913APPOINTMENTS.-VACANCIES.-BIRTHS, MARRIAGES, AND DEATHS.

NETTLE, WM., M.R.C.S., has been reappointed Medical Officer ofHeiuthfor the Liskeard Rural and Urban Sanitary Districts of theLiskeard Union.

NICOLL, T. VERE, M.R.C.S., L.R.C.P. Lond., has been appointedHonorary Surgeon to the Stoke Newington Dispensary, N., vicethe late William C. Toulmin.

1)1,iOER, JOS. E., L.R.C.P. Irel., M.R.C S., has been appointed MedicalOfficer to the Ince Local Board, and also Medical Superintendentof the Board’s Infectious Diseases Hospital.

PUDDICOMBE, E. L., L.R.C.P. Lond., M.R.C.S., has been reappointedMedical Officer for the Reeve Sanitary District of the St. ThomasUnion.

BEHOLDS, F. M., M.B., C M. Edin., has been reappointed MedicalOfficer for the Newton Poppleford Sanitary District of theSt. Thomas Orion-

SOMERVILLE, J. W., M.B., M.S., D.P.H. Edin., has been appointedMedical Secretary to the Galashiels Cottage Hospital.

STJRK, PERCY H., M.R.C.S.. L.R.C.P., has been appointed HouseSurgeon to the Bucks County General Infirmary, Aylesbury, viceC. B. Dale, resigned.

SUTTER, ROBERT Ross, M.B., C.M. Aberd., M.R.C S., L.R.C.P. Lond.,has been appointed House Surgeon to the West London Hospital.

SUTTON, HENRY G., M.D. St.. And., M.R.C.S., has been reappointedMedical Officer of Health for Sittingbourne.

SYMONDS, C. P., M.R.C.S., has been appointed Medical Officer of Healthfor the Lathom Urban Sanitary District.

’TAi,i.oR, ASHBY, M.R C.S. Eng., L.R.C.P.Lond., has been appointedResident House Surgeon to the Royal Infirmary, Glasgow, viceA. Watson.

TWINING, A. H., M.D. Durh., M.R.C.S., D.P.H.Camb., has been re-appointed Medical Officer of Health for the Kingsbiidge RuralSanitary District.

TWYFORD, WALTER. L.R.C.P. Lond., M.R.C.S., has been appointedMedical Officer for the Audlem Sanitary District, of the NantwichUnion.

ViCKERS, C. W., L.R.C.P., L.M., Edin., M.R.C.S , has been reapoointedMedical Officer of Health for the Paignton Urban Sanitary Districtof the Totnes Union.

WALLER, T. H., L.R.C.P. Lond., M.R.C.S., has been appointed MedicalOfficer to the Infirmary, Chelmsford, vice Wheeler.

WESTLAKE, A., M.B., C.M. Edin., has been appointed Medical Officerfor the New Grimsby Workhouse.

Vacancies.For furtor information regarding each vacancy reference should be made

to the advertisement (see Index).

ANCOATS HOSPITAL, Manchester.-Resident Junior House Surgeon.Salary £50, with board and washing.

BURY DISPENSARY HOSPITAL, Bury, Lanes.-Senior House Surgeon.Salary £100 per annum, with boa.rd and residence.

CANCER HOSPITAL (FREE), Fulham-road, S.W.-House Surceon, for six months. Salary at the rate of £50 per annum, with board and Iresidence.

CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, Vic toria-park, E.-Pathologist. Salary 100 guineas per annum. Ap plica.tions to the Secretary, at the office, 24, Finsbury-circus, E. C.

DENTAL HOSPITAL OF LONDON. AND LONDON SCHOOL OF DENTALSURGERY, Leicester-square.-Demonstrator. Honorarium, £50 perannum.

DERBy,COVNTY ASYLUM, Mickleover, Derby.-Clinical Assistant forsix months. Board (no beer), lodging and washing provided.

FLINTSHIRE DISPENSARY.-Resident House Surgeon. Salary L120 ayear, with furnished house, rent and taxes free, also coals, light,water, and cleaning, or in lieu thereof £20 per annum..Apphca-tions to the Secretary, board-room, Baggitt-street, Holy well.

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST, Brompton.-Resident House Physicians.

METROPOLITAN ASYLUMS BOARD. -Assistant Medical Officer at theEastern Hospital for Fever Patients, The Grove, Homerton, E.Salary £15 per month, with board, lodging, attendance, and wash-ing. Applications to the Clerk to the Board, Chief Offices,Norfolk House, Norfolk-street, Strand, W.C.

