357

Fox, HUGH CLAYTON, F.R.C.S. Irel., has been appointed AssistantSurgeon to the Metropolitan Ear, Nose, and Throat Hospital,Grafton-street, W.

FRASER, J. H. P., M.R.C.S., L.R.C.P. Lond., has been appointed a Medical Referee under the Workmen’s Compensation Acts, 1897-1900, for Southampton, Winchester, and Romsey in County CourtCircuit No. 51.

HUDSON, JAMES, M.R.C.S., has been appointed a Port Health Officerunder the Public Health Act, 1900, of the Port of Nelson, NewZealand.

MATTHEWS. JOHN MORTON, M.B., B.S. Univ. N.Z., has been appointedPublic Vaccinator of the District of Gore, NewZealand.

TODD, WILLIAM, M.D. (South California), has been appointed PublicVaccinator of the District of Dipton, New Zealand.

TURNER, G. A., M.B.. C.M., D.P.H., has been appointed Medical Officerof Health to the Table Bay Harbour Board, Cape Town.

WORRALL, E. S., M.R.C.S. Eng., L.R.C.P. Loud., has been appointedMedical Officer in Charge of the Radiographic Department, VictoriaHospital for Children, Tite-street, Chelsea.

Vacancies.For jurther information regarding each vacancy reference should be

made to the advertisement (see Index).

BIRAENHEAD BoROUGa HOSPITAL.-Junior Male House Surgeon.Salary 280 per annum, with board and washing.

BIRMINGHAM WORKHOUSE INFIRMIRY.-Assistant Resident MedicalOfficer. Salary £100 per annum, with apartments, rations, &c.

CARDIFF, UNIVERSITY COLLEGE OF SOUTH WALES AND MONMOUTH-SHIRE.-Professor of Anatomy. Salary C350 per annum.

CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, VictoriaPark, E.-Second House Physician for six months. Salary at rateof 230 per annum, with board, washing, and residence.

CLAYTON HOSPITAL AND WAKEFIELD GENERAL DISPENSARY.-JuniorHouse Surgeon, unmarried. Salary £80 per annum, with board,lodgings, and washing.

DEVONPORT, ROYAL ALBERT HOSPITAL.-Assistant House Surgeon forsix months. Salary at rate of £50 per annum, with board, lodging,and washing.

DUMFRIES AND GALLOWAY ROYAL INFIRMARY.- House Surgeon.Salary B50 per annum, with board and washing.

LANCASHIRE COUNTY ASYLUM, Winwick, Warrington.-AssistantMedical Officer, unmarried. Salary 2150 per annum, withprospect of increase to £350, with apartments, board, attendance,and washing.

LIVERPOOL, SAMARITAN HOSPITAL FOR WOMEN.-Honorary Surgeon.LIVERPOOL STANLEY HOSPITAL.-Second House Surgeon. Salary £80

per annum, with board, residence, and washing.NORTH STAFFORDSHIRE INFIRMARY AND EYE H03PITAL, Hartshill,

Stoke-upon-Trent.-Assistant House Surgeon. Board, apartments,and washing, and at least £25 as honorarium for six months.

QUEEN’S HOSPITAL, Birmingham.-Two House Surgeons. Salaryat rate of :E50 per annum, with board, lodging, and washing.

RAMSGATE GENERAL HOSPITAL AND SEAMAN’S INFIRMARY AND THERAMS&ATE AND ST. LAWRENCE DISPENSARY.-Resident MedicalOfficer, unmarried. Salary £100 per annum, with furnished apart-ments, board, and attendance.

READING, ROYAL BERKSHIRE HOSPITAL.-House Physician, also HouseSurgeon, both for six months. Salary £80 per annum in eachcase. with board, lodging, and washing.

ROYAL LANCASTER INFIRMARY.-House Surgeon, unmarried. Salary£100 per annum, with residence, board, attendance, and washing.

SALFORD UNION INFIRMARY, Hope, near Eccles.-Male AssistantResident Medical Officer. Salary £130 per annum, with apart-ments and attendance.

SHREWSBURY, SALOP INFIRMARY.-House Surgeon. Salary 2100 per

annum, with board, washing, and residence.SOUTHWARK UNION INFIRMARY, East Dulwich-grove, S.E.-AssistantMedical Superintendent. Salary JB130 per annum, with furnishedapartments, board, and washing. Emoluments are valued at 280per anuum.

