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PRESTON, COUNTY ASYLUM, Whittingham.-Assistant Medical Officer,unmarried. Salary 2250, rising to £300, per annum, with board,apartments, and washing.

READING, UOYAL BERKSHIRE HOSPITAL -Honorary Physician.ROCHDALE INFIRMARY.-Second House Surgeon, unmarried. Salary

B100 per annum, with board, residence, and laundry.ROCHESTER, ST. BARTHOLOMEW’S HOSPITAL.-Resident House Physi-

cian for six months. Salary at rate of £110 per annum, with board,residence, and laundry.

ROYAL EYE HOSPITAL, Southwark, S.E.-Senior and Junior HouseSurgeons for six months. Stlaries 270 and £50 per annum re-spectively, with board and residence. Also Clinical Assistants.

ROYAL EAR HOSPITAL, 42 and 43, Dean-street, London, W.-ClinicaAssistants.

ROYAL HOSPITAL FOR DISEASES OF THE CHEST, City-road, E.C.-Honorary Laryngologist.

ST. THOMAS’S HOSPITAL.-Ophthalmic House Surgeon.SCARBOROUGH HOSPITAL AND DISPENSARY.-Senior House Surgeon.

Salary £100 per annum, with board, residence, &c.SHEFFIELD, CHILDREN’S HOSPITAL, Western Bank.-House Surgeon.,

Salary B100 per annum, with board and residence.SHEFFIELD, JESSOP HOSPITAL FOR WOMEN.-Senior and Assistant

House Surgeons, unmarried. Salaries B100 and B80 per annumrespectively, with board, residence, and laundry.

SUNDERLAND, COUNTY BOROUGH oF.-Tuberculosis Medical Officer.Salary B500 per annum.

TAUNTON, SOMERSET AND BATH ASYLUM, Cotford.-Assistant MedicalOfficer, unmarried. Salary 2200 per annum, with apartments,board, washing, attendance, &c.

VICTORIA HOSPITAL FOR CHILDREN, Tite-street, Chelsea, S.W.-House Physician and House Surgeon for six months, Salary 240,with board.. lodging, and laundry.

WARWICK COUNTY ASYLUM, Hatton, near Warwick.-Second AssistantMedical Officer, unmarried. Salary :B200 per annum, with board,lodging, and laundry.

WEST BROMWICH AND DISTRICT HOSPITAL.-Assistant Resident HouseSurgeon and Anaesthetist, unmarried. Salary £75 per annum,with board, residence, and washing.

WEST HAM AND EASTERN GENERAL HOSPITAL.-Junior House Sur-geon. Salary at rate of £75 per annum.

WEST HAM UNION SICK HOME. Forest-lane, Forest Gate.-SecondAssistant Resident Medical Officer. Salarv 2140 per annum.

WESTMINSTER HOSPITAL.-Resident Medical Officer, unmarried. SalaryB100 per annum, with board and residence. Also Medical Officerin Charge of Department of Bacterio-Therapeutics. Salary .e100per annum. Also Resident Obstetric Assistant for six months.Board provided.

WINCHESTER, ROYAL HAMPSHIRE COUNTY HOSPITAL.-House Phy-sician. Salary B80 per annum.

WOOLWICH INFIRMARY, Plumstead.-Assistant Resident MedicalOfficer, unmarried. Salary 2150 per annum, with apartments,rations, and washing.

YORK COUNTY HOSPITAL.-House Physician for six months. Salaryat rate of 2100 per annum, with board, residence, &c.

YORK DISPENSARY.-Resident Medical Officer, unmarried. Salary2140 per annum, with board, lodging, and attendance.

** The summary of vacant appointments, published weekly in thiscolumn, is, equally with other articles, the literary copyright ofthe Proprietors of THE LANCET.

Births, Marriages, and Deaths.BIRTHS.

BIRD.-On Jan. 6th, at Old Croft, Godalming, Surrey, the wife ofGerald F. Bird, M.B., of a son.

FAWKES.-On Jan. 3rd, at Church Hill, Midhurst, Sussex, the wife ofMarmaduke Fawkes, M.B., B.S. Lond., M.R.C.S., L.R.C.P., of adaughter.

LEITCH.-On Jan. 5th, at Overstrand Mansions, Battersea Park, to Dr.and Mrs. Archibald Leitch, a daughter (Isobel Felicity).

O’MEARA.-On Dec. 31st, 1913, at Biscot-road, Luton, the wife ofHubert O’Meara, M.B., B.S. Lond., of a son.

POOLER.-On Jan. 4th, at Strathray, Leigh-road, Westcliff-on-Sea, toDr. and Mrs. J. Read Pooler, a daughter.

MARRIAGES.

