THE JOURNAL OF THE BRITISH MEDICAL ASSOCIATION.

WITHI- SUPPL.E.MENT.

No. 3563. SATURDAY, APRIL 20, 1929. Price 1/3

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7-28 APRIL 20, I929] MEMORANDA. [ THE BRITISH.FDCL JOU.

5. Thle removal or tr-eatmenit of ainy obvious focus of sepsis isas important as in acute nieplihritis. I lave seeni onie case in whiclithe surgical drainiage of aii empyeina was followed in six weeksby disappearaniec of albuminiuria and oedema.

CHRONbIC N1N7EPHRITIS.Chr1oniC nepliiitis is a disease unlikelv ever to becom11e

curable, thout1ghpreven1tion may some (lay be within1 out-p)owver. The typ-e with oedeim.ia is rare, and is a mixtureof the previous and followinig tyl)es.

In the non-oodemantous case there is initrogeni retenitionanid high blood pressure, but nlo difficulty in water excretion.The indications in treatmiienit ale, thelrefore, restriction ofactivities and a low priotein diet; but there is nio lneed tor-eduice tlhe fluid initake, anid it is wronIog to attempt to reducethe bloo(d pressur e by drLugs, eveii if pessiiianienit reductionwere possible. The high blood l)ressule exists to keep anadequate eircuilationi tlhrough the diseased cerebial or renalves.sels. It is surprising lhow ofteni tlhe oniset of uraetnicsymptomis mcaty be traced to a failure of the hleart to keeplul) the high lp-essure. As the p)iessutie falls the renalfuncietioni beconmes iuiadequate, anid the patienit (lies ofuraemiia before lie lhas timile to die of heart failure. In a11such cases the inidicationi is to treat the heart and( r-aise thleblood l)pressuLre again; I lhave recently used pitnlitrin fortills purpose, I tlilnk witlh some success.

RIAEM IA.In i-clationi to the treatinenlt of uraenmia the followvino,

points are wortlh notinog. (1) Patienits w%-ithl tinie uraeiasoccasionially recover telmp)orarily anid lead a nmore or lesscomfortable life for a few yenrs. (2) Lumbar pluncturi-eis useful in coiivuilsion-s, even in true ulraemiiia. (3) Intra-veniouis injectioni of glutcose soluLtion is p)iobably Isnoreeffective treatmient thani the older miiethod of injectinigsatlinie. (4) Sinice the respiratory type of uraemia (so-calle(d

r-enial asthmia ") is (lue to a truie aci(losis brought aboutIby failur-e of the kidney to mainitaini the acid-base equili-brium, treatment by twoo-hourly adlmlinist ratioii of alkalinesodium phosphate inl 30-graiii doses, as stigested by Meakinsanid Davies, i2 is a rationial procedure.

REFERENCES.1 Christian, H. A.: Joure. Amer. Med. As*oc., 1925, 85, p. 1701.2 Allen, F. M., Schlarf, R., aii(l iLundin, IT. Ibi(d., 1). 1698.3 Dual, C. W., and Hibbard, R. J.: lbi(i., 1926, 87, I'. 898.4 McLean, H., Smith, J. F., and Urquhart, A. L. Brit. Jolern. xrper.

Path,., 1926, 7, p. 360.5 Cowell, S. J.: Ibid., 1928, 9, p. 164.6 Volhard, F. Die dtoijIe1eitigen lhonactogeeen .ierenerkaanku1len,

Berlin, 1918, p. 416.7 Volhard, F.: Loc. cit., p. 201.8 Epstein, A. A.: Amter. Joanr,t. Med. Sci., 1922, 163, p. 167; and other

papers.9 Epstein, A. A.: Arch. f. Verdaowongskrankheite)i, 1928, 44, p. 31.

10 Juingman, F. N.: Deutt. med. Woch., 1928, p. 41." Keith, N. M., Barrier, C. WI., and Wlhelan, II. : Jour'?I. Almer. ied.

.ssoer., 1925, 85, p. 799.12 Meakins, J. C., and(l Davies, ii. V. : Respirat)ry F'vitCtion isl Disease,

London, 1925, 1). 140.