STOCKPORT INFIRMARY.-Assistant House and Visiting Surgeon.Salary £80 per annum, with board, washing, and residence. AlsoJunior Assistant House Surgeon for six months. Salary at rateof £40 per annum, with board, washing, and residence.

SUSSEX COUNTY HOSPITAL -Second House Surgeon and Anaesthetist.unmarried. Salary £70 per annum, with board, washing, andresidence.

_________________

Births, Marriages, and Deaths.BIRTHS.

,

GRIFFITHS.-On July 21st, at 6, Windsor-place, Cardiff, the wife ofCornelius A. Griffiths, F.R.C.S., of a son.

Low.-On July 21st, at 27, Queen Anne-street, Cavendish-square, thewife of V. Warren Low, M.D., B.S., F.R.C.S., of a son.

MARRIAGES.BEVAN-BABNARDO.-On July 22nd, at Christ Church, Lancaster-gate,

by the Rev. Prebendary Ridgeway, Arthur Bevan, M.D., of 17,Kensington Garden-terrace, Lancaster-gate, youngest son of thelate W. J. B. Bevan and of Mrs. Bevan, of 50, Elm Park-gardens,Chelsea, to Amy Cecilia, only daughter of George C. F. Barnardo,M.C.E., of Gleudhoon, Surrey-road, Bournemouth.

TAYLOR-HISSEY.-On July 25th, at St. Lawrence Church, Hungerford,by the Rev. Hew F. Severn, of Weston-superr-Mare, assisted by theRev. Wardley King, curate of St. Lawrence, Wallace G. Taylor,L.D.S. Eng., of Standen House, Weston-super-Mare, fifth son ofFrederic Taylor, of Oare, Newbury. to Nancie, second daughter ofAlfred Hissey, of North Standen,-Hungerford, Berks.

Notes, Short Comments, and Answersto Correspondents.

DECIDUOUS TEETH REPLACED AFTER EXTRACTION BY

AN ACCIDENT.

IN the July number of Pædiatrics an unusual accident is described byDr. Samuel E. Earp of Indianapolis, U.S.A. The patient was a girl,aged 16 months, and the accident occurred on May 6th, 1902, whileshe was seated in a rocker which had the representation of a horseon either side; between the heads there was a round bar and below itthere was a wooden tray which moved on an axis. During a periodof violent rocking when the head was inclined farther forward thanusual the four lower incisors caught between the edge of the tray andthe cross-rod ; during the consequent backward movement the teethwere forced from the alveoli and the labial surface of the teeth werein contact with the lower lip. The gum tissue on either side waslacerated to the alveolar margin of the maxillary bone. There was a

slight attachment of tissue on the anterior surface which in thisposition would in reality be the under surface, so that it compriseda plate with the apices of the roots completely detached and ex-tending over the inner margin. An elevation on each side of thewound indicated that the canines were upon the verge of eruption.There were no teeth to which a mechanical appliance could beattached. The haemorrhage was no more than would result from theextraction of several teeth. The injured parts and the mouth weretreated with an antiseptic solution consisting mainly of boric acid,the teeth were replaced, and after firm pressure for five minutes were

’, kept in place by a pledget of cotton wool saturated with the samesolution, but the customary head bandage was ineffectual. A com-bination of bromide of sodium and hydrate of chloral was given to pro-duce quietude. The diet was liquid. Two days later the child fell andonce more produced the same condition of affairs as above described.Dr. Earp had now less hope of success than ever. He, however, pro-ceeded as before in dressing the injury and after a few weeks theteeth were firm and at the date of his paper in Pædiatrics all wereuniform and in a healthy condition. The preservation of the teethin this instance prevented depression which during the succeedingfour or six years would have changed the expression of the features.The successful readjustment also probably prevented destruction ofthe rudiments of the permanent teeth.

THE PRESCRIBING " CHEMIST."

To the Editors of THE LANCET.

SIRS,-I was recently called to see an old lady who had for sometime been under the " professional

" care of a local chemist who does

a considerable practice in unqualified prescribing. He apparentlypossesses all the assurance begotten of ignorance, but added theretois impertinence. Upon his label is the following announcement:-

-

-, A.P.S.,

(Late Assistant to Dr. -, London).

