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MEMORANDA, - BMJ · 2008-12-31 · he was sweating profusely. and abunidant sudamina were present...

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May 16, 1891.] THE BRITISH MEDICAL JOURNAL. 1067 (3) to ensure thle men wearing straw hats as muchl as possible in the sun. Treatment.--Conducted oIn tlhree principles: (A) To destroy malarial poisoII, antiperiodics-- (1) quinine; has direct influ- ence on malaria; (2) sodm salicyl.; antiseptic, antipyretic, and useful in rheumatism; (3) liq. arsenicalis; antiperiodic. (B) P'urificationi of blood by oxidising the organic poisons- (1) chllorine; -gias lel(d in solutioin and obtaine( by action of hydroclhloric alci(d oI Cl(hl)rate of potassiumr; (2)potassium iodide (3) saline purgatives, to remedy constipation and free the intestines of l)t()maines, etc. (C) Tonic and alterative- (1) quinine, mineral acids, andl stryclhnine; (2) arseni,e strychnine, and (qtiassia; (3) iron and strychnine. The (lise-se realdly (d(1f(s all kinds of trettmnent. The plan wlhieh lhas offered some signs of success is to give large doses of quiniine (20 to 30 grains) (luriig the remission, and repeat it in decreasing (oses; arsenic and iodli(de of potassium, in doses of 10 grains three or four times (laily, slhould be com- menced early. I lha(d great lhopes that the chlorine water would lhave prove(l useful, and gave it liberally in several cases, but it was a hopeless failure. Tlle one efficient remedy is cha,inge of climate. MEMORANDA, MEDICAL, SURGICAL, OBSTETRICAL, THERA- PEUTICAL, PATHOLOGICAL, ETC. LATEIAL DEVIATION OF THEI TONGUE. POINTING of the tongue to the right or left is so generally recognised as a symptom in paralytic seizures, that I thought it miglht be wvortlh whlile to note dowvn all cases of illness attended during a certain period of time where deviation from the central line vas observed. Of notes of 300 cases of illness taken during that time, I find that the percentage of deviations in two quite different sets of patients wvas ideentical. 40 instances being observed, or abouit 13 per cent. of the whole. In 25 of these the tongue pointed to the righlt, in 15 to the left, for the most part to a marked degree. In eight instances the patients had lhad, or were subject to, epileptic seizures. Four cases were chronic alcoholics. I could not traces any connec- tion between the deviation of the tongue and the use of either hand. F. R1.OWLAND HuMPni Evs, L.R.C.P.Lond. Haverstock } till, N.AV. TREATMIENT OF SOMIE FONRIS OF CORNEAL OPACITIES B-Y RUBBING. THE methods of treating corneal opacities are numerous, all lhaving the same aim, that is, of mechanically removing or thinniig the opaque corilea. None of these methods, hiow- ever, can be re(garded as satisfactory, anid if any improvement be effected by their uise, it is usually very slow in coming, aind a patient with an otlherwise sound eye has difficulty in getting goo(d vision owinig to a small blot in the way. Ont reading Costomiris's1 attempt to revive the treatment of affections of tlle cornea, particularly opacities, by licking, it occurred to mne that as fewv could be iniduced to undertake such a task, an artificial tongue in the shape of an ordinary india-rubb)er pencil eraser, might serve the same puirpose. I accordingly adopted the followiing method. Having first anmestlhetised the eye with cocaine, I gently rubbed the opaque portion of the corniea with the rounded erid of a rubber eraser for about half a minute or less. No pressure was used; the weight of the rubber itself gave suffi- cient pressure for the purpose. This " ruibbing " was repeated every second (lay for a considerable period with satisfactory results, as will be seen below. The first case in wlich the treatment was tried was that of AI. McK., aged 24. hIas had central nebule in both eyes " for years." march lltl, r. v. = 3%-, 1. v. = < partly. Both eyes subjected to the treatmnent. March 18th, r. v. 1. v. = Marchl '25th., r. v. = , 1. v. = T,"T partly. April 1st, r. v. = 1. v. =b ha rely. Juine 2rid. r. v . ,, 1. v. =. Treatment was then stopped. On seeing the patient six weeks after she still retainied the same improved vision. The next case was that of M. R., aged 10. Has a large nebula in right eye and a central nebula in the left eye. Treatment commenced on March 24th, r. v. = fingers at 7 feet, 1. v. = . April 3rd, r. v. = fingers at 7 feet, 1. v.-c. April 6th, r. v. = fingers at 7 feet, 1. v. = partly. April 25th, r. v. = dimly, 1. v. =% barely. May 10th, r. v. 1V = w¢2 Treatment then ceased. Neitlher of the two patients attended regularly. A third made simiilar imnprove- ment. A fourth showed no improvement, but this was subse- quently found to be due to a diseased fundus. I would recommend this method of treatmenit as suitable for cases in which small central nebuls interfere witlh vision. It might, however, be tried in cases where larger portions of the cornea are affected, but great improvement in visioIn can- not be expected in such cases. The opaque spot should be gently stroked or rubbed with the least pressure possible. Vigorous rubbing will only irritate the eye unnecessarily; A drop of a weak solution of atropine might with advantage be instilled into the eye after each application of the rubber. It might perhaps appear premature oIn my part to bring to notice the results of a few cases only, but as suitable material has been slow in coming, I thought that possibly those who lhave large clinics might like to try this novel treatment. Aberdeen. GEORGE FERDINANDS, M.D. CASE OF SUDDEN AND UNEXPECTED DELIVERY 1N THE ERECT POSTURE. THERE beiing only a limited number of cases of sudden and unexpected delivery in the erect posture on record the fol- lowing case is perhaps worthy of mentioin: S. D., aged 21, who had previously, after a lingering labour, given birth to oine child, was recently visiting a friend, when she felt a sensation of giddiness. She therefore left and started oI her way home. Having walked fifty yards a sudden pain in the abdomen was experienced; the paini was so acute that she retired to a neighbouring outhouse. She had no sooner arrived there than she gave birth to a full term male child. The child fell headfore?most on to the stone floor. The fall was broken by tlhe cord, the cord was ruptured, and no hlemorrlhage occurred; thle cllild sustained no injury, not even a bruise being apparent, and is still alive (two montlhs after the occurrence). The mother walked back to her friend's house, and lhas m,rle a good recovery. There lhad been a miscalculation of two monthls in this case of the probable date of parturition, and the mothler had no idea of the cause of the pain until the child fell from her. E. HUGH SNELL, M.B., B.Se.Lond., Obstetric House Surgeon to the Queen's Hospital, Birmingham. POISONING BY BELLADONNA PLASTEIZ. MRs. WV., aged 23 years, was confined four months ago. The baby was nursed till three months old, when it was thought advisable to " dry the breasts." The patient applied bella- donna plasters to the breasts, and she was told not to inter- fere with them till they fell off of themselves. Being on a visit to friends and not feeling well, she was brought to see me on February 28tlh. She was very pale and amnemic, com- plaining of frontal headache, dimness and haziness of sight, dryness of mouth and throat, thirst, and loss of appetite. She remarked that her breasts were sore, and that there was a disagreeable smell proceeding from them. On examination I found that she had two filthy sodden plasters on her breasts. When these were removed the skin presented a well-marked pustular eczematous condition over the area covered by the plasters, from which a very offensive odour of decomposing matter emanated. Over the arms and forearms on both ex- tensor and flexor surfaces and over the front of the knee- joints, the lower fifth of the thighs, and the upper fifth of the legs there was a rash of a distinctly urticarial type, attended with considerable itching. The pupils were wiidely dilated. The breasts were ordered to be bathed with hot water, and then smeared over with vaseline. I saw the patient on March 3rd, and found all the symptoms quietly subsiding. Amongst the frequenters of out-patient departments it is no unusual thing to see these offensive plasters on the breasts. Far more efficacious and cleanly applications are the liniment or the extract of belladonna rubbed up with I Soci6t6 FranSaise d'Ophtalmnologie. Compte Rendu. Sixi?me Session. 7
Transcript
Page 1: MEMORANDA, - BMJ · 2008-12-31 · he was sweating profusely. and abunidant sudamina were present oii tlhe trunk anid extremities. All the largerjoints weretender, lhot, anid swollen.

May 16, 1891.] THE BRITISH MEDICAL JOURNAL. 1067

(3) to ensure thle men wearing straw hats as muchl as possiblein the sun.Treatment.--Conducted oIn tlhree principles: (A) To destroy

malarial poisoII, antiperiodics-- (1) quinine; has direct influ-ence on malaria; (2) sodm salicyl.; antiseptic, antipyretic,and useful in rheumatism; (3) liq. arsenicalis; antiperiodic.(B) P'urificationi of blood by oxidising the organic poisons-(1) chllorine; -gias lel(d in solutioin and obtaine( by action ofhydroclhloric alci(d oI Cl(hl)rate ofpotassiumr; (2)potassium iodide(3) saline purgatives, to remedy constipation and free theintestines of l)t()maines, etc. (C) Tonic and alterative-(1) quinine, mineral acids, andl stryclhnine; (2) arseni,estrychnine, and (qtiassia; (3) iron and strychnine.The (lise-se realdly (d(1f(s all kinds of trettmnent. The plan

wlhieh lhas offered some signs of success is to give large dosesof quiniine (20 to 30 grains) (luriig the remission, and repeatit in decreasing (oses; arsenic and iodli(de of potassium, indoses of 10 grains three or four times (laily, slhould be com-menced early. I lha(d great lhopes that the chlorine waterwould lhave prove(l useful, and gave it liberally in severalcases, but it was a hopeless failure. Tlle one efficient remedyis cha,inge of climate.

MEMORANDA,MEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATHOLOGICAL, ETC.

LATEIAL DEVIATION OF THEI TONGUE.POINTING of the tongue to the right or left is so generallyrecognised as a symptom in paralytic seizures, that I thoughtit miglht be wvortlh whlile to note dowvn all cases of illnessattended during a certain period of time where deviation fromthe central line vas observed. Of notes of 300 cases of illness takenduring that time, I find that the percentage of deviations intwo quite different sets of patients wvas ideentical. 40 instancesbeing observed, or abouit 13 per cent. of the whole. In 25 ofthese the tongue pointed to the righlt, in 15 to the left, forthe most part to a marked degree. In eight instances thepatients had lhad, or were subject to, epileptic seizures. Fourcases were chronic alcoholics. I could not traces any connec-tion between the deviation of the tongue and the use of eitherhand. F. R1.OWLAND HuMPni Evs, L.R.C.P.Lond.Haverstock } till, N.AV.

TREATMIENT OF SOMIE FONRIS OF CORNEALOPACITIES B-Y RUBBING.

THE methods of treating corneal opacities are numerous, alllhaving the same aim, that is, of mechanically removing orthinniig the opaque corilea. None of these methods, hiow-ever, can be re(garded as satisfactory, anid if any improvementbe effected by their uise, it is usually very slow in coming,aind a patient with an otlherwise sound eye has difficulty ingetting goo(d vision owinig to a small blot in the way.

Ont reading Costomiris's1 attempt to revive the treatmentof affections of tlle cornea, particularly opacities, by licking,it occurred to mne that as fewv could be iniduced to undertakesuch a task, an artificial tongue in the shape of an ordinaryindia-rubb)er pencil eraser, might serve the same puirpose.I accordingly adopted the followiing method.Having first anmestlhetised the eye with cocaine, I gently

rubbed the opaque portion of the corniea with the roundederid of a rubber eraser for about half a minute or less. Nopressure was used; the weight of the rubber itself gave suffi-cient pressure for the purpose. This " ruibbing " was repeatedevery second (lay for a considerable period with satisfactoryresults, as will be seen below.The first case in wlich the treatment was tried was that of

AI. McK., aged 24. hIas had central nebule in both eyes " foryears." march lltl, r. v. = 3%-, 1. v. = < partly. Both eyessubjected to the treatmnent. March 18th, r. v. 1. v. =Marchl '25th., r. v. = , 1. v. = T,"T partly. April 1st, r. v. =1. v. =bha rely. Juine 2rid. r. v . ,, 1. v. =. Treatmentwas then stopped. On seeing the patient six weeks after shestill retainied the same improved vision.

The next case was that of M. R., aged 10. Has a largenebula in right eye and a central nebula in the left eye.Treatment commenced on March 24th, r. v. = fingers at 7 feet,1. v. = . April 3rd, r. v. = fingers at 7 feet, 1. v.-c.April 6th, r. v. = fingers at 7 feet, 1. v. = partly. April25th, r. v. = dimly, 1. v. =% barely. May 10th, r. v.1V = w¢2 Treatment then ceased. Neitlher of the twopatients attended regularly. A third made simiilar imnprove-ment. A fourth showed no improvement, but this was subse-quently found to be due to a diseased fundus.

I would recommend this method of treatmenit as suitablefor cases in which small central nebuls interfere witlh vision.It might, however, be tried in cases where larger portions ofthe cornea are affected, but great improvement in visioIn can-not be expected in such cases. The opaque spot should begently stroked or rubbed with the least pressure possible.Vigorous rubbing will only irritate the eye unnecessarily; Adrop of a weak solution of atropine might with advantagebe instilled into the eye after each application of the rubber.

It might perhaps appear premature oIn my part to bring tonotice the results of a few cases only, but as suitable materialhas been slow in coming, I thought that possibly those wholhave large clinics might like to try this novel treatment.Aberdeen. GEORGE FERDINANDS, M.D.

CASE OF SUDDEN AND UNEXPECTED DELIVERY 1NTHE ERECT POSTURE.

THERE beiing only a limited number of cases of sudden andunexpected delivery in the erect posture on record the fol-lowing case is perhaps worthy of mentioin:

S. D., aged 21, who had previously, after a lingering labour,given birth to oine child, was recently visiting a friend, whenshe felt a sensation of giddiness. She therefore left andstarted oI her way home. Having walked fifty yards a suddenpain in the abdomen was experienced; the paini was so acutethat she retired to a neighbouring outhouse. She had nosooner arrived there than she gave birth to a full term malechild. The child fell headfore?most on to the stone floor. Thefall was broken by tlhe cord, the cord was ruptured, and nohlemorrlhage occurred; thle cllild sustained no injury, not evena bruise being apparent, and is still alive (two montlhs afterthe occurrence). The mother walked back to her friend'shouse, and lhas m,rle a good recovery.There lhad been a miscalculation of two monthls in this

case of the probable date of parturition, and the mothler hadno idea of the cause of the pain until the child fell from her.

E. HUGH SNELL, M.B., B.Se.Lond.,Obstetric House Surgeon to the Queen's Hospital,

Birmingham.

POISONING BY BELLADONNA PLASTEIZ.MRs. WV., aged 23 years, was confined four months ago. Thebaby was nursed till three months old, when it was thoughtadvisable to " dry the breasts." The patient applied bella-donna plasters to the breasts, and she was told not to inter-fere with them till they fell off of themselves. Being on avisit to friends and not feeling well, she was brought to seeme on February 28tlh. She was very pale and amnemic, com-plaining of frontal headache, dimness and haziness of sight,dryness of mouth and throat, thirst, and loss of appetite.She remarked that her breasts were sore, and that there wasa disagreeable smell proceeding from them. On examinationI found that she had two filthy sodden plasters on her breasts.When these were removed the skin presented a well-markedpustular eczematous condition over the area covered by theplasters, from which a very offensive odour of decomposingmatter emanated. Over the arms and forearms on both ex-tensor and flexor surfaces and over the front of the knee-joints, the lower fifth of the thighs, and the upper fifth of thelegs there was a rash of a distinctly urticarial type, attendedwith considerable itching. The pupils were wiidely dilated.The breasts were ordered to be bathed with hot water, andthen smeared over with vaseline. I saw the patient onMarch 3rd, and found all the symptoms quietly subsiding.Amongst the frequenters of out-patient departments it is

no unusual thing to see these offensive plasters on thebreasts. Far more efficacious and cleanly applications arethe liniment or the extract of belladonna rubbed up withI Soci6t6 FranSaise d'Ophtalmnologie. Compte Rendu. Sixi?me Session.

7

Page 2: MEMORANDA, - BMJ · 2008-12-31 · he was sweating profusely. and abunidant sudamina were present oii tlhe trunk anid extremities. All the largerjoints weretender, lhot, anid swollen.

1068 THE BRITiSH MEDICAL JOURNAL. [MIay 16, 1891.

glycerine, the breasts to be carefully bathed with hot waternight aindi morning. In cases of pleurodynia and myalgiathese applications, wheni rubbed into the skin, besides beingcleaner, give more immediate and permanent relief than theplaster on account of the accompanying massage.

P. RHYs GRIFFITHS, B.S., MI.B.(Lond.),Medical Officer to Out-Patients, Cardiff Infirmar

R E PO R T SON

MEDICAL & SURGICAL PRACTICE IN THE HOSPITALSAND ASYLUMS OF GREAT BRITAIN, IRELAND,

AND THE COLONIES.

TIIE SALOP INFIRMARY.C0ASFH' OF ACUlTE RtHEU-MATIS31 WITH HYPERPYREXIA: RECOV"ERY.

(Under the care of EDWARD BURD, M.D.Cantab.)R. D. ae(r.d (,) a tailor. was admitted on August 19tlh, 1889.His previous history was good. On August 9th he was seizedsuddenly witl pains ini the legs and tle front of the clest. OnAugust 8tlh profuse sweating had occurred, and within the nextfew days lhis ankles anid knees became painful and swollen.He had also some diarrhlea and was delirious at night.