Stinrrania:MEDICAL, SURGICAL, OBSTETRICAL.

HEROIN AFTER ABDOMINAL OPERAT'IONS.THF, interesting article by Mr. A. E. Mortimiiet Woolf,on March 16th (p. 499), temipts iiie to record an experienieeof my own.A woman, aged 29, anid in otlher respects per-fectly healtly,

was operated on by Mr. Geoffrey Bate for a twisted left ovarianicyst on March 22nd, 1928, at 9.30 a.m. Before the operationi sllereceived a hypodermic inijectioni of 1/6 graiii inorplhinie anid 1/180graini atropine. No difficulties were encountered either with theoperation or with the anaestlhetic, which was administered byMr. C. N. Chadboirn.At 3.30 p.m., as tlle patient complained of some paini, she was

given, hypodermically, 1/12 grain helroin lhydrochloride. Th-e matxonof the nursinig home, feeling tired herself, sat downi ini an armchairafter givinlg the ilnjection of heroin, intending to rest in thepatient's room. Half an hour later, lhearing the patient grunt, sheiose from her chair, anid founid her cyaniosed and comatose, withcomplete cessation of r-espiration. Artificial respiration was startedat once, oxygen freely giveni, and 1 / 20 grain of strychniine wasilljected hypodermically. Wheni seen by me fifteen. minutes laterthe pupils were small, but reacted to light, the corneae wereinisensitive, the respirations ninie per minute, and the pulse good.Half anl hour later the patienit had come roulnd completely.

Tlhere cannot, I thiiik, be aniy doubt but that had thepatient been alone in the room at the time, as might well

have lhappened, sheS would hiave been founid dead. Thesymptom11s of poisoning wiere attributed at the tim11e to anidibsynicrasy, and I do not think were in an1y way conniiectedwith the operation six lhours eailier.

Persoially1I agr ee enitirely wvith wliat Mr. MortimerWoolf wr1ites as to the dosage of hleroin, 1/12 g1raiin of,which is nearly always ani adeq-uate dose, althoughi theten1(lenicy- in recent years appears to favouIr 1/6 grailn.

HIove. DONALD HL4LL, M.D., F.R.C'.P.

AN UNUSUAL CASE OF ECLAMPSIA.THE case of eclampsia reported below may be of interestfor the following reasons: (1) the str ictniess of the aInte-natal care throughoult; (2) the unusual delay between theconifinement anid the onset of the fits; an-d (3) the lalrgenumber of fits.The patient, who was 26 years of age, came up for first examina-

tion in the twenty-fourth week of pregnancy. Her history revealednothing of interest, though she had nutrsed two patients of ninlewith mild scarlet fever a year previously. She was a well-builtcountry woman, and her urine was free f-rom abnormalities. Shewas asked to report at monthly intervals.At the next attendance (thirtieth week) there was a slight cloud

of albumin in the urine. She was put on a modified protein-freediet and advised more rest, and told to report in a fortnight.This time the albumin -had increased, and theie was slight oedemaof the feet. Blood pressure 1501110; fundi normal.She was put on a strict niilk diet anid confined to bed. The

following week the albumin decreased and the blood pressure was140/90. The diet was maintained with the addition of carbo-hydrates, and she was allowed up for two or three hours in theafternoon. The next week the albumin increased again, and shewas ordered back to bed, where she remain-ed until her confine-mnent, which took place a fortnight before full term. She had aremerkably easy labour, lasting only four hours, and was deliveledat 7 a.m. on December 16th, 1928, of a lhealthly femiale childweighing 4 lb. 8 oz. The next three days were uneventful. Shefelt very well and the temperature and puilse were nornal. Shewas still on a milk diet. Without any warning, at 5 a.m. on themorning of the fourth day after labour, she had her first fit.In all she had twenty-three severe fits.She was removed five miles in an ambulanice to the War

Memorial Hospital, Melton Mowbray. Before removal she wasgiven 2/3 grain of morphine sulphate- hypodermically in twoseparate doses. On admission her stomach and colon were washedout with sodium bicarboiiate; 2 oz. of castor oil were left in thestomach, and she had 2- drachms of cliloral hydrate, in 30-graindoses every two hours, per rectum. Venesection was performedand 15 oz, of blood withdrawn; 1150 grain of nitroglycerin wasgiven hypodermically. She was catheterized every eight hours.She had at six-hourly intervals I1 pints, 1I pints, and 1 pint ofsaline subcutaneouslv.The urime at first was solid with albuimin, but this lhas

diminished every day. Her recovery has been uninterrupted. Atno time has the fundus oculi been other than rormal.

