1693PARLIAMENTARY INTELLIGENCE.

the past year almoners trained by the council have beenappointed at two London hospitals, while others have securedposts as assistants. Two candidates are being speciallytrained for posts in the North of England, and nine othersare now in training. The chairman, in moving the adoptionof the report, drew attention to the work of the council instimulating a demand, which it is now called upon to supply,and made a reference to the importance of the recommenda-tions of the Special Committee of King Edward’s HospitalFund as they affect the future of the movement. Particularattention was drawn by various speakers to the necessity ofdefinite training and to the danger of the appointment ofthose who are unable to benefit by the experience of theirpredecessors. The need for this training had been realisedby those hospitals which had sent almoners to be trained bythe council whom they had appointed and who had alreadybegun work.

’

METROPOLITAN HOSPITAL SUNDAY FUND.—Ata meeting of this Fund held at the illansion House on

Dec. 9th it was announced that the collection for the yearamounted to .667.972. The total collection in places ofworship was E1195 less than in 1911. Hospital Sunday for1913 has been fixed for May 25th.

Parliamentary Intelligence.NOTES ON CURRENT TOPICS.

The Chnncellor of the E.1;cheqller and the Jledical Projession.THE statements as to the administration of medical benefit and

correspondence thereon between the Chancellor of the Exchequer andthe British Medical Association have been issued as a ParliamentaryWhite Paper. The documents include the memorandum as to medicalbenefit under the Insurance Act, which was published in THE LANCETof Dec. 7th.

l11ilk and Dairies Bill.Mr. BURNS, President of the Local Government Board, has intro-

duced in the House of Commons a Bill " to make better provision withrespect to the sale of milk and the regulation of dairies." It has beenread a first time.

Scottish Ins!l1’Cmce Committees and Sanatorium Benefit.A deputation representing 15 county and 22 burgh Insurance Com-

mittees in Scotland met the Chancellor of the Exchequer at the Houseof Commons on Monday, Dec. 9th, to lay before him their objections tothe proposal of the Government to allocate to medical men 6d. perinsured person for domiciliary treatment of tuberculosis under the

Insurance Act. Their point was that the rating authorities had beenrelying on the full Is. 3d. per insured person for sanatorium benefit,and the deduction of 6d. would be serious for them. The conditions ofinsured persons in Scotland, they urged, were such as to render themhighly unsuitable for domiciliary treatment, and the proper places fortheir treatment were the hospital, the dispensary, and the sanatorium.Mr. LLOYD GEORGE, in his reply, stated that he must adhere to his

proposal to allocate the 6d. to the medical profession. Insurance Com-mittees must make the remaining 9d. suffice, and rely upon the ratingauthorities to make up half the balance and the Treasury the otherhalf.

--

HOUSE OF LORDS.

THURSDAY, DEC. 5TH.

The Neclical Bill.On the motion of Viscount MORLEY OF BLACKBURN, the Medical Bill

(which is designed to simplify certain matters as to the election ofDirect Representatives to the General Medical Council) was read asecond time. On Dec. 9th the Bill passed through Committee withoutamendment.

Postponement oj Jlental Deficiency Bill.Lord RiBBLESDALE asked the Government whether they had any

intention of reconsidering their announced decision not to proceedthis session with the Mental Deficiency Bill. He said that everyonewould regret that the Government had decided to drop this Bill andhad sacriiiced it to party necessities.-Lord STRACHIE replied that hecould not agree that the Bill had been sacrificed to party necessities,but he thought that it had been sacrificed to House of Commonsnecessities. It was quite clear that it could only have been gotthrough by sacrificing other measures to which the Government weremore attached.

____

HOUSE OF COMMONS.WEDNESDAY, DEC. 4TH.

West African Medical Appointments.Mr. EDMUND HARVEY asked the Secretary of State for the Colonies

what public appointments in the Gold Coast, Sierra Lsone, and Lagoswere open to coloured medical men of African descent.-Mr. L.HARCOURT said in reply: Three native medical officers are employed bythe Government of Sierra Leone and four by the Government ofSouthern Nigeria. None are employed in the Gold Coast.

THURSDAY, DEC. 5TH.