NATIONAL HOSPITAL FOR DISEASES OF THE HEART AND PARALYSIS,32, Soho-square.-Resident Medical Officer, for six months. Hono-rarium ten guineas.

NEWCASTLE-ON-TYNE DISPENSARY.-Resident Medical Officer for threeyears. Salary .6250 per annum, with furnished residence.

OLDHAM INFIRMARY.-Senior House Surgeon. Salary £80 per annum,with board and residence.

ROYAL HOSPITAL FOR DISEASES OF THE CHEST, City-rOad, E.C.-Resident Medical Officer for six months. Salary at the rate of£100 per annum, with furnished apartments and board.

SMEDLEY’S HYDROPATHIC ESTABLISHMENT, Matlock.-Assistant HousePhysician for six months. Board and lodging provided, and ahonorarium given of twenty guineas.

THE COPPICE, Nottingham.—Assistant Medical Officer at this Asylumfor Private Patients, unmarried. Salary £120 per annum, withfurnished apartments, board, washing, and attendance.

WEST RIDING ASYLUM, Menston, near Leeds.-Resident ClinicalAssistant for six months. Board and residence provided.

WEST RiDixG ASYLUM, Wadsley, near Sheffield,.-Fifth AssistantMedical Officer. Salary £100 per annum, rising £10 a year up to£150, with board, &c.

WIRRAL CHILDREN’S HOSPITAL, Woodchurch-road, Birkenhead.-Resident House Surgeon (lady or gentleman). Salary £50 per

annum, with board, lodging on the premises, and waehing.YORK DISPENSARY. -Resident Medical Officer, unmarried, to visit andattend the sick poor at their own homes. Salary .6150 a year, withfurnished apartments, coals, and gas.

Births, Marriages and Deaths.BIRTHS.

CASE.-On March 27th, at Westbo)irne-r"ad, London, N., the wife ofWilliam Case, M.R.C.S.E., of a son (James Lee).

COATES.-On the 3rd inst., at Brechin-place, the wife of George Coates,M.D., of a son (Ronald).

COLLINS.—On March 22nd. at the Rea House, Sawbridgeworth, Herts,the wife of Ethelbert Collins, L.R.C.P. Lond., M.R.C.S., of adaughter.

CONSTANT.-On March 30th, at Argyll Lodge, Scarborough, the wifeof Thos. E. Constant, M.R.C.S. Eng., L.R.C.P. Lond., 1,D.S., of adaughter.

ELKINGTON.-On March 28th, at Newport, Salop, the wife of E. A.Elkington, M.B. Lond., of a daughter.

LANGRAN.-On April 2nd, at the Lwn, Axminster, Devon, the wife ofWm. Langran, L.R.C.P. Ed., of a son.

MATHIAS.-On March 30th. at the Crescent, Plymouth, the wife ofSurgeon.Captain H. B. Mathias, Army Medical Staff, of a

daughter.MOLSON.—On March 26th, at Coval Cottage, Chelmsford, the wife of

J. Elsdale Molson, M.B., B.C. Camb., of a son.PESKETT.-On March 25th, at Leyton, Essex, at the residence of her

brother, the wife of A. W. Chalmers Peskett, M.A., M.B., B.C.Cantab., of a son. -

MARRIAGES.BARBER-SEILAN.-On March 29th, at All Saint’s Church, South

Wingfield, by the Rev. F. W. Christian, Vicar, and the Rev. H. W.i Plumptre, Rector of Eastwood, Notts, Robert David Barber,I M.R.C.S. Eng., L.8,A., Lond., youngest son of the late Samuel John

Barber, architect, of Eastwood, to Alice Georgiana, widow ofC. L. T. de Seilan, M.D., Aberd., and youngest daughter of the lateRichard Clayton Strelley, of Oakerthorpe, Derbyshire.

BENNETT-GOODING.-On March 31st, at All Souls’, Langham-place,Charles Henry Bennett, M.D., College House, Hammersmith,W., to Alice Brande, elder daughter of Mr. W. Gooding, J.P.,Durleigh Elms, Bridgwater.

CRAWFORD—MCHARDY.—On the 4th inst, at the Cathedral Church ofSt. Mary, Edinburgh, by the Right Rev. the Bishop of Edinburgh,assisted by the Rev. 1. K. Andersen, Rectorof Mary Tavv, Tavistock,uncle of the bride, William Thomas Crawford, M. B, C.M., of Work-sop, Notts, to Dora, elder daughter of Lieut.-Colonel McHardy,Royal Engineers, Prison Commissioner, Scotland.

