MEMORANDA. THEETBHITISH 3FEB. 6,MDICALJO*N8L

least a foot into the air. This was controlled by the finger,lightly placed on the mouth of the cannula, but recurred atonce on removal of the finger. The cannula was thereforewithdrawn, but on reinserting it more backwards and down-wards the same thing occurred; nothing was done, therefore,and the patient was returned to bed.Two days later another attempt was made to drain the

cavity, but without success. No stream of blood now issuedfrom the cannula, but some slight arterial hremorrhageoccurred on the surface of the brain, which was arrested bypressure on the left carotid artery. These repeated attemptswere made because the abscess had so quickly ceased to dis-charge, and there were still some signs of compression remain-ing.From this time to the termination of the case, the recovery

was uneventful. The patient gradually regained the power inher right arm and hand; her speech remained defective for alonger time, only very gradually improving.On May 6th she was discharged to the seaside Convalescent

Home.I saw her last on September 23rd, and found her almost

well, and having very little difficulty with her speech. Therewas just the faintest trace of facial paralysis on the right side,-and the tongue, on being protruded, deviated slightly towardsthat side. Beyond this she appeared quite well. She wentto school, and was apparently a very intelligent girl.COMMENT.-On admission, the symptoms, consisting of

headache, vomiting, high temperature, retraction of head andneck, and marked signs of " cerebral irritation," in a patientthe subject of otitis media purulenta, warranted a diagnosis-of meningitis. I think it is unusual for such signs, so wellmarked as in this case, to subside completely, and give placeto those of cerebral abscess. The temperature fell coincidentlywith the cessation of the signs of meningitis; and with thesupervention of those of cerebral abscess it became subnormal-and so remained throughout, no distinct rise taking placeafter the operation. The average temperature throughoutwas, after the first five days below 980 F., occasionally as lowas 970. The second unusual feature was the forcible ejectionof a stream of blood through the cannula, which occurred ontwo occasions. It could not have come from one of thevenous sinuses, the direction and extent to which the cannulawas inserted negativing the idea that one of these had beenpunctured; while the force with which the blood was ejectedis also opposed to this hypothesis. It is almost inconceivablethat any individual vessel could have been so punctured thatits lumen was placed in direct continuity with that of the¢cannula. The most probable explanation appears to me to bethat it was blood which came from an effusion or haemor-Thage which had taken place into the original abscess cavity,and its forcible ejection was due to the greatly increasedintracranial pressure which existed as a result of it.

MEMORANDA IMEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATHOLOGICAL, ETC.

CALSE OF MARKED INTOLER&NCE OF SALICYLATEOF SODIUM.

-ON December Igth, I896, a domestic servant was sent to con-.sult me by her mistress, on account of severe pains in her-4eet, which prevented her doing her work.On examination I found that the girl, who was aged i9

had lately suffered from acute rheumatism, and had hadseveral subsequent subacute attacks.On the present occasion her right ankle and the extensor

muscles of her left toes were affected, and both slightly4swollen. Her temperature was under Ioo0 F., and but forslight aneemia she was otherwise well.

She told me that when she had rheumatic fever, ninemonths ago, she had not been able to take what she called4' rheumatic medicine," and that it had to be stopped after a-few days' trial.

I prescribed for her sodium salicylate gr. x, to be takenthrice a day, and sent her home to bed. Next day I wass,ent for, and found that the pains in her feet had all but

gone, and that she complained of severe headache, ringing inthe ears, giddiness, and lightness of the head, all of which,she said, had come on shortly after she had taken thesecond dose of mixture, and had continued till she fellasleep. In the course of the night she had once awakened,dreaming that she was standing by a waterfall, and that therushing of the water had made her so giddy that she wasabout to fall into the stream.In the morning the symptoms had gone, and, after a light

breakfast, she had a third dose, shortly after which the giddi-ness, headache, and ringing in the ears returned as badly asever.I questioned her closely in case she should ever have been

warned of the possible effects of an overdose, and haveimagined all these symptoms, and she replied that she hadnever either heard of them or experienced them before-thereason for the "rheumatic medicine" having been stoppedbefore, having been, she said, on account of weakness of theheart. She was not a hysterical girl--she had not taken morethan the gr. x dose, and later on I found gr. v doses producedwith her similar but less severe effects; so much so that theamount of the salicylate given in the twenty-four hours hadfinally to be reduced to gr. viiss, which nevertheless provedsufficient in the course of a few days to complete the cure ofthe arthralgia and muscular pain.Stow-on-the-Wold. . DAVID WIELD, M.A., M.D.

PICRIC ACID IN ECZEMA.As picric, or carbazotic, acid is at present being much usedas a local application in cases of eczema, and as Dr. Maclennansays that it is quite free from danger, may I say that in myexperience, although it is most valuable in the majority ofcases, still in one adult patient I prescribed it for it causedmuch prostration, and, in fact, all the symptoms of carboluria,with very dark urine. The dermatitis affected the arms andlegs, and the drug was ordered to be painted on night andmorning. After this had been done for ten days, the un-pleasant symptoms I have mentioned developed, and certainlyresembled the action of carbolic acid, to which it is, as Dr.Maclennan mentions, constitutionally related.

HENRY WALDO,Physician to the Bristol Royal Infirmary, and in

charge of the Dermatological Department.

RHEUMATISM WITH HYPERPYREXIA.IN the BRITISH MIEDICAL JOURNAL of November 7th, I896,p. 1389, an interesting case was recorded under the aboveheading. On reading it I was reminded of a somewhatsimilar one which ended fatally, and about which I wasnever able to satisfy myself. I have not the notes of the caseat hand, but I have a very vivid recollection of the events inconnection with it, which are as follows:On a Sunday a young and apparently healthy soldier, after

a bath proceeded to cut his toenails. One of these he cut toolow, and caused some slight bleeding, which was easilystopped.Next day (Monday) he went on duty, but had to be re-

lieved, when he was detained for temporary treatment atEdinburgh Castle. The following day (Tuesday) he com-plained of pains, and was unfit for duty. On Wednesday hewas sent to Glencorse Military Hospital, with a diagnosis ofrheumatism. On arrival his temperature was about IOIl.He complained of acute pain in both wrists, which wereswollen, and there was a distinct odour characteristic ofrheumatic fever. Other concomitant conditions led to thebelief that the case was one of acute rheumatism, and the manwas at once treated with sodium salicylate and topical ap-plications.The case did not improve, nor did any other joints become

affected, but the pain in the wrists and back of the handsrather increased.On the following Sunday he was worse; at morning visit the

temperature was about 1020. On returning from church Iwas surprised to learn that the temperature had gone up toIo8°. Wet packing was at once resorted to, which reducedthe temperature to IO30, but the man died unconscious shortlyafter.The post-mortem examination revealed, besides the expected

congested condition of all the internal organs, a curious con-

33^ M~B~STNzBsH I PATHOLOGICAL SOCIETY OF LONDON. [FEB. 6, 1897.

dition of the brain cortex. On each side of the brain a smallclearly-cut ulcer, about the size of a threepenny piece, wasfound on the part of the cortex corresponding to the armcentres, one somewhat larger than the other, and on the sideopposite the most affected wrist.Although at first I was satisfied that I was dealing with a

case of acute rheumatism, the result of thepost-mortem ex-amination did not, to my mind, verify this, and I have sincethat time-now some years ago-been in some doubt aboutthe nature of the disease in the case I have so imperfectlygiven, and have thought it possible that similar conditionsmight at times give trouble and pass unobserved.

WAi. ALEXANDER, M.D..Portobello, N.B. Brigade-Surgeon-Lieutenant-Colonel.

REPORTSON

MEDICAL & SURGICAL PRACTICE IN THE HOSPITALSAND ASYLUMS OF GREAT BRITAIN, IRELAND,

AND THE COLONIES.

RADCLIFFE INFIRMARY, OXFORD.NOTES ON A CASE OF TETANUS: ADMINISTRATION OF ANTITOXIN:

DEATH.(Under the care of WM. COLLIER, M.D., F.R.C.P.)

[Reported by FRANK G. PROUDFOOT, M.A., M.B., House-Physician, to the Infirmary.]

W. C., a boy, aged 9, was admitted about 6.30 P.M. on Novem-ber ist, I896, with marked symptoms of tetanus. He had notbeen feeling well for two days, but the convulsions did notshow themselves till that day. There was no history ofinjury, but on examining hands and feet numerous smallcracks were noticed, and on further inquiry we elicited thefact that for some days he had been gathering potatoes in afield. On being put to bed he at once lay flat on his face.The spasms, which were severe, were then coming on everyfifteen minutes, and were brought on at once on the slightesttouch. There was no opisthotonos, but emprosthotonos wasa marked feature of the case.

