891 THE BRITISH MLDlCAL JOURNAL. [Oct. 24, 1891.

be usefully written on such a subject: so, too, on the detec-tion of feigned diseases, but I will concludewith the mentionof one of the latter kind which lhas found a place in thestandard literature of surgery.In the third volume of Brodie's miscellaneous works is a

description of what he calls " dry or white gangrene of theskini." A portion of skin of the size of a shilling, or larger,dies, and turns white, or dries into an amber-coloured, hornyslough, and is separated by ulceration: the wound heals, buta succession of these mortified patches followv one another,and seem interminable. He gives three cases, and showed inlecture a wax model of one of them; all the patients wereyoung women with anemia and irregular menstruation; littleis said of the treatment pursued except that it was not very,effectual, and the patients left tlle hospital and were lost;stight of.How many of us have ever seen a case of white gangrene of

--ithe skin One suclh came under my notice long ago, when I-was house-surgeon at University College Hospital. It talliedexactly with Brodies description; piece after piece of skinabout the size of a shlilling or half-a-crown turned white, ne-crosed, and was separated and the wound healed. The patientwas a young woman, and she was the object of great attentionby the surgeons and the students because of this rare and pe-culiar disease, and because, too, she was very good-looking.She stayed in the hospital many months, then she left, andwas lost sight of for a time. At length the history of the casewas completed; she became an in-patient of the BrightonzHospital; there suspicion arose, a watch was set on her, andthe cause of the disease-which in London was explained bysome ingenious hypothesis in more than one clinical lecture--was found to be a pennyworth of strong sulphuric acid and aglass rod! Shle was ignominiously expelled from the lios-pital. and I believe she committed suicide soon after.

I have always thought that B3rodie's white gangrene of theskin had no better foundation as to its etiology than, and pro-bably the same as, existed in this case. I may, however, bemistaken, and I give this opinion wvith diffidence; but if I amright-if so astute, so careful, and so experienced an observeras Sir B. Brodie wvas mistaken--we may all take comfort inthe reflection that neither age, learniing, nor experience can,prevent occasional error. The older we grow the more warydo we become; we know the pitfalls into which we may falland probably often have fallen; whereas the young practi-tioner, who has not yet been much confronted with his ownblunders, with the enthusiasm of youth and the completeteachinig of the schools, is apt to be more sure of his opinionmore free in expressing it, and therefore more frequently inerror. This, however, I may say, quoting the witty words ofthe late Master of Trinity College, "We are none of us infal-lible, not even the youngest."

MEMO RAND A.XMEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATHOLOGICAL, ETC.

SLOUG[HIN-(-T OF THE PREPUCE.ISREE, a nativeA mule driver, was admitted into hospital onAugust 7th. lie stated he liad contracted a sore on the penisabout two moiiths previously. He had no regular medicine,but had sonme sort of treatment from a native " hakinm1."About a monthl before admission the prepuce had sloughed.On examination it was found that the prepuce had sloughed

extensively, the glans protruding, and the remainder of theprepuce lhanging down. From the root of the penis to themargin of the wvound was about 1 inch, and from the oppositemargin to the end of the prepuce a good inch. The woundwas almost completely healed, and it was evident he had onlyapplied for treatment as lhe recogniised his inability for sexualintercourse.On August 11th, chloroform having been administered, tlhe

whole of the lower portion of the prepuce was cut away, andthe margins trimmed as well as could be done round theglans. Several silk sutures were passed througlh from themnucous surface to the skin. There was a little bleeding,

which was easily stopped by compression. The lower part ofthe wound was hard and indurated, apparently the remains ofthe chancre. The wound was dusted over with iodoform, anddressed witlh perchloride of mercury lotion (1 in 2,000) lint.It did very well, but healed rather slowly. After about tendays black wash was substituted for the perchloride lotion.The wound has now completely healed, and the indurationgone. There have been no secondary symptoms.REMARKS.-This case is, I tlhink, interesting- as illustrative

of the extreme amount of inconvenience and suffering a nativewill endure rather than apply for treatment and expose hiim-self for examination. This man evidently lhad a very acuteplhimosis, and must lhave suffered extreme pain. Notwitlh-standing this, he continued doing hiis work as best he could,and only came to hospital when he found hiimself debarredfrom sexual intercourse. GEO. T. MOULD,Saugor, Central Provinces, Bcngal. Surgeon 1st Bengal Cavalry.

POISONIN-G BY THE BERRIEIS OF ATROPABELLADONN\-A.

I WAS called out on September 27th to attend a boy who wassaid to be " fitty." On seeing him I found him hlighlydelirious, and with a temperature a little above the normal,990. He had intense thirst, and appeared to have a chokingfeeling about the throat. The pupils were widely dilated andinsensible to light. Skin very hot and dry. The face, at onetime pale, would, after a short interval, become intenselyflushed. The urine was scanty and passed in the bed. Thebowels were unopened, even after free doses of castor-oil,which, however, almost immediately brought on vomiting.Delirium had come on at 1 A.M., and had continued almostwithout interruption up to the first visit I paid-12 P.M.There were jerking movements of the arms and legs, and fre-quent contractions of the muscles of the face. The arms occa-sionally moved, as if plucking something from a tree, afterwhich the hands were carried to the mouth and the act ofswallowing followed.These symptoms combined led me to inquire as to whether

he had eaten anything unusual, and a berry was at onice pro-duced, of whiclh he was said to have eaten- eight or nine. Theberry corresponded exactly to the description of the fruit ofthe atropa belladonna plant--" globose, juicy, half to three-quarters of an inch in diameter, smooth, very dark purple,and containing numerous small seeds imbedded in the pulp."Ile had partaken of these the previous afternoon. In theevening of the following day he was still delirious and goingthrough the same movements, but next day he was muclhbetter, though the pupils were still widely dilated. After a fewdays he was quite well, with the exception of slight headache.The boy's father, wlho ate three of the berries, complained

of intense dryness of the throat and inability to read onaccount of the letters "all running togetlher." H is pupilswere dilated. Two other men who had taken one or two of theberries also complainied of dryness of the throat and skin after-wards, but I had not an opportunity of seeing them.

Littlehampton. FRED. HALL, L. R.C.S., L.R.C.P.

DEATH FROM CHLOROFORAM.TEE case was that of a boy, aged 11, who had suffered from adecayed tooth in the left inferior maxilla. This tooth set upan alveolar abscess. His motlher took him on two separateoccasions to a dentist, who tried to remove tile roots of thetooth without any an.esthetic, but without success. Themother then took the boy to another dentist (Mr. Brooke, ofNottingham), and he consented to extract the roots if chloro-ferm were administered.The boy was prepared by diet, etc., for 11 A.M. on October

8th, and I administered chloroform on an ordinary towel.The roots of the tooth in question were successfully extractedand the boy began to struggle, and a little more chloroformwas administered to enable the dentist to extract two otherdecayed teeth. This was done and the boy still seemed allright.The anaesthetic was given in an ordinary easy arm-chair,

and whilst contemplating the removal of the patient to thebed he suddenly turnedpalid. Tile breathing continued, butthe pulse was lost. The boy was at once lifted into bed and

Oct. 24, 1891.] THE BRITISH MEDICAL JOURNAL. 895

every endeavour possible was made to restore him, but thoughthe breathing continued for quite a minute from the onset ofthe ghastly appearance, the heart, which was evidently theorgan that first failed, never acted again.

Nottingham. DONALD STEWART.

R E PO R T SON

MEDICAL & SURGICAL PRACTICE IN THE HOSPITALSAND ASYLITAIS OF GREAT BRITAIN, IRELAND,

AND THE COLONIES.

MILITARY HOSPITAL, ALDERNEY.LE'SI(ON OF CERVICAL ENLARGEMENT.

(By F. P. NICHOLS, B.A., MI.B.Cantab., Surgeon-CaptainArmy Medical Staff.)

PRIVATE MW. S. was brouglht to hospital on May 7th, con-scious, partially paralysed in arms and legs, with extremehyperrestlhesia of arms, diaphragmatic breathing, contractedpupils, and abolished reflexes. He had dived into shallowwater and hit his head on sand.Next day lie liad recovered movement in his legs. There

was tenderness on pressure over the seventh and eighthcervical and first dorsal vertebrae. His arms lay alongsidehis body, elbows half flexed, forearms pronated, wrists ex-tended, fingers and thumbs flexed and adducted. He couldshrug his shoulders and raise his arms tolerably well; hecould flex his elbows after extension, but only extended themagain with difficulty; he could supinate fairly but pronateonly weakly; he could not flex his wrists, but could extendthem feebly after flexion; grasp was quite gone, and he couldneitlher flex nor extend his fingers or thumbs, but afterextensioin these of themselves again assumed the flexedposition; he could neither adduct nor abduct the fingers.The brunt of the injury had evidently fallen on the flexorsand extensors of tlle fingers and thumbs, the intrinsicmnuscles of the hands, the flexors of the wrists, and theextensors aind pronators of the forearms. There was alsosome paralysis of the intercostals, hyperTesthesia of thelhands and forearms, abolitionl of reflexes, retention of urine,and priapism.His symptois gradually imnproved, the intercostal para-

lysis disappearing first, and his arm muscles recovering fromabove downwvards. Oin May 26th the muscles were regainingstrengcrth in inverse order of loss of function, acting also moreor less feebly to faradic current. Thearm muscles actedwell,and lie could perform all the movements of the shoulder-jointfairly well. ln the forearms extension and pronation weremuch weaker tlhan flexion and supination; in the wrist, also,exteinsioni was weaker than flexion (although at an earlierstage extension was present when flexion was abolished),and in the fingers, while all the movements were very weak,those of extension and abduction were the weakest.There was a slight difference in the two sides, the left being

the stronger. Sensation of heat and cold was replaced by"tingling " on the inner sides of both arms and in the trunkdownwards from the third rib on the right and the sixth oInthe left. He remains in much the same state up to now, butthere is latterly a slight tendency to contraction of the mostaffected mnuscles.REMARKS.--This was evidenitly a lesion, probably hdemor-

rhagic, of the cord at the lower part of the cervical enlarge-merit of a less serious nature tlhan that recorded by Dr.Maceweii in the BRITISH MEDICAL JOURNAL of April 5tli, 1890.The main injury appears to have been sustained by the nucleiof nerves supplying the flexors and extensors of the fingers,the intrinsic hanid mnuscles, and the flexors of the wrist(seventh and eialgth cervical and first dorsal ?), and in a lessdegree by those supplying the extensors of the wrists andelbows and the pronators of the forearms (sixth and seventhcervical '-). The more tranisient involvement of the intercos-tals is notable. The fifth cervical, which is involved inErb's palsy, was here untouched, while the characteristicposition assumed in total lesion of the sixth was absent.That the extensors and pronators on the one hand, and the

flexors and supinators on thie other, were respectively affectedto the same extent, perhaps hints that association of functionhas some analogue in propinquity of origin.

REPORTS OF SOCIETIES,PATHOLOGICAL SOCIETY OF LONDON.

TUESDAY, O(.'TOBER 20TH, 1891.SIR GEORGE MURRAY HIUMPJIRY, F.R.S., President, in the Chair.

President's Address.-THE first ordinary meeting of theSociety was opened by ain address from the President, wlichis published at p. 887.-The late President, Dr. AV. H. DICKIN-SON, proposed a vote of th(anks to the President. The votewas carried by acclamationi.Median Harelip.-Mr. CLUTTON exlhibited a living specimen

of median harelip. The girl, aged 15, who had never beensubmitted to any operation, had a small notch exactly in thlemiddle line of the upper lip. The alveolus of the upper jawimmediately beneath and exactly in the middle line was alsocleft. The palate was ununited from one end to the other.There were no central incisors, but there was a lateral incisorand a canine on eaclh side; fifteen months before three teethlhad been extracted from tlle, front of the jaw, the nature ofwhich could not be ascertained. Mr. Sutton's lectures onEvolution in Pathology were referred to, where a specimen ofthis condition had been ascribed to an absence of the pre-maxilla. Mr. Pitts was also stated to have shown a case atthe Medical Society in 1889, in which there was a me-dian harelip and a central groove in the bone beneath.Mr. Clutton was inclined to think that in hiis casethe premaxilla was present, but ununited. - The PRE-SIDENT remarked on the curious way in which the skinpassed from the surface inito the depth of the cleft. Itwas wonderful how ofteni there appeared to be difficullties inthe way of the proper fornaation. of this part of the body inboth man and aniimals, espe(cially in pigs. He added that themode of development of the superior maxilla was a matterextremely difficult to follow.-Mr. SUTTON agreed that themalformation in this case was like that normally found in thelhare and kangaroo. It was a rare instance of want of fusionof the globular processes in the mniddle line. Albrecht's viewwas that tlhere were two centres of ossiticationi for ealclh pre-maxilla, and that in a case like the present the twvo innercenitres were absent. He lbelieved that thle case stood bv itself.

Tuberculous Disease of the Tunica VJaqinalis q/ter 'I'ubercu-losis of the Testes.-Mr. B. PITTS showed a specimen whiclh wastaken from a boy, aged 5, wh o wvas admitted into St. Tlhomas'sHospital on April 21st, 1891, with a large right iniguinalhernia. An operation for radical cure was undertaken, andwhen the testicle was exposed it was found to be enlarged,.and had several tuberculous nodules on the surface. It wasaccordingly removed witlh its sac. Wllilst the child wvasunder the anmesthetic sev-eral hard nodules could be feltin the abdomen above aand( to the left of tlhe umbilicus.-General peritonitis followed the operation, but thewoundhealed without suppuration, and the child left the hospitalconvalescent on June 7tRh and had continued in good hlealthup to the present time. A section for microscopical exami-nation through the testicle and epididymis showed tuber-culous inodules on the visceral layer of the tunica vaginalisand on the lower part of the sac. At one spot on the testiclethese nodules were confluent, and gave an appearance verysimilar to that of hernia testis. The spermatic cord and epi-didymis were normal; the nodules were tuberculous innature. The author had at first considered the testicle to bethe primary seat of the disease, but after the microscopicalexamination it seemed more probable that the testicle wvasinvaded from the surface, and was secondary to some tuber-culous disease withiin the abdomen. In the second case,there was no doubt that the disease had extended from theabdomen to the hernia. The history of this case was as fol-lows: A lad, aged 18, was admitted into St. Thomas's Hos-pital on December 19tlh, 1839, with a large irreducible inguinalhernia on the left side, and a small in-uinal irreduciblehernia on the right side. The abdomen was swollen andtender, and the hernial swellings very painful. On exploring

Oct. 24, 1891.] THE BRITISH MEDICAL JOURNAL.

ASSOCIATION INTELLIGENCEIN(O)TICE.

THE President of Cotuncil, wlho is going abroad immediatelyand will not be back again before the second week in Decem-ber, requests all communications should be addressed tothe Office, 429, Strand, W.C.

LIBRARY OF THE BRITISH MEDICALASSOC [ATION.

MEMBERs are reminded that the Library and Writing Roomsof the Association are nowv fitted up for the accommodation ofthe Members in commodious apartments, at the Offices ofthe Association, 429, Strand. The rooms are open from aOA.M. to 5 P.i. Members can have their letters addressed tothem at the Oflice.

BRANCH MIEETINGS TO BE HELD.

AIETROPOL ITAN (COUNTIES 3BRANCH: HERTFOTRDSHIRE DISTRICT.-Thienext meetingr of t1hea bove B)istrict will be lheld at the Red Lion Hotel,Hatfield, oin Friday, October otlth, at lb.3() P.ir. Dr. Cleveland, President ofthe Brancll, in th e chair. Mem-ber-s desirous of reading papers orexhibit-ing specinleus, ai-e equiested to inform Mr. H. LESLIE BATES, HonorarySecretary of tile Distr ict.

SOUTH-EASTERN BRANCHI: WN ESTI' KENT DISTRICT.-A meeting of theabove District wvill lbe held at St. Bartholoinew's Hospital, Rochester, onThursday, October -ttlh, at 4 1' -. SIr. F. W. Penfold, of Rainlham, in theclhair. Commtnications I)r. Newtoin Pitt: Perityphlltis and its Treat-nlent. SI-,r. F. AV. Peufold: Notes on a Case of Sypliilis. Dr. A. Packman:Notes of a Case of Diphtlheria. Trachelotomy: Recovery. Mr. L. A. Dunn:Somne Points in I)maguosis and Treatment of Tuberculous Joints, espe-cially Hip and Kiiee. Thel dinner- wvill take place at the Bull Hotel,Rocliester. at 11.15 I.A. Cliaige (is. t;d., exclusive of wvine. To facilitatethe ari-aigemnents, gentlenienl wlio iilteild to dine ai-c particularly re-quested to sicLiifv their iltei)tion to the clhairmanl, Mr. F. W. Penfold,RCainham, Sittingbourne, i]ot later tlhani Tuesday, October 27th. All mem-bers of the South-Eastern Bl-anch are entitled to attend this meeting andto introduce professional filields.-A. WV. NANKIVELL, Honorary Secre-tary of the Distlict, St. Bartholomewr's Hospital, Rochester.

