933 said to have been the great fear of the Faculty when it framed its report. At the Academy of Medicine M. Verneuil showed a new ecraseur, modified by Dr. Desprès, of St. Quentin, and read the account of an operation performed hy the inventor with his instrument. A young woman, suffering from a uterine polypus, and almost bloodless from haemorrhage, was the patient. "A voluminous tumour, very difficult to reach, chiefly on account of the narrowness of the vulva, was separated in a few minutes without traction on the uterus." The size of the growth necessitated multiple incisions round the vulva for its removal. On behalf of the Section of Hygiene M. Colin read a report on the measures to be taken to ensure the health of men working in malarious districts. This was in answer to an official request for information, in view of certain important public works shortly to be executed on different points of the French coast. The recommendations are- 1. The selection of strong men, free from malarial taint, and, as far as possible, inured, to a certain extent, to the poison. 2. Suspension of the work during the three months of July, August, and September. 3. Habitation in nearest town, or in well-constructed wooden barracks at night. 4. Lighting of large fires morning and evening. 5. Increase of individual resistance by prohibition of work fasting, the use of tonic drinks, good water, substantial food, and flannel clothing. 6. The entrance of any sick man into the nearest hospital. 7. The continuance of specific and general treat- ment for some time after his exit. 8. The utilisation of all material resulting from digging, trenching, &c., for the levelling of the soil. 9. The culture of newly turned land according to its geological conditions. M. Le Dentu related a case of nephrectomy on account of a urinary fistula in the left groin, and hydronephrosis on the same side. The patient, who is a well-known dramatic artist, recovered most satisfactorily. In two months cicatrisation of the lumbar wound was complete, and at present (seven months after the operation) all that remains is a slight fistulous opening in the groin, from which there are a few drops of serous oozing. Listerian dressing was used. At yesterday’s meeting of the Academy M. Lannelongue exhibited a child a few months old who has already lost several fingers and a portion of one of the lower extremities by spontaneous amputations. In the first place a circular constriction forms round the member, which gives rise to a groove. This becomes gradu- ally deeper, until the strangulated tissues are detached. There are now several such consttictions in course of forma- tion on the thigh, feet, and hands. The disease would appear to have some analogy with scleroderma. A novel kind of assurance company is being formed, with a capital of four milhon francs and offices in the Avenue de l’Opéra. It proposes to revolutionise the present system of medical remuneration by ensuring its clients against illness as against any other accident. For an annual premium the insured is furnished with a book of coupons, one of which is to be given at each visit or consultat.lon instead of a fee. The patient selects his own medical attendant, and if he agree to accept the coupons the company pays them at their value, miuus ten per cent. for expenses. Whether this arrangement is likely to prove advantageous to the share- holders remains to be seen, but the company at any rate deserves the provisional support of the profession. Many a practitioner would find it a good speculation to pay the insurance of some of his patients himself rather than run the risk of getting nothing at all in return for his services. Perhaps this kind of business is not included in the programme. Paris, Nov. 23rd. Obituary. HENRY JOHN YELD, M.D. WE have the painful duty of recording the death of Dr. H. J. Yeld, the medical officer of health for Sunderland borough and port, on the morning of the 18 h instant. Dr. Yeld was one of the most highly esteemed officers in the public health branch of the public service, and he had secured the complete confidence and respect of the corpora- tion and community whom he served in his capacity of health officer. Before his appointment as medical officer of health iu 1873 he had held the position of surgeon to the Sunderland Infirmary. He effected suicide by cutting his throat, and the circumstances attending his death have produced the most painful effect in the borough and