On-i admission the temperature was 103.40 F., the pulse 98-he was sweating profusely. and abunidant sudamina werepresent oii tlhe trunk anid extremities. All the larger jointswere tender, lhot, anid swollen. Cardiac dulnless was normal;there wvas a soft systolic murmur at the apex, anld scatteredpericardial friction over the whole cardiac area. The lungsand abdomen were normal. There was nio albumen in theurine. Salicylate of soda in doses of 20 grainis every fourhour,i vas ordered, andi the joints were enveloped in cottonwool. A blister had been applied before admission over thecardiac recion.

OnI Aug,ust 20tlh the temperature wvas 104.1°. Antipyrii,gr. xv, was given, the temperature falling onie (legree in conse-quence. The patient Inot having slept, morphine gr 1, wasadministered lhypodernmically at intervals of four hours, butfailed to produce sleep.On Auoust 21st and 22nd the temperature raniged between

1020 anid 1030, the, pulse from 112 to 120. Four ounces ofbr.aidy were ordered. Tle antipyrin was repeated, but didlnotreduc tVie temperature, nor did increased doses of morphinegive sleep. Three doses of chloral of 30 grains each lhad asimilar neg,ative result.

Onl August 23rd the temperature w-as 1040. Tle patientiwasdelirious and vilent. The branidy was iniereased to 8 ounces.On Auguist 24th the temperature in the morning" was 1003,

the pulse 112. Muscular twitching was present. During theday three doses of paraldeliyde, E xxx, at intervals of threehours, were given without produicingi sleep. At midnight onAugust 24th thie temperature was 104.80. (Quin. sulph., gr. x,was given, and ani ice cap applied. Ilalf ani ounce of brandywas ordered every lhour.On Aug-ust 25tlh, 6 P.ir., the temperature was 100.20; low

muttering,, deliriuim, withl much restlessness, was present.Repeated doses of morphine failed to cause sleep. The tem-perature at midnight was 105°. Antifebrin, gr. v, was given,followed by two hours' sleep, but no fall in temperature. Therewa.s incontinencee of urine and faeces.On August 26th, at 2 P.M., the temperature, after quin.

sulph. gr. x, was 104°: at 5.0 A.M. the teinperature was 10G°.Antifebrin, gr. x, was given, but the temperature rose to107.80. The patient was niow comatose, occasionally con-vulsed, cyanosed, and pulseless. lie was packed in sheetswet withl ieed water, constantly renewed. The temperaturesteadily fell 20 per hour until at midday it was 101.20, whenth-e ice pack was discontinued. As the temperature fell, con-sciousness returned, and by 1.0 P.M. the patient expressedhimself as better, though some delirium still remained. Fromthis time he improved steadily, but insomnia continued, inspite of 20-grain doses of sulphonal.Eleven days after admission, however (temperature 99.10),

the patient slept four hours after morphine gr. J. On Septem-

ber 7th a faint systolic murmur could still be heard at theapex, but, on September 18th, the heart souLnds were nornmal,and the patient was quite convalescent.REMAIRKS nY DR. BURD.-The chief points of interest about

this case seem to be the persistence of the insomnia and tllepowerlessness of drugs in some conditions to reduce tempera-ture. Tlle first point is best, shown by tabulating the hypno-tics given and the sleep obtained therefrom.

Moderate doses of morphinie ... no sleep.Chlor. hyd., 3 doses of 30 grs. ...Paraldehyde, 3 doses of 30 min.MAorphine, -.- gr. ... ... ... 2 hours' sleep., gr. ... ... ... no sleep.

Sulphional, 3 doses of 20 grs.Mlorphine, - gr. ... ... ... 2. hours' sleep.g,gr. ... 1hour's sleep.

, ;-

gr. (twelfth day) ... 4<5hours' sleep).

Total ... ... 10 hours' sleep.Witlh regard to the hyperpyrexia, this affords another in-

stance of the uselessness of drugs in hyperpyrexia-at allevents in the case of acute rheumatism. Dr. Julius Pollockhas justly remarked: "It is unfortunate in this condition,where most we want its aid, salicylate of soda, tlhouglh ori-ginally introduced as an antipyretic, should enitirely fail, norcan I say much of the otlher reputed febrifuges." As is usualin suchl cases, the hyperpyrexia was preceded by the nervoussymptoms, and lhence is probably not the cause of such1 synm-ptoms. The cause may be, as Dr. Andrew has sug-gested, some defect of elimination of morbid material bythe skini, ride the copious eruption of sudaminia at one periodand at another the extreme dryness of skin attendinig theonset of nervous symptoms. It is interesting to observe, also,that the attack occurred during a spell of extremely lhotweather in August, rheumatic lhyperpyrexia apparently oc-curring most frequently at such times, or at any rate in con-nection with a high external temperature. I amn certainlyinclined to think that a mistake was made in not resortin(gearlier to the cold pack.For the notes of the case I ain muclh indebted to Air. J. F.

Harries, late house-surgeoin to the infirmary.

REPORTS OF SOCIETIES.ROYAL MEDICAL AND CHIRURGICAL SOCIETY.

THURSDAY, MAY 7TH, 1891.TIMOTHY HOLMES, M.A. Cantab., President, in the Chair.THE XVALUE OF TUBERCULIN IN SURGICAL TunERclTLOSIS.

THIS was a special meeting for the discussion of Mr. AVatsonCheyne's paper on the value of tuberculin in the treatmentof surgical tuberculosis, which was read at the last ordinarymeeting of the Society on Tuesday, April 28th.Mr. BARWENILL, who had moved the adjournment of the

debate, compared the cautiousness of AMr. Watson Clheyne'spaper with the exaggerated accounts which lhad been origin-ally or previouslygiven'forth of the value of this drug. He thenexamined ATr. Watson Chevne's conclusions. First, wvitlh regardto the reaction. The pyrexia and the alarming symptoins weresverysimilar to thosewwhichresulted from a dose of sepsin, whichwas followed by albuminuria, enlarged spleen, purpura, and Xsallow tinge of skin. Koch's fluid was not, hlowever, merelysepsin, but contained also peptones, extractives, and about1 per cent. of an alkaloid. This alkaloid was probably aptomaine allied to sepsin, and was very poisonous. It wasmanufactured in the culture medium by the growtl of thetubercle bacillus. Tlhere was no means known as yet ofequalising the quantity of this alkaloid in Koch's solution,and this might account for the alarming symptoms whzichloccasionally supervened. If small doses were employedtolerance was produced to the impairment of its eflicacy.When a wound became septic there were certain alterationswhich occurred in the granulations, suclh as drying up orshrivelling, or else an overgrowth of them, or they becameabsorbed. Mr. Watson Clheyne's plhotographs of sections hadshown tuberculous granulations undergoing alteration by in-filtration with leucocytes, and he wished to know if otlher

Page 3: MEMORANDA, - BMJ · 2008-12-31 · he was sweating profusely. and abunidant sudamina were present oii tlhe trunk anid extremities. All the largerjoints weretender, lhot, anid swollen.

THE BRITISH MEDICAL JOURNAL.

ASSOCIATION INTELLIGENCEILIBRARY OF THE BRITISH MEDICAL

ASSOCIATION.MEMBERS are reminded that the Library and Writinig Roomsof the Association are niow fitted up for the accomodation ofthe Members, in commodious apartments, at the Offices ofthe Association, 429, Strand. The rooms are open from 10A.M. to 5 P.M. Members can have their letters addressed tothem at the Office.

NOTICE OF QUIARTERLY MEETINGS FOR 1891.ELECTION OF MEMBERS.

MFFTINGS of the Council will be lheld on July 8th and October21st, 1891. Candidates for election by the Council of theAssociation must send in their forms of application to theGeneral Secretary not later than twenty-one days before eachmeeting, namely, June 18th and September 30th, 1891.Any qualified medical practitioner, not disqualified by any

by-law of the Association, who shall be recommended aseligible by any three members, may be elected a member bythe Council or by any recognised Branch Council.Candidates seeking election by a Branch Council slhould

apply to the Secretary of the Branch. No member can beelected by a Branch Council unless his name lhas been in-serted in the circular summoning the meeting at wlhich lieseeks election.

FRANCIS FoWKE, General Secretary.

GRA.NTS FOR SCIENTIFIC RESEARCH.THE Scientific Grants Committee of the British MedicalAssociation desire to remind members of the profession en-gaged in researches for the advancement of medicine and theallied sciences, that they are empowered to receive applica-tions for granits in aid of such research. Applications forsums to be granted at the next annual meeting should bemade without delay to the General Secretary, at the office ofthe Association, 429, Strand, W.C. Applications must in-clude details of the precise clharacter anid objects of the re-search whiclh is proposed.One of the two scienitific schlolarslhips of the value of £150

per annum, tenable for one year subject to annual renewal bythe Council, will shlortly fall vacant. Thle Scienitific GrantsCommittee are prepared to receive applications addressed tothe General Secretary stating the particulars of tire intenidedresearch qualifications and wvork done.Reports of work done by the assistance of Association grants

belong to the Association.Instruments purchased by means of granits must be return-

ed to the General Secretary on the conclusion of the researchin furtherance of whielh the grant was made.

BRANCH AIEETINGS TO BE HELD.

METROPOLITAN COUNTIES BRzA1SCH.-Th1e thirty-ninth 'annual generalmneeting of the Metropolitani Counties Iriancl will be hield att thle HIolbornRestauiranit on Tuesday, Junie th, at 5.30 P.M. It. RADCLIFFE CROCKER,M.D.. 121, Harley Streett, X.; A',I)REW ('LARK, F.R.C.S., 71. Harley Street,W., Honorary Secretaries.

METROPOLITAN (COUNTIES BRANCH : EAST LosNDoN AND SOUTH ESSEXDISTRICT.-Tlhe anllnual miiecting for tile electioni of officers will take placeat the Royal Fouest Hotel, ('llincford on Thursday, June 4th. at 6 P.A.At 6.15 the members anid their 7riends will dine togetlrer. Sir XV. MacCormac, President of the Branch. will preside, and will be supported bySir Guyer Huniter, K.C.IM.G., M.D., M.P., and a large nurrrber of pastpresidents. The diinner vill be followed by a smoking concert. Tickets7s. 6d. each; inorniing dless. Members intendingto be p resenit are re-quested to comllllrniieate with the Ilolonoary secretary as early as possible,but not later thaln Saturday, May 20th.-J. W. HUNT, Honiorary Secretary,101, Queen's Road, Dalston, N.E.

MIIDLAND BRA'NCH. Tlie allnlual meeting will be ield at Derby on Thurs-day, June istli. MIelnbers (I(rous of reading papers, etc., are requestedto communicate ilefore MIonday, Junie 1st, to W. A. (CARLIN-E, M.D., Honor-ary Secretary, Linlcoln.

MIDL!AND BRANCf: N\OTT.- DISTRICT.-A mecting of tlis District will beheld at the General ihospital, Nottingham, on Friday, May 22nd, at3.30 P.M., for the puirpose of nominating a President-elect for tlhe Br-ancli.'The following pal,ers will le resd :-D-. Stewart: Tle Tuning Fork in Dia-

gnosing Deafness, with case. Dr. Cattle: Suppurating Hydatid burstingthroughthe Lung. Dr. W. B.Ransom: Cases of Hysteria treated by Sugges-iton. Dr. Michie: Case of Intestinal Resection forTumourof SmallIntestine.Dr. Handford: The Treatment of Typhoid Fever-Antipyretic or Anti-septic? Pathological specimens will be exhibited by several members.Tea and coffee will be provided.-H. IIANDFORD, M.D., Honorary Secre-tary, 14, Regent Street, Nottinglham.SOUTH MIDLAND BRANCH.-Tlhe anniual meeting of tllis Br-anchl will be

held at Cambridge, in econljunction witlh the Cambs and Hunts anid EastAnglian Branches, on Tlhursday and Friday, June 18tl and 19tlh.-C. J.EVANS, Hlonorary Secretary.

STAFFORDSHIRE BRANCH.-The third general meeting of the presentsession will be lheld at tllCBell Medical Library, Cleveland Road,Wolver-hampton, on Tlhursday, May28th, at 3 P.m.-GEORGE RICH, HonorarySecretary, St. Mary's Road, Stafford.

EAST ANGLIAN BRANCH: ESSEX DISTRICT.-ThlC iiext meeting of themembers of the Essex lDistrict anid their friends will be heldc at theWlhite Hart Inn, Brentwood on Thursday, May 21st, at 2 P?.M. The trainleaving Witham at 12.9, and (Chelinsford at 12.27, will stop at Brentwoodfor the convenience of Ilembers wishing to attend the meeting. Pro-gramme and business agenda: To arrange tIre place and date of the niextmeeting. To elect an Honorary Secretary for 1891. " Reformn of the In-patient Departments of Medical Charities," motions proposed by Dr.Rentoul at the last aliniial meeting (BRITISH NIEDICAL. JOURNAL, July26th, 1890, p. 246). "Medical Defeniee Union," the Honorary Secretarywill give a slhort accouint of tlle progress and work of the Uniioni dturingthe past year. The following papers lhave been promiiised: Dr. W. E.Steavenson (London): On the ('loice of a Ilattery, aild its Use in G;eneralPractice. C. B. Keetley, F.R.C.S.Eng. (Lonidon): On tlre Inidicationis forSurgical Interference in somiie Comiimon Affections of the IIead and of theAbdomen.-C. E. A1BOTT, Honorary Secretary, Braintree.

EAST ANGLIAN, SOUTH MIDLAND, AND CAMIIS AND HII'NTS BIRAN(HEaS.-A combined meeting of tlle above Branclhes will be held at CambridgeOIi Tlhursday anld Friday, June 18tlh anid lith.SOUTH-EASTERN BRANCH: EAST SUSSEX DISTRICT.-Tlle next meeting

of this District will be held at tlle Palace Hotel, Hastings, on Thursday,May 28th, at 3.30 v.ar. Dr. Spencer will preside. Dinner at 5.30 P.M., cliarge6s., exclusive of wine. Gentlemen who desire to read papers or showcases should communicate, without delay, with the Honorary Secretary,T. JEN-NER VERRALL, 97, Mlontpellier Road, Brighton.

SOUTH-EASTERN BRANCH: WEST KENT DISTRICT.-The next meeting ofthis District will be held at tlle Hlospital, Gravesend, on Thursday, May28th, at 4 P.M., Mr. 0. R. Richmond, in the chair. The dinner will takeplace at the Old Falcoil Hlotel, at 6.15 P.M. ciharge, 6s. (id. (exclusive ofwine). To facilitate tle arranigements, gentlemen who intend to dine are

particularly requested to signify their intention to the Clhairman, Mr.0. R. Ricluinlond, The Grange, Gravesend. iiot later thanl Tuesday, May25th. All memiibers of the South-Eastern Branch are entitled to attend thismeeting and to introduce professional friends. C'omnmunications:-Mr.G. Hartridge: Iinjuries of tlle Eye and their Treatmiient. AMr. R. Bryden:A Case of Acute Glossitis. Mir. A. Boyce Barrow: Some Diseases of theRectum. Dr. Firth: A Case of llamoptysis.-A. W. NANKIVELL, Hono-rary Secretary of the District, St. Bartholomew's Hospital, Rochester.

GLOUCESTEIRSIIRE BRANCii.-Tlie annual meeting will be lheld at theQuecln's Hotel, (Cheltenham, on Tuesday, May 19th, at 4.30 P.ar., unider tlhepresidency of Dr. Watters. The dinnier will take place at 6 P.M.; tickets(is. each. Agenda:-1. To receive balance slheet. 2. To elect two secre-taries for 1892. 8,. To elect a represenitative on the Counicil of tile BritishAMedical Association, and onie oni tile Parliamentary Bills' Committee. 4.Declaration of the result of the voting papers for officers for 1891-1892. 5.To consider a letter from the Britislh Mledical Association on the subjectof Dr. Rentoul's motions oin liospital and dispensary administration. 6.By invitationi of the Council, a deIllnostration of tire Ling System ofGymniastics as applied in the treatment of Medical aiid Surgical Diseascswvill be giveni by Mr. D. von Brun, C'heltenlram.-G. ARTHUR(CARDEW,Honorary Secretary. _

ABIERDEEN, BANFF, AND KINCARDINE BRANCH.-An ordinary genieralmeeting of the Branch will be held in 1, Crown Street (Milne's Librar'y),on Wecdnesday, May 20th, at 8 o'clock P.M. Business: 1, Minutes; 2 (a)Exlhibition of Large Renal Caleulus, (b) Specimens of AnchylostomataDuodenale under the microscope, (c) Photograplrs of some InterestiilgCases, by Dlr. Irvine K. Reid, G;overnment Medical Officer, British Guiana -

3, Case of Supposed Tumour- of Brain with recovery: exhibition of patientby Dr. Rose: 4, Some Notes on Cases of Meningitis, by Dr. Macgregor; 5,Laminated Epithelial Plug (Keratosis Obturans) removed from tire Ex-ternal Auditory Meatus, by Dr. Mackenzie Booth.-C. T. URQUHART, Hono-rary Secretary. _

MELBOURNE AND VICTORIA BRANCH.THE ordinary monthly meeting of this Branch was held on

February 18th, 1891, in the hall of the Medical Society. ThePresident, Dr. SHIELDS, occupied the chair, and there was a

large attendance of members.ATew Members. The minutes of the special general meeting

(January 2nd, 1891) having been read and confirmed, thePRESIDENT announced that the following fifteen gentlemenhad been elected members of the Branch:-1)rs. J. H. Wehb,P. J. Loosli. F. W. Morton, .J. Amess, A. AN'. Rinder, J. H.

