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bed, and includes meal times. At the Melbourne Hospital theactual working hours are about eight and a half. At the AlfredHospital each nurse is allowed a clear twenty-four hours off

duty every week in addition to a fortnight’s annual vacation.Some correspondence on the subject has been published inthe daily press, some nurses affirming that the hours are toolong, others that they are not, and the opinions seem aboutequally balanced.

Cases of Cerebral Surgery.At the last meeting of the Medical Society of Victoria ten

cases of cerebral surgery were shown. The first was a

patient aged thirty, under the care of Mr. G. A. Syme.When first seen in August, 1893, the symptoms were epi-leptiform, convulsions beginning in the right side of theface, spreading to the right arm and leg, and then becominggeneral. They were preceded by a sense of constriction inthe throat and a numb feeling in the tongue and right sideof the face. For some days after the attack the right sideof the face and the tongue were paralysed, and the speechthick. Vision, visual fields, and optic discs were normal.There was no vomiting, and no loss of sensation. There wasno personal or family history of tubercle, and no history orevidence of syphilis. It was concluded that there was someirritation of the cerebral cortex over the face and tonguecentres, probably a tumour, and operation was advised,but not agreed to until Oct. 22nd, 1894, when the patienthad become much worse, suffering from aphasia and

agraphia, paralysis of the right side of the face and tongue,and paresis of the right hand. The fits had become morefrequent and more severe, and he had pain in the left parietalregion. The skull was trephined over the face and tonguecentre, and a tumour 2’3 by 1’9 inches in size and two ouncesand a half in weight removed. It grew from the dnra materand pressed on the lower portion of the ascending frontalconvolution and the posterior part of the second and thirdfrontal convolutions. The tumour was encapsuled andmicroscopically was a small round-celled sarcoma. Speechand motion were gradually recovered, and when shown nearlyfour months after operation the paresis of the face andtongue was hardly noticeable, the speech was good, he couldwrite perfectly, had no pain, and had had no fits. There wasno evidence of recurrence. The second case was underthe care of Dr. W. Moore. The patient, aged nine, wassuddenly seized with a convulsion, and became unconscious,with right hemiplegia. She had suffered from a dischargefrom the left ear for several years, which became worse, withearache and pain on the left side of the head ten days pre-viously. The temperature was 102 6° F. A diagnosis oftemporo-sphenoidal abscess was made, and the skull trephinedin the usual way. The brain was explored in several direc-tions with a grooved director and a trocar and cannula, butno pus was found. After the operation the temperaturebecame subnormal, and the pulse 60. The paralysis andaphasia remained. Five days afterwards the wound wasreopened and the brain again explored, when pus to theextent of about two ounces was evacuated from the temporo-sphenoidal lobe. The abscess was drained, and the patientgradually improved, regaining speech and power in the leg,but the arm remained weak, with some contraction of thefingers.

The Etiology ot Summer Diarrhæa of Infants.Dr. R. R. Stawell has been investigating this subject in

Melbourne and arrives at pretty much the same conclusionsas those reached by inquiries into the causes of this veryprevalent complaint in other parts of the world. He has beenunable to satisfy himself that any atmospheric condition otherthan increased temperature has any appreciable or constant in-fluence upon the disease. The increased temperature acts as acausative factor, because at about 60° F. putrefactive processesand toxicogenic germs first become active, and not by causinggreat depression in the patient, as the charts he had madeout showed that the greatest prevalence of the disease wasnot at the time of the greatest heat ; the breast-fed infantsare not affected. He thinks there is a small number ofdelicate children who suffer from diarrhoea in consequenceof putrefactive changes in sound food after it has beenswallowed.

Two Cases ot Didelphic Uteri, ?vit7t Hæmatokolpos andPyo71olpos.

In the February number of the Interolonial QuarterlyJournal of Medicine and Surgery Dr. F. C. Batchelor ofDunedin records two cases of the above rare abnormalities.