LEONARD J. HAYDON, M.R.C.S., L.R.C.P.Melton, M11owbray.

A COLOSSAL OVARIAN CYST.THE following extraordinary case seeims of sufficient initerestto warratnt recording.A married woman was sent into hospital by Dr. Milbutrn of

Kingston with a diagniosis of ovarian cyst. The patient statedthat she had had a swelling for five years, but since Christnmasit had increased to such an extent that she could hardly getabout. She suffered little or no pain, no trouble with micturition,but much constipation.On examination, I fouind that she was 4 ft. 10 in. in height,

and her abdomen measured 561 in. at the level of the umbilicus.There was no swelling of the lower extrernities, her heart andlungs were fairly normal, but she looked like bursting at anymoment. On February 2nd, under novocaini, I made a smallincision to the right of the navel and soon came upon thethickened wall of the cyst. I inserted a De Pezzer's self-retaining catheter with a clamp on the end, and had the fluiddi-awn off gradually at the rate of one gallon every two hours.Had I removed the whole cyst at olne operationi I feel sure shewould have succumbed. On February 3rd the pulse, which hadbeen rapid and somewhat irregular, had recovered, so I decidedto operate. By a mid-line inCision I removed the cyst, whichwas adherent over the whole surface of the abdominal cavity,and very thiclk-walled and multilocular, and non-malignant.The thick browni fluid was very carefully measured, and amounted

to 551- pints. The patient made an uninterrupted recovery andleft the hospital in eighteen days.

It seems very strange in these days that anyone shoulddevelo _such a huge swelling without seeking medicaladvice. The amount is surely a " record " for so small awoman.

JOHN W1. HE3EKES, M%.B., B.S.LOnd.,Surgeon anld Gvnaeeologiet, Royal

Hospital, Richmnond.

746 APRIL 20, I929] MEDICAL NOTES IN PARLIAMEN'1.74 P I 0

-,h].IL

gerneral anticipation is that a pior-ogationi about Mlay 8thi willbe immediately followed by a dissolution and by the genieralelection campaign.Lord AMoyIihaia took his seat in the House of Lords oni April

17th. He was introduced by Lord Dawson of Penn and LordIllingworth.

Radium.-Dr. VERNON DAVIES, on April 16th, asked the Pr ime Miinister

what action the Governm'ent proposed to take- oIn the reportof the subcommittee of the Committee of Civil Researchll onRadium.

MMr. Cheirch ill's State7nent.Mr. CHURCHILL, who replied, said: In view of the importance

of the matter aiid tlhe public interest atti acted by it, thieGoverinment arranged for the immediate publicationi of thereport. It will be seen that the report deals with the inationialrequirements for radium in medical treatment, irn the FiglhtiiigServices, and for the puirposes of physical research, and withthe possibilities of developinig new sources of supply. Further,in a full statement as to the use of radium in medical treatment.-the subcommnittee has inidicated that a great voltume of avoid-able distress and suffering persists simply because the radiumrequired for the treatmenit of cancer is not available; anid that,the acquisition of further supplies should encourage the widerdevelopment of the higrhest skill in its- use and the allocationof more hospital beds to the treatmenit of suitable cases. Thesubcommittee expresses the opinion that in order to meet therequirements of England and Wales, and of Scotland. 20 gramsof radium, in addition to the stocks already available or likely tobe available shortly, for general medical use, should be acquiredwithin a specified period-namely, before the end of 1930.The subcommittee recommenids that the necessary sum, esti-

