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with gratitude the too. short time that he was with us and theprofit we derived from it. We shall honour the memoryof an accomplished surgeon."

Mr. Vaughan Payne leaves a widow and three children.Dr. T. Y. FINLAY

W. G. C., paying tribute to Dr. Finlay’s outstandingwork in the public-health service of Edinburgh, writes :

" Tyf, as he was called by all of us, was the first child-welfare officer of the City of Edinburgh, and he had thewisdom to collect round him all those who were willing togive of their best, in a voluntary capacity, for the bettermentof child life. Day nurseries, toddlers’ playgrounds, controlledadoption, homes for mothers, in fact any movement whichhe thought would better the lives of the very young had hisenthusiastic support.

" He was a quiet gentle soul who avoided any personalpublicity and asked for nothing more than to be allowedto try out any measure which might lead to a healthier lifefor the community. The same delightful attributes colouredhis family life. His joy when a vine in his unheated green-house bore fruit, his pride in his family, and his Christianfaith all showed the innate simplicity of a lovable man whodid more for his fellow men than either he, or they, knew."

1. See Lancet, Oct. 24, 1953, p. 881.2. The Registrar-General’s Quarterly Return for England and

Wales : Quarter ended Sept. 30, 1953. H.M. Stationery Office.Pp. 27. 2s.

Public Health

Second Quarter in Northern IrelandTHE biith-rate in Northern Ireland during the quarter

ended June 30, 1953, was 22-9 per 1000 population, anincrease of 0-7 over the rate for the same period of 1952.The general death-rate worked out at 10-8 per 1000population, as compared with 10-7 for the correspondingperiod of 1952 ; but it was 0-4 beiow the average ratefor the second quarters of the previous five years. Theinfant-nioi-tality rate of 37 per 1000 live births was thelowest ever recorded for the June quarter of any year.

Third Quarter in England and WalesThe main figures for the thuo. quarter of 1953 in

England and Wales have already been published,’but the Registrar-General added some further detailsin the quaiterly return 2 isaued last week. There were2688 notifications of poliomyelitis and 144 deaths duringthe qua] ter, so that the disease was much less prevalentthis summer than in the epictemic years of 1947, 1949,and 195U, though it remained much more prevalentthan it was before 1947. There was only 1 death fromdiphtheria in the June quarter of this year, comparedwith 294 in the same quaiter of 1943. The death-ratefor Grieater London in the third quarter was 7-7 per1000 population ; the corresponding rates in some citiesabroad were New York 9-2, Stockholm 8-6, Copen-hagen 8.0, Oslo 7-6, Rome 6-6, Capetown 13-9, andJohannesburg 21-0.

AppointmentsAppointed Factory Doctors:BURNS, ROBERT, M.B. Glasg. : Woolwich, London.DICKSON, A. M., M.B. Mane. Wilmslow, Cheshire.FLETCHER, LESLIE, o.B.E., M.B. Glasg. : Wirksworth, Derbyshire.GALL, A. M., L.R.C.P.E. : Spalding, Lincolnshire.GEMMELL. H. D., M.B. Glasg. : Westbury, Shropshire.KEELING, R. G. M., o.B.E., M.B. Camb., D.OBST. : Reading,

Berkshire.KIRKWOOD, P. M., M.B.E., M.B. Edin. : Penshurst, Kent.MATHESON, A. R., M.B. Edin. : Edinburgh North.MICHAEL, J. P., M.B. Belf. : Sithney, Cornwall.SIMPSON, ALEXANDER, M.B. Edin. : Neston, Cheshire.SMITH, A. M., M.B. Aberd. : Kildalton-and-Oa, Argyllshire.STEWART, HUGH, M.D. Glasg. : Edinburgh South.VVITNEY, R. L., M.R.c.s. : Whitstable, Kent.

Colonial Service :

ADYE-CURRAN, S. M., L.R.C.P.I. : M.O., Kenya.AKWEI, EUSTACE, M.B. Edin., D.P.H., D.T.M.&H. : M.o., Gold Coast.BANNERMAN, C. H., M.B. Edin., D.T.M.&H. : M.o., Gold Coast.BURGESS, F. D., M.R.c.s. : M.O., Kenya.EVA, M. E., B.M. Oxfd : M.o., Aden.FISHER, B. C., m.B. Lond. : M.o. (Leprosy), Nigeria.HAYES, J. G., M.B. N.U.I.: M.O., Northern Rhodesia.TAYLOR, L. R., F.R.c.s.: senior asst. surgeon, Singapore.TAYLOR, R. Y., M.R.C.S. : M.O., Kenya.