In each case there was a double uterus and a double vagina.Retention of the menstrual fluid occurred in the right vaginain one case and in the left in the other. As a result of dis-tention a rupture occurred through the upper portion of thevagina in both cases, and an escape of the retained mensemfollowed, but not completely. Subsequently septic changesensued in the pent-up secretions, causing pyokolpos.

Obituary.SURGEON-GENERAL SAVILLE MARRIOTT PELLY,

C.B., F.R.C.S.SURGEON-GENEBAL PELLY, who died on April 3rd at

Woodstock Honse, Lee, Kent, was the last surviving son ofthe late Judge John Hinde Pelly, of the Indian Civil Serviceand a brother of the late Major-General Sir Lewis Pelly,K.C.B., K.C.S.I., M.P. He was one of seven sons, six ofwhom entered one or other of Her Majesty’s services, andthree attained to the rank of general officers. Born in India,he was sent to England for education, and made his homewith a relative, the baronet of the same name. He was thenplaced at Winchester, where, owing to the marvellous facilityhe had of getting out of scrapes he received the nickname of"Proof Pelly." As an instance of the good luck whichnever deserted him, he used to relate how that once, whenstaying with friends in Gloucestershire, he took compassionon a poor stray dog that had found its way into the grounds.Whilst in the act of fondling it he was startled by the arriveof the whole country side, armed with guns and staves, insearch of this very dog, which was mad and had alreadybitten several persons. On leaving Winchester he began hismedical education at the Bristol Royal Infirmary, where hewas for some years dressing pupil under Mr. Birchard Smith,then the senior surgeon, and where an uncle on his mother’sside was on the hospital staff. He next entered as a studentof Guy’s Hospital at the time when Bright and Addison werephysicians, and Astley Cooper was still alive. It is interestingto note that Dr. J. G. Swayne, whose name is so intimatelyassociated in all our memories with the Bristol Medical School,was a fellow student of Pelly both at Bristol and Gny’s.He was a student when Sir Astley Cooper died in 1841, andwas one of those who lined the way to the hospital chapel,in the vault of which the body of that distinguished surgeonis deposited. After finishing his professional studies heentered the Indian Medical Service, and was soon ordered tothe front. He was present in July and August, 1843; with afield force under Major Blood in the southern parts of Sind,and served with the Sind Irregular Horse during Sir C.

Napier’s campaign in 1844-45 against the predatory tribeson the borders of Cutchee, and in the surprise and captureof Shahpoor on the night of Jan. 15th, 1845, beingfavourably mentioned in the despatches by CaptainJacob. He was present with the army of observation at

Bhawalpoor under Sir C. Napier in 1846-47, and with theSind Horse during the pacification of the frontier of Sind in1847-48 under Major (afterwards General) John Jacob,He served with the 2nd Regiment of Light Cavalry in

Rajpootana during the Mutiny campaign in 1857-58, andwas present as senior medical officer at the attack on

Nimbhaira, the action of Jeerun, and throughout the siegeof Neemuch under Captain Simpson, joining afterwards inthe pursuit of Tantia Topee with the column under BrigadierParke. At the conclusion of the war he received the Indianmedal and clasp for Central India. For many years he wasresident in Sind, and when he was moved on to Poonathe Sindian of that date contained the following paragraph:" Dr. Pelly will be much missed in the circle he leavesto-day. He is one of the oldest residents among us, havingseen service since about the year 1844. He knows the countrythoroughly and has watched the progress of its various com-munities from the first. We still entertain a hope that hemay again return to Sind, where he is so well known and souniversally popular." As he rose in his profession he becameInspector of Prisons in the Bombay Presidency, and at thissuggestion the Government introduced gardening as prisonlabour, whereby a great saving was effected ; for not onlywas the health of the prisoners greatly benefited bythis open-air exercise, but all the vegetables required bythe inmates were thus obtained without purchase. When