Negotiations with the Medical Profession.Mr. BOOTH asked the Chancellor of the Exchequer whether he could’

make any statement with regard to his negotiations with the medicalprofession respecting the administration of medical benefits under theNational Insurance Act.-Mr. LLOYD GEORGE said in reply : I made-a statement to the House on Oct. 23rd as to the amount of moneywhich the Government proposed to ask Parliament to grant-namely, JE1 650.000, for the purpose of increasing the funds availablefor the remuneration of practitioners attending insured persons, and Ithen explained the main features of the proposal which I also describedin greater detail in a statement which I made the same day to theAdvisory Committee appointed under the Act. Subsequently theBritish Medical Association, after discussions upon the subject in theirvarious divisional meetings, appointed a deputation of five representa-tives to confer with me in regard to various points on which theydesired further information. The five representatives accordingly sawme on the morning of Monday, Nov. 25th, and again the next day.Various points on which the deputation had been instructed by the’representative meeting to obtain further information were broughtbefore me, and a Memorandum was prepared setting forth fully the’decisions of the Government, together with the explanations 0)T)

points upon which do ubts had existed. The five representatives hadbeen instructed to prepare a report for their Council uporetheir conferences with me, and the Council was subsequently to’circulate a report to all the members of the Association forthe consideration of the profession as a whole. As the deputationinformed me that it would be impossible for that report to be com-pleted for circulation until Dec. 6th, at their request I agreed thatwhat passed between us at the conference and my Memorandum shouldbe kept confidential on both sides until that date. I therefore propcseto lay on the table of the House this evening the Memorandum repre-senting the reply of the Government together with other papers on the-subject, and I have arranged that the White Paper containing theseshall be available for honourable Members at the Vote Office to-morrowmorning. Copies of the medical benefit regulations, revised to carryout the changes that have been decided on, will also be laid uponthe table to-day and published to-morrow.Mr. GINNELL: Will the right honourable gentleman include in his

statement his proposals regarding an equivalent for Ireland in thismatter ?-Mr. LLOYD GEORGE : This has nothing to do with Ireland.It simply has reference to the medical benefit under the Insurance Act.

Medical Remuneration under the Insurance Act.Sir JOHN JARDINE asked the Secretary to the Treasury whether,

unde r the present proposals for medical remuneration under theNational Insurance Act, doctors would have to wait until after the endof each quarter before they were paid in respect of that quarter, orwhether he could arrange for advance payments to be made.-Mr.MASTERMAN answered : Although the exact sums to be paid in respectof any quarter can, of course, only be determined after the end of thatquarter, arrangements wlil be made whereby it will be possible formedical men on the panel to receive payments in advance based on thenumbers of insured persons on their lists at the beginning of thequarter.Mr. GLYN-JONES: Do Friendly Societies pay their medical men in

advance ?-Mr. MASTERXAN : I cannot say, but I think :that it is verydesirable that some payment should be made as soon as possible.

The Possibilities of Sanatorium Benefit.Mr. LANE-Fox asked the Secretary to the Treasury whether, under

the National Insurance Act, a blacksmith, on payment of 4s. 8d. contri-tion, could obtain benefits of the value of £200.-Mr. MASTERMAN answered : Yes, sir. A blacksmith or other insured person sufferingfrom tuberculosis could be recommended by an Insurance Committeefor sanatorium treatment, the cost of which might involve an expendi-ture reaching to £200, even though the amount of contributions paidby, or in respect of, the insured person before the date of his illness didnot exceed 4s. 8d.Mr. LANE-Fox : Is that a case which can honestly be put as a typical

case under the Insurance Act?-Mr. MASTERMAN: It is a case whichactually occurred, and it is a very remarkable one.Mr. LANE-Fox : But is it a fair case to be quoted as typical, or is it

exceptional ?-Mr. MASTERMAN: It is a true case and a perfectly fairone, and I have no means for suggesting that it is a unique case receivingbenefit. The recommendation for sanatorium benefit will continue solong as the patient is receiving benefit from the sanatorium.Mr. J. SAMUEL : Is the right honourable gentleman aware that it is

possible under the Insurance Act for an insured person, say, age 21, afterbeing insured for two years and having paid El 14s. 8d. in premium todraw in benefits £617 10s. ?-Mr. MASTERMAN: Yes, that is one of thebeneficent results of National Insurance.