Notes and News

KING EDWARD’S HOSPITAL FUND FOR LONDON

PRESIDING over the general council of the Fund on Dec. 16,the Duke of GLOUCESTER spoke of the new Staff College forMatrons and Prospective Matrons which was opened in

September. " It still often happens that a nurse who hasspent almost all her working life within the confines of thehospital is appointed to the post of matron without any specialpreparation for the responsibilities of leadership which shewill have to assume. Hospitals are communities which bytheir very need for specialisation can easily become isolatedfrom developments elsewhere. The grouping of hospitals, andthe urgent necessity to adjust their work constantly to

changing needs, make it very important that matrons shouldkeep abreast of the best administrative methods whereverthey may be found. This the new staff college is trying to doby sending the students out to see something of what is goingon, for example, in industry. This new venture will be

running alongside of, and drawing on the experience of, ourexisting Staff Colleges for Ward Sisters and Hospital Adminis-trators and it is reasonable to hope that as time goes on eachactivity will reinforce the other, and there will gradually growup a far better understanding of respective responsibilities anddifficulties. The first dozen or so students, some from teachingand some from non-teaching hospitals, are now taking a fullpreparatory course lasting ten months. It is also hoped toorganise a refresher course of one month for existing matrons."

Sir EDWARD PEACOCK, the treasurer, reported that a specialgrant had been made from the radiotherapy fund for theprovision of a radioactive extension of the Thyroid andEndocrine Unit at New End Hospital, where there had beendeveloped the largest centre in this country for the treatmentof thyroid disease. The Fund had undertaken to bear thewhole cost (estimated at £35,OO0) of bringing the unit

thoroughly up to date.Sir ERNEST PooLEY, chairman of the management corn-

mittee, said that grants during the year to mental hospitalshad amounted to £46,000 , a further sum of E50,000 wasbeing made available for such grants in 1954. " A grant fromthe King’s Fund often helps to remedy some outstandingdefect and tends to overcome to some extent the feeling ofisolation that so many of these hospitals have experienced inthe past."

Sir ARCHIBALD GRAY, chairman of the distribution com-mittee, reported that grants made by the committee in 1953had totalled E120,000. This year the committee had allocated£35,000 to voluntary hospitals and £73,000 to hospitals withinthe National Health Service. During the past three yearsgifts made to the voluntary hospitals outside the Stateservice had gone up by £17,000, but legacies had fallen byje35,000.

WELCOME STRANGERS

THE Ciba Foundation, The Horse Shoe Club, and the Societyfor Visiting Scientists share the common duty of scientifichospitality and they are anxious to make known the help theyhave to offer to visitors from abroad. They have published aleaflet summarising their work, and copies have already beensent to some 150 American and Canadian doctors now in thiscountry. Other visitors, or intending visitors, are asked towrite for copies to Dr. G. E. W. Wolstenholme, Ciba Founda-tion, 41, Portland Place, London, W.I.

ANTIBIOTIC ENTEROCOLITIS

IN our leading article of Dec. 12 on staphylococcal entero-colitis complicating antibiotic therapy, we should havementioned a report by Mr. Ivor Kramer 1 of the death of aninfant from staphylococcal enteritis which developed duringstreptomycin therapy by mouth.

This infant was admitted to hospital at the age of 6 weeks onaccount of persistent diarrhoea and vomiting ; the faeces containedproteus but were repeatedly negative for Staphylococcus aureusand organisms of the salmonella and- shigella groups. The patientalso had a discharge from the eye, cultures from which grew Staph.aureus. Penicillin 50,000 units was given twice daily by intra-muscular injection. On the third day after admission streptomycinby mouth was started on a dosage scheme of 2 g. in seven days,distributed as follows : 05 g. in the first twenty-four hours, and0-25 g. in each subsequent twenty-four hours for six days. Withintwenty-four hours the stools were sterile on aerobic culture ; aftera further twenty-four hours Streptococcus fœcalis and coliformorganisms reappeared, but only in small numbers. On the fourthday after the start of streptomycin treatment the infant collapsed,and died shortly afterwards.