Chloral hydrate, 15 grains, was administered at once, andthen 1o grains every three hours afterwards. The intervalbetween the spasms now gradually lengthened, until towardsmorning three hours elapsed between the spasms, the patientsleeping quietly. His bowels had been freely opened by anenema, and he was fed by the nasal tube. At the beginningof each spasm a whiff of chloroform was given, which con-siderably lessened the severity of the attacks.The antitoxin was telegraphed for on November 2nd, and it

was received on November 3rd; I g. of the dried serum was atonce injected into the thigh, after the patient had been givena little chloroform. During that day he was quieter, sleepingsoundly at-intervals; the spasms were much less severe. Thechloral was now suspended for twenty-four hours. Towardsnight the spasms became more severe, and chloral was againadministered, Io gr. every four hours, with the inhalation ofchloroform at the beginning of each spasm.On November 4th the pulse was much weaker, 150 per

minute, and the temperature, which had previously beennormal was now 100.40 F. Another injection of serum (i g.)was given in the thigh, and after that the spasms were muchless frequent and slighter in character. In the morning hehad another injection of serum (i g.). The pulse was weak,150; the temperature 99.80 F.No improvement in the spasms was noted in the night, but

on November 5th it was seen, however, that the spasms,which were general before, were now limited to the trunk.Another supply of antitoxin was telegraphed for, and thistime the fluid antitoxin was sent. Before its administrationhe had an attack of dyspncea, due evidently to spasm of thediaphragm; he recovered after the performance of artificialrespiration: io c.em. of the fluid antitoxin were now injected,fourteen hours after the last injection. The dose was repeatedin six hours, but there was no apparent benefit, the spasmsbeing very severe and frequent. He had during the day threeattacks of dyspncea similar to the first.During the night the patient was given almost continuously

inhalations of oxygen. These seemed to ward off the attacksof asphyxia.On the morning of November 6th our supply of oxygen-

was finished, and he had three attacks of asphyxia. Withintwo hours oxygen was again administered, and he had nomore attacks. His pulse was scarcely perceptible, and hisbreathing was very embarrassed, the lungs being evidently-quite cedematous. He died at 4.30 P.M.REMARKS.-Apart from the antitoxin, what seemed to do

the patient most good was the administration of large dosesof chloral hydrate and the inhalation of chloroform. Latterly,when the breathing was so embarrassed, oxygen was ofenormous benefit. As to the antitoxin, our great difficultywas to know how much to inject and how often. The amountadministered in this case produced little or no benefit, andwhat we desire to learn is, whether it would be safe to givelarge doses very much oftener than is usually given, andwhat are the symptoms which an overdose would produce,so that we might be able to suspend the administration intime.

REPORTS OF SOCIETIES,PATHOLOGICAL SOCIETY OF LONDON.

HENRY TRENTHAM BIUTLIN, D.C.L., F.R.C.S., President,in the Chair.

Tuesday, February 2nd, 1897.THREE CASES OF HAEMORRHAGIC DIPHTHERIA.

MR. J. W. W. STEVENs and Mr. C. D. PARFITT pointed out thatin fatal cases of diptheria it had been shown by many observersthat the Klebs-Loeffier bacillus may be found in the heart'sblood, lungs, spleen, lymphatic glands, kidneys, and otherorgans. In most fatal cases, moreover, it had been shownthat there was, in addition, a haemic infection with pyogeniccocci, more especially streptococci, which added to the-gravity of the disease. In most of the purpuric examples ofdiphtheria the authors inclined to the belief that examina-tion would demonstrate the presence of pyogenic micro-organisms in the blood. In the three instances of hiemor-rhagic diphtheria recorded the septicaemia was produced inone case by the diphtheria bacillus, in another by the pneu-mococcus, and in the third by the diphtheria bacillus ancdstreptococcus. The diphtheria bacilli obtained on culturewere shown to be virulent toiguinea-pigs, and the toxic effectscould be neutralised by diphtheria antitoxin.In answer to the PRESIDENT, the authors stated tWhat by

haemorrhagic diphtheria they meant diphtheria accompaniedby hsemorrhage from the mucous membranes, and spots onthe skin.Dr. A. A. KANTHACK remarked that such results could only

be arxived at by the systematic bacteriological examination ofpost-mortem material, which was not carried out in this coun-try at present as it was in America, notably in the JohnsHopkins Laboratory. Osler had said that a disease itself wasrarely fatal-that is, that it proved fatal by reason of its com'l;plications. In diphtheria, when death ensued, it was largelyby reason of mixed infection. In addition to this, the escapeof diphtheria bacilli into the tissues must now be fullyrecognised.

PNEuMococcus ENDOCARDITIS OF A TWO-CUSPED AORTICVALVE.

Dr. A. E. GARROD recounted the case of a man, aged 39, inwhom the above condition was observed. He had been forsome weeks the subject of cough and aphonia. A systoliemurmur was present on admission. He subsequently de-veloped fatal pneumonia, the base of the left lung undergoingconsolidation. After death, the heart exhibited some hyper-trophy of the left ventricle; all the valves were normal withthe exception of the aortic, and this had two normally-formedcusps of equal and large size; this condition the author heldto be a congenital defect. There were infarcts in the spleen,left kidney, and in the lower lobe of the left lung, which wasthe seat of pneumonic consolidation. The abnormal aorticvalve was covered with prominent vegetations. The righttympanic cavity contained pus. In addition to these lesionsthe left lobe of the liver was diminutive, the right

FEB. 6, 1897.] SIR SPENCER WELLS. [MTIcHLBouTT

Wells determined to clear away these sources of reproach. Hepersistently invited men of authority to see him operate. Hepublished series after series, with every case dated, sothat the spectators could be appealed to, to justify his state-ments. All must feel that it was then his duty to report that he"operated in the presence of Drs. A. B., and C "and that suchand such cases died at such and such a time. donditions havechanged; abdominal sections far more hazardous than ovario-tomy may now be undertaken; the operating theatre need notbe packed with supporters and with sceptics. To publish namesof spectators is useless to science and humanity, needless asan ethical step, and vainglorious in fact. The publication of" series," no longer imperative, has become questionable inrespect to operations like ovariotomy, long established. Wemust remember that Wells did right in these matters, whereto imitate him, now that circumstances have changed, mayno longer be commendable.Boldly did he advocate his cause in the manner above in-

dicated, writing in the Medical Times, of which he was forseven years editor, and reporting his cases at the meetings ofsocieties. He was a hard hitter, and at first had numerousopponents, but he held his own manfully. In I865 he pub-lished an excellent work-Diseases of the Ovaries: their Dia-qnosis and Treatment (Vol. I). It is a full clinical report ofhis first 14 ovariotomies-an admirable and instructive pub-lication. His experience increased so rapidly afterwardsthat he did not publish the second volume, but issued inI872, under precisely the same name, a work essentially diffe-rent, being a full summary of its subject, while analyses ofindividual cases were placed in the background. It was thisissue that became world famed, and was translated into manyforeign tongues. In I882 the work was again publishedunder the fuller title, Ovarian and Uterine Tumours: theirDiagnosis and Treatment, and, lastly, in I885, it appeared in acondensed form, bearing the name Diagnosis and SurgicalTreatment of Abdominal Tumours.In June, i88o, Spencer WVells did his thousandth ovari-

otomy, and a special article was devoted to that triumphantrecord in the BitITISH MEDICAL JOURNAL. He afterwards didmany more. Since the beginning of his labours in I858 hehad lived to see first two or three most able specialists imi-tate and improve on his practice, then to see ovariotomyundertaken with success abroad, and then to witness theintroduction of antiseptic and aseptic methods which revo-lutionised abdominal surgery. Bold, indeed, were Wells andhis immediate successors in undertaking their operations be-fore the days of carbolic acid, sublimate, and sterilisation.Thanks to Pasteur andLister, theaverageoperatorcannowcarryout with success procedures more difficult than ovariotomy.For exactly twenty years Spencer Wells operated at the

Samaritan Hospital, Seymour Street, resigning in I878. Heably assisted with his advice the medical officers who suc-ceeded him at that institution, when he became consultingsurgeon in fact as well as in title.

Sir Spencer Wells married in i853 a daughter of the lateMr. James Wright, of Sydenham. Lady Wells died in I886,having lived to see her husband made a Baronet in 1883. Heleaves six daughters, one of whom married, in I889, Mr.Swinburne-Hanham. He is succeeded in the baronetcy byArthur Spencer Wells, M.A.Cantab., his only son, privatesecretary to the Chancellor of the Exchequer, Sir W. Har-court, during the last Ministry. In 1882 Sir Spencer Wellsbecame President of the Royal College of Surgeons. Hereceived honours too numerous to mention from all parts ofthe civilised world.Three years ago he was attacked with influenza when

travelling in India, and paralytic symptoms, especiallyaffecting the speech, slowly developed. Yet, until lastautumn, he might be seen driving his own carriage from hisbeautiful country house at Golders Hill to his town residencein Upper Grosvenor Street. Two months ago he went to theSouth of France in fair health, accompanied by two of hisdaughters. On the morning of Surday last, January 31st,while staying at Cap d'Antibes, near Cannes, he suffered anapoplectic seizure. Dr. Frank and Dr. Battersby, of Cannes,were summoned to him, but twelve hours later, at II P.M. onSunday evening, he passed peacefully away, dying just threedays before his 79th birthday. The body will be crematedat wokirz.

