1458

prize is open to universal competition but all manu-

scripts must be submitted in English. Each essay mustbe accompanied by a sealed envelope containing thename and address of the writer and bearing upon theoutside a motto or device which is to be inscribed upon the

essay. All papers will be submitted to a similar committee,consisting of three members of the New York NeurologicalSociety, and the award will be made upon its recommenda-tion at the annual meeting of the board of managers of theCraig Colony, Oct. 9th, 1900. Manuscripts should be sentto Dr. Frederick Peterson, No. 4, West Fiftieth-street, NewYork City, on or before Sept. lst, 1900. The successful

essay becomes the property of the Craig Colony and will bepublished in its medical report. The Craig Colony has donesuch a good work in the treatment of epilepsy that we hopethat British practitioners will show their interest in the

benefits accruing to sufferers from the distressing disease, tosay nothing of Dr. Peterson’s generosity, by competing forthe prize.

-

QUEEN VICTORIA IN ITALY.

OuR Rome correspondent writes under date Nov. 19th:-information officially inspired leaves it no longer doubtfulthat it will be the Italian, not the French, Riviera that willbe honoured with Her Majesty’s presence in the ensuingspring. On, or immediately after, March 1st Queen Victoriawill arrive at Bordighera, where the Hotel Angst, occupyinga finely-sheltered position on the Roman Road, will be setapart and suitably prepared for her reception. Her Majesty’ssojourn, I am further advised, will, like her journey itself,be in official form, while her suite will consist of 90 persons alltold. The duration of her visit will, as on former occasions,depend upon circumstances, but will not be prolonged, I

believe, later than the close of April. Being, as I have said,’ in official form,’ her sojourn will not exclude the visits ofthe representatives of foreign courts, and the first to paytheir devoirs to Her Majesty will be her august hosts theKing and Queen of Italy. For some time it was ex-

pected that Her Majesty, with the Princess Beatrice,would, as in 1888, 1893, and 1894, have made Florencethe scene of her vernal villeggiotura, and many were

the considerations that seemed to favour such a pro-

spect. But circumstances of a special kind have led to

the choice of a sojourn nearer home, and Bordighera, with itsdelicious climate, to which it owes its attraction of semi-

tropical vegetation culminating in palm-groves of equalluxuriance and antiquity, forms the best conceivable substi-tute for Our Lady of Flowers.’ It would be idle to ignorethe satisfaction with which Her Majesty’s contemplated visitinspires Italians. Over and above the honour of acting ashosts to a Queen and Empress on whose dominion the sunnever sets, they are proud to have the opportunity of

demonstrating their attachment to the head of a State fromwhich their long struggle for unity and independencereceived such steady, effective, and disinterested support.Another ingredient in their self-congratulation is the quitenatural and not illegitimate one of taking the pas’ of theirFrench neighbour, from whose policy of pin-pricks’ nocontemporary Power has suffered so persistently as they.Already they are ’enjoying’ (to put it mildly) the desertion ofthe non-Italian Riviera which French journalism and Frenchoratory have spared no effort to justify ever since theI incident’ of Fashoda. As I write the most despondingreports reach me as to the absence of the English-speakingworld in Cannes and Nice which, like other resorts favouredby that world, seem resigning themselves to an even moredisastrous season than that of 1898--99. The presenceof the Queen of Great Britain on Italian soil will

certainly do nothing to abate the abandonment seeminglyin store for the neighbouring French resorts, and Italy would

be more than human if she failed to see in England’s’punitive preference’ for a non-French villeuuiat11’fa thereward for the much fairer attitude towards the Britisbcause in South Africa which Italian opinion has of late

adopted. So, all things considered, we may condone to the-’ youngest of the Great Powers’ her present exultation overher supercilious neighbour, whose studies of Zimmermann.on Solitude,’ she suggests, may be appropriately varied byreflections on her own excellent apophthegm, As you makeyour bed, so you must lie.’ "

THE ALVARENGA PRIZE OF THE COLLEGE OFPHYSICIANS OF PHILADELPHIA.

THE College of Physicians of Philadelphia announces.

that the next award of the Alvarenga Prize, being theincome for one year of the bequest of the late Senor

Alvarenga, and amounting to about$180, will be madon July 14th, 1900, provided that an essay deemed by theCommittee of Award to be worthy of the prize shall have beenoffered. Essays intended for competition may be upon anysubject in medicine, but must not have been published, andshould be received by the secretary of the College on obefore May lst, 1900. Each esray must be sent without

signature, but must be plainly marked with a motto and beaccompanied by a sealed envelope having on its outside themotto of the paper and within the name and address of thewriter. It is a condition of competition that the successfubessay or a copy of it shall remain in possession of the

College ; other essays will be returned upon applicationwithin three months after the award. The Alvarenga Prizefor 1899 has been awarded to Dr. Robert L. Randolph ofBaltimore, Maryland, for his essay entitled, " The Regenera-tion of the Crystalline Lens : An Experimental Study."

THE OPEN-AIR TREATMENT OF PULMONARYTUBERCULOSIS AT SHEFFIELD.

THE authorities of the Sheffield Royal Infirmary have notbeen behindhand in giving a trial to what is known

as the " open-air treatment of consumption," althoughthe phrase suggested by Dr. Kingston Fowler-" the sana-torium treatment of pulmonary tuberculosis" -is muchto be preferred. In THE LANCET of Nov. llth (p. 1291)we published a paper by Dr. Noel Bardswell, the

house physician at the infirmary, showing the results ofsix months’ treatment and the statistics of 30 cases. These

are certainly very encouraging although so modestly statedby the writer : " The results of the treatment, as manifestedby improvement in the condition of the lungs, appetite,digestion, weight, and general well-being, with diminutionof cough and expectoration and of the usual symptomsof constitutional disturbance, have been similar to

those which have followed the trial of the treatment

under more favourable meteorological conditions " The

majority of those observers who have had the opportunityof watching the progress of cases undergoing the sanatoriumtreatment in this country are coming to the conclusion thatgood feeding together with due attention to the digestivetract are of more importance than climate, although thereshould be as much exposure to the open air as circumstanceswill permit. The results obtained at Sheffield should inciteother provincial hospitals to make similar trials. Dr. Bards-well’s figures show that out of the 30 cases in all stagesof the disease six were " cured," 16 were " much improved,"seven showed "some improvement," whilst one (withlaryngeal tuberculosis) remained in statu quo. The generalarrangements adopted at the Sheffield Royal Infirmary arehighly to be commended. Dr. Bardswell’s classification ofthe varieties of cases met with in what is usually knownas " the third stage" of pulmonary tuberculosis is a