Autgust 28, i880.] THE BRITISH MAWAI I.URIAL- 3S7 accompanied by an increased capacity to understand the quick eye and unerring judgment of the master. It is to this faculty of.accurate observation that Hebra's contributions to practical medicine are due. Within the limits of this article it is not possible to do more than mention some of these. Amongst the most important of them ate his demnonstrations of the unity of eczema in its various papular (lichen), pustular (impetigo), and squamous (pityriasis) forms, the definite and independent nature of the comparatively rare diseases lichen ruber, pityriasis rubra, and pturigo, the sharply defined diagnostic features which distinguish lupus erythematosus, and the parasitic skin-disease which he described as eczema marginatum, the importance and possibility of distinguishing lupus vulgaris from the advanced stages of syphilis to which the term is frequently applied. The art of therapeutics owes to him a succession of experiments with drugs, by which the powerlessness of a long array of. vaunted specifics for skin-diseases was demonstrated, and the sphere and mode of employ- ment of arsenic was laid down on a firm basis. In looking back on the achievements of Professor Hebra as a prac- titioner and as a teacher, we cannot help feeling that, whilst medicine owes him much for having established dermatology on a scientific basis, it has lost something by the confinement of his activity to one. depart- ment of our art. His penetrating intellect, acute critical faculty, boldness in conception, and in experiment and tenacity of character, would have won for him a position as a physician or a surgeon as con- spicuous and honourable as that which he acquired as a dermatologist. He was a strong man, whose influence will be perpetuated in the influence he has exercised on methods of observation and on thera- peutics. BRITISH MEDICAL ASSOCIATION: PROPOSED INVITA- TION TO GLASGOW. THE Glasgow Medical 7ournal reports, in its recent number, as follows, on this subject. The question of asking the British Medical Association to hold anearlymeeting in Glasgow was brought up informally at a recent meeting of the Faculty of Physicians and Surgeons. The desirableness of such a meeting was generally agreed on, and the venerable President of the Faculty was especially enthusiastic in desiring that it should be at the earliest possible opportunity. In view of the meeting of the Inter- national Medical Congress in London, in I88I, it was thought that the meeting of the British MedicaljAssociation would probably be unsuc- cessful if held. in .that year; but a general opinion was expressed that, in any following year, the Association would be made very welcome. NEW SYDENHAMI SOCIETY. THE following is the report presented to the twenty-second annual meeting of the New Sydenham Society, held this year at Cambridge. It was unanimously adopted. The series for the year 1879 consisted of the following works :-The second and concluding volume of Waring's Bibliotheca Therapeqica, a second part of the Society's Lexicon of Mfedical Trerms, Guttmann's M1anual of Phtysical Diagnosis, and a second Fasciculus of the Society's Atlas of Pathology. With the latter were included essays on the pre- sent state of knowledge as to the Pathology of the Kidney by Dr. Greenfield, and as to that of the Spleen and Suprarenals by Dr. Good- hart. These papers were compiled at the request of the Council, and were freely illustrated by drawings from the microscope. The series for the current year will probably comprise the follow- ing :-I. A third Fasciculus of the Society's Lexicon (already out) ; 2. The fifth and concluding volume of Hebra's Tiratise on Skin-Diseases, with index to the whole (already out); 3. Koch's Researches on the Etiology of Diseases consequent on Wound-Anfection; 4. A third Fasciculus of the Society's Atlas of Pathology, comprising Diseases of the Liver ; 5. A fourth, Fasciculus of the Lexican. The Council has adopted, for reprinting, the claissical treatise of Dr. Stokes on Diseases of the Chest. This work,. which has been always held in very high estimation by all authorities, has been for somne time out of print. It will be edited for the Society, With short annotations, etc., by Dr. Hudson of Dublin. It has also been decided to edit for the Society a selection from -the works of Duchenne ; and Dr.- Vivian Poore has, at the Council's request, undertaken the pre7patatiUn of the work. The translation of ProfessQr Charcot's Lectures on the Diseases of Old Age, anzd on certain Chronic Maladies, has been decided-on. The work -has been placed in the hanvds of Mr. Willialn S. Tuke. The preparation of the Society's Liv'e-ik is, In the hands of it, editosrt, Mr, Power And Dr. Sidgwick, progreWnz satisfactorily, and as apidly as the difficulties of the task mrmit.; Th*eg Fasciculi have been issted, and another is just ready. It is to be distinctly understood that the Fasciculi of this work are always issued as soonmasready. The Council is prepared to devote to it any portion of the year's income that may be requisite; and nothing but the onerous nature tof the: editors' task will be allowed to delay its publication. The Balance Sheet for I879 has been audited, and is, as xsual, appended. [It showed receipts (including a balance of £i,o82 13s. i3,d, in hand on December 31st, I878), amounting to £3,005 8s. gd.; and expenditure amounting to £2,720 I9s. 6d., leaCvifig a bami5ce of £1,367 is. 93/2d.] ASSOCIATION INTELLIGENCE, NORTH WALES BRANCH. THE thirtieth- anfual meeting will be held at the Bulkeley Arms Hotel, Beautmaris, on Tuesday, August 31st. The "'Clio" boats will be in waiting, at I I.30 A.M., on the' 1afitot side of the Garth Ferry, to take members to view the North Waes training-ship. On arriving at Beaumaris, members will be driven to Baron Hill, the seat of Sir Richard'Williamn Bulkeley, Bart, who has kindly especially opened the grounds to the Association. On the return to Beaumaris, the ruins of the castle w'ilI be visited. The meeting will commence at I. 5 P. M. A- debate tupon- Dyspepsia will be opened in the President's address. It is requested that thectitles of other papers may be communicated to the Honorary Secretary. Dinner at 3.30 P.M. Tickets, Sos. 6d. each, inclusive of wine. The return steamer leaves I3eatnaris at 5.45 P.M., to meet the 7 P.M. up train. J. LLoryw ROBuRTS, Honorary Secretary. Denbigh, August sath, t88o. -CORRESPONDENCE, EXCISION OF THE KNEE AND OF THE HIP. SIR,-In the able and useful " Address in Surgery", recently delivered before the British Medical Association, by Mr. Holmes, at Cambridge, it is stated that the tendency of surgeonsa of late years has been to bring the operation of excision of the knee into use as one of expedi- ency, or for the purpose of superseding the expectant treatment ; and also, that there are some who use excision far more freely than Fergusson ever did. How true this Is will be forcibly seen by comparing the tables in Mr Holmes's address with some statistics, extending over a longer- perfiod than five years, published by me in the Lancet on October 25th, I179.