Almost to the last Sir Spencer Wells was one of the membersof the profession most often to be seen at medical gatherings.He had the appearance of a healthy, vigorous country gentle-man, and was an excellent rider, driver, and judge of horse-flesh. He took great interest in public questions, especiallyin cremation, a subject with which his son-in-law, Mr. Swin-burne-Hanham, has identified himself. His operations, wit-nessed in early days by, in the aggregate, many hundreds ofspectators from all parts of the globe, were models for everysurgeon to imitate. He worked in perfect silence; he tookthe greatest care in selecting instruments, and submitted hisassistants to a firm discipline, which proved of the highestvalue to them in after-life. At the conclusion of every opera-tion, he personally superintended the cleaning and drying ofevery single instrument, and packed it in its case in themost orderly manner.The amount of benefit which he conferred on surgery and

on humanity in general is incalculable, and we feel tlhat nomodal can be found so churlish as to grudge Spencer Wellshis well-earned fame. His features, not very difficult for theartist to portray, have been reproduced on canvas byLehmann and in marble by Liebreich. The characteristicphotograph which we reproduce fairly represents the greatovariotomist as he appeared when he had passed the middleperiod of life but was yet in his prime.We are indebted to Mr. T. W. Nunn, Consulting Surgeon to

the Middlesex Hospital for the following reminiscences:Wells, then surgeon in the Royal navy, went to Paris afterthe battles of June I848, and it was there that I first methim studying gunsLot wounds. Subsequently to this, Wellsaccompanied the Marquis of Northampton on a journey tothe East. His observations on malarious fevers were valu-able. When Wells settled in Brook Street, No. 84, the housepreviously occupied by the late Robert Nasmyth, he com-menced his career as an essentially progressive surgeon; forexample, he was very sanguine in the matter of curing stra-bismus by prismatic spectacles. He endeavoured to promotethe success of a private hospital in Kensington on the samelines as Fitzroy House is now conducted. About this timeand in this hospital he was operating for the radical cure ofhernia by the golden stitch. Wells bad, I think, some ideaof purchasing the house and site. The house was an iso-lated one, standing in large grounds, and was close to Ken-sington Turnpike Gate. The grounds are now covered bypalatial buildings by no means isolated.Whatever was a forward move had Wells's attention. It

was thus that ovariotomy attracted him, and he began hisovariotomies at the Samaritan Hospital, an institution hardlythen emerged from its chrysalis condition of an obscure dis-pensary, and where the facilities for such operations werenot highly developed it was then in truth ovariotomy underdifficulties. However, Wells was the man to seize upon andutilise every device for simplifying and making the operationmore safe. It may be said that one chief characteristic ofWells was not to be beaten back by difficulties however great,and he did not know the meaning of the word "dis-couraged."Wells had the faculty of choosing the 'right men to work

with him. Dr. Woodham Webb, a gentleman of independentmeans, an ardent physiologist and an accomplished writer,was one of his most trusted allies, and rendered invaluableaid in many ways. In bachelor days Wells had much of thecordial geniality of the sailor, and all his life was a delightfulcompanion.

DEATHS IN THE PROFESSION ABROAD.-Among the membersof the medical profession in foreign countries who haverecently died are Dr. N. Zdekauer, Privy Councillor andPhysician in Ordinary to the Czar; Dr. Martin-Lauzer, forthirty years editor of the Revue de TkUrapeutique, aged 84;Dr. Duroziez, formerly President of the Paris Medical Society,and author of a treatise on diseases of the heart, and ofnumerous valuable contributions to professional literature,aged 71; Dr. H. Colladon, a leading otologist of Geneva,aged 55; Dr. Christian Jacobi, Surgeon-General of the SaxonArmy Corps and Physician in Ordinary to the King ofSaxony, aged 6o; and Dr. Wilhelm von Renz, of Wildbad,author of numerous publications on the medical and histo-rical characters of that health resort, on trichina spiralis, etc.

372 M TICAL JOURNLL UNIVERSITIES AND COLLEGES. 6 97.IMICkL JOURNILI [FEB~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~..6

4th Volunteer Battalion the Cheshire Regiment; JOHN C. FENWICK, 3rd(Sunderland) Volunteer Battalion the Durham Light Infantry.Surgeon-Captain F. 0. F. RANSOM, M.D., 3rd (Cambridgeshire) Volunteer

Battalion the Suffolk Regiment, has resigned his commission February3rd.Surgeon-Lieutenant C. W. GRAHAM, ist (Cumberland) Volunteer Bat-

talion the Border Regiment, is appointed Second Lieutenant in the samecorps February 3rd.Surgeon-Major J. MITCHELL, 2nd Volunteer Battalion the DurhamLight

Infantry, is promoted to be Surgeon-Lieutenant-Colonel February 3rd.

ARMIY HOSPITAL SCHOOLS.IT is proposed to establish in India what are termed "' hospital schools,"by which is no doubt meant a modified course of instruction in militaryhospitals for such slight cases as sprains or other minor ailments whichhave necessarily to be treated for uncertain periods. The project meetswith the approval, and rightly so, of medical officers. It is in the know-ledge of all army surgeons that trifling cases form a large proportion ofthe total numbers in hospital, and seeing that such cases, espeeially inthe hot season, spend much of their time in looking about or sleepingbetween the visits of medical officers, the scheme of hospital schools islikely to be attended with most beneficial results, as it gives mental em-ployment during much spare time.

VOLUNTEER MEDICAL ASSOCIATION.THE annual general meeting of this Association wvill be held on May 5th.The final comnpetition for the Ambulance Challenge shield, instituted forregimental bearers, will be held on Saturday, June 12th. The Council hasbeen unable to accede to the request that members of brigade bearercompanies should be admitted to the competition, as the trust deedunder which the shield is held would not permit this. The Council hasresolved to institute a gratuitous course of instruction for the VolunteerMedical Officers Proficiency Examination. No reply has yet been receivedfrom the War Office to the Association's protest against the exclusion ofvolunteer medical officers from the £20 grant.

THE PROMOTION BOARD."FOR ways that are dark" Promotion Boards have long been notorious,and the medical seems to be no exception. We have before us a pamphleton the supersession of a surgeon-colonel, which, as it stands, does indeedseem passing strange. The offieer in question had apparently always beenwell reported on, and was at one time promoted over the heads of others;now he experiences a like fate, with no bad reports (as stated) between.He demanded but obtained no explanation of his supersession. Wethink an officer passed over has a right to know the reason, otherwisethere is no safeguard against official nepotism which we should be loathto suspect. At all events this case is not encouraging to those nowserving, and should be another warning to candidates for service to lookbefore they leap.

ARMY MEDICAL REFORM.ESPRIT DE CORPS suggests that a deputation at the instance of the BritishMedical Association should wait upon the War Minister and representthe urgent need for certain reforms in the Army Medical Service. Ofthese he mentions:

x. Increased autonomy on the lines of a Royal corps.2. Abolition of the compoundl and substitution of simple military

titles.3. A substantial increase of pay, both at home and in India.4. Increase of establishment, so as to admit of reasonable private

leave and study leave.It would be well to inaugurate such reforms in this the auspicious

year of Her Majesty's long reign.*** Our correspondent evidently does not know that a Subcommittee

of the Parliamentary Bills Committee is now in communication withthe Minister of WVar on the subject of army medical reform.

UNIVERSITIES AND COLLEGES,UNIVERSITY OF CAMBRIDGE.

DEGREES.-At the Congregation on January 28th the following degreeswere conferred:M.B.-R. A. Kirby B. A., Trinity; F. A. C. Tyrrell, B.A., Clare; J.

Hobday. B.A.. Cirist's"; G. C. Taylor, M.A., Christ's.B.C.-F. A. C. Tyrrell; L. P. Black, B.A., Trinity Hall; J. Hobday.MATRICULATION.-By the matriculation of i8 new students on January

28th, the entry for the current academic year has been brought up to 923,including about 25 graduates of other Universities admitted as advancedstudents.

