for, any enterprise. The verb “to fit” is thus used intransitively and transitively, to be adapted for, to suit, particularly to be of the right measurement or shape, of a dress, of parts of a mechanism, &c., and to make or render a thing in such a condition. Hence the word is used as a substantive.
The etymology of the word is difficult; the word may be one in origin, or may be a homonymous term, one in sound and spelling but with different origin in each different meaning. In Skeat’s Etymological Dictionary (ed. 1898) (1) and (2) are connected and derived from the root of “foot,” which appears in Lat. pes, pedis. The evolution of the word is: step, a part of a poem, a struggle, a seizure. (3) A word of Scandinavian origin, with the idea of “knitted together” (cf. Ice. fitja, to knit together, Goth, fetjan, to adorn); the ultimate origin is a Teutonic root meaning to seize (cf. “fetch”). The New English Dictionary suggests that this last root may be the origin of all the words, and that the underlying meaning is junction, meeting; the early use of “fit” (2) is that of conflict. It is also pointed out that the meanings of “fit,” suitable, proper, have been modified by “feat,” which comes through Fr. fait, from Lat. factum, facere, to do, make.
FITCH, JOHN (1743-1798), American pioneer of steam navigation, was born at Windsor, Connecticut, on the 21st of January 1743. He was the son of a farmer, and received the usual common school education. At the age of seventeen he went to sea, but he discontinued his sailor life after a few voyages and became successively a clockmaker, a brassfounder and a silversmith. During the War of Independence he was a sutler to the American troops, and amassed in that way a considerable sum of money, with which he bought land in Virginia. He was appointed deputy-surveyor for Kentucky in 1780, and when returning to Philadelphia in the following year he was captured by the Indians, but shortly afterwards regained his liberty. About this time he began an exploration of the north-western regions, with the view of preparing a map of the district; and while sailing on the great western rivers, the idea occurred to him that they might be navigated by steam. He endeavoured by the sale of his map to find money for the carrying out of his projects, but was unsuccessful. He next applied for assistance to the legislatures of different states, but though each reported in favourable terms of his invention, none of them would agree to grant him any pecuniary assistance. He was successful, however, in 1786, in forming a company for the prosecution of his enterprise, and shortly afterwards a steam-packet of his invention was launched on the Delaware. His claim to be the inventor of steam-navigation was disputed by James Rumsey of Virginia, but Fitch obtained exclusive rights in steam-navigation in New Jersey, Pennsylvania and Delaware, while a similar privilege was granted to Rumsey in Virginia, Maryland and New York. A steam-boat built by Fitch conveyed passengers for hire on the Delaware in the summer of 1790, but the undertaking was a losing one, and led to the dissolution of the company. In 1793 he endeavoured to introduce his invention into France, but met with no success. On his return to America he found his property overrun by squatters, and reaping from his invention nothing but disappointment and poverty, he committed suicide at Bardstown, Kentucky, on the 2nd of July 1798.
He left behind him a record of his adventures and misfortunes, “inscribed to his children and future posterity”; and from this a biography was compiled by Thompson Westcott (Philadelphia, 1857.)
FITCH, SIR JOSHUA GIRLING (1824-1903), English educationist, second son of Thomas Fitch, of a Colchester family, was born in Southwark, London, in 1824. His parents were poor but intellectually inclined, and at an early age Fitch started work as an assistant master in the British and Foreign School Society’s elementary school in the Borough Road, founded by Thomas Lancaster. But he continued to educate himself by assiduous reading and attending classes at University College; he was made headmaster of another school at Kingsland; and in 1850 he took his B.A. degree at London University, proceeding MA. two years later. In 1852 he was appointed by the British and Foreign School Society to a tutorship at their Training College in the Borough Road, soon becoming vice-principal and in 1856 principal. He had previously done some occasional teaching there, and he was thoroughly imbued with the Lancasterian system. In 1863 he was appointed a government inspector of schools for the York district, from which, after intervals in which he was detached for work as an assistant commissioner (1865-1867) on the Schools Inquiry Commission, as special commissioner (1869), and as an assistant commissioner under the Endowed Schools Act (1870-1877), he was transferred in 1877 to East Lambeth. In 1883 he was made a chief inspector, to superintend the eastern counties, and in 1885 chief inspector of training colleges, a post he held till he retired in 1894. In the course of an extraordinarily active career, he acquired a unique acquaintance with all branches of education, and became a recognized authority on the subject, his official reports, lectures and books having a great influence on the development of education in England. He was a strong advocate and supporter of the movement for the higher education of women, and he was constantly looked to for counsel and direction on every sort of educational subject; his wide knowledge, safe judgment and amiable character made his co-operation of exceptional value, and after he retired from official life his services were in active request in inquiries and on boards and committees. In 1896 he was knighted; and besides receiving such academic distinctions as the LL.D. degree from St Andrews University, he was made a chevalier of the French Legion of Honour in 1889. He was a constant contributor to the leading reviews; he published an important series of Lectures on Teaching (1881), Educational Aims and Methods, Notes on American Schools and Colleges (1887), and an authoritative criticism of Thomas and Matthew Arnold, and their Influence on English Education (see also the article on [Arnold, Matthew]) in 1901; and he wrote the article on [Education] in the supplementary volumes (10th edition) of this encyclopaedia (1902). He died on the 14th of July 1903 in London. A civil list pension was given to his widow, whom, as Miss Emma Wilks, he had married in 1856.