* For instance, to take Guy's Hospital, it wifl be observed that nearly all the excisions of the knee have been done since the year I874; for whilst in the five years ending i87S, acording to Mr. Holmes, there have been 89 cases at that hospital, in the nine years ending I878 (in my list the dates refer to the volume of the reports from which the nutribrs are taken, etc., to the preceding year's practice), there were onily 88 cases.- In the three years I870, I87I, and 1873% there were but two cases altogether of excision of the knee at Guy's. At St. Bartholomew's Hospital9 there has not been the same marked increase in later years; the figures in Mr- Holmes's table show that 24 cases have undergone excision of- the knee in five years, whereas mine show 42 cases in eight years. With respect to the operation of excision of the hip, the change in practice is more uniform. at- these two large hospitals. Mr. flo immes shows that at St. Bartholomew's Hospital six- cases, and at Guy's sixty- fQur cases, occurred in the five years ending x878;. whereas, my statis- tics showed that at St. Bartholomew's, in eight b'tars, from i870-18, there were only seven cases- of excision of the hip; and at Guy's, in the nine years i870-78, seventy-five cases. The same very marked difference,in the surgical -treatment of mor- bus coxarius during the last few years has not, however, taken place in' all the London hospitals; at the Middlesex Hospital, for instance, there were twenty-six excisions- of the hip in the eleven years from 1867 to 1877, and these were pretty evenly distributed over the several years. h b sr n In 1874,-I saw the hfipexcised ourr times by four dafferent sro in twice as many days7 and, in consequence, wgsI led at that ti4te to * Calinical Lecture on " Disease of the Should&-j;oint, wiih reports of tfo casds 'in which the head of the humerus was excised", p. 6o6.
Transcript
Autgust 28, i880.] THE BRITISH MAWAI I.URIAL- 3S7
accompanied by an increased capacity to understand the quick eye andunerring judgment of the master.
It is to this faculty of.accurate observation that Hebra's contributionsto practical medicine are due. Within the limits of this article it is notpossible to do more than mention some of these. Amongst the mostimportant of them ate his demnonstrations of the unity of eczema in itsvarious papular (lichen), pustular (impetigo), and squamous (pityriasis)forms, the definite and independent nature of the comparatively rarediseases lichen ruber, pityriasis rubra, and pturigo, the sharply defineddiagnostic features which distinguish lupus erythematosus, and theparasitic skin-disease which he described as eczema marginatum, theimportance and possibility of distinguishing lupus vulgaris from theadvanced stages of syphilis to which the term is frequently applied.The art of therapeutics owes to him a succession of experiments withdrugs, by which the powerlessness of a long array of. vaunted specificsfor skin-diseases was demonstrated, and the sphere and mode of employ-ment of arsenic was laid down on a firm basis.
In looking back on the achievements of Professor Hebra as a prac-titioner and as a teacher, we cannot help feeling that, whilst medicineowes him much for having established dermatology on a scientific basis,it has lost something by the confinement of his activity to one. depart-ment of our art. His penetrating intellect, acute critical faculty,boldness in conception, and in experiment and tenacity of character,would have won for him a position as a physician or a surgeon as con-spicuous and honourable as that which he acquired as a dermatologist.He was a strong man, whose influence will be perpetuated in theinfluence he has exercised on methods of observation and on thera-peutics.
BRITISH MEDICAL ASSOCIATION: PROPOSED INVITA-TION TO GLASGOW.
THE Glasgow Medical 7ournal reports, in its recent number, as follows,on this subject. The question of asking the British Medical Associationto hold anearlymeeting in Glasgow was brought up informally at a recentmeeting of the Faculty of Physicians and Surgeons. The desirablenessof such a meeting was generally agreed on, and the venerable Presidentof the Faculty was especially enthusiastic in desiring that it should beat the earliest possible opportunity. In view of the meeting ofthe Inter-national Medical Congress in London, in I88I, it was thought that themeeting of the British MedicaljAssociation would probably be unsuc-cessful if held. in .that year; but a general opinion was expressed that,in any following year, the Association would be made very welcome.
NEW SYDENHAMI SOCIETY.
THE following is the report presented to the twenty-second annualmeeting of the New Sydenham Society, held this year at Cambridge.It was unanimously adopted.The series for the year 1879 consisted of the following works :-The
second and concluding volume of Waring's Bibliotheca Therapeqica, asecond part of the Society's Lexicon of Mfedical Trerms, Guttmann'sM1anual of Phtysical Diagnosis, and a second Fasciculus of the Society'sAtlas of Pathology. With the latter were included essays on the pre-sent state of knowledge as to the Pathology of the Kidney by Dr.Greenfield, and as to that of the Spleen and Suprarenals by Dr. Good-hart. These papers were compiled at the request of the Council, andwere freely illustrated by drawings from the microscope.The series for the current year will probably comprise the follow-
ing :-I. A third Fasciculus of the Society's Lexicon (already out) ; 2.The fifth and concluding volume of Hebra's Tiratise on Skin-Diseases,with index to the whole (already out); 3. Koch's Researches on theEtiology of Diseases consequent on Wound-Anfection; 4. A thirdFasciculus of the Society's Atlas of Pathology, comprising Diseases ofthe Liver ; 5. A fourth, Fasciculus of the Lexican.The Council has adopted, for reprinting, the claissical treatise of Dr.
Stokes on Diseases of the Chest. This work,. which has been alwaysheld in very high estimation by all authorities, has been for somne timeout of print. It will be edited for the Society, With short annotations,etc., by Dr. Hudson of Dublin. It has also been decided to edit forthe Society a selection from -the works of Duchenne ; and Dr.- VivianPoore has, at the Council's request, undertaken the pre7patatiUn of thework.The translation of ProfessQr Charcot's Lectures on the Diseases of
Old Age, anzd on certain Chronic Maladies, has been decided-on. Thework -has been placed in the hanvds of Mr. Willialn S. Tuke.The preparation of the Society's Liv'e-ik is, In the hands of it, editosrt,
Mr, Power And Dr. Sidgwick, progreWnz satisfactorily, and as apidlyas the difficulties of the task mrmit.; Th*eg Fasciculi have been issted,and another is just ready. It is to be distinctly understood that theFasciculi of this work are always issued as soonmasready. The Councilis prepared to devote to it any portion of the year's income that may berequisite; and nothing but the onerous nature tof the: editors' task willbe allowed to delay its publication.The Balance Sheet for I879 has been audited, and is, as xsual,
appended. [It showed receipts (including a balance of £i,o82 13s. i3,d,in hand on December 31st, I878), amounting to £3,005 8s. gd.;and expenditure amounting to £2,720 I9s. 6d., leaCvifig a bami5ce of£1,367 is. 93/2d.]