CANNEY-NEWTON.-On Dec. 30th, 1913, at the Church of St. Marv theGreat, Cambridge, James Robertson Campbell Canney. M.A.,M.D., B.C. Cantab., to Violet, elder daughter of Arthur WilliamNewton, H.M. Inspector of Schools, of Bowman’s Lodge,Cambridge.

HOOKER-LLOYD.-On Dec. 27th, 1913. at the British Episcopal Church.Foochow, China, Alfred Wyatt Hooker, M.B.. B S. Lonrl., to MaudMary, only daughter of the Rev. and Mrs. Llewellyn Lloyd, C.M.S.,Foochow, China. -

DEATHS.HALL.-On New Year’s Day, at " Tresco." North Finchley, N., James

Hall (father of Dr. J. Field Hall), in his 89th year.HALL.-On Jan. 3rd, at Bankside. Mayfield, Sussex, very suddenly,

Henry John Hall, M.R.C.S. Eng., L.R.C.f. Lond.HEWLETT.-On Jan. 7th, at 12, Colinette-road, Putney, S.W.. after a

long illness, Louise, the wife of R. Tanner Hewlett, M.D., F.R.C.P.

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

Notes, Short Comments, and Answersto Correspondents.

MEDICINE AND MISSIONS.

IN the current number of The East and the Tl’est there is a,series of articles on missions in their various phases allover the world. The whole review is interesting, and thetone generally so liberal and tolerant that even the un-friendly critic of missions would find little to cavil at.Mr. Henry Rundle writes on Medicine and Missions, andgives a comprehensive review of the work of Britishmedical missions from the year 1703, when GeneralCodrington left a portion of his West Indian estatestothe Society for the Propagation of the Gospel, making pro-vision that " a convenient number of professors andscholars be maintained there to study and practise physicand chirurgery as well as divinity." That was the begin-ning of a great and beneficent enterprise, and to-day theprinciple of this wise bequest has so far gained acceptancethat medical work is regarded as an indispensable part ofthe regular business of every missionary society. Thestory of this development is told in something more thanoutline, and space is found for a particular appreciationof the work of many pioneers in the field of medicalmissionary effort. Especially noteworthy are the referencesto the really wonderful achievements of Dr. A. M. Pennell,of Bannu, and Dr. Wilfred T. Grenfell, the devoted andheroic friend of the people of Labrador. Although thewriter’s whole-hearted sympathy with Christian missionsis never concealed, he treats his subject frankly from thepoint of view of the doctor, and therein, to our thinking,lie the chief value and interest of this contribution. Taurge the importance of medical science as an adjunct to.missionary enterprise is perhaps superfluous at a timewhen every missionary society is eagerly anxious to develop that side of its work, but Mr. Rundle does morethan this when he shows that medical science has found,and may still find, its highest opportunities of sciencein cooperation with the evangelistic efforts of Christianmissions. Thus, perhaps unconsciously, the appeal of this.paper is to the medical quite as much as to the missionarystudent.

KIKUYU.THIS name, scarcely known to many a short while ago, hasnow sprung into striking prominence amongst AnglicanChurchmen, Nonconformists, Roman Catholics, and others.The name is said to be derived from Kuyu, a fig. Fig treesare very abundant in the country. The Akikuyu are theresult of an inter-mixture of the -Ilasai and the Bantu.Their numbers are estimated at a million. Kikuyu is thetwenty-third Uganda railway station, 342 miles from thecoast, at an altitude of 6700 feet. The country is a fertilewooded strip extending from the hog-backed mountaincalled Ngongo Bavas northwards to Kenia. The peopleare intelligent and industrious, and cultivate their planta-tions with great care. They are essentially agriculturistsand cultivators, and lead a semi-settled life-that is to say,they burn a clearing in the forest, build a village, and.cultivate for a few years. As soon as the soil shows anysign of exhaustion they move on, burn another clearing,and repeat the same process. They make good workmenunder European or Indian surveillance, and do the greaterpart of the manual labour in the workshops of the Ugandarailway. It was in 1849 that Dr. Ludwig Krapf, a mis-sionary, who had been expelled from Abyssinia, discoveredMount Kenia. He worked with the Rev. John Rebmann,who also made discoveries. Further particulars will befound in " Drumkey’s Year Book for East Africa." Thename of a medicine man there is Mun-du-Mu-gu, which,according to Mr. A. W. McGregor, of the Church MissionarySociety, means a " clever man." We discussed this matterand these interesting people in a long review in THE LANCETof June llth, 1910, p. 1621, of a book entitled " With a Pre-historic People : the Akikuyu of British East Africa," andour readers may wish to turn again to that volume in viewof the topical importance of Kikuyu, which seems to havebecome a pivot of the world.