mated at £200,000, sliould be raised by a public appeal, towhich the Governiment should contiribute pouitid for poundwithin that miaximum sum. The subcommittee also ptoposes thesetting up of an organization consisting, first, of *a body tohold the funds and purchase and thold the- radium, and,secondly, of a body to distribute the radiumi- anid secure itsfull use in the maniieri best adapted to furthelr t}eaicdvancemnentof knowledge anid the treatment of the sick. As regards therecommenidationis of the subcommiittee on the subject *o.f "lheorganization, these have been accepted iii principle by theGovernment, but the precise form of the organization willremain open to further discussion. The Government hasaccepted the financial recommendation of the subcommittee, and.'will be prepared to conitribute from public fuids, up to amaximium of £1C0,000, to the extent of £1 for every £1 ofprivate subscription for the purchlase of additional radium. TheGovernment confidenitly expects that there will be nio difficcultyin raising, in a very short space of time, the futids inecessairyto provide this iinvaluable additioin to the national resources fordealing with one of the most formidable maladies kno-wNP to us.Mr. RAMSAY MACDONALD asked if the GCoveririment hlad con-

sidered the effect of this announcement on the price of radium,and if it proposed to take any steps to.safeguard. itself in thatniatter. Mr. CHU,RCHILL: I uniderstand thiat all that is dealtwithl in the conmmittee's report. The House is enititled to thereport, and therefore publicity is unavoidable, hut I do inotapprehend any serious evil coiisequences.Commander BELLAIRS asked if the report dealt with the inter-'

national aspects of radium, and if it made any recommendationto briiig the matter before the League of Nations, especiallywith regard to the Belgian monopoly. Mr. CHURCHILL said thathe must confess that, like Commander Bellairs, lie was lookingforward to studying the report.

Lieut. Commander KENWORTHY asked if the right hon.gentleman was aware that every time the Government liadgone into the market to purchase radium the price liad beenraised against it, and if he would consider the suggestion ofCommander Bellairs and advise the Foreign Office to examineinto the matter of interisational actioni. Mr. C'HURCHILL saidthat he ujsderstood, though he did not speak with first-handkinowledge, that this matter was fully discussed in the report.Replying to Dr. VERNON DAVIES. wh1o asked if there wouldbe an opportunity to discuss the report, Mr. CHURCHILL saidthat it did not seem to him that the House was going to havemuich opportiunity for further discussion.

Sir R. TsIOMAs asked if the report dealt withi the poteritialsuipply of radium in Australia. Mr. CHURCHILL: Thiat iscovered by the stateinent that I have not yet been able tostudy the report. Mr. R. MORRISON asked if it would notbe necessary for the Government to lsave a supplementaryestimate. Mr. CHURCHILL replied that whatever was right andnecessary would cem-tainly be done. Mr . W5. THORNSE askedwvhat was the appioximate cos,t of anl ounce of radium. MrI1.CHUTRCHILL replied that h1e was(SSOrry that heO did not happento have that information. Mr . TItORNE: 1s thle right hson.gentleman awvare that the cost is absout £400,000 per ounce?

On April 15th Dr. VERNON DAVIES asked a question on thesame sulbject. Sir KINGSLEY WOOD said that the report ofthe subcommittee of the Committee of Civil Resear-Cii wotild hepublished. Tlhe quiestion whletlher the report should be broughtbefore the League of Nationis would he considered.

Small-pox.Dr. FREMANTLE asked, oni April 15th, the number of passengers

landed from the s.s. 7Tuscuiia which recently arrived at Liverpoolfrom Bombay; whether passengers and crew were under observa-tion; what number of cases of small-pox had occurred amongthem; the number and vaccination histor y of the cases that haddied; and whether any cases of small-pox had been niotified fromcontacts with passengers and crew. In reply, Sir KINGSLEY WOODreferred Dr. Fremantle to the statement on the case which hadbeen issued by the Ministry of Health and is published atpage 742 this week. At present the Minister of Health was Inotin a position to make any further statement.Mr. T. JOHLNSTON asked the Secretary for Scotland whether he