SOUTH-EASTE:RN- BRANCHT : EAST AN-D WEST SURREY DISTRICTS.-A con-jOiilt llcetiuc1 of flhese 10-st icts will be lheld at the White Hart. Hotel,Reigate, oin Thurlsday, Octobem 29th, at 1 P.1r. Mr. Sells, of Guiildford, inthe chair. D)inner at il P.1r. cllaige, 7s., exclusive of wvine. Papers willbe read by Dr. lToodlmart (oni Gallstones). Air. Pollald (Mastoid Suppura-tion), ailddMr. Maude (oni 1xophtlalniic Goitre).-Honori-ay Secretaries:P. T. DUNCAN. M.D., Croydon (East Surrey); J. P. A. GABB, I.D., Guild-ford (West Surrey).

STAFFORDSHIRE BRtANCH.-The eighteentlh annual general meeting ofthis BiaicIli will be lheld at thle Swaui Hotel, Stafford. on Thursday, Octo-ber 29th, at :1.15 I'M. An ad(lress Nvill be deliveied by the President, Dr.Clarke.-GEOIGE REID, hioliorary Secretary, Stafford.

OXFORD AND DISTRICT BRANCH.-The next meeting will be held at theRadeliffe lnlirallt]y, Oxford, on Friday, October 30th, at 3.15 P.11. Gentle-men are requested to send niotice of papers. etc., to W. LEWIS MORGAN,Honorary Secretar-y, on or before October 16th.

SOUTH WALES AND MON11OUTIrSHaIRE BRANCH.-The next meeting will beheld at Pontypool Oil Tlh111 sday, October 29th.--A. SHEEN, M.D., Cardiff;D. AIRTHuit DAVIES, I.B., Swansea.

MIDLANTD TIRANCRH: LINCOINSHIRE DISTRICT.-A meeting will be heldat Gailsborouglh. on T'llursdly. Novemiibei- 12tl. Mlembers desirous ofreading papers. eltc.. al-C requested to comnlmllinicate oii or before Monday,Octobe- 26ti, withl \W. A. CAIRLINE, Al. D., Hoiiolary Secretary, Lincoln.

STIRIYNG, KINauSS. A,D Ci ACKMANNNAN BRANCH.-The autumn meet-inig of this BraIlcl will be lield at Kilsytl, oni Tlhursday, October 24th.Particulars- by circular next week. SMeiibels desirous of showing speci-niens, cases, etc.. ai lerequested to coillillullicate witlh the HonorarySecretaries, C. J. LEsN IS, J. 1'EAKE.

Ai3ERDEnEN, BA?N IIF, AND KINCARDINE BRANCH.-The annual meetingof this Biranclh will be lheld at 19s, ITnion Street. Aberdeen, on Saturday,October 24th, at 1.1. The president, Dr. Garden, Aberdeen, in thechair. Business (1) Iillutes, nomninationi of new members, etc. (2)Ballot for the adiiiission of Dr. Geor-ge Deall, George Street; Dr. R. M.MacLennan, Royal Ilfirmary, and Di-. Sutherland, 77, Chapel Street. (3)Council's report anid treasum-er's balance sheet. (4) Election of Presi-dent-elect for the ensuing year. (5) Election of two lonorary secretaries.

(6) Election of honorarv treasurer. (7) Election of members of Council(see Rule 8). (8) Selection of place of next Juine meeting. The annualdinner will be held in the Imperial Hotel, Stirling Street, Aberdeen, at3 o'clock P.M. Price (including attendanice, but exclusive of wine) 5s.der head.-J. MACKENZiE BOOTH, C. THISELTON URQUHART, HonorarySecretaries.

BORDER COUNTIES BRANCH. -The autuiiin meeting of this Branclh willbe held at the County Hotel, Carlisle, on Thursday, November 13th, at3.15 P.M. Dinner at .5.45 P.Mr., 5S. Members desirous of reading papers,etc., will please commnunicate with Dr. ALTHAM, Pelnrith.

SOUTH-EASTERN BRANCH: EAST SussEx DISTRICT.-A meeting will beheld at the Calverly Hotel, Ttinbridge Wells, on Thursday, November19tli. Dr. Pardington will preside. Notice of communications should besent to T. JENNER VERRALL, Honorary Secretary, 97, Montpelliei Road,Brighiton.

BATH AND BRISTOL BRANCH.-The first ordinary meeting of the sessionwill he held at the (i-rand Pump Roomii Ilotel, Batlh, on Wednesday even-ing, Oetober 28th, at 7.30, MIr. F. P. Lansdown, President. in the chair.The following communications arc expected:-Wv. McD. Ellis. M.D.: TheCauses and Treatment of frequent Abortion. Mr. T. Pagan Lowe: TwoCases of Anthrax successfully treated by Excising the Pustule. Mr. HughLane: Differential Diagnosis in Rheumiiatic Diseases. Mir. P. WatsonW\illiams: On some Cases of Tuberculous Lalyngitis.-W. MI. BEAUMONTand E. MARKHAM SKERRITT, Honorary Secretaries.

SOUTHERN BRANCH: SOUTH-EAST HANTS DISTRICT.-The next ordinarymeeting will be lheld oni Tlhursday, October 2Ath, at Grosvelnor Hotel,Queen's Gate. Southsea. Gentlemen desirous of reading papers or mak-ilug otlher communications are re(luested to communicate at once withJ. WARD COuSiNS, Ihoniorary Secretary.

DORSET AND WEST HANTS BRANCH.TEE autumn meeting of this Branch was held at Wimborne,on October 14tll, Dr. WILLIAM VAWDREY LusH, Presidenit, inthe chair. Forty-one members and visitors were present.

The late Dr. W. H. Williams.-A resolutioin was passedexpressing the sorrow of the Branch at tile loss it lhad sus-tained by the death of its first President, Dr. William I-lenryWilliams, and sympathy with AMrs. AVilliams and tlle otlhermembers of the family in their sad bereavement.

Election qf Officers.-The following gentlemen were electedoffice-bearers for the ensuing year: President: Dr. PeterWilliam MacDonald, of the Dorset County Asylum. Vice-Presidents: Dr. Henry Geary Dyer, of Ringwood, and Dr.Herbert Alfred Lawton, of Poole. Honorarl Secretaries andTreasurers: Dr. Lush, of Weymouth, and Mr. Parkinson, ofWimborne.Nev Members: Mr. Thomas Reuel Atkinson, of Sherborne;

Mr. William Arthur Rudd, M.B., of the Dorset County Asy-lum; and Mr. William Scott Tebb, M.B., of Bournemouth,were elected members of the Brancll.

Next Meeting.-It was resolved that the May meeting silouldbe held at the Dorset County Asylum on tlle invitation of thePresident-elect.

Britisn Medical Benevolent Fund.-A donation of five guineaswas granted to the British Medical Benevolent Fund.Discussion.-A discussion on Common Affections of the

Cornea was opened by Dr. CARTER, and taken part in by Dr.LAWRIE, Dr. MO10ORHEAT, Dr. CHILDS, Dr. SNOW, and Mr.GRAHAM.

Communications.-The following communications were pre-sented: Mr. WYKE-SMITH: Case of Excision of the Knee-joint. Patient shown.-Dr. LUSH: Case of Infective Endo-carditis. Post-mortem specimens exhibited.-Dr. LAWRIE:Case of Polypus of the Uterus. Case of Ovariotomy withComplications.

Votes of Thanks.-A vote of thanks was accorded to theBournemouth MIedical Society for their hospitality in enter-taining the members of the Branch at luncheon at the lastmeeting, and was acknowledged by Dr. W. V. SNOw and Mr.T. W. BLAKE. A vote of tlhanks was accorded to the guar-dians of the Wimborne Union for the use of their Boardroom.Dinner.-The members and visitors dined together at the

King's Head Hotel.

BIRMINGHAMi AND MIDLAND COUNTIES BRANCH.THE first ordinary meeting for the session was held in thleLibrary of the Medical Institute, Birnmingham, oI1 October 8th,Dr. THOMAS SAVAGE, President, in the chair. There werethirty-seven members present.

915I

916 THE BRITISH MEDICAL 4JOOU1lMAL. [Oct. 24, 1i1'

Newv Members.- The minutes of the previous ordinary meet-ing having been read, confirmed, and signed, Mr. John GrantL.R.C.P., L.R.C.S.Ed., Wolverhampton, and Mr. Jno. T.West, L.S.A.Lond., Coventry, were elected members of theBranchl.

Case.-Mr. EALES showed a young, man suffering from aChronic Affection of the Eyebrows, which had existed for manyyears, and had proved obstinate to treatment. The diseasewas clhiefly characterised by the presence of large, thick,scabby masses strictly limited to the eyebrows. Anothermember of the family had had a somewhat similar affection.Specimens.-Mr. JORDAN LLOYD showed a Multinodular

Myoma removed from a woman, 41 years of age, by abdominalhysterectomy. It weighed between 7 and 8 pounds, hadbeen notice(l for seven months only, was growing veryrapidly, aind had given rise to moderate menorrhagia. Thepatient was making a satisfactory recovery. Mr. Lloyd alsoshowed Two Ovarian Cystomata successfully removed from apatient, aged 67. The tumour of the right side was as largeas an adult head, was covered with omental adhesions, anidwas buried in tlle layers of the broad ligument. Its removalwvas extremely difficult, but was accomplished partly by enu-cleation and partly by ligature of an artificially formedpedicle. The left cystoma was removed without difficulty.Papers.-Dr. SU-CKILING read a paper on Giddiness, in which

he dealt witlh the causation, diagnosis, and treatment of thevarious forms of the malady. Dr. STACEY-WILSON, Dr. B. F.-JORDAN, Mr. MARSH, and the PRESIDENT took part in the dis-cussion; aInd Dr. SUCKLING replied. -Mr. F. F. WHITE(Coventry) read a paper on Bone Formation in the Skin. Herelated a case which had conme under his care, and exhibited<several specimens of bony plates removed by operation. Inthe discussion whlichi followed, tlle PRESIT)ENT, Mr. JORDANLLOYIX, Dr. SITAcEY-WILsON took part; and Mr. WHITE replied.

WEST SOMERSET BRANCH.THE autumnal mietin- of this Branch was lheld at the Rail-way Hotel, Tauntcn, on October 15thl; Mr. CHARLES RAN-DOLPH, President, in the (hlair. Ten members attended.New Member.-Mr. A. W. C. Peskett, Burnham (already a

member of the Associatiorn), was elected a member of theBranch.

Communications. - The following communications weremade: Mr. FLOWER (Yeovil): Notes of a case of Hvemoglo-binuria.-Mr. HUNT (Yeovil): A case of Abnormal High andLow Temperature.

Antbijqretics.-A discussion on antipyretics was opened by Dr.M\EAD (Bishop's Lydeard). After referring in some detail to thevarious modern theories on the production, regulation, andloss of heat, lhe proceeded to deal directly with antipyreticmeasures, classifying them under two heads-those whichchecked heat production, and those which favoured heat dis-charge-remarking that some possessed both properties indifferent proportions. Th-e antipyrin group of compoundswvas then dealt with at some lengtlh, their indications and con-traindications being discussed under different conditions ofpyrexia and hyperpyrexia. From these he passed to the sali-cylic compounds, remarking on their great value in some con-ditions as specifics as well as antipyretics, and mentioningtheir occasional failure in the hyperpyrexia of acute rheu-matism. He next reviewed tlle cinchona group, withespecial reference to the large doses given in Continental prac-tice. He then discussed at length the great thermolyticagent-the application of cold. The various modes of appli-cation, indications for and danigers of its use, were then dealtwith at lengtlh: and Kibbee's fever cot was fully described.The antipyretic treatment of acute pneumonia was then dis-cussed, with remarks on the usually unsatisfactory action ofantipyretic drugs in this disease, and onl the great value ofcold applications, to the condemniationi of the once universalpoultice treatment. In conclusioni lhe dwelt on the pointthat pyrexia did not consist of simply heightened tempera-ture, but of that plus increased metabolism. He added that,in considering the tissue destruction produced, the destruc-tion produced by the specific virus of the fever must also beconsidered. He said there was no specific and at the sametime antipyretic of universal application, but there were somevery valuable specifics and antipyretics, and some means-antipyretic simply-of fairly universal application.

SPECIAL CORRESPONDENCE,BERLIN.

Virchow's Seventieth Birthdacy.-The University of Berlin.-Honours for Professor von Helmholtz.- Workmen's Dwellings.

AMONG the most valuable literary gifts to Professor Virchowon his 70th birthday were two collections of hitherto unpub-lished scientific researches and essays. The first collectionwas the work of Virchow's former and present assistants.Professor 0. Liebreich presented the volume-a handsomequarto containing contributions by Hoppe-Seyler, v. Reck-linghausen, Klebs, 0. Liebreich, M. Roth, Salkowski, J. ()rth,Jiurgens, Grawitz, 0. Israel, Langhans, and 1)avid Hause-mann. The other collection is in the shape of three goodlyvolumes. Amongst the authors of the fifty-four papers are:Sir Joseph Lister, Sir James Paget, Horsley, Semon, Pio Foa,Bizzozero, Sangalli, Miarchiafava, Celli, Popoff, Ivanowsky,Wood, Jacoby, Bouchard, Metsehnikoff, Miura, Stoekvis,Retzius, Ackermann, G(erhardt, Leyden, Notlinagel, Rind-fleiseb, Senator, v. Ziemssen, Ziegler, and Hans Virchow.

Professor Foerster, tho astronomer, has entered upon hisduties as Rtector of the University of Berlin. There was theusual ceremonial, followed by an address by the new Rectoron the Position of Astronomy in University Studies.(Geheimrath Schultz has left the University a legacy for thefoundation of a natural science scholarslhip; and a legacyhas been left the MAedical School by Mledizinalrath Lippert,of Nice, for an annual prize essay on the etiology aind thera-peutics of a special disease, belonging either to brain dis-eases, spinal affections, affections of the synmpathetic nerve,epilepsy, diabetes, constitutional syphilis, diseases of thebladder or prostate, or kindred diseases.The Emperor has conferred oni Professor von Helmholtz

the title of " AWirklicher Geheimer Rath " and " Excellency."The distinction was announced to Helmhilioltz by a telegramfrom the Emperor, in which he salys: " Your whole life hasbeen given to the service of humianity, for whose benefit youhave made a great number of glorious discoveries. Yourmind, always directed to the purest and highest ideals, in itshigh flight left politics and party strife far behinid. I andmy people are proud to call so distinguished a man ours. Ilhave chosen the birtlhday of my dearly-beloved and never-forgotten father for this mark of appreciation, knowing wellhow highly he valued you, and how devoted a friend andsubject you were to him. May God long preserve your lifefor the good of Germany an(d the entire world." The sentencein whicll the Enmperor praises Helmhioltz for lhaving keptaloof from politics is being much commented oni, anid is cer-tainly not without a meaning of its OwVn, cominig as it doesjust after the Virchow festivities.A model workman's dwelling-sanitary, cheap, and less

hideous than workmein's dwelliInas usually are-has beenerected in one of the principal Berlin thoroughfares by abuilding society. On October 19th. the Emperor visited themodel dwelling, examined each detail with the greatest careand attention, and ordered two lhouses oni exactly the sameplan to be built for hiim for proteges of hiis own.

LIVERPOOL.Medical Institution: Opening qt the Session.-Death under

Chloroform.THE opening meeting of the session of the Medical Institutiontook place on October 8tlh, when the President, Alr. W.Mitchell Banks, delivered an inaugural address, setting fortlhthe duty of cultivating a taste for sound literature and thepleasure to be derived from good books. After this Mr. New-ton explained his extensive collection of caricatures, extend-ing back 150 years, which was exhibited in the rooms of theinstitution. There was a large attendance of members, andan agreeable social evening was spent.A death lately took place during the administration of

chloroform at the Royal Infirmary. The patient, a stoutwoman, aged 42, was brought to the institution with a disloca-tion of the shoulder, which she stated was of only a week'sstanding, but which it was afterwards ascertained had been

924 THE BRITISH MEDICAL JOUJRNAL. [Oct. 24, 1891.

that rags mnay retain infection for a long period. The miiicrobes of thedisease seemed in this instance to have remiiained dormant for alongperiod, and then, under some favourable conditions to wvhich they wereexposed, awvakened into new life anid activity.

DRA INAGE OF SOUTHEND-O)N-SEA.MIR. WVILLIAMn GimESON (Clerk to the Soutliend Local Board) writes: Myattention lhas only to-day been (alled to a paragraph in the BRITl,HMEDICAL JOUIRNAL of October lot}l, under the above lieading, whiclh isso incorrect as to leaid me to suspect soimie maliee.

It was not proposed to discharge the sewage about 200 yards from theshore. Tlhe distaniec of the proposed ouitfall frons the slhore was up-wards of 1,50o yards. It was not proposed to place it on the easternside of thetown; the outfall was proposed west of the pier. Dr. Threshhas never inivestigated or reported oii this matter. The only matter hehas investigated is an outbreak of typisoid fevelr in 1890. His reportthereon was not suppressed, but was prilited and i0e copies supplied toall comers, including yourself. (See your relmalks thereon in theBRITISH MEDICAL JOU-RNAL of January 24th, iStI.) The omission to callthe medical officer of health at the recent inqjuiry was solely due to hisscrious illness and collseqiient absence from Southend.