neigh- bourhood, where he was so widely known and highly respected. Nothing had been observed to cause any suspicion of the mental change which led to so disastrous a result. Dr. Yeld was an M.D. of St. Andrews, 1862; M.R.C.S. E n g. and L. A. S , 1860 ; L. M. Glasgow, 1859 ; and he was educated professionally at Glasgow. He was a Fellow of the Chemical and Meteorological Societies, vice- president of the Northern Counties Association of Medical Officers of Health, and held, besides, the posts of medical officer for the borough and port of Sunderland, public analyst for the borough, physician to the Corporation Hospital, and medical officer to the Life Brigade. "Suicide while in a temporary state of insanity" was the verdict returned by a coroner’s jury. Dr. Yeld has left a widow and four children. Medical News. ROYAL COLLEGE OF SURGEONS OF ENGLAND. -- The following gentlemen, having passed the required ex- amination for the Diploma, were duly admitted Members of the College at a meeting of the Court of Examiners on the 17th inst. :- Booth, George, Chesterfield. Foxwell, William Arthur, Weston-super-Mare. Gardner, Percy H., Ilfracombe. Green, Edwin Collier, Clapham. Grimsdale, Thomas B., Liverpool. Johnston, Thomas, Barnstaple. Knight, Alfred Osborne, Tewkesbury. Lofthouse, Arthur, L.S.A., Bishopsthorpe. Morton, Charles Alexander, Canonbury. Pook, William John, L.S.A., New-cross, Deptford. Stonham, Charles, Maidstone. Stretton, John Lionel, Kidderminster. Walker, Francis John, Spilsby, Lincolnshire. The following gentlemen were admitted Members on th 18th inst. :- Bissill, Austin Charles, Sleaford. Campbell, Harry, Belsize-park. Colville, Ernest George, Eastbourne. Cooper, George Frederick, Reading. Giles, Oswald, Oswestry. Hayes, James, Leigh. Humphery, Francis William, Albion-street. Kempster, William Henry, M.D. Durham, Battersea. Longman, George Philip, Southampton. Pollock, William Rivers, Hansworth. Rackham, Arthur Richard, Norwich. Sieveking, Herbert Edward, Manchester-square. Stuart, Sidney Offord, Woolwich. Williams, John Frederick, L.S.A., Cosham, Hants. Wray, Charles, Long Marston, Yorkshire. The following gentlemen were admitted Members on the 19th inst. :- Adams, William Coode, Regent’s-park-road. Andrews, Archibald George, Wolverhampton. Benham, Robert Fitzroy, King’s-bench-walk. Benson, Ernest Walter, Gloucester-street. Bevan, Henry Cook, Talsarn, Cardiganshire. Carter, Thomas Edward, Uxbridge. Dendy, Walter Chester, Forest-hill. Elliott, Edgar, Wimborne, Dorset. Harris, David Philip, Watling-street. Ingoldsby, Frederick John, Shepherd’s-bush. Jones, Henry Lewis, Hendre, Carmarthen. Marston, Francis Ernest, Ludlow. Sanderson, Robert, Lancing, Sussex. Sanders, F. C. Scott, Lower Belgrave-street. Strachan, W. H. Williams, Penge. Stroyan, Frederick, Norwich. Treadwell, 0. F. Naylor, Brixton-hill. Wood, Henry Simpson, Palace-road. The following gentlemen were admitted Members on the 21st inst.:— Coombe, Albert Townsend, Gloucester-road. Davies, Sidney. Anerley. Dodd, Henry Work, Hilldrop-creseent. Hewkley, Frank, Dalston. Nicholdson, Gerald, Wimbledon-park. Pike, Charles James, L.S.A., Hobart, Tasmania. Pocock, A. G. Clarke, Streatham. Pollard, Joseph, M.A. Cantab., L.S.A., Hitchin, Herts Pope, Percy, Pinner, Middlesex. Unsworth, Francis Henry, L.S.A., Derby. Waller, Theodore Harry, Bedford. Walker, E. G. Agars, Retford, Notts. Warlters, Walter Scott, Warwick-street. Webster, George Leonard, L.S.A., Portsdown-road. Of the 176 candidates examined during the past and present week, 98 passed to the satisfaction of the Court and obtained their diplomas; 9 passed in Surgery, and when , qualified in Medicine will be admitted Members ; the re-
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933
said to have been the great fear of the Faculty when itframed its report.At the Academy of Medicine M. Verneuil showed a new
ecraseur, modified by Dr. Desprès, of St. Quentin, and readthe account of an operation performed hy the inventor withhis instrument. A young woman, suffering from a uterinepolypus, and almost bloodless from haemorrhage, was thepatient. "A voluminous tumour, very difficult to reach,chiefly on account of the narrowness of the vulva, wasseparated in a few minutes without traction on the uterus."The size of the growth necessitated multiple incisions roundthe vulva for its removal.On behalf of the Section of Hygiene M. Colin read a