1. Kramer, I. R. H. Lancet, 1948, ii, 646.

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Necropsy .showed no cause of sudden death. Cultures takenfrom the terminal ileum, however, gave a very heavy growth 01a coagulase-positive streptomycin-resistant Staph. aureus; ; andsince every stool passed had been cultured and no Staph. aurcuslia(i been isolated, the organisms in the gut must have multipliedvery rapidly.Mr. Kramer concluded that elimination of the normal intes-

tinal fiora might have contributed to the establishment of thestaphylococcus in the intestine.

. GESTATION PERIODS

Kenneth’s list of mammalian gestation periods, last revisedin 1947,1 has appeared in a third edition with new entries byMiss G. R. Ritchie.2

University of OxfordOn Dec. 12 the follow-ing degrees were conferred :B.M., B.Ch.-N. L. Gittleson, T. H. Hughes-Davies, R. T. Wood,

R. H. 0. Parker, C. A. S. Wink, J. D. Craven, M. G. Gelder, JohnMould, Ian Hadfield, R. C. Ilbert, B. E. Juel-Jensen, StanleySolomons, C. E. Strode, J. E. Cooper, C. T. Howe, J. D. Wigdahl,R. F. N. Duke, V. D. Pippett, S. E. Smith, G. H. Bush, C. R. Tribe,James Bradshaw, M. C. ffrench-Constant, J. M. Jones, G. L. Asher-son, Gordon St. John-Ives, D. K. Croll, Geoffrey Bennett, Barbara H.MacGibbon, Hassia A. Orgel, Brenda L. Radford, Muriel K. Quick,Eileen B. B. Young, Ann G. Parker, *M. C. Brain.

*In absentia.

University of CambridgeRaymond Horton-Smith prize.-This prize for 1952-53 has

been awarded to Dr. John Perrin and Dr. E. K. Westlake.

University of SheffieldOn Dec. 15 the degrees of M.B., CH.B., were conferred on

the following :S. H. Harrison, T. G. Kershaw, G. F. Mackenzie, G. F. C. Rosser,

Peter Sykes, Helen F. Taylor, Peter Taylor, D. W. Warrell,Cynthia M. Worrall.

University of EdinburghProf. T. J. Mackie has been elected dean of the faculty of

medicine.

University of LeedsOn May 14, at the time of the meeting in Leeds of the

Associations of British and American Surgeons, the honorarydegree of LL.D. is to be conferred on Prof. Evarts Graham,a former president of the American College of Surgeons,Prof. F. W. Rankin, P.A.C.S., and Sir Cecil Wakeley, P.R.C.S.

British Association of Plastic SurgeonsThe following officers have been elected for 1954 :President, Mr. D. N. Matthews ; hon. treasurer, Mr. R. P.

Osborne ; hon. secretary, Mr. J. P. Reidy ; members of council,Mr. W. Hynes, Mr. Rainsford Mowlem, Mr. P. H. Jayes, Mr.Mortimer Shaw, Mr. J. N. Barron, Mr. J. S. Tough, Prof. T. P.Kilner, Mr. A. B. Wallace, and Mr. B. K. Rank.

Governors of Teaching HospitalsThe Minister of Health has approved the following appoint-

ments to vacancies on the boards of governors of teachinghospitals :Royal Cancer Hospital: John Henderson Hunt, D.M., M.R.C.P.

(till March 31, 1954).United Liverpool Hospitals: Norman Roberts, M.CH.ORTH., F.R.C.S.

(till March 31, 1956).

Institute of Dermatology, LondonA series of semi-permanent exhibitions is being shown at

the institute during the winter course. The fourth, fromJan. 1 to 23, by Dr. H. Haber, will be on Cytalogical Diagnosis.Welsh Hospital Appointment

Dr. D. G. Morgan, medical superintendent of LlandoughHospital, has been appointed secretary of the United CardiffHospitals in place of Mr. Arnold Tinstall, who has beenappointed secretary to the board of’ the United Leeds

Hospitals.Dr. Morgan, who is 50 years of age, studied medicine at Cardiff

and qualified in 1925. After holding a house-appointment at CardiffRoyal ]Infirmary he became senior resident medical officer atSt. David’s Hospital, Cardiff. He took up his appointment atLlandough Hospital in 1931. He is also administrative medicalofficer to the United Cardiff Hospitals, and president of the MedicalSuperintendents Society. He was appointed o.B.E. in 1950, and in thesame year he became a justice of the peace for Cardiff.