I will Ilot discu.ss the (luestion whether the spot proposed for tlleolitfall wvas or wvas not ill cliosen, but I sliould remark that your para-g-raph olnits all reference to the fact, stated at tlhe iniquiiry, that it was socliosenl 011 the adv-ice of Mr. Manserglh, C.E.

D)ISINFECTIO N.-MR. W. 11. \\VTFFi-:WAI VII KINSON, F.RC.S.E., writes would d1rawattention to a tioint ill disinfection whichl 1 fancy has lbeen overlooked.ln a clamber ivlierc the paticnt has been sufferiin fromii an acutely in-fectious disease, say scarlet fever or diphtheria, as soon as tile casehas terminated it is customary to fuimiigate-strip off old paper, if any,and whitewaslh, wash the paint and floor with carbolised wva;ter andsoap-but betveen the floor, the bottom side of wlhich is often unplanedanld rough, aind the ceiling of the room below, is a large space at leastof the depth of the joists ; and it has occurred to me thiat to take up apiece of floorin- at each end of tlhe room and fumigate under the floor,would be the best way to anniliilate aniy lurkiilg atmospheric poison.

THE SANITARY INSTITUTE.AT a meetillg of C'ounleil, held on Wednesday, October I Itli, Sir Diouglas(;alton, KI..B., ..R.,', in the chair, Dr. George Reid, Medical Offices ofIlealti Statlord County (ouncil. w%'as duly elected Fellow; ninle MTembersand seven associates wiere also elected. Forty-two applications for mem-bership aIld associateship wei'e read,

INClREASE (OF SALARY.THE salaiy o1' MI. (I . AslhNvell, L.R.C.P., MItS., -Medical Officer- ofthe Nottinghami Workhouse and Union Scliool, has been increased to£25o per anilulil.

13ACK-TO-BACK HOUSES.THE Keigliley Corporatioli have. we unlderstand, in a rscent local Act,obtained the insertion of a clause prolhibiting the crectioil of balck-to-back h1o0s11s in tie la'orougll.

'ANITVATON Ofl' ST. B.khTHOLOMENVS IHOSP'ITAL.DR. SEDGWICK SAUNDERS, ledical Offlicer of Health for the City, ill se-portinig at a meetilig of the City Comiimission of Sewvels UpOIi tile plaIlssubmitted for the imiiprovement of the drainage at St. Bartholomew'sHospital, spoke wvith satisfaction of the proposal to divide the dI'ainagesystem into three sections, as sugrgested by him. It was proposed to re-move all the old brick sewers and to fill iIl and iiiake good the cavities.and this was a matter wvhicis sliould be especially inisisted upon. ColonelIlaywood, the engineer, also reported on the plalls, anld stated th.at withthe modifications wlhich the hospital authorities wvere prepared to catrr-yout athis suggestion a perfectly satisfactory systeii of drainage of tlsehospital wound be provided. Tise Commission approved the plans andrequested tse engvineer to see tisat the inodifications he proposed werecarried out.

A V'IGORoUS lhEALTII OFFICER.DRi. J. FOUERN-ESS-BRICE ((Oxton, Chesllile) writes: Tlec encelosed extract

froll a letter wiicl f liave just received froimi a well-knowni inedicaloflicel- of lhealthi ill a nortlierIl i ity niay prove illterestiing to some ofyour readers wliso have to tI-cad the tilor-Iy patlh beset by "ishealthtoliliittees " alid the like:-

The sIDlall-pOX iS extinct. Did I tell you that I took all the peopleosit of the house whllere it liad alpeared? After ten days' interlval iroIlllily taking tle iiist case up to liospital. anotiser inmate of the hoiisecoilplaillied o110 miiorniing of hteadache. sCIet hiimi up to a corrugatedironi appelidix to the hosplital 1hihi I had put up durliig the episdemicthlee years ago. Next da,y lie ia,d niumerous pa,pules witl umbilicationill the centre. mo\ved I1ini in1t1o the liospital proper, alid thlell sent allthe, people wlho lived i tlhe iiifecteci lotise into the iroin appendix illIjuaranitille. Twvo days elapsed. and tisen asnother of the suspectssliowed symptomlls. No miiore cases. I kept them all in uintil yesterday.wlicit made sixteen dalys from tlhe last case, wlheni [told them to departin peace. did not ctall mily colllmittee togetlher. altlhough thiev saidthat I ouglit to hlave doie so. Aeting oni my oWII responsibility, I toldthe people that they slioisld htave their wvages lpaid, alld vesterday I sentthem to tie city accolinitailt witil a written re(luest to pay tlielil theirwages for the time that they had beell in my fostering care. I saw tilattil house was tlsoiouglily disinfected, limewaslied, etc.. alid kept thekey miiyself, seeinlg tlhat all the windows were left open. I gave an orderon the accountailIlt to pay the bill-over £2 l0s.-for the cleaning of thehouse, and then faced imy committee at the regular meeting. Not aword was said in any way! "Had Dr. Vaclier taken Mr. Bumble by the beard in a similar fashion

we should not be bewailing the loss of Iiis most valuable services.

ENTERIC FEVER AND) TEES WVATER.APioPos of the recent epidemic of enlteric fever in districts supplied withwater from the Tees, a memorandum has beeni issued by Mlr. Wilson,enigineer to the Stocktoni and AMiddlesbrough W\ater Board, in Nvluich lhegives an analysis of the incidence of miiortality from this disease in thevarious portioils of tllc (uisborougli Registration District during the lastten years. IHis figures, wliel are lo doubt corre(t, inidicate tl)at ('oatlhaand W\arreiby, the only places in the district supplied by the Board, hav-elhad an aninual average mortality fiom enteric fever of only 0.17 per1,000, that of the wlhole district being 0.2'. If Mir. Wilson's object was tosihow that this essen-tially preventable disease lhas been unlduly prevalelt,(1uite apart from the use of Tees water, lie has certainly succeeded, buthis figures do not touclh the more immediate question whether the out-break which occurred at Coatlham andAarrenby at a certaini specifiedtime was due to the use of Tees water. Indirectly they lend support tothe view that some new anrd special cause (suchl as water infection) muusthave been at work, since the locality selected for attack on this occasionis slhown to be so singularlv free from the conditions which led to hiiglheniteric inortality in tIle rest of the district. Buit MIr. Wilson points outthat the Coatham and W1'arrenby cases were of imiild anid non-fatal type.of which miortality returns can gi-e only slight inidication, and it may hethat the apparenit exemption of these villages from enteric fever is dueniierely to tlle fact that his statistics deal only wvitli fatal cases. Thiat theTees water was the actual cause of a widesprcad and exposive outhre;ikof enteric fever lias beeni conclusively est.iblished hly Dr. Bairy's investigations.

DIPHTHERIA AT STAPLETON.INx the -illage of Stapleton. near Bristol, five cases of diphtlheria occurredalmost simultaneouisly last monthl,and tllhce of themii proved fatal. Theoutbreak was reported to the nmedical oflicer of lhealth, Di. Brown, whoupon investig,ationi founid that the stufferers had a common point in thevillage school, the drainage and latrines of whicl were far fromll satisfac-tory. The school was at oniee closed until such tihie as the defects cotuldbe remedied, and this prompt action, coupled with isolation of the sick,lhas apparently sufficed to arrest the further spread of the disease, aresult wlhicll is most satisfactoi'y after suclh ani ominous beginnin-g. Itillustrates one of the great advantages of tile notification system. Themedical officer is at oniec puit in possession of the facts, and enabledspeedily to detect and deal with commoni causes, such as sclhools or imiilksulpplies.

SANITARY NOTES ON TILE SHIP (:ANAL.AT a recent miieeting of the North-Aestern iBranelh of the Association ofMIedical Offleers of Health, Dr. Keniyon, of (liester, read somiie "SanitaryNotes on the MaLanchester Slhip Canial." Tile conclusion at wlich hearrived, frolmi observations made on the housinig of the nia-vvies alid theirfaimiilies, was that with reasoniable care, on practically new ground illtlhe opeii country, it was practicable to house a large and wvell-fed indus-trious populatioii and keep thenm free friom infectious disease. Tlec con-ditioll both of the niavvies aind of those who made a lixving by accessoryindlustrics, lie said, offer-ed a marked contrast to what is to be fouind inthe slumis. In the latter case it was not so much (luestionis of drainagreas the degraded charactei of the occupants of the houses which caused ahiigh deatlh-rate.

IPARTNERS AND IAGISTRATE8.(. A. 1.-]. If the ob;ection to the v-alidity of the medical certilicategiven in the case mientioned was solely on the ground that Mr. P. wasone of the julstices specially appointed to aclt under the Lunacy Act,18900, we do not find anything in that Act to invalidate the certificategiven.

2. There does not appear to be anything to prevent. AMr. G. signingr tllereception order where his partnel certifies in the case of a pauperlunatic in the usual medical certifieate.

MEIlNTAL CASES IN PRIVATE (CIARGE.A'AI1M EnE cannot legally keel) mental cases under ('are and control unlessthevy ae under certificate, etc. Nor can lhe legally. to begin withl, keepniore thiail suchi case witlhout also having a. licence for htis hlouLse. Nor-Caim1 lie, if hlis house is not already liceiised, now obtaini a licence for itunider the new Act. If lhe is illegally detaining in hits lhouse aimy pei'soiiof uilsoulid nihid, it is openi to aniyone to report tIle illatter to tlhe Com-illissioneis with) a view to prosecutioni; blit we do ilot find in theLunacy Acts aniy special provision fom' enabling the lileclical officer ofliealtli to obtaini particulars.

UNIVERSITIES AND COLLEGES,UNIVERSITY OF CAk-1BIR[I)GE.

Ex.vAMINER2S iOR AIEDICAL AND SURGIICAL I)EGIREES.-The followinigexainiiiiers for nmedical and snirgical degrCes were appoinited oii Thurs(1ay.October 22nd: Physics: Pr-ofessor J. J. ThiomsonI, F.R.S.; Mr. Wilberforce,Trinity. Chemistry: Professor Liveinig, F.R.S.; Mr. Pattison Muir, Caius.Biology/: Mr. Sedgwick, F.R.S.; MLr. Shipley, Christ's. Pharmac(euiticalChemistr.y: Mfr. Neville, Sidney, Mr. Acton, St. Johii's, Huzman _Ieatomy:Plrofessor Macalister. F.R.S.; and D)r'. Arthur Thomsoni, Oxford. Physio-logy: Dr. Shore, St. John's. fssssorto the i'efiuts Professor of Physic:Dr. 1). MacAlister. St. John's.

THE ROYAL COLLEGE OF SURGEONS OF ENGLA.ND.TH:E ainnual Caleindar has just been published; it contains the naiimes of1,111 Fellows of the College, of whom 798 obtainied the Fellowship by exa-mination, 1.5 were elected as Members of twenty years' standing, and 2 ad

Oet. 24, 1891.] THE BRITT1H MEDICAL JOURNAL.

ciou/tdri. It also contains thle niamiies oflJI6,622 Members and 7:.7 Licentiatesin Midwvifery. The Licenitiates in l)iJtal Surgery ale stated to nulmiber713. Holders of the diplomia in Public Health (granted by the Royal Col-leges of Plhysicians anid Surgeoins) number 86.The receipts from all sources during the collegiate year amounted to

.t?36.9,;3 4s. 3d., the largest receipt beinig froimi fees for the diplomiias of theCollege-namiiely. t.19,393 17S. 6d. Receipts fromi house property and in-vestbnicnts, £&6,807 7s. 3d. * froim trust funds. £2232 2s.The expeniditure for the year aml-ounted to &36,853 5s. 9d.. leavinig a

balance of £97 1ss. 6d., the largest item being for extension to Collegepremiiises, £9,428 lls. Id.; tlle lnext largest item being for fees to exa-miners, £8,956 ls. £709 lOs. lid. has been expelided oni the purchase ofbooks, etc., for library.

UNIV'ERSITY OF EDINBURGH.rcoi(d Imo/ssimial xaEieiniation.-A special sederunt of the Examiniers

for the second professional examiiination for the Degrees of M.B.and C.M. wvas held recently, and the following gentlemen havepassed: .1. Auburn, A. II. Iluechan, R. B. Campbell, N. C. Das, J.C. Dunn, S. Evans, G. F. Hume, .1. L. 1. MIoore, S. G;lanville-Morris,D. G. Newton. J. Phyn, J. D. Pollock, W. H. Pritchard, L. N. Robin-Son, W. R. Smith, B.Sc., anid T. G. WXilliamiisoni. Mr. I1. (Grey haspassed in the subjects of Anatomy and Inistitutes of Medicinie.

t(dutat/ioi ( rcmooieia. graduation ceremonial for those wlho passedthe recent special exaulliiiationis for the degrees of M.B. anid CM.,wvas heldl on October 11th, in the Natural History Class-roomii, in thepresence of a large nuimiber of the friends of the graduates. Thefolloving forty-eight gentlemeni were presented to the Vice-Chan-cellor by the Dean of the Faculty of Medicine, and had the degreeformally conferred upon them: F. T. Auden, England, F. R. K.Ball. Englanid: T. W. Banks, Scotlanid: E. Braithwaite, England;S. B. J. Bulteel, Enigland; P. G;. Van der Byl, Cane Colony; G. C.

(athcart, M.A.. Scotland; J. A. H. Duncan,' Scotland; It. C.Evison. Englanid; R. S. Fergusoni, B.A., England; S. B. Figgis,En-gland; F. D). Fislher, Englanid: G. Fleming, Scotland; J. W.

Forbes, Scotlaind; F. W. Foxcroft, En,gl.land: D. C. wardiner,.kustralia; 11. C. Garth, Eiiglanid; W. F. (Godber, India; C. J.Goines, Demerara; G. T. Gould, Scotland; E. B. Gwynn, Englanid;H. 1'. Hannay, England; W. B. Harry, Wales; M. K. Klhan, India ;

1-f. B. Knox, Port au Prince: W1'. L. Legg, En-land: iA. M. M'Leod,Scotland; D. M%'Niell, Scotland; A. K. Melville, Scotland; C. A.

.NMorgan, Wales; 11. 1,. T. MIorgan, Wlales; D. S. Mlorrison, M. A..

S4cotland; E. R. Parry, India, S. P. Peart. India; J. L. Reed, Aus-traulia; S. Riseley, Eniglanid; A. F. Rosa, Scotland; J. Sharp, Scot-land; W. J. J. Stewart, Scotland; F. A. Symnons, Canadla F. M.

Tlhomias, Wales; A. G. Thompson, England; ,1. M. Thompson, Scot-land; J. T. Thyne, Scotland; H. Tibbits, England; F. R. Turbon.England; .1. C. Whyte, Scotland; E. S. Yonge, England. The samedegrees were also conferred on D. Campbell, Scotland, and on A.0. Schorn, Germany. in abdentid.

.lMeetimng of GJeneral Council.-Important business will comiie up for tr-ans-actioni at the statutory meeting of the Genieral Counicil of the niver-sity, whichl falls to be held on Friday, October :30tlh. at 3 P. r. First,assessors in the tlniver-sitv Court haxe to be elected. The regula-tions for this election have just been issued by the Commissioniersunder the Universities (Scotland) Act. 1889. Secondly, the council has toproceed to the election of a Chancellor to the Unix-ersity in place of tllelate Lord President Inglis. The Riglht Hon. A. J. Balfour, the newly-atppointed First Lord of the Treasury, is to be puroposed. Several othernamies have beeni mentioned, and the feeling in favour of tlhc appoint-ntienit on absolutely nioni-political lines is growing. In the evenit of molethan oiue candidate being proposed a poll may be demanded, and this istaken by votinlg paper-s issued to all the members of council by theRegistrar.

U'NIVERSITY OF GLkS(G OW.lIWi.iULATIONS FOR DEGREES IN MEDICINE.

THE Buisiness Committee of the (Glasgowv University G.eneral Councilhave drawn up a most careful and elaborate report on the Draft Ordi-*iance of the Universities Commission relating to degrees in Medicine.This report xvill conic up for consideration at the statutory meeting oflie General Cotncil on October 28th. The following are the (hief anend-ineuts oni the ordinance liroposed by the Committee:-

The N\ nub)( (iuu(/d Naeiw( of Dr ur1. As to degrees and diplomas, they agree that four degrces in ,Meldicine

should be conferr-ed: Bachelor and Doctor of MIediciine (M.B. and 'M.D.),Bachelor and Master of Srgery; but suggest that instead of the initialsfor snirgery being Ch.B. and Ch.-M., they should be B.S. amid M.S., whiclhare better understood by the public. They also agree with the Com-inissioners that the Umliversity sliould have power to confer diplomas inspecial br-ailches of Medicine and Surgery, bht oni any onie lholdinig a mledi-cal and surgical qualification, that is. not restricting them, as tiledraft ordin.ance proposes, to graduates of the Uiniversity.

Prctibnoiarl Examiniation.11. On tile (luestioIl of prelimiiary examimlatioi, the Coniminittee pro-

pose that there should not be a special prelimiiiary examinatioin formedical students, but that medical students slhould be required to passthe samiie entrance or prelimiiinary exaillination, namiiely, that prescribedby the Regulations for I)egrees in Arts. This would undoubtedlyhiave the etlect of raising the standar d of general education of the medi-cal student.