UNIVERSITY OF ST. ANDREWS.BUTE SCHOOL OF MEDICINE.-The present Lord Rector of the Univer-

sity, the Marquis of Bute, who has for several years taken a keen interestin the development of the medical school at this ancient seat of learning,has undertaken to erect at his own cost, under certain conditions, fournew laboratories, lecture rooms, museums, workrooms, etc., for thedepartments of anatomy, physiology, materia medica, and botany. Theselaboratories, etc., will be provided with all modern appliances for teach-ing and research purposes. The object in view is to enable studentsattending the medical classes at the University to spend two residentialyears at St. Andrews, these being required for medical graduation at allthe Scottish universities. Owing to additions made last autumn to themedical teaching staff, two very complete annirnedici can nowbe obtainedat St. Andrews, qualifying courses being given in (x) physics, (2) botany,

(3) natural history, (4) chemistry, (5) anatomy, (6) physiology, and '(7)materia medica. St. Andrews University aims at providing the sevenfundamental subjects of the medical curriculum, and the four newlaboratories, etc., will give greatly increased facilities and opportunitiesboth to teachers and taught. The new laboratories, etc., will form a mostimportant addition to the existing natural philosophy, natural history,and cllemical departments. As they are to be built apart from the exist-ing colleges on ground of their own, they will, of necessity, form theheadquarters of the extended medical school there, which school willhenceforth be known as the " Bute School of Medicine" in com-memoration of the generous donor.

ROYAL COLLEGE OF PHYSICIANS OF LONDON.THE following candidates having conformed to the by-laws and regula-tions, and passed the required examinations, have been admitted Licen-tiates of the College:Allen, C. P. Fordham, J. W. Parsons, H. C.Allen, J. L. Fox, E. J. *Parsons, H. F.Ambrose, G. P. Fulton, H. *Pope, H.Arthur, J. H. Gilbert, L. Priestley, T.Ashford, W. Godson, F. A. Reynolds, L. G.Baird, R. F. Goffe, E. G. L. Richards, W. J.Birton, C. N. Goldie-Scott, T. Rocah, S.Beards, E. J. Good, H. A. Roberts, L. W.Bebb, R. Grant, A. J. Robinson, J. C. R.Bennetts. A. J. Greenwood, A. R. Ross, M. W.Bernhard, D. R. Greenwood, H. H. Scanlon, L. E.Berry, H. G. Grummitt, C. C. Scowby, E. TBerry, S. H. Harding, W. J. Sessions, F. L.Binckes, F. W. *Harris, C. J. J. Somers, C. D.Blackwood, J. Harris, N. H. Stansfeld, J. S.Bletchley, G. P. Hartley, J. V. Stevens, H. J.Booker. C. W. Hasslaeher, F. J. M. Suteliffe, W.Bottomley, F. C. HIaynes, G. S. Sworn, A. B. R.Bremridge, R. H. Herrington, E. W. Tarbet, W. E.Buendia, N. Howlett, G. 1). Taylor, F. E.Burney, C. D. F. Hudson, C. Temple, P. G.Burt, A. H. Hughes, J. B. Thomas, E. R.Caley, T. A. Hunt, E. L. Thomas, R. R.Carnes, W. Jennings, R. E. W. Torrance, J.Chevallier, C. L. Joynson, A. W. Townsend, H. W. W.Clarkson, C. C. Langdon, H. C. T. Tulk-Hart, T. J. A.Clou h, W. H. Langworthy, E. S. Turnbull, H. P.CobbJedic A.S. Lewis, C. E. M. Vulliamy, J. T.Coutts, J. M. S. Liversidge. W. Walker, W. P.Dakin, T. B. Lynch, S. F. Wall, J. B.D'Amico, C. de P. Marriage, H. J. Wallis, W.DeDsham. W. A. Marsh, H. R. Ward, E. L.Dodson, G. E. Mayston, R. W. Waters, J. F. W.Dykes, C. R. Michod, F. A. H. Waters, W. A. P.Eardley, W. Millichamp, G. E. *Watkins, J. P.Eddy, J. Moore, J. Watson, G. T.Edleston, R. S. C. Mudd, F. B. Whicher, S.England, H. Neild, N. White, M.Evans, W. F. Norrington, H. L. W. Wiggins, W. D.Farr, A. Oxley, A. W. Wilis, H. A. L.Finch, W. S. Oxley, W. H. F. Wills, B. S.*Fogarty, D. Parker, L. E. L. Wood, J. H.* These candidates have not presented themselves under the Regulations

of the Conjoint Examining Board.

CONJOINT BOARD IN SCOTLAND.THE quarterly Examinations of the Triple Qualification in Edinburgh tookplace in January, with the following results:First Examination, Four Years' Course.-Of g candidates entered the

following 5 passed the examination: N. McGowan, Lilian EdithSykes, R. Brodie, E. A. Nicholls, and J. G. Gray; and i passed inAnatomy and Histology.

First Examination, Five Years' Course.-Of I6 candidates the following 4passed the examination: E. G. D. Benson F W. Newcombe,W.Deery, and M. Beatty; and 3 passed in the aivision of Physics, 2 inChemistry, and 4 in Biology.

Second Examination, Four Years' Course.-Of 40 candidates the followingI9 passed the examination: W. P. Lappin. C. K. Darnell, W. A.Clayton, J. W. Lee, W. Ritchie, Amelia Norah De Souza, E. J.Kelleher, T. Murphy, J. J. Porter, A. H. H. Barclay, A. G. Sutton, J.H.,Moag, G. L. Philipsz, J. E. Broadbent. W. M. S. Robinson, C. W.Iliffe, A. A. Jeremiah, J. J. A. Sherry, and G. T. Johnson.

Second Examination, Five Years' Course -Of I4 candidates the following6 passed the examination: J. P. Lavery, J. Roche, W. Pattullo, A.C. Balfour, H. W. Borcham, and J. McMurray.

Third Examination, Five Years' Course.-Of I3 candidates the following 7passed the examination: J. G. Parker, Harriette Frances Bailey,J. K. Calder, W. W. Dickie, A. F. Seacome. Evelyn Stone Milestone,and I. A. Jackson; and I passed in the Division of Pathology.

Finial Examination.-Of I05 candidates, the following 36 passed theExamination and were admitted L.R.C.P.E., L.R.C.S.E., andL.F.P.& S.G.: J. G. Murray, W. A. G. Farquhar, F. P. Monckton,It. E. L. Johnstoni, Ursula Chaplin, J. St. C. De B. Bartley, G. E.Brooke, A. F. Edwards, J. R. Lambert, H. S. Roberts, R. B. Redkar,Mildred Jane Wallace, D. F. O'Kelly, A. A. Humphrys, G. H.Williams, J. S. Thorne, C. B. Johnstone, T. H. Evans, L. F. Beven,C. R. Dearden, H. T. O'Donohoe, J. Crowley, W. Faull, J. S. Gill,A. P. Brown, D. W. Reese, G. S. Foulds, J. MacRae, D. Ritchie,0. Hall, H. S. Desprez, Regina Lewis Landau, R. L. Storrar, R. V.Donnellan, K. C. Hill, and G. H. Harland, and 6 candidates passedin Medicine and Therapeutice, I in Surgery and Surgical Anatomy,4 in Midwifery, and 3 in Medical Jurisprudence.

376 YTMIBa^AL] MEDICAL NEWS. [FEB. 6, 1897.

THE CONTROL OF MEASLES.IN his annual report for the past year, which has just been presented toa Committee of the Dover Town Council, Dr. Robinson states that, " butfor the epidemic of measles which caused 63 deaths, the death-rate wouldhave been below the average of the previous ten years." Some discus-sion arose in connection with this statement, and a councillor movedthat measles be added to the list of notifiable diseases. After somedebate a member of the Committee gave the statutory fourteen days'notice of a motion declaring measles to be a notifiable disease.In Newcastle a marked decrease in the epidemic of measles is recorded.

Rather more than a month ago the public elementary schools were closedat the instance of the sanitary authority; measures of disinfection havesince been carried out and the schools are now again opened. It is hopedthat the.outbreak is now at an end.

UNQUALIFIED ASSISTANTS AND POOR-LAW PRACTICE.IT cannot be too clearly understood by parochial medical officers thatthey have no right to permit persons not registered as duly qualifiedpractitioners to act as their deputies and to visit and prescribe for theirparish patients. At the Brentford Board of Guardians at a late meetingit was alleged that Dr. Tily, one of the Board's medical officers, hadallowed his son, admittedly not qualified, to attend a fever case in hisabsence. The statement was made that the order.was sent to Dr. Tily ona Wednesday, and that he did not attend himself until the Friday, theson calling on the Tlhursday and Sunday, Dr. Tily again seeing the case onTuesday. Whether these allegations are true we cannot say, but we canonly express our hope that sueh a practice is not followed.