report on the measures to be taken to ensure the health ofmen working in malarious districts. This was in answer toan official request for information, in view of certainimportant public works shortly to be executed on differentpoints of the French coast. The recommendations are-1. The selection of strong men, free from malarial taint, and,as far as possible, inured, to a certain extent, to the poison.2. Suspension of the work during the three months ofJuly, August, and September. 3. Habitation in nearesttown, or in well-constructed wooden barracks at night.4. Lighting of large fires morning and evening. 5. Increaseof individual resistance by prohibition of work fasting, theuse of tonic drinks, good water, substantial food, and flannelclothing. 6. The entrance of any sick man into the nearesthospital. 7. The continuance of specific and general treat-ment for some time after his exit. 8. The utilisation of allmaterial resulting from digging, trenching, &c., for thelevelling of the soil. 9. The culture of newly turned landaccording to its geological conditions. M. Le Dentu relateda case of nephrectomy on account of a urinary fistula in theleft groin, and hydronephrosis on the same side. Thepatient, who is a well-known dramatic artist, recovered mostsatisfactorily. In two months cicatrisation of the lumbarwound was complete, and at present (seven months after theoperation) all that remains is a slight fistulous opening inthe groin, from which there are a few drops of serous oozing.Listerian dressing was used. At yesterday’s meeting of theAcademy M. Lannelongue exhibited a child a few monthsold who has already lost several fingers and a portion of oneof the lower extremities by spontaneous amputations. Inthe first place a circular constriction forms round themember, which gives rise to a groove. This becomes gradu-ally deeper, until the strangulated tissues are detached.There are now several such consttictions in course of forma-tion on the thigh, feet, and hands. The disease would appearto have some analogy with scleroderma.A novel kind of assurance company is being formed, with
a capital of four milhon francs and offices in the Avenue del’Opéra. It proposes to revolutionise the present system ofmedical remuneration by ensuring its clients against illnessas against any other accident. For an annual premium theinsured is furnished with a book of coupons, one of which isto be given at each visit or consultat.lon instead of a fee.The patient selects his own medical attendant, and if he
agree to accept the coupons the company pays them at
their value, miuus ten per cent. for expenses. Whether thisarrangement is likely to prove advantageous to the share-holders remains to be seen, but the company at any ratedeserves the provisional support of the profession. Many apractitioner would find it a good speculation to pay theinsurance of some of his patients himself rather than run therisk of getting nothing at all in return for his services. Perhapsthis kind of business is not included in the programme.
Paris, Nov. 23rd. __
Obituary.HENRY JOHN YELD, M.D.
WE have the painful duty of recording the death ofDr. H. J. Yeld, the medical officer of health for Sunderlandborough and port, on the morning of the 18 h instant.Dr. Yeld was one of the most highly esteemed officers in thepublic health branch of the public service, and he hadsecured the complete confidence and respect of the corpora-tion and community whom he served in his capacity ofhealth officer. Before his appointment as medical officer ofhealth iu 1873 he had held the position of surgeon to theSunderland Infirmary. He effected suicide by cutting his
throat, and the circumstances attending his death haveproduced the most painful effect in the borough and neigh-bourhood, where he was so widely known and highlyrespected. Nothing had been observed to cause anysuspicion of the mental change which led to so disastrous aresult. Dr. Yeld was an M.D. of St. Andrews, 1862;M.R.C.S. E n g. and L. A. S , 1860 ; L. M. Glasgow, 1859 ; andhe was educated professionally at Glasgow. He was aFellow of the Chemical and Meteorological Societies, vice-president of the Northern Counties Association of MedicalOfficers of Health, and held, besides, the posts of medicalofficer for the borough and port of Sunderland, public analystfor the borough, physician to the Corporation Hospital, andmedical officer to the Life Brigade. "Suicide while in atemporary state of insanity" was the verdict returned by acoroner’s jury. Dr. Yeld has left a widow and four children.