Tl'teProposld Cnrricultiui.II. Clause VII, dealing with professional education, containis tlhirteen

-Iubelauses. It indicates the general curriculum of the student of medi-duine, the classes he must take, the amount of hospital attendance, and

the time to be devoted to the work of the dispensary, to practical mid-wifery, and to other practical subjects. He is also to be encouraged to

attend courses of instruction on certain subjects that are regarded as ad-ditional to the ordinary medical cuirriculum. The lurriculium before astudent of mediciiie accordimlg to tllis schemiie is tlhus sumiiied up by theCommittee:

1. Courses of instruction iii sixteen sutbjects specified in SubelauseThese are Anatomy, Practical Anatinny, Cheimistry, Materia Medica, Phy-siology, Practice of MAedicine, Siurgery, Midwifery, Geeneral Patholog(in five or six months'courses), Practical Chemistry. Physics, Botany.Zoology. Practical Physiology and LIathology. Medicai Jurisprudence andPublic Healtlh (during three imonths'courses). but as four of these ar-e(lasses of a practical clharacter followinig one coturse in eacll case ofsystematic lectures, the course of instructioni on distiilct subjects may he

taken as twelve in number.2. In additton to these txxelve subjects, the following courses must be,

takeni: Three years' attendance in a hospital; ninie months of clinicalsurgery; nine montils of clinical medicine; one course of mental dis-eases; one course of practical pharmiiacy; six months of dispensary work;three months' attendance at a lying-iin lhospital; one course of instruc-tion in vaccination; one course of instruction in fever diseases ; onecourse of instruction in diseases of children one course of instructioilin ophtlhalmology.Tlle studeilt wvill tlhins liaxe to attend, as a iminimtium, seventeen courses

of lectures, and, in addition, to take ouit at least six courses of practicalinstruction, not to speak of attendance at hospital, dispensary, andlying-in hospital. Of the sex enteen courses of lectures, at least eight willbe of five months duration, or, say, 100 lectures eachl. The remiiainingnine courses and the six practical courses will be of three montlhs' dura-tion, or, say. . lectures each. The total lectures (ol meetings of theclass), therefore will be, on this computationi:-

Systematic lectures, eight winter course. of 100 eaci. ...., ,, nille suiinioier courses of .50 eachl -1t

I'ractical couirses, six of 3!0 meetings ... ... ... ... ... :1OClinical lectures, eighteen months. including ahout .131

As certaini of the slholter courses, suclh as those on vaccina-tion, mental diseases, oplitlialmology, etc., may not consistof as many as 3,0 lectures, we mliay declt... ... ... ... lo

Leaxing ... 1,u)luThis aiiuoumit of work represents the minimullim required of a student of

medicine. As a matter of fact. lie xx-ill find it necessary to take out extra,classes, eitlher practical classes or additional courses of systematic lec-tures, as experience lhas slhown the stuLdent that attendance on the mini-Iiiulii number of subjects specified in the Calendar will not pr epare himsufficiently for the degree examinations. We may safely puit it, then,that a imledical student will be obliged to attend during his curr-iculumitsoinething like 2,200 lectur es or demiionstrationis. But this attendance, itiilay be urged, is spread over five years. according to the provisions ofthis ordinance. Practically, lhowever, all the classes nmust be taken infour- years, as the fifth year is to be devoted to clinlical wvork. This gives,tlhen, .530 lectures or demonstr-ations per annuimi, or soiiiething like fourcouirses of loo in each winiter- session and four courses of 3;0 in each suili-met session.

In framing this ordiniance tile Comiimissioners hlad an opportunity ofnlaking a new depar ture, but they have substantially adhered to the oldlines and added considerably to the labour of the already overworkedie(lical student.

Alternatire SrcheiGes. 1. Indiridltal Option.It hias beeii su-ggested by onie of the Conimittee that the difficulty migilt

be niet by gixing the studemit a certaini amount of optioni ill the selectiollof subjects, so far as attenidantce on lectures is coincermied. But a studentmiiay miot be the best judge of tile re(luirements of a mriedical eduication.It is evident. the repuort comitiiiues, that attendance on courses of Iilstruc-tioii on cei-tain subjects is absolutely necess;ury, wvhile iio doubt attemid-ance on lectures oni otlher subjects might be dispensed wxith: but, oii thewhole, it must also be admitted that the more thoroughly a nian istrainied for his profession the greater will be Iis chance of success inafter-life, amid nio o0ie would say that anly of the subjects in the list sup-lulied by the Commissiomiers is (quite uniiecessary. On the contrary, itmimay be poilited out that certain subjects are absent fromn this list whichare as necessary for the efficieint training of a medical man as some ofthose that find a place in it. Such subjects, for examlle, are pmublichealth, otology. laryngology, and bacteriology.

TL. 1 irialgai)uatiouu of Systfcuiatic anid Practical Clasmucue..Another mnethod suggested is to abolish the distinctioil betwecii so-

called systematic amid practical classes, amid to defiiie tlhe length of tilmieallotted to each subject, leaving it to the teacher (with the saniction ofUiuiversity aiuthorities) to apportion thetimeat his disposal to systemnatic'lectures aiid practical instr uctioni as he tliiiiks desirable. As already ex-plainied, matters have reached their preselit state by aii evolutioniaryprocess. Practical instrmietiohi, from small- beghinmuinugs, has come to heall-imuportant, but tlle old plan of Ion- systematic courses still lholds itsgroumid. Admitting that a certain ;imounxt of time should be given to n,systematictreatmeilt of a subject, more especially as regards its historicalaspect and its relation toother subjects, there call be nio doubt that mnuchtimile is lost and muclh ener-gy unlnlecessarily expendted in going oxerdetails that the studemit finds ill every textbook. This reimark applies toiiearly a1l the subjects in the medical curriculum. Such a changre xvouldnecessarily alter the plan of teaching of mamiy of the present ineiimbientsof medical chairs; but after a period of transition it would. the Com-inittee believe, mlake the work lighter and more comngenial than it is at,presemit when timnie is so fully occupied with teaching as to leave littleleisure for research. Ap)plying, this prineih)le, tle timc ullotted to varioussubjects might he as follows:-

Meetihigs. MNeetiii-s.Anatoiiny, systematic1 ... ... l 2Iateria illedica, systematic aildAnatomy, demonstrations and practical ... ... ... ... luudissections ... ... 118 months Physiology, systematic and lprac-

Chemistry in its nledical aspects, tical ... ... ... ... ... ll

systematic and practical 100 Practice of medicine.l. ... 1

92b

THE BRITISH MEDICAL JOURNVAL. [Oct. 24, 1891.

Surgery ... .. leo MNedical jurisprudence 0

Operative sur-ery 20 Mental diseases .... ... 30MIidwvifery Public health. 20

Gynucolocy .. . 3o Fevers ... ... ... ... ... 20Diseases of childleni 20 Ophthalmology .. ... 30

Pathology, systemiiatic anid prac- Otology. ... ... ... ... 20tical IO Bacteriology ... 10

Physics o Larynigology and Rhinology .15

Botany, systemiatic anid practical 75 Vacciniatioln ... ... ... ... ;Zoology,systematic aiid practical 75

Or such reasonable timie as slhall have enabled the studenit to dissect thehiuiian body at least once.

This would give about ls,2 iiimeetings, to which we may add 5o cliniicallectures on medicine and S)o clinical lectures on surgery (althouglh theComimiittee thiink that clinical lectures should be gis en as seldom as pos-sible), or about 1.3o0 meetings during the medical curriculum as againstover 2,0o by tle niethod contemiiplated in this ordinance. Sucha schemewould secure thliat all the subjects receive a fair amount of attention, andmlluch mor-e timnie would be allowed to the student for work in the dissect-ing room, or in aly of the laboratories in addition to ordinary class work,or in the hospital wvards. At present a student only gives a minimum ofatten daince anywhere except w^heln it is compulsory.

If the Conimissioners see their way, iii reconsidering the ordinances,to develop the sclheme above indicated, the Comimittee arc of opinionthat it should be carried out on the understanding that a higher feeshould be fixed, say £5 5s., for all classes in which part of the instructionconsisted of such an amount of laboratory work as would be determinedby the Professor, subject to the approval of the Faculty of Medicine andUtniversity Court. Practical instruction is more difficult to carry outeffectively than a course of systematic lectures. It requires much moretime, appliances, and energy on the teacher's part. On the other band,it is more valuable to the student, and it should be rated at a higherfigure in fixing the fees.

Proposed 1(10 t( ojf lJ)rat Ordina necs.In the event, however, of tllh Coimimissioiler-s deelining to entertain the

alternative scheme above suggested, the Committee propose a iiuniiber ofaimiendniients on the draft ordinances, the chief of whicll are (1) the limi-tation of tlle larger courses to five, instead of six months; (2) the pro-vision that the professors, lecturer s and recognised teachers shall sub-mit a scheme at the beginniing of each alternate winter session to theU'niversity Court, specifying what proportion of the courses shall bedevoted to lectures, piactical demonstrations, examinations and tutorialwork respectively: (3) cutting out thle provisions that makes it compul-sory for a clinical teacher to give, besides bedside instruction, twoclinical lectures a week; (4) reduction of the period of pi-actical dis-pensing, required in place of the fifty hours' instruction in a class ofpractical materia imiedica, from two years to three months; (5) the addi-tion to the list of special subjects to be studied of diseases of the eartthroat, and nose, bacteriology and public healtlh.

Ext raimiral Teachijul.IV. Under consideration of Clause VIII, referrinig to the places and in-

stitutions at wvhiich the studies of candidates may be prosecuted, the Com-itnittee give their views on the vexed question of extraniural teaching.Their observations are as follows:This clause egulates the recognition, for graduation purposes, of

courses of lectures at other universities oa- se liools of medicine and oflectures delivered by teachers who have usually been described as extra-timural teachers. The principle of extramural teacling, as applied tograduation in iniediciine, lias for maniy years been carried into practice.The regulatiotis presently in force, witlh a eurrieulumii of foui yeais, areas follows:

" One year's attendance on tlte lecturers ot' teachlers of medicine in thelhospital schools of Loncdon, or in the school of the College of Surgeons inDtublin, miiay be eckonedl as one of such four years; and to tllat extentshall l)e held as attendance oni courses of lecttir es as above prescribed.Attenidanice oin tIme lectures of any private teaclher or teachers of medi-cine wlhose lectures have, by regulation of the University Court, withcotnsent of the Chancellor of the University, been recognised for the pur-pose of graduiation in the Univeisity, may be reckoned in place of theX-eat-'s attendatice last above mentioned, or as part thlereof, as the caseiitay be. ('andidates miiay, to time extent of four of the departments oftiedical study enumerated imi 'reqjuired (courses of instruction,' attendiii such year- or years of their mnedical and surgical studies as tiiay betiiost coiiveinient to them, tlie lectuies of the teachers of medicine speci-fied in the two immediately preceding paragraphs."According to the list of " required courses of instructioii," we fitid there

are twelve such courses, and tllus a candidate can at present take fourcourses, oi one-tlhird of the curriculum, wvith recognised teachers. Atpresent, also, wvithl a cur-riculum of four years, one tuust be taken in theIUniversity of Glasgow; another of suchl four years must be taken either" in the University of Glasgow, or in sotie other University entitled togive the degiee of Doctor of Medicine:" one may be made up, along witha six months' coutrse of practical atiatoniy, " by attendance during atleast six wvintei titoifths in the medical or surgical practice of a generalhospital which accomimodates at least eighty patients;" and a fourth niaybe taken in London or Dublin schools of medicine, or with privateteaclhers as above defined.

It is now proposed that two years of the five be spent in t(le Uiriversitvof Glasgow atid that the other three be taketi at other uniiversities andmunedical schools, or tindel teachers recognised by the University Court.Another pr-oviso iS that not less than one-l alf of the sixteen subjectsspecified in Clause X'lI, sub-clause 3, shall be takenl il the Uni-versity of Glasgow, ot' in aiiothier univet-sity, or in a college incorporatedAvith or affiliated to a uiiiversity eiititled to confer the degree of Doctor ofMedicine. As a year of medical stuidy, an annus mnedic?us (as defined illSect. VII, subesect. 2), consists of twvo coiiises of one hundred lec-tures each or one course of one hundred lectures and two courses of fiftylectures eaclh, it follows that to make up two anni me1edici at the Universityf Glasgow, a student would require to take, say, fotir cotrses of one

hundred lectures each. This would leave twelve courscs which lh el miglttake in other universities or in schools affliliated to iuniiversities. If,however, the student chose to remain in Glasgow, then he must take

eiglht classes under professors in the University, and only eight classeswould remain to the extramural teachers. These teachers in Glasgow arethus manifestly at a disadvantage compared with the teachers in otheruniversities or medical schools, although they are presumably moreun-der the control of the University than those at a distance.The Committee would also point out that, if a candidate had taken a

degree in Arts or Science at another uiniversity, after a course of studyand an examination in Physics, Chemistry (including Practical Chemis-

try), Botany, and Zoology, and thus, in accordance witlh Clause VII, sub-section 2 (p. 9), was "held to have completed the first of the five yearsof medical study," thus escaping attenidance on five of the sixteen courseseniumiierated in Clause Vll subsection 3 (p. 9), these five classes wouldcount as laving been taken in another university. Eleven would remain:from this deduct four required to constitute two aennii mnedici under pro-fessors at the University of Glasgow, and thus only seven out of the totalsixteen w% ould remain for the extramural teachers.After considering the whole question fully, the Committee are of

opinion that it would be a simpler method to allow a student to selecthiis classes subject only to the restrictions imposed by subelauses I and2. These latter clauses state that a candidate must take twvo of the five

years at the University of Glasgow, while he may take the otlher tlhreeyeais elsewhere. .As Section Vll, subsectioni 2, defines what is meant bya year, a candidate, as a minimum, might take four courses of 100 lec-

tures, or two courses of 100 lectures, and four courses of 50 lectures, atthe University of Glasgow, spreading these courses over a period of twvoyears. He should then be at liberty to complete his curriculum in ac-cordance with Clause VIII, subsection 2. As a matter of fact, it is veryunlikely that any studenit would take so few as four courses in the IUni-versity of Glasgow, as he wvould find it impossible to get the other twelvecourses into three years. This arrangement has the merit of beinigsimple and easily understood, while that of the Commissioners is com-plicated and perpetuates the irritating discussion of how many coursesmay be taken witlh professorial and how many with non-professorialteachers.The Comiimittee also propose that extramiiural teachers be brought mor c

directly under the authority of the University Court by granting to theCourt similar powers over recognised teachers to those it has over pro-fessors in the University.

The Nutoiber ot Erxa7inations.V. As regards examinations, the Commissioniers propose five profcs-

sional examinations, of wlhicih tIle second is in Pharmacogiiosy and

Pharmacy, while Materia MIedica, Pharmiiacology, and Therapeuitics comeinlto the fourth. The Committee suggest omitting altogether the second,and so reducing the number to four. They also propose to give tlleSenate power, wvitlh the consent of the University Court, to admit to a

special examinatioin in one subject a candidate who had failed to pass inthat subject alone at the preceding final examination, provided suchspecial examination does niot take place sooner than three months afterthe date of failure to pass in the one subject. Further to aid the studentthe Committee desire that, in the case of a group of unrelated subjects,as those of the first divisionl (Botany, Zoology, Plhysics, anld Chemistry),candidates shall be allowed to present themselves for examination in allor any of the subjects after attendance on the full course of ilnstructiolnrequired. They also wvish candidates for M.D. to pass an extra exalina-tion in Medical Anatomy, Pllysiology, and Patlhology in relation to Medi-cine, as svell as in Clinical Medicine.

PAss LiSTS.TI c following gentlemtien have passed the first professional examina-

tioi fot' tlie degrees of Bacelilor of Mledicine (51.B.) and Mlaster ofSottrgery ((e.51.): -R. Aitkenliead, T. Anigus. T. WV. Baynie, B.Black,1. S. Buclhanan, T. Caniipbell, J. (Clark. A. Cochran, J. A. Cook, A.

XV. Cunninighamii, It. B. Currie, R. K. Curric, M. Dunning, D).Erskine, W. Faulds, D. Ferguson), T. J. Forbes, J. L. Forrest, .1.

Forrester, A. F. Gallowvay, J. F. Geinimill, M.A.: A. (Girvan, D. Glen),W. Grove, A. F. WV. Gunni. J. Guy, T. H. Hay, F. R. IIill, GA. Hodge,R. Howie, J. Hunter, W. K. Hutton. M.A.; W. H. Lang, A. Lawtonl,D. Ligat, J. D. Louttit, C. H. Lumsden, J. AMair, J. H. AMartin, MI.A.;J. C. Matlieson, J. Meuzies, W. D. Miller-, R. Morton, (G. Alowat, J.

Murray, J. MICaslh, W. M'Cormick. A. MI'P. M'Intoshl, F. M'Ke1nna,1). Maclean, A. N. M'Lellan, A. MacLeinn-aii. M. N. Macleod, A.