THE WATER SUPPLY OF RICHMOND.IN a pamphlet addressed to the burgesses, particularly those of the Northward, Richmond, Surrey, Town Councillor John Cockram draws specialattention to what he contends are serious objections to the character ofthe water supplied to Richmond. It is stated in this pamphlet that waterderived from Petersham well is mixed with water derived from deepwvells in the chalk and Thanet sand, and that the water obtained from thefirst-named source is liable to contamination by reason of the fact that thePetersham well is shallow, lies only 56 feet from the border of the Thames,and is situated in low ground subject to inundation when the river is inflood. Objection is further taken to the fact that the mixed water is notfiltered and to the manner in which it is stored before being delivered tothe consumers. Mr. Cockram contends that the use of Petersham wellwater should altogether be discontinued.

WHOLE TIME APPOINTMENTS IN LONDON.BARTHOLOMEW'S asks whether the medical officers of health for thevarious districts of London are permitted to engage in private practice.*** The majority of London medical officers of health have been ap-

pointed or reappointed since January ist, I8Q2, and the terms of theirappointments have been determined in accordance with Sections cviand cviii of the Public Health London Act, I89I. In several instancesit has been a condition of the appointment that the medical officershall not engage in private practice. This requirement does not existfor the most part in the case of appointments made before the dateabove given.

FACTORY SURGEONS IN SCOTLAND.FACTORY writes: Is it the case that in Scotland examining surgeons to fac-tories are now no longer appointed by the Crown, and that any surgeon,at the request of the owner of the factory, workshop, etc., may under-take the duties?*** No alteration has been made in the method of appointing certify-

ing factory surgeons in Scotland.

INFECTIOUS HOSPITALS.M. 0. H. writes that his rural sanitary authority purpose building a smallhospital for infectious diseases, and he asks for suggestions. A buildingsufficiently large to hold three males and three females, together withnurses' and caretaker's quarters would, it is judged, be sufficient in thiscase.

** Our correspondent might obtain the Memorandum on the Pro-vision of Isolation Hospital Accommodation (London: Eyre and Spottis-woode. id.).

MEDICAL NEWS.GuY's HOSPITAL has received a gift of £5°° from Mr. W.F?. Highfield, of Plymouth.THE course of the Milroy Lectures of the Royal College of

Physicians for this year, which will be delivered by Dr.Collingridge, will commence on March Tith.THE resignation by Dr. Blaikie Smith of his post of Physi-

cian to the Royal Infirmary, Aberdeen, caused a vacancywhich has been filled by the appointment of Dr. Edmond.PROFESSOR SHERRINGTON, F.R.S., of University College,

Liverpool, will give an address to the Clinical Society in theCollege of Medicine, Newcastle, on February '8th, the subjectbeing his Researches on the Spinal Segment.

THE BENIN EXPEDITION.-We may add to the statementmade last week with regard to the fitting up of the Malaccaas a hospital for the Benin Expedition, that Messrs. Arnoldand Sons supplied surgical instruments on a very short notice.DR. ROBERT FARQUHARSON, M.P., will take the chair at a

meeting of the Sanitary Institute on Wednesday, Februaryioth, at 8 P.ri., when a discussion on the Sanitary Supervisionof Shelters for the Homeless will be introduced by Dr. F. J.Waldo.LORD LISTER, who for many years has been Consulting Sur-

geon to the General Lying-in Hospital, has accepted the officeof President, rendered vacant by the death of Lord Darnley.The hospital is to be congratulated on the choice, for obstetricpractice no less than surgery has benefited by the teachingsof Lord Lister, and in no institutions have antiseptic methodsbeen followed with greater benefit to the inmates.A MEDICAL INCOME TAX.-The Kentucky Legislature has

imposed a graded income tax on All medical men practisingin that State. All whose incomes amount to less than $2,000(/400) per year must pay $io(/2) per year; all of $io,ooo(/2,ooo) or more must pay $ 1,ooo (/50). Intermediate ratesare fixed on incomes between these extremes. The professionis up in arms against the law, and proposes to test its consti-tutionality.AT a meeting of the Windsor Town Council, held on Janu-

ary 30th, it was proposed to inaugurate a fund in aid of theRoyal Infirmary, and Princess Christian's District Nurses'Home, which was founded in the Queen's Jubilee year, I887,as the most suitable memorial to commemorate the Queen'ssixty years' reign. The sum of /972 was subscribed in theroom.SCOTTISH POOR-LAW MEDICAL OEFFICERS' ASSOCIATION.-The

second annual meeting of, the Scottish Poor-law MedicalOfficers' Association, which was held in Glasgow on January27th, was of a most successful character. Mr. AlexanderCross, M.P., was elected Honorary President; Dr. Bruce,Dingwall, Honorary Vice-President; Dr. W. L. Muir, Presi-dent; Dr. A. M. Murdoch, Mile End, (Glasgow, Secretary,with a body of influential gentlemen to form the Council.The members of the Association and their friends afterwardsdined together.SUTTON BOYS' AND INFANTS' SCHOOL.-We have received

from the Clerk to the Managers of the South MetropolitanDistrict School a letter in which he states that the statisticssupplied by the medical officer of the Sutton Schools in thePoor-law Schools Inquiry Committee, and published in thereport of that Committee presented to Parliament last year,were erroneous. As our Commissioner's article on the SuttonSchools published in the BRITISH MEDICAL JOURNAL onJanuary gth was based on the figures contained in the report,the clerk also calls in question the deductions drawn from thefigures. As the matter is one of considerable importance, wepropose to defer its consideration until the statistics havebeen fully examined.THE annual general meeting of the London and Counties

Medical Protection Society will be held at 4 P.M. on Tuesday,February i6th, at I2, New Court, Carey Street, Lincoln's Inn,when the annual report and balance sheet will be presented.It appears from the statement of account for the year endingDecember 31st, I896, that the income of the Society was/647 8s. 6d., and the expenditure /392 6s. iid. The Councilreports that during the last few months it has been able tocarry into effect the hope expressed in previous reports, andthat a reserve fund has been formed, of which Sir WilliamBroadbent and Mr. Pickering Pick will act as trustees. Thereport further states that upwards of 8o cases had been dealtwith by the Society during the year.A DINNER was held at the Holborn Restaurant on January

27th to commemorate the passing of the Poor Law Officers'Superannuation Act. The chair was taken by Lord Gleneskand the principal guest of the evening was Mr. W. H. Long,M.P., who took the place of Mr. Chaplin, the President ofthe Local Government Board, who was unable to be presentowing to the effects of his recent accident. During the eveningMr. Rutherglen, Clerk to the Kensington Guardians, was pre-sented with a casket containing a cheque for /i,i6o in recog-nition of his untiring efforts to secure the passing of the PoorLaw Superannuation Act. A diamond ornament was presentedto Mrs. Rutherglen. Mr. Rutherglen acknowledged the gift.

VACANCIES AND APPOINTMENTS.

MEDICAL VACANCIES.The following vacancies are announced:

BLACKBURN AND EAST LANCASHIRE INFIRMARY.-Senior House-Surgeon. Salary, TIoo per annum, with board, washing, lodging,etc. Applications to Nathan A. Smith, Secretary, Infirmary Office,I5,Richmond Terrace, Blackburn, by February iith.

BOROUGH OF BURTON-UPON-TRENT.- Medical Officer of Health;must reside within tlle borough and must not engage in private,practice. Salary, at the rateof £350 per annum, exclusive of autho-rised disbursements. Applications, endorsed " Medical Officer ofHealth," to T. N. Whitehead, Town Clerk, Town Hall, Burton-on-Trent, by February 24th.

CENTRAL LONDON OPHTHALMIC HOSPITAL, Gray's Inn Road, W.C.-House-Surgeon. Applications to John Griggs Bryant, Secretary,by February gth.

CHELSEA HOSPITAL FOR WOMEN.-Clinical Assistant. Tenable forthree months. Applications to Herbert H. Jennings, Secretary.

DERBY COUNTY ASYLUM.-Junior Assistant Medical Officer. Salary,£ioo, rising to £230, per annum, with furnished apartments. board,etc. Not more than 30 years of age Application to Mir. B. ScottCurrey, St. Michael's Churchyard, Derby, by February i6th.

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST,Brompton, S.W.-Assistant Physician; must be M.D. or M.B., and F.or M.R.C.P. Applications to William H. Theobald, Secretary, byFebruary 17th.

HULL BOROUGH ASYLUM.-Assistant Medical Officer, unmarried, andnot more than 30 years of age. Salary, £i20 per annum, rising byannual increments of £ot to £i5o, with unfurnished apartments,board (except liquors), attendance, and washing. Application to theCommittee of Visitors under cover to the Town Clerk, Town Hall;Hull, by Februarygth.

HULL ROYAL INFIRMARY.-Honorary Surgeon; must be F.R.C.S.Eng., or have been Assistant Surgeon of the Infirmary for five years.Applications, addressed " Chairman, Committee of N anagement," tobe received at the Board Room of the Institution by FebruaryI9thi.

