will be found every kind of quack medicine and so-calledmedical appliance set out in the most glowing terms.In the June number of one magazine now before usthere are over 40 such advertisements. The proprietorsof these magazines pocket from E30 to R50 per page ofdirty money for these announcements, so that it is obviousthat the owners of the quack preparations must makeenormous profits to be able to pay such sums. The Govern-ment connives at the sale and at the deception by insistingon the use of a 112-cl. stamp. Either such quackery shouldbe prohibited or the amount of the stamp should be raisedto some prohibitive sum, or still better, any quack tradershould be compelled to pay an annual licence to cost, say,R200 per annum. The liquozone quacks apparently keep aqualified medical adviser, Dr. J. R. Wallace It would be inaccordance with the traditions of the profession to which hebelongs if he severed his connexion with the company.
SMOKE ON THE RIVER THAMES.
WE said last week that the London County Council hasdone many things, for some of which it has been heartilypraised and for others equally heartily condemned. In theformer category we placed the recent inauguration of anefficient steamboat service on the Thames, a step which sofar has met with considerable success, and we are quite con-fident that the London County Council would be the last bodyin the world which would knowingly detract from this successby committing a hygienic blunder. The London CountyCouncil is our health authority and amongst its duties inthis connexion is the suppression of the smoke nuisance andits energies, backed by the vigilance of the Coal SmokeAbatement Society, have undoubtedly gained for Londonersa purer and a cleaner air. But if the new Thames steamers
cannot be improved as regards their fires and stoking arrange-ments the river bids fair to flow under a dense and offensive
pall of smoke, the beauty of the Embankment will be sadlymarred, and the pleasure of a journey by water will be utterlydestroyed. We are sure that on this matter being representedto the Council it will take steps to set its own house, as itwere, in order, otherwise its praiseworthy crusade againstmanufacturers, the proprietors of hotels and restaurants, andothers who commit a smoke nuisance will be nullified by itsown neglect in the same matter elsewhere. Perhaps it isthat the funnels of the new steamers are shorter than those
of the old steamers but the London County Council steamersshould be exemplary in this matter and our health authoritieswill do well to show their sincerity of purpose by demon-strating to others that the furnaces of river steamers neednot be producers of smoke and vitiators of the otherwisefresh and pure river air.
PATHOLOGY AT OXFORD.
ON June 20th a deputation representing the graduates inmedicine of the University, consisting of Sir William S.Church, Dr. S. J. Sharkey, Dr. G. 1. Schorstein, Dr. W.Collier, and Mr. Whitley, presented an address to the Vice-Chancellor in Convocation. The purport of the address wasto lay before the University a statement of the steps alreadytaken to further pathological study in the University. Theappeal for support, which had so far been limited tomembers of the profession, had resulted in the raisingof a sum of S500 which was allocated to the ultimateendowment of the chair of pathology. It was nowintended to appeal to the general public. Sir WilliamChurch concluded by asking the Vice-Chancellor to receivethe address and an album containing 200 signatures. TheVice-Chancellor, in receiving the address, said that he waspleased that the importance of the chair should be thusemphasised. We are glad to see that the medical graduatesof Oxford are doing what they can to place the chair of
pathology upon a sound financial footing. But they arecomparatively few in number and so we trust that otherOxford men and even members of the general public willcontribute. If a sum of f.lO,OOO could be raised whichwould provide the chair with an endowment of E300 perannum the University chest might make a larger grant thanit at present feels justified in doing.
TOXIC SYMPTOMS AFTER OPERATIONS ONHYDATID CYSTS.
THE production of toxic symptoms by operations onhydatid cysts does not seem to have received much noticein English works. Thus the Australian writers, Dr. J. C.Verco and Dr. E. C. Stirling, in Allbutts " System ofMedicine," refer only to an urticarial rash. In theArchives GnraZes de Mcdeeine of May 23rd Dr. Fusterand Dr. Godlewski have published the following case of"intoxication hydatique suraigue tardive." A man, aged26 years, was admitted into hospital on Feb. 16th,1905, for a tumour of the liver. He had been a soldierand had served in Africa, where he suffered from malarialfever. In August, 1904, he felt pain in the hepatic regionand readily became fatigued. For the previous two monthshe had noticed a small tumour in the right hypochondrium.Examination showed an ovoid tumour which projected belowthe end of the seventh rib. The tumour was hard and gavethe sensation of a cyst. There were slight hypogastric pain,a continual feeling of hunger, boulimia, constipation, andimpeded respiration. On Feb. 22nd an incision was madeover the tumour, a trocar was inserted, and a jet of limpidliquid escaped which contained a hydatid vesicle. Atumblerful of fluid flowed out and a solution of formol, 1 in100, was injected into the cavity. The visceral peritoneumwas stitched to the parietal and the sac was opened and 30hydatid vesicles were extracted from it. The lining mem-brane of the sac was removed by curetting. A largedrainage-tube was inserted and the wound was closed.The patient progressed until the morning of the 27th, whenhe could not sleep and complained of pruritus in the abdo-men and limbs. No trace of urticaria could be found. Thewound was in good condition and there was not a drop ofpus. Clear liquid containing two flattened daughter vesicleswas issuing from the tube. At noon the pruritus increasedand at 3 P.M. the respiration became jerky. The patientperspired profusely and he sat in bed with his head hangingforward and could not raise it. The jaws were closed as iffrom trismus but could be opened easily. Kernigs sign waspresent. At midnight the head was maintained in thesame position by slight contracture. The perspiration wasdiminished and there were jerky and convulsive movementsof the limbs. There was a good pulse of 100 and the tempera-ture was normal. At 9 A. M. on the following day the symptomsparsisted, the intelligence was preserved, the respiration wasof diaphragmatic type and jerky, and there was hiccough.There were asphyxial crises, cyanosed lips, local asphyxia ofthe extremities, and cold sweats. Convulsive movementstook place. There were trismus, contracture of the neck,and involuntary grimacing. The patient replied to questionsbut no longer saw anything and the cornese lost their lustre.The crises occurred more frequently, the respirations becamemore convulsive, the pulse became slower, and deathoccurred at 2 P.M. The necropsy showed a hydatid cyst ofthe size of the fatal head growing from the right lobe ofthe liver and intimately adherent to the duodenum, thepancreas, and the posterior surface of the pylorus. It con-tained no vesicles and there was not a trace of pus. Thewall was very vascular. The other abdominal organswere normal except that the spleen was large. Themeninges and brain were congested and the latterwas cedematous. It is noteworthy that symptoms did not