Macplhail, C. Nairn, It. S. B. Nisbet, J. Orr, H. A. Pattuillo, A.

Ilride, J. Ranikini. J. Reid, It. Riddell, J. C. Robertson, M.A.; .

Stewart, H. W1r. Thomson, E. F. D. WN'alker, H. K. Wallace, M.

Watson, WV. Watson, H. Wlhiteliouse, aiid R. H. XWinter.The following geLntlemen have passed the second professionial exami-

nation: J. E. Adam, W. T. Ainsworth, R. Y. Aitken, T. Armstrong,W. Blair, R. Boyd, J. P. Browni, l. A. A. J. Brownlee, R. Bruce, A.

Cameron, H. B. Causley, V. E. Chang, J. Clark, F. Dittmar, M.A.:A. Donald, J. Donald (Mount Vernon), J. Donald (Paisley), J. E.

Downs, W. Ml. Duff. J. W. Findlay, A. Forrest, R. S. Frew, W. Fyfe,J. F. R. Gairdner, T. B. Gilchrist. R. Grieve, M.A.; C. B. Harrison,A. (G. Ilay, M.A.; A. T. Hill, J. Hiinter, M A., B.Sc.; G. S. Illing-worth, G. Innes, MLA.: W. rl-win, J. R. Jeff-ey. E. M. Jenkins, W. L.

Jones, T. Kay, J. Kennedy. A. J. Laird. J. F. Lees, R. R. MIanners,C. S. Mar-shall, P'. Marshall, A. Muiir. P. M'Bryde, G. MICallum, A.

AX'. M'Clellanl, D. MacDonald, J. AI'Feat, W. A. Mackay, J. M'Kenina,.J. M'Kie, T. M'Nay, B. S. Nieliolson, A. C. Park, J. Patrick, M.A.A. F. S. Pearcey, P. '. P'etrie, M.A. ; XX'. P. Plorter, A. Rachman, A.

Ramsay, A Revie, A. S. Robertson, A. M. Robertsoni, J. B. Robert-

son. J. C. Robertson, S. K. Roy, J. Selkirk, M.A.; A. N. Sinclair,E_ P. Sinclair, M. A. M. Sinclair, H. B. Smith, J. M. Smith, E.

Sugden, J. Thomas. P. Thomsoni, J. J. IJrwin, F. II. Waddy, A. A.

XVarden, M.A. J. L. Watson, T. B. XWhitelaw, J. Y. Xlhyte, HI. XV!.WVilliams, J. D. 0. I\'ilson, H. R. XWolfe, T. M'QK. "Votherspooin, A. G.Young.

The following genitleml-en have passed the third professional exaimiina-tioq: (a) Including Patliwlogy: W. H. M. Alexander, J. E. Bow, XY. IB

926'D26

Oct. 24, 1891.] VAR BRIUiSIt Mi9DICAL JOziRAL, 92k

Brodie, AN'. M. Brown, A. P. Campbell, D. B. Campbell, R. J. Car-roll, J. Carslaw, AI.A., J. S. Davies, M.A., W. W. Don, A. R. Fer-guison, R.(tuy, J. B. Hartley, A'. Henderson, C. Highet, H E.Jones, T. Kirkwood, M.A., T. D. Laird, H. Lawrie, H. C. Marr,.J. Moffatt, J. D. R. Mlonro, MA., J. Morton, J. H, MacArthur, A.H. M'Cracken, J. AI'Donald, M.A., G. AM'Feat, Mi. Macnicol, M.A.,A. S. AI'Pherson, WV. M'Walter, R. E. Newton, J. Paterson, M.A., AW.J. lRichard, M.A., J. J. Robb, A. Robertsoni, M.A., J. A. Robertson,It. Taylor, J. H. Teacher, M.A., A. Wauchope, A. White, C. Wilson,WN'. S. Young. (b) Not includinig Pathology: P. Aitken, J. Ander-soni, C. J. Babes, J. J. lloyd, F. Brown, G. B Buchanan, B.A. (Can-tab.), J. NA'. Ml. Buick, WV. Campbell, J. J. Carruthers, D. Clharters,11. It. Coyle, .1. Crawford, J. Cross, D. A. Dewa-, A. S. Dick, W.I)luncan, I'. Flilton, H. N. Gardiner, F. Gracie, P. N, Grant, T.Hamiiilton, J. TL. Ilowie, N. S. Jeffrey, G. L. Kerr, WV. A. Kirkwood,R. A. E. Lowry, D. R. MIiller, E. .1. Mlorris. \\'. M'N. Muat, J.MI'Kay, G. MI Lauchlan. 1'. (' Maclobert, E. L. Polloiiaise, R.Rtamnsey. L. .\. Itowden, T. L. Shields, A. R. Smitli, J. Smlytll,C. Stewart, G. N. Turnier, .1. XVhIiitellouse, T. AW'right, A. A. Young,MA.\., . C,. Younlg.___

[ NIVERSITY OF ABERDEEN.APPOINTMENT oi EXAMINERS.-Tlhe University Court llas appointed

the following gentlemen to be examiiiners for the degrees of Surgery andMedicine: J. Galloway, M.B.London; R. J. Garden, M.D.Aberdeen; A.lill, -M.D., Birmiiugha;;;: P'. B. Smiiith, M.D.Aberdeen; G. N. Stewart,M.D.( 'ainbri(lge; Prlofessor Windle, M.D., l3irnminghamii.

ROYAL UNIVERSITY OF IRELAND.AuJrUTUIN EXAMINATIONS IN THE FACULTY OF MEDICINE, 1891.

First Examination in Mcdicinec.-The examiners lhave recoimimended thatthe followving be adjuged to lhave passed this examination: J. P.Iarry, Queen's College, Cork; A. Burns, Queen's College, Belfast;J. A. (larke, Queen's College, Cork; J. Cowan, Queen's College,Belfast; J. Crelnleni, Queen's College, Cork; J. H. C. Daly,Queen's College, Galway; P. C. Geraglhty, Queen's College, Gal-wvay; T. Ilallissy, (Queen's College, Cork; D. W. Hewett, Queen's('ollege, Galwvay; T. Houston, Queen's College, Belfast; J.Hustoin, Queeni's College, Belfast; T. Kelleher, Queein's College, Cork;F. J. 1'. McKeiina, Queen's College, Cork; W. J. MacKeown, (Queen'sCollege, Cork; J. McLaughlin, University College, Dublini; J.MeMNlahon, Queeni's College, Belfast. R. Nevin, Queen's College,lielfast; H. J. F. Nugent, University College, Dublin; F. E. Slhawe,(Queen's College, Belfast; M. Sheehy, Queen's College, Cork; R. J.Smitlh, Queeni's College, Cork; H. Turkington, Queen's College,Glalway, G. C. W'clply, Queen's College, Cork; R. W'ilbond, Queenl'sCollege, Belfast; R. J. Wood, Queen's College, Cork.

The following miiay present themiiselves for lionours in the subjects op-posite their natmes :A. Burns, Zoology and Clhemistry; J. A. Clarke,(Chemistry and Phlysics; J. Cremen, Zoology and Physics; P. C.(;eraglity. l'lliysics; T. Hallissy, Pllysics; D. XV. Hewett, Physics;T. Houston, Blotany, Zoology, and Physics; J. Huston, Chemistry;AW. J. MacKeowvn, Physics; J. AMcLauglhlin, Zoology; J. MacMahol,ll'ysics; H. .t. F. Nugent, Zoology; M. Sheehy, Clhemistry; II.Tul'kington, Plhysics.

Se,rconid Examinationn in ,Ie(dicine.-The examiners have recommendedthat the undermentioned caindidates should be adjudged to havepassed this examiniation. Upper Pass Division: W. Canning,Queen's College, Belfast ;* Jane S. Galletly, London Scllool of Mledi--ine for Womiien; *W. Ihunter, (Queen's College, Belfast; *P.K. Joyce, B.A., Queen's College, Galway; P. N. 0'(:. Lalor,flatholic Unlliversity Seliool of Aledicine; *R. J. Mackeown,Queen's College, Belfast; *A. WV G. Spence, Queen's Col-lege, Belfast; *R. WNatt, Queen's College, Belf ist. (Thoseillal1ked witlh an asterisk may present tlhemselves for tile fur-tliei Examination for Honoiirs.) Pass: J. C. Adams, Queen'sC'ollege, Iielfast; J. Alhei-ne, Queeni's College, Cork; D. E. Cantilloil,QueCn's ('ollege, Cork; XX'. J. Dargan, Catlholic IJniv-ersity Schlool ofMelicinie: .1. If. De Blaquiiere, Carmiclhael College of Medicille andSchool of I'liysic, Trinity College, Dublin Frances Gallagher, ( atlo-lei ni 'ernity Sclhool of Medicine; C. XW. Griffitlis, M.A., Roy vil ol-lege of SuIgeoins, Royal ('ollege of Science, and Schlool of I'lIysilTI iniity College, Dublin; Ailielia G. Grogain, B.A., Royal College ofStlg-eolls and Royal College of Science, Dublin; 1). U. HanlyQueen's ('ollege, Cork; W. Hel-roin, Queen's College, Belfast; EditlhB. Joa;l, Royal ('ollege of Surgeons and Carmichael Collcge, Dublin;T. J. XV. A. Johnston, Queeia's ('ollege, Belfast; F. McSwincy, B.A.,Queeni's College, Cork: S. M. Magowan, Queen's College, Belfast;J. lMartin, Queen's (ollege, Galivay; J. Monaghan, Catlholic l'niver-sity Schllool of Medicine; H. C. Mlooney, Carlnicllael College ofMedicinie; D. ('. Moore, Queen's College, Belfast; W. J. Niblock,Queen's College, Belfast; W. B. Norcott, Queen's ('ollege, Cork; XV.V'. A. Raleigh, Carmichael College of Medicine; H. Reid, Queen's('ollege, Belfast; J. Reid, Queeni's College, C'ork.

Ti ir I Examiniationt in Medicine.-The examiiiner-s have recommiiendedthat tlhe following be adjudged to have passed this examination:Upper Pass Division: AX'. Clhancellor, B.A., Queen's College, Bel-fast; A. Fulton, B.A., Queen's College, Belfast; T. S. Kirk, B.A.,Quieeni's College, Belfast; XW. Lee, Queen's College, Belfast; R. A.Plarklhifl, Queeni's College, Belfast; AXX. B. Robertson, Queen'sCollege, Belfast; XV. J. XX'oods, Queen's College, Belfast. Allthe abovemay present tlleimiselves for the further examination for honours.Pass l)ivision M. H. Aicken, Queen's College, Belfast; J. Ambrose,Queen's ('ollege, Cork XW. J. J. Arnold, B.A. Queen's College, Bel-fast; Catlherinle Ari-ott, Londoni School of MeAiciine for Women andRoyal Free Hospital; T. XX. Atkinson, B.A., Queen's College, Bel-fast; J. Colville, B.A., Queen's College, Belfast: P. D)ee, Queen'sC'olleg,e, Cork: .T. S. D)ick, Queen's College. lielfast; AW'. D. Doninan,Queeni's Colle,-c, Belfast; I J. Flynn, Cathlolic U'niversity Sehoolof Medicine; R. Irving, Queen's College, Belfast; J. II. Johniston,Queen's College, Belfast; H. M. Jones, King's College, London;

W. McMath, Queen's College, Cork; J. N. Macmullan, Queen's Col-lege, Belfast; J. McMullen, Quecn's College, Belfast; Harriette R.Neill, Royal College of Surgeons, Dublin, and Queen's College, Bel-fast; J. E. O'Connor, School of Physic, Trinity College, Dublin, andQueen's College, Cork ; M. V. O'Reilly, Catholic University School ofMedicine; J. Patrick, Queen's College, Belfast; A. A. Peel, Queen'sCollege, Belfast; WV, A. Rountree, Queen's College, Cork; W1'. T. A.Scanlan, Queen's College, Cork A. A. Stewart, Queen's College,Blelfast, F. Whitaker, Catholic University School of Medicine.

JMedical Degirees Examination.-The Examiners have recommended thatthe following be adjudged to have passed the qualifying examina-tion. Upper Pass Division: *R. K. Brown, B.A., (lueen's College,Belfast; G. S. Hart, Queen's College, Belfast; M. McCann,Queen's College, Belfast; *Katherine M. N. Maguire, Royal Collegeof Surgeons, Dublin; *H. Morton, M.A., Queen's College,Belfast; *P. T. O'Sullivan, Queen's College, Cork; J. Priest-Icy, B.A., Queen's College, Belfast *NW. C. Sullivan,Queen's College, Cork. Those marked with an asterisk maypresent tlheinselves for the further examiiination for honours.I'ass Division: J. Amiibrose, Queen's College, Cork; P. Bennett, B.A.,Catholic University School of Mediciiic: J. J. Bouirke, M.A., Catho-lic University School of Mledicine; D. J. Collins, Queen's College,Cork; M. J. B. Costello, Queen's College, Galway, and Catholic Uni-versity School of Medicine; T. H. Donovan, Catholic UnivcrsitySchool of Medicine; R. Dudgeon, Queen's College, Belfast; F. J.Dunne, B.A., Catholic Uiniversity Schlool of Medicine and School ofPhysic, Trinity College, Dublin; G. AV. Falley, Queen's College, Bel-fast; R. J. Gordon, M.A., Queen's College, Belfast; S. R. Hawortli,Queein's College, Belfast; E. Hegan, Queen's College, Galway, andUniversity of Edinburgli; H. T. Heron, B.A., Queen's College,IBelfast; W. J. Hughes, Carmichael College of Medicine; J. Janiii-son, Quieen's College, Belfast; D. A. Leahy, Queen's College, Cork;E. Monitgomery, Queen's College, Belfast; T. J. Mlurphy, Queen'sCollege, Cork; R. H. S. Torney, Royal College of Surgeons, Dublini;M. Twomimey, Queeni's College, Cork: L. Wlheeler, Queen's College,Belfast, anid Royal College of Surgeoiis, Dublin.

ROYAL COLLEGE OF PHYSICIANS IN IRELAND.AT the animual stated meeting of the College, held oii Octeber 19th, 1891.the followinig officers were elected for the ensuing year : Precsidenit: J.Magee Finny, M.D. Vice-Presi(dent: A. Wll. Foot, M.D. Cenisors: A. V.Foot, M.D., A. V. Macan, M.B., Johln Malony. F. R.C.P. I.. G. P. L'E. NugentM.D. Ad(ditionalExaminers to take the place of absent Censor: Medicine,Henry C. Tweedy, M.D.; Medical Jurisprudence and Hygienie, Joseph Al.Redmond, M.D.; Midwifery, Andrew J. Horne, F.R.C.P.I. Examiners forthe Licelce to Practise Midwcifery: AW'illiam Josialh Smyly, M.D., Andrew .1Horne, F.R.C.P.I. College of Physicicmns' Examiners, nader the ConjointScheme ivith the R.C.S.I. (not including Censors who also examiin1e at the /4thIProfl.): Chemistry and Physics, Henry T. Bewley, M.D., and Edwin Lap-per, F.R.C.P.I.; Materia Medica and Pharmacy, Gcorge F. Duffey, M.D.,and F. J. 11. Qiiinlan, M.D.; Physiology, Joliii M. Plurser, M.D.; Medicinie(2nd and 3rd Plrofl.), E. MacD. Cos-rave, M.D., and Wallace Bleatty. M.D.;Hyygiene anid Forensic Medicine, Joseph hi. Redmiiond, M.D. MembermshipExaminers (a) Clinical Medicine, A. WV. Foot, M.D., and G. P. L'E. Nugent,M.D.; (b) Patlhology, Jolhn M. Purser, M.D., and H. T. Bewley. M.l).: (c)Practice of Medicine and Principles of Public Healtlh, Joseplh M. Red-mond, M.D.. and John Molony, F.R.C.1P.I. College of P'hysiciamns' Examinerstor the Conjoint Diplomtia in State Medicine: State Medicine anid Hygiene, P..1. B. Quinlan, M.D.; Chemistry, Edwin Lapper, F.R.C.P.I.; AMeteorology-Johlln Wim. Moore, M.D.; Engineerinig, A. E. Mui'ray, C.E. College of Ply,sicians' Examiners in Preliminary Edncation : Languages, H. T. Bewley,M.Dl.; Science, E. MacD. Cosgravc, i.D). (lollege of Physicianis' Representa-tives on the Comnmiiittee of Managemzent: T. MW. ("rimshaw, h.D., Joliii WilliamhIoore. hi.D., and Walter G. Smith, M.]). Representatire oni Ceerae MeeticalCozncil: LombeAtthihl,hI.D. Treasurer: LombeAtthill. l.h). R'egistrar:Jolin Wm. Moore, h. ). Librar-ian : S. XX. Wilson. The followviig hlcnierswere-electedtotheFellowship: Niniaii AI'Intir l"Falkiner. hA.l., Aledi(lIOfficer, (;rand Canial Street Dlispensary; Jamies Craig, hl.D., AssistanltPlhysician. Mleatlh Ihospital.

OBITUARY,HENRY THURSTAN BASSETT, M.&.LOND.