Medical News.ROYAL COLLEGE OF SURGEONS OF ENGLAND. --
The following gentlemen, having passed the required ex-amination for the Diploma, were duly admitted Members ofthe College at a meeting of the Court of Examiners onthe 17th inst. :-
Booth, George, Chesterfield.Foxwell, William Arthur, Weston-super-Mare.Gardner, Percy H., Ilfracombe.Green, Edwin Collier, Clapham.Grimsdale, Thomas B., Liverpool.Johnston, Thomas, Barnstaple.Knight, Alfred Osborne, Tewkesbury.Lofthouse, Arthur, L.S.A., Bishopsthorpe.Morton, Charles Alexander, Canonbury.Pook, William John, L.S.A., New-cross, Deptford.Stonham, Charles, Maidstone.Stretton, John Lionel, Kidderminster.Walker, Francis John, Spilsby, Lincolnshire.
The following gentlemen were admitted Members on th18th inst. :-
Bissill, Austin Charles, Sleaford.Campbell, Harry, Belsize-park.Colville, Ernest George, Eastbourne.Cooper, George Frederick, Reading.Giles, Oswald, Oswestry.Hayes, James, Leigh.Humphery, Francis William, Albion-street.Kempster, William Henry, M.D. Durham, Battersea.Longman, George Philip, Southampton.Pollock, William Rivers, Hansworth.Rackham, Arthur Richard, Norwich.Sieveking, Herbert Edward, Manchester-square.Stuart, Sidney Offord, Woolwich.Williams, John Frederick, L.S.A., Cosham, Hants.Wray, Charles, Long Marston, Yorkshire.
The following gentlemen were admitted Members on the19th inst. :-
Adams, William Coode, Regent’s-park-road.Andrews, Archibald George, Wolverhampton.Benham, Robert Fitzroy, King’s-bench-walk.Benson, Ernest Walter, Gloucester-street.Bevan, Henry Cook, Talsarn, Cardiganshire.Carter, Thomas Edward, Uxbridge.Dendy, Walter Chester, Forest-hill.Elliott, Edgar, Wimborne, Dorset.Harris, David Philip, Watling-street.Ingoldsby, Frederick John, Shepherd’s-bush.Jones, Henry Lewis, Hendre, Carmarthen.Marston, Francis Ernest, Ludlow.Sanderson, Robert, Lancing, Sussex.Sanders, F. C. Scott, Lower Belgrave-street.Strachan, W. H. Williams, Penge.Stroyan, Frederick, Norwich.Treadwell, 0. F. Naylor, Brixton-hill.Wood, Henry Simpson, Palace-road.
The following gentlemen were admitted Members on the21st inst.:—
Coombe, Albert Townsend, Gloucester-road.Davies, Sidney. Anerley.Dodd, Henry Work, Hilldrop-creseent.Hewkley, Frank, Dalston.Nicholdson, Gerald, Wimbledon-park.Pike, Charles James, L.S.A., Hobart, Tasmania.Pocock, A. G. Clarke, Streatham.Pollard, Joseph, M.A. Cantab., L.S.A., Hitchin, HertsPope, Percy, Pinner, Middlesex.Unsworth, Francis Henry, L.S.A., Derby.Waller, Theodore Harry, Bedford.Walker, E. G. Agars, Retford, Notts.Warlters, Walter Scott, Warwick-street.Webster, George Leonard, L.S.A., Portsdown-road.
Of the 176 candidates examined during the past and presentweek, 98 passed to the satisfaction of the Court and
obtained their diplomas; 9 passed in Surgery, and when, qualified in Medicine will be admitted Members ; the re-
934
maining 69 failed to reach the required standard, and werereferred for six months’ further professional study. Tencandidates who had passed in Surgery at previous examina-tions, having subsequently obtained a medical qualificationrecognised by the College, were also admitted Members.The following gentlemen passed the first part of the Pro-
fessional Examination for the Fellowship at meetings of theBoard of Examiners on Tue,dav and Wednesday last :-Robert M. Gunn, Edinburgh, Vienna, and London ; Robt. L. Knaggs,Cambridge and Guy’s Hospital; Henry L Albert, St. George’s Hos-pital ; Cornelius W. Suckling, Birmingham ; John A. Kempe, Uni-versity College; Walter Hull, St. Thomas’s Hospital; Septimus T.Pruen and James Berry, St. Bartholomew’s Hospital; James H.Targett, Guy’s Hospital; John M. Brown and Thomas L. Shearer,Edinburgh ; Herbert J. Dyson, St. Mary’s Hospital.