I

1094 [,NIay 16, 1891.

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MaeTILL' BRITH MD )I(ALIJOURNA L.

Courtenay, F. (G. Hamilton, A. B. Bennie, G. Shirres, A.S. Aitchison, E. K. Overend, A. W. Crooks, H. E. Astles, W.L. Mullen, A. WN. F. Noyes. He said there were now 169members oIn the roll.Dr. Koch's Fluid. lThe question was considered whether

anly restriction, and if so of what nature, should be placedupon the use of inoculation by fluid from, or alleged to be from,P'rofessor Koch's laboratories.-Dr. MULLEN moved : " Thatin view of the fact that the medical remedy known as Koch'slymph, or tuberculini, is a powerful poison, and that unto-ward results are likely to follow its indiscriminate use, thisSociety respectfully requests the Pharmacy Board to take thenecessary steps to have the lymph included in the scheduleof poisons."' D)r. BARRETT seconded tlhe motion.-Dr. GRESS-IWELL, chief medical adviser to the Board of Health, said thatin dealin1g with such a remedy it was necessary that every

precaution should be taken, and he had, therefore, pleasurein supportiing the resolution.-Dr. HENRY thlougllt it wouldbe Unwise, to attempt to restrict the use of the lymph any

further thani had been suggested in the motion. Throughtlhe, press lie thought tlhe public in the colony had had, per-

Iaps, better opportunities of judging of its value than the massof the people of Great Britain, for in Victoria there was a

superior method of educationi. He supported the motion.-Dr. (. A. SYME did not see that the sale of the lymph couldbe in any way restricted, although his opinion was that itssale ought to be restricted. A committee ought to be ap-

pointed by tlhe Societies or the Government to conductfurthler experiments in the colony, and especially to see

whether the lymph imported retained its original properties.He thioroughily supported Dr. -Mullen's motion.-Dr. HOOPERasked, first, if there was any precedent as regarded othercountries for this measure of lhaving the lymplh classified as a

poisonl. It was a step which miglht form a precedent.-Dr.AMULL1JN stated that in Vienna they lhad taken restrictivesteps against the use of the lymph. In France they were so

p).articular as to lhow it was used as to render its applicationalmost prolhibitive; in fact, there had been great difficultyin getting it admitted across the border from Germany, on

account of its dangerous clharacter and the want of knowledgeconcerning its composition. Although notlhing had certainlybeen done in England, thlat, wvas no reason why Victoria shouldnot t.ake actionl. The resolutioin, if passed, would have atleast the effect of checking tlhe unirestricted sale and importa-tionl of tlhe lymph. It was diflicult to see wvhat more could bedone. Other mea,isures, supposing this one were passed,inight be (colsidered--ineasures binding members of the13raneh, if not binding to general practitioiners. Everymedical maln w,as primai focie fit to use the remedyMoral suasion would not lhave much effect beyond themembers of the Branch. The discussion was continued)y Dr. BRETT, the CHAIRMAN, Dr. NEILD, Dr. HAIG,anld Mr. CANDER, tlhe district coroner, after whiich the mo-

tion1 was put aind carried unianimously.-Dr. GRES5WELL, inorder further to test tlle feeling of the meeting, moved:"'That this Branch recommend that persons inoculated withlymph which is, or wllichl is alleged to be, Koch's, or which ismanufacturedl in the way in wlhicel Koclh states he prepareshiis lymph, shiould be in charge of at least two medical practi-tioners, and that full details of the case should be recorded inthe form of a report to the Board of l'ublic Health."-Dr.NIETLD seconded the motion.-Dr. BRETT moved, as an amend-ment: " That the wor(ds ' Board of Healtlh' be omitted." Hesaid that the inembers of the Board of Health wvere not medi-cal men, ani(l the menmbers of the profession ought not to berequired to report to them on such cases, but they could sendif necessary, reports to the medical journals, or to the Branch.--Dr. IIOOPER seconded the amendmeiit.-Dr. GRESSWELLsaid he would be prepared to suibstitute " a Committee of theCouncil of the BIritish Medical Association with the Com-mittee of the Victorian Medical Society."-Dr. HENRY said itwas Inot at all necessary that medical men should be placedunder patriarchal restrictions. He would be very sorry to seea resolution of this kind passed.-Dr. BARRETT also objectedto a resolution of a binding character being adopted, but ap-proved of the suggestion that there should be two doctors insuch cases.-After discussion by Dr. MULLEN, Dr. KENNY, Dr.FETHERSTON, Dr. NEILD, Dr. TALBOT, and Dr. ASTLES, Dr.BARRETT proposed that, in place of the words omitted, the

words "through the usual medical channels, for example,either at society meetings or in the journals," be inserted.-After some furtlher debate, Dr. GRESSWELL consented to Dr.BARRETT'S amendment, and the motion, as amended, wascarried unanimously.Proposed Amalgamation of the Branch wvith the Medical Society

of Victoria.-The CHAIRMAN stated that the Medical Societyof Victoria had taken the initiative with respect to the amal-gamation of the two societies, and gave an account of thenegotiations which had been carried on between them withthat view.-After a prolonged debate, in whiclh 1rs. BARRETT,KENNY, NEILD, HENRY, H. F. LAWRENCE, SYME, HAIG, BRETT,COBB, and HOOPER took part, the sense of the meeting wasfound to be against the proposal, and the question was accord-ingly declared by the CHAIRMAN to be dismissed. [An officialnotification to that effect has been received by the GeneralSecretary of the British Medical Association from the Hono-rary Secretary of tlle Melbourne and Victoria Branch.]

BRITISH M.EDICAL ASSOCIATION.FIFTY-NINTH ANNUAL MEETING.

THE fifty-ninth Annual Meeting of the British Medical Asso-ciation will be held at Bournemouth on Tuesday, Wednesday,Thursday, and Friday, July 28th, 29th, 30th, and 31st, 1891.

President: WILLOUGHBY FRANCIS WADE, B.A., M.B., F.R.C.P.,J.P., Senior Physician, Birmingham General Hospital, 27Temple Row, Birmingham.

President-elect: JOHN ROBERTS THOMSON, M.D., F.R.C.P.,Consulting Physician, Royal Victoria Hospital, Bourne-mouth, Monkehester, Bournemouth.

President of the Council: WITHERS MOORE, M.D., F.R.C.P.,Consulting Physician, Sussex County Hospital, Burgess,Hill, Sussex.

Treasurer: HENRY TRENTHAM-r BUTLIN, F.R.C.S., Assistant-Surgeon to St. Bartholomew's Hospital.An Address in Medicine will be delivered by THos. LAUDER

BRUNTON, M.D., F.R.S., Lecturer on Materia Medica andTherapeutics at St. Bartholomew's Hospital, London.An Address in Surgery will be delivered by JOHN CHIENE,

M.D., F.R.C.S.Ed., Professor of Surgery at the University ofEdinburgh.An Address in Public Medicine will be delivered by EDWARTD

Cox SEATON, M.D., Lecturer on Public Health at St. Thomas'sHospital, London.The scientific business of the meeting will be conducted in

nine Sections, as follows, namely:A. MEDICINE.-President: P. H. PYE-SMITH, M.D., F.R.S.

Vice-Presidents: WILLIAM GEORGE VAWDREY LUSH, M.D.;THOMAS BARLOW, M.D. :Honorary Secretaries: WM. FRAZER,M.D., "Elmhurst," Madeira Road, Bournemouth; H. MON-TAGUE MURRAY, M.D., 27, Savile Row, W.

B. SURGERY.-President: JOHN WARD CoUsINS, F.R.C.S.Vice-Presidents: J. D. G. DOUGLAS, M.D.; WM. WATSON CHEYNE,F.R.C.S. Honorary Secretaries: A. GUNTON TURNER, M.R.C.S.,"Holmwood," Bournemouth; A. A. BOWLBY, F.R.C.S, 43,Queen Anne Street, W.

C. OBSTETRIC MEDICINE AND GYNAECOLOGY. President: W.J. SMYLY, M.D. Vice-Presidents: ALLAN AMcLEAN, M.D.; A.H. G. DORAN, F.R.C.S. Honorary Secretaries: H. A. LAWTON,M.R.C.S., 74, High Street, Poole, Dorset; IONTAGu HAND-FIELD-JONES, M.D., 35, Cavendish Square, W.D. PUBLIC MEDICINE.-President: J. BURN RUSSELL, M.D.

Vice-Presidents: H. F. PARSONS, M.D.; JOHN COMYNS LEACH,M.D. Honorary Secretaries: C. H. W. PARKINSON, M.R.C.S.,Wimborne Minster; P. W. G. NUNN, L.R.C.P., "MAaplestead,"Christchurch Road, Bournemouth.E. PSYCHOLOGY. President: P. MAuiRY DEAS, M.B. Vice-

Presidents: HENRY JOHN MANNING, M.R.C.S.; D. NICOLSON,,M.D. Honorary Secretaries: P. W. MACDONALD, M.D., DorsetCounty Asylum, Dorchester; WILLIAM HABGOOD, M.D., Bel-mont, Sutton, Surrey.

F. PATHOLOGY.-President: W. HOWSHIP DICKINSON, M.D.Vice-Presidents: KINGSTON FOWLER, M.D.; W. RUSSELL, M.D.Honorary Secretaries: W. G. SPENCER, M.B., 35, Brook Street,

MaIy 16. 18'31.] 10,95

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1096 THE BRITISH MEDICAL JOURNAL. [May 16, 1891.

Grosvenor Square, W.; E. HYLA GREVES, M.D., RodneyHouse, Poole Road, Bournemouth.G. OPHTHALMOLOGY. - President: N. C. MACNAMARA,

F.R.C.S. Vice-Presidents: RZOWLAND W. CARTER, M.D.; MALCOLM M. MCHARDY, F.R.C.S.Ed. Honorary Secretarie8: J. B.LAWFORD, M. 1)., 55, Queen Anne Street, W.; BERNARD SCOTT,M.R.C.S., " Hartington," Poole Road, Bournemouth.

I-I. DISEASES OF CHILDREN.-President: J. F. GOODHART,M.D. Vice-Presidents: T. W. TREND, M.D.; T. B. ScoTT,M.R.C.S. Honorary Secretaries: SIDNEY PHILLIPS, M.D., 62,Upper Berkeley Street, W.; DENNIS C. EMBLETON, L.R.C.P.,"St. Wilfred's," MIichael's Road, Bournemouth.

I. THERAPEUTICS.-President: WM. VICARY SNOW, M.D.Vice-Presidents: SIDNEY COUPLAND, M.D.; A. G. BARRS, M.D.Honorary Secretaries: CHRISTOPHER CHILDS, M.D., 2, RoyalTerrace, Weymouth; JOHN RosE BRADFORD, M.D., 52, UpperBerkeley Street, W.Honorary Local Secretary: JAMES DAVISON, M.D., "WWalder-

slow," Bournemouth.PROGRAMME OF PROCEEDINGS.

TUESDAY, JULY 28TH, 1891.9.:0 A.M.-Meeting of 1890-91 Council.11.30 A.M.-First General Meeting. Report of CouIncil. Re-

ports of Committees: and other business.4 P.m.-Sermon by the Right Rev. the Lord Bishop of

WN"inchester.8.30 P.,m.-Adjourned General Meeting from 11.30 A.M. Pre-

sident's Address.WEDNESDAY, JULY 29TH, 1891.

9.30 A.M.-leeting of 1891-92 Council.10 A.M to 2 P.M.-Sectional Meetings.

:3 P.aL.-Second General Meeting. Address in Medicineby Dr. T. LAUDER BRUNTON, F.R.S.

THURSDAY, JULY 30TH, 1891.9.30 A.M.-Meeting of the Council.

10 A.M. to 2 P.m.--Sectional Meetings.3 P.m.-Third General Meeting. Address in Surgery by

Professor J. CHIENE.7 P.M.-Public Dinner of the Association.

FRIDAY, JULY 31ST, 1891.10.30 A.M. to 1.30 P.m.-Sectional Meetings.

:i P.m.-Concluding General Meeting. Address in PublicMedicine by Dr. EDWARD C. SEATON.

SATURDAY, AUGUST 1ST, 1891.Excursions.

THE ANNUAL MUSEUM.THE MNlusennm in coninectioni witlh the fifty-ninitlh anniualmeeting of tiue Britislh Medical Association will be arrangedin the followving Sections:-SECTION A.-F-Foods an(d Drugs, including Prepared Foods,

Pharmaceutical and Clhemical Preparations, AntisepticDressings, etc. (Honorary Secretary, Mr. MacGillicuddy,Pendenniis, l3ournemoutll.)SECTION 1B.-Pathology, comprising Casts, Models, Appa-

ratus, Microscopical and Macroscopical Specimens, etc.(Honorary Secretary, 1)r. Briglht, Roccabruna, Bourne-moutlh.)SECTION C(. --Anatomy and Pllysiology, comprising Speci-

mens and Apparatus as above. (Honorary Secretary, Dr. G.Schofield, Durham llouse, Bournemouth.)SECTION D.-Surgical Appliances and Books, comprising

New Books;, Atlases, I)iagramns, Tables; MIedical and SurgicalInstruments anid Appliances, Ambulances, etc. (HonorarySecretary, Dr. Grablhanm Lys, Royal Victoria Hospital, Bourne-mouth.)SECTION E.-Sanitary Appliances, comprising Apparatus

and Appliances coninected with Sanitation, Equipment ofHouses, Publie Institutions, Hospitals, etc.; Improvementsin Drainage. Water Supply, Ventilation, Illumination, andClothing. (Honorary Secretary, Mr. W. II. L. MIarriner,Westbourie Tower, Bounrnemouth.)

Tile Secretary of the Museum will be glad to hear frommembers of the profession whlo are willing to send objectsfor exhibitioii in the Sections of Anatomy and Physiologyand Pathology. There is no hospital museum in the neigh-bourhood. (Address, MIr. George Mahomed, Astolat, Bourne-mouth.)

To Non-Professional E'chibitors.Inventors and manufacturers wishing to exhibit in the

annual Museum are invited to apply for space early to theHonorary Secretary of the Museum, Mr. George Mahomed,Astolat, Bournemouth.

The charge to exhibitors (other than members of themedical profession) will be 2s. per square foot of table spacein Sections A, B, C, D, and 6d. per square foot of floorspace in Section E, and in Section D for ambulance appli-ances.In considering applications for space the Committee will

give preference to bond fide inventions and improvements notpreviously exhibited.A Catalogue will be printed, prepaid advertisements will be

inserted in the Catalogue.

Regulations Regarding Exhibits.1. Intending exhibitors must communicate with the Secre-

tary of each Section in which they propose to exhibit.2. Communications on general matters connected with the

Museum should be addressed to Mr. G. Maahomed, Astolat,Bournemouth.

3. Intimation of proposed exhibits must be made to theHonorary Secretary before June 20tll.

3a. A brief description of each exhibit must be forwardedto the Secretary of the Section concerned not later thanJune 30th.

4. All exhibits should be addressed to the " Secretary ofthe Museum, British Medical Association, Bournemouth,"with the name of the Section for whichl they are intended.Packages should not be addressed to a firm's representativeat the Museum.

5. Exlhibits must be delivered betweeni July 15th and 21st.6. Every packet most bear a card showilng the name and

address of the exhibitor.7. The Committee will exercise every care regarding the

objects entrusted to them, but all risks and expenses mustbe borne by the exhibitor.

8, The arrangement of signs, placards, etc., will in everycase be subject to the approval of the Committee.

9. No exhibits will be received except on the understandingtllat the above regulations will be complied withl.

A. G. S. MAHOMED, MI.R.C.S.,H-lonorary Secretary Museum Committee,

Astolat, Bournemouth.

SPECIAL CORRESPONDENCE,BERLIN.

T'he New Koch Jnstitute.-Property in Prescriptions.IN last Saturday's sitting of the Prussian Diet, an animateddebate took place on the proposed annual grant of 165,000marks for a clinical and scientific Koch Institute to be afflili-ated to the CharitV Hospital. Dr. Graf, of Elberfeld, themember who on November 29th last put the question to theGovernment that drew forth von Gossler's famous speech,while admitting that the therapeutic value of tuberculin wasexceedingly doubtful, contended that its scientific importancewas of the very highest order. He quoted von Thiersch, vonBergmann and others, who were unanimous in their opinionthat the remedy should not be given up, and ended by declar-ing that it was the duty of Germany to accede to this demandof the Budget Commission. Herr Broemel said that the ques-tion under consideration was not only a medical one, but hada constitutional side as well, and Parliament was entitledto a full and exhaustive answer as to whether the proposedinstitution was necessary and useful. The words "highscientific value " did not decide the question. As to thepractical results of the treatment, taking together all that hadbeen published, the result was a decided non liquet. On theother hand the dangers of the treatment were unquestion-able. These dangers were hardly alluded to in Koch's twopublications, but there could be no doubt that in many casesthe results had been disastrous. Parliament had the fullright to inquire whether the Government had proceeded withproper caution in the matter. It would have been more forthe good of humanity if there had been less mise-en-scene andmore openness. In the useof the remedy a great want of theusual medical caution had been shown, and this was in greatpart due to the fact that the nature of the remedy had beenkept a secret. Koch himself had felt the impropriety of such

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May 16, 1891.] THE BRITISH MEDICAL JOURNAL. 1101

CIIHANGES OF STATION.THE following chanoes of station among tire ofliecrs of the Medical Staffof tire Armiiy have been. oflicially notified as lhavinig takeii place during thepast mointlh: Fromi ToDeputy Suirgeoil-GCileinalG.L.1.Hinide, Bombay ... Dover.