PARTICULARS have recently arrived respecting the deatlh ofDr. Henry Tllurstan Bassett, which occurred on September 8that Reytlerville, co. UIitenhage, Cape Colony. Dr. Bassett wasthe only son of Dr. John Bassett, of Birmingham. He com-menced his medical studies at the Queen's College in thattown, whence he passed to Guy's Hospital, where h e wentthrough the usual curriculum and occupied the various officesassigned to students, ending by being house-physician to Dr.Moxon. During this time he graduated at the University ofLondon in the lionours division. After spending a winter inVienna he returned to hlis native town, and joined his fatherin practice. He was elected honorary surgeon to the Skinand Lock Hospital, and when fairly established he married,and had a bright prospect before him; but in the spring of1888, after an arduous winter's work, his health failed. Itwas then thought that the best chance of saving his life wasfor him to live in an elevated part of South Africa. He ac-cordingly settled at a rising villagre on the Karoo; here hishealth for a time greatly improved, and he soon acquired alarge practice, but his pulmonary symptoms never became

928 THE BIRITISHI MEDICAL JOURNAL. [Oct. 24, 1891.

quite quiescenlt; some months since they showed signs ofprogress, and after a period of increasing weakness he passedaway.The Ultenhliqe (Clronicle says of him "that lie was gifted

withl a pleasing exterior, he also possessed a quiet and im-pressive manner, withl a well-store(l mind, and those amongwlhom his lot was, cast and among wlhom lie has died becamellot; only his, patients. but hiis frienids. lUrbane and sympa-tlietic, lie will long live in the memories of those wlho liaveknown lhin. anid wlho sincerely regret tlhe loss of a brilliantpliysician and( faitlhful friend."

MEDICAL NEWS,St MCErSsL VACCINATION.-Mr. C. W. Thlorp, L.R.C.P.,F.R.C.S.Irel., Public Vaccinator to the Todmorden district,

lhas received for the second time the Government grant forsuccessful vaccinationi.OWIN(C to the unicertain results of the tuberculin treatment

in the military liospitals of Russia the authorities lhave issuedinistructions that in the meantime, at any rate, it must bediseconti nued.THE Frenichi Association for the Advancement of the

Sciences will liold its Inext nmeeting at Besan(. cn, in 1893. Pro-fessor Blouchard has been elected Vice-president for the* nSUimn Year.

1KiNTv's COLLEGE', LONDON.-Tlie entrance scholarships an1dexlhibitions lhave been awarded as follows: WarnefordScholarslhip, Class I: Cowie, £73; Ross, £50. SambrookeExhibitions: Clitford, £60; Lansdown, Schaub, £20 each.Science Exhiibitioins: Jacob, £60; R. T. Williams, £40.AT a recent meetinig of the Wrexlham Town Council a vote

of sympathy witlh Ir. Eyton Jones in his late serious illness,coupled witlh ani expression of gratification that he was nowconvalescent, wvas unanimously adopted, on the motion of the-Mayor.A NEW pavilion, witlh accommodationl for 70 or 80 patients,

lhas recently been ad(led to the Emperor and Empress Frede-rick Children's liospital at Berlin. It was formally openedon Su-nday, October 18th, the birtlhday of the late Emperorf'rederick.

(oCN(11ESS O1F ALIENISTS IN ITAiLY.-The seventlh conigressof the Societ.i Frenliatrica Italiana, wlhich first met at Rlonmei 187,, was held at Milani in September 9tlh. About 100me01mb1(ers took part in the proceedings. The inaugural addresswas delivered by Professor Verga, Senator of the Kingdom ofItal.y.

TIisIi MIEIWI(cAL1 SCHOOLS' ANI) (RADITATES' AssocIATIoN.-The autumin general meeting of the Association will be hleldat the Ilolborn Itestaurant at 6.30 P.ir. on October 28th. Onthe sam11e evenincg the Association wvill dinie at the HolbornRestaurant at 7.30 P.rt., Dr. (Gilbart Smith, President, in tlhechair.ROYAL COLIE(E OF SURxEONS.--At the last meeting of the

Counicil of the Royal College of Surgeons it was resolved thatMember of the College whlo had been convicted and sen-

tenced to five years' imprisonment for a criminal offenceslhould be removed from being a AMember. and that theGeneral MIledical Council should be informed of his removal.

AN\E are iniformecd that Dr. Artlhur Gramgee, F.R.S., lately ofSt. George's hlospital, and Etiieritus Professor of Physiologyin the Owens College, Victoria lUniiversity, has obtained theNwriss State licence to practise medicine, and has taken uphiis abo(le in D)avos, wrhere he intenlds in futuire to practised[uring the winter.

RZOYvA1 COIEnLCGE OF Sl-URGEONS IN IRELAND.-Thme RoyalCollege of Surgeons' AIImalgamated Schlool *will be opened bythe President of the (Col-creg1, Mr. If. G. Croly, on November2nd, wheni the studenits at presenit dissecting in the roomstemporarily set apart for them will be transferred to the newroom. On tlhe same date the President will present themedals and prizes awarded to the successful students of lastsession.

EPIDEMICS IN PORTUGAL.-According to a Portuguese con-temporary, Coimbra is at present in a bad way as far as publichealth is concerned. Influenza is raging "with extraordinaryintensity," small-pox has been prevalent for some time, andnow typhoid fever has appeared on the scene. Meanwhile theauthorities " sit apart," like the gods of Lucretius, contem-plating the situation with Olympian indifference.,THE BACILLUS oF LEPROSY.-A Dalziel telegram in the

TlI'Mes, dated Paris, October 18th, gives Pasteur's views on thebacillus lepra, as expressed to a newspaper correspondent.They contain nothing that is new to the medical profession,but it is interesting to note that the illustrious Frernchman isreported to lhave said that lhe considers that a leprous vaccinewill soon be discovered.

BIRMIuNiNGHAM% HOSPITAL SATURDAY CONVALESCENT HOME.The Misses Stokes, of Edgbaston, Birminigham, have, as amemorial to their late brother, Mr. Alfred Stokes, offered toprovide the whtole of the purchase moniey (£7,1500) for theacquisition of the building near llandudno, whiclh it hasbeein resolved to acquire as a Hospital Saturday ConvalescentHome.ADULTERATION IN DENMARK.-A new law as to the adul-

teration of food came into force in Denmark on October 1st.Every act of adulteration, and the employment of chemicalprocesses witlh the view of preventing the detection of adul-teration, is lhenceforth to be punishable by fine and imprison-ment (from five days to two years). In the case of firstoffences or where extenuating circumstances can be pleadedonly a fine wvill be inflicted.PRESENTATIONS.-Dr. Gettings, of WValsall, lhas been pi e-

sented by the members of his St. John Ambulance classeswith a handsome marble timepiece and a case of instrumentsin recognition of his valuable services.--Dr. Gross, who hasbeen associated witlh the medical superintendentslhip of St.Saviours l'niion, Southwark, for more than fourteen years,has been presented by some of his late colleagues, on his re-tiresnen-t from his official position, witlh a brass-bound walnutoperating case, a pocket dressing case, a laryngoscope, laryn-goscopic lamp, and other surgical appliances.SOCIETY FOR THE RELIEF OF WIDOWS AN]) ORPIIANS.-At a

quarterly court of the directors of the Society, held on October14th! the president, Sir James Paget, in the chair, it wasresolved to distribute £1,420 at the next court to tlle sixty-four widows anid twenty orphans applying for assistance.Fresh applications were read from two widows and sixorphans,andrelief was given them. The expenses of the qualrterwere £63 1is. (;d. A legacy of £20 from a deceased memlberwas announced. One new member was elected, and thedeatlhs of six reported by the secretary, as well as the deathof a widow who lhad been receiving X50 per annum sinceJune, 1873.

MEDICAL VACANCIES.The following Vacancies are announced:

BEI-'KS ASYLUJM, Moulsford.-Second Assistant Medical Offleer; doublyqualified; unmarried anid uinder .30 years of age. Salary, £lo0 peranntim, rising £10 annually to £120, witlh furnished apartments, board.etc.. and washing. Applications to J. Harrington J)outy, MedicalSuperintendeut, by November 13th.

BRONI PTON AND KNIGHTSBRII)GE PROVIDENT DISPENSARY, 25,Fulliam Road, S.W.-Medical Officer. Applications to the Commiiiiitteeunder (tover to the Scnior Mledical Officer by October 25tlh.

CAHERCIVEEN UNION.-Medical Officer for the Valencia Dispensary%District; doubly qualified; Imlust reside in the Island( of Valencia.Salary, £80 per annunm as Medical Officer, and £1:) per annum asSanitary Officer-, together with usual vaccination fees. Applications toA. O'Iriscoll, Hon. See., by November 9th.

CANCER HOSPITAL (FREE), Fulham Road, S.W.-House-Surgeon. Ap-poiintinent for six montlhs. Salary at the rate of £-50 per annuini, witlboard and residenice. Applications to the Secretary by November7tli.

CHARING CROSS HOSPITAL, Strand, W. C. -Medical Registrar. Salary.£40 per annum. Applications to the Medical Committee, by October26th.

CHESTER GENERAL INFIRMARY.-Visiting Surgeon, doubly qualified.Salary, £80 per annum, witlh r-esidence and maintenance in the house.Applications to the Chairman of the Board, by October 26th.

CITY OF LONDON HOSPITAL FOR DISEASES OF TILE CHEST, Vic-toria Park, E.-Assistant Physician; must be F. or M.R.C. '. Lond. Ap-plications to the Secretary, 27, Finsbury Circus, E.C., by October 27th.

Oct. 24, 1891.] THE BRITISH MEDICAL JOURNAL.

D)ENTAL HOSPITAL I OF lO.NDJON, ]Leicester S'quare.-Dental Surgeon;must be Licentiate in Dlental Surgery. Akpplications to J. FrancisPink, Secreta-iry. by December l Ithi.

I)ENTAL, HOSPITAt,l OF1 LONDON, Leicester Square.-Assistant D)entalSuirgeoni; must be Licenitiate in D)ental Surgery. Akpplications to J.Fraincis Pink. Secretary. by D)ecember 14th.

EASTERN COUNTIES ASYLU-M FOR IDIOTS, Colcliester.-ResidentMledical Attenidanit; doubly qualified, ulnmaarried. Salary, £100 per

annu-um, xvitli furnish(ed apartmients, board, and washing. Applica-tions to J. J. C. Tuiner, Secretary, by October 27th.

EAST L-,ONDON HOSPITAL FOR CIIILDREN, Sliadwell E.-House llliy-sician. Board anld lodging prov-ided. Applications to the Secretary,by October 2(th.

GE?NEINAL INFIRMARY, Leeds.-Onie Resident Obstetric Officer, onehlotuse P'hysiciani, two House Surgeons. Appointmeints for twvelvemiioniths. Board, lodging and washing provided. Applications to Mr.E. Ward, Secretary to the Faculty, by October- 21th.

GENERAL INFIRMARY, Leeds.-Resident Aledical Officer at the IdaHlospital. Appointment for six months. Board, lodging and washingprovided, anid honorariumlii of £25. Applicationls to 21r. E. Warcl, See-retary to the F'aculty, by October 24th,

(TREAT NORTHERN CENTRAL HOSPITAL, Holloway Road, N.-CasualtyOfficer, wvho wvill be requiired to act as Registrar and Assistant Ai.es-thetist; miiust reside in the neighhourhood. IHonorariumii of 50 gulineasper aninuimi. Applidations to XX'm. T. Grant, Secretary, by October26th.

6UY'S hIOSIITAL.-Assistant Antesthietist. Applications to the Trea-suIrer-, by October :,1st.

HASTINGS, ST. LEOONARD-S, AN\D EAST SUSSEX HOSPITAL.-Hono--ary Assistant, llliysician. Applications to the Secretary by October

fH-OSPITAL FORIDISEASES OF TIlE Th-IROtAT, Golden Square, AN'.-Rlesidlent Medical Officer. Salary, £30 per annumnwitlh board, androomiis. Appli(c-ations 1o the Secretary, by Octoler 261,hi.

IlOSPIITAL FOR S[('K C1IIII1)REN, Great OriIoild Street, Blloomshury,W.C..- -Medical Rtegistrar anld Pachologist. Appointment for one year.Honorarium of lifty guineas. Applications to the Seeretary byNovemiiber l1tlh.

INVERNESS DISTRI-ICT ASYLUMI.-Assistaant Aledical Offl(er. Salary,£10O per aninum,vwith bed, boar-d anid wvashin. Applications to Dr.Aitkeni, Medical Superintendent, lby October 28th.

KENT COUNTY ASYLUMT, Chatham, nelal' Caniterbury.-Junior As-sistant Medical Oflecer; unimarried. Salary, £123. per annum withfturnlislhed apartmnenits, board, and attendance. Applications to AllenFieldinig, Solicitom, (Canterbur-y. by October 24th.

LONDON FEVER IHOSPITA\L, Liverpool Road, N.-Assistant ResidentMledical Officer. Applications to the Secretary, by November 4tll.

NATIONAtL HOSP'ITA1- FO() THE PARALYSED AND EPILEPTICQuieeil Sqaire. Bloomsbury. -House-Plhysician; doubly (Iiualified.S.ahar. £10( per ainnu, wvitlh board aind apartments. Applications toR. Ilurford halwings, Secretary-D)ircetor, by Noveimiber itli.

N'tO1TH I-ONDON CONSUMPTION IIOSPITAL, Hampstead and London.-Two Honorary Physicians. Applications to the Secretary at, theoffices, 211, Tottelnhiaiii Court Road, \V., by October :sotl.

NORTH LONDON CON.SI MNPTION IhOSPITAL. Resident \MedicalOfficer :doubly (Ii alilied. Honoramlium, £10 anniuallv, wvitlh ro0oIlmsboard, etc. Applications to the Seeretary, 211, Tottenliaifl CoturtRoad, by October 1,ist.

.NORTII-WEST ILONDON ItfiSPITAL, Kentislh Town Road.-Resi(lentMedical Officer. Salary, £3-0. Appointment for six niionitlhs. (Candi-dlates muiiist atteiid iiieeting of the Medical ComIimittee oIn Noveminber

;.;rd.NORThI-WVEST LO)ND)ON HIOSP'ITAL, Kentislh Towvn Road.-Assistant

Resident Mledical Officer. Appointment for six moniths. ('andidatesmiiust atten4d iffiectiig of the Medical Commiiiiittee on November 3rd.

OXWENS COLLEGE, 2laicelfester.-Junior Deinionistrator of Anatomlly.Aninual stipenid, £1t0. Applications to H. XX'. hIolder, A1.A., Registi-a-,by October 27th.

PADDINGTON I.NFIRMARtY.-Resident Cliniical Asi4stant: must befilialilied. Boird anid residence provided, aild lionorariunii of 1l)

gtuinieas on tlfe conipletiomi of six muionths' satisfactory serv-ie. Appli-catiolfs to tlfe Miedical Suiperintenlenit, 2.5, harrow Road, WX.

RIPON DISPENSARY AND COTTAGE HOSPITAL.-Resident T-Iouse-Surgeon and Dhispenser; unnarried. Salary, £70 per annumm, witlib)oa1rd and lodl -ing. Duties to comumence Decemimber 1st. Applications1o F. D. Wl'ise, Honorary Seem-etary.

ROYAL ALEXANDER HOSPhTAL FOR SICK CHILDREN, Briglmtom.-IIousc Surgaeon, doubly qualified. Salary, £80 per annum, with board,Ii(l)riifr, and washing. Applicaitions to the Chairman of the Mledical('ofimniittee, by Oc tober alst.

iROY.\r, IIOaPITAJ.1 FOR I)ISEASER OF THE CHES4T, City Rload,-Pheysician u:1ust be F. or M.R.C'.P.Lond. Applieations, addIressed totlfe Council. to be sent to tile Secretary by Novemamber 7tlf.

SEA.31EN'S 11OSPITAL SC)('IETY, Greenwich.-hiouse-Sum-geon: doubly(qjuilified. Appointment foin one, yeam. Salary. .5o0 per annum)), wvitlboamfd, furniislied roomiis, aiid attelndance. Applications to P. Michielli,Secretary, by \November 3rd.

SIEFFIELD 1PUBLIC' HOSPITAA\ND DISPENSARY.-Assistant Ilouse-Suirgeomi. Salary., p0pm' antfiminf, b)oard, lodging, and washlinig. Ap-plibationis to the hIonortrf'y Secretamy of the MedicalStall byNovembe-12thI.

hIE1PIl'1E1.1:) U1l1J3IC h1OsPITTAL AND. DISPENS.ARY.-HouiseSurgeoii.Salary, :lu perapntranim, board, lodging, and washing. Applicationsto the Homiorimy Sccretary of tife MAedictal Staff by November 12tli.

WESTON-SUPER-MARE HOSPITAL.-Medical Officer to the ProvidentDispensary; doubly (jualified. Salary, £20 per annum, witlh board,lodging, and washing. Applications to the Honorary Secretary by

November ittli.

MEDICAL APPOINTMENTS.BOOTH, J. Mfackenzie, M.A., M.D.Aberd., appointed Surgeon and Lecturer

onl Clinical Surgery to the Aberdeen Royal Infirmary, vice Dr.Hall, deceased.