DEANE-PRALL.-On April 3rd, at All Saint’s, Carshalton, EdwardDeane, M.R.C.S., of Caversham, Reading, to Emma Elly, eldest,daughter of the late Dr. Prall of West Malling.

HUNTER—FIELDEN.—On April 2nd, at Nutfield Church, Surrey, by theRight Rev. the Lord Bishop of Southwark, assisted by the Rev. G.Hartwell Jones, M.A., Rector of Nutfield, William Hunter Eq.,M.D., M.R.C.P., of 54, Harley-street, Cavendish-square, W., toBeatrice, youngest daughter of the lateJoshuaFielden, Esq., M.P.,of Nutfield Priory, Surrey.

VOELCKER—ENGLISH.—On April 3rd, at Sutton-at-Hone Church, Kent,by the Rev. A. C. H. Bolton, Rector of Shimplingthorne, BurySt. Edmunds, uncle of the bride, assisted by the Rev. W. J. Weeks,Vicar of the Parish, Arthur Francis Voelcker, M.D., M.R.C.P.,son of the late Dr. Aug. Voelcker, F.R.S., to Katharine Isabel,daughter of the late J. T. English, J.P., of Bradford Manor,N. Devon.

--------

DEATHS.BARSHAM.—On March 28th, at Weybourne, Boscombe, Bournemouth,

William Orridge Bareham, M.R.C.S., L.R.C.P. Lond., late ofBagshot, Surrey, second son of John B. Barsham, of Fincham,Norfolk, aged 32.

BLACKER.-On March 18th, at Ventnor, Anna Isabella, daughtpr ofHenry Gourlay, and wife of Arthur Barry Blacker, M.D., 15, WestEaton.place, S. W.

CROMPION.-On March 3lqt, at his residence, 40. Harborne-road,Edgbaston, Dickinson Webster Crompton, F.R.C.S., F.L.S., in his89tn year.

GARVEY.-On March 29th, in Dubliu, Thomas Blennerhassett Garvey,M.A., M.B., Assistant Registrar of the Court of Chancery inIreland.

KIMBELL.-On April 2nd, at the Manor House, Knowle, JonathanHenry Kimbell, J.P., F.R.C.S., aged 74.

MAYBURY.—On March 30th, at Holly Lodge, Richmond, Surrey,Augustus Kingston Maybury, M.D., aged 79 years.

MOORE.-On April 2nd, at 15, Blythswood-square, Glasgow, SamuelJohnston Moore, M.D.

PLAYFAIR.-On March 31st, in London after a brief illness, Catherine,the very dearly loved wife of David Thomson Playfair, M.D., ofBromley, Kent. Friends will please accept this intimation.

VERTUE.-On April 2nd, at Red House, Southwold, Suffolk, FrancisHenry Vertue, M.R.C.S., J.P., aged 72 years.

WALSH.-On March 28th, at his residence, Worcester, Thomas W.Walsh, F.R.C.S., aged 77 years.

WOODCOCK.-On March 30th, at Westwood-park, Forest-hill, ArthurHenry Woodcock, L.R.C.P. Lond., M.R.C.S., aged 23.

N.B.-A fee of 5s. is charged for the Insertion of Notices of Births,Marriages, and Deaths.

914 NOTES COMMENTS AND ANSWERS TO CORRESPONDENTS

METEOROLOGICAL READINGS.(Taken daily at 8.80 a.m. by S’teward’e Instruments.)

THE LANCET Office, April 5th, 1894.

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY.-London (2 P.M.). St. Bartholomew’s (1.30 P.M.), St. Thomas’s

(3.30 P.M.), St. George’s (1 P.M.), St. Mark’s (2 P.M.), Chelsea(2p.M.),Samaritan (Gynecological, by Physicians, 2 P.M.), Soho.square(2 P.M.), Royal Orthopaedic (2 P.M.).

TUESDAY. -London (2 P.M.), St. Bartholomew’s (1.30 PM.), Guy’s(1.30 P.M.), St. Thomas’s (3.30 P.M.), Westminster (2 P.M.), WestLondon (2.30 P.M.), University College (2 P.M.), St. George’s (1 P.M.),St. Mary’s (1.30 P.M.). St. Mark’s (2.30 P.M.), Cancer (2 P.M.).