F. W. WNade l)Dover ... ... Woolwichl.,, ,r. IX. Warren ... WooNivicli ... Bengal.T. Walsh ... Yor-k ... ...

..Yi.Donald-sotl, MI.D. Madras ... ... York.

Brigade-Surgeon C. V. Cutif, C.B......CB Belgal ... ... Canterbury.J.. If. lhim_ries, M.D.D. ... Cork.

Surgeon--Major Ii. W. Ak. a(lakinnon, Canterburiy ... Aldeislhot.D. S.( ).

A. If. Ratin .Brnlcy ... ... Birmingham.,, '[.¢.T lllet ....... (ibrlaltar ... 5'etley.

(). .. Wood ..D Egypt ... ... Dibliin.J. JT. (;reere. M.B . ...J.. Iloysted Gib)raltar ... Dover..I. ('harile-\ortllthA. W. Brov - ova qcotia. ... Edin)buirghi.J1. P'. IttHnt M\.D. Gilbraltar ... Woolnwich.

I. . J. MILaugrllini, Birmingh-,lanm ... St. IHelena.

SurgeonI I.T. Mober Al).Portsmloutll... C. of (;d. HopeJ. II. A. 1lirode- ... Penaln .. ... Dlublin.C T'ddison Aldershot ... Netley.G. J. oat. HTIT.D13 .. Malta ... ... Cork.II HTul)ard ...bba... ... Devoinport.F.E. lestoii ... Nova Scotia ... Chathlam.[J.Relile... ... ... reublin ... Eniniskillen.

F. H.'M. Bro .B. Peston ... B.urnlev.H \A dTcoii ...oiB... oBarbadoes ... Homne Dist.

. P. rl... Ceylon ... ... NetlCy.F,F. Frevi -M.D. ... P Bengal ... ... Dublin.

CT.F MletIAHiA,... ... Gibraltar-... ... Edinbihrgli.Ci.W. J.olirisoillr MI .. Birminglaiai ... Carnarvon.S. E. Dunliucn I -altIta ... ... Netley.A. E. MouI \is D. Dublin ... ... Buttevant.W. H. Be-an ... ... Madras ... ... Netlev.J. Ir. Da1s ... lBenigal ... ... Dublini.H.J A. tlhl- ...-D b li ... ....

liatila--iy . ...... ..Di)iWin . ... ..Nvn

T. 1)a-r Bengal ... ... Teomplenirore.B. For(le H. Cork... ... Maliritins.C. W. R. flealev ... [Dublini ... ... Aldershot.IJ. W. ennings ... Chester ... ... Preston.J. F. Carter. M.B. ... Dtiblin ... ... Belfast.D. 1). Slianahan ... ... ... Cork.

QuartermIiaster C. Jolinson China... Netley.Qniartermiilaster M. hIe\vitt, appointed oni April 21st, has been posted to

Singapore.

THE MIEDICAL STAFF.STTUIFooN-S E. M. IlASSsinr) ancl F. T. WIrIXINSON, serving in the Bengalcommand, hiave leave of absence for six m-nonths on miledical certificate.

Surg-eon-MI\fajor POOL ROIiEUT GAIMETT is seconded for service on theStaff, lie having becii appointed Surgeon to Lord Wenlock, Governor ofMadras.

INDIAN MEDICAL SERVICE.SURGEON-MAToR W. A. G(rLrLIGAN, Benga,l Establishment, is appointed tothe officiatilgLmedical (barge of the 1cth Bengal Lancers, ricc Surgeon-M. .3. Ker, onli fienl servire witlh thae H1azara Expe(lition.Surgeon P. J. TLAIsDFN,, Bengal Establisfinient, is appoilted to thle tem-

porary inedical elia-i(re of the Guides Cavalry. 1,ice Surgleon-Mlajor A.Duncan, procedede ori field seivice wvitlh tire Ilazara Expedition.Snirgeon H. (;MrG.1ArF0on, BengVal Establishment. is appoiiited to the

mnedical chain e of thle 1tlh Ptnniial) Infanitry, rice Surgeoii-Major J. W'.JohnIlston, wvho has retii ed fronm the Service.Sulrgeon H. I. DR AKE-4BROCKUANN, Beng£al Estahlishnment. on return fr-omn

field sc-rvice wvitlh the MNiranzai Exoeditioni, is reappointed to the offleiat-ing mneclical char-re of the 19th Punjab Infantry, rice Surgeon H. IN. G.Macleod.Surgeon P. W. OCGoRnMAAN, Bengal Establishmiient. on retiirn from field

ser-vice Avitlh the AMiramizai Expedition, is reappointed to thle officiatinlgmedical charge of the 2'rtlh Punjal) Infanitry, r'icc Surgeon-Major W. E. B.Moynan, oni sick leave.Surgeon H. F. XNRsirTcmTr?cdu, Benga.l Establishment, is appointed to tlle

officiating medical cIrane of tire 2ltlh Punjab Ilnfantry, vice Surgeon-Major II. J. Lintoii, on furl nigh.Surgeon C. E. L.. (;ir.,rErr, 'Bengal Establishmnent, is appointed to the

imedical charge of tire :rth Punjab Infantry, r-icr Surgeon-Major F. C.Cliatterjee. tranmsfeor--ed pernmanently to civil employment.

Suirgeoni D. T. I,.A-E. Beonral EstalAishllent, on retnirn fr-om field ser viceWith the NMir-aiinli Expedition, is reappointed to the offliciating medicalcharge of tlhe :o)thi Prmnjab Tnfantry, rice Sua-rgeon C. E. L. Gilbert.Surgeon C. -N. C. AVINBEiLxEY. Iiengal Establislhment, is appointed to

tile officiatingo char-ge of tire 33rd Punjab Infantry, ricC Surgeon H. E.Banatvala, on furlolugr.Surgreon- Tajor .1. LEWTAS, MN.D., Bengal Establishment. Joint Civil Sur--

geon of Simia. is direrted to r-eassume medical chiarge of the Army Head-Quarters and Establishment at Simla, rice Surgeon-Major C. W. Owen,C.M.G., C.I.E.. proceeding on furlough.Brigade-Srirgeoen Enic SEroUS. late of the Ilengal Establishiirent, died

at Sydeniram oni MTay 5th. He entered the service as Assistant-SurgeonFebruiary 1tlh. i8:rr+, and. having been made Surgeon-Major twelve yearstherefrom, retii-ed with tire honorary rank of Brigade-Surgeon February1st. 1882.The Governor-General in Coouncil las issued an order sanctioning the

depatch of a force for operations in Manipore, to be styled the Manipore

Field Force. It is comiiposed of three columns, Deputy Surgeen-GeneralC. P. Costello, of the Bengal Establishment. Administrative MedicalOfficer Assami District, beinig the Prinicipal AMedical Officer to the KolimaColumin, and Surgeon-Alajor- P. N. AMookerjee, of the Madras Establish-ment, the Prinicipal Medical Officer to tlhe Tammiiiioo Columtin.Tlle Governor-General lhas also sanctioned tlie despatch of a, force for

operations in MIirainzai and oni the Koliat Fironitier, to be styled theMiranizai Field Force. Brigade-Surgeoni R. flarvey, of the Benlgal Estab-lislhmiienit, is the Principal Medical Officer.

THIE VOLUNTEERS.SUIREON W. FREW, ML)., First V'olunteer Roval Scots Fusilier s (late theist Ayr-slhire), is granted the raink of Surgeonl-Major (ranlkinig as Major),May Ath.Actiniv-Surgeon A. HoPmINSON. 1st Cadet Battalion lManchester Regi-

ment, lhas resigned hiis appoinltment, wlichl*was dated February 2nd,1889.

UNIVERSITIES AND ICOLLEGES,UNIVERSITY OF CAMBRIDGE.

OFFICE OF REGISTRARY.-For the office of liegistrary, vacanitby the deatlh of Dr. Luard, the Council of the Senatenominated Mr. J. WV. Clark, Superinitendent of the Museum!of Zoology and Comparative Anatomy, and Mr. C. E. Grant,the Assistant Registrary. A poll of the Seniate was taken onWedniesday, May 13th, when Mr. Clark was elected by 36'votes, Mlr. Grant receiving 178.DEATH OF THE HIGII STEWVARD.-By the deatll of tlle EarT

of Powis, of St. Jolhn's College, the office of Higlh Steward ofthe University is vacant. An election by the Senate will takeplace on May 26tlh. Lord Derby, Lord Rayleiglh, and LordWalsingliam are spoken of as likely to ke voted for.ANTIQUARIAN COMMITTEE. -Professor MIacalister, M.D.,

F.R.S., has been appointed a member of the Antiquarian Com-mittee.ADDITIONAL EXAXTINERS.-On account of the large number-

of candidates for the Final M.B. Examination, Dr. WilliamIE'wart alld Mr. H. W. Page lhave been appointed additioilalExaminers in Medicine anid Surgery respectively.SIR GEORGE HUMPHRY.-A special Court of Governors of

Addenbrooke's Hospital lhas been summoned for May 20tll, atwlich Dr. Butlin, the Vice-Chancellor, will, on belhalf of thesubscribers, presenit to the lhospital a bust of Sir GeorgeHumpliry. The Lord Lieutenant of tlle County, who is Pre--sidlen-t of the Court of Governors, will be in tlle clhair.

ROYAL COLLEGE OF SURGEONNS OF ENGLANP.-Thie following-gentlemen lhaving passed the necessary examinations, andlhaving conformed to the by-laws and regulations, were, at tlheordinary meeting of the Council, on Thursday, May 14th,.admitted MIembers of the College:

Abraam, (T. S., L.R.C.P.Lond., Uniiversity College IHospitalAllan, A. XV., L.R.C.P.Lond., Tlhistle Villa, Tlhor-inton IleathAllott, J. E. C., L.R.C.P.Lond.. 401, Old Kent RoadAshworth, WV. R., L.R.C.P.Lond.. :36. Hill Street, Stoke-on-TrentAtkey, P. J.. L.R.C.P.Lond., 296, Upper Richmlionid Road, PuttleyBarber, G. W., L.R.C.P.Lond., i. Thornton Road, Thorinton HeathBartlett, F. V., L.R.C.P.Lond., Fore Str-eet, Brixhamn, De-onBaskett, B. G. M., L.R.C.P.Lond., 1o, Albert V'illas, Cothami, BristolBoake, Basil, L.R.C.P.Lond., 47, Cullenswood Avenuie. DubliliBox, C. R., L.R.C.P.Lond.. Holmwood, Upoer Wallington. SurreyBr-ett, WV. G., L.R.C.P.Lond.. #8;3. Shlepherd's Bush Road, XV'.BroWn, R.. L.R.C.P.Lond.. St. Baitlholomew's Ilospital, E.C.Blusfield, J., L.R.('.P. Load., .52, Harbut Road. Clapham JtnnctionCanling, A., L.R.C.P.Lond, 763. Uniion Gr-ove. WYandsworth Rd.. S.AN'.Clegg, R., L.R.C.P.Lomd., AMointe Rosa, Accr^ington, LancashireCollings. E. B., L.R.C P.Lond., 14, Regenit Street, Barnsley, Yorks.Collins, R. H., L.R.C.P.Lond., 5, Cancell Road,BrixtonColyer-. A. R., L.R.C.P.Lond.. Rydal Mlount, Streathlam HillConstant, T. E., L.R.C. P.Lond., 41. Harmer Street. G4ravesendCorner, A., L.R.C.P. l,ond.. Manor IHouse. Poplar. E.Cornish, E., L.R.C.P.TLond., :37. Devonport Road, XW.Cory, E. R. H.. L.R.C.P.Lond., The Elms, Bucklhurst HillDale, C. B., L.R.C.P.Lond., 28. Pecy-e Circus. XX'.('.Dalzell, A., L.R.C.P.Lond.. Clifton Hall, XV'or-kington. CiimnberlandDavies, D. L., L.R.('.P.Lond., 4, February Street, Upper Brook

Street, MtanchesterDawson. C. L., L.R.('.P.Lond.. 17. Regent's Par1k RoadDe Renzie, H. C. C., L.R.('.P.Lond.,The Chaplain's llouse,H.M. Prison,

Wandsworthde Segundo, C. S.. L.R.C. P.Lond., 2, Aldridge Road Villas, W.De Silva. A. H. C., L.R.C.P.Lond., 14, Nixoin St., Newcastle-on-Tynede Wet, P. C.. L.S.A., :39, Vincent Square. S.WV.Dnidgeon. R. H. B.. L.R.('.P.Lond., 26, Jolliffe Street, LiverpoolEllis, J. C., L.R.C.P.Lond., The Rectory. Llanfairfechan, N. WalesFeatherstone, G. W. B., L.R.C.P.Lond., York House, Blenkarne Road,

WandsworthFinch, E. J., L.R.C.P.Lond., 24, Addison Terrace, Notting HilL

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1102 THE BRITISIH MEDICAL JOURNAL. [May 16, 1891.

Ford, F. C., L.R.(.P.Lond., 14, Woburni Square, W.C.Fox, A. C., L.R.C.P.Lond., 29), Adamiison Road, HampsteadFrancis, .J., l..R.C.P.Lond., 2, Lyndhurst Villas, BargateFrancis, L. J., L...('. P.Lond., 1i, Warwick Cr-escent, WX'.Freeman, J.. L.R.(C'.PLonid., Woodboro House, Bristol<(ardener, WV. F., L R.C.P.Lond., 71, Soutli Lamiibetlh Road(Gornall. .J. (r., I.R.C.P.Lond._ 51, Lambeth Palace Road.Hale, G. E., L. 1-t.C.P.Lond., St. Georges Hospitalhfall, J. AT., M.B.R.U. I., 258, Old Ford Road, E.Ilalstead, l. (i., L.R.('. P.Lond.. Slindoin, near ArulindelhIalrdeni, E. 1I. T., L. R.(.P.Lond.. -1 Ii, Camiideni Road. N.Hlawke, E. D. II., L-, It.C.P.Lond., 41, Kinig Henrv's Road, NW'.hIawley, A.. L. t l'..Loiid., I Jessoni Street, CoventryTlebblethwaite. A. (., 1. R.C.P.L.ond., Westroyd. AMiinfield, Yorksl1ey, C. E. H.. L.R.C. P.L,oid., 27. Natal Road, StreatlhamHoffmnan, A. WV. XX.. RIP..l,ond., 16, Beauclere Road, lHammersmitlHolton, Cr. W'., L.1l'.C.P.Lond., I.ittlewortllJHouse, Hednesford, StaffsIlome, J. A., 1 I.C. P.Lound., 2. Kev Gardens Road, Kewllott, A. T., L.IR.(C.1P.1,onid., 3, Ilenrietta Street, Covent G'ardenJames, L. E., L R.C.1'.Lond., Richlmnaiod House, Hemiiber-ton Road, S.W.Jeffreys, A., L..R.C.1P.1f,ond., Briton Ferry, Souith XValesJohnson, F., I..R.C.P.lILond., Claridge House, Sevenoaks.Jones. 11. T., L.R.C.P.Lond.. Llanfalteg, R.S.O., South XVales.Jordan, J. F.. L. R.C.P. Lond.. Selly Hill, BirminghlamKeyworthi, A. F., L.K.Q.C. P.1., Springfield Houise, MarpleKirton, C. S.. L.R.C.P.Loud., 8o), Windsor Road, Forest GateKnevitt, H.. 1-. R.C.P. Louid., MIerryfield, Mer-ton Park. Surr-eyLander, F. J., L. R.C.P.l.ondl., NottinDrhan General DispensaryLansdown, C. E., L.R.C.P. Loi d.,oBroinfield Road, S.W'.Lawson, A., L.R.(.P.Lond., 12, Harley Street, NV.M Connell, J.. M1.ll.R. 1'. I., Castor, PeterborougliMarshall. F. E., L.R.C.P.Lond., MonIa Lodge, King's Road, KingstonMtilton, W'. F. E., L.R.C.P.Lonid., :3o, Fentiinan Road. S.NV.Olivey, XX'. J.. I,.R C.P.T,ouid., :3. Stormonit Road, S.AV.Patterson, C. S., L.R.C.P.Lond., 117, (ity Road, E.C.Powell, C'. M.. L.R.C.P.Lond., 7, Furnival's InnPlorter, C.. I.D).R.U.I., Rochestown, co. CorkPrice, A. E., -,. R. C.I'.Loiid., 9, (lifton Crescent, FolkestoneRake, A. T., 1,.R.C.1'.L.ond., 171. Norwood Road, S.E.Rannie, J., L.R.C.l'.Lond., Nlariselhal College, Aberdeen-Rawes, C. K., L.R.C.1'. l.ond., 85, Kent House Road, PengeRichlardson, It. 1.. R.C. PI.Lond., 114, Higlhbuy New Road, N.Rider, A. G., L.R.(.%P.Lond., 1274, lliglhbury Hill, N.Rodd, M. L. B.. L.R.C.P.Lond., 87, Dumford Street, East StonehouseRogers, W. C.. L.R.C.P.Lond., 6, Dean Str-eet, BorotuglhRowlands, F. 1.I.,.R.('.P.Lond., The Bank, XolverhamptonRudd, A., L.R.C'.P.Lonfd., .18, AMaryon Road, Charl tonSaunders, J. II., AM.B.Melb., 44, Blomfield Road, WX'.Seudamore, L. C}., L.R.'.P.Lond., 23, GTranville Park, BlackheatlSeton, B. G., L.R.C.I'.Lond., Dervent House, AnerleySmith, E. N., L.R.C.P.Lond., 4i2, High Street, HuntingdonSpensley, J. R., L.R.(.P.Lond., 109, Cazenove Road, Stoke Newingtoi:Spurr, J., L.S.A., 1, Alexander Terra(e, XVood reenSpurrell, WA. I). L.R.C.l'.Lond.. 40, Falmoutlh Road. S.E.'Stilwell, G R. F., L.R.C.P.Lond., St. Tlhomas's HospitalS,winton, F. E., L.R.C.P.Loild., 105., Shlooter's Hill Road, BlacklleatlSyrett, E. F., L..R.C.iPL.ond., 1. Ashley Gardens, VictoriaTebbs, WV. -I. .\., L.R.C.P.Lond.. 249, New (ross Road, S.E.Tllomas, A., L.RI.('.P.Lond., 92, St. Paul's Street, N.Thorpe. R., L.R.C.P.Lond., 56, Highbury Iill, N.Thurston, H. S., T..R.('.P.Lond., 16, Royal Avenue, S.E.WN'atts, T., L.R.C.P.L,ond., 9, Belmont Road, BoltonW\rellinigton, R. 1I., I..R.C.P.Lond., :38, Fellows Road, N.AV.XX'est, L. F., L.R.C.P.fLond., Banks Hill, Morley, LeedsWVilks, H. 1.. E., L R.C.P.Lond., 47, Arbuthnot Road. S.E.XX'illiams, 11. II., L.ll..CP.Lond., :38, Tyrwlhitt Road, S.E.