1. See Lancet, 1947, i, 681.2. Gestation Periods: A Table and Bibliography. Compiled by

J. H. Kenneth with additions by G. R. Ritchie. 3rd edition.Technical communication no. 5 of the Commonwealth Bureauof Animal Breeding and Genetics, Edinburgh. 1953. Pp. 39.7s. 6d. Published by the Commonwealth Agricultural Bureaux,Farnham Royal, Slough, Bucks.

West Midlands Physicians AssociationProf. A. P. Thomson has been elected president of this

’ association in succession to Dr. J. H. Sheldon.

Simpson Smith LectureProf. C. G. Rob will deliver this lecture on Wednosda.y,

March 24, at 5 P.M., at 11, Chandos Street, London, W.I. Hewill speak on the Preservation and Grafting of Human Tissue.

Royal SocietyProf. E. D. Adrian, o.M., has been ra-elected president of the

society, and other members of council include Prof. E. G. T.Liddell, Prof. R. A. McCance, and Sir Edward Mellanby(vice-president).London Medical Orchestra

This orchestra holds rehearsals on Thursdays at 7.45 P.M.at the George Eliot School, N.W.8. More playing membersare wanted and should apply to the secretary, Dr. E. V.Slaughter, 6, Oxford Court, Queen’s Drive, W.3.

Langley Prize _

This prize (£17) is open to officers of the Colonial MedicalService who are serving, or who have served, in West Africa.Papers, which should deal with tropical medicine or surgery,tropical hygiene, or tropical entomology, may consist ofeither published or unpublished work, and should reach thedean of the London School of Hygiene and Tropical Medicine,Keppel Street, London, W.C.1, not later than Oct. 1, 1954.

W.H.O. AppointmentsDr. D. B. Jelliffe, formerly lecturer in medicine in the

University College of Ibadan, Nigeria, has been appointeda United Nations technical expert in Asia. He is to spendfour years reviewing mother and child-health training centresin Syria, Pakistan, India, Indonesia, and the Philippines,before reporting to the World Health Organisation on theneeds of these areas.

Dr. Arthur E. Brown has been appointed public-healthadviser to the Cambodian Government.

International Congress of NutritionThe third International Congress of Nutrition is to be held,

under the auspices of the International Union of NutritionalSciences, at Amsterdam, from Sept. 13 to 18. The programmewill include sessions on the following topics : Overnutritionand Disease, Nutrition and Liver Disease, Parenteral Nutrition,Nutrition and Psyche, Non-nutrient Foreign Chemical Sub-stances in Foods (Intentional and Non-intentional Additives).Workers in Britain who would like to speak are asked to writeto Mr. G. H. Bourne, D.sc., hon. secretary of the NutritionSociety, Department of Histology, London Hospital MedicalCollege, E.1, before Feb. 28.

International Congress of Gynaecology and ObstetricsProphylaxis in Gynaecology and Obstetrics has been chosen

as the general theme of this congress, which is to be held inGeneva from July 26 to 31. The section of gynaecology willdeal with prevention of genital tumour growth, and the sectionof obstetrics with protection of the child during pregnancyand delivery. The speakers will include Prof. Adolf Butenandt(Tubingen), Prof. T. 0. Caspersgon (Stockholm), Prof. B. A.Houssay (Buenos Aires), Prof. C. Oberling (Paris), Prof. L. S.Penrose, F.R.S. (London), Prof. H. E. Sigerist (Yale and

Ziirich), and Prof. Josef Warkany (Cincinnati). Further.particulars may be had from the secretariat of the congress,Maternite, Geneve, Switzerland.

The Association of Universities of the British Commonwealth(5, Gordon Square, London, W.C.1) have published a list of awardsfor advanced study and research including fellowships, scholarships,and grants. The list will appear as appendices 11 and ill of theCommonwealth Universities Yea7-book, 1954.

Births, Marriages, and DeathsBIRTHS

ELLIOTT.—On Nov. 26, at Brighton General Hospital, to Dorothy(nee Hall), wife of Dr. R. I. K. Elliott—twin sons.

FRYER.-On Dec. 8, at Aldershot, to June (nee Bradley), wife ofDavid I. Fryer, M.B.-a daughter (Hilary Anne).

WARREN.—On Dec. 12, to -Josephine Barnes, M.R.C.P., F.R.C.S.,F.R.C.O.G., wife of Dr. Brian Warren, 46, Chester Square,

S.W.1—a son.