ASSOCIATION INTELLIGENCE,NORTH WALES BRANCH.
THE thirtieth- anfual meeting will be held at the Bulkeley Arms Hotel,Beautmaris, on Tuesday, August 31st.The "'Clio" boats will be in waiting, at I I.30 A.M., on the' 1afitot
side of the Garth Ferry, to take members to view the North Waestraining-ship.On arriving at Beaumaris, members will be driven to Baron Hill, the
seat of Sir Richard'Williamn Bulkeley, Bart, who has kindly especiallyopened the grounds to the Association.On the return to Beaumaris, the ruins of the castle w'ilI be visited.The meeting will commence at I . 5 P. M. A- debate tupon- Dyspepsia
will be opened in the President's address. It is requested that thectitlesof other papers may be communicated to the Honorary Secretary.
Dinner at 3.30 P.M. Tickets, Sos. 6d. each, inclusive of wine.The return steamer leaves I3eatnaris at 5.45 P.M., to meet the 7 P.M.
up train. J. LLoryw ROBuRTS, Honorary Secretary.Denbigh, August sath, t88o.
-CORRESPONDENCE,EXCISION OF THE KNEE AND OF THE HIP.
SIR,-In the able and useful " Address in Surgery", recently deliveredbefore the British Medical Association, by Mr. Holmes, at Cambridge,it is stated that the tendency of surgeonsa of late years has been tobring the operation of excision of the knee into use as one of expedi-ency, or for the purpose of superseding the expectant treatment ; andalso, that there are some who use excision far more freely than Fergussonever did.How true this Is will be forcibly seen by comparing the tables in Mr
Holmes's address with some statistics, extending over a longer- perfiodthan five years, published by me in the Lancet on October 25th, I179.*For instance, to take Guy's Hospital, it wifl be observed that nearly allthe excisions ofthe knee have been done since the year I874; for whilstin the five years ending i87S, acording to Mr. Holmes, there havebeen 89 cases at that hospital, in the nine years ending I878 (in mylist the dates refer to the volume of the reports from which the nutribrsare taken, etc., to the preceding year's practice), there were onily 88cases.- In the three years I870, I87I, and 1873% there were but twocases altogether of excision of the knee at Guy's.At St. Bartholomew's Hospital9 there has not been the same marked
increase in later years; the figures in Mr- Holmes's table show that 24cases have undergone excision of- the knee in five years, whereas mineshow 42 cases in eight years.With respect to the operation of excision of the hip, the change in
practice is more uniform. at- these two large hospitals. Mr. flo immesshows that at St. Bartholomew's Hospital six-cases, and at Guy's sixty-fQur cases, occurred in the five years ending x878;. whereas, my statis-tics showed that at St. Bartholomew's, in eightb'tars, from i870-18,there were only seven cases- of excision of the hip; and at Guy's, inthe nine years i870-78, seventy-five cases.The same very marked difference,in the surgical -treatment of mor-
bus coxarius during the last few years has not, however, taken place in'all the London hospitals; at the Middlesex Hospital, for instance, therewere twenty-six excisions- of the hip in the eleven years from 1867 to1877, and these were pretty evenly distributed over the severalyears. h b sr nIn 1874,-I saw the hfipexcised ourr times by four dafferent sro
in twice as many days7 and, in consequence, wgsIled at that ti4te to
* Calinical Lecture on " Disease of the Should&-j;oint, wiih reports of tfo casds 'inwhich the head of the humerus was excised", p. 6o6.
Al-gutt 28j 18a] THE .BRITIS1V MEDICAL ' LL
MEDICAL NEWS.UNIVERSITY OF LONDON.-First M.B. Examination: t88o. Ex-
amination for Honours.-Anatomy.First Class.
Cooper, George Frederick (Gold Medal), St. Thomas's Hospital.Thzird Class.
E,vans, Charles Silvester, St. Thomas's Hospital.Moline, Paul Frank, University College.Martin, Sidney Harris Cox, B.Sc., University College.Horrocks, William Heaton, Owens Cellege.Norvill, Frederic Harvey, King's. College.
Physiology and Histology..J-Yrst Class.
15rice, John Alfred Parry (Exhibition and Gold Medal), Guy's Hospital.Tiunzelmatin, -. W. von (Gold Medal), University College.-Halliburton, William Dobinson, B.Sc., University College.
Seconcd Class.Horrocks, William Heaton, Owens College.
J Booth, Edward Hargrave, Guy's Hospital.Martin, Sidney Harris Cox, B.Sc., University College.
Thzird Class.Collier, Joseph, Owens College.Evans, Charles Silvester, St. Thomas's Hospital.
Chemistry.Fiirst Class.
Price, John Alfred Parry (Exhibition and Gola Medal). Guy's Hospital.*Overend, Walker, B.Sc., St. Bartholomew's Hospital.
Second Class.Stephens, Lockhart Edward Walker, Guy's Hospital.
Thiird Class.Spicer, Robert Heniry Scanes, B. Sc., St. Mary's and Guy's Hospitals.
Materia Medica and Pharmaceutical Chemistry.First Class.
Halliburton, William D., B.Sc. (Exhibition arnd Gold Medal), University Colt.
-econd Class.Brooks, Walter Tywelt, King's College.Overend, Walker, B.Sc., St. Bar holoiew's Hospital.Wilkinson, William Camac, B.A.Sydney, University CQllege.
Thlird Class.Beverley, John Metcalfe, Owens College.
) Price, John Alfred Parry, Guy's Hospital.Faulknet, Joseph, St. Bartholomew's -Hospital.Adams, William Goode, University College.Berry, Jawues1 St. BarthQlqWcew's. iospital.