was aware that a member of the crew of the Tuscaniii wasdischarged at Marseilles; whether subse-quently a wireless messagewas received from Marseilles intimating that the mnan had diedof small-pox; whether on arrival at Liverpool the other n;uembersof the crew were taken to hospital for smal -pox; whether on ar-rivalat Glasgow, -and before fumigation or disinfection of the ship, anengineer, along with twenty-three cases of chickens and sevenbarrels of ducks, -was tran-sferred to the s.s. Caledoieui, whichsailed for New York on April 7th; whether the TransportWorkers' Union informed the ports' medical authorities of thetransfer of the engineer and the foodstuffs from the infected shipprior to the sailing of the C(aledomia; why nothiing was done toprohibit this proceeding; if forty bags of flour had since beentrahsf,erred fr-om the iufected vessel to the s.s. C'li/foriia, alndwhether the Secretary of State could assure the House that allproper steps were being taken to prevent a spread of the infec-tion. Sir J. GILMOUR, in reply, said that he had beeni unableto obtain information on the. detailed matters referred to. Hewas making inquiries and would communicate the resuilt to Mr.Johnston after these had been completed. He was satisfiedthat all reasonable steps were being taken by the competentauithorities in Scotland to-leal -with the position and to pr-otect tileinterests of the public.

tJNIVERSITY OF LONDON.UNIvRISITY COLLEGE.

THE annuiial dinIiner of the Fellows ot Uniiversity College, LonidoI,vwill be lheld a1t th1e College on1 Tuesday, April 30thl, at 7.15 for7;30 p.i., in coniemnorationo0 the laiying of the first stonie of thleCollege btil;dins by H.R.H. thle Du1ke of Sussex oni April 30th}. 1827.Professor F. W. Oliver, M.A., D.Sc., F.R.S., elected a Fellow its1886, will preside.

.ROYAL COLLEGE OF StURCGEONS OF ENGLAND.A QUARTI>IiLY Council meetiing was held oni April 11th, wheni thePresidelt, Lord Moynihan, was in tthe chair.The secretary reported the (leath) of Sir Anithony+ Alfre(d Bowlby,

Bt., piist Presidlenit and past Member of the Couincil. The fol lowv inigvote of conidolence was passed:

The Coutncil hereby express their deep regret at the deatth of SirAnthony Bowlby. and their very sinicere sy,-mpathy with Lady Ilowlbyand the memibers of her family in their bereavemie6t. The Councilalso desire to express their grateful sense of the mnany servicesrendered to the College by Sir Anthony Bowlby during the twenty-fouryears he served asa Member of the Council. and especially to recordtheir appreciative recognition of the dastinction and ability withwhich he fulfilled the duties of President during his three years ofoffice, The Council feel that the College lhas lost one of its miostillustrious Fellows, who will lonig be reumenmbered for his emiiinenice asa teacher of clinical surgery, his conspicuous services duiring theSouth African and Great Wars, and for the zeal and ability which hebrought to bear in the discharge of many duties undertalken by himon behalf of the State and the miedical profession.

The honiorary Gold Meldal of the Collegte was aswardled to SirGeorge Makinls, G.C.Ml.G., C.1B., LL.D., in recoglnitioni of hisvaluable services to the College, miiore especially in arratnginig anidlescribinag the series of drawvings in the Army MIedical WarCollectioni.Sir D'Arcy Power was appointed honiorary Librarian of the

College in recogniition of his services ini re-editing Plarr's Livesof the Fellows anld of his distinguished position as a bibliographer.

Thie Jacksoniani Prize for 1928 Nvas not awarded. Thie suibject forthe Jaclksoniiani Prize for the year 1930 is " The patholog3r ofovarian cysts andl its bearing oni their treatment."The vacatnicy in the Court of Examiniers occasionie(d by the

expiratiou of Sir Cnithbert Wallace's term of office oln Mla) 8thnext will be tille(d iup) at the niext m--eeting of the Council.The followving Members of twventy years' stand(inig wvere electe(d

to thie 1F'ellowship): Comyns BelIeley, M.D., M.Chir., obstetric and(lgynaecological surgeoni to the Middlesex Hospital WiVillitami BlairBell, M.D., 13.S., obstetric and( gytuaecological surgeon to LiverpoolRoyal Infirmary.Oun-tle recomimenidationi of thae Musetum Comimittee it was

decided to dlevote Lord Beaverbrook's grant of £1,000 to tissueculture research.