Sanat01’ia in Ireland.Mr. SWIFT MACNEILL asked the Chief Secretary to the Lord

Lieutenant of Ireland to state what counties in Ireland were availingthemselves of the accommodation, either on a temporary or permanentbasis, of the Peamount, Rossclare, or Allan Ryan Sanatoria, under thecontrol of the Women’s National Health Association in Ireland.-Mr.T. W. RUSSELL (on behalf of Mr. BIRRELL) replied : I am informedby the honorary secretary of the Women’s National Health Associa-tion that the counties in Ireland which have intimated their intentionof availing themselves of accommodation either on a temporaryor permanent basis of the Peamount, Rossclare, or Allan Ryan Sana-toria under the control of the association are Armagh, Carlow, Cavan,Clare, Donegal, Dublin, Fermanagh, Kerry, Kildare, Kilkenny, King’sCounty, Leitrim, Limerick, Londonderry, Louth, Meath, Monaghan,Roscommon, Tipperary North, Tipperary South, Tyrone, Waterford, Westmeath, and the county boroughs of Dublin, Limerick, andLondonderry.

Sir J. LovsDar,E: Is the Peamount Sanatorium ready for occupatio,,- Mr. T. W. RussELL : It is already occupied.

MONDAY, DEC. 9TH.

Hospitals and the Insurance Act. Writing in reply to Sir HILDRED CARLILE, Mr. MASTER-M-AN said:

Melical benefit under the National Insurance Act includes that servicewhich can ordinarily be given by general practitioners who have come onto the panel. I know of no reason why the present treatment of the

1694 PARLIAMENTARY INTELLIGENCE.-BOOKS, ETC., RECEIVED.

working people in hospitals and other similar institutions ’should be disturbed by the National Insurance Act. If, as a result of experience, the voluntary.hospitals find that they require State grants for the treat-ment of insured persons, the whole question of State control wouldnecessarily be raised, and at present this is not contemplated underthe.Act.

’

the Act. Medical Benefits in Germany. ]

Mr. WORTHINGTON EVANS asked the Secretary to the Treasurywhether the total cost of medical and sanatorium benefits under theGerman insurance scheme for sickness, invalidity, and accident insur-ance amounted to approximately 14s. per insured person per annum,inclusive of drugs and the treatment of the sick in hospitals and insti-tutions ; and whether the Government Memorandum said to be incourse of preparation in July last, giving explanations on these ques-tions, was yet ready for publication.-Mr. MASTERMAN replied: Anyattempt to give the total cost of the benefits mentioned under theseveral German schemes would be misleading without further par-ticulars than can well be included in answer to a Parliamentary ques-tion. I hope to issue the Memorandum as a White Paper during thecourse of next week.

Medical Remuneration for Domiciliary Treatment of Tuberculosis inScotland.

Mr. DUNCAN MILLAR asked the Secretary to the Treasury whetherhis attention had been directed to the resolution passed at a repre-sentative conference of Scottish County and Burgh Insurance Com-mittees, representing over 70 per cent. of the total insured persons inScotland, held in Glasgow on Dec. 2nd, protesting against the proposalof the Government to allocate to the doctors for domiciliary treatmentof consumption 6d. out of the ls. 3d. provided by the National Insur-ance Act in respect of each insured person for defraying the cost ofsanatorium benefit in each year, on the ground that such allocationwould seriously affect the administration of the sanatorium benefit; andwhether, having regard to the strong expression of opinion fromScotland and other parts of the United Kingdom, he would consideras to making other arrangements so as to avoid encroaching upon thesum assured under the Act for sanatorium benefits.-Mr. MASTERMAN answered: The Chancellor of the Exchequer is receiving a deputationfrom,Scottish Insurance Committees on this subject this afternoon.

Colliery Workers and Medical Attendance.Mr. DUNCAN MILLAR asked the Secretary to the Treasury whether

his attention had been directed to the formation of workers’ associationsin connexion with collieries and other large industrial works on thelines of the existing works’ doctor system in order to provide medicalattendance for dependants along with medical attendance to insuredcontributors under the National Insurance Act; and whether, as thematter was one closely affecting the administration of the medicalbenefit under the National Insurance Act, he would see that everyassistance was given by the Insurance Commissioners in the formationof such associations and in securing their recognition by the InsuranceCommittees as providing proper medical attendance and treatmentunder subsections (3) and (4) of Section 15 of the National InsuranceAct.-Mr. MASTERMAN said in reply: The answer to the first part of thequestion is in the affirmative. The attention of Insurance Committeeshas been called to the necessity for making provision for such cases asare referred to in the question, and model forms for application havebeen issued.