Olstair'ed the oumber-of'mrks quaif ying for a medal.N.t.-Thie braicket dehotes equalty of iherit.
APOTIjECARIES' HALL.-The following gentlemen passed their ex-
amination in the science and practice of medicihe, antd received ceri-ficatQs to practise, on Thursday, August 1ith, Ix808.
Co9per, Wafter, George Street, Croydon.Davis, Williat Henry, Newcastle-on-Tyne.Divecha, Kirkbasroo R., Bombay.Lunn, Ernest Craven, Hull.Reynolds, John Swatman, Upper Norwood.Symons, George Francis, Stockwell HoipitaLWatlkins, Christopher James, Mornington Road.
The following gentlemen also on the same day passed their prim%rypxofej4onal exaxnination,
Dotmty ,Le1Harrlington, Aliddlesex. Hospital.Gale, ArAl.urt,oylht, London HospItal.LittlI*, Henry, St. Bartholomest's HoApital'.Lynch,- John Wifliatu,: London Hospital.McLaugblin Edward I-L, S. lThomas's Hospital.Pickthorti, Thomas Ruell, St. George's Hospital.
Wigan, Charles Arthur, Chating Cross Hospital.
UNivRAI'IY OF GLASGOAV.-The following degrees in medicinewere conferred by the Unive-rsity on July 29th, Is88o.Doctors of Medicine (M.D.), 7vith the titles of their 7'hecrs.--Janies Bryce,
M.B., Scotlapd:.T'aFtaMankind originated as a coNuion family-most probablyon a continent in the Indian Ocean;- certainly wit,ip the Tropics. James
Dennistoh, M.B., Sdotland: The Medical and Surical History of the latterart of the late campaign in Armenia. William G. Dun, M.B., Sotliand:
M Pustule or Anthrax; its Symptoms, Pasthology, apd Treatmaent.Ge'orge-Elder, M. B., Ireland: GynaecologicAl Notes. Samso iGemmell,.B.;Sctland: Arterial Tension in Brightes Disese, from a clinical pointbf s'ie*.Thomas Hunt,.MB., Scotland: Is not Preventio4t better than Curet JamesHutchinson, MI,B., Scotland: A Sporadic Case of Enteric Fever ofcurring in
a remote district li theYWestern Highl,sds. James ArthUrr Jones, M.BRWales: Treneiin6 of Corneal Affections. Tnomas Young, MB., Scotland:Cancer cif Ljver,-*ith doubtful Symptoms during Life. (- Commended forthesis.)
Bac4clors o_flMedichie dad Masters it Suge ry (JB. andl C.tlL)-AlexanderAdaon,Australia. Mat. S. Anderson, M.A., Scotland. David Mtyth;-ScottaMid.John Bondi Scotlad.- Janmes D Boyd, Australia. John`T. Brown, Sceoeand.Walter Scott Campbell, Scotland. William A. Campbell, Scotland. Tho4as
Davidson, qot,laud. eq. J4 Dinsipqre, England. William Fraser, Scot
- land. ¶bo.mas P. Gemme)ll,$cpsand. Robert Gilbert, S6otland. R lert Al.Gilchrist, Scotland. David Gis4t,'Scotlkwd.' I'homas W. Gregson, Epgland.
Pyari Mohan Gupta, India. Andrew A. flgartl, ,M.A., Scotland. DavidW. Inglis, M.A., Scotland. Alexander Jolihston, Scoland. William Rees
Jones, Wales. James Kaye, Scotland. John G. Douglas Kerr, Australia.
Alexander Kilpatrick, Scotland. Robert Kirkland, Scotland. David H.
Kyle, Australia. William A. G. Laing, Engiarsi.- Alex. N.' Ledingham,Scoiland. William T. Liddle, Scotland. James K. Love, Scotland. JohnT. Macaulay, Scotland. Archibald MI'Crorie, Scotland. -Hugh 'M'Dougall,Scotland. Alexander Macindoe, Scotland. m1alc0lm Mkckintosh, Scotland.
Alexander D. Mackay, Scotland. Hugh MIackay, Scotland. John M'Kenzie,
Scotland. Quintin M'Leinan, Scotltand. Donald M'Leod, Scotl4nd. Alex-
ander Martin, Scotland. Robert Miller, Scotland. Donald MIorison, Scotland.Alex. Morton, M,A., Scotland. James F. Muir, Scotland. E.-G..Ochiltree,Australia. James Picken, Scotland. John Reid, Scotland. John Ritchie,
Scotland. George Scott, Epgla,r}c. John L. Speirs, Scotland. John Steven-
son, Scotlanid. Alexander Stewart, Scdtland. Thomas Stewart, Scotland.
Thomas F. Tannahill, Scotland. Robert G. Taylor, Cape of Good Hope.
John P. Topping, Scotland. James A. Wilson, Scotland. Allen M'Culloch,Scotland. J. M'Gregor-Robertson, M.A., Scotland. John D. MI'Vean, Scot-
land. William F. Parmer, India. John Lindsay St¢ren, Scotland. John M.
Valker, Scotland.Bachielors of Mfedicine (0I.B.)-William Babtie, Scotland. WWm. H. J. Brown,
Scotland. Niven Gordon Cluckie, Scotland. Alexandtr Macintyre, Scotland.
Benjamin A. Palmer, Ireland. Charles F. Pollock, Scotland. Guthrie Rankin,
Scotland. Ridley Turmbull, England.The following gentlemen were named as entitled to honours, to high
commendation, and to commendation, on account of distinguished merit
at the various examinations for the degrees of M.B. and C.MI.I.-Honolrs.-A. A. Hogarth, M.A.; J. M'G. Robertson, AI.A.; J. L. Stevenl.
TI.-HiAz Commnendatioi.-D. W. Inglis, M.A.; C. F. Pollock. III.-Corn-- mendation.-M. S. Anderson, M.A.; 1. B3lyth; W. Fraser; R. Gilbert; iD.
Grant; J. K. Love; H. MT'Dougal; M.Mackintosh; H. Mackay; A. Martin;
A. Morton, M.A.; B. A. Palmer; G. Rankin.
MEDICAL VACANCIES.
Parliculars of thosc marked wvith an asterisk wili be fontznl in the
advertiseineot colunmns.
THE following vacancies are announced
ABINGDON UNION-Medical Officer and Public Vaccinator to No. 3 District.