APRIL 209 I9291 MDEDICAL NEWS. OUBs Tn

THE centenary of the Zoological Society of London willbe celebrated on Monday, April 29th. A commemorativemeeting will bo held at 5 p.m. in the great hall of UniversityCollege, followed by a dinner in the Gardens of the Societyin Regent's Park.T.THE annual luncheon of the Irish Medical Schools' andGraduates' Association will be held at the Queen's Hotel,Piccadilly, Manchester, on Wednesday, July 24th, at 1 o'clocksharp. Tickets, price 4s., may be obtained from the honorarysecretary for the provinces, Dr. Falkiland L. Cary, 67, King'sRoa.d, Harro"ate. All Irish graduates, whether maembers ofthe association or not, are invited to attend the luncheon.'The honoraty secretary requests that applications for ticketsmway be,sent to him as early as possible before the date ofthe meeting.THE twelfth and-last of the annual series of Slims Woodhettd

Lectures iu connection with the People's League of Health-TJravellingu Sholgrship will be detivered to-day (Friday,.April 19th) at 6 p.m., at 11, Chandos Street, CavendishSquare, W., by Dr. C. C. Worster-Drought, -on the subject ofdecay and disease,- natural and premature.AT the next meeting of the Royal Sanitary Institute, to be

held on Friday, April 26th, at 3 p.m., in the City Hall, Cardiff,discussions will take place on the new Local GovernmnentAct, on towvn planningx, and on the proposed reconstruction,wvideningy, and lowvering of Cardiff Bridge.THE annual meeLingl of the Medical Mission Auxiliary of

the Church Missionary Society will be held iu tLhe CentralHall, Westminster, S.W., on Wednesday, May 1st, at 7.15 p.m.Tickets of admiss;on may be obtained froLu the Super.iutendent, Loan Department, Church Missionary Society,-Salisbuty Court, E.C.4. A small number of reserved seatsat ls. each are availablc.A DISCUSSION on the sterilization of the unfit will be opened

by LorLd Riddell at a mijeeting of thle Medico-Legal Society,at-11, Chandos Street, W.1, on April 25th, at 8.30 p.m.THE annual general meeting of the Tavistock Square Clipic

for 4'unctional Nervous Disorders will be held in the form ofa lunchleon party at the Hotel Russell, Rtussell Square, W.C.1,on Monday, May 6th, at 1.10 p.m.; Sir F. J. Willis willp.eside. The honorary director, Dr. H. Crichton-Miller, andthe treasurer %vill present brief reports, an(d plans for theextension of the woik of the clinic will be discussed.THE Dr. Jessie Macgregor prize for inedical science will

be awarded next July to the applicant who presents thelbest record of original wvork in the scieuce of maiedicine. This%vork may be unpublished or publishedl, but in the lattercontinigency mlust niot have been publislhed earlier than threeyears before the month of July, 192). The prize is of thevalue of £75, aud is open to women who have graduated inmedicine in the University of Edinburgh, or have taken thetriple qualification, and who will have previously studiedmiedicinu for at least one year in Edinburgh. The successfulapplicant sball within three months of the award delivera lecture to the medical profession in Edinburgh on thesubject for wlhich the prize has beenu awarded. Applications,marked "Dr. Jessio Macgregor prize in medical science,"mnust reach the Convener of Trustees, Royal College ofPhysicians of Edinburgh, not later than May 31st.LORD DAWSON OF PENN will distribtite the prizes and

certificates to studlents of the Lond6on Hospital MedicalCollege (University of London) on Friday, June 28th.THE first course for the M.R.C.P. diploma organized by the