This is evidently intended to make the public believe that he is quali-fied to prescribe. It would be interesting to know in what capacityhe acted as assistant and whether he has the permission to makeuse of Dr. -’s name in this manner. I feel assured that he

possesses no such authority and that Dr. - if still in practice isquite ignorant of the manner in which his name is being made use offor trade purposes and as a means of deceiving the public. Should Irequire the services of a qualified dispenser I should insist that nosuch use shall be made of my name when he leaves my employ-ment. Such a case as this should make medical men hesitate beforeassociating themselves with chemists in any sense which will allowthem to deceive the credulous as to their true vocation and pro-fessional status. I am, Sirs, yours faithfully,July 23rd, 1903. MEDICUS.

THE LANCET AND THE TURF.

A CORRESPONDENT points out that Mr. Leopold de Rothschild is theowner of a two-year-old racehorse named "Lancet;’ which wasentered for the Hurstbourne Stakes at the Bibury Club meeting onJuly 8th. We trust we shall not be considered to possess toointimate an acquaintance with affairs of the turf if we remind our

correspondent that not many years ago there was a comparativelywell-known steeplechaser or hurdle-racer (we forget which) whichalso bore the name of " Lancet." In both instances doubtless thename was taken from the surgical instrument from which thisjournal also derived its title. Certainly we cannot flatter ourselvesthat Mr. Leopold de Rothschild is a reader of our columns. Perhapsthe only connexion between THE LANCET and horse-racing is that wemay have indirectly induced one or two generous magnates of theturf to contribute munificently to medical charities.

358

DETERIORATION OF MICROSCOPE LENSES AND INDIA-RUBBER GOODS IN HOT CLIMATES.

THE following is from a paper on the Preservation of Instruments inBengal, read by Mr. Paul Bruhl before the Calcutta section of theInstitution of Electrical Engineers on March 27th and printed in theLondon Engineer of July 24th.

One of the most powerful corroding agents employed by natureis carbonic acid. We are accustomed to look at carbonic acid as aweak acid ...... but when the acid is more concentrated under theaction of high pressures the action is markedly different.Now capillary action has a similar effect on concentra-tion as a large increase of superincumbent pressure ; andthe carbonic acid present in the film of moisture whichcovers all articles during the rainy season, or in the film

separating two surfaces in apparent contact, is in a much moreconcentrated state than corresponds to the atmosphericpressure. Such carbonic acid is capable of displacing thesilicic acid of natural and artificial silicates....... Microscopistsknow how difficult it is to keep a stock of blank glass slides.If you keep your glass slides in contact with each other theyare sure to grow dim ...... sometimes even if placed in alcohol.An absolutely safe plan is to tie two threads round each separateslide near its two ends, form a number of slides into bundlesand keep them in alcohol or formalene....... The worst placeto keep microscope objectives in during the rainy season is the

cylindrical brass case provided for them by the makers. Micro-

scope lenses, in fact lenses and glass parts in general, do not standclose confinement for any length of time. Constant use is the best

preservative. In any case place the lenses in a capacious box andair them frequently....... Some of the modern kinds of glass haveto be tended very carefully ...... otherwise they will soon becomedim evenly all over their surface....... The best way of keepingrubber stoppers is to put them into a wide stoppered glass jar, atthe bottom of which is placed an inverted perforated dish to serveas a support for the stoppers after pouring some oil of turpentineon the bottom of the jar. Stoppers which have acquired a hardcracked surface can be softened by proceeding similarly, only usingchloroform instead of turpentine. A good way of preservingrubber tubing is to give it a coating of glycerine.

ORGANO-THERAPY.

Ds. MARPMANN of the Hygienic Laboratory in Leipsic has sent us anaccount of some unexpected results which have been obtained inthat institution with the root of an Indian plant. When variousextracts and other preparations of this root, the name of which hehas written very indistinctly, were administered to the human

subject, even in very small doses, they produced a transient sedativeeffect, followed by pain in the stomach and violent headache.Rabbits, weighing three or four pounds, were killed in four hours bythe subcutaneous injection of 0’1 milligramme of the ethereal extractof the root. When, however, injections of 0’01 milligramme weregiven and continued in increasing doses for ten days such tolerationwas established that the rabbit was unaffected by injections of onemilligramme and upwards, quantities which, if given at first, wouldcertainly have been fatal. From these rabbits thus " immunised "

it was found that a substance could be prepared which was

useful in the treatment of neurasthenia while possessing the toxicqualities of the root in only a slight degree and none of its disagree-able after-effects. An addendum to Dr. Marpmann’s communicationstates that it has been found possible by passing arsenical

compounds through the bodies of animals to produce " organo-preparations in which, although they contain arsenic, the ordinaryphysiological effect of that element is materially modified.