ROYAL COLLEGE (IF SURGEONS OF ENGLAND.---The follow-incr gentleman, lhaving previously passed the necessary exa-minations and lhaving iiow attained the legal age (25 years)was admitted a Fellow of the College.

Tlhompsoni. Walter, L.R.C.P.Lond., The Grange, Tadeaster, Y'orks,diploma of Mlember dated Novemiiber llth, 1897.

ROYAL COLLEGE} OF PHYSICIANS (IF IRELAND.-At a meetingof the President aid(I Fellows, held on Friday, May 1st, 1891,the following Licentiates in Medicine were admitted to theMembership under By-laws xvii and xxvi:T. S. Cogan, Lie. AMe(l. 1867, Surgeon-Major A M.S. (retired); XX'. R.

Macaulay, Lie. AMed. 1804, London: R. F. Maguire. Lie. Med. 1871,(astleknock; 1. AMeD. O'Farrell, Lie. Med. 1860, Brigade-SurgeonAM.r.S.; H. Shea, lic. NIed. 1868, St. Johln's, Newfoundland.

At a meetingr of the Presidenit and Fellows, held on Friday,May 8tlh, 1891, the following registered medical practitionerstook the declaration- and signed the roll of Licentiates iniMedicine of the College:

*XX'. Greenwood, M.R.C.S.Eng. 1886; R. K. Jolinston, M.D.UTniv.Dubl.1885: *S. XVIiittei, L,.S.A.Loud. 1886.* Also duly admitted Licentiates in Midwifer-y of the College.

*The Diploma in State Medicine, given conjointly with theRoyal College of Surgeons in Ireland, was granted to

C. O'Neill, M.D.R.l'. I.The President admitted to the Licences in Medicine and

MIidwifery the followiing candidates who have been successful

at the Final Professional Examination under the ConjointSchleme with the Royal College of Surgeons in Ireland:

31. F. Caahill, R. A. Crawfordcl, I1. M. Cullinan, F. F. Malion, J. C. Ryanl,J. A. ThIlompson., A. W. l,. Zimmloer.

INIVERSITY OF 1)UBIIN.-At the 1PrIeViOllS Summer CoIn-mencements ((omitia .E"stiva Priora), hield on AW'edinesday,Mfay 6thi, 1891, in the Examiiination Hall of Trinity College,the following I)egree ii -Medicine was coniferred by the lUnli-versity (aput in the presence of tlle Seniate:Doetor in Mledicin(.-J. 11. lt. (ilenn.

THE CONJOINT SCHEME OF THE IROYAT, COLLEGE OF PHY-SICIANS OF IRELAND AND 1ROYAL COLLEGE OF SUEGEONS IN1RELAN1).-Tlhe following- are the results of the examinationslheld in April, 1891

First lProflessional Ex.amnination.-A. T. Benson, J. G. Ilerne, C. A. Black,E. A. Bourke, E. A. Culligan, (G. S. Davidgre, C. J. Fallon;, Mliss MarieGoodwin, R. Hassard, (T. Martini, E. J. Moore, D. O'Brien, M. C;.Sterling, W1'. F. Tliomline, XX'. A. Twigg, E. Tyniani, and J. H.WA alsh.

Secon)dI lPro frssional F.rxamintion.-H. C. Beasley, W. Biirke, J. P. Cas-sidy, T. C. Cuiminiins, T. S. Fagan, II. S. FalkDer, T. W. P. Ilayes,1P. J. Heneglian, A. X. Lavertiile, T. P. Linde, XX'. jJ. Martin, .I. M.Maughan, J. Maunsell, jun., A. J. Moran, J. S. Morgan, C. E. Mur-ply, A. E. M'Cann, J. D. O'Donnell, XW. O'l)onnell, P. Peacocke, J.F. Sheppard, E. Smith, XV. A. E. WN'ills, C. R. Chichester, and H1. LaNauze lIewitt.

Third Professional Exaniniation.-J. Armstrong, E. H. Beamen, II. Flynn,1). I1. Foley, F. W'. Foot, P. G. Garland, F. J. Gieeves, E. W. WV.Guinness, J. P. Jamicesoni, NV. S. Kane, G. Q. Lennane, E. A. Mal-comson, .J. S. Procto-, G. Russell, and J. Ashornihill.

Foatrth1, or Final, Pro fr,ssionol Examination.-M. F. Cahill, Dlublin* R. A.Crawford, Newbliss, co. Monaghan; H. M. C(nllinan, Dtiblin; F. F.Mahon, Dublin; J. C. Ryan, Killaloe, co. (lare; J. A. Thompson,Lisnakeagh, co. Fermnanagli; and A. XX. L. Zimmiiner, Bavaria.

Passed in Medicine:W. E. Moore, WX'arrenpoint, co. Down.Passed in Surgery:H. AMoore, Dublin.Passed in Midwifery:W. M. Meeke, Dublin.

MEDICO-PARLIAMENTARY,HOUSE OF LORDS.-31Iondcay, Maiy 11th.

I accination.-Lord DE RAMISEY, in reply to Lord STANLEY OF ALDERLEY,said the Vaccination Act did not contain any provision as to hard laboui-,and therefore prisoners could not legally be made subject to that puinislh-ment. Under the present Act a prisoner might be compelled to work,anid miglht be punished by anl alteration of diet for neglect of work, butthe Prison Commissionels were empowered also to make rules as to thenature and amount of tlle employment. Such a tlhing as oakuim picking,for instance, would be unauthorised. Prisoniers who were convicted niotof an offnce, but of non-compliance with an order of the Court to pay asum of money, were now treated as debtors under- the rules of the Secre-tary of State, and were subject to the special rules applying to debtorprisoners.

1 I,USE OF COMM13TONS.-Thursday, Mfay ,7th.Pollutioni of the Thamles at Staines.--Mr. RITCHIE, in answer to Mr.

ATHERL.EY JONES, said as regards tlle Staines Urban Sanitary District thearrangements witlh respect to tlle disposal of sewage were ver-y unsatis-factory, and he thouglht there was little doubt that some of the sewagefrom this district found its way unpurified into the Tlhames above theintake of water companies. This matter had been the subject of re-peated comiimunications to the Local Board, but hitherto they appeared tohlave failed to realise their responsibility in the matter. AWith regar-d tothe Staines Rural Sanitary District, an inspector of the Local Govern-ment Board, in his report, stated that in no one of the past sevenl yearsfor which he lhad record had the district been free from typhoid fever,and that this disease had been very hiiglh in rank amnong the zymoticcauses of death. The Thames Conservanicy Board had proceeded againstthe Staines Local Board, but the proceedings failed, and they had sincesel-ved notice upon more than one lhundred individuals. The timeallowed for compliance with the niotice was inow expiring, and it wvas pro-posed to proceed against some of these as test cases.

Mfoniday, May l1th.The Factories and Work-shops Bill.-Tlhe CHAN'CELLOR OF THE Ex-

CHEQIUER, in answer to Mr. BUXTON, said the First L'ord of the Treasurypreferred not to come under any obligation witlh regard to the considera-tion of the F'actories and Workshops Bill oni report, but some days' ioticewould be given.

Tutesday, .1May 12th.Distribution of Sanitary Reports.--Mr. RITCHIE, in reply to Mr. ROwN-

TREE, said, as regards the reports of the Medical Departmiienit of the LocalGovernmenit Board, the Board were in the liabit of forwarding copies ofsuclh reports on local inquiries to local officers wiho had given assistancet.o the Board's inspectors in the inquiiries. It was also tlle practice of theBoard to distribute a certain number of copies of tlle Annual Report ofthe Medical Officer of the Board. In the case also of special reports, suchtas that on the small-pox epidemic at Slheffield, a conisiderable number ofcopies had been distributed among officers of sanitary authorities. Any

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May 16, 1891.] THE BRITISH MEDICAL JOURNAL. 1105

amen, they cannot be expected to criticise the diagnosis of their brotherpractitioner's in tIthe samlie (listrict. I would also insist upon higlherqualifications foi the office of miedicil officer of hlealtlh, aiid miiake theD.P.l. a s:ine q1lui 71non. And, lastly, the election of officels should bevested in some tlhor ouglily inidepenidenit body outside'the district.

MEDICAL NEWS,THE General Council of the Department of the Haute

-Garonne in France has voted a sum of 3,000 francs towards-the establislhment of a clhair of lhydrology in the University ofMontpellier.LONDON COUNTY COUNCIL.-At the polling for the vacanicy

in Nortlh Hackniey on Monday last Dr. Forman gained aneasy victory. The votes recorded in hlis favour were 2,526,and those for hiis opponent (Mlr. Trick) were 1,736.AN examinationi of candidates for fifte?en commissions in

the Army Medical Statt will be lheld on August 24th niext.l'urther particulars will be seen in the advertisementcuolumns.DR. HENRY FRAZER died oni May lOtlh, at hiis residence in

Armagh, after some weeks' illniess, from pneumonia, aged 43.Dr. Frazer was medical officer of the Armagh WVorklhouse,'Physician to Shiel's Institute, and Apotlhecary to the CountyInfirmary.THE vacanciy in the Demonstratorsllip of Physiology at

King's College, London, createdl by the appointment of Mr.J.J MIartin, AM.B., B.Sc., as Demonistrator of Physiology at

$Sydney University, lhas been filled by the appointment ofMIr. P. T. B. Beale, F.R.C.S., and Mr. T. G. Brodie, TM.R.C.S.L.R.C.1 ., as joint demolistrators.GERMAN CONGRESS OF INTEIRNAI, MEDICINE.---The followinig

subjects lhave been proposed for discussion at the next meet--in- of the GerIn.ln Congress of Internal Medicine, wlicil wNill'be lheld at Leipzig in 1892: The Physiological and Therapeii--tical Value of Iron; Meningitis in its Diflerent Forms; Elec--trotlherapy; thie rreatment of Severe Pneumonia.BRIIGHTON h1OMrE OF 1REST FOR NURSES.-Princess Christian

opened this week at Briglhton a Home of Rest for Nurses, ofwhichl Mrs. Bedford Fenwick is lhonorary secretary, the LordMayor treasurer, anid the I)uke of Abercorn and AMr. JusticeJeune trustees. The lhome will afford accommodation forsixteen visitors.SANITATION IN ITALY. -In conniection with the fourteentlh

Congress of the Italian Medical Association, whiclh is to meetat Siena on August 15tlh, there is to be lheld an Exlhibition ofRural Ilygiene aind Saniitary Engineering. The exlhibition isto consist of instrumenits, apparatus, designs, etc., relatin- topublic and private lhygiene; only Italiani exhibits will be ad-mitted.A COURSE of Blacteriology will be commenced in tlle new

P'atholog,ical Laboratory of IUniversity College, London, onJune 1st. The course, whichl will last six weeks, will con-.sist of lectures anid practical laboratory work, and will'embrace all the advanced bacteriology required for allPublic Health examinations. It will be conducted byProfessor Victor Horsley.FOOD INSPECTION IN NEW YoRK.-From a report recently

issued by the New York Board of Health it appears that-during 1890 there were confiscated in that city 1,200,000pounds of tainted meat and fish, and 1,056,000 pounds of badfruit and vegyetables. The milk inspector examined 97.000samples of milk, and 299 arrests were made for milk adul-teration.Two recent liiilited epidemics of small-pox in New England

are worthy of note, owin1g to their mode of origin. In one in-stance (Bost. M11ed. and Surq. J/.), a soldier returned fromTexas to Merideni, and slhortly afterwards the children in tImefamily lhad an eruption diagnosed as chicken-pox. The dia-gnosis was confirmed by tlle health authorities, but subse-quent events proved that the disease was modified small-pox.The second epidemic occurred at Waterbury, and was tracedto the rag department of a paper mill.

THE London Gazette of Tuesday announces that HerMajesty has been pleased, with the advice of her PrivyCouncil, under and by virtue of the provisions of the MedicalAct, 1886, to nominate Sir John Simon, K.C.B., F.R.S., andThomas Pridgin Teale, Esq., F.R.C.S., to be again for thetermof five years, from Alay 23rd, 1891, members of the GeneralCouncil of Medical Education and Registration of the UnitedKingdom.JEFFERSON MEDICAL COLLEGE.-Dr. J. Al. Da Costa lhas re-

signed the Chair of Practice of Medicine in Jefferson MedicalCollege, wliich he has lield for nineteen years. Dr. HobartA. Ilare has been elected Professor of Tlherapeuties in thesame institution, in succession to Dr. Bartholow. Dr. Bra-baker, who was appointed to fill the vacancy caused by Pro-fessor Bartholow's sudden retiremenit, made no applicationfor the permanent post.MEDICAL AIEN IN MUNICH.-Official statistics recently pub-lished show that there are at present 323 civilian practitioners

of medicine and 31 military doctors oln the effective list inMIunich. The population of the city being 348,317, the pro-portion of medical men to inhabitants is 1 to 983. Besidesthese, 92 dentists, 177 cuppers or bathers of the new orderand 1 of the old order, and 182 midwives find more or lessscope for their professional abilities in the capital of Bavaria.The number of public hospitals in Mlunich is 14, and thlereare besides 10 private institutions for the sick.A PRACTICAL PRESIDENT.-The "depopiilation" of Franceanid the means of clhecking the progress of the evil are sub-jects that have for some time engaged the attentioni of theAcad6mie de Medecine, but the deliberations of that learned

body have not yet led to the discovery of an effectual remedy.In the meantime the President of tlle Academie (M. Tarnier)has taken the hiighly practical step of offering a bounty of 100francs (JA) to every married couple in his native commune--Arc sur Ville-who shall enrich the Frenclh Republic with anadditional citizen during the year 1892.NATIONASL HEALTI'r SOCIETY.-On AMay 9tll tlle Duke ofWestminster, president of this society, occupied the cllair at

a crowded gathering, wlhen the Duchess of Westminster dis-tributed the society's medals and certificates to the candi-dates who had passed examinations in domestic and personalhygiene, first aid to the injured, home nursinig, and element-ary physiology. AMore thani 2,500 ladies had attended thesociety's lectures during the past year, and the Devon CountyCouncil had voted a sum of money for these lectures to bedelivered to the wives and daughters of farmers, artisans, andlabourers in that county.PRESENTATION.-Mr. Johni Taylor, on the occasioni of his

silver wedding day, was presented by his friends and patientsin the neighbourlhood with a Ralli cart, a horse and harniess,also a dining-room timepiece, a silver coffee pot, and hotwater jug. The Court Alexandra 4104 of the Ancient Order ofForesters presented a handsome set of silver saltcellars inmorocco case, with suitable inscription: anid the Board ofGuardlians of the Ticehiurst Union passed the following reso-lutioni: "That the hearty congratulations of the Board becommunicated to Jolhn Taylor, Esq., medical officer for Tice-hurst and the workhouse, on the happy event of his silverweddiiig. That hiis great and valuable services are thoroughlyrecognised and appreciated. and that this Board feel thankfulthat they have such an efficient officer, and one who is alwaysready to attend on the poor and rich alike."THE ST. PETERSBURG INSTITUTE OF EXPERIMIENTAL PATH-

OLOGY.-Directors have inow been found for four of the eightdepartments of the Institute of Experimental Pathologywhich the Russian capital owes to the enlightened munifi-cence of Prince Alexander of Oldenburg. Dr. J. S. Pawlow,Professor of Pharmacology in the Military MIedical Academy,has been appointed head of the Physiological DepartmentDr. N. W. Uskowv las charge of the Pathologico-AnatomicalDepartment; the Bacteriological Department has been en-trusted to Dr. Winogradski, a pupil of M. Pasteur's. Pro-fessor Nencki, of Berne, has apparently reconsidered his deci-sion, and lhas accepted the post of Director of the Departmentof Physioiogical Chemistry, on the condition that lie is to re-

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TI1E BRITISH MEDICAL JOURNAL.

ceive a salary of 6,000 roubles a year, with alhouse rent free,and thathis twenty years of professional service abroad are tocount towardshis pension. Professor Pawlow and Dr.IJ skowhave alreadly entered on the duties of their respective offices.DEATHSINTilE PROFESSION ABROAD. Among the members

of the medical profession, in foreigin countries, whohave re-cently died, are 1)r.Alandon, Professor of Therapeutics in theMedicalS(ho00l of Lim oges; Dr. N. Albarellos, fornerly Pro-fessor in the Medical Faculty of Buenos Ayres; Dr. VictorFelix Szokalski, some time Professor of Ophtlhalmology atWarsaw, anid author of a.Manual qf E,'ye Di8eases, written inPolish, an(f ofnumerous papers on ophthlalnological sub-jects;Dr.Joseplh Leidy, the distinguished American physio-logist, Professor of Anatomy in the University of Pennsyl-vania, and President of the Academy of Natural Sciences ofPhiladelphia, at a very advanced age; Dr. F. W. Tatarinowa well known specialist inchildren's diseases at Moscow; Dr.H. D. Garrisoni, one of the founders of the Bennett MedicalCollege at Clicago, in which he was Professor of Chemistryfor maniy years, and well known in America as a writer andlecturer on scientific subjeets; Dr. Charles T. Parkes, Pro-fessor of Anatomy and afterwards of Surgery in Rushl MedicalCollege, Chicago; Dr. Julius Jensen, Director of the Muni-cipal Lunatic Asylum at Dalldorf, aged 49; Dr. FriedrichBrieinannii, formerly Director of the General Asylum for theInsanie at Prague, aged87; Dr. J. K. Thachler, Professor ofPhysiology in Yale College; and Dr. Almerico Christin, Pro-fessor in tlhe Veterinary Schlool of Naples, and a well knownwriter.