BABY No. 30.Herr Schmidt, chief postmaster of Briesen, Western Prussia,and his wife may be looked upon as pillars of the State-that is, of their own state-and the holy state of matrimony.Their thirtieth child has just been horn, and they havebeen honoured by the publication of their portraits in theDaily Express. We hope that all the 29 other children arealive, for the family which produces the greatest numberof babies comes second to the family which succeeds inrearing the greatest number properly.

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CONSUMPTIVES AND THE POST OFFICE.

WE have received a letter from Toronto, dated Dec. 17th,1913, in an envelope which bears a red two cent postagestamp with King George’s head obliterated by the usualblack parallel lines, but attached thereto is a black frameabout one square inch containing the words: "Help theMuskoka Free Hospital for Consumptives." The CanadianPost Office is obviously lending a hand, but we trust itdoes not mean that the Post Oftice officials require an extra-ordinary amount of assistance from the sanatorium. InTHE LANCET of Oct. 1st, 1910, p. 1041, will be found anaccount of the Muskoka Sanatoriums for Tuberculosis.

THE CARE OF THE BABY AND THE SICK.

WE have had occasion previously to refer to some of theuseful domestic series of pamphlets issued at the priceof ld. each (or post free for 1½) by the Women’sIndustrial Council, 7, John-street, Adelphi, W.C. Twonew ones are How to Take Care of Baby, by Selina F.Fox, M.D., B.S., and Hozu to 2’oA’e Care of the Sick at Home,by W. and S. Rintoul. Of the first we can cordiallyendorse the words of Dr. Eric Pritchard, who writes thepreface, that its pages seem to contain exactly the rightamount of information, neither too much nor too little.Of the second, it may be said also that it gives just thatkind of information that every householder ought topossess in regard to accidents and the care of the sick ;for, as Sir Victor Horsley, who contributes a preface, says," the personal combat cannot be warded off even by thepossession of means to pay for skilled aid."-Mrs. FrankStephens’s penny booklet for mothers is in its 321stthousand. It is called How to Rear a Baby, and is publishedby Messrs. Horace Marshall and Son, London. It is fullof good common sense, and at the same time also soundteaching, even if a little extreme in some points. Thedanger of abrading the delicate protective epithelium ofthe infant’s mouth by the indiscriminate practice ofso-called ’’ mouth cleansing" " has been several timesreferred to in our columns, and we certainly cannotapprove of its recommendation in general terms (p. 27)without a single cautionary word.

A NURSING JOURNAL FOR SOUTH AFRICA.

THE first number of the South -4fricait Nursing Record, datedOctober, seems well calculated to assist in fulfilling thetask to which it has devoted itself-viz., the organisationof the nursing profession in South Africa, the uniting ofit in the bonds of common interest, and the arousing ofit to a realisation of its importance in the State. It con-tains varied material of interest to nurses, includingarticles on Operating Theatre Methods and their Evolu-tion, by Mr. D’Arcy Power, F.R.C.S., and on InfantFeeding, by Dr. J. Bruce-Bays, with nursing news, bothlocal and general. It is to be published monthly at EastLondon, price 10s. 6d. per annum, or ls. a copy.

THE PARIS, LYONS, AND MEDITERRANEANRAILWAY.

THE Paris, Lyons, and Mediterranean Railway Company haveissued the second and third sections of the atlas of theirrailway system. Both are well illustrated, and containexcellent maps of the districts through which the systemruns in the Riviera, and in Savoy and Dauphiny. Thelatter section has coloured plates representing the armyof Napoleon crossing the Alps in 1800 and the Alpine Riflesduring the manœuvres of 1913. The other section containscoloured plates representing the battle of flowers in theBay of Villefranche and the carnival at Nice. Bothsections can be obtained free from the offices of thecompany, 179, Piccadilly, London, W.

A USEFUL diary, bound in red cloth and giving a clear pageof 8 by 5 inches to a day, together with an alphabeticalindex at the end, will be sent free of cost to our readerson application to " Lacteol du Dr. Boucard," 9, GamageBuildings, Holborn, London, E.C.

ERRATUM.-The Notes, from Canada in THE LANCET ofNov. 29th, 1913, contained a mistake. Our correspondentstated that Dr. John Stewart had recently been appointedprofessor of surgery in the Halifax Medical College. Ithas been pointed out to us that the Halifax Medical Collegehas been taken over by the University of Dalhousie, andthe professor in surgery is Dr. E. V. Hogan.

COMMUNICATIONS not noticed in our present issue willreceive attention in our next.

A DIARY OF CONGRESSES.THE following Congresses, Conferences, and Exhibitions are announced.

In 1914 :-

April 14th-Igth (New York).-Fourth Congress of the InternationalSurgical Society.