THE ADMINISTRATION OF CALCIUM CHLORIDE.

To the Editors of TxE LANCET.

SIRS,-Your correspondent " Z " will find that the liquid extract ofliquorice root or peppermint water and simple syrup most effectuallydisguise the taste of calcium chloride. One hour after a meal is thebest time for administration, or the drug may be given by means of enemata as used by Gross in quantities of 200 cubic centimetres(six and two-third fluid ounces) of an aqueous 5 per cent. solution.Mr. A. W. Mayo Robson, in THE LANCET of April 12th, 1902, p. 1024,mentions that he gives as much as 60 grains three times a day by therectum.

----

I am, Sirs, yours faithfully,July 28th, 1903. W.

KEYMER BRICK AND TILE COMPANY, LIMITED : -.A DISCLAIMER.

To the Editors of THE LANCET.

SIRS,-I notice in THE LANCET of July 25th, p. 257, you publish ajudgment by Mr. Justice Joyce granting an injunction against theabove company for creating a public nuisance. As several medical menand friends have read this notice as referring to my estate, CoombeHill, Sussex, I should be much obliged if you would be kind enough topublish this disclaimer, as otherwise it is calculated to do my propertyand myself serious injury.

I am, Sirs, yours faithfully,Coombe Hill, Sussex, July 28th, 1903. W. -E. KEYMER.

THE RAINFALL OF JUNE, 1903.THE remarkable rainfall of last June, which caused much incon-venience and damage by flooding in the Thames Valley, is the sub-ject of a detailed analysis in the July number of Symons’s Meteoro-dogical Magazine (published by Edward Stanford, Long-acre, London,W.C.). During that month the rainfall was very unequally dis.tributed over the British Isles, the wettest part having been thesouth of England and the driest part the north of Ireland.A broad, dry belt in which the fall scarcely anywhere reachedtwo inches (and nowhere reached the average for the month)stretched from North Wales and the Mersey to the Humber andthe Wash, separating a slightly higher rainfall on the north froman excessively high rainfall on the south. The wet zone stretchedfrom west to east across the country. Along the axis of it fromSwindon to Southend, for a distance of 110 miles, the rainfall ex-ceeded six inches, being more than three times the average amount.This extremely heavy fall prevailed over the greater part of the valleyof the Thames and the Lee; in the south, especially in the neigh-bourhood of Croydon, it exceeded seven inches and at Carshalton itreached the unprecedented figure of 8’91 inches. It is estimated thatin the ten days between June 8th and 19th, during which all therain fell, the amount of water deposited on the drainage area ofthe two rivers, the Thames and the Lee, was 1,494,000,000 tons, or334,560,000,000 gallons. One inch of rain over one square mile ofarea is equal to about 64,660 tons of water, or 14,483,000 gallons.Observations made at Camden-square in London showed that rainto the depth of 6’43 inches (which was the whole of the month’srain) fell in those ten days, and on the assumption that this rateheld good for the whole metropolitan county the amount of waterdeposited in London during the period when it was falling averaged433.000 tons, or 97,000,000 gallons, per hour. This total of 6’43inches for the month of June has only been exceeded in June, 1878-with 6’ 71 inches, and only on one other occasion in any month-namely, in August, 1878, with 6’ 72 inches.

ASTROLOGY.

To the Editors of THE LANCET.SIRS,-Your readers may be interested to learn that belief in

astrology is not yet extinct in Norfolk. A little time ago I wascalled in to see a patient who was suffering from an advanced cancerof the parotid gland, from which he has recently died. This patientbefore seeing me had consulted a quack at North Elmham because he" cured diseases by the stars." After taking his money this " cunningman " told him the tumour could be cured, but that in order to cure ithe should need to know " what star the patient was born under." The

poor old man went away sorrowful as he could not supply the neces-sary information and he died under the impression that the diseasewas curable if only the demands of the quack could have been met.

I am, Sirs, yours truly,Fakenham, July 28th, 1903. F. L. POCRIN, M.B., C.M. Edin.

PROTRUSION OF THE NAVEL.

To the Editors of THE LANCET.

SIRS,-I should be obliged for any hints in regard to the treatment ofan abnormally protruding navel in a boy, aged three months. I havetried simple pressure without success.

I am, Sirs, yours faithfully,July 28th, 1903. RAMUS.