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the Abyssinian expedition was determined upon he wasselected for the post of principal medical officer of the IndianMedical Department, and he served throughout the campaignin 1867-68 under Sir Robert (afterwards Lord) Napier. Forhis services during this expedition he was recommended forthe K C.S. I., but as it was found that this knighthood couldonly be conferred for services rendered in India he was

rewarded by a Companionship of the Ba,th. Meanwhile he hadmen in his profession to be Daputy Inspector-General of Hos-pitals in the Bombay Presidency, and he retired as Inspector-General in 1870. After his retirement he lived for manyyears in Dublin, but came to London a few years ago to benear his brother, who was at that time representing Hackneyin the Conservative interest. At the quincentenary festival ofWinchester College, held two years ago, Surgeon-GeneralPelly was among the oldest of the Old Wykehamists present,and this visit to the scenes of his boyhood afforded him thekeenest sense of pleasure. He was a man of a mostwarm-hearted and genial disposition, making friends where-ever he went, being universally respected for his upright-ness and gallantry. Firm in will and strong in action,brave and courteous, punctilious in matters of honour, yetkind, gentle and forgiving, he possessed all the qualities mostto be admired in a soldier and a surgeon. He retained to thelast a very remarkable intellectual vigour and an activity ofbody worthy of a man twenty years younger. In his retirementhe amused himself chiefly with his lathes, turning out allkinds of articles useful and ornamental, having always had astrong taste for engineering. Among other things he madean electric clock, every wheel of which he forged with hisown hands, and he had been at work at an electric stetho-scope which was to enable every member of a classto listen to the same heart whilst the physician was

demonstrating its defects. He enjoyed perfect healthuntil five weeks before his death, when he was first seizedwith angina pectoris, associated with some fever, apparentlyinfluenza. Dr. Green, of Lee, who attended him, discovereda mitral bruit and gave him relief by medicine and rest ; butattacks of cardiac asthma became frequent, and a week beforehis death Dr. Pye. Smith saw him in consultation. He diedsuddenly (as had been anticipated) whilst sitting in his chair,on Wednesday, April 3rd, aged seventy’six. He leaves awidow, two sons (the Rev. Stanley Pelly and Captain SavilleE. Pelly), and two daughters.

GEORGE HENTY, M.D. ST. AND., M.R.C.S. Eng.,CAMDEN 7OWN.

THE death of Dr. Henty removes from north London anold practitioner, aged seventy-seven, who took an active partin all that interests the profession and in muchthat nterests the public. Dr. Henty was bornat Chatham and educated at the Grammar School,Rochester. He was afterwards assistant for six yearsin Princes-street, Hanover-square, to Dr. McDonald.Thereafter he qualified and went into practice at West

lallii3g, and afterwards at Newington, Kent. In thelatter place he lived sixteen years, and was medicalofficer of health. He interested himself in getting a railwaystation built and other improvements. In 1865 he returned toLondon and settled in Camden Town, where he had been work-ing until within a few days of his death, which was due to pneu-monia ; for some months past, however, his health had beenmuch impaired. For seven years he was medical officer tothe Aged Pilgrims’ Society. He was also medical officer tothe Foresters’ club. Dr. Henty was an active promoter of theGreat Northern and Central Hospital. He was a member ofthe committee. Though partly responsible for the clause inthe constitution under which pay patients are now admitted,he strongly disapproved of the method by which that clausehas been put into force. He was also lately hon. sec. of theN. District of the Metropolitan Counties Branch of theBritish Medical Association, and in this connexion exertedhimself against all questionable methods of practice. Forthe year 1893-94 be was President of the North LondonMedical and Chirurgical Society. His genial nature and hislarge experience made his company always acceptable inmedical circles.