April 20th-23rd (Wiesbaden).-Thirty-first German Congress forInternal Medicine.

May lst-Nov. 1st (Lyons).-International Town Life Exhibition.July 6th-llth (Blackpool),-Twenty-ninth Congress of the Royal

Sanitary Institute." 8th-13th (Edinburgh).-Congress of the Royal Institute of

Public Health.Aug. 3rd-8th (London).-Sixth International Dental Congress.10th-15th (St. Petersburg).-Twelfth International Congress

of Ophthalmology.Sept. 7th-12th (Berne).-International Congress for Neurology,

Psychiatry, and Psychology.September (Vienna).-Third International Congress for Diseases

of Occupation.(London).-Anglo-American Exhibition.(Aberdeen).-Eighty-second Annual Meeting of the British Medical

Association.

(Auckland, N.Z.).-Australasian Medical Congress.(St. Petersburg).-Third Mendeléeff Congress of Pure and Applied

Chemistry and Physics.

Medical Diary for the ensuing Week.SOCIETIES.

ROYAL SOCIETY OF MEDICINE, 1, Wimpole-street, W.TUESDAY.

SECTION OF SURGERY (Hon. Secretaries-J. Murray, RaymondJohnson) : at 5.30 P.M.

Discussion :On Nephropexy and its Results (opened by Mr. G. Percival

Mills, and continued by Mr. W. Billington, Mr. LeonardGamgee, Mr. J. W. Thomson Walker, Mr. J. Sherren,and others).

THURSDAY.SECTION OF DERMATOLOGY (Hon. Secretaries-J. M. H. MacLeod,

S. E. Dore) : at 5 P.M.Cases: :Dr. J. J. Pringle : Xerodermia Pigmentosa under Treatment by

Massive Doses of Radium.Dr. H. MacCormac: Case for Diagnosis.Dr. J. H. Sequeira : Lichenoid Eruption (shownat last meeting).Dr. Knowsley Sibley : Tuberculide.Dr. G. Pernet: Acne Varioliformis in a Woman.Dr. A. M. H. Gray: (1) Tuberculide; (2) Disseminated Lupus

Erythematosus.Dr. A. Whitfield : Urticaria Pigmentosa.Dr. Sequeira: Pityriasis Rubra Pilaris.

And other Cases.FRIDAY.

SECTION OF OTOLOGY (Hon. Secretaries-G. J. Jenkins, G. N.Biggs): at 5 P.M.

Conamecnicatious and Cases:By Dr. William Milligan, Dr. J. C. Potter, Mr. G. J. Jenkins,

and others.

SECTION OF ELECTRO-THERAPEUTICS (Hon. Secretaries-CecilR. C. Lyster, S. Gilbert Scott), at St. Thomas’s Hospital, S.E.:at 8.30 P.M.

Inspection of Electrical Department and Demonstrations.

MEDICAL SOCIETY OF LONDON, 11, Chandos-street, Cavendish-square, W.MONDAY.-8.30 P.M., Discussion on the Pathology of Syphilis

(opened by Dr. W. d’Este Emery). Followed by Mr. P. Fildes,Mr. J. E. R. McDonagh, Dr. J. McIntosh, and others.

PLYMOUTH MEDICAL SOCIETY. Athenasum Chambers, Athenaeum-lane, Plymouth.WEDNESDA.Y.-8.30 P.M., Discussion on the Sterilisation of Tuber-

culous Sputum (opened by Dr. A. W. F. Sayres).

HUNTERIAN SOCIETY, St. Bartholomew’s Hospital, E.C.WEDNESDAY.-9 P.M.. Lecture :—Mr. J. Cantlie : Recent Advances

in Tropical Medicine (with lantern slide demonstration).

SOUTH-WEST LONDON MEDICAL SOCIETY, Bolingbroke Hospital,Wandsworth Common, S.W.WEDNESDAY.-9 P.M., Dr. T. J. Horder: The Causatlon and

Treatment of the Rheumatoid Type of Multiple Arthritis.

ILLUMINATING ENGINEERING SOCIETY, House of the RoyalSociety of Arts, 18, John-street, Adelphi, W.C.THURSDAY.-8 P.M., Resumed Discussion of the paper read by Mr.

P. J. Waldram at the last meeting on Some Problems inDaylight Illumination, with Special Reference to SchoolPlanning.

WEST LONDON MEDICO-CHIRURGICAL SOCIETY, West LondonHospital, Hammersmith-road, W.FRIDAY.-8 P.M., Special Clinical Evening.

SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 11, Chandos-street, Cavendish-square, W.FRIDAY.-8.30 P.M., Prof. R. Newstead : The Bionomics and Structural

Characters of Glossina (illustrated by lantern slides and anextensive collection of museum specimens illustrative of all theknown species of the genus).