INFIRMARY OF THE CITY OF LONDON UNION.-Assistant MedicalOfficer at the Infirmary situate in Bow Road; doubly qualified. Mustbe single, or widower without children. Not less than 2.5 nor morethan35 years of age. Salary,£I5o per annum, with furnished apart-ments at the infirmary, rations and washing. Applications on formsto be obtained at the Clerk's office, to be sent to FrederickW. Crane,Clerk to the Guardians, 6r, Bartholomew Close, E.C., by Februaryoth.

JOINT COUNTIES ASYLUM, Carmarthen.-Qualified Clinical Assistant,for six months. Board, lodging, etc., and honorarium offered. Appli-cations to Dr. Goodall, Medical Superintendent.

LIVERPOOL INFIRMARY FOR CHILDREN.-Assistant House-Surgeon.Boord and lodging provided, but no salary. Applications to C. W.

Carver, Honorary Secretary, by February i5th.LONDON COUNTY ASYLUM, Claybury, Woodford, Essex.-Lady Assis-

tant Medical Officer; unmarried; doubly qualified. Salary£120 perannum, rising by£5 a year to£i5o, with board, lodiging, and washing.Applications, on forms provided, to be sent to R.W. Partridge, Clerkof the Asylums Committee, Asylums Committee Office, 21, WhitehallPlace, S. W., before 9 A.M. on February xzth.

LONDON HOSPITAL, Whitechapel, E.-Surgical Registrar; must beFellow or Member of the Royal College of, Surgeons, England, or

possess such diploma as may be considered equivalent. Salary, £ximper annum. Applications to the House-Governor by February 12th.

METROPOLITAN HOSPITAL, Kingsland Road, N.E.-House-Physician,House-Surgeon, Assistant House-Physician, and Assistant House-Surgeon. Salary for the two former £40 a year, and £20 a year forthe latter. Must be doubly qualified. Applications to the Secretaryby February 22nd.

OMAGH DISTRICT ASYLUM.-Assistant Medical Officer. Salary, £Iooper annum, with allowances of furnished apartments, rations, wash-ing, fuel, light, and attendance, valued for pensionable purposes at£ioo per annum. Not more than 30 years of age, unmarried, andqualified in medicine, surgery, and midwifery. Candidates mustattend at the asylum on February 11th at 20.30 A.M., and produce cer-tificate of birth or statutory declaration of age and originals of quali-fications and testimonials.

PARISH OF ST. GILES, Camberwell.-Assistant Medical Officer for theInfirmary at Havil Street and the Workhouse at Gordon Road.Appointment for one year. Salary, £50, with apartments, board, andwashing. Applications, on forms provided, to be sent to Charles S.Stevens, Clerk to the Guardians, Guardians Offices, 29, PeckhamRoad, S.E., by February 12th.

ST. MARY'S HOSPITAL, Paddington, W.-Surgeon in Charge of Out-patients. Must be Fellow or Member of one of the Colleges of Sur-geons of the United Kingdom. Appointment for five years, buteligible for re-election. Applications to the Secretary by February8th.

ST. MARY'S HOSPITAL, Paddington, W.-Medical Registrar. Salary,£50 per annum. Medical Officer for the Selection of Out-patients.Salary, ;75 per annum. Must be M.R.C.P.Lond. Appointments forone year, but eligible for re-election for a second year. Applicationsto Thomas Ryan, Secretary, by February 8th.

ST. MARY'S CHILDREN'S HOSPITAL, Plaistow, E.-Resident MedicalOfficer. Appointment for one year. Salary, £8o per annum, withboard and laundry. Applications to the Secretary by February 27th.

SHEFFIELD GENERAL INFIRMARY.-Junior Assistant House-Surgeon,doubly qualified. Salary, £5o per annum, with board. lodging, andwashing. Appointment for three years, but eligible for re-election.Applications addressed to the " Medical Staff of the Sheffield GeneralInfirmary " to the care of the Secretary by February ioth.

STRETTON HOUSE ASYLUM, Church Stretton, Salop.-Resident Medi-cal Officer. Salary, £xco and all found. Must be singIc. Applicationsto C. H., care of Dr. Theo. Hyslop, Royal Hospital, London, S.E.

SUSSEX COUNTY HOSPITAL, Brighton.-House-Surgeon; doubly quali-fied, unmarried, and under 30 years of age. Salary, £120, risingto £140 per annum at the discretion of the Committee of Manage-ment, with board, residence in the hospital. and washing. Applica-tions to the Secretary by February ioth.

TIVERTON INFIRMABY AND DISPENSARY.-House-Surgeon and Dis-penser, unmarried. Salary, £I05 per annum, with lodging, attend-ance, fire, and lights.' Must serve two years if required. Applicationsto Arthur Fisher, Honorary 8ecretary, by February 27th.

TOWNSHIP OF TOXTETH PARK.-Senior Assistant Medical Officer ofthe Workhouse and!Infirmiiary; doubly qualified. Salary,;£xoo perannum, with board, washing, and apartments. Deduction under theSuperannuation Actof 2 per cent. on the salary and money value ofemoluments, valued at £88 per annuu. Applications. marked"Assistant Medical Officer," to J. Moulding, Clerk to the Guardians,I5, High Park Street, Liverpool, by FebruaryI7th.

YORKSHIRE COLLEGE, Leeds.-Demonstrator of Physiology. Salary,£150. Applications to the College Secretary by March 15th.

MEDICAL APPOINTMENTS.BARLING, A. S., M.R.C.S., L.R.C.P., appointed Surgeon to the Lancaster

Police.BARLOW, John, M.D., F.R.C.S., appointed Examiner in Surgery for the

Faculty of Physicians and Surgeons, Glasgow, vice Hector C. Cameron,M.D., resigned.

CANT, Frederick, M.R.C.S., L.R.C.P.Lond., appointed Medical Officer forthe Bredbury District of the Stockport Union.

CARTER, F. R., M.R.C.S.Eng., L.S.A., appointed Medical Officer for theChapeltown District of the Leeds Union.

COLLINSON. Henry A., M.B., B.S., appointed Surgeon to the Moor Steeland Iron Works, Stockton-on-Tees, vice J. H. Clegg, M.R.C.S.,deceased.

CROOKSHANK.F. Graham, M.D.Lond.. appointed House-Physician to theHospital for Consumption and Diseases of the Chest, Brompton, S.W.

HALL, W. H. L.R.C.P.. M.R.C.S., appointed Medical Officer for the FrantDistrict of the Ticehurst Union.

HAMILL, J. Wilson, M.D..M.Ch.R.U.I., appointed Examiner and Certifierin Lunacy at Hope Hospital.

HAMILTON, W. C., M.B.,C.M.Edin., reappointed Senior House-Surgeon tothe South Devon and East Cornwall Hospital, Plymouth.

HANDFORD, Henry, M.D.Edin., D.P.H.Camb., appointed Medical Officer ofHealth to the Nottingham County Council.

HICKS, Thomas W., M.B.Lond., L.R.C.P.Lond., M.R.C.S.Eng., appointedMedical Officer of the Finchley Branch of the National Hospital forthe Paralysed and Epileptic, Queen Square.

KENMAN, Richard H., M.B.,B.Ch.B.A.O., appointed Resident MedicalOfficer at Park Hill Hospital, Dingle, Liverpool.

MORETON, Reginald, M.R.C.S.Eng., L.R.C.P.Lond., appointed House-Physician to the Hospital for Consumption and Diseases of the Chest,Brompton, S.W.

MORRIS, Colin D., L.R.C.P.Lond., M.R.C.S.Eng., reappointed MedicalOfficer of Health to the Sunbury Urban District Council.

PATON, E. L., M.A.Glasg., M.B.. C.M., appointed Medical Officer for theWestern Division of the Parish of Kinfauns, vice David Fleming,L.F.P.& S.Glasg.

Scorr, A. William, M.D.Brux., M.R.C.S.Enc., L.S.A., reappointed MedicalOfficer of Health for the Handsworth ilrban District.

WATTS, James A. W., M.B.,B.S.Durh., M.R.C.S.Eng., L.R.C.P.Lond., ap-pointed Medical Officer and Public Vaccinator to the Hyde Districtof the Stockport Union, vice G. W. Sidebotham, M.R.C.S., L.S.A.,resigned.

WOOD, T. Outterson, M.D., F.R.C.P.Edin., M.R.C.P.Lond., appointedConsulting Physician to the St. Gcorge's and St. James's Dispensary,King Street, Regent Street, W.

YOUNGER, Edward George, M.D.Brux., M.R.C.P.Lond., D.P.H.R.C.P.&S.I.,appointed Medical Officer of Health to Gray's Inn.

FERGUSON, James Haig, M.D., F.R.C.P.Edin., appointed AdditionalExaminer in Midwifery in the University of Edinburgh, -iice A. H. F.Barbour, M.D., F.R.C.P.Edin.