Salary, £i30 per annum. Applications, withs testimOnials, on or before Septem-
ber IIth.BRIDGWATER INFIRMARY-Dispenser. Salary, 5soperannum, with board,
lodging, and washing. Applications, etc., to the Honorary Secretary.
BRIGHTON AND HOVE LYING-IN -INSTITUTION House-Surgeoni.Salary, £I20 per annum, with furnished apartments, coals, gas, etc. Applica-
lions, with testimonials, to the Secretary on befort August list.CAMBRIDGESHIRE COUNTYY "LIjNATICASYY1X1- Assistant Medical
Officer. Salary, oi per annum, with boarc, lodging, and attendance. Appli-
cations, etc., on or before Septenxber,.2th.CHELTENHAM GENERAL I1OPITAL-Junior House.Surgeon, Salary,
£6o per anni wit board ah lodging. Applications with tegtimoilials, before
October otih.CHILDREN'S HOSPITAL, Birmingham-Assistant Resident Mledical
Salary, £40 per annum, ith board, washing, etc. Applications not later
Septfmber lxt -.-:DEOif COU4i;TV LUNATIC ASYLIJULAssi5tant Medical Officer. Ealary- tpiper annnn, witih hbord and lodging. Applications, '9th cestmimoxls, or
before Septembergth.DREADNOtJGHT SEAMEN'S HOSPITAL, GrUcnsich-Dispenser. Salary,
£4o per ann4m. Applications, ekc.,onm er ifpt* etemler *th*FL1NTSIIR-E DISPENSARY--H*se#$9eon. .S4jary, £oo per annum. Ap-
plications, with testinqnials, 7to ihth 8ieretary or or before September 7th.
FULHAM UNION-Tw- MAedical Officers for Third and Fifth Districts. Salary)£46o per annum each; also, Vaccination Offie6r to Second iatrict. Apptications,etc., before September xst.
PRESTON AND COUNTY OF LANCASTER ROYAL INFIRMARY-House-Surgeon.' Salanry, S12 per annum , with bord, wxshihg, -and lodging.Applications', with testimonials, on or before September ist.
'RIPON DISPENSARY-Resident House-Surgeon and Dispenser. Salary, £1ooper annum, with furnished apartments, etc. Applications, with testimonials, tothe Honorary Secretaries.
ROYAL INFIRMARY, MANCHESTER Resident Surgical Officer. Salary,£150perannum,with board, and residence. Applications, with testimonials,on
or before September ist.
UiNIVERSITY COLLEGE, London-Surgical Registrar. Applications, withtestimonials, to the Secretary, on or before August 3oth.
W'ELLINGTON UNION-Medical Officer to the 1st and 2nd Districts and Work-house.
'WOLVERHAMPTON UNION -Medical Officer for the Wednesfield District.Salary,£80ppr annumn. Applications, etc., on or before September 2nd.
YORK FRIENDLY MIEDICAL ASSOCIATION-Assistant Medical Officer.Salary, £130 per annum. Applications, with testimonials, to the Secretary, be-fore September14th.
MEDICAL APPOINNTMENTS.Xaames miar/red nwit/ an asterisk aes- those tIf 1embers of the Association.
BARN iss, Henry,YMI.D., appointed Consulting Physician to the Cumberland andWestmorland Convalescent Institution at Silloth.
Nl:c-ocWN, W. Perrin, L.R.C.P.Ed., appointed House-Physician to the BradfordInfirmary, vice Thomas Wilmot, L.R.C.P., resigned.
E1rDMUNDS, Walter, M.A., M.D., appointed Registrar and Chloroformist to theEselina Hospital for Sick Children, vice A. A. Bowlby, M.R.C.S.Eng., resigned.
FOSTER, William, M.R.C.S.Eng., appointed Dispensary Surgeon to the BradfordInfirmary, vice W. P. Brown, L.R.C.P. Ed., resigned.
PARKER, Wm. Rushton, B.A., M.B. Cantab., appointed Resident Medical Officer to
the Fever Hospital, Netherfield Road, Liverpool.WILMOT, Thomas, L.R.C.P., appointed House-Surgeoni to the Bradford Infirmiiary,
77ceWe .L. Roberts,Al.R(. S. Eng., resigned.
BIRTHS, MARRTAGES, AND DEATHS.Thtecltas-ge forintsertin g announacements(cfBi,;tss, O'farriages, and/cs
is 3s.o d., w/sic/s s/sonz i tbeforucarded in stamhs wit/s f/e annol,1c'cce1ccnts.BIRTHS.
JUILERI.-O August 22nd, at 77, Wimpole Street, Cavendish Square,W., the wife of
HenryJuler, Esq., F.R. C.S., of a son.
PEACOCK.-On August 24th, at Forston House, near Dorchester, thewife of Henry
George Peacock, L.R.C.P.,M.R.C.S., Assistant Medical Officer Dorset County
Asylum, of a son.MARRIAGE.
ROWERTSO-N-MACKIE.-At Fyvie, Aberdeenshire, on the s8th instant, by the Rev.A. J. Milne, LL.D.,Minister of the Parish assisted by the Rev. Jas. Brebner,I.A., Forgue, George J. Robertson, M.B., 6ldham, to Lizzie, elder daughter of
William Mackie, Esq., Fyvie.DEATH.
HILL.-At Tunbridge Wells, on thg xgth instant, George Hill, M.D., formerly of the
Elms, Hooton, Cheshire, youngest son of the late Robert Hill, Esq., solicitor,Stirling.
AzN inquest was held this week on the body of Mr. H. J. leywood,a surgeon in Pendleton, pear Ma.nchester, where he had an extensive
practice. Mr. Heywoodhad for years suffered from indigestion, and
had been in the habit of taking laudanum to relieve the pain ardihatdcesleep. At about four on Wednesday morning, he raised an tlmt-in his
bedrooxn, and it was found that he had inadvertently t'aken ptnssic acid
for laudanum. He died shortly afterwards. The jury returneddict of death by. minadveptture.DR. ROBERT KocH, hitherto practising as a district medicaI officer
in Woolstain, whose retnarkable studies and researehes in connection
with infectious diseases and their relation to bacteria organisms havewon for him Europea.n reputation, has been sumnmoned to Berlin as
a member of the Imperial Sanitary Council, with the title of Royal
Councillor of State. This well deserved honour will, no dortbt, affordto Dr. KociI the opportunity of continuing his valuable labours with
greater facility and continuity.