The Health of Spelternzen in Swansea District.Mr. C. DUNCAN asked the Secretary of State for the Home Depart-

ment whether he had any power by way of regulation to put an endto the sacrifice of health and life resulting from the unreasonably longhours of employment in a poisonous atmosphere by the speltermen inthe Swansea district.-Mr. MCKENNA replied : The industry was madethe subject of a careful inquiry in 1910, a report of which was presentedto Parliament, and regulations for the purpose of safeguardingthe health of the workers were subsequently made and came intoforce in October of last year. The report did not recommend anylimitation of the hours of adult men, and it is too early yet to form anyjudgment on the working of the regulations, but the matter will becarefully watched.Mr. C. DUNCAN further asked whether the right honourable gentle-

man could make inquiry into the 77 cases of lead poisoning which hadoccurred since 1907 in the spelter trade in the Swansea district, with aview to ascertaining how many of those so suffering had been per-manently disabled from following their usual employment; andwhether he would inquire as to whether any cases of wrist-drop hadoccurred in the cases reported.-Mr. McKENNA: The information in thepossession of the Home Office shows that 10 of the cases were reportedas severe, 30 as moderate, and 37 as slight, and that wrist-drop wasreported in 17. My department has no means of ascertaining in howmany cases the workman may prove to be permanently disabled fromfollowing his usual occupation.

Deaths frona Burning Flannelette.Mr. JOYNSON-HICKS asked the Home Secretary whether legislation

would be introduced in this or the ensuing session to prevent deathsowing to the use of flannelette.-Mr. McKENNA answered: The onlyrecommendation of the coroners’ committee which inquired into thissub,lect was that the Merchandise Marks Act, 1887, should be amendedso as to make it penal to describe as non-inflammable material whichwill not stand certain prescribed tests. I understand this cannot bedone in the way suggested, because the subject is entirely outside thescope of, that Act; but I am ready to receive suggestions as to theprescription of practicable standards and tests with a view to theintroduction of legislation.

TUESDAY, DEC. 10TH.The Site of Westminster Hospital.

Sir HENRY CRAIK asked the honourable Member for St. George’s-in-the-East, as representing the First Commissioner of Works, what powerthe Government had in’ respect of the site now occupied by theWestminster Hospital; and whether, in the event of the removal of thehospital, that power would be exercised in order to secure that the siteshould be used in a manner suitable to the dignity of tie situation andso as to provide for the highest public advantage in the future.-Mr.WEDGWOOD BENN replied: The site cannot be used for any otherpurpose than that of a hospital without the consent of the Crown ; andthere are various restrictions as to buildings. The Government has the

subject under careful consideration from the points of view suggestedby the honourable Member.

Sczzzatori2cnz Benefit in the West Riding.Replying to Mr. LANE-Fox, Mr. MASTERMAN (Secretary to the

Treasury) said: The West Riding of Yorkshire Insurance Committeehave provided sanatorium, dispensary, and domiciliary treatment forinsured persons and their dependants suffering from tuberculosis.Between July 15th and Nov. 29th 140 applications in all for treatmenthad been received by the Insurance Committee from insuredpersons, their dependants, and those who were uninsured andotherwise ineligible. Eighty-seven were recommended as suitablefor treatment. Some of these preferred to make their own

arrangements, but 82 have actually received sanatorium benefit,45 in residential institutions, 3 in or through a dispensary, and34 at home. The buildings in which accommodation has beensecured were in existence before the Act came into operation either assanatoria or as hospitals, &c., but they have since, where required,been specially converted for use as sanatoria or otherwise adapted forthe reception of tuberculous patients. Arrangements have now beenmade for the lease by the county council of the Cardigan Sanatoriumwhereby 50 additional beds will be made available. The county councilare also promoting a permanent scheme for the provision of a sana-torium and dispensaries. This scheme has received the general approvalof the Local Government Board, and an agreement between the countycouncil and the Insurance Committee for the treatment of insuredpersons and their dependants under this scheme has been approved bythe Insurance Commissioners.

Sanatorium Treatment in Ireland.Mr. SWIFT MACNEILL asked the Secretary to the Treasury how many

patients had been recommended by the County Insurance Committeesto the Women’s National Health Sanatoria in Ireland under the pro-visions of the National Insurance Act.-Mr. MAS1’ERMAN answered:I am informed that 138 patients have been recommended by LocalInsurance Committees in Ireland for treatment in sanatoria managedby the Women’s National Health Association. In addition 26 patientshave been recommended for domiciliary and dispensary treatment underthe Samaritan Committee of the association. Of these 164 persons, 145have received or are now receiving treatment.