VENIS, H. Carey, B.A., L.R.C.P.& S.Edin.. appointed House-Surgeon to theBrecknock County and Borough Infirmary, Brecon.

HARKER, W. E., M.D.Durh., B.S., reappointed Medical Officer of Healthto the Tyne Port Sanitary Anthority.

MAPLETON, G. Hubert, M B.,C.M.Edin., appointed Medical Officer for theGoudhurst District of the Cranbrook Union.

STEWART, Duncan, L.R.C.P.& S.Edin., appointed Medical Officer for theHexham and Sealy Districts of the Hexham Union.

JONES, Herbert, L.R.C.S.I.. L.M., L.A.H.Dub.. appointed Medical Officerof Health to the Rhondda District Council.

GRArVE, C Brooke, L.R C.P.Lond.. M.R.C.S., appointed Public Vaccinatorto the Central District of the Newport Union.

PRESTON, George, L.R.C.P.Edin., M.R.C.S.Eng., appointed Medical Officerof Health to the Saltash Urban District, vice R. T. Meadows, M.D.Edin., resigned.

DIARY FOR NEXT WEEK.

MONDAY.ROYAL COLLEGE OF SURGEONS OF ENGLAND, 5 P.M.-Professor D'Arcy

Power: The Hunterian Lectures. Lecture I: The MinuteAnatomy of lutussusception.

FEB. 6, I897.][ T BarxuLMUIDICAL JOURNAL 377

378 mT LJommLI LETTERS, NOTES, ETC. [FEB. 6, 1897.MBDICAL SOCIETY OF LONDON, xI, Chandos Street, Cavendish Square, W.,

8.30 P.M.-Clinical cases. Mr. Noble Smith: (,) Spastic Con-traction of a Mutilated Hand, Trophic Ulcer on the Pos-terior Surface, with Extreme Pain of the whole Hand,Relieved by Tenotomy and Neurectomy. (2) Diffuse Lip-oma and Congenital Deformity of the Phalanges of theIndex Finger. Mr. J. H. Morgan; Compound 1bracture ofthe Antemor Fossa of Skull with resulting Lesions toRetina. Mr. G. R. Turner: Excision of Head of the Radiusfor Old Unreduced Dislocation. Mr. F. C. Wallis: Case ofUnusual Fracture of the Humerus in a boy aged I6. Mr.G. Stoker: Two Cases of Ulcers treated by Oxygen Gas.Mr. Swinford Edwards: Skiagraph of Knee-joint afterSuture of Patella.

TUESDAY.NATIONAL HOSPITAL FOR THE PARALYSBD AND EPILBPTIC, Queen Square,

W.C., 3.30 P.m-Lecture by Dr. Beevor.CENTRAL LONDON THROAT, NOSE, AND EAR HOSPITAL, Gray's Inn Road,

W-C-, 4 P.M.-Dr. Dundas Grant: The Diagnosis and Treat-ment of Nerve Deafness.

ROYAL MEDICAL AND CHIRURGICAL SOCIETY, 20, Hanover Square, W., 8.ioP.M.-Dr. P. Horton-Snith: On the Presence of TyphoidBacilli in the Urine of Patients suffering from TyphoidFever. Dr. John Abercrombie: On some Affections of theNervous System met with in Association with an Attack ofEnteric Fever.

WEDNESDAY.THE SANITARY INSTITUTE, PARKES MUSEuM, Margaret Street, W., 8 P.M.-

Discussion on Sanitary Supervision of Shelters for theHomeless, to be opened by Dr. J. F. Waldo.

HUNTERIAN SOCIETY, London Institution, Finsbury Circus, 8 P.M. -Annual Meeting 8.30 P.M.-Hunterian Oration by Dr.Hingston-Fox: William Hunter (17I8-1783).

HOsPITAL FO¢R CONSUMPTION AND DIsEASES OF THE CHEST, Brompton.4 P.M.-Dr. Sidney Martin: Cases Illustrating Points ofInterest in Mitral Stenosis.

THE CLINICAL MUSEUM, 2II Great Portland Street, 4 P.M.-Demonstrationby Mr. Jonathan Hutchinson.

ROYAL COLLEGE OF SURGEONS OF ENGLAND, 5 P.M.-Professor D'ArcyPower: The Hunterian Lectures. Lecture II: The Path-ology of Intussusception.

LARYNGOLOGICAL SOCIETY OF LONDON, r20, Hanover Square, W., 5 P.M.-Cases and Specimens will be slhown by Mr. W. R. H.Stewart, Dr. Bond, Pr. Edward Law, Dr. H. L. Lack, Dr.Watson Williams, Dr. St. Clair Thomson, and Mr. ChartersSymonds.

WEST LONDON POST-GRADUATE COURSE, West London Hospital, W., S P.M.Mr. Bidwell:. Operations on the Stomach.

THURSDAY.BRITISH GYNÆSCOLOGICAL SOCIETY, 20, Hanover Square, W., 8.30 P.M.-

Mr. Bowreman Jessett will show :- (I) Carcinoma Uteri withDermoid Cyst of Ovary removed by Vaginal Hysterectomy;(2) Myomata Uteri, removed by Panlhysterectomy; (3)keematosalninx with Large Hmmatocele; (4) Tubal Gesta-tion. The President's Inaugural Address. Demonstrationon Specimens and Instruments from Berlin by Dr. Mac-naughton Jones.

WEST LONDON POST-GRADUATE COURSE, West London Hospital, W., 5 P.M.Dr. Seymour Taylor: Urine Testing.

FRIDAY.NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC, Queen Square,

W.C., 3.30 P.M.-Dr. James Taylor: On Epilepsy.ROYAL COLLEGE OF SURGEONS OF ENGLAND, 5 P.M.-Professor D'Arcy

Power: The Hunterian Lectures. Lecture III: The Treat-ment of Intussusception.

CLINICAL SOCIETY OF LONDON, 20, Hanover Square, W., 8.30 P.M.-Mr. J. Ernest Lane: Two Cases of Gastro-Enterostomy. Mr.Walter Edmunds: Sequel to previously-recorded Cases ofExcision of Malignant Growth from the Large Intestine.Mr. Stephen Paget: Cases of Voracious Hunger and Thirstafter Injury or Disease of the Brain. Dr. E. W. Goodall:Two Cases of Enteric Fever Fatal during the Third andFifth Week respectively, in which there was no IntestinalUlceration.

BIRTHS, MARRIAGES, AND DEATHS.The charge for inserting announcements of Births, Marriagev, and Deaths is88. 6d., which sum should be forwarded in post office order or :stamps withthe notice not later than Wednesday morning in.order to ensure insertion inthe current issue.

BIRTHS.CLOWES.-On January 29th, at 56, London Street, Reading, the wife of--Norton B. Clowes, M.R.c. S., L.R.C.P., of a daughter.ENGLISH.-On January 24th, at Sleights, near Whitby, Yorkshire, the

wife of T. H. English, L.R.C.P., M.R.C.S., of a daughter.ROBERTS.-On December 27th, i86, ast ii0, Princess Road, Liverpool, the

wife of J. Lloyd Roberts, M.D., B.S., B.A., B.Sc.Lond., F.IC.C.S.Eng., ofa daughter.

DEATH.STOCKER.-On January 31st, at Weedon, Ethel Gwendolen, beloved

daughter of Edward aud Ethel Stocker, aged 3 years.

HOURS OF ATTENDANCE AND OPERATION DAYSAT THE LONDON HOSPITALS.

CANCER, Brompton (Free). Attendances-Daily, 2. Operations.-Tu. F. S., 2.CENTRAL LONDON OPHTHALMIC. Attendances.-Daily, 1. Operations.-Daily.CENTRAL LONDON THROAT, NOSE, AND EA.R.-Att.endances.-31. W. Th. S., 2; Tu. F.,

5. Operation.s.-Daily.CHARING CROSS. Attenidances.-Mledical and Surgical daily, 1.30; Obstetric, Tu. F., 1.30;

Skin. M., 1.30; Dental, M. W. F., 9; ThrLoat and Eiar, F., 9.30. Operations.-W. Th.F., 3.

CHELSEA HOSPITAL FOP WOMEN. Attendances.-Daily, 1.30. Operations.-M. Th. F., 2.CITY ORTHOPAIDIC. Attendances.-M. Tu. Th. F., 2. Operations-lI.. 4.EAST LONDON HOSPITAL FOR CHILDREN. Operation.-F., 2.GREAT NORTHERN CENTRAL. Attenldances.-Medical and Surgical, M. Tu. W. Th. F.,

2.30 ; Obstetric W., 2.30; Eye, 31. Tib., 2.30; Throat and Eiar, iu. F. 2.30 Skin, W.,2.30; Dental, Wl., 2. Operatioas.-N1. W. Tli. F.