Fellowship Qf Medicine willextend from May 7th to June 28th,and consists of sixteen lectures by well-known: authorities onTuesdays. and Fridays, at 8.30 p.m., in the lecture liall of theMedical Society of -London 11 Chandos Street, CavendishSquare. Two courses are nowin progress: one in medicine,surgery, and gynaecology, at the Royal WaterlooHospital, will.conclude.on May 4t1h, and the other in .neurology, at theWVest End -Hospital for Nervous DiseaAes, and consisting oflecture-demonstrations at 5 p.m. each day, will finish onMay.10th. A compreheisive course begins on April 29th indiseapos of the throat, nose,-+nd ear at the Central London.Throat, Nose, and Ear Hospital, and continues for-three weeks.Startug.alsp on April 29th is a month.'s course in psychologicalmnedicine at,the Maudsley Hospital. From May 6tli to June lst.a course in venereardiseases will be conducted at the LondonLock Hospital.. From Msy 2nd to-June lst the London Schoolof Derinatology will hold aspnecial coursne consisting of clinicalinstruction anld formal lectures. Practical pathologicaldlemonstrations can be arranged if desired. From May 27thto June 8th an afternoon course, under the direction OfDr. Eric Pritchard, will be held at the Infants- Hospital.Detailed syllabuses of the foregoing courses, information

relating to the general course of work at the various Londongeneral and special hospitals, and copies of the Post-GraduateMledical Journal may be obtained from the Secretary of theFellowship, 1, Wimpole Street, W.1.THE Central Midwives Board for England and Wales met

on April 4Lh, with Sir Francis Champneys in the chair. Thestanding cornmittee reported that it had appointed thefollowing to be memlbers of the Approvals Subcommittee:Miss A. Davies, Miss E. M. Doubleday, Dr. J. S. Fairhairn,Miss E. E. Greaves, Dr. R. A. Lyster, Miss A. A. I. Pollard,and Mrs. E. Richmoud. Approval for the year endingMarch 31st, 1930, was given to the list of examiners, the listof lecturers and institutions -where le'ctures may be deliveretd,and the list of institutions, homes, aud midwives at which,or under whom, midwives may be trained.As announced in our advertisement columns, applications

are invited for the Dickinson Pathology Scholarship and forthe Dickin'son Travelling Fellowship in Medicine. Candidatesfor-thelormer, value £75, must have roceived their full courseof instruetion in-pabhology, medicine, and surgery at theUniversity of Manchester and the Manchester Royal Infirmary.The Travelling Fellowship is of the value of £300, and candi.-dates-usut have taken out- the fu-ll-corse of clinical instruc-tion required by their examining bodies in the ManchesterRoyal Illfirmary and the University of Manchester. Thescholarships are both tenable for one year. Full particularsaud a copy of the regulations may be obtainIed fromn Mr. F. G.Hazell, secretary to the trustees, Manchester Royal Infirmary,to whom applications must be sent by May 2nd.THE issue of Medizinische Klinic for March 28th is dedil

cated to the memory of the distinguishedl Viennese surgeon,Theodor Billroth, on the occasionc of the celebration of thecentenary of his birth on April 26th,' 1829, and containsarticles on him by Professor G. Lotheissen, and also Drs.I. Fischer.and K. Feri of Vienna and Professor W. Korte ofBerlin.THE March issue of The M18sion Hospital, published by the

Church Missionary Society, London, is devoted to maternityand child welfare, and contains accounts of the progressbeinga made in this respect under the auspiccs of the societyin different parts of the world, including China and Southernand Cenitral Africa.

All communications in regard to editorial business should beaddressed to The EDITOR, British Medical Journal, BritishMedical AssocIation House, Tavistock Square, W.C.I.

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QUERIES AND ANSWERS.

LORD LISTER."J. S. R." asks it aiiy reader caii tell hlim where he could obtaina small bust of the late Lord Lister.

INCOME TAX.SITccessiont followed by Introduction.

' H. D., O." soldldis' practice as frcm )December 31st, 1928, butremained acting, according to thie agreemilent for sale, as assiseau tto the purchlaser dtuing -the fol lowinig three montis. WIhaba(djustment can he clain, aiid what is his liability-if aniy-forthe year 1929-30?

* * We assume tlhat the practice was a "sole" practic*,Our correspondent can have his liability for the year eudlel