June 21,1890.] THE BRITISH MEDICAL TOURNAL. 1425

Fig. 3.-Section through the harder part of the tumour showing afibrouis stroma with rounded loculi lined with columnar epithelial cellsand filled with other more irregularly shaped cells.

MEMORANDAIMEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATHOLOGICAL, ETC.

THE PULSE DURING CHLOROFORM ANAESTHESIA: A CASEIN POINT.

JUST at the present time it is important to compare the induc-tions of pharmacologists with the clinical experience of anDesthe-ists in regard to chloroform, and hence the following case may beof interest.On May 5th last I was administering chloroform to a boy, aged

10 years, for tooth extraction, giving it on a piece of lint in theusual way. After a few minutes, and before the operation wasbegun, I noticed that the pulse had become very weak, and washardly perceptible. On suspending the administration the pulserapidly improved, and in three minutes was fairly strong; on re-commencing the anesthetic the phenomena were repeated. Thepulse, on which I kept my finger, quickly became slower andweaker, and tbere was distinct pallor on the face. Again I dis-continued chloroform, and again the pulse recovered. No distinctfailure of the respiration was noted. Certainly there was nonecorresponding in any degree to that of the heart. I now sent forether, and in about ten minutes began to administer this with aClover's inhaler. The pulse immediately rose from 68 to 85, andcontinued full and strong. Extraction was now commenced, andaccomplished without further trouble. I am sorry I have no moreexact records of the pulse and respiration rates, but I can vouch forthe main facts, and my observations are confirmed by Mr. GeorgeBrunton, the dentist in this case-a gentleman of great experienceand accuracy. I do not at all consider that there is anythingunique in this case; on the contrary, I believe it to be an illustra-tion of what is familiar to those who have given a good deal ofchloroform. When I was a student I was told to watch the pulseduring chloroform anmsthesia, and to believe that chloroformdepresses the heart more than ether, and experience does not leadme to change my practice or belief in these particulars.

J. BBNJN. HELLIBR, M.D.Lond., Lecturer on Gyna3cologyin the Yorkshire College, Surgeon to the LeedsHospital for Women and Children.

DEATH OF A CHILD DURING THE ADMINISTRATION OFCHLOROFORM.

ON June 5th a child, aged 5 months, was admitted into the Brad-ford Infirmary, under the care of Mr. Roberts, suffering from in-testinal obstruction of three weeks' duration. The history wasthat there had been trouble with the bowels since birth. On aprevious occasion the bowels had not been moved for 14 days.On admission (June 5th, 4 P.M.) the child did not appear to be inpain, there was no vomiting and no sign of an acute character.The abdomen was greatly distended, note on percussion was resonant all over, and no definite tumour was detected.At 7.45 P M. the same evening the child was seen by Mr. Roberts,

who had chloroform given (by the bouse surgeon) in order toexamine the abdomen more satisfactorily. The chloroform was

administered out of a drop bottle on the corner of a towel, spreadover the child's mouth and nose and held at a little distance fromthe skin, so as to allow of the free admixture of air. The quantityused was la drachm. The child took the chloroform well at first,keeping a good colour and no alarming signs appeared whilst theabdomen was thoroughly explored, both externally with the handsand also by passing a soft flexible catheter into the bowel. Abouthalf a pint of soap and water was next gently injected into thebowel, the body of the child being raised. It was at this stagethat the face was noticed to become blue and the breathingstopped. The chloroform was put on one side and artifioial respira-tion, inversion, flicking the chest with a wet towel, were triedwithout success for 35 minutes. The heart stopped abotut thesame time as the respiration.Po8t-mortem Examination 48 Hours after Death.-Body well

nourished, rigor mortis passing off. There was marked discolora-tion of the abdomen, which was greatly distended. On openingthe abdomen the coils of bowel were distended. No peritonitis.The large bowel contained much fluid feacal matter, and manylarge cones of faecal origin were found in the descending colon.On tracing the bowel upwards no cause of obstruction was noteduntil the duodenum was reached. Here a band was seen passingfrom within outwards, over and compressing (but not occluding)the duodenum. On cutting through the band there was no sign ofinflammation in the bowel. The lungs were congested, containedair. Heart walls and valves healthy. Both sides empty and con-tracted. The other organs were healthy, and nothing further ab-normal was noted. Death does not seem to have been due toasphyxia alone, but rather to reflex shock producing paralysis ofthe respiratory and cardiac centres.

C. F. M. ALTHOBP, M.R.C.S.Eng., M.R.C.P.Lond.,House-Surgeon, Bradford Infirmary.

NOTE ON SOME PROPERTIES OF SODIUM SILICO-FLUORIDE.

IT is about two years since sodium silicofluoride was introducedas an antiseptic agent, during which time it has been more or lessextensively used, and yet there is little new evidence forthcomingin regard to its chemical properties and physiological action.Some months ago I was engaged in making a series of sterile

pancreatic digestions, and after employing many of the currentgermicides, I determined to employ a sample of " salufer." Upondoing so it was surprising to find that at the end of a few days thedigestions were some of-them absolutely putrid.The digestions were made in two ways-either a 2 per cent.

solution of sodium bicarbonate was taken, and the silicofluoridesubsequently added to saturation; or a known volume of thesaturated solution of sodium silicofloride was taken, and suffi-cient sodium carbonate added as would produce a 2 per cent.solution.In the first case the digestion remained aseptic; in the second

there was effervescence as the sodium carbonate was added, andthe digestion became offensive at the end of a few days. In thefirst case the total fluorine was much greater, I believe, than inthe second, existing probably in part as fluoride of sodium, and inpart as unaltered silicofluoride. In the second case the silico-fluoride became converted, on the addition of the sodium bicarbo-nate, into the silicate and fluoride of sodium, and so little silico-fluoride remained that it was not sufficient in amount to act as agermicide.