PunBLIC HEALTH.-DtIring last week, being the thirty-third week
of this year, 4,014 deaths were registered in London and twenty-twoother large towns of the JUnted Kingdom. The mortality from all
causes was at the average rate of 24 deaths annually in every I,000persons living. The annual death-rate was I7 in Edinburgh, 20 inGlasgow, and 38 in Dublin. The annual rates of niortality in the
derland. 30; Manchester, 31; Salford, 33; Leicester, 35; Ply-mouth, 35; -and the. highOst rate 40 in Hull. The annual death-rate from the seven princiPl zymotic diseases averaged. 7.9
per. X,ooo in the twenty .towns, and ranged from v2. and 3-9
in Bristol and Brighton, to x5.o and 24.1 in Hull and Leicester.
In London, 1,492 deaths were registered, which were 72 below the
average, and gave an annual death-rate of 21.3 The 1,492 deaths in-cluded 4 from small-pox, 23 from measles, 49 from scarlet fever, 7 fromdiphtheria, 24 fromn whooping-cough, 20 from different forms of fever,and 265 from diarrbcea-being altogether 392 ZyMotic deaths, whichwere 46 below the average, and were equal to an annual rate of 5.6 peri,ooo. The deaths referred to lung diseases, which had been 200,175, and 152 in the three previous weeks, were 167 last week, andexceeded the corrected weekly average by 26; 93 were attributedtocbronchitis, and 48 to pneumonia. Different forms of violence caused63 deaths; 51 were the result of negligence or accident, including 17
from fractures and contusions, 5 from burns and scalds,I 6 fromdrowning, and i0 of infants under one year of age from suffocation.-At Greenwich, the mean temperature of the air was 63.80, and 2.0'above the average. The general direction of the wind was north-easterly, and the horizontal movement of the air averagedII.15 miles perhour, which waS 2.0 above the average. No rain was measured duringthe week. The duration of registered bright sunshine in the week was
equal to 18 per cent. of its possible duration. No ozone was recordedon any day of the week except Saturday, when the amount was small.THE VALUE OF TIMIELY PRECAUTIONS.-The circumstances relat-
ing to the questions recently asked in Parliament by Mr. AldermanMacArthur are of an interesting and remarkablecharacter. Itappearsthat on Maay 14th, 1879, the Leonzidas, with a cargo of four hundredand eighty coolies, arrived off the port of Nasova. Mr. Thurs-ton, the Colonial Secretary, at once reported to the Administrator,Mr. Des Vceux, that there had been an outbreak both of choleraand of small-pox ]on board the ship; and that, although theformer malady had disappeared, three cases of small-pox had occurredonly a few days previously. The authorities were painfully reminded ofthe fact that the introduction of measles into the islands, under similarcircumstances,had involved the destruction of many thousandsof lives.Mr. Des Voeux adopted the most stringent measures to prevent contactbetween the vessel and the shore. He ordered the Leontidas to bebrought inside the barrier reef, and anchored to leewaxd of the town.He then stationed a schooner and several boats in such positions as toprevent all unauthorised communication with the ship; and guards werealso provided with rifles for the purpose of firing on any person whoattempted to break the quaranting. Ultimately, the coolies and thecrew were landed on a small islind, where ac-ommodation was providedfor them in a large number of native houses, many of which were hur-riedly built for the purpose. Here they remained till Augustgth, whenrthey were released from quarantine. The natives were greatly alarmedat the prospect of being decimated by small-pox, and advantage there-fore was wisely taken of the opportunity to induce many thousands ofthem to be vaccinated., the result of these prudent and well-consideredmeasures-carried o t with so much tenacity of purpose-was thatinfection was wholly confined to the ship, and that small-pox is stillpractically unknown in Fiji. Mr. Des Voeux, who, acted as Admini-strator during the anxious period to which we have referred, has beenappointed Governor of Fiji.DEATHS FRONi DIARRHG-CA.-The deaths referred to diarrhoea in the
twenty largest English towns, which had steadily increased in t-he nine
preceding weeks from 51 to 807, further- rose lestweek to 864, and were
equal to an annual rate of 6.o perI,ooo. The diarrhoea death-rate was
equal to 3.8 in London, and to 8.2 itt the nineteen provincial towns,among which it ranged from I.7and 3-4in Ilristol and Brighton, to 12.9and 20.I in Hull and Leicester. The deaths referred to diarrhcea inLondon, which had been 367 and 348 in the two preceding weeks, fur-ther declined to 265 last week, and were 4 below the correctedaveragein the corresponding week of the last ten years. The 265 fatai casesincluded 194 of infants under one year of age, 55 of children aged be-tween one and five years, and 12 of persons agedupwards Qf sixty years.The fatality of diarrhoea again showed the -largest proportional excessin the South group of registration districts, especially in Southwark,Battersea, and Camberwell. The deaths of IO infants and young chil-dren, and of 3 adults, were referred to simple cholera or to choleraicdiarrhoea.SUBCUTANEOUS INJECTION OF ETHER IN SCIATICA,-Dr. Comegys
recommends hypodermic injection of sulphuric ether for the treatmentof sciatica (L'Union Midicale, August 5th). He cites two cases, onein detail, which he has cured by this plan. Three drops of ether are
injected at intervals of twelve hours. The injection need not be a
deep one; and, though it causes a momentary sharp pain, it does notbring on any consecutive unpleasant effects. Dr. Comegys is inclinedlto think that the same injection might be successful in the case of ticdouloureux, for whkh Dr. Marino recommends hypodermic injection ofergotine.
360
AugUSt 28, 1880.I __ TH BRITISH MIDIC4L ^#7UA,L_A4___.__36I
OPERATION DAYS AT THE HOSPITALS.
MONDAY ..Metropolitan Free, 2 P,M.-St. Maark's, 2 P.m.-Royal LondonOphthalmic, iI A. MI.-Royal WVestminster Ophthalmic, 1.30 P-W.-Royal Orthopxdic,. 2 P.M4.