The Sanitary Conditiora of Prestwich.Sir FREDERICK CAWLEY asked the President of the Local Govern-

ment Board whether he was aware that Dr. Manby, of his department,visited the urban district of Prestwich on June 16th, 1911 ; whether hewas sent there to investigate any complaint of the sanitary conditionof the district, or whether it was simply in discharge of his duty underthe system of sending officers to different districts all over the country;whether Dr. Manby reported favourably upon the sanitary condition ofthe district; whether the medical officer of health had reported favour-ably upon both the sanitary condition of the district and the adminis-tration of the sanitary law; and would he say what was the averagedeath-rate for the last ten years in the urban district council of Prest-wich.-Mr. BURNS replied: Dr. Manby visited Prestwich in June, 1911,in the ordinary course of his duties. He made no report on the sanitarycondition of the district. Recent reports of the medical officer of healthhave stated that the sanitary condition of the district is satisfactory.The average net death-rate for the last ten years is 12’5.

WEDNESDAY, DEC. 11TH.Medical Service under the Insurance Act.

Mr. BIRD asked the Secretary to the Treasury whether the amountof personal time and attention which could be given by a fully qualifieddoctor, who contracted to attend 1000 patients under the NationalInsurance Act, would be sufficient to comply with the Regulationsunder the Act, seeing that such doctor would have to make on anaverage 60 attendances a day, or giving an average of less than fiveminutes to each patient after allowing for time taken in travelling;and;whether any limit was to be put on the number of patients which adoctor could be allowed to contract to attend.-Mr. MASTERMAN replied:Care will be taken to ensure that medical men do not contract to giveattendance to a greater number of insured persons than is consistentwith the interests of those persons. The honourable Member is, how-ever, under a serious misapprehension. No medical man will contractto attend 1000 patients. The contract will be to give such attendanceas may be needed by any of the insured persons on the medicalman’s list. The number on that list may be 1000 or some other

number, but the majority of them will not require medical attendanceat all during any given year. This correction in the basis of calculationalone will have the effect of multiplying by several times any

’ estimate of remuneration available or dividing similarly anyestimate of work required. Even with this allowance, how-ever, I am unable to follow the honourable Member’s figures

as to attendances which are not implied by any provision of theRegulations and appear to be wildly in excess of,estimates advancedeven by critics of the Act. According to the experience of contract

practice in the past a medical man with 1000 persons on his list (in! respect of which he would be receiving .E350-.&400 per annum) wouldbe required to give about 12 attendances a day, including both visits’ at the patient’s home and consultations at the surgery.

BOOKS, ETC., RECEIVED.

ASSELIN ET HouzEAU, Place de 1’Ecole de Medecine, Paris.Eleivients de Semiologie et Clinique Mentales. Par Ie Dr. Ph.Chaslin, lledecin de la Salpetriere. Price Fr. 18.

BAILLIÈRE, TINDALL, AND COX, London.Lectures on Clinical Psychiatry. By Dr. Emil Kraepelin, Professor

of Psychiatry in the University of Munich. Authorised trans-lation from the Second German Edition. Revised and edited by Thomas Johnstone, ’YI.D. Edin., M.R.C.P. Lond. ThirdEnglish edition. Price 10s. 6ft. net.

BALE (JOHN), SONs, AND DANIELSSON, LIMITED, London.The Transactions of the British Homoeopathic Society. Session

1911-1912. Edited by Giles F. Goldsbrough, M.D. Price 1:0’stated.

1695BOOKS, ETC., RECEIVED.-APPOINTMENTS. -VACANCIES.

CHURCHILL, J. AND A., London.Year-Book of Pharmacy. Comprising Abstracts of Papers relatingto Pharmacy, Alateria Medica, and Chemistry, contributed toBritish and Foreign Journals from July 1, 1911, to June 30,1912, with the Transactions of the British Pharmaceutical Con-ference at the Forty-ninth Annual Meeting held in Edinburgh,July, 1912. Editor of the Abstracts, J. 0. Braithwaite. Editorof the Transactions, Horace Finnemore, B.Sc., F.I.C. Abstractors,F. W. Gamble, Harold Wyatt. Price not stated.