MEDICAL VACANCIES.The following Vacancies are announced:

BOR)UGIH OF PLYMOUTII.-MedicalOfficer for the Borougli LunaticAsvlumn, lBlockadon, near- Pllymiioutlh. Salary,2400 per alnnum, witlfurnishIeCd hiouse, gas, coals, aiid vegetables. Applications, endorsedMMedical Officer, Luniatic Asylum," to J. H. Ellis, Townl Clerk, Guild-

hall, Plymiioutli, by May 16tlh.BOYLE UNION (Gurteen Dispensary).-Medical Officer. Salary,£110 per

annumti and fees. Applications to Mr.Jolhni Kilroy, Honiorary Secre-tar-y,('lomanure, Gurteen, Ballymote. Election on May 2otlh.

CANCER HOXSPiTAL (Fre), Fulham Road, S.W.-Surgeon: must beF.R.('.S.Eng. and reside within fouir mile radiuis. Applications totlle('liairman. of the House Committee by May 26th.

CANCER HOSPITAL (Free), Fulham Road, S.W.-Honorary Pathologist.Applications to tlhe(Ciiairman of tlhe House Committee by May 26tll.

CITY OF LO.NDON IIOSPITAL FOR DISEASES OF THE CHEST, Vic-toria, Park, E.-House-Physiciani. Board. residenice, and washiupprovidedl. Applicatiois to T. Stollar-Smiiith, Secretary, 21, FinsburyCir'cus, E.C., by May 2,th1.

-'O('NTY B()ROl (IC(HOF SIIEFFIELI).-Mediecal Officer of Healtlh. Salary,£-500 per annumn muiist dev-ote liis wvlhole tillie. Applications to tleiliairiall ot the Ifealtlh Coini-littee, Towni Clerk's Oficc, Slhcffield,by May 27til.h

CO'UNTY ()F C'.AITH-NESS.-AIedical Officer of hlealtlh. Salary, £3100 perarnnum, wvith£z50 travelling amid otlher expenises; must not engage inprivate practice. alid leside ill Wick. Applicatioiis to James Burns,Couniity Clerk, Tliiiirso, byAlay 25t1h.

COUNTY OF FOXCXBU'RGCI.-Aledical Officer for tlhe Countv: to aIlso acts MIedical Olicer tunidelr the Puiblic Healtlh Acts fol tlhe 1i edistrictSof tlhe cotlvty. Salary, .350( peralDlllll1 and tmravelling expenses. Ap-plicationils. it cirliteen copies of testiimioniials, to the ('lhairlioan ofthe lMedical (oinimittee, Broomlnands, Kelso, by May 28tll.

DERBY AMNIALGAMATED) FRIENDLY SOCIETIES' MIEDICAL ASSO-('CATION.-Assistant Sui-geoll not under :to years of age. Salary,£160 per annlim, -isilng £10 aftem' six Illontis, and £10 per allnnumn after-ivarls uip to w250,witlh iiidwifely fees. Applications to tlle Secretary,Mr. II. Bulli%-ant, 73, Abbey Street, Derby, by May 2:3rd.

ECCLES AND DISTRIC'T MEDICAL ASSOCIATION.- Assistant MedicalOlflber. Applications to Mr. J. Ihonsdale, 15, Byron Street, Patri-(, oft.

G;ENERAL l SI'PITAL, Bhiillciali .-- Ilomiorairv Surgeon. M111ust l)e Fel-low ot (mn of the ('olleges of Sum-Loons of the United Kingdom.Applicatiolls to 1)1i. J. D. M. Coglhill, IHous Goseiieoir, by Julie 1st.

(;E,NERAL lI()Sl''l'l.TL, l3irmiiig-haloi.--Assistanit Physician for- tliieeyears. 1looiiam itioi. £100 per annulm. Applications to Dr. .1. D. M.C'oglbill. IHouse CGoveirnir, by June, 1st,

GENERA-l. 1I()l'ITAL FOR Sl(CK CIITLDREN. Manclhester.-Junio'.Jlulior, Reoidleot Medical Officer; double qu(llificationS 1llllst d(eoteis whiole t1111. Salary, £s( per annum, witlh board anid lodging.AXpplicaltionml the ('llailrn(n of tlhe Medical Boardl by Jlnle 1st.

GILAMORGANSH IRIE AND) AONMOI'THSHI RE INFIRMARY ANDDISPENSARY, ('adifdilIlonorary PIatloloaist double qulalifilcations.Applications ciidorsed "Ptliologist " to the Secrletary by May 20tll.

(ILAMO0R( A.N 5111rlIE AND MONACoUTHSIIIRE INFIRMARY ANI)DISPENSA.RY. (aldifll-Dental Surgeon. Applications, endorsedDI)entist, to the Seem-etary by May 20th.

H kNTS COIUNTY ASTLIUM,.-Th1ird Assistant Medical Officer; doublequalifications; unmarried, and Inot more thani 27 years of age.

Salary,£100 per anlum, rising to£112.5 after twelveliontlis, withfurnislied apartiiments, board, waslhing, and attendance. Applications,elldorsed "Applicatiol for Appointment of Medical Officer," to Coim-miiittee of Visitol's, Knowle,Far-ellham, by May 20tli.

H IARTLEPOOL UNION.-Medical Otficer anid Public Vacciniator for theGlieatlhami Distlict. Proposed salary, exclusive offees,£50 (if ailsoatppoinited Medical Officer to tlle Greatlalon Hospital. joint salary£lo10) per annul iiitist reside withli tlhedistrict. Applications, en-dom-sed" Medical Officer," to Geo. Kilvingtoml, Unioil Clerk's Office, byMay 27tlh.

HOLLOWAY SANATORIUM HOSPITAL FOR TIIE INSANE.-FourthAssistantMIedical Ollicer. Applicatiolns to Dlr. Plhillips, VirginiaW'ater.

NOTTINGHAMT B()RO GII ASYLUM, MNlapperley Hill.-Assistant Medi-cal Officer, ullillarlied. Salary, £125 per annum, with apartments,board anid washliing. Applications to the Medical Superintendent byMay 25tlh.

NOTTINGhIIAM BOROUGH ASYLUM,AMappelley Hill. Locumi Tenensfor a miiontlh. Remiiuneriation. £22s. pel week, wit apartlients, board,and wasling. Applicationls to theAledical Superinitendent.

PARISH OF KIRKMIABRF,CK.-Medicall)ffice. Salary,.£.30 per annum -

Applications to Jollii Car-soni, Inispector of Poor-,('rectown, N.B., byMay 20tlh.

PARISH OF ST. LEONARD, SHOREDITCIH.-Resident Assistant Medi-cal Officer for tlce Workhouse aind Infirmnamy: double qualificationls.Salary,£100, increasing £IO aninuallyto 1l2o, vitlI raltiolls, furnislle(.apartlllents, and washiIg. Applications to Rtobelt Clay. Clelik, 21-,Kingsland Road (of whom application fo0i1i11 cal) be obtained) byMay 18tli.

QUEEN'S COLLEGE, Birmingham.-Professor ofMedicine. Applica-tions to Professor B. C. A. Windle, Dean of the Faculty, by May 16th.

ROYAL BERKS HOSPITAL, Reading.-Plhysician. Applications to theSecretary, John T. Hugo, at least ten days befo-e the election onzJune 2nld.

ROYAL COLLEGE OF SURGEONS OF ENIGLAN-D.-Five Exaaminers iiAniatoimiy; Four Examiiiners in Physiology; Examinicis for Palts1and 2 of the Examination in Publichealt; Five Examiiniers in Ele-inentaly Anatomy; Two Examiniem-s in Elementamy Pilysiology (FirstProfessional Examilination) ; and four Examiners in Midw-itery (fol-tlle Tlhird or Fiilltl Exaininiatioli). Applications to Edward Triliinelr,Secretary, by May 28ti.

ROYAL WESTMINSTER OPHTHALMIC HOSPITAL, Kinig WN'illiaiim,Str-ect, West Strand.-House-Surgeon. Applications to T. Beattie-Caimipbell, Secretary, by May 27th.

SALFORD UNION.-Assistant Medical Oic-er for Unlioni Infiliaiy-(lotuble(ualificationis. Salary,£i3o per alinumi, lvitlifum-miisied apamt-llents. Appli-ations, endolsed '.Assistamit Atedical C)flicer," to T.H. Bagsliaw, Cle-k to the Gua-dialns, Uinioml Offices, Eccles New Road,Salfold, by May 26th.

SHEFFIELD UNION.-Medical Officer fot tlhe ('entl-al District of tlhi-Ulnion. Salamy, £60 per annum, with extla-t fees. Applications toJoseplh Spence-, ('lerk, Uinioll Offices, Westbam-. Slleffield, by Mlay 20th.SKIRLAUGII UNION.-Medic-al Ollicer and Public V'accinator for theDistlict of Aldl)rouglh. Salary, £40 per anllImiio, ex-llusi-e of fees, anidimnclulsive of cel-tail liledicimles alnd appliam-ecs. Applications to Thlos.

A. McCoy, Clerk, leverley, by May 2otlh.TORIBAY HOSPITAL AND PROVIDENT DISPENSARY, Torquay.-Junior,House-Sul-geoii anid Dispensei-; double qualifications: uLniarried.

Salary, £80 per annum, witll board, lodghilg, and atteindence. Applications to Capt. Phlillpotts, R.N., Ilomioi-ai-y Secretary, by lay l1tlh.

UNIVERSITY OF GLASGOW'. -Assistalit Examninert in PhlysiologyAnnual fee, £:30. Twenty copies of ptiintecd lipplications anul testi-mnoniazls to the Secretary of tlie ('omirt, ,l'. A. E. ('lapperton, 91, WestRegeint Sti-ect, Glasgow, by June 3otll.

MEDICAL APPOINTMENTS.AtBiu.tHAm[, P. S M.D., MA.. B.Sc F.R.C.S.I., appointed IHonolary

PhlIysiciai) to the Wester-n Skill IIHospital, Glrat I'oi-tlain( Street.AtILAN, F. J., M.D., appoilnted Clinical Assistaint to tlle Westel-l SkiliHlospital, Glreat Portland Str-eCt.ALLDliEN, Sidmiey, M.D.Dtirhl., appointed Resident Medical Oflicer to tl(i

Ilospital foI CoiiSuIllptioil 1and Diseases if the Cl(lst, Brol-iiptoll.AN'D)REw, Robert, S.B., (C.'T.Edimi., appointed SMedical Othicer; to tleParish- of K-eimiowvas, FifCshiire, 2icc Win. C'rai- SI. (M.Edill.ATKIN-SON, Walter Alexandem. T.B., B.S.Dtiilrhiam, ai)poinlted CertifyiloqFactoly Surgeon fot the Caimbervehll DistrictBAIL.EY, T. Ridley, SI.D.Edin., meappoinited Medical O)ffieer if Health f(l-o-13il sto)l.BALD)WIN, T. A., M.D., L.R.C.S.I-el.. appointed Sledical Offiier for tlec

(ottinghlai Disti-ict of tllc Sculioates lniiioii, vice Dr. (Chll11eicr-,resigned.

BEALF., P. T. hi., F.R.C.S., appointed Joimit Dlemionstr-ato- o01 P'llysiolo-y .t,King"- College, Londonl, vice C. J. Slal-till, Mi..BIERlNACKI, J., -M.B., C.'1., L.R.C.P. aiid S.Ecl.. iti'., appointed ResilenltIledicai Officer to tle MIanclhester lIosliti fot (olnsulmplttion .1n1d Di-ea.ses of the Tll-oat.BRODIE, T. G., M.R.C.S., L.R.C'.P., appoimited huOllt Demiomistrator- oi-Pliysioloigy at Kimig's College, Lonldon), i'ce(C. J. Mlartimi, M.1.COATs, Will. flenly, SIA.. M.L., L.R.C.P'., L.S.A.,I.S .Sc., F.f.S., appointedSMedical Officem aIlld Pul)lic Vacc-iiiitor for tile I'tai-igton, Shdflni',Easiingtoii, \'uelivick, and Kilmnsea District of the Patiil)gton1 llion.DoDsoN, Artihur E., At.R.C.S.. L.RC'.ICP. L.S. .. :ippi)inted Mcdhical C)ffitem

Royal Victoria Patriotic Asylum for Girls, Walidsu-ortll ('ollmoil. 1ieiMr. C. St. Aubyii Halvkin.

1106 [,May 16, 18M.

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May 16, 1891.] TILE BRITISH MEDICAL JOURNAL.

EDIE, R., M.B., C .MI.Edin., appointed House-Surgeon to the Oxford EyeHospital, vice Dr. J. Gordon.

EIAM, W. H., F.R.C.S., appointed Medical Officer for the East BarietSanitary District.

EUSTACE, Jn., M.B., C.M.Dub., appointed Cliniical Assistant to the RoyalAsylum, Edinbuirgh.

FALTSSET, J. D., M.D.Dub., L.M. anid L.S., appointed Medical Officer ofHealth for the Flectxv ood tUrban Sanitary District of the FyldeUnion.

GIBSON, J. 11., L.R.C.P.Lond., M.R.C.S.Eng., appointed Medical Officerfor the Aldershot District of the Farnhlaim Unioii, vice W. W. Young,M.D., resigned.

(G-IMBLETT, W. 11., L.R.C.P., appoinited Medical Officer to Holmier tonl Col-lege, also to the Liineni anld \Woollen Drapers' Institution.

GREENE, XV. G.. appointed Medical Officer to the Howtli anid BaldoyleDispensary District, N'ic Dr. Neai-y.

IIARRINGTON, Heinry N., M.R.C.S., L.R.C.P.lrel., appointedMedical Officerto the Birkenihead Post Office.

IIEARN, Richard Thomas, MA.D., appoinited Phlysician to the NatiolnalInistitutioin for the Blind, Leesoni Paik. Duhlin, vice Dr. Xolan, re-signed.

H1EELAS, Walter WV., M.R.C.S.Eng., L.R.C.P.Lond.. appoinited ResidentMedical Otlicer to the Sick (Clildren's Hospital1, Newcastle-on-Tyne,vice Dr. G. Tliyne.

!IICKENS, Franik, M.D.Lond., M.R.(.S.Eng.. ieappointed Medical Officerof Health for the Stithiains District of the Redruth tUInioIn.

JAMEESON, A. S., M.B., C.M.Aberd., reappointed Parochial Medical Officerof Slains, .Aberdeensliire.

KIDD, Archiibald, M.R.C.S. and L.R.C.P., appointed Ilonise-Surgeoil to tlheIMiddlesex Hospital.

L.IRD, Thomas, M.B., C.Ml1.G1asg., appointed Medical Officer of Healtl,Sootlhill Uppe- 1ihban Sanitary of the lDewsbury Uiiion, vice C. Clay,I.R.C.S., resigned.

LAN'-\FORD, P. P., M.R.C.S., appointed Iedical Officer for the East Finch-ley Sanitary District.

LI-rri.F, WnV. Maxwell, M.)., (.M.Edii.. appointed District for Sel'angor.Straits Settlciiiemets.

LoWXNDS, C. J., L.R.C.P., L.R.C.S.Edin., L.F.P.S.Glas., appointed MedicalOfficer for the Eairnley Tvas Urban Saniitary District of tlle Hudders-field Union, vice 11. A. Lown(ls. resigned.

_McKoEGM- T1Ioias, L.F.P.S.ilas., L.A.II.D)ub.. appointed ResidentApothecary to thie Cotiunty Mayo Iiifii-iiary, vice M. A. Rynniie, M.A.

MARTIN, C. J., MrB.. B.Sc.. appoiinted Demonstrator of Pllysiology atSydney U7niversity.

MsRIF,L. C. J.. L.R.(.P.Lond., I.R.C.S., appointed Assistant Sulrgeonl tothe Norfolk andI Norwich Ee Infil-mary, vice Dr. Morse, resignied.