BOTT, Henry, L.R.C.P.Lond., M.R.C.S.Eng., reappointed Medical Officerot Healtlh to the Breiutford Local Boa d.

BowLAN, Marcus Marwood, M.B., B.S.Dunclm, L.R.C.S.Edin., M.P.C.,appointed Assistant Medical Officer to the Uniion Infirmary, St.George-in-the-East, London, rice Dr. Ward.

BRAINE. C. Carter, F.R.C.S.Eng., L.R.C.P.Lond., appointed AssistantAnaesthetist so the Dental Hospital of London, Leicester Square, riceD)udley Biuxton, M.D.

BUXTON. Dudley, M. D., B.S., M.R.C.P.Lond., appointed An:csthetist to tlheDental Hospital of London, Leicester Square, vice T. Bird.

CARPENTER. George, M.D.Lond., appointed Medical Officer of Ilealth tothe Beckenllam Local Board, rice Mr. B3uttertield.

COLLI7Mt, Arcllie J.. L.R.C.P., M.R.C.S., appointed Junior Demnonstratorof Anatomiiy at the Medical Slchool of Clharing Cross I hospital.

COOKE, J. W., M.D., appointed Medical Officer of Health to the Gr-eatClacton Local Board.

CRoss, Geoige Frederick, M.B., Bac.Surg.Dunelm. appointed Medical andVacciniation Officer to the .5th District of tlhe Downiham Uniion, 'icrWN'illiam Catei-, resigned.

DAVIEs, D. S., M.B.Lond., L.R.C.P., M.R.C.S., reappointed Medical Officerof Ihealth for the Por-t of Bristol.

DAv Is, Henry, 2M1R.C.S., appointed Assistant Anasthetist to tlle DentalHospital oi Londoil. Leicester Square, rice Frederick Hlewitt, B.A.,M.D.

Dou(.ALI, Johln McPhail, I)l.,D 1.11., C.M.Glas., appointed Medical Officeraiid( Public V'accilnator to the Bulmer District of the Malton tUniion.'ice Dr. P. A. Sniiitlh, deceased.

DREAPER, J. B.. L.R.C.P.Edin., M.R.C.S., appointed Medical Officer forIlartington Sanitary District of the Aslhboutrne Union, vice Dr. Twigg.deceased.

DRESCdHFLD, Julius, Mi.D.)Wurzburg, F.R.C.P.Lond., B.SC.Vict., ap-poinlted Professor of Medicine to Owens College, Mancliester, vice Dr.Mlorgan.

FARMNIER, Septimus, L.R.C.P.Edin., M.R.C.S.Eng., appointed MedicalOfficer to the Poor of the XWest Ward Union, vice R. WX'. Lonig, L. R.C.P.,L. R.C.S.Edin., resigned.

GtiuwIoR, Macadam, L.R.C.S., L.R.C.P.Edin., appointed Medical Oflicer tothe East 13attersea First W\ ard District of the Wandsworth Union.

HALEGOOD. XW., 2nd Assistant Medical Oflicer to Banstead Asylum. ap-pointed Senior Assistant Medical Offlcer at tlle Kent County Asylum,Barming heath, Maidstone.

HARYEY, C. A., M.D., M.Ch.D)ub., appointed Extern lPllysician to theSoutl Inliriiiary and (County Hospital, Cork.

IIEAVEN, John C., L.R.C.P.Lond.. R.C.S., reappointed Assistanlt MedicalOfficer of Health for the Port of Bristol.

IhEwIrT, Frederic, B. \., M.D.Cantab., appointed Aiiesthetist to theD)ental Hospital of londoni, Leicester Square, vice J. Mills.

HoY LE, John. M.B.. C.M.Edin., reappointed Medical Oflicer of Ihealth tothe Greetland Local hoard.

JoLIe A. Dixon. M.R.C.S.. appointed Surgeon to the St. Steplhen's Club,WN'estmiiinster, rice E. 0. Day, deceased.

LEAHY-LyNcir, T., L.R.C.S., L.M., L.R.C.P.Edin., L.F. P.S. Glas.,L. MD. ub., appointed Senior Medical Officer to the Eccles anld DistrictMedical Association, 'ice Dr. Thomas Wilson, resigned.

LowsoN, D., M.D., C..Nl, appointed Surgeon to the hIull OrthopredicIlospital.

M 'ALrLUM, Stuart Gerald, M.B., C.M.Edin., appointed Junior AssistantMledical Officer to the Cheshire ('ounty Asyluimi.

Mc(oaMIsKEE, Arthur W. S., M.B., B.('h., B.A.O.R.U.I., appointed Registrar,Compounder, and Assistant to Surgeon to the Counity )own lnfirllmary,v'icc Dr. Thomnas Marshall Tate.

MNCILRAIT1H, Charles H., M.A., M.B., C.M.6las., appoinlted Ihouse-Plhysicianto the City of London Hospital for Diseases of the Chest, VictoriaPark, E.

MCKELLAR, T. 1., MI.B., C.M., appointed Assistant Ilouse-Surgeon to theRothe-haam Hospital, rice Mr. Smith, resigned.

MACKENZIE, John, L.R.C'.P., L.R.C.S.lrel., appointed Junior MedicalOfficer to the Medical Association, Burton-on-Trent.

MAC(.AGAN-WEDDERBURN. A. S., A1.D., C.M.Aberd., appoinited ConsultilgPlhysician to the Forfar Infirmary.

MARTIN, C. R., L.R.C.S.. appointed House-Surceon to the Belgrave ihos-pital for (Children, vice (G. Mlanisfield.

MOYLE, Walter 1.,A1. R.C. S. Eng., L. R. C. P.Lond., appointed Medical Officerfor the Rogate Distr ict of thle Midhurst U-lnioni.

MuMnir. B. H., MA.D.Aberd., M.R.C.S., reappointed Medical Officer ofHealth for the Borough of Portsmouth.

PETHICK, C. Stuart, M.A.Cantab., M.R.C.S.Eng., L.R.('.P.Lond., appointedJunior Rtesident Medical oflicer to tlle Royal Free Hospital, Gray'sI nn Road, vice M1r. E. B. Waggett, resigned.

POOLE, Kennleth W.. M.B., B.S.Durh., M.R.C.S.Eng., L.R.C.P.Lond., ap-pointed Resident House-Sur-geon to the Walsall Cottage Hospital.

RAYNER. Edwin, M.D.Lond., F.l.C.S., reappoinlted Mledical Oflicer ofhIealth for Stockport.

Rolini, A. Gardner, M.B., B.Ch., appointed House-Surgeon to the BelfastUnion Hospital.

9029

23Htii PI11ISIt MP,DICAIl JOCJ?NAL. [Oct. 24, 1891.

STIRLING, Stewart, M.D., F.R.C.S.Edin., appointed Lecturerlon :Diseasesof the Skin to Surgeons' Hall Medical School, Edinburgh.

WILLIAMS, William Henry, L.R. C. P.Lond., M.R.C.S.Eng., L. S.A., appointedMedical Officer for the Sherborne Workhouse, vice Wm. H. Williams,M.D., deceased.

WOOD, Herbert M., M.R.C.S.Eng.. L.R.C.P.Lond., appointed ResidentMedical Officer to the Royal National Hospital for Consumption,-Ventnor, Isle of WVight, vice Lewis A. Hawkes, M.D.Edin.

WVRAY, Charles, P.R C.S.Eng., appointed Assistant Surgeon to the Westemll Ophtlhalmic Hospital, MIaiylebone Road.

DIARY FOR NEXT WAEEK.MONDAV.

LONDON POST-rGRADUATE COURSE, Royal London Oplhthalmlic Hospital,Moortields, 1 P.M.-Mr. A. S. Morton: Oln Affections ofEyelids. Hospital for Sick Children, Great Ormond Street,4 P.M.-Mr. J. H. Morgan: Surgery of the Urinary Systemin Children. Great Northern Central Hospital, 8 P.M.-Dr. Galloway: Liver and Spleen.

MEDICAL SOCIETY OF LONDON, 8.30 P.M.-Mr. Harrison Cripps: Two Casesof Fibrous Stricture of the Colon Diagnosed by Laparo-tomy and Treated by Colotomy. Mr. Herbert W. Alling-ham: On Fifty Cases of Left Inguinal Colotomy, with Re-marks on their Points of Special Interest.

TUESDAY.LONDON POST-GRADUATE COURSE, Bethliem Hospital, 2 P.m.-Dr. Theo. B.

Hyslop: On Mental Stupor. Hospital for Diseases of theSkin, Blackfriars, 4 P.M.-Mr. J. Hutchinson, F.R.S.: Onthe Varieties of Psoriasis.

ROYAL MEDICAL AND CHIRURGICAL SOCIETY, 8.30 P.m.-Messrs. RaymondJohnson and George Murray: A Case of Limited Lesionof certain Spinal Nerve Roots by Secondary Carcinoma ofthle Vertebr,n and Dura Mater. Dr. A. Haig: Uric Acid asa Cause of High Arterial Tension and it Consequences.

WVEDNESDAY.LoNr,ON POST-GRADUATE COURSE, Hospital for Consumption, Brompton,

4 P.m.-Dr. C. Y. Biss: On Pain in the Chest. RoyalLondon Ophthalmic Hospital, Moorfields, 8P.M.-Mr. A.S. Morton: On Retinal Affections.

IIUNTERIAN' SOCIETY, 8.30 P.mI.-Dr. James Galloway: On CancerousAlTections of the Peritoneum and other Serous Mem-branes, with demonstration of specimens, drawings,microphotographs, etc. Mr. Jonathan Hutchinson, junr. :On Fatty Tumours in the Groin. Dr. E. Gilbert: SomeRemarks on (Colds. Mr. F. R. Humphreys: Notes of aCase of Severe Renal Hnimorrhage after Parturition, withPhlegmasia Dolens later on. Dr. Thomas Marshall: Noteoii the Infective Period of Scarlatina.

THURSDAY,LONDON POST-GIIADUATE COURSE, National Hospital for the Paralysedanid the Epileptic, Queen Square, 2 P.M.-Dr. Charltoil

Bastian, F.R.S.: On Cases of Brain Disease. Hospital forSick Children, Great ()rmond Street, 4 P.M.-Dr. Abercrom-bie: Oni Infant Feeding. London Throat Hospital, GreatPortland Street. 8P.v.-Mr. G. Stoker; Glandular Diseasesof the Nose and Nasopharynx.

FRIDAY.LONDON POST-GRADUATE COURSE, Bacteriological Laboratory, King's Col-

lege, 11 A.M. to 1 P.m. Lecture: Anthrax and Malignant(Edeinia. Practical work: Sectionis of Anthrax (Gram'sMethod). Hospital for ('onsumption, Broinpton, 4 P.M.-1r. C. Y. Iliss: On Some Points in the Thei-apeutics of(bes- Disease.

SATURDAAV.LONDON P'O.ST- IIADUATE COURSE, Betlileimi lOSpital, 11 A.M. -- l)r. Tlieo.

B. Ilyslop: ()n Dementia.

BIRITHS, MARRIAGES, AND DEATHS.Tile charge for inserting annouoncemen7ts of Births, MIarriages, and Deaths is

3s. 6d., ivlich snnm sliould be forwvarded in Post Office Order or Stamps withtile notice not later thant Wf'ednesday morniing, in order to inisure insertion illthe cltrrent issue.

BIRTHS.GAINER.-At Thrapstone, Northanits., on the 18th inst., the wife of Joseph

W. Gainier, M.B. Ed., of a son.

IIIRoN.-On the lotli inst., at 10, Newbold Terrace, East Leamington, thewidow of John Hicklnan Hiron, M.R.C.S., L.S.A., late of Studley,WN'arwickshire, of a daughter.

MARRIAGES.COTITs-SUTCLIFFF.-On the 14th inst., at St. George's, Hanover Square,

by the Rector-, thle Rev. NX'. Anderson, James Knight ('outts, Surgeon,C'hurch View. Blackley, Manchester, to Sarah Grace, only daughter ofWilliam Sutcliffe, Surgeon, Stalybridge. No cards. At home fromNovember 11th to November 20th.

(CRESSY-WHITE.-October 14th, at All Saints' Church, Kenley, Surrey, bythe Rev. Professor Skeat, cousin of the bridegroom, assisted by theRev. L. Harding Squire, M.A., Vicar-, Arthur Zell Claydon Cressy,M.R.C.S., L.S.A., of WVallington, Surrey, to Ethel Maud, fourtlidaughter of Gteorge T. White, Esq., of Malvern House, Kenley,Surrey.

HOURS OF ATTENDANCE AND OPERATION DAYSAT THE LONDON HOSPITALS.

CANCER, Brompton (Free). Ilouirs of Attendance. -Daily, 2. OperationD)alys.-Tu. S., 2.

CENTRAL LONDON OPHTHALMIC. Operation Days.-Daily, 2.CIIARING CROSS. 1lo1rs of Attenldance.-Medical and Surgical, daily, 1.30;

Obstetric, Tu. F., 1.31); Skin, Al., 1.30; Dental, Ml. WV. F., 9. ;Throat and Ear, F., 9.30. Operation Days.-W. Tb. F., 3.

CIIELSEA TIOSPlTAL FOR WOMEN. Houtrs of Attandance.-Daily, 1.30.Operation D)ays.-M. Th., 2.30.

EAST LONDON IIOSPITAL FOlR CHILDREN. Op)eration Day.-F., 2.GIIEAT NORTHERN (CENT1AT.. IHones of Attndance.-AMedical anld Suir-

gical, AM. Tti. NV. Tli. F., 2.:3(1 Ob)stetric, XV., 2.30); Eye. Tt. Tb.,2.30: Ear. A. F., 2.30; Diseases of the Skill, AV., 2.30; Diseasesof tIle Tlhroat, Tlb., 2.30; D)ental Cases, AV., 2. Operationt Day.-

V., 2.GUY'S. Ihouirs ofAttendance.-Medical and Surgical, daily, 1.30; Obstetr-ic,

Ml. Tu. F., 1.30; Eye, AM. Tu. Tlb. F., 1.30; Ear, Tu., 1; Skini, Tl.,l; Denital, daily, 94; Throat, F., 1. Operatio7n Days.-(Opltlial-IiiiC), M. Th., 1.:30; Tu. F., 1.30.

IIOSPITAL FOR XX'OMEN, Sohio. Houtrs of Attenldance.-Daily, 10. OperationDays.-M. Tb., 2.

KING'S COLLEGE. Hloors of Attendance.-Medical, daily, 2: Surgical, dalily,1.:30; Obstetric, daily, 1.30; o.p., Tu. AV. F. S., 1:10; Eye, Al. Tbi.,1.31); Oplhtlhalimic Departmnenit, XX'., 2; Ear, Tlb., 2; Skini, F.,1.30:; Tlhroat, F., 1.30; Dental, Tu. Tlb., 9.30. Operation Days.-Tu. F. S., 2.

LONDON. Hontrs of Attendance.-AMedical, daily, exc. S., 2: Surgical, da ily,1.30 and 2; Obstetrie, M. Ti., 1.30; o.p., AX'. S., 1.30:- Eye, Tni.S., 9; Ear, S., 9.30; Skin, Tl., 9, Denital, Tu., 9. Operation D)ays.-M. Tu. XV. Tli. S., 2.

LONDON TEMPERANCE HOSPITAL. Hours ofAttendance.-Medical, Al. Tu.F., 2; Surgical, M. TV., 2. Operation Days.-M. Tl1., 4.30.

METR.OPOLITAN-. Hours of Attendance.-Medical aind Surgical, daily, 9;Obstetric, WX'., 2. Operation Day.-F., 9.

MIIDDLESEX. Iloturs of Attendance.-AMedical and Surgical, daily, 1.30Obstetr-ic, Al. Tb., 1.30; o.p., M. F., 9, AV., 1.30; Eye, Tni. F., 9);Ear and Throat, Tu., 9; Skiln, Tu., 4, Tlb., 9.30; Dental, AM. XV'.F., 9.30. Operation Days.-WX., 1, S., 2; (Obstetirical), XXW., 2.

NATIONAL OR'IROP.:EDIC. 1hontrs OJ Attendance.-M. Tu. Tlb. F., 2. Opera-tioI Day. -WX., 10.

NoRTH-WXVEST LONDON. HIoltrs of Attcendance. -Aedical anid Surgical,daily, 2; Obstetric, X'., 2 ; Eye, XV., 9; Skini, Tu., 2 iDental,F., 9. OperationD)ay.-Th., 2 .30.

ROYAL FREE. 1hIOlrS of Attendance. -Medical and Surgical, daily, 2Diseases of WXomien, TU. S., 9; Eye, MA. F., C Den1tal, Th..OQeration1 Dayls.-XVT. S., 2; (Oplltllaliiic), M. F., 10.3u (Diseasesof Womneni), 5., 9.

cCYA.L LONDON OPHTHALMIC. Ifours of Attendance.-Daily, 9. Op cationDays.-Daily, 10.

ROYAL ORTHOP2.2DIC. houctrs oj Attendance.-Daily, 1. Operation Day.-M., 2.