CROSHY LOCKWOOD AND SoN, 7, Stationers’ Hall Court, Ludgate Hill,E.C., and 5, Broadway, Westminster, S.W.Industrial and Manufacturing Chemistry. Organic. A PracticalTreatise. By Geoffrey Martin, Ph.D. (Rostock), M.Sc. (Bristol),B.Sc. (London), F,C.S. Assisted by several Specialists. Price21s. net.

GRIFFIN, CHARLES. AND COMPANY, LIMITED, London.Clinical Medicine. A Manual for the Use of Students and JuniorPractitioners. By Judson S. Bury, M.D. Lond., F.R.C.P.,B.Sc. Vict., Consulting Physician to the Manchester RoyalInfirmary ; Examiner in Medicine to the Royal College of

Physicians, London. Third edition. Edited by Judson S.Bury -and Albert Ramsbottom, M.D., M.R.C.P., AssistantPhysician to the Manchester Royal Infirmary. Price17s. 6d. net.

KARGER, S., Berlin.Gynakologisches Vademekum fdr Studierende und Aerzte. VonProf. Dr. A. Duhrssen, Berlin. Zehnte vermehrte und verbesserteAuflage. Price M.6.80.

Die Krankheiten des Verdauungskanals. (Oesophagus, Magen,Darm.) Ein Leitfaden fur praktische Aerzte. Von Dr. PaulCohnheim, Spezialarzt fur Magen- und Darmkrankheiten inBerlin. Dritte vermehrte und neubearbeitete Auflage. PriceM.8.60.

Beitrag zur Klinik und Histopathologie der gutartigen Haute-pitheliome. Von Priv.-Doz. Dr. Walter Frieboes, Assistent ander Universitatsklinik fur Hautkrankheiten. Price M.8.

Hundert Totalexstirpationen bei Myoma uteri ohne Todesfall.Zuglcich ein Beitrag zur Technik der gynrekologischen Lapa-rotomie. Von Hofrat Dr. S. Flatau in Nurnberg. Price M.2.40.

Physiologie des Nervensystems. Ergebnisse des Jahres, 1911.Bearbeitet von Priv.-Doz. Dr. Hugo Wiener, Dr. Georg Peritz,Dr. Otto Kalischer. Prof. Dr. G. F. Nicolai, Dr. Meyer-Lierheim,Walter Misch und Auguste Lotz. (Sonderabdruck aus demJahresbericht fiir Neurologic und Psychiatrie, Band XV.)Price M.3.

Anatomic des Nervensystems. Ergebnisse des Jahres, 1911. Bear-beitet von Prof. L. Jacobsohn, Dr. W. Frankfurther und Dr. A.Hirschfeld. (Sonderabdruck aus dem Jahresbericht fur Neurologicund Psychiatrie, Band XV.) Price M.3.

Kriminal-Anthropologie. Ergebnisse des Jahres, 1911. Bearbeitetvon Dr. L. M. Kotscher. (Sonderabdruck aus dem Jahresberichtfur Neurologic und Psychiatrie, Band XV.) Price M.3.

LIPPINCOTT (J. B.) COMPANY, Philadelphia and London.Internal Medicine. By David Bovaird, Jr., A.B., M.D., AssistantProfessor of Clinical Medicine in the College of Physiciansand Surgeons of Columbia University. Price 21s. net.

Brain and Spinal Cord. A Manual for the Study of the Morphologyand Fibre-Tracts of the Central Nervous System. By Dr. med.Emil Villiger, Privatdozent in Neurology and Neuropathologyin the University of Basel. Translated by George A. Piersol,M.D.. Se.D., Professor of Anatomy in the University ofPennsylvania. From the Third German edition. Price16s. net.

STEINHEIL, G., Paris.Travaux de Chirurgie Anatomo-Clinique. Par Henri Hartmann.Professeur a la Faculte de Médecine, Chirurgien de I’HopitalBichat. Avec la Collaboration de B. Cuneo et Paul Lecene,Professeurs Agreges, Chirurgiens des H6pitaux; Kiiss, Prosecteura la Faeulte; Delamare, V. Henry et Lebreton, Anciens Internesdes Hopitaux. Quatrième Série. Voies Urinaires. Price Fr.16.