Of the 31 candidates examined, 19 failed to satisfy theBoard of Examiners, and were referred for six months’ fur-ther anatomical and physiological study.
In consequence of the large number of candidates for theFinal Fellowship Examination, the Library of the Collegewill be closed until Tuesday, the 29th inst.
APOTHECARIES’ HALL. - The following gentlemenpassed their examination in the Science and Practice of Medi-cine, and received certificates to practise, on Nov. 17th :—
The following gentleman also on the same day passed thePrimary Professional Examination :-
Maye, John, London Hospital.
MR. F. M. BALFOUR, F.R.S., has gained a RoyalMedal for his contributions to animal morphology, moreespecially for his investigations respecting the origin of theuro-genital organs and the cerebro-spinal nerves of thevertebrata, and for his work on the development of theelasmobranch fishes.AT the annual meeting of the Aberdeen Medico-
Chirurgical Society, held on Nov. 17th, the following office-bearers were elected : -President: Dr. John Urquhart.Secretary and Treasurer: Dr. James Rodger. Librarian:Mr. William Fraser. Council: Drs. Beveridge, Cromhie,J. C. 0. Will, and Garden, and Mr. William Fraser.Representatives to North of S otland Medical Association(President and Secretary ex officio): Drs. J. C. O. Will andR. J. Garden.
UNIVERSITY OF DURHAM COLLEGE OF MEDICINE.-For some time the idea of the formation of a Volunteer Hos-pital Corps has been mooted among the students of thisCollege, and in furtherance of the project a meeting washeld on Oct. 28th, Dr. Meara presiding. A committee, con-sisting of Dr. Mears and Messrs. C. H. C. Milburn, F. W.Gibbon, and D. J. P. McNabh, was appointed to carry theproject into effect and to obtain support for the movement,which, there can be little dcubt, from the interest taken inthe matter in the district, will be ultimately successful.BELFAST ROYAL HOSPITAL. -During the year end-
ing 31st of August last, 1762 patients were admitted into thewards, 189 operations were performed, and 10,811 personswere attended to at the extern department of the hospital.The advantages also of the hospital as an auxiliary to theQueen’s College, Belfast, must not be forgotten, as clinicalinstruction was given to 219 students during the winter and147 in the summer session. The hospital is supported byvoluntary contributions ; it possesses no State grant norlarge income from funded property.DISPENSARY AND INFIRMARY, GRAVESEND. -At
present the rules of this institution do not admit of in-patients being received under seven years of age in cases ofillness, consequently they have to be treated as out-patientsat the dispensary. As this arrangement is, in the opinion ofthe medical staff, productive of great and preventable mor-tality and permanent disease among such out-patients, thecommittee have resolved, after obtaining the sanction of thegovernors, to appeal to the public for funds to enable themto provide accommodation in a separate ward at the infirmaryfor children. The Earl of Darnley has given a piece of landat the rear of the present building in contemplation of theerection of the proposed ward.NORTH STAFFORDSHIRE INFIRMARY.—The annual
meeting of subscribers and friends of this institution washeld on the l7th inst. The report showed an income for thepast year of £8026, being a slight increase on that of 1879-80.
In-patients to the number of 1501 had been treated duringthe year, at a cost of £4 9s. 5d. each ; the cases of out.patients and casualties numbered 9398. The need of moredi.-crimiiiation in the out-patient work was recognised by thecommittee, especially as by an understanding with theworkpeople in mines and factories, by which hospital aid isgiven in return for what are known as "establishmentsubscriptions," there has come to be grafted on the infirmarya sort of provident dispensary system, without, however,any pecuniary profit accruing to the medical officers. Theconvalescent branch of the infirmary was referred to as
having been productive of great benefit.THE ROYAL ALBERT ASYLUM FOR IDIOTS AND
IMBECILES. -The seventeenth annualreport read at the meet.ing of the friends of this institution at Leeds on the 17th inst.gave the number of admissions during the period includedbetween Aug. 27th, 1880, and Sept. 30th, 1881, as 68 malesand 37 females, the average number resident being 437.Fifty patients (29 males, 21 females) had been discharged,and 13 males and 4 females had died in the asylum. Of the17 fatal cases, in 13 there were evidences of some form ofscrofulous or tubercular disease.