WEDNESDAY.. St. Bartholomewv's, I.30 P.m.-St. Mary's, 1.30 r.im.-Middlesex, IP.m.-University College, 2 P.n. -King's College, I.30 Pina.-- Lon-don, 2 P.MA.-Royal Lonidon Ophthalmic, II A.m.-Great Northern,2 P.MI.-Samaritan Free Hospital for Women and Children, 2.30P.m.-Royal Westminster Ophthalmic, 1.30 r.mn.-St. Thomas's,1.30 P.r.L-St. Peter's, 2 P.ml.-National OrthopMdic, 10 A.M.
THURSDAY.... St. George's, I P.M.-Central London Ophthalmic, i P.M.-CharingCross, 2 P.M.-Royal London Ophthalmic, ii P.M.-Hospital furDiseases of the T'hroat, 2 P.AI.-Royal Westminster Ophthalmic,I.30 P.M.-Hospital for Women, 2 P.m.-London, 2 P.M.
FRIDAY........ Royal Westminster Ophthalmic, 1.30 P.on.-Royal London Oph-thalmic, iI A.M.-Central London Ophthalmic, 2 P.M.-RoyalSouth LondonOphthalmriic, 2 P.m.-Guy's, 1.30 Pi.n-St. Thomas's(Ophthalmic Department), 2 P.mx.-East London Hospital forChildren, 2 P.M.
SATURDAY .... St. Bartholomew's, 1.30 P.m.-King's College, I P.Mn.-Royal Lon-don Ophthalmic, II A.m.-Royal Westminster Ophthalmic, 1.30P.M.-St. Thomas's, 1.30 P.mI.-Royal Free, 9 A.M. and 2 P.M.-London, 2 P.M.
HOURS OF ATTENDANCE AT THELONDON HOSPITALS.
CHARING CROSS.-Medical and Surgical, daily, 1; Obstetric, Tu. F., 1.30; Skin,M. Th.; Dental, M. W. F., 9.30.
Guy's.-Medical and Surgical, daily, exc. Tu., 1.30; Obstetric, M. W. F., 1.30; Eye,M. Th., T.30; Tu. F., 12.30; Ear, Tu. F., 12.30; Skin, Tu., 12.30; Dental, Tu.Th. F., 12.
LoNDoT.-Medical, daily exc. S., 2- Surgical, daily, 1.30 and 2; Obstetric, M.Th., 1.30; O.P., W. S;, 1.30; Eye, W. S., g; Ear, S., 9.30; Skin, WV., 9; Dental,Tu., 9.
Mr1DDLESEX.-Medical.and Surgical, daily, x;. Obstetric, Tu. F., 1.30; o.p., W. S.,I.30; Eye, W. S., 8.30; Ear and Throat, Tu., 9; Skin, F., 4; Dental, daily, 9.
ST. BARTHOLOMEW's.-Medical and Surgical, daily, T.30; Obstetric, Tu. Th. S., 2;op., W. 5., g; Eye, Tu. W. Th. S., 2; Ear, Mi., 2.30; Skin, F., 1.30; Larynx,W.,I1.3o; Orthopaedic, F., 12.30; Dental, Tu. F., 9.
ST. GEORGE'S.-Medical and Surgical, M. Tu. F. S., I; Obstetric, Tu. S., I; o.p.,Th., 2 Eye, W. S., 2; Ear, l'u., 2; Skin, Th., I ; Throat, M., 2; Orthopedic,W., 2; Dental, Tu. S., 9; Th., I.
ST. MARY'S.-Medical and Surgical, daily, I.1i; Obstetric, Tu. F., 9.30 ;. o.p., TuF., I.30; Eye, M. Th., 1.30; Ear, W. S., 2; Skia, Th., 1.30; Throat, W.S.,12.30;Dental, W. S., 9.30.
ST. THOMAS'S.-Medical and Surgical, daily, except Sat., 2; Obstetric, M. Th., 2;O.P., W. F., 12.30; Eye, M. Th., 2; O.p., daily, except Sat., 1.30; Ear, Tu., 12.30;Skin, Th., 12.30; Throat, Tu., 12.30; Children, S., 12.30; Dental, Tu. F., Io.
UNIVERSITY COLLEGE.-Medical and Surgical, daily, I to 2; Obstetric, M. Tu. Th.F., r.30; Eye, M. W. F., 2; Ear, S., 1.30; Skin, Tu., 1.30; S., 9; Throat, Th.,2.30; Dental, W., 20.3.
COMMUNICATIONS respecting editorial matters should be addressed to the Editor,i6t, Strand, W.C., London; those concerning business matters, non-delivery of theJOURNAL, etc., should be addressed to the General Manager, at the Office, I61,Strand, W.C., London.
AUTEbiRS desiring reprints of their articles published in the BRITiSA M9EUiCALJOURNAL, are requested to communicate beforehand with the General Secretaryand Manager, x61, Strand, W.C.
CORRESPONDENTS not answered, are requested to look to the Notices to Cor-respondents of the following week.PUBLIC HEALTH DEPARTMENT. -WNe shall be much obliged to 'Medical Officers ofHe4lth if they will, on forwarding their Annual and other Reports, favour us withDuWlicate ColicS.
CORRESPONDENTS who wish notice to be taken of their communications, shouldauthenticate them with their names-of course not necessarily for publication.
WE CANNOT UNDERTAKE TO RETURN MANUSCRIPTS NOT USED.
AV. H. C. (Spalding).-The object is onie wvith which wve sympathise; but the pasesof this JOURNAL do not appear to us to be a fitting place for such an appeal, whichhas no exclusively medical groun-d. Already we have to make more than enough oiappeals for exclusively. medical objects. Ax citizens, medical men need otXaerpapqrs in which such a)ppeals niy-properly be circulated. There wosld be no end,to like applications if we did not draw a line at subjects relating especially to aeci-cal duties anid interests.
NOT,cQts pf Birth~s, Marriages, ]~),aths, and Appointments, intended forindetin in the BaRvsir MDK,cAL~JORNAL, shou'ld''arrive at theOfcnot~later than i-Q A.M. onThursday
rRtE Epsom COLLEGV. gQKECUTION.SIR,-I beg to forward you a list of contributions, h4veireceived up to this time.for
the "O'Brien Jones Fund", amountiing to* ./SZis. ''This sum is far short of theamount of Mr. Jones's expenses in the late'trial (viz., £500); but the warm sym-pathy expressed in almost all the letters which aceompanied the remittances justifya confident belief that further publicity alone is necessary to ensure Mr. Joniesbeing entirely indemnified for the pecuniiary loss he has sustained.-I am, sir, yoursobediently, En. HART VINEN, M.D., Treasurer.