S. W.-We are sorry to be unable to refer our correspondent to anybook or journal which describes the operation in question. There isno doubt that the skin does absorb oils and fats if applied by rubbing,and the most obvious proof of this is the old-fashioned method ofgiving mercury by inunction. The absorption of the mercury wassoon apparent and as the drug was intimately mixed with the fatthe presumption is that the fat was absorbed also. There are various

preparations of iodine dissolved in fatty substances which if rubbedon the skin rapidly disappear, when iodine can be detected in theurine and the taste of the drug can be perceived in the mouth.

Ethical.-The paragraph is an unfortunate one, but there is no reasonto suppose that the medical man in question is in any way responsiblefor its insertion.

L.R.C.P. & S.-We think if our correspondent wrote to the secretaryof the Jenner Institute of Preventive Medicine that he would obtainthe information which he requires.

M.R.C.S.-The preparation in question is, we believe, an organiccompound of bromin.

COMMUNICATIONS not noticed in our present issue will receive attentionin our next.

During the week marked copies of the following newspapershave been received: Yorkshire Post, Yorkshire Daily Observer,Staffordshire Sentinel, Times of India, Aberdeen Free Press, PioneerMail (India), Dublin Evening Telegraph, Echo, Bradford Observer,Daily Express, Globe, Medical Brief (St. Louis, U.S.A.), Knowledge,Wcstminater Gazette, Windsor and Eton Express, Derbyshire Courier,

Derbyshire Ttmea.l Reading Mercury, Herts Advertiser, Daily

Telegraph, Manchester Weekly Chronicle. &c. -

359

M E T E O R O L O G I C A L READINGS.

(Taken daily at 8.30 a.m. by Steward’s Instruments.)THE LANCET Office, July 30th, 1903.

_

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY (3rd).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.

Thomas’s (3.30 P.M.), St. George’s (2 P.M.), St. Mary’s (2.30 P.M.),Middlesex (1.30 P.M.), Westminster (2 P.M.), Chelsea (2 P.M.),Samaritan (Gynaecological, by Physicians, 2 P.M.), Soho-square i(2 P.M.), Royal Orthopaedic (2 P.M.), City Orthopaedic (4 P.M.),Gt. Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (9.30 A.M.), Royal Free (2 P.M.), Guy’s (1.30 P.M.).

TUESDAY (4th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), StThomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), West-minster (2 P.M.), West London (2.30 P.M.), University College(2 P.M.), St. George’s (1 P.M.), St. Mary’s (1 P.M.), St. Mark’s

(2.30 P.M.), Cancer (2 P.M.), Metropolitan (2.30 P.M.), London Throat(9.30 A.M.), Royal Ear (3 P.M.), Samaritan (9.30 A.M. and 2.30 P.M.).Throat Golden-square (9.30 A.M.), Soho-square (2 P.M.).

WEDNESDAY (5th).-St. Bartholomew’s (1.30 P.M.), University College(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing Cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College(2 P.M.), St. George’s (Ophthalmic, 1 P.M.), St. Mary’s (2 P.M.),National Orthopaedic (10 A.M.), St. Peter’s (2 P.M.), Samaritan(9.30 A.M. and 2.30 P.M.), Gt. Ormond-street (9.30 A.M.), Gt. NorthernCentral (2.30 P.M.), Westminster (2 P.M.) Metropolitan (2.30 P.M.),London Throat (9.30 A.M.), Cancer (2 P.M.), Throat, Golden-square(9.30 A.M.), Guy’s (1.30 P.M).

THURSDAY (6th).-St. Bartholomew’s (1.30 P.M.), St. Thomas’s

(3.30 P.M.), University College (2 P.M.), Charing Cross (3 P.M.), St.George’s (1 P.M.), London (2 P.M.), King’s College (2 P.M.), Middlesex(1.30 P.M.), St. Mary’s (2.30 P.M.), Soho-square (2 P.M.), North-WestLondon (2 P.M.), Chelsea (2 P.M.), Gt. Northern Central (Gynaeco-logical, 2.30 P.M.), Metropolitan (2.30 P.M.), London Throat,(9.30 A.M.), St. Mark’s (2 P.M.), Samaritan (9.30 A.nt. and 2.30 P.M.),Throat, Golden-square (9.30 A.M.), Guy’s (1.30 P.M.).