GUY'S. Attencdances.-Ifedical and Surgical, daily, 1.30; Obstetric, 31. Tu. F., 1.30; Eye,M. Tu. Thb F. 1.30- Ear, Tu.. 1 ; Skin, Tu., 1: Dental, daily, 9 ; Thruat, F., 1.Operations.-(6pblthalmic) 3i. Th., 1.30; Tu. F., 1.30.

hIOSPITAL FOR WOMENf, Soho. Atteuldances.-Daily, 10. Operations.-M. Th., 2.KING'S COLLEGE. Attendances.-Hedical, daily,2; Surgical, daily, 1.30; Obstetric, daily,

1.30; O.p. Tu. W. F. S., 1.30 ; Eye, 3N. Th., 1.10; Oplitialmic Department, W., 2; Ear,Th., 2; Suin, F., 1.30; Throat, F., 1.'0; Dental, Tu. Tb., 9.30. (Operations.-A. F. S., 2.

LONDON. Attendances. -Medical, daily exc. S., 2- Surgical, daily, 1.30 and 2; Obstetric.M. Th., 1.30; o.p., W. S., 1.30 Eye, Tu. 5., 9; tEar, S., 9.30; SkiLn, Th., 9; Dental, Tu.,9. Operations.-M. Tu. W. fl'h. S., 2.

LONDON TEMPERANCE. Attendances. -Medical, 1. Tu. F., 2; Surg.cal, N. Th., 2. Opera.tions.-M. Tb., 4.30.

METROPOLITAN. Attendanees. -Medical and Surgical, daily, 9; Obstetric, W., 2. Opera.-tions.-F., 9.

MIIDDLEsEX. Attendances.-Medical and Surgical, daily, 1.33; Obstetric, N. Th., 1.30;o.p., M. F. 9 - W 1.30- Eye, Tu. F., 9 * Ear and Throat, Tu., 9; Skin, T;i., 4; Th.,9.30;Dental, M:w. F29. 0.' Operations.-'W., 1.30; S.,2; (Obstetrncal),Tb., 2.

NATIONAL ORTHOPADIC. Attendances. -N. Tu. Th. F., 2. Operatiows.-W., 10.NEW HOSPITAL FOR WOMEN. Attenidances-Daily, 2; Ophlballic, W. S., 9.30 Opera.

tions.-Tt. F., 9.NORTH-WEST LONDON. Attendances.-Medical and Surgical, daily, 2; Obstetric, W., 2;

Eye, W., 9; Skin, F., 2; Dental, F., 9. Operatioiis.-Yh., 2.30.ROYAL EYE, Southwark. Attendances.-Daily, 2. Operations.-Daily.ROYAL FREE. Attendances.-Medical and Surgical, daily, 2; Diseases of Women, Tu. S

9; Eye, M. F., 9; Skin, Th., 9- Throat, Nose and Ear, S. 3; Deutal, Th.,9. Opera-tzons.-W. S., 2; (Ophthalmic), M. F., 10.30; (biseases of W,tomen), S., 9.

ROYAL LONDON OPHTHALMIC. Attendances.-Daily, 9. Operations.-Daily, 10.ROYAL ORTHOPAEDIC. Attendcances.-Daily, 1. Operations -N., 2.ROYAL WESTMINSTER OPHTHALMIC. Attendances.-Daily, 1. Operations.-Daily.ST. BARTHOLOMEW's. Attendances.-Medical and Surgical, daily, 130- Obstetric, Ti.

Th., S.. 2; o.p., W. S., 9 - E3ye, W. Ta. S. 2.3) Ear, ii. F., 2: Skin, i.,1.30; Larynx,F., 2.30; Orthcopadic, Si., 2.30; Dental,"Tu.E., 9. Operationls.-N. Tu. W. S., 1.30,(Ophthalmic), Tu. Ta. 2.

ST. GEORGE'S. Attendances.-Medical and Surgical, daily, 12; Obstetric, 1L. Tlb. 2; o.p.,Eye, W. S., 2; Ear, Tu. 2; Skisi, W., 2; Throat, F., 2; OrtlbupHdaic, W., 2; Dental,Tu. S., 9. OperatioWns.-li. Lu. Tli. F. S., 1.

ST. MARK's. Attensdances.-Fiutuja and Diseases of the Rectum, males S., 3; females;W., 9.43. Operations.-M., 2; Tu.. 2.

ST. MARY'S. Attendances.-Medical and Surgical, dt ilv, 1.43; o.p., 1.30: Obstetric, Tu. F.,1.45; o.p., N. Tb., 1.30: Eye, Tta. F. S., 9; Ear, M. 't.S3 Ortuopiedic, W., 10; Thioat,Tu. F., 3.0; Skin, M. Th., 9.30; Electro-tlierapeutics, Si. TO., 2.3'; Dental, W. S., 9.30;Children's llcdical, Tu. F., 9.15; Clildiren's Surgical, S., s.15. Operations.-N., 2.30.;Tu. W. F., 2; Th., 2.10; S., 10; (Ophthalmic), F., 10.

ST. PETER'S. Attea);dances.-M. 2 and 5; Tu., 2; W., 5; Th., 2; F. (Women and Children),2; S., 4. Operatmons.-W. F., 2.

ST. THOM,AS's. Attendances.-Medical and SurFical N. Tu. Th. F., 2; o.p., daily, 1.30;Obstetric, Tu. F 2 ; o p., W. S., 1.30; Eye, 'ti. k, 2; o.p., daily, exc. S., 1.30; Ear,N., 1.30; Skin, 1. 1.30; Tiroat, Tio. 1., 1.30; Childrenl, S., 1.33; Electro.therapeu-tics. o p., Th., 2; bMental Diseases, o.p., Th. 10; Deiital, Tu. F., 10. Operations.-N.W. Tb. S., 2; Tu. Th., 3.30; (Ophthalnic.), Lb., 2; (Gyniecological), Th., 2.

SAMARITAN FREE FOR WOMEN AND CHILDREN. Attendances.-Daily, 1.30. Opera-tions.-W., 2.30.

THROAT, Golden Square. Attendantces.-Daily, 1.30; Tu. F., 6.30. Operations.-Th., 2.UNIVERSITY COLLEGE. Attendances. -Medical and Surgical, daily, 1.30; Obstetrics, N.

W. F., 1.30; Eye, M. Tli., 2; Ear, M. Tb.. 9; Skin, W., 1.45, S., 9.15; Throat, Al. Th., 9;Dental, W., 9.30. Operations.-Tu. W. Th., 2.

WEST LONDON. Attendlances.-Medical and Surgical dailyI 2 ' Dental, Tu. F., 9.30; Eye,Tu. Th. S. 2- Ear, Tu. 10* Orthupeedic %V. 2 Diseases of Women W S. 2; Electric,To, 10; F., 4; Skin, F., 2, Throat and §., 10. Operations.-_u..F.'2.30.

WESTMINSTER. Attendfances.-Medical and lSurgical, daii, 1; Obstetric Tu F 1' Eye,Tu. F., 9.30; Ear, M., 9; Skin, W.. 1; Delital, WV. S., 9.15. Operation;.-Tu. M.,'2.

LETTERS, NOTES, AND ANSWERS TOCORRESPONDENTS.

COMMUNICATIONS FOR TIIE CURRENT WEEK'S JOURNAL SHOULD REACHTHE OFFICE NOT LATER THAN MIDDAY POST ON. WEDNESDAY. TELE-GRAMS CAN BE RECEIvEDN THUISDAY MORNING.

OOMMUNICATIONs respecting Editolial matters should be addressed to tlhe.Editol-, 4259, Strand, W.C., Londoni; those Conceriiiing business miiatters,non-delivery of tlle JOURNAL, etc., slhould be addressed to tile Mllalage-,at tihe Office, 429, Stralnd, W.C., Loildoin.

AUTHORS desiring reprints of their articles publislied in tlhe BRITISIlMEDICAL JOURNAL are requested to collllmunicate beforehalll wvith theMalnager, 429, Straind, W.C.

CORRESPONDENTS WhIO wish notice to be taken of their communications3hould authenticate tlhel witlh their names-of course not ilecessalillyfor publication.

CORRESPONDENTS not alnswered are requested to look to tile Notices toCorrespoindents of the following week.

MANUSCRIPTS FORWARDED TO THE OFFICE OF THIS JOURNAL CANNOTUNDER ANY CIRCUMSTANCES BE RETURNED.

IN order to avoid delay, it is particularly requested that all letters on theeditorial business of the JOURNAL be addressed to the Editor at theOffice of the JOURNAL, and not to hiis private house.

PUBLIC HEALTH DEPARTMENT.-We shall be much obliged to MedicalOfficers of Health if they will, on forwarding their Annual and otherReports, faYour us withl duplicate copfe8.