O)LDHAM, Mo'1ntagtUC W., M.R.C.S.. L.R.C.P., L.S.A., appoinited Surgeon tothe Co entry Pirovidenit l)ispensar-y.

PANTIriN(, Jolhni, M.A.Cantab., M.lt.('.S., L..R.C.P., appoinited Ilouse-Plhysi-cian at tle MIiddlesex Hospital.

iPYE-SMITH, R. J., F.R.C.S., L.R.C.P.Lond., I-eappointed Hoiorary Surgeonto the Sheflield Hospital aind Dispeiisary.

'RADFORD, WV. J., L.R.C.P.Lond., M.R.C.S.Eng., appointed Resident Mledi-cal Officer at the St. Mairvlebonc General Dispensary, 77, WelbeckStreet, WV.

ROBlERTSON, J. Begg, M.B., C.M .Edin_. appointed Assistant Medical Officerto the Fift' aild Kiiiro-is l)istirict Asylun.

1WBERTSON, Robeit. M.B.. (.M.Glasg., appointed Medical Officer to theLanarkshir e Steel Company's Wor ks, FlemIiington. Motl1ei-well.

SrIAW, Eirnest A., B.A.. M.B., C.M.Cantab., appoinited Patlhologist andAniesthetist to the est Ridinig Lunatic Asyluiim, Vatkefield, viceEdwin Goodall, M.D.Lond.

ST. JOHNSTON, G(eorge. M.R.C.S., L.R.C.P., appointed House-Physiciaiito the Queen's Hospital, Birininiglihaini.

STOTT, H., L.R.C.P.Lond., M.R.('.S.Eng., appointed Medical Officer fortile Frier-n Barnet Sanitary Disti-ict.

THoMsON, Tlecodolre, M.B.Lond., L.R.C.S.Edin., D.P.H.Camb. . appointedInspector to the Medical Depaitment of thlC Local GovernmentBoard.

WXILKINSON, J. Hf.. M.R.C.S., L.R.C.P., appointed Resident MedicalOfficer to the G;ucst Hospital, Dudley, rice E. H. Stroilg, M.R.C.S.,L.R.C.P.

AWCILLIAMIS, C. Theodore. M.A.Oxon., M.D.Loud., icappoiiited Physician tothe Consumiption Hlospital, B1r(onipton.

DIARY FOR NEXT WEEK.

MONDAY.LONDON P'oST-CGRADUATFE COURSE, Royal London Ophltlhalmic Hospital,

AMoorfields, 1 P.M.-Mr. R. Mlarcus Gunn: Aff'ections ofthe Cornea. Hospital for Sick Children, Great OrmondStreet, 4 i'M.m-Dr. Voeleker: The Pathology of Tubercu-losis in (hildren (Demonstration).

TVJESDAY.LONDON POST-GRADUATE COURSE, Bethliem Royal Hospital, 2 P.M.-Dr.

lPercy Smith: Mental Stupor, Dementia. ExaminationHall, Victoria Enibankinent, 5 P.M.-Mr. Jonathan Hutch-inson. Pruriginous Affections of the Skin.

?ATHOLOGICAL SOCIETY OF LONDON, 8..30 P.M.-Mr. H. B. Robinson:Cystic Tumours of Jaw. Mr. C. A. Ballanice: Large AuralExostosis. Mr. E. Rouglitoni: Lipoma of Spermatic Cordwith Hernia. Dr. S. Sharkey: Ulcerative Colitis. Dr. J.

F. Payne: Syphilitic Caries of Calvaria in an Infant. Dr.F. Seinon: Anomalous Tumour from Ary-epiglottideanFold. Dr. H. D. Rolleston: Myocarditis linmited to theRight Side. Dr. S. Delepine: Cultures of Psorospermine.Mr. C. A. Ballance and Mr. S. G. Shattock: Negative Re-sults of Psorospermial Inoculation in Animals. CardSpecimens:-Dr. S. West: Secondary Sarcoma of Lung.Dr. A. F. Voeleker: Tuberculosis of Thyroid. Dr. Rol-

leston: Lung invaded with Colloid Carcinoma. Mr. H. B.Robinson: Ulcerative Colitis.

WEDNESDAY.LONDON POST-GRADUATE COURSE, Hospital for Consumption, Brompton,

4 P.M.-Dr. J. Kingston Fowler: Arrest of PulmonaryTuberculosis, with Cases. Royal London OphthalmicHospital, Moorfields, 8 P.M.-Mr. A. Q. Silcock: Glaucoma.

EPIDEMIOLOGICAL SOCIETY OF LONDON, 8 P.M. -Annual Meeting. Dr. A.Campbell Munro: Measles: an Epidemiological Study.

ROYAL MICROSCOPICAI, SOCIETY, 8 P.M.-Mr. E. M. Nelson: IlluminatinApparatus. Mr. T. B. Rossiter: On a new Cysticercus andthe TTnia produced froni it.

ROYAL METEOROI,OGICAL SOCIETY, 25, Great Geoige Street, Westminster,7 P.M.

THURSDAY.LONDON POST-GRADUATE COURSE, National Hospital for the Paralysed

and the Epileptic, Queen Square, 2 P.M.-Dr. CharltonBastian: Selected Cases of Disease of the Brain. Hospitalfor Sick Clhildren, Great Or mond Street, 4 P.M.-Dr.Barlow: Rheumatism in Childrein. Londoli Thlroat Hos-pital, Great Pom-tland Street, 8 P.M.-Mr. George Stoker:Syphilis anid Phthisis of the Larynx.

HXRVEIAN SOCIETY OF LONDON, 8.30 P.M.-Clinical Evening. Cases willbe slhown by Messrs. Squire, Hill, Spicer, Pepper, J uler,and others.

NEITROLOGICAL, SOCIETY OrF LONDON, St. Mfai-y's Hospital, 8.:0 P'.m.-Dr.Beevor: On some points in the Actions of Muscles. D-.Waller: On the Sense of Effort. Dr. Mott: The Resultsof Heimnisectioll of the Spinal Cord in Monkeys.

FRIDAY.LONDON POST-GRADUATE COURSE, Bacteriological Laboratory, King's

College, 11 A.M. to 1 P.m.-Professor Crookshank: Lecture:Cultivation of Ilacteria. Practical Work: Examinationof Various Cultivations. Hospital for Conisumption,Brompton, 4 P.m.-Dr. J. Kingston Fowler: Arrest of

Pulmonary Tuberculosis, with Cases. Great NorthernCentral Hospital, 8 P.m.-Dr. Galloway: Demonstrationsof Morbid Anatomy: Liver and Spleen.

CLINICAL SOCIETY OF LONDON, 8 P.M.-Living Specimens:-Mr. BruceClarke: Case showing a new method of Amputation justbelow the Knee-joinit. Mr. W. 1I. Bennett: SymmetricalEnlargemnent of Parotid Glands. Di. Calvert: (1) Case of

Congeniital Cranial Synostosis; (2) Case of HystericalHiccough. Mr. WV. H. Battle: Case of Fiecal Abscessafter Operation. Mfr. E. H. Fenwick: Case of CongenitalScrofula. Dr. Herringham: Case of Hereditary Clioreain an Elderly Man. Dr. Bolton Tomson (introduced byDr. Savill): Two Cases of Hereditary Muscular Spasm.Mr. Brodhurst: Case of Scoliosis with Rotation. Dr. Savill:Case of Hysterical Rachialgia. Papers, 9 P.M.-Dr. SidneyPhillips: A Case of Typhoid Fever, with occlusion of thefemoral artery during convalescence, and with acutemaniacal attacks. Dr. Ord and Dr. Copeman: A Case ofLeucocythamia under observation nearly three years. Dr.Maclagan: Cases of Neuritis and Spurious Arthritis. Dr.Remfry: Case of Pulmoinary Enibolism.

SATURDAY.LONDON POST-GRADUATE COURSE.-Betlilem Royal Hospital, 11 A.M.-Dr.

Percy Smith: Clinical Demonstration.

BIRTHS, MARRIAGES, AND DEATHS.The charge for inserting announcements of Births, Marriages, and Deaths is

3s. 6d., which sum shouLd be forwarded in Post Office Order or Stamps withthe notice not later than Wednesday morning, in order to insure insertion inthe current i88ue.

BIRTHS.BULLEN.-Oni April 16th, at Benares, Iidia, the wife of Surgeoni J. WV. Bul-

len, M.D., Medical Staffand Staff-Sulgeori, of a daughter.CHETHAM-STRODE.-On April 3oth, at 101, Betlhuiie Road, Staimiford luill,

N., the wife of R. Chetlhan-Strode, M.B., of a soii.

LE MOTTfE.-At Cliakrata, North-West PI'ovinces, Ilidia, oni April 11Ith,the wife of Surgeoil-Major G. H. Le Mottee, Medical Staff, of a

daughltel.PvrERSON..-(n Maystli, at Stanlley Ioulse, Aldershot, the wife of Charles

Edward Ilatersoin, AI.D., of at daughtem.

DEATHS.

BURNIE.-On May 1st. at hiis residence, Haughtoni House, Bm-adford,William Burnie, M.D.Edin., L.R.C.P.Edin., in the 76th year of hisage.

LILLY.-At Guernsey, oim fay 10th, Jolhn Hoyland Lilly, L.R.C.P.Edin.,L.F.P.S.Glas., of Bitterine, Hailts, formeily Medical Supei-itllejdentof the Westei-n Inlfirmary, Glasgow, and Physician Superintendent ofthe City of Glasgow Fever Hospital, aged 45.

ROWLANDS.-On May 3rd, at Ebenezer, near Carnarvon, William Row-lands, M.D., aged 36 years.

1107

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1108 TILE BRITISH MEDICAL JOURNAL. [May 16, 1891.

HOURS OF ATTENDANCE AND OPERATION DAYSAT THE LONDON HOSPITALS.

CANCER, Brompton (Free). hIouirs of Attenzda?cec.-Daily- 2. OperationDays.-Tu. S., 2.

CENTRAL LONDON OPI1THALUIC. Oper?ationl Days.-Daily, 2.(CHARING CRoss. hIoturs of 4ttend(anice.-Mledical and Surgical, daily. 1.30;

Obstetric, To. F., 1.3o; Skin, Ml., 1.30; Dental, .1. W. F., 9;Throat and Ear, P., 9.30. Operation Days.-W. Tlb. F., 3.

CHIELSEA lIOSI1TAL FOR WOMEN. lIoturs of Attenldance..-Daily, 1.30.Operation Days.-M. Tl., 9..30.

EAST LONDON hIOSPITAI, FOR (HILDREN. Operation Day.- F., 2.GREAT NORTHERN (CENTRL. Rlomrs of Atte)ndance.-Medical and Sur-

gicll Al T. W Tl. F., '13)0, Obstetric, X'., 2.:30 ; Eye, Tti. Tlb.,Ear, MF. t2.;3/); I)iseases of the Slinl, WV., 2.30o; liseases

of tlle Tlroat, Tl., 2.30; lDental Cases, XW., 2. Operat ion Day.-W., 9'Guy's. Ifours of Attre1ancerM.-Aedical and Surgical, daily, 1.30; Obstetr-ic,M. Tnu. F., 1.:io: Ev., tI.TtlI. Tli. F., 1.30; Ear, Tu., 1; Skin, Tu.,1; 1)eital. daily, 6: Tliroat'm F., 1. Operationt Days.-(Oplthal-mnic)M,l. Tl. , 1.:30; Tu. F., 1.30.

HOSPITAL FOR W;OMNIEN, S0li0. Jlo7irs of Attenidance.-Daily, 10. OperationD)ays.-AM. Ti., 2.

KING'S COLLEGE. Iloutrs of A te newlawe.-Medical, daily, 2; Surgical, daily,1.3:0; Obstetric, daily, 1.0: o.p., TU. XW. F. S., 1.30; Eye, AMl. Tll.,1.30; Oplhtlhalmic I)epartmoent. XW., 2; Ear, Tll., 2; Skin, F.,1.30; Tlhroat, F., 1.30; Dental, Tu. Tli., 9.30. Operation I)ays.-Tu. F. S., 2.

LONDON. !lontrs of 4 ttewtancr.-Medieal, daily, exe. S.. 2: Suirgical, daily,1.30 aind 2: Obstetric, A. Th., 1.30: o.p., AN'. S., 1.30; Eye, Tu.S., 9; Ear. S.. 9.30; Skini, Tbl., 9 Dental, To.. 9.. Opcration l)ays.-M. To. XX. TIt. S., 2.

LONDON TEMPERANCE HOSPITAL. Hontrs ofAttendaice.-Mledical, M. Tu.F., 2; Surgical, Ml. Tbl., 2. operation Days.-Ml. Th., 4.30.

METROPOTATAN. Homq o(f Aften(lamce.-Medical and Surgical, daily, 9;Obstetric, W., '. Operation Day.-F., 9.

MIDDLES;EX. Ifours of -Atten(lace.--Medical anld Suirgical. daily, 1.30Obstetric, I. Tbl., 1.30 o.p., M. F., 9, XX7., 1.3(0; Eye, TU. F., 9;E ar aiod Tllroat, Tul., 9; Skini, Tu., 4, Th., 9.30; Denital, Al. W.'., 9.30. Operation Days.-NV., 1, S., 2; (Obstetrical), IV., 2.

NATIONAL 0RTHOPJ-,DIC. flours OJ Attendaiice.-M. TU. T11. F., 2}. Opera-tionI Day.-X., 10.

NORTH-XXVESST LONDION. flours of Attenidanice. - Medical and Suirgical,daily, 9; Obstetric, W., 2 ; Eye, XW., 9; Skini, Toi., 2 ; D)ental,'., 9. Operation D)ay.-Th., 2.30.

ROYAL FREE. Hlon-s of Attecndance. -Aedical and Surgical. daily, 2Diseases of XV'oInieii, TU. S., 9; Eve, MI. F., 9 ; Dental. Tli., 9.(0peration l)ays.- W. S., 2; (Ophtliahiuic), M. F., 10.30 (Diseasesof XVolien), S., 9.

ROYAL. LONDON OPm111ALMsIC. Ifonrs of Attcen(lanice.-Daily, 9. Operation1)ays.-Daily, 10.

ROYAL. ORTHOP.EDIC. Nlonirs OJ Atteiid(laecc.-Daily, 1. Operation Day.-'1., 2.

ROYAL XVESrMINSTER OPHTHALM1IIC. Ilonirs of Attendance. -Daily, 1.O1peration D)ts.-Daily.

ST. BARTHOOMEW' S. lo?lrs of Attendance.-Medical and Suirgical, daily,1.30; Obstetric, TU. Tli. S.. 2; o.p., XV. S., 9; Eye, XV. Th. S.,,).:() Iar1,T'1. F., 2; Skiin. F., 1.3(1: Larynx, F.. 2.30 ; Ortlio-pt'dic, XI. 2.:ill; IDental. Tu. 1". 0). Operation Days.-M. Til. XV.5 10;(01O)hthalinii) TU. Tim., 2

ST. (GEOaGI S. 1[ours or A ftt nda1nc.- MIedo al anid Sni gical, A. T1i. F. S.,1 Obstetric, Tli.i o;O.P.,p C,I' .X .' 2; E,ar, TU., 2; Skin, XW'.,2; Tli-oat, Tli. Ortihopetdic, XX'., 2 Deital, Tu. S., 9. Opera-t.ioit D)(w. --Ti. I (Op1t111ialnic) 11, 1.1.

ST. AMARKS. HoIFrs of ltten(ti?ce.-Fistmila anid Diseases of tIme Rectum,itiales X .,8 .4.- feiiiales, Tl., 8. . Opcration Day.-Tu., 2.

ST. MZARY'S. H[oui-s of ttteUciance.- Medic'al and Stirgical, daily, 1.45: o.p.,1.3(; Obstetric, Tu. F., 1.45; lye, Tu. F. S.. 9; Ear, M. Th., :3;Ottliopwdic, X., 10; Thiroat, Tu. F., 1i0o; Skii, M. Tlb., 9.30;Electio tlierapeiities, Tu. F.,F ; Dental, X. S.. 9.30; Consulta-tiolls Af., 2.'301. Oprration J)ays.-Tu., 1.30; (OrtliopTdic), XI'.,11; (Olbthmalbllic I .', 9.

ST. PETER'S. Ilo1(rs of AlttCidanee.-f., 2 and 5, Tu.. 2, XXW., 2.30 and .5, Tll.,2, F. (XXomenaCsd Children). 2, S., :3.30. Operation Day.-XW., 2.

ST. THOmASS. IJo')rs of Atted(acce.-Medical anid Surgical, daily, exe.W. aindI S., 2; Obstetric, Tii. F.. 2; op., XX'. S., 1.30o; Eye. Tu.,,2;o.p., dail, exC. 5., 1.3(1; Ear, M., 1.;3o ; Skiii, F., 1.30; Thlr-oat,Tni. F., 1.30; (lildren, S., 1.30; Dental, Tu. F., 10. Operationl)ays X. S., 1.'30; (O()phthalmic), Tu., 4, F., 2 ; (Gynmecological),Tli., 2.

SAMARITAN FI EE I OR X OMEEN AND CHTLDREN. Ilouirs of Attendance.-Damily, 1 .3. Operatiom Day.-W., 2.30.

THROAT, GioldenI S(quae. IHouirs of Aatteizdane.-Daily, 1.:0; Tu. and F.,6.30; Operation D)ay.-Tlh., 2.