UNIVERSITY PRESS, Cambridge.Herbals, Their Origin and Evolution. A Chapter in the History ofBotany, 1470-1670. By Agnes Arber (Mrs. E. A Newell Arber),D.Sc., F.L S., Fellow of Newnham College, Cambridge, and ofUniversity College, London. Price 10s. 6d. net.

URBAN UND SCHW ARZENBERG, Berlin und Wien.Taschenbuch der Magen- und Darmkrankheiten. Von Dr. WalterWolff, Oberarzt der inneren Abteilung am Augusta-Hospital,Berlin. Price M.4.

Rontgentiefentherapie, ihre theoretischen Grundlagen, ihrepraktische Anwendung und ihre klinischen Erfolge an der ’,Freiburger Universitats-Frauenklinik. Von Dr. C. J. Gauss,Privatdozent und I. Assistent, und Dr. H. Lembcke, Assistent.Mit einem Vorwort von Professor Dr. B. Kronig in Freiburg i.Br.Price, paper, M.15 ; bound, M.17.

Lehrbuch der Augenheilkunde in der Form klinischer Besprech-ungen. Von Dr. Paul Kromer, 0.6. Professor der Augenheilkunde,Direktor der Universitiits-Augenklinik zu Greifswald. Zweite,umgearbeitete Auflage. Erster Band. (Seite 1-380 und TafelI.-XXI.) Price M.8, or K.9.60. (Der II. Band ist bereitserschienen und zu gleichem Preise nachzubeziehen. Preis deskompletten Werkes in 2 Banden gebunden, M.18, or K.21.60.)

Die Krankheiten der Nase und Mundhohle sowie des Rachens unddes Kehlkopfes. Ein Lehrbuch fiir Aerzte und Studierende. VonDr. Alfred Bruck, Berlin. Zweite, wesentlich vermehrte undverbesserte Auflage. Price, paper, M.14; bound, M.16.

Lehrbuch der Chirurgischen Operationen an der Hand klinischerBeobachtungen fiir Aerzte und Studierende. Von Prof. Dr.Fedor Krause, Geh. Medizinalrzt, dirigierendem Arzt am

Augusta-Hospital in Berlin, in Gemeinschaft mit Dr. EmilHeymann, Oberarzt am Augusta-Hospital. I. Abteilung. Price,M.12.50 ; bound, M.14.

Lehrbuch der Gerichtlichen Psychiatrie fiir Mediziner undJuristen. Von Dr. Ernst Bischoff, Privatdocent fur Psychiatrieund Nervenheilkunde in Wien. Sachverständiger fiir Psychiatriedes k.k. Landesgettehtes in Wien. Price, paper, M.8 ; bound,M.10.

Appointments.Successful applicants for Vacancies, Secretaries of Public Institutions,

and others possessing information suitable for this column, areznvited to forward to THE LANCET O.tJice, directed to the Sub-Editor, not later than 9 o’clock on the Thursday morning of eachweek, such information for gratuitous publication.

DoBSON, WILLIAM T., M.R.C.S., L.R.C.P., has been appointed HousePhysician at the Warneford General Hospital, Leamington.

FRESHWATER, DOUGLAS H., B.C., M.D. Cantab., has been appointedPhysician to the Western Skin Hospital.

HASLAM, IvY E., M.D., B.S.Lond., M.R.C.P. Lond., has been appointedHonorary Pathologist to the Warneford General Hospital,Leamington.

KERR, HAROLD, M.D., Ch.B. Edin., D.P.H., has been appointed MedicalOfficer of Health of Newcastle.

LuND, HERBERT, M.B., B.C. Cantab., F.R.C.S. Eng., has been appointedone of the Medical Referees under the Workmen’s CompensationAct, 1906, for County Court Circuit No. 8 (Salford).

SYDENHAM, FREDERICK, M.D. Edin., F.R.C.S. Edin., D.P.H., has beenappointed Honorary Surgeon for Diseases of the Ear, Nose, andThroat at the Warneford General Hospital, Leamington.

Vacancies.For further information regarding each vacancy reference should be

made to the advertisement (see Index).

ASHTON-UNDER-LYNE, DISTRICT INFIRMARY AND CHILDREN’S Hos-PITAL.-Assistant House Surgeon. Salary 290 per annum, withboard, residence, and laundry.

BATH, ROYAL UNITED HOSPITAL.-House Surgeon. Salary £80 perannum, with board, lodging, and washing.