___

.JAMES JOHNSTON, M.B., M.R.C.P.LOND., M.R.C.S. ENG.Ds. JOHNSTON, who passed quietly away on April llth in

his seventy-second year, had for many years held a prominentplace among the medical profession in Birmingham. He

was the son of Mr. Thomas Johnston, a well-known inhabi-tant of the town, and studied medicine at Queen’s College,becoming a member of the Royal College of Surgeons ofEngland in 1844, and Bachelor of Medicine of LondonUniversity in 1846. Having settled in Birmingham he incourse of time came to have one of the largest practices inthe town. About 1867 he went to live some miles away,at Wylde Green, a small place close to the ancientborough of Satton Coldfield, of which town he wasfor three successive years elected warden. In 1874 hebecame a Member of the Royal College of Physicians andshortly after this was appointed honorary physician to theQueen’s Hospital and to the Hospital for Children. In 1875he was elected President of the Midland Medical Society,and in 1879 President of the Birmingham Branch of theBritish Medical Association. About 1837 he left Wylde Greenand resided in Birmingham for the remainder of his life.Dr. Johnston lived an honourable, just, and useful life, andwas universally esteemed. He was twice married, and fourof his sons follow their father’s profession.

WILLIAM METCALFE, L.S.A. LOND.THE little village of Clapham, near Lancaster, has just sus-

tained a heavy loss in the death of its medical man, WilliamMetcalfe, L. S.A. Lond. The deceased had been ailing for nearlytwo years from obscure abdominal symptoms, which becameaccentuated some two months ago, and he gradually sankfrom exhaustion and died on April 8th at the early age ofthirty-four. A necropsy showed the cause of death tohave been stricture of the small intestine and melanoticsarcoma affecting the stomach and bowels. His terriblesufferings were borne with great fortitude. He was a studentof St. George’s Hospital, London, and in 1888 he enteredinto partnership with Mr. Bradley of Bentham, with whom hewas connected at the time of his death. He was a successfulpractitioner and endeared himself to a large clientèle, who.will long miss his cheery voice and smile.

DEATHS OF EMINENT FOREIGN MEDICAL MEN.-Thedeaths of the following eminent foreign medical men areannounced : Dr. Rinaldo Roeso, Lecturer in Forensic Medicinein the University of Rome. --Dr. Wladimir Tomsa, Professor ofPhysiology in the Bohemian University of Prague.-Dr. Richer,Professor of Therapeutics in the Amiens Medical School.

Medical News.EXAMINING BOARD IN ENGLAND BY THE ROYAL

COLLEGES OF PHYSICIANS AND SURGEONS. -The followinggentlemen passed the First Examination of the Board in thesubjects indicated at the quarterly meeting of the Examinersunder the four years’ regulations, viz :—

Part I., Chemistry and Physics :-Bentley, Harry. Owens College, Manchester.Cater, Joseph, King’s College, London.Cooper, Frank, Mason College, Birmingham.Evans, John, St. Geovge’s Hospital.Henerey, John Philip Edmund, St. George’s Hospital.Lindsay, Alexander William Crawford, St. Bartholomew’s Hospital.Macmaster, Hugh, Sydney University and Surgeons Hall,Edinburgh.

Oliver, Norman Henry, Guy’s Hospital.Owen, John Griffith, Charing-cross Hospital.Russell, Francis John, London Hospital.Simpson, Fred. Algernon, Cambridge University and St. Mary’s

Hospital.Sykes, Reginald, Yorkshire College, Leeds.Whyte, Frederick William, Queen’s College, Belfast.Willson, Arthur Herbert, Oxford University.

Part II., Materia Medica and Pharmacy :-Agnew, Colville Smith, Chariiig-Cross Hospital.Ayre, Frederick John, St. Mary’s Hospital.Carter, Wilfred Becher, St. George’s Hospital.Clarke, Huntley, St. Bartholomew’s Hospital.Collier, Robert Stanley, Yorkshire College, Leeds.Corfield, Edward Carruthers, St. Bartholomew’s Hospital.Dakin, Thomas Burns, London Hospital.Davies, Thomas John, Middlesex Hospital.Day, James John, Middlesex Hospital.Dearden, Charles Henry, Yorkshire College, Leeds.Evans, David Edward, London Hospital.Fanning, William Joseph, St. Thomas’s Hospital.Fergusson, James Herbert, St. George’s Hospital.Herbert, Herbert, London Hospital.