ITNIVERSITY ;OLLEOGE. flours of A tceiidaiier.--Mfedical and Surgical, daily,1.:3o); Obstetrics, A. WXX. F.. 1.31/; Eye, M1. Tli.. 2; Ear, Ml. Tbi.. 9;Skini, XX'., 1.1., S.. 9).1r; Tlhroat, AM. Tli., 9; Dental, XV., 9.30;Operaton D)ais.--XW'. Tli.. 1:30; S., 2.

WEST LoNDoN. HIotir's of .Attenidanic.-Afedical and Surgical, daily, 2;1)ental. Ti. F.. 9:30/ Eve. T11. Tli. 5.. 2; Eai. TU., 10 Or'tlopw-dic; XV.. 2,; Diseases of XN'onsen, XX'. S.. 2; Electtic, Tni., 10, F.,4; Skin, F , 2; Tthroat anid Nose, S., 10. Operation Days.-Tu.F., 2.30.

WESTMINSTER. Ho(,7? rs of Attendanc.-Medical and Surgical, daily, 1; Ob-stetric, Tii. F.. 1; Eye, Al. Thi., 2.30; Ear, MI., 9; Skin, XV., 1;Dental, W. S., 9.15. Oneraticn Days.-Tu. XV., 2.

LETTERS, NOTES, AND ANSWERS TOCORRESPONDENTS.

COMMUNICATIONS FOR THE CURRENT WEEK'S JO0TRNAL SHOULD REACHTHE OFFICE NOT LATER THAN MIDDAY POST ON WEDNESDAY. TELE-GRAMS CAN BE RECEIVED ON THURSDAY MORNING.

COMMUNICATIONS respecting editorial matters should be addressed to theEditor, 429, Strand, W.C., London; those concerning business matters,nor-delivery of the JOURNAL, etc., should be addressed to the Manager,at the Office, 429, Strand, W.C., London.

IN order to avoid delay, it is particularly requested that all letters on theeditorial business of the JOURNAL be addressed to the Editor at theOffice of the JOURNAL, and not to h,is private house.

AUTHORs desiring reprints of their articles published in the BRITISHMEDICAL JOURNAL are requested to communicate beforehand with theManager, 429, Strand, W.C.

CORRESPONDENTS who wish notice to be taken of their communicationsshould authenticate them with their names-of course not necessarilyfor publication.

CORRESPONDENTS not answered are requested to look to the Notices toCorrespondents of the following week.

MANUSCRIPTS FORWARDED TO THE OFFICE OF THIS JOURNAL CANNOTUNDER ANY CIRCUMSTANCES BE RETURNED.

PUBLIC HEALTH DEPARTMENT.-We shall be much obliged to MedicalOfficers of Health if they will, on forwarding their Annual and otherReports, favour us with dutplicate copies.

a Queries, answers, and communications relating to subjects to whichspecial departments of the BRITISH MEDICAL JOURNAL are devoted, will befound under their respective headings.

QUERIES.

BooKs ON SYPHILIS.I. M. S. asks wlhich works on syphilis, published in thlc E,nglish language,give the most exhaustive information regarding the disease, cspeciallyfrom a clinical anid pathological point of view?*** Syphilis an?d Local Contagious Disorders, by B. Hill and Cooper. The

Pathology antd Treatment of Venereal Diseases, by Bumstead alid Taylor.Syphilis, by Hutchinson, is a smaller work, and though not a systematicor exhaustive treatise, is full of valuable information.

ANSWERS.

JUSTITIA.-We are advised that £1 would be a reasonable fee ilnder thecircumstances mentioned.

LAYMAN.-We are not prepared to discuss the hypothetical cases put byour lay correspondent.

E. P. K.-The value to be attached to peeling of the skin as an evidence ofrecent scarlatina cannot be stated absolutely. All the facts in the casenmust be taken together; but there are, ri1 doubt, cases in wlhihli exten-sive peeling of a clharacteristic kind would be conclusive evidence forall practical purposes.

RUSTICIJS.-If a large work oIn the anatomy, physiology, and pathology ofthe eye is wanited, Noyes's Disrases oJ the Eye (imn. Wfood anld Co.) wouldbe found useful. If a smiialler work is preferreil, either Swanzy'sDiseases of the E1ye or Carter and Frost's Ophth(fhaiwic ?,'(rurcr? (Cassell)bnight be obtained.

B. A.-We are not acquainted with any works on physics or clhenmistryspecially designed for Public Ihealtlh examinations. An elcmeltaryknowledge of cheemical and physical principles is required, but canidi-dates are not specially examined in these subjects, and all the infolrna-tion necessary is contained in good works on hygiene. Hygiene endPublic Iealth, by Dr. Arthur Whitelegge (Cassell and Co., London, 1890),and Pntblic hlealth, by Dr. Louis Parkes, may be recommeinded.

SURGEON, ETC.-The advertisements are, no doubt, designed to attract theweaker sort of " Spiritualists " suffering fromn physical ailments.Magnetic healers and clairvoyant diagnosers flourish exceedinigly inthe United States.

MEMBER B.M.A.-By the law of England ani h-labitual drunkard cannot besubjected to restraint, unless guilty of some criminal offence or insane,unless he voluntarily appear before two justices anid sign an agreemilenlt,to surrenider his liberty in some licensed retreat, for any period notexceeding twelve montlhs. Full particulars are to be found in Inebriety,its Etiology, Pathology, Treatnme7it cad Jurisprudenice, by Dr. Norman Kerr,2nd edition. H. K. Lewis.

A. B. C.-. The old apprenticeslhip deed was for five years. Any digres-sion therefrom could only be by Inutual arrangement. 2. Tlhe nuimiiberof undergraduates studyiin medicine at Canmbridge University has verymuch iiereased during tlle lst ten ye.ars. The inuiimber at presenit issaid to be over 400.

EXAMIN-ATION FOR L.R.C.P.I.CANDIDATE.-We may remlind our correspondent that the qualificationabout which he asks is now "L.R.C.P.l.," not "1L.K.Q.C.P.I." The ex-amination is. we are informed, thoroughly practical, and great weightis attached to the clinical portion of it. Candidates are allowed toselect their own textbooks on the various subjects of examinatioin,which are: Practice of Medicine, Clinical Medicine, Pathologv, MedicalJurisprudence, Midwifery, Hygiene, and Therapeutics. Toxicology isheld to be included under Medical Jutriisprudence, anld Gynncologyunder Midwifery.

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1110 THE BRITISH MEDICAL JOURNAL. [May 16, 1891.

" confine" as applied to the doctor ? Surely the child is the confiningcause, and Nature, doctor, and midwife are the releasiig agents. Thisseems to be a real abuse of lainguage, especially when there is a wordlike " deliver " ready and willing for Dr. Roberts's pen. Otherwise thepoliceman will be on the warpatlh, and writs of habeas corpus will flitround the medical doorplates.*** We ratlher questioni "E. M. S.'s" correctness in his derivatioil of

the verb"to confine." OnIhis sidechle as a standard autlhority, wlocompares it to the Middle Englislh " Our Lady's bands or bonds" ulsedin the sense of "cnceinle," but there appears to be no historical proofof any relation betweein the two termiis. The substantive " confineimient"and tllc verb "to be contfinled' cannot be found in Englislh literatureearlier than thc close of the eighteenth century. They seem to beillustrations of that tendency to euplhemism in matters supposed to beindecent or inidelicate, wlhich chlaracterises our modern womanlhood,and whiclh made its appearance in the last century. "Labour" or"chllildbirtlh " weire indelicate termiis, but a person so affected was " con-fined" to her bed or apartmiient. So the word " confined " or " confine--ment" replaced the car-lier and more explicit terImIi; and finally, as allsuch objectionable euplhemisms do, domiiniated tlle adopted term to theexclusion of tlle original meaning. For inistance, Jolhn Abernetlhy aslately as 1801 spcaks of a younig lady patient of hiis as "recovering'slowly after lher confinement"-a sentence which now ('ould bearl butone meaniing, biit Ahernethy mer-ely used the word as imiplying coifin1ie-ment to tle palient's ioom by ordiinary illness. A dozeni other words'could be mentioned wvlhichl the same fate lhas befallen for examlple," belly" has heen replaced by " stomnach," whlichl in] its tnirn gives way inyoung lady's parlance to "chest." The suibstanitive anid verb " confinie-ment " aind " confine " have (ninfor tninately) been adopted durinig thepreseintcenltiir-y illto mlledical literature, anld must iiowv be considered, notin the liglht of their original derivation, but of their present meaning,that is, " coInfinemenCit" imutist be taken as equivalent to the Frenclh " ae-couchlemenlt " (vlhichi has a like euphemistic origin), wvlhilc to the verb-"confine" imay be givenl ain active sense-tlhe one our correspondentdislikes-exa('tly as tlhe, verib "ac(ouc(her " lhas an active as vell as apassive ineanih- in French, translatable in Ena'lishl " bring to bed." So,as the " acconchement" "confines " the patienit to lher room, the doctorwlho attends lher- m.ay in like euplhemiiism be said "to conifine " hier, thatis, lie is the activ-e cause + Nature of lher delivery, whlichl moderndelicacy preferred to call hier " confinemeiit "-a termii llow in its turi)becoming indelicate. At all events, the verb) active " to confine" is notused by Dr. Roberts for tle first timiie. Tt is to a certaini extent useful,and is i0o Imole objectionable than the substanitive or verb which" E. M. S." accepts, of wlhiel it is, after all, only the inevitable develop-ment and natural outgrowth; language, like trees, being in constantprocess of griowvtlh aind increase, both active and passive verbs beingdaily inveinted from subustantives for convenience, being adopted intothe language for a like reason, and altlhouighi incapable of defenlce onstrict philological linles, becoming as nmuichl a part of our specell aswords wvhiclh Shakespeare knew anid used.

LETTERS, COMMUNICATIONS, ETC., received from:(A) Mr. C. A. Altmann, Plort Liincoln; Dr. Abercrombie, Lonidon: Dr.J. Adams, Eastbourne : Dr. R. S. Anderson, Speninymoor; Mr. WV. A.Atkinson, London; Dr. S. Allden, Lojndon: Mfr. A. Appelbe, Belfast;Dr. J. Aikmaii, Guernsey; Dr. F. J. Allan, London; Brigade-SurgeonE. Amesbury, Brighton; Mr. C. E. Abbott, Braintree. (B) R. C.Benington, M.B., Newcastle-on-Tyne; T. R. Bailey, M.B., Bilston; J.Biernacki, M.B., Stockport; Mr. G. F. Blake, Dublin; Dr. H. Barnes,Carlisle; Dr. E. Burd, Shrewsbury; Mr. T. H. Bagshaw, Salford; Dr.D. Bruce, Netley; Dr. W. P. Biden, Hy(.res; Bouillon Flect Company,London; J. F. Boa, M.B., Bishop's Castle; Dr. J. Berry, London; Mr.C. S. Buck, Milverton; Dr. T. Bridgwater, Harrow: G(. P. Best, M.P.,'London; Dr. WX'. Blair, ~Jedburgh; Mr. A. Berrill, Souith Woodford;Dr. Binnie, lirandon Colliery. (C) Mr. E. Caudwell, Manchester;Mr. A. Cooper, London; Air. A. W. Cadman, London; Dr. T. Churton,Leeds; Messrs. T. and A. Constable, Ediniburgh: Mr. XW. (heyne,London; Dr. A. E. L. Charpentier. U7xbridge; Dr. L. (Careii, Naples;Surgeon-General Coirnish, Londoi; Dr. C. Cooinbs, Castle Cary; Dr. G.A. Carden, Cheltenlhain; Dr. WV. A. Carlinie, Lincoln. (D) Director-General of the Army Medical Department, Lon-don; Messrs. DowniBrothers, London; Dr. J. G. Dill, Brighton; Mr.A. Doran, London; D'.Denby, lBradford. (F) Mr. Adams Frost, London; Dr. G. Ferdinand,Aberdeeni; Dr. H. Frere, Bradford; Mrs. Fisher, Bui-lutoni; Xlr. H.Frowde, London; Mr. M. For bes, Edinburgh. (G) MIr. W'. H.Gimblett, Hackney; Dr. S. Guittnmanin. lIerlin; Mr. E. Guelpa, P'a is;'Messrs. Goddard, Massey, and WN'arner, Nottinigham; Mr. WV. Gurner,London; Mr. J. Good, Robe'tsbridge; Dr. J. Grifliths, Canmb iidge;Dr. J. Grant, Ringwood; Mr. J. Gibson, Greetland; Dr'. A. H.Griffith, Manclhester; Mr. II. G;oodman, Downham. (Z) D'. P. T.Heron, Rathmines; Dr. H. Handford, Nottingham; Dr. D. Hocper,London; Mr. W. Holder, Hull; Sir Guyer Hunter, M.P., London; Dr.

Halliburton, London; Dr. V. Harris, London; Mr. C. Hirsch, SouthHampstead; Dr. Peter Horrocks, London; Dr. J. W. Hunt, London;Mr. Victor Horsley, London; Dr. P. J. Hensley, London; Mr. C. Hogg,London. (I) Dr. C. R. Illingworth, Accrington. (J) Dr. H. N. Joynt,Birmingham; Surgeon-Major W. T. Johnston, Brindisi. (K) Mr. A.Kidd, London; Messrs. King, Mendham and Co., Bristol; Mr. E. C.Kingsford, East Molesey; Dr. Norman Kerr, London; Mr. C. P. King,Chepstow. (L) Professor E. Ray Lankester, London; Dr. E. Liveing,London; Dr. H. G. Lys, Bournemouth; Mr. C. B. Lockwood, London.(N) Mr. E. Merck, Darmstadt; M.S.; Miss E. Miller, Plymouth; Dr.W. Murrell, London; Mr. L. A. Mlott, Cheltenham; A,Member B. M. A.;Dr. D. E. B. Marsh, Newport, Mon.; M.B., M.A.; Dr. W. McMurray,London; Mr. F. H. Moore, Liverpool; Dr. Mead, Newmarket; Mr. H.A. IL. McDougall, Wincanton; Dr. Myrtle, Harrogate; Mr. W. -Marriott,London. (0) Dr. XW. Ogle, Derby; Dr. C. O'Neill, Belfast; Mr. M. WV.Oldham, Coventry. (P) Dr. C. E. Paterson, Aldershot; Dr. LesliePhillips, Birmingham; Mr. J. Panting, London; Mr. T. Pennington,Willenhall; Mr. C. A. Pearson, London; Dr. L. Parkes, London; Dr.F. T. Paul, Liverpool; Mr. D'Arcy Power, London; Mr. J. Poland,London. (R) Mr. G. W. Ridley, Newcastle-on-Tyne; Dr. R. R. Rentoul,Liverpool; Dr. J. Reynolds, Brixton; Mr. H. A. Riles, Tottenham;Mr. G. A. Raverty, Upper Clapton. (S) Messrs. Street and Co., London;Secretary of the West London Medico-Cliirurgical Society: Air. L. XV.Swabey, Julluindur: Surgeon-Major I.M.D.; Dr. Sykes, Mexborough;Mr. G. St. Johnston, Birminglham; Secretary of the Royal MicroscopicalSociety, London; Secretary of the Nottinglhamii Mledico-ChirurgicalSociety; Dr. F. W. Smith, Leamington; Mr. A. H. Stokes, Sandown.(T) Mr. J. Tay, Bristol; Sir lenry Thomiipson, Falmloutli; Dr. H. C.Tweedy, Dublin; Dr. J. Taylor, Ticehur-st; Mr. II. It. Toothl, London.(U) MIr. P. Ukarji, London; Dr. C. T. Urquhart, Aberdeen. (V) Mir.T. J. Verrall, B3righton. (W) Dr. W. Wilson, London; Mr. W. E.Walter, Chippenham; Dr. T. WVilliams, London; I). G. T. WValters,Stonehouse; Dr. T. J. Walker, Peterborough; Messrs. A. WV. Watsonanid Co., hloing Kong; Mr. W. Wykesmitlh, Wimboiriie; n)r. J. A. Wilon,Spriuigburni; Dr. H. Wloods, London. (Y) Miss L. Yates, London;etc.

BOOKS, ETC., RECEIVED.

Manual of the Domllestic Hygicne of the Child. By Julius itfielmann,M1.D. Translated by Harriet Ransom Milinowski. Edited by MaryPutnam Jacobi, M.D. London and New York: G. P. Putnamii's Soils.1891.

Supplement to a Textbook of Pharmacology, Therapeutics, and MateriaMedica. By T. Lauder Brunton, M.D., F.R.S. Lonldon: Macmillanand Co. 1891.

Memoires et Bulletins de la Soci6tW de M6decine et de Chirurgie deBordeaux. ler et 2e Fascicules, 1890. Paris: G. MIasson. 18)0.

Atlas of Clinical Medicine. By Byrom Bramwell, M.D. Vol. 1, Part 1.Edinburgh: T. and A. Constable. 1891.

Guy's Hospital Reports. Edited by N. Davies-Colley, M.A., M.C., andW. Hale White, MI.D. Vol. xlvii. London: J. anid A. Churchill.1890.

Battles fought in Yorkshire. Ily Alex. D. Hi. Leadmani, F.S.A. ILonidoni:Printed by Bradbury, Agnew aind Co. 1M)1.

The Physical Diagnosis of the Diseases of the Heart and LuIngs andThoracic Aneurysm. By D. MI. Cammanii, B.A.Oxon., MI.D. Londonand New York: G. P. Putnam's Sons. 1891.

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