WEDNESDAY. -St. Bartholomew’s (1.30 P.M.), University College(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing-cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 p.M ), Great NorthernCentral (2.30 P.M.) King’s College (2 P.M.). National Orthopaedic(10 A.M.), St. Peter’s (2 P.M.), Samaritan (2.30 P.M.), Great Ormond-street (9.30 A.M.).

THURSDAY.-St. Bartholomew’s (1.30 P.M.), St Thomas’s (3.30 P.M.),University College (2 P.M.), Charing-cross (3 P.M.), St. George’s(1 P.M.), London (2 P.M), King’s College (2 P.M.), Middlesex (2 P.M.),Chelsea (2 P.M.), Soho-sq. (2 P.M.), North West London (2 P.M.)

FRIDAY.-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St. Thomas’s(3.30 P.M.), Guy’s (1.30 P.M.), Charing.cross (3 P.M.), St. George’s(1 P.M.), King’s College (2 P.M.).

SATURDAY.-Royal Free (9 A.M. and 2 P.M.), Middlesex (1.30 P.M.),St. Thomas’s (2 P.M.), London (2 P. M.), University College (9.15 A.M.),Charing-cross (3 P.M.), St. George’s (1 P.M.), Cancer (2 P.M.).

At the Royal Eye Hospital (2 P.M.), the Royal London Ophthalmic(10 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and theCentral London Ophthalmic Hospitals operations are performed daily.

SOCIETIES.TUESDAY.—ROYAL MEDICAL AND CHIRURGICAL SOCIETY (20, Hanover-

square, W.).—Mr. Herbert E. Dutham : Un Persistence of the Thyreo-glossal Duct, with Remarks on Median Cervical Fistulæ and Cystsdue to Embryonic Remnants (communicated by Mr. Arthur EDurham).-Dr. Ernst Michels : Case of Supra-peritoneal Vesical

Hernia (communicated by Mr. R. W. Parker)WEDNESDAY.-LARYNGOLOGICAL SOCIETY OF LONDON (20, Hanover-

square, W.).-5 P.M. Discussion on the question of Anaesthetics inOperations for Post-nasal Adenoid Growths.

THE SANITARY INSTITUTE (Parkes Museum, Margaret-street, W.).-8 P.M. Mr. Lewis H. Isaacs : The Construction of Roads andStreets from a Sanitary Point of View. The paper will be followedby a Discussion.

HUNTERIAN SOCIETY.—8.30P.M. Clinical Evening. Dr.William Ettles:Buphthalmia.—Dr. Arnold Chaplin: General Glandular Enlarge-ment.-Dr. Arthur Davies: Leucodermia.—Dr. Fred. J. Smith:(1) Charcot’s Joint Disease; (2) Cerebral Tumour.-Sir Hugh R.Beevor: Myxœdema.-Dr. Stowers : Unusual Syphilitic Eruption.-Mr. J. F. Woods: Cases illustrating Treatment by Suggestion.The President will also show cases.

THURSDAY.-NORTH LONDON MEDICAL AND CHIRURGICAL SOCIETY(New Board Room, Great Northern Central Hospital, Holloway-road, N.).-9 P.M. Dr. C. E. Beevor: On a case of Cerebral Tumour,with Remarks on certain Degeneration of Nerves and ConsequentSymptoms (with lantern illustrations).-Mr. C. B. Lockwood: Acase of Enterectomy and Intestinal Suture after StrangulatedHernia; Recovery.

FRIDAY.—BRITISH LARYNGOLOGICAL AND RHINOLOGICAL ASSOCIATION(11,Chandos-street).—2P.M. Dr.J.Macintyre: The Use of the Phono-graph in Teaching and Practice. Mr. Geo. Stoker will open a Dis-cussion upon the Expediency of Tracheotomy as a Preliminary toThyrotomy for the Removal of Foreign Bodies from the Larynx.Cases will be shown by Dr. W. M. Whistler, Mr. F. Marsh, Mr. J. C.Wilkin, and Mr. Mayo Collier. Pathological Specimens will beshown by Dr. J. Macintyre and Mr. Wyatt Wingrave.

CLINICAL SOCIETY OF LONDON.-8.30 P.M. Dr. Finlay: A case ofAbscess of the Spleen.-Dr. T. J. Maclagan: Cases of Myocarditis.—Mr. Arbuthnot Lane : Cases illustrating a more Effectual andScientific Treatment of Fracture of the Tibia and Fibula thanthat in common use. -Mr. G. R. Turner: A case of Pelvic Enchon-droma.-Mr. R. W. Parker : A case of Strangulated Femoral Herniacomplicated by Volvulus; with especial reference to the Continua-tion of Obstruction after Herniotomy.