BIRMINGHAM, JAFFRAY BRANCH OF THE GENERAL HOSPITAL, GravellyHill.-Resident Medical and Surgical Officer. Salary ,E150 perannum, with board, residence, and washing.

BIRMINGHAM, QuEEN’s HOSPITAL.-House Physician for six months., Salary at rate of £50 per annum, with board,’lodging, and washing.BIRMINGHAM, UNIVERSITY OF.-Lecturer in Physiology. Salary .8200

per annum.BoDMiN, CORNWALL COUNTY ASYLUM.—Third Assistant Medical Officerand Pathologist. Salary ,E160 per annum, with quarters, board,laundry, and attendance.

BOURNEMOUTH, ROYAL VICTORIA AND WEST HANTS HOSPITAL.-Housei Surgeon for six months. Salary L80 per annum, with board,i lodging, and laundry.BRISTOL ROYAL INFIRMARY.—Resident Casualty Officer for five months.’ Salary at rate of ,E50 per annum, with board, apartments, and

laundry. Also Dental House Surgeon. Salary .8100 per annum, withapartments, board, and laundry. Also Honorary Dental Anxs-thetist.

BROADWOODWIDGER RURAL DISTRICT COUNCIL.-Medical Officer ofHealth. Salary 220 per annum.

CAMBERWELL, PARISH OF ST. GILES WORKHOUSE, Constance-road,Grove Vale, East Dulwich.-Resident Medical Officer. Salary B200per annum, with apartments, board, and washing.

CANCER HOSPITAL (FREE), Fulham-road, S.W.—House Surgeon forsix months. Salary 270 per annum.

CANTERBURY, KENT AND CANTERBURY HOSPITAL.-Two ResidentMedical Officers, unmarried. Salary L90 per annum, with board,lodging, and washing.

CAPETOWN, SOMERSET HOSPITAL.-Assistant Medical Officer. SalaryE200 per annum, with rations and quarters.

CARLISLE NoN-PRoviDENT DISPENSARY.—Resident Medical Officer.Salary 2150 per annum, with apartments.

COVENTRY AND WARWICKSHIRE HosPITAL.-Junior House Surgeon.Salary L90 per annum, with rooms, board, washing, andattendance.

DERBY, DERBYSHIRE ROYAL INFIRMARY.—House Surgeon and HousePhysician. Salary 2100 per annum each, with apartments, board,&c. Also Assistant House Surgeon for six months. Salary at rateof ,E60 per annum, with apartments, board, &c.

DURHAM COUNTY ASYLUM.—Junior Assistant Medical Officer. SalaryB150 per annum, with board, lodging, laundry, &c.

DURHAM COUNTY COUNCIL.—School Medical Inspector (female).Salary ,E300 per annum.

ECCLES AND PATRICROFT HOSPITAL.-House Surgeon. Salary 270 perannum, with board, washing, and lodging.

EVELINA HOSPITAL FOR SICK CHILDREN, Southwark, S.E.-HouseSurgeon for six months. Salary at rate of 275 per annum, withboard, residence, and washing. Also Medical Radiographer.Salary at rate of ;C75 per annum. Also Clinical Assistants in theOut-patient Departments.

GATEFORTH SANATORIUM, near Selby.-Resident Medical Officer forsix months. Salary at rate of .8100 per annum, with board,lodging, and washing.

GORDON HOSPITAL FOR RECTAL DISEASES, Vauxhall Bridge-road, S.W.-House Surgeon for six months. Salary £25.

HEREFORD COUNTY AND CITY ASYLUM.-Assistant Medical Officer,unmarried. Salary cE150 per annum, with board, lodging,washing, &c.

HEREFORD, HEREFORDSHIRE GENERAL HOSPITAL.-House Surgeon,unmarried, for six months. Salary at rate of ,E120 per annum,with board, apartments, and washing.

HOSPITAL FOR SICK CHILDREN, Great Ormond-street, W.C.-HouseSurgeon, unmarried, for six months. Salary cE30, with board,residence, and washing allowance.

INDIAN MEDICAL SERVICE.-Twelve Commissions.INFANTS HOSPITAL. Vincent-square, Westminster.-Assistant Physician.KENSINGTON AND FULHAM GENERAL HOSPITAL, Earl’s Court, S.W.-

Resident Medical Officer. Salary at rate of L75 per annum, withboard and laundry.