17, Chepstow Villas, Bayswater, August i8th, x88o.Ss5eciai Danaa/ions. £ s. d.£ .d
Sabscri1Stio,is. Dr. Parker Mlay, Maldon ..oio 6George D. Brown, Esq., Ealing oio6SAnymouelWls,stmsq. Butn o6J. Al. Burton, Esq., Blackeath ii nnmu tmp .*Ed. Saunders, Esq. aIr 0Dr. Longsptaff Wandsworth x oDr.Hrveywen,UpperNor- Dr. Clement baniel, Epsom iieoDr.dHreOwnUpeNo- A. C. Maclaren, 'Esq. 11IIwood. .Melct,Ayu, 0 Dr. F'ormnan . o ioDr.C..Medlcott, sylum, Loraine Weaver, E-sq., Clap-Wells . . IIo ham Road .. .roIEben. Toller, Esq., Gloucester i 0 Dr. R. Stilwell, Beck-enham. 'i 0oSamt.Burrows,Esq.,Witheridge 0 r J od neso
Willington Clark, Esq., Upper Dr. John Watson IIoNorwood .0Win. Adamns, Esq., HenriettaBemard Brodhurst, Esq. aro Street . .
Io
W. B. Hemning, Esq. I 0G. W. Bury, Esq., Barnet oi10Dr. A. P. Stewart .. 0Dr. Leadans . aIIDr. Habershn . oDr. J ..isob t lasooDr. Walter Dickson, Upper J .isob t las01Norwood . 00io6J.'R.Gibson,Esq. ra o
Christopher Heath, Esq. II0~Dr. Bradliey, Blaekheath IIaStamford Felce, Esq. Dr. Hol'man, Reigate I. ,Dr. Fairlie Clarke, South- I 1 Dr. G. C. Jonson . .. I aborough II0Rev. E. '1. Scudamore, Uppert ~~~Norwood . aII 0j.J. AMerriman, Esq., 0 John Wood, Esq., F.R.S. .. a o
Dr. G Owen Rees . .II0DI..vln . .D'r. G. H. Rogers I 0- Dr. Thyne . a roDr.Siev~k~ng .. ~. 2 2 0 Dr. Lanchest-er, Croydon ..
Ia
J.Blacksfone,Esq. 0 ~~Dr. S. Barker, Birighton .. a
Dir.MathHlews,Dunca.. .''" Dr. Alfred Hall, Brighton .TimothHolme,EsqI0 Dr. Spencer T'. Smsyth, Forest
Dr.,Wallace . II0 Hl .1John Coune, Esq.Hrsy 0 Dr. W. H. Tayler, Anerley I. T
RonMani sqsHoee Dr. T'heodore Davis, Caterham II orRise.~~~~~0Dr. Bransley, Roberts, East-
Alfre4 Cooper, Esq. II 0 boturne . .It0Win. Fuller, Esq0 C. W.-Chaidec-oitt Esq:, Dork-ErnestHlart, Esq.~ 2 2 0 is .- .Lennox Browne, E~sq. 1 Dr. J.Walters,- Reigate ..o10oCWina. Biowina, Esq.,FRS. 10 Dr.RutherfordAdamns,Croydon z
ac-
CDr. Hoibsrtig avesq . oS.5 J. Sloman, Esq., Farnham r ' oDr. Hndewbr Dlavisk . I 10 Dr. W. Johnstone -. .. riaoD~.Andrewlark .. . I0 W. Al. Hollis, Esq,, Brighton o 10Dr. W. Hickman IIt0~~o .F.W. Morrant Baker, Esq. .I I 0 J Bisshpp, Esq., TunbridgeDr. Stilwell, Hillingdon .. 10 W*ells .a a;.1I0Dr. Armstrong, Dartford .IFo C. M. lIffrey,. Esq., Chisel-Dr. J. Williamison II. o hrs . I'Chas. Davidson, Esq., Hackney i i 0LcwodHwns.I)r. Cleveland . aItI Hocskiwrod nHake. Es.,Sir James Paget, Bart. H. 0 rsatpierHoian, IIrtperSir Henry.Thompson ..I10 point.-'i aEdr.Hjxo sge_ -Dr. Bowle's, Folkestone .Ed.HumbyLsq ~~~ ~ 0 F. B. Hallowes, Esq., Redhill riaDr.FW . Messrs. Winterp and 'Son,
Thomas Bowkett, )Esq .. 050 6 Brighton . 2 2 0Dr. E. A. Jacob, Clapham .. xo0Sir Joseph Fayr'er I.. o00John 1Birkett,Esq.I 0 J. Smith,Turner, Esq. .. .F.Jarhl, Esq. II0dao)Dr.Walshe. I.Iaa olee~y red. Lock, Esq., Epsom.-
Al. Berkeley Hill, Esq. IIa -Fred. Lock, Esq.a 10Wmn. Alling'ham',Esq.a o fti.&s Lock . 0Dr. Geo. Johnson AIoMaor Lock11
Dr. C. J.,IHare . oI He'athfield Smnith, Esq. I.0Dr. G., 'Saunders, Bayswater .aIIo G.-Alder, Esq ..Jonath n Hutchinson, Esq. o AdmLq .. .I10A. E. Boulton, Esq., Horn. Airs, Adams . J i 0castle.a Ia o W. G. f3"ar.mer, Esq .. . Ia
Dr. F. H. Aldrsn, Hamrmer- Mi~s ~l . .smith.o o6 [issA ,Ha'll . . au
E.d. Trumian, Esq. II..a 0 iSs F al . . IT. Bridagewater, Esq. Harrow a ao E. A. Hanl4ey Lsq .. . I 0NVm.'Gtu-ick,0sq. II..0 C. ~rray, sq. I..10,Dr. Pr'ele'.6. I. r . rs. Muirray .. .D1r. Cu`oThaba .. . .S. J. Clyton,.Esq .. .iSir Wn Jeanuer, Bart. . co 'H. Casile,_Esq4 .. .s oER.tljtlr, Esq . oo6Mr.Droudght .. .
C, H., l3unc,oilbe Esq. i xoaSirG. £. MloonFrancis M iop,s, H. . a io I. J. Pu4~le, sq. . .