FRIDAY (7th).-London (2 P.M.), St.. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), CharingCross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary’s(2 P.M.), Ophthalmic (10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.), Gt.Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (9.30 A.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat,Golden-square (9.30 A.M.), City Orthopaedic (2.30 P.M.), Soho-square(2 P.M.).

SATURDAY (8th).-Royal Free (9 A.M.), London (2 P.M.), Middlesex(1.30 P.M.), St. Thomas’s (2 P.M.), University College (9.15 A.M.),Charing Cross (2 P.M.), St. George’s (1 P.M.), St. Mary’s (10 P.M.),Throat, Golden-square (9.30 A.M.), Guy’s (1.30 P.M.).

At the Royal Eye Hospital (2 P.M.), the Royal London Ophthalmic(10 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and theCentral London Ophthalmic Hospitals operations are performed daily.

EDITORIAL NOTICES.IT is most important that communications relating to the

Editorial business of THE LANCET should be addressed

exclusively "To THE EDITORS," and not in any case to anygentleman who may be supposed to be connected with theEditorial staff. It is urgently necessary that attention begiven to this notice.

-

It is especially requested that early intelligence of local eventshaving a medical interest, or which it is desirable to bringunder the notice of the profession, may be sent direct tothis office. -

Lectures, original articles, and reports should be written onone side of the paper only, AND WHEN ACCOMPANIEDBY BLOCKS IT IS REQUESTED THAT THE NAME OF THE

AUTHOR, AND IF POSSIBLE OF THE ARTICLE, SHOULDBE WRITTEN ON THE BLOCKS TO FACILITATE IDENTI-

,

I FICATION.

Letters, whether intended for insertion or for private informa-tion, must be authenticated by the names and addresses oftheir writers-not necessarily for publication.

We cannot prescribe or recommend practitioners.Local papers containing reports or news paragraphs should be

marked and addressed "To the Sub-Editor. "

Lette9’s relating to the publication, sale and advertising de-.partments ot THE LANCET should be addressed To theManager." "

We cannot undertake to return MSS. not used.

MANAGER’S NOTICES.THE INDEX TO THE LANCET.

THE Index to Vol. I. of 1903, which was completed withthe issue of June 27th, and the Title-page to the Volume,were given in THE LANCET of July 4th.

VOLUMES AND CASES.

VOLUMES for the first half of the year 1903 are now ready.Bound in cloth, gilt lettered, price 18s., carriage extra.

Cases for binding the half-year’s numbers are now ready.Cloth, gilt lettered, price 2s., by post 2s. 3d.To be obtained on application to the Manager, accompanied

by remittance. -

TO SUBSCRIBERS.

WILL Subscribers please note that only those subscriptionswhich are sent direct to the Proprietors of THE LANCETat their Offices, 423, Strand, W.O., are dealt with by them QSubscriptions paid to London or to local newsagents (withnone of whom have the Proprietors any connexion what-ever) do not reach THE LANCET Offices, and consequentlyinquiries concerning missing copies, &c., should be sent tothe Agent to whom the subscription is paid, and not to

THE LANCET Offices.

Subscribers, by sending their subscriptions direct toTHE LANCET Offices, will ensure regularity in the despatchof their Journals and an earlier delivery than the majorityof Agents are able to effect.The rates of subscriptions, post free, either from

THE LANCET Offices or from Agents, are :-

Subscriptions (which may commence at any time) are

payable in advance. Cheques and Post Office Orders (crossed" London and Westminster Bank, Westminster Branch ")should be made payable to the Manager, MR. CHARLES GOOD,THE LANCET Offices, 423, Strand, London, W.O.

SUBSCRIBERS ABROAD ARE PARTICULARLY REQUESTEDTO NOTE THE RATES OF SUBSCRIPTIONS GIVEN ABOVE. Ithas come to the knowledge of the Manager that in somecases higher rates are being charged, on the plea that theheavy weight of THE LANCET necessitates additional

postage above the ordinary rate allowed for in the terms ofsubscriptions. Any demand for increased rates, on this or onany other ground, should be resisted. The Proprietors ofTHE LANCET have for many years paid, and continue to pay,the whole of the heavy cost of postage on overweight foreignissues ; and Agents are authorised to collect, and do so

collect, from the Proprietors the cost of such extra postage.The Manager will be pleased to forward copies direct from

the Offices to places abroad at the above rates, whatever bethe weight of any of the copies so supplied. Address-THE MANAGER, THE LANCET OFFICES, 423, STRAND,LONDON, ENGLAND.