ROYAL XW'ESTMINSTER OPIITIALMIIC. hllours of Attendance. -Daily, 1.Operationt Days.-Daily.

ST. BARTHOLOMEW'S. HonUs of Attend(lanice.-Medical and Surgical, daily,1.30; Obstetric, Tu. Tb. S., 2; o.p., XV. S., 9; Eye, XX'. Tlb. S.,2.30; Ear, Tn. F., 2. Skiin, F., 1.30: Laryinx, F., 2.30 Ortllo-poedic, M., 2.30; Denital. Tn. F., 9. Operation Days.-M. Tu. XX'.S., 1.30; (Ophtllalmic), Tu. Th., 2.

ST. GEORGE'S. Hoiurs of Attendanice.-Medical and Surgical, M. Tn. F. S.,12; Obstetric, Tb., 2; o.p., Eye, XV. S., 2; Ear-, Tu., 2; Skin, XV.,2; Tlroat, Tl., 2; Orthoptedic, X., 2; Dental, Tu. S., 9. Opera-tiO11 I)ays.-Th., 1 ; (Ophtlalmic), F., 1.15.

ST. MARK'S. Ilours of Attendance.-Fistula and Diseases of the Rectum,males, WV., 8.45; females, Thi., 8.45. Operation Day.-Tu., 2.

ST. MARY'S. Hfours of Atteneldnae.-Medical and Surgical, daily, 1.41; o.p.,1.30OObstetric, Tu. F., 1.45; Eye, Tii. F. S., 9, Ear, 31. Tli., 4.Ortliopwedic, W., 10; Tlhroat, Tu. F., 1.30; Skin, 31. Th., 9.:3o;Electro-therapeutics, Tu. F., 2; Dental, XV. S., 9.30; Coinsulta-tioIns, N., 2.30. Operationt Days.-Tu., 1.30; (Ortlhop.edic), XX'.,11; (Oplhthalmic), F., 9.

ST. PETER'S. Ilouirs of Attendance.-M., 2 and 5, Tu., 2, XV., 2.30 and .5, Tll.,2, F. (XWomen and Children), 2, S., 3.30. Operation Day.X-X., 2.

ST. TROMAS'S. hfours of Aitendance.-Medical and Surgical, daily, exc.XV. and S., 2; Obstetric, TU. F., 2; o.p., X'. S., 1.30; Eye. Tu., 2;o.p., daily, ex. S., 1.30; Ear, 31., 1.30; Skin, F., 1.30: Tllioat,Tu. F., 1.30; Clildi]en, S., ].:30; Dental, Tu. F., 10. OperationDays.-XX'. S., 1.30; (Ophltlhalmic), Tu., 4, F., 2; (Gyrtecological),Th., 2.

SAfMARITAN FREE FOR XXOMTENT AND CHInDREN. Hlours of Attendance.-Daily, 1.30. Opcration Day.-XX., 2.31).

TIIROAT, Goldeni Squale. Hloners of Attendance.-Daily, 1.30; Tu. an1d F.,6.30; Operation? Day.-Th., 2.

UNIVERSITY COLL.EGE. flours of Attenldance.-Medical anld Sur-gical. daily,1.30; Obstetrics. 3. XV. F., 1.30(: Eye, A1. Til., 2; Ear-, 3. T1l.. 9Skin, XX., 1.4.., S.. 1j.15; Tlhroat, A. Tlb., 9; Denital, AX'., 9.30Opierationt Days.-WX'. 'Tl'., 1.30; 2.,.

XVEST LONDON. H1ours of Att,'ndance.-Atedical and Surgical, daily, 2;Dental, Tu. F., 9.30: Eye, TU. Tli. S., 2; Ear, Tu., 10 ; Ortlhopw-die -XV., 2; Diseases of XVomen, XX'. S., 2; Electric, Tu., 1o, F.,4; Skin, F , 2; Thl-oat a-id Nose, S., 10. Operationt Days.-Tu.F., 2.30.

NESTMINSTER. Hours of Attendance.-Medical and SuI'gical, dailv, I : Ob-stetric, Tni. F.., I:I e. 2i.'il., 2.:)0 Eal', A., 1 k;Skin, AX., 1Denltal, XX'. f5., 9.13. 'pe'dbin J)ays. Tn. XX'.,

932 THE BRiTISH MEDICAL JOURNAL. [Oct. 94, 1891.

THE TREATMENT OF PNEUMONIA.C. M. J. writes: Your correspondent " M.B., C.MA." may be interested inknowing that, at the close of the discussion on Dr. (oupland's paper, Iinquired if he had used a combination of liq. ammon. acet. and ironi inthe treatment of pneumoniia. I understood lim to say he had nlot. Formany years I have treated pneumonia with ironi, and have had no occa-sion to regret the practice.

GELSEMTIUMTN SEMPERVIRENS.DR. THOMAS Ml. NVA'rT (Hovingllam, Yorks.) writes: A young girl is a fre-quent victim to neuralgia On one occasion she was given, tlroughcareless reading of the directions, eight 20-minim doses of this drug illeight consecutive lhours, she being then aged 20. She described lhersensations as numbness with a sense of general oppression as of *'aweight all over lher." This numbness she furtlher described as a feelingof deadness, so that it was a conscious effort eitber to think or tobreathe. I did not return lhome until some time afterwards, when shewas recovering froiim the eff'ects. Neither she inor those about her liadbeen alarmed by lher condition. The preparation was thorouglhly active,as I knewv froimi its use amoDg imiy otlher patients and in this girl's casepreviously. It had relieved her then, but, as has been the case withevery other remedy, except miiorphine liypodermically, after a few trialsit proved useless.

I employ it very frequlently witlh varying success, and have neverknown a dangerous symllptoIml, tlhouglh I invariably prescribe the dose of20 minims, genierally allowing in severe cases a repetitioil after onehour, if no relief lhas iesulted fr-omli the fir-st. Exactly the same nmistakewas made in the case of another young woman under my care. Slhefelt the toxic ellects, but she was not sufficiently alarmed to send forme. That was some years ago, and, as she has removed from the dis-trict, I can only say tllat lher account of lher sensations closely re-sembled those above given, witlh the addition of giddiness when sheattempted to move about. The patient Avhose case 1 have narrated wasconfined to bed, and did not test herself in that way. Of course in bothinstances the occurrence arose from failure to note that the interval ofone hour referred only to the second dose, subsequent doses beingordered to be taken, if required, at intervals of three or four hours,according to urgency.

LETTERS, COMMUNICATIONS, ETC., received:(A) Mr. J. Anderson, Upton Park; The Esculap Bitter Water Comii-pany, London Mlessrs. Allen andl Hanburys, London; Messrs. Arnoldand Co., Londoni; A. D.; Anotlher Publie Vaccinator; D. M. Aitken,MB., Edinburglh. (B) Mr. C. Boyd, Londoni; Dr. E. H. Brieni, RockFerry; Mr. H. L. Bates, St. Albans; Mr. A. H. Benson, Dublin; Mr.IBlackett, London; W. T. Blakeley, M.B., Glasgow; Dr. Robert Barnes,London; Mr. Bullen, Wakefield; Dr. P. Boobbyer, Nottingham; Mr. A.I. Butcher, Birkenhead; Dr. J. M. Bootli, Aberdeen; Dr. F. C. Berry,Lynton; Mr. J. Wickham Barnes, London; G. Birt, M.B., Stourbridge;M1r. T. J. Bokenham, London; Mr. J. Bassett, Birminglham; Dr. R.M. G. Biinnie, Brandon, Breaclh of Faitlh; Dr. Bruce, Dingwall; Dr.Byers, Blelfast; D)r. Biddle, Kinigstoni-oni-Thames; Dr. K. N. Bahad-hurji, London. (C) Mr. l'. Cresswell, Dowvlais; Mr. F. Le Gros Clark,Sevenoaks; Dr. W1'ard Couisinis, Southsea; 1r. S. M. Copemlan, Londoin;Mr. Charles Cressy, Wallin-ton; Mr. J. It. ('i'ease, Soutlh Slhields; Air.Anderson Critclhett, Londoni; Dr. Wl"illiam Carter, Liverpool; Mliss M.A. Claxton, New Brightoni; Mr. A. Cooper, Loindon; Dr. Crawford,London; Dr. H. XW. D. Cardew, London. (D) Mr. Alban Doran, Lon-don; Mr. J. H. Douty, Wallingford; Dr. V. Dickinson, Londoni; Mr.David Drummond, Newcastle-on-Tyne; Mr. J. F. Dell, London. (E)Dr. Joseph Ewart, Brighton; Mr. C. Elliott, Clifton. (F) Surgeon-Captain I). Franiklin, Brighton; Forty Years' Subscriber; Miss A.Frohnstein, M.D., London; Mr. XV. Ffolliott, Brondesbury; Mr. G. Foy,Dublin; Dr. Felce, London; Dr. J. Fourness-Brice, Oxton; Dr. R. H.Fox, London. (G) Dr. J. S. Gettings, Wllalsall; Dr. Glover, London;Dr. IH. Goude, London; Mr. L. Godfrey, Hanover; J. W. Gainer,M.B., Tlhrapston; Glasgow Royal Infirmary, Secretary of tlhe; Pro-fessor Gairdnci-, Glasgow; Mr. XV. Gregson, Southend; Dr. E. Goodall,Manchester. (H) Mr. A. T. Hall, Shefflield; Mr. G. A. Hawkins-Ambler, ('lifton; Dr. A. Handfield-Jones, London; Dr. J. B. Hellier,Leeds; Dr. Peter Horrocks, London; Dr. WVilliam Hunter, London;Messrs. Herbert and Co., Lonidon. (J) The Incoimie Tax RepaymentAgency, Londoni; D)r. C. R. Illingwortlh, Accrington; Mr. R. S. Jaynes,York; P. P. Jenniiings, AM.B., Ifull; Dr. Artlhur Jamison, Loindon; Mr.('. Ml. Jessop, Londoin; V. Jonies, AI.B., London; Dr. XV. M. Jones,Rotlherlham. (K) P. If. Kidd, Bil., Bassin-bourne; Dr. Normiian Kerr,London Dr. kelly, Taunitoni. (L) Alr. T. L. Lynel, Patricroft; Dr.Liuidsay, Belffas;t; Mr. .Joudan Hloyd, B1irmingliam; Mi-. T. Latlan,('ashel; ,ex; Ir. WV. V'. Luislh. Weyuiouth Mr. Tliomiias Leeds, Lon-(oiin; Mr. II. Littlcwoo(l, Lee(ds; I)r. 1). LowsuOn, Bull M'. A. E. lece-son, AMonite Video; Mr. Nl. M. Lonldoii, Arundel ; I)r. WX'. LItley,Soutlham. (M) Mir. L. Mackenzie, Tiverton; Mr. A. N. Montgomllery,Dublin; Mr. Theodore Martin, Bristol; Dr. M. McLean, Stewarton;ir. T. MtcHardy, Huntly, N.B.; Mr. T. G. Macormack, Edinburgh; Dr.T. W. MeDowall, -Morpeth; C. H. Mcflraith, M.B., London; Dr. Mickle,London; A Medical Staff Officer; Mr. A. WV. S. McComiskey, Killough;Dr. J. J. de Z. Marshall, Hastings; D. C. A. MlcAllum, M.B., Edin-buirghl. (N) Mmr. I. H. Newell, Belfast. (0) 0. H. D.; Owens College,

the Principal of, Manchester; Mr. J. H. Ogilvie, Tunbridge; Mr. -H.G. Nicholson, Hereford. (P) Dr. R. Prichard, Cardiff; Mr. G. A.Phillips, Walsall; J. Patterson, M.B., Ramelton; Prison Surgeon;Dr. G. V. Percy, Laguna; Mr. G. Pernet, Hampstead; Dr. T. F. Pearse,Southsea; Mr. J. Poland, London; Mr. J. R. Phillips, Aughnaeloy;Mr. D'AVrcy Power, London. (R) Messrs. Richardson, Brothers andCo., Liverpool; Professor Roche, Dublin; Mr. G. Owen Ryan, Lon-don; Dr. Robertson, Newcastle-on-Tyne; Mr. E. H. Ryan-Tenison,Bexliill-on-Sea; Dr. E. R. Rentoul, Liverpool; A. G. Robb, M.B., Bel-fast; A Resident. (B) Dr. Steele, London; Dr. W. G. Spencer, Lon-don; Dr. J. E. Squire, London; Surgeon D. Simpson, M.B., Madras;Mr. HI. E. Simiith, (levedon; Dr.. Shelly, Hertford; Dr. S. Stirling,Edinburgh; Dr. E. M. Skerritt, Bristol; Mr. J. F. Steedman, Streatham;Messrs. Salt and Son, Biriminghamn; Dr. D. Stewart, Nottingham;Seventeen Years' Service, R.N.; Dr. E. M. Sylmipson, Liincoln; Mr. W.J. Smith, London. (T) Dr. J. Roberts Thomson, Bournemouth; Dr.T. Tinley, Whitby; Mr. C. W. Thorp, Todmorden; Dr. Trevelyan,Leeds; Dr. Taylor, Liverpool; -Mr. 11. Terry, Northampton; Mr. J. H.Targett, London; Sir John Tilley, London; Dr. G. Thin, London. (V)Mir. T. Jenner Verrall, Brighton. (W) Mr. F. F. Wlhite, Coventry; Mr.J. B. Ward, Oxford; Mr. T. Watts, Manchester; Mr. E. White Wallis,London; Mr. WN. W. Wagstaffe, Sevenoaks; Dr. H. 'Woods, London;Mr. T. M. Watt, Hovingham; Dr. T. J. Walker, Peterborough; Dr.Theodore Williams, London; Dr. H. Watson, Newbury; Dr. G. A.Wright, Manchester; Messrs. Wood and Co., New York; Mr. WV. H.Whiteway-Wilkinson, Teignmouth; Dr. Whitelegge, Wakefield; etc.

BOOKS, ETC., RECEIVED.

An Introduction to Human Physiology. By Augustus D. Waller, M.D.Price, 18s. London: Longmans, Green, and (o. 1891.

The Leewar-d Islands Medical Journal. Edited by I. A. Alford Nicholls,M.D., F.L.S. London: J. and A. Churchlill. 1891.

The Fire Protection of Hospitals of the Insane. By L. H. Prince, M.D.Chicago: (. H. Blakely and Co. 1891.

Golden Rules of Surgical Practi2e. By a Hospital Surgeon. Bristol: JohnWriglht anid Co.

On the Medical and Surgical Uses of Electricity. By George M. Beard,A.M., MI.D., and A. D. Rockwell, A.M., M.D. Eighth Edition. NewYork: WVilliam Wood and Co. 1891.

Notes on the Examination of the Sputumn, Vomit, Feces, Urine andBlood. By Sidney Coupland, M.D., F.R.C.P. Second Edition. Lon-don: H. K. Lewis. 1891.

Textbook of Compalative Anatomy. By Dr. Arnold Lang. With Prefaceto the Eiuglish trauslationi of Professor Dr. Ernst k{aeckel, F.R.S.,translated into Enlglisli by H. M. Bernard, M.A.Cantab., and MatildaBernard. Part 1. Price 17s. London: Macmillan and Co. 1891l.

Descriptive Catalogue of the Pathological Museum of St. Mary's Hospital.By J. Jackson Clarke, M.B.Lond., F.R.C.S. London: Morton andBurt. 1sg1.

The Human Figure. By Ernst Brileke. With a Preface by William An-dersoni. London: H. Grevel and Co. 1891.

Motherhood. By Dr. Alice Ker. London: John Heywood. 1891.Stammering; its Nature and Treatment. By Emil Behnke. London: T.

Fislher tJnwvin. 1891.Veines Jugulaires superficielles-Trone art6riel thyro-cervical. Par le Dr.

P. E. M. Duval. Paris: G. Steinheil. 1891.

SCALE OF CHARGES FOR ADVERTISEMENTS IN THEBRITISH MIEDICAL JOURNAL.

Seven lines and under ... ... ... £0 3 6Each additional line ... 0 0 4A whole column ... ... ... ... 1 15 0A page ... ... ... 5 0 0

An average line contains six words.When a series of insertions of the same advertisement is ordered a dis-

count is made on the above scale in the following proportions, beyondwhich no reduction can be allowed.

For 6 insertions, a deduction of ... ... 10 per cent.12or ,, ,, ,, ... ... 20 ,,,,52 , ,, ... ... 30

Special terms for occasional change of copy during series:20 per cent. if not less than 26 pages be taken or their equiivalent2 , ,, 52 ,, ? in lalf or,30 ,, ,, 104 ,, quarter pages.

For thesc trinns the series mulist, in each case, be comi1pleted withini tvtwlve 7nonthsfrom. the (late of first insertion.Advertisements slhould be delivered, addressed to the Mfanager, at the

Office, not later than noon on the Wednesday preceding publication; andif not paid for at the time, should be accompanied by a reference.Post-Office Orders should be made payable to the British Medical Asso-

ciation at the West Central Post-Office, High Holborn. Small amountsmay be paid in postage-stamps.NOTICE.-Advertisers are requested to observe that it is contrary to the

Postal Regulations to receive at Post-Offices letters addressed to initialsonly.