MEDICAL PRACTITIONERS’ FEES FOR EVIDENCE.-At the Bloomsbury County Court this week the case ofWhitefoord v. Fitzgerald was heard before Mr. Judge Bacon,in which the plaintiff, a medical man, of 117, Albany-street,sued the defendant to recover the sum of two guineas forprofessional services rendered as a witness in January andFebruary last in the case of Fitzgerald v. Butler, in whichthe plaintiff recovered £18 for having one of his ribs frac.tured, and in which case the present plaintiff gave medicalevid.ence. After the plaintiff had stated his case, the learnedJudge said the claim could not be allowed, whether theplaintiff attended on subpoena or at the simple request of thedefendant. His Honour was then informed that after theaction bad been brought the defendant’s solicitor sent theplaintiff a postal order for one guinea. The Court was toldthat in the case of Whitefoord v. Smith, heard in this Courtin Dec. 1878, his Honour had allowed the same plaintiff twoguineas for his attendance at the Marylebone Police Courtfor similar evidence given there. His Honour, however, ruledthat the plaintiff in the present instance was not entitled torecover, and gave judgment in favour of the defendant, butwithout costs.
Medical Appointments.Intimations for this column must be sent DIRECT to the Office ofTHE LANCET before 9 o’clock on Thursday Morning, at the latest.
BOOTH, T. C., M.R.C.S.E., L.R.C.P.Ed., has been appointed MedicalOfficer to the Dispensary for Sick Children, Gartside-street,Manchester, vice R. C. Birch, resigned.
CLARKE, FRED. H., M.B., C.M., has been appointed House-Sargeon tothu Western Infirmary, GJasgow.
DAVIDSON, ANSTRUTHER, M B., C.M., has been appointed House-Surgeon to the Western Infirmary, Glasgow.
DICKSON, GEORGE, vl.B., C.M., has been appointed House-Physician tothe Western Infirmary, Glasgow.
EDWARDS, DAVID, M.B., C.M.Edin., has been appointed MedicalOfficer for the Darowen District of the Machynlleth Union.
GABB, CLAUDE B., M.R.C.S., has been appointed Assistant Surgeon tothe East Sussex, Hastings, and St. Leonards Infirmary, viceMr. Douglas Duke, resigned.
GOOD, W. ERNEST, M.R.C.S. & L.R.C.P., &c., has been appointedMedical Officer to Her Majesty’s Prison, Dorchester, Dorset, viceJohn Good, superannuated.
GRANGE. JAMES W., M.B., C.M., has been appointed House-Surgeon tothe Western Infirmary, Glasgow.
GULLIVER, GEORGE, M.B. Oxon., M.R.C.S., has been appointedAssistant-Physician to St. Thomas’s Hospital, vice Greenfield,resigned.
HADDEN, W. B., M.D., M.R C.P., has been appointed Demonstrator ofMorbid Anatomy to St. Thomas’s Hospital, vice R. W. Reid, M.D.,resigned.
HAYDON, EDGAR, M.B., C.M., has been appointed House-Physician tothe Western Infirmary, Glasgow.
HILL, Dr. A. B., has been reappointed Public Analyst for the Countyof Warwick.
HOAR, CHARLES, M.B., C.M Ed., has been appointed Medical Officerfor the Hurstgreen District of the Ticehurst Union.
HOLYOAKE, THOMAS, M.R C.S., L S.A.Lond., has been appointedMedical Officer for the Second District of the Matting Union.
HUEY, WILLIAM, L.K.Q.C.P.I., has been appointed Medical Officer forthe Tamworth District of the Solibull Union.
HUNT, JOHN M., M.B., C.M., has been appointed House-Physician tothe Western Infirmary, Glasgow.
JACKSON, ROBERT, M.D. St. And., M.R.C.S., has been appointedMedical Officer for the Fourth District of the Bellingham Union.
LAWRIE, J. MACPHERSON, M.B., C.M., has been appointed House-Surgeon to the Western Infirmary, Glasgow.