LECTURES AND ADDRESSES.TUESDAY. - ROYAL INSTITUTION. - 3 P.M. Prof. J. A. Fleming:Electric Illumination.WEDNESDAY.—WEST LONDON HOSPITAL (Hammersmith, W.).-5 P.M.

Mr. MacAdam Eccles : Head Injuries. (Post graduate Lecture.)THURSDAY.-ROYAL INSTITUTION.-3 P.M. Mr. F. Seymour Haden :

The Etching Revival.FRIDAY.-ROYAL INSTITUTION.-9 P.M. Prof. J. J. Thomson: Some

’ - Properties of the Electric Discharge through Gases.SATURDAY.—ROYAL INSTITUTION.-3 P.M. Mr. John Alfred Gray:

Life among the Afghans.

Notes, Short Comments & Answers toCorrespondents.EDITORIAL NOTICE.

IT Is most important that communications relating to thaEditorial business of THE LANCET should be addressedexclusively II To THE EDITORS," and not in any case to anygentleman who may be supposed to be connected with theEditorial staff. It is urgently necessary that attention begiven to this notice. -It is especially requested that early intelligence of local events

having a medical interest, or which it is desirable to bringunder the notice of the profession, may be sent direct to thisOffice.

Lectures, original articles, and reports should be written on mwside only of the paper.

Letters, tvhether intended for insertion or for private informa-tion, must be authenticated by the names and addresses oftheir writers, not necessarily for publication.

We cannot prescribe or recommend practitioners.Local papers containing reports or news paragraphs should be

marked and addressed To the Sub-Editor."Letters relating to the publication, sale and advertising de.

partments of THE LANCET s.hould be addressed "To tluPublisher. "

We cannot undertake to return MSS. not used.

PUBLISHER’S NOTICE.Ix order to facilitate the work of reference to the volumes

of THE LANCET, we have arranged to publish duplicatecopies of the Index to each half-yearly volume in a form inwhich they may be subsequently filed or bound together.Those of our subscribers who may wish to be supplied withloose copies can obtain the same (without extra charge) onmaking application to the Publisher of THE LANCET.

ENGLISH MEDICAL EDUCATION IN PARIS.

IN reply to more than one correspondent seeking information on theabove subject, we may say that since the promulgation of the newlaw on Dec. 1 st, 1893, persons desiring to practise on French territorymust hold the M.D. degree of a French faculty. Graduation involvea

passing five examinations and sustaining a thesis. Not more than thefirst three examinations may be passed in certain cases, but thisfavour will, perhaps, be more grudgingly accorded than in pasttimes.The total fees amount to about £60.

Mr. 2’. A. Buck.-We are clearly of opinion that in the event of amember of a hospital staff being unable to respond to a call forhis services, his place should be taken by one of his colleagues onthe staff, and not by any one unconnected with the hospital. No

doubt a combined protest would have the effect of preventing anyfurther cause for complaint.

Cards should consult a solicitor. We do not think he has any remedy.

ESSENCE OF COFFEE IN NARCOTIC POISONIifG."To the Editors of THE LANCET.

SIRS,—In reference to Dr. Campbell’a suggestion, contained inTHE LANCET of March 2 itch, that essence of coffee may be used in placeof the ordinary article in cases of opium poisoning, I would like to quote

,

the words of Mr. Thurber, of the well-known firm of Thurber, Why’-land, and Co , of New York. He says :

" What is generally known asessence of coffee, in common parlance, is a coffee-colouring substancemade from burnt sugar or molasses. The name essence of coffee is a

misnomer." I fear that Dr. Campbell’s suggestion is a very dangerousone, for there is no reason to suppose that any of the so-called11 essences " or " extracts" have any of the anti-narcotic properties 01the genuine article. If coffee be added to the extract at all, there isonly just enough of it to give a coffee-like smell to the mixture.

I am, Sirs, yours faithfully,Brixton-road, S.W., March 26th, 1894. DUNCAN SMYTH, M.D.

*** Although our correspondent’s letter contains statements of such

sweeping condemnation regarding the genuineness of coffee

essences we think it right that it should have publicity. Accord-

ing to the works of reference we have consulted there is reallyvery little information about the composition of coffee essences.

However, we are loth to believe that the manufacturers of coffeeextracts &c. invariably supply a sophisticated article, and we shallbe glad, therefore, to receive from such manufacturers samples,which we will submit to analysis in THE LANCET Laboratory,with the view, subsequently, of placing the results before ourreaders.-ED. L