It was suggested by Thomson,' who discovered the antisepticaction of the fluorides, that surgeons who placed their knives insolutions of sodium silicofluoride should add a little carbonate ofsoda in order to prevent corrosion of the steel. Such a procedureappears, in the light of the above facts, to be more than question-able.With regard to the mode in which the salt acts as an antiseptic,

the following facts may prove of interest.In order to preserve a 5 per cent. solution of serum albumen in

saline solution, an unmeasured quantity of sidicofluoride wasadded. After a few days the solution was clearer and free froma hazy turbidity previously noticed, but no trace of proteid wasdetected in the supernatant liquid. This effect I have never beenable to reproduce in the same degree, although a saturated solu-tion of the salt slowly and partially precipitates serum albumen,egg albumen, and paraglobulin from their solutions. In fact, asaturated solution proves an exceedingly delicate test for these

1 Thomson, Brit. Assoc. Reps., 1887; Robson, JOURNAL, May 19th, 1888.

1426 THE BRITISH MBDICAL JOURNAL. lJune 21, 1890.

proteids. With a saturated solution of the salt, albumen was de-tected in a sample of urine containing casts, which only gave areaction with trichloracetic acid on mixing, and with picric acid bythe contact method, and which gave none on boiling with the ad-dition of a drop of acetic acid, nor with an equal volume of picricacid, nor with acid brine, nor with the cold nitric acid test. Theworst objection to its ufse as a test is that it must be used by thecontact method, and that the drug varies a good deal in com-position. Some specimens were acid, others neutral, and the ma-jority alkaline.While the saturated aqueous solution precipitates some proteids,

there is yet another effect of the solid salt akin to that of certainother inert powders. M. Boymond2 pointed out that the filtrationof a solution of serum albumen through bismuth trisnitratesufficed to removed the proteid from its solution, and I find thatupon leaving a solution of serum albumen in contact with anunderlying fayer of fine sulphur a jelly-like layer of proteidseparates out and can be seen lying upon the sulphur, while thesupernatant fluid is clear. Sodium silicofluoride appears to actin this twofold manner, and one or both of these properties ap-pear to me to offer a possible explanation of its antiseptic action,especially as similar precipitants of proteid-as alcohol, mercuricchloride, picric acid, etc.-are generally antiseptics.With regard to its internal administration, I can corroborate the

results of those 3 who describe it as not so innocuous as it has beenrepresented. A single dose of 2 grains produced in one case dis-comfort and nausea. A quarter of a grain thrice daily, exhibitedfor some weeks, produced, however, no ill-effects.

It appears to me not unlikely that it may be decomposed withinthe body in the same way that it is by sodium carbonate, glass,etc., and that after absorption it is as useless as an "internalgermicide "' in infective disorders as it is in certain cases in thelaboratory.

Leeds, E. LLOYD JONES, B.A., M.B., B.C.Camb.

UNCOMPLICATED ANGINA PEUTORALIS AFTERINFLUENZA.

To the various and interesting series of sequelm to influenza re-corded in the JOURNAL I have to add a case of angina pectoralis,which owes its origin to the epidemic which broke out here alsoat the end of last year.4On January 14th I was called to see the advocate, Mr. M., a

strong, healthy man of 52. He had an attack of influenza ofgastric form without any catarrhal mischief in the lungs. OnJanuary 20th he was suddenly seized at night with a severe painin the region of the heart, extending backwards to the scapula,left shoulder, and arm, and accompanied by a sense of faintnessand of impending death by suffocation. Irregular action of theheart and depression, face pallid and lips livid; anxiety occurringin paroxysms. Urine passed in abundance without albumen orsugar. The attacks came on during sleep, and were inducedrarely by emotion or by exposure to cold air; each lasted fromsome few minutes to half an hour, and occurred usually at aninterval of one or two days.The influence of the specific poison of influenza in connection

with disorders of the pneumogastric and sympathetic nerves ishere conspicuous.The case has improved very much under treatment. During the

attack sedatives, with the administration of nltrite of amyl, asrecommended by Dr. Lauder Brunton, acted beneficially. Duringthe interval an appropriate diet and treatment was directed; thedifferent antispasmodic and nerve tonics have been prescribedwith marked benefit. The patient, after having suffered for threemonths, gradually improved, and finally seems now to be restoredto health.Limassol. JOHN G. CARAGEORGIADES, M.D.

2 Repertoire de Pharmacie, October 10th, 1889.3 Bokenham, JOURNAL, February 15th, 1890.

4 See " Etude sur l'Jpid6mie d'Infiuenza dans l'lle de Chypre, pendant l'ann6e1889-90," par Dr. John G. Carageorgiades, in the Revue Medico-Pharmaceutiqueof Constantinople, March, 1890, page 34.

NOTICES Or BRANCH: MEETINGS intended for Insertion in the JOUmiLAL of thecurrent week should be forwarded, addressed to the Editor, so as to reachthe office not later than mid-day Wednesday of thbtwee4,

REPORTSON

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

AND THE COLONIES.

EYE, EAR AND THROAT INFIRMARY, EDINBURGII.CASB OF SARCOMA OF THB TONSIL.

(Under the care of G. HUNTER MACKBNZIE, M.D.)R. C., aged 23 years, a shoemaker, applied at the Eye, Ear andThroat Infirmary of Edinburgh on January 7th, 1890, on accountof pain and swelling on the right side of the tbroat. lie had firstexperienced the sensations complained of about six weeks pre-viously. He had had no previous throat affection. He had beena hard-worked boy from the age of 14. His father had died oftubercular disease of the lungs.He was thin and pale, with a quick pulse, and had the appear-

ance of having been neither too well fed nor too well lodged. Onexamination of the pharynx, the right tonsil was red and swollen,with a smooth surface, and a feeling of hardness on palpation.The adjoining parts of the fauces were also red and inflamed, andthe palate in the neighbourhood of the tonsil was red, hard, andbulging. The remainder of the pharynx was tolerably normal.Slight dysphagia was present, and occasional pains shot from thetonsil towards the right ear. There was an excess of mucous secre-tion about the oro- and naso-pharynx.The appearances were very similar to those presented by the

subacute inflammation of a previously enlarged tonsil, and, withthe idea and in the hope that such was the case, the bulging partof the palate was punctured. This was followed by a moderateamount of bleeding. The patient was advised to use warm sooth-ing applications externally and internally.When next seen, about ten days subsequently, the tonsil was

still enlarged, but the accompanying inflammation was much less.The tonsil presented the appearance of simple hypertrophy, andthe question of its removal came to be considered. It was nownoticed for the first time that one of the cervical glands on thesame side was slightly enlarged and hard, and, profiting by theexperience of a somewhat similar case some years ago, it wasdecided in the meantime to leave the tonsil alone. The patientnow felt much better, and had returned to work. He was not seenagain for about three weeks.The further course of the case may thus be briefly stated: the

cervical glandular enlargement gradually became more prc-nounced and extensive; the tonsil grew larger, and its surfacebegan to slough; the palatal bulging encroached rapidly uponthe oral cavity, and the whole appearances indicated some malig-nancy, probably sarcoma. Little or no pain was complained of.At this stage I had the benefit of the opinion of Dr. Heron Watson(under whose care the patient was admitted into Chalmers Hos-pital), who agreed with me that the case was one of sarcoma, andthat, from the locality of the disease, and the extensive glandularimplication, any attempt at removal was contraindicated. Thepatient lingered on in the hospital until April 2nd, when he diedof exhaustion. During his residence in the hospital the tumourrapidly extended forward into and almost completely filled themouth. A marked subsidence took place about a week beforedeath, followed by a second and permanent enlargement. Theglandular affection extended into the submental and left cervicalregion, and on the right side an enormous glandular mass wasdeveloped. Febrile symptoms were occasionally present, but onlyfor a day or two at a time.Necropsy was performed twenty-four hours after death. The

right tonsil and adjoining soft structures were infiltrated, orrather supplanted, by a white, somewhat dense mass, which wasdirectly continuous with a similar affection of the cervical glands.There was no line of demarcation between the tonsillar and theglandular disease, or between these and the healthy tissues. Anexamination of the specimen was made by Mr. Edington, who re-ports as follows: " On section, the tumour appeared pale in colourand firm in texture; it did not show any appearance of beingdivided into lobules. Examined microscopically, it was seen tobe composed almost entirely of rounded cells, with little or nointercellular substance. Scattered throughout the tissue therewere seen here and there irregular masses and bands of a homo-geneous material, evidently the remains of a pre-existent tissue

1460 THE BRITISH MEDICAL JUURNAL. [June 21, 1890.

the system. The majority of cases would be very much bettertreated at a general hospital than at a special one. The patientshad to wait a long time, and at great inconvenience, in the out-patient departments, and there was some danger from infection;that was especially dangerous at children's hospitals. He was infavour of abolishing the out-patient departments of hospitals, ex-cept the special departments. He was not quite sure that theimmense competition between the out-patient departments ofhospitals, the provident dispensaries, the part-pay hospitals, andthe practitioners, although it had lowered the fees of the privatepractitioners, had not been a gain, because at one time those feeswere such as to drive persons to get free relief. Now that thosefees were reduced the people were coming back. He suggested avery extensive inquiry into the circumstances of all applicantsfor relief after first relief, and that the hospital should be usedfor consultative cases.Lord CATHCART: Do you accept this as the proper definition of

a hospital: "to lodge and cure bad cases? "-No, that is not acorrect definition; a hospital is a charity, and it is to lodge andcure bad and necessitous cases.Lord CATHCART: I accept your definition.Mr. LENNOX BROWNE said he had had twenty-five years' ex-

perience in connection with special hospitals. He was opposedto Sir Edmund Carrie's provident scheme, because he did notthink that patients ought to pay in sickness and in health. TheWitness explained in detail the system of part payment adoptedat the Central London Throat and Ear Hospital, and said that ithad paid off a loan and become absolutely solvent partly as a resultof the payments from patients. The cost of maintenance wasless than at many hospitals, and the average cost per bed was £80,and not £96 as stated by the Charity Orgfnisation Society. Specialdiseases were better treated in special than general hospitals. Hehad a list showing that over 150 physicians and surgeons atgeneral hospitals were consulting or actual officers of specialhospitals.The Committee adjourned until Monday.

ASSOCIATION INTELLIGENCE,COUNCIL.

NOTICE OF MEETING.A MEETING of the Council will be held in the Council Room of theAssociation, at No. 429, Strand (corner of Agar Street), London, onWednesday, the 16th day of July next, at 2 o'clock in theafternoon.

June, 1890. FRANcIs FowxEm, General Secretary.

GRANTS FOR SCIENTIFIC RESEARCH.THE Scientific Grants Committee of the British Medical Associa-tion desire to remind members of the profession engaged in re-searches for the advancement of medicine and the allied sciences,that they are empowered to receive applications for grants in aidof such research. Applications for sums to be granted at the nextannual meeting should be made without delay to the GeneralSecretary, at the office of the Association, 429, Strand, W.C. Ap-plications must include details of the precise character and objectsof the research which is proposed.Reports of work done by the assistance of Association grants

belong to the Association.Instruments purchased by means of grants must be returned to

the General Secretary on the conclusion of the research in fur-therance of which the grant was made.

BRANCH MEETINGS TO BE HELD.BIRMINGHAM AND MIDLAND COUNTIES BRANCH.-The annual meeting

of this Branch will be held at the Medical Institute on Thurs(day,June 26th, at 4 o'clock in the afternoon, when the ordinary business will betransacted and ani inaiigural address delivered by the President-elect of theBranch, Mr. Alfred Freer, F.R.C.S., of Stourbridge; and after the meeting themembers will dine together at the Great Western Hotel at 6.30; tickets. ex-clusive of wine, 6s.-ROBERT SAUNDBY, M.D. and JORDA LLOYD, F.R.C.S.,Honorary Secretaries.

SEOPSHIRE AND MID-WALES BRANCH.-The annual meeting of this Branchwill be held at the Salop Infirmary on Tuesday, June 24th, at 3 P.M. Paperswill be resd by Mr. Bennett May, Dr. Charnley, etc. After the meeting theannual dinner will be held; tickets, exclusive of wine, 6s. Members havingany papers to read or communications to make will kindly give notice, on orbefore Saturday, June 14th, to the Honorary Secretary, J. ALLEN BRATTON,College Hill House, Shremwsbury.

LANCASHIRE AND CHESHIRE BRANCH.-The annual meeting of this Branchwill be held in Manchester on Wednesday, July 2nd, at the usual hour. G sntle-men wishing to read papers, make communicatioins, or show cases, are requestedto communicate with the Honorary Secretary at once, so that the circulars con-vening the meeting may be sent out in a complete form.-CHARLES B. GLAS-COTT, M.D., Honorary Secretary, 23, St. John Street, Manchester.

SOUTH WALES AND MONMOUTHSHIRE BRANCH.-The annual meeting will beheld at Cardiff on Friday, June 27th. Further particulars in circulars.-A.SHEEN, M.D., D. ARTHUR DAVIES, M.B., Honorary Secretaries.

YORKSHIRE BRANCH.-The annual meeting of this Branch will be held onWednesday, June 25th, at 3 P.M., at Leeds, when the officers of the Branch andthe representatives of the Branch on the General Council will be elected.Members intending to read papers are requested to commuinicate with theSecretary on or before June 15th.-ARTHUR JACKSON, Secretary, Sheffield.

NORTH WALEs BRANCH.-The annual meeting will be held at Portmadoc thesecond week in July. Members having a paper to read, communications tomake, or new member to propose, are requested to intimate before June 28th toto the Honorary Secretary, W. JONES MORRIS, Portmadoc.

BATH AND BRISTOL BRANCH-The annual meeting of this Branelh will beheld on Thursday, June 26th, at the Royal Mineral Water Hospital, Bath, at4 30 P.r., when W. J. Fyffe, M D., will resign tlhe clhair to A. B. Brabazols,M.D., President-elect. The business of the meeting will be to receive the re-port of the Council ; to elect the officers of the Branidh ; to transact the neces-sary buisiness; and to discuss suchi subjects connected with the interest of theBrancl and of the profession as may be brought before it. Members havingany communications for the meeting are requested to give notice of them tothe Secretaries not later than June 22nd. The Secretaries will feel obliged ifmembers will send them notice of any alterations in their diplomas or addresses.Members who have not paid their subscriptions are requiested to do so imme-diately to the local secretaries. The dinner will be held at the Grand PumpRoom Hotel, Bath, at 6.30 P.M. The Bath Secretary partictularly requests thatmembers will inform him by Monday, June 23rd, whether it is their intentionito be present at the dinner. By so doing they will greatly facilitate the satis-factory completion of the necessary arrangements.-R. J. H. SCOTT, HonorarySecretary for the Bath District, 13, Bladud Buildings, Bath; E. MARKHAMSKERRITT, Honorary Secretary for the Bristol District, Thornton House, Rich-mond Hill, Clifton.

SOUTHERN BRANCH.-The seventeenth annual meeting will take place at theBugle Hotel, Newport, Isle of Wight, on Thursday, June 26th, 1890. Thegeneral meeting will be held at 1.15 P.M. (Refreshments will be providedbetween 1 and 3.) In accordance with the by-laws, two gentlemen will beelected at this meeting as representatives of the Branch on the Cosincil of theAssociation for the ensuing year. Dr. Nathan Raw: 1. Trance following In-fluenza; 2. Two Cases of Raynaud's Disease. Dr. Frederick Pearse: 1. TheEmployment of Traction in the Use of Midwifery Forceps, and a New Form ofAxis-Traction Forceps; 2. New Hypodermic Syringe. Dr. Ward Cousins: 1.The Surgical Treatmenit of Impassable Stricture of tlse Urethra; 2. New AuralProbe and Aromatic Wool for Drying and Cleansing the Ear. The annual ad-dress will be delivered by the President-Elect (Dr. J. Groves) at 2.30 P.M.During the afternoon the members are invited to visit Carisbrooke Castle andseveral places of interest in the locality. The dinner will take place at 5.30 P.m.The Committee request that those gentlemen who intend to be present atthe dinner will send in their names to Dr. J. M. Pletts, Ryde, on or beforeWednesday, June 25th.-J. WARD COUSINS, Honorary Secretary and Treasurer.

WEST SOMERSET BRANCH.-The annual meeting of this Branch will be heldat the Infirmary, Bridgwater, on Thursday, July 3rd, at 3 o'clock. Mr. H. H.Kemmis, President-elect, will take the chair on its being vacated by Mr. Hunt.Business: Minutes; Report of Council; Treasurer's Report; Election of Officers;Place of Meeting and President-elect for 1891. President's Address. Papersand communications. The dinner will be at the Clarence Hotel at 5 o'clock.Mr. Kemmis invites gentlemesi present on the occasion to adjourn to his houseafter the dinner. The title of any paper or communication to be broughtbefore the meetingf and early notice of the intention of being present at thedinner should be sent to W. M. KELLY, M.D., Honorary Secretary, Tauntoni.

NORTH OF IRELAND BRANCH.-The twelfth annual meeting will be held inthe Board Room of the Royal Hospital, Belfast. on Thursday, July 10th. Busi-neas: 1. To receive the Secretary's report and the Treasurer's statement. 2.To elect office-bearers for the ensuing year. 3. To appoint two members asrepresenitatives of the Branch on the Council of the Association, and also twomembers on the Parliamentary Bills Committee. 4. The President (Dr. GeorgeGray) will deliver ani address. 5. Dr. J. A. Lindsav will show a CancerousLiver, and give an account of the case. He will also read the notes of a case ofDiabetes Insipidus successfully treated with Valerian. 6. Dr. Dempsey wvilldescribe a New Method of Treating Placenta PrHcvia, and will read notes of acase. 7. Dr. H. O'Neill will read short notes of a case of Paget's Disease of theNipple, and will show Photographs of the Breast before and after Operation.8. Dr. Byers will give a short summary of Fourteesl Abdominal Sections, andwill show a boy, the subject of Athetosis (Post-heiniplegic Chorea). Gentlemenwho wish to read papers, show patients, etc., are requested to communicate, asearly as convenient, with tlle Honorary Secretary, JOHN W. BYERS, M.D., LowerCrescent, Belfast.

METROPOLITAN COUNTIES BRANCH.THE thirty-eighth annual meeting of this Branch was held at theHolborn Restaurant, on Tuesday, June 10th, at 5.30 P.M. Thechair was taken by the retiring President, Dr. W. Al. ORD, whoafterwards resigned it to his successor, Sir William Mac Cormac.The minutes of the previous meeting of the Branch were read andconfirmed.

June 21, 1890.)

Report of Council.-Dr. RADCLIFFE CROCKER, one of the hono-rary secretaries, read the report, which stated that 80 new membershad been elected, and 81 had been lost by death and resignation,leaving the number at present a few short of 1,200. Among themembers who died during the year were Dr. J. B. Caskie, Mr. W.J. Coulson, Dr. L. T. Cumberbatch, Mr. G. Fenton, Mr. J. J. Gawith,Mr. E. A. Jones. Mr. John Norton, Dr. Charles Royston, Mr. E.Sandwell, Mr. Haynes Walton, and Dr. Walter Pearce. All haddone good work and many had served upon the Council in formeryears. The question of facilities for granting medical degrees toLondon medical studentshad not bepn lost sight of and the Councilwere prepared to continue their efforts in this direction until asatisfactory result had been obtained. A twelvemonth ago it wasgenerally expected that the annual meeting of the Associationwould be held this year in London. Certain difficulties arose, andit was finally determined to postpone the invitation for the pre-sent. Otherwise the Council were convinced that the supportpromised them was more than sufficient to insure a most success-ful meeting, and that this branch, under the presidency of SirWilliam Mac Cormac, would have taken a leading position in theentertainment of the Association. With respect to Dr. Rentoul'sresolutions, in accordance with a resolution passed at the annualmeeting of the Association at Leeds, in 1889, the Council of theAssociation instituted inquiries into the subject of these resolu-tions, and the Metropolitan Counties Branch, as well as the otherBranches, was requested to obtain thf opinion of its members uponthe points brought forward by Dr. Rentoul. At a meeting of theBranch Council, held on October 30th, 1889, a committee wasformed for the purpose of making arrangements for a general meet-ing of the Branch. The district secretaries were in the meantimeto hold meetings and obtain the views of the members of their dis-tricts. Dr. Hunt forwarded an important analysis of answerswhich he received to a circular sent out, and valuable informationwas supplied by otber secretaries. At a general meeting held atthe Royal School of Minep, on December 12th last, the subject wasfreely discussed, and several resolutions were passed, which hadalready been published in the JOURNAL. The general opinion ofthe members was to a great extent in sympathy with Dr. Rentoul'swishes, while they felt that several of the resolutions which heproposed were impracticable. The good work done by the districtsecretaries and the value and interest of the meetings held duringthe year were then referred to, and regret was expressed that Mr.Noble Smith, who had filled the office of secretary during the lastthree years with conspicuous diligence and ability, had found itnecessary to resign the duty.-On the proposal of Mr. BRINDLEYJAME,S, seconded by Dr. HOOPER MAY, the report was unanimouslyreceived, adopted, and directed to be entered on the minutes.

Vote of Thanks to Mr. Noble Smith. On Mr. Noble Smith for-mally resigning the post of Secretary. the PRESIDENT alluded ingraceful terms to his services; and Dr. CLEVELAND proposed:

"' That our most sincere thanks be presented to Mr. Noble Smithfor the zeal and ability displayed in the performance of the dutiesof his offlce."- Dr. BRODIE SEWELL seconded the proposition,which was carried unanimously. - Mr. NOBLE SMITH returnedthanks.

Election of Officers.-The result of the ballot for the electionof officers and Council and of representatives of the Branch onthe Council of the Association was as follows:-President: SirWilliam MacCormac. President-Elect: W. F. Cleveland, M.D.Vice-Presidents: William Ord, M.D.; Stephen Mackenzie, M.D.;W. 0. Priestley, M.D.; C. Brodie Sewell. M.D. Treasurer: Septi-mus W. Sibley. Secretaries: H. Radcliffe Crocker, M.D.; AndrewClark. Eighteen Ordinary Members of Council (the names towhich an asterisk is prefixed are those of members nominated inplace of thirteen who retire): *G Buckston Browne; Thomas B.Crosby, M.D.; W. Howship Dickinson, M.D.; *A. Forsyth, M.D.;*Rickman J. Godlee; *A. Pearce Gould; F. De Havilland Hall;*W. Cubitt Lucey, M.D.; Brigade-Surgeon A. B. R. Myers; *Thos.Vere Nicoll; *Joseph H. Philpot, D.D.; *Sir William Roberts,M.D.; *William Rose; St. Clair B. Shadwell; *R. Percy Smith,M.D.; *E. Noble Smith; *George H. Savage, M.D.; *FrederickTaylor, M.D. Representatives of the Branch in the Council of theAssociation; J. Syer Bristowe, M.D.; Henry T. Butlin; H. Rad-cliffe Crocker, M.D. (ex officio); George Eastes, M.B.; Septimus W.Sibley; Noble Smith; Frederick Wallace.

Notice of Motion.-Mr. BUTLIN gave notice that he would atthe next meeting of Council bring forward a motion relative tothe method of election of officers.

Treasurer's Renort.-Mr. SIBLEY (Treasurer) presented the

financial report.-Mr. BUTLIN proposed and Dr. CLEVELANDseconded, and it was resolved: "That the Treasurer's report bereceived, adopted, and entered on the minutes, and that the bestthanks of the Branch be given to Mr. Sibley for the able andefficient manner in which he has discharged the duties ofTreasurer during the past year."-M1r. SIBLEY acknowledged thevote of thanks.

Vote of Thanks to Retiring President.-The PRESIDBNT, inresigniDg the chair, thanked the Secretaries, members of Council,and others for their cordial assistance and support during hisyear of office, and Sir WILI.IAM MACCORMAC then took the chairas the new President of the Branch.-Dr. WALTBR DICKsoN pro-posed and Dr. DICKINSON seconded, and it was unanimouslyresolved: "That the cordial thanks of the Branch be given to Dr.W. M. Ord for his efficient and courteous conduct as Presidentduring the year, and especially for his able and judicious guidanceand assistance in the consideration of those matters of professionalimportance which have been brought under the notice of theBranch."-Dr. ORD returned thanks for the vote.

President's Address.-Sir WILLIAM MAC CORMAC delivered anaddress.-Mr. SIBLEY proposed and Dr. OSWALD seconded, and itwas unanimously resolved: "That the best thanks of the meetingare due and are hereby tendered to the President for his inte-resting address."-The PRESIDENT acknowledged the vote ofthanks.

Letter from the Charity Organisation Society.-A letter wasthen read from the Charity Organisation Society asking forassistance in regard to the choice of evidence before the SelectCommittee of the House of Lords now sitting on the Manage-ment of the Metropolitan Medical Charities. As the matter wasurgent, it was decided to leave it in the hands of the Presidentand Secretaries of the Branch.Dinner.-A report of the dinner was published in the JOURNAL

of June 14th at page 1392.

METROPOLITAN COUNTIES BRANCH: EAST LONDON ANDSOUTH ESSEX DISTRICT.

THE annual meeting of this District was held at the Royal ForestHotel, Chingford, on Thursday, June 5th.

Officers and Committee.-After the usual formal business, thefollowing gentlemen were elected officers of the District:- Vice-President: C. T. Aveling, M.D., Upper Clapton. Representative onthe Council of the Branch: Mr. Percy Warner, Woodford. Honor-ary Secretary: J. W. Hunt, M.D., 101, Queen's Road, Dalston, N.E.Committee: Mr. J. Adams, Aldersgate Street; J. 0. Adams, M.D.,Upper Clapton; Mr. G. Birch, Lower Clapton; Mr. W. B. Colquhoun,Stoke NewinRton Common; A. Robinson, M.D., Mile End Infirm-ary; C. H. Wise, M.D., Waltbamstow.

Vote of Thanks to President.-A cordial vote of thanks to thePresident (Dr. Ord) for presiding and for his uniform courtesyduring his term of office brought the meeting to a close.

After the meeting the members and the visitors, to the num-ber of thirty-seven, dined together, Dr. Ord, who was in the chair,being supported by Sir W. Roberts, Sir W. kfac Cormac, Drs.Brodie Sewell, Bridgwater, Bristowe, Dickson, and Hare, pastPresidents.

SOUTH-WESTERN BRANCH.THE fifty-first annua! meeting of the South-Western Branch washeld on May 21st, at the Ilfracombe Hotel, Ilfracombe, and wasattended by between forty and fifty members. Before the meetingthe members were hospitably entertained at luncheon at the hotelby Dr. E. Slade-King, President-elect.

General Meeting.-The general meeting was held at 2P.M.,whenthe chair was taken by the President, Mr. W. PBARSB. It wasresolved that the minutes of the last annual meeting at Bodmin,of the intermediate meeting at Plymouth. and of the extraordinarymeeting at Exeter, be taken as read.-The PRESIDENT then in afow words expressed the pleasure which his year of office hadafforded him, and in resigning the chair introduced his successor,Dr. E. Slade-King.

Vote of Thanks to the Retiring President.-Mr. SoMER (Broad-clyst) proposed that a hearty vote of thanks be accorded to Mr.Pearse for his conduct in the chair during the past year.-Thiswas seconded by Dr. DEAS, and carried by acclamation.

President's Address.-The PRESIDENT then delivered his in-augural address, which was devoted to a discuesion of the pro-position: "That the physical condition and training of children is

1451June 21, 1890.1 THE BBITISH MEDICAL JOUBNAL.

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THfE BRITISH MEDICAL JOURNAL.

a department of State medicine worthy the attention of the State."-Mr. FORTESCUE WEBB (Dawlish) moved: "That the best thanksof the meeting be accorded to Dr. Slade-King, for his very able,instructive, and suggestive address."-This was seconded by Mr. E.J. DOMV'ILLE (iExeter), who remarked that there could be but onefeeling in their minds regarding Dr. Slade-King's address, namely,that the light of common sensehad been thrown upon the subjectof the management of our schools.-Dr. DEAs put the motion tothe meeting, and it was carried by acclamation.Report of Branch Council.-The PRESIDENT called on the HONO-

RARY SECRETARY to read the annual report of the BranchCouncil. The report stated that there had been no falling off inthe number of members. The present number on the roll was 219,three more than at the date of last annual meeting, and thelargest number yet reached. Twenty-one new members hadjoined, of whom 16 were already members of the parent Associa-tion. Four had died, among whom had passed away, at a ripe-old age, only within the last two months, Mr. William Pollard,F.R.C.S., of Torquay, a former president of the Branch, who, prac-tising in Torquay for nearly fifty years, made himself respectedand beloved both socially and professionally. Fourteen membershad resigned, the majority from leaving the district. The financesof the Branch were in a satisfactory condition, the balance inhand having increased during the past year from £30 7s. 3d. to£39 14s. 7d. The annual meeting at Bodmin, which was also thejubilee of the Branch, was largely attended and most successfulin every way. A special feature was the excursion on the dayafter the meeting, which promised to become a regular institu-tion-at any rate, when the annual meeting was held in the moredistant parts of the district. A successful intermediate meetingwas held at Plymouth in November, at which an interesting dis-cussion took place on the question of the reform of the out-patient departments of medical charities. It was hoped. thatanother intermediate meeting would have been held in the spring,but the extraordinary meeting held in Exeter in March last pre-vented it, The annual meeting in 1891 fell to be held in one ofthe three towns, and the Council suggested that it should be heldin Devonport, and that Dr. John Rolston, of Stoke, should be thePresident-elect. On the motion of Mr. L. H. TOSSWILL (Exeter),seconded by Dr. BUDD (Exeter), the report of the Council was ap-proved and adopted.Next Annual Meeting.-Dr. BLOMFIELD proposed that the

next annual meeting be held at Devonport, and that Dr. JohnRolston, of Stoke, be the President-elect.-This was seconded byDr. BERRY (Lynton), and carried unanimously.

Officers and Council.-On the motion of Dr. WOODMAN, secondedby Mr. PEARSE, Dr. Slade-KCing (as the president of the year), andDr. Deas were elected as the two representative members on theCouncil of the Association. The following gentlemen were, onthe motion of Dr. DEAS, seconded by Mr. COOKE (Barnstaple),elected to fill the vacancies in the Branch Council: J. Rolston,M.D. (Stoke), T. Leah (Stonehouse), M. H. Bulteel (Stonehouse),C. B. Rendle (Stoke), J. Harrison (Devonport), G. T. Rolston(Stoke).-On the motion of Dr. ALDIIDGE (Plympton), secondedby Mr. WADE (Chudleigh), Dr. Deas was re-elected honorary secre-tary, and also as representative on the Parliamentary Bilis Com-mittee of the Association, with thanks for his past services.Papers.-A paper entitled Sequel to Two Laryngoscopic Cases,

shown at the intermediate meeting at Plymouth, was read by Mlr.J. ELLIOTT SQUARE (Plymouth). The first was a case of completeparalysis of the left vocal cord, diagnosed to be due to a pres-sure of an aneurysm on the recurrent laryngeal nerve. Thepatient first came under treatment in November, 1888. In Juneof the same year he had lost his voice, without any cough or pain,and had gradually recovered it. A fortnight before he had againlost his voice. The laryngoscope showed general redness of thelarynx and complete paralysis of the left vocal cord, the rightmoving naturally on phonation. Gn December 7th a soft anddistant murmur over the left second intercostal space was firstheard, with some tenderness on pressure; there was also a slightmurmur at the apex after the second sound. An interestingfeature was that the man spoke much better when he turned hishead towards the right shoulder, thus stretching the paralysedcord and approximating it to the right healthy cord. He died onMarch 1st, 1890, of sudden haemorrhage. Post-mortem examina-tion revealed an aneurysm of the transverse portion of the aorticarch about the size of an orange, situated on the inferior and pos-terior aspect of the vessel; it had burst into the substance of theleft lung. The second case was one of papilloma of the vocal

cord, producing aphonia. Six years previously the man had losthis voice and never recovered it. He came under treatment inSeptember, 1889, for a troublesome cough. With the laryngoscope,a small rounded tumour was seen protruding from below throughthe vocal cords, preventing their approximation. This was ulti-mately entirely removed with a pair of Mackenzie's antero-pos-terior forceps, specially made of unusual lengtb. The growth wasremoved on December 24th last, with the result of some imme-diate improvement in the voice. On May 12th there was no ap-pearance whatever of recurrence, and both the speaking and sing-ing voice were greatly improved. Mr. Square advised thoseattempting to remove an intra-laryngeal growth to accustom thepatient to repeated examination, to use a strong solution ofcocaine freely with a laryngeal brush, to order a pair of forcepswhich exactly suited the particular case, to avail themselves ofstrong sunlight and to use no traction with the forceps until theycould distinctly see in the mirror that they had hold of the partto be removed.-Mr. C. H. WADE (Chudleigh) reported a case ofPost-partum Eclampsia, presenting some unusual and peculiarfeatures.Drive.-After the meeting, chlar-.i-bancs were provided by the

President for a drive along the beautiful coast to Watermouth andCombemartin.Annual Dinner.-The annual dinner was subsequently held,

which was numerously attended.Excursion.-On the following day a number of miiembers joined

a driving excursion to Lynton, where they were received by Dr.Berry, who after showing them the beauties of the place, and alsoa very complete cottage hospital, hospitably entertained thosepresent at luncheon at the A alley of Rocks Hotel. A journey wasthen made down to Lynmouth by means of the recently con-structed Hydraulic Cliff Railway (the first of its kind built in thiscountry), after which some returned to Ilfracombe, while otherscontinued their drive across Exmoor to Dulverton.

SOUTH MIDLAND BRANCH.TIIE thirty-fifth annual meeting of this Branch was held atSpringfield House Asylum, Bedford, under the presidency ofDAVID BOWER, M.D., on June 12th, 1890. Thirty-five membersand one visitor were present, and were entertained at luncheonby the 1'resident prior to the meeting.Report of Council.-The minutes of the previous (Committee)

meeting were read and confirmed as follows: The Treasurer's re-port showed a balance in favour of the Branch of £23 Is. 2d.-The HION. SECRETARY reported that since the previous annualmeeting one member had died, five had withdrawn, and five newmembers had joined the Branch, thus leaving the number aboutthe same as last year.

Election of Officers.-Resolved: "That Mr. Percival be appointedPresident-Elect for 1891-2. '"That Mr. Parrott, of Aylesbury, beplaced on the Committee of Management, in the room of Dr.Bryan, retired." The other members of the Committee were re-elected. The Secretary was directed to write a letter to Mr.Bryan, conveying the members' appreciation of his services in thepast. Mr. Hemming was reappointed to the double office of Re-presentative on the General Council and Representative on theParliamentary Bills Committee. The Hon. Treasurer and Hon.Secretary were also re-elected.Autumnal Meeting.-Resolved: "That the autumnal meeting

be held at Wellingborough on October 2nd."Neew Members.-Mr. Leonard P. Banks, of Riseley, was elected a

member of the Association and Branch; and Dr. Beamish, Sur-geon-Major, Weedon Barracks, a member of the Branch.

Apologies for non-attendance were received from Dr. Bryan, Dr.Coombs, and Mr. Vreasey.Disposal of Surplus Funds.-The HONORARY SECRETARY pro-

posed that an annual subscription of two guineas each be givento the British Medical Benevolent Fund and the Royal MedicalBenevolent College, grounding his proposal on the satisfactorycondition of the Branch funds, and on the benefits received fromthose institutions by a former member of the Branch.-Mr. TERRYseconded, and one or two others supported.-The HONORARYTREASURER moved as an amendment, "That the Branch fundsbe devoted to Branch objects." Some of the members thought adonation to a larger amount would be better than a subscription.Considerable discussion ensued, and ultimately the amendmentwas carried by a large majority.Medical Charities.-A petition (received from Dr. Rentoul) was

laid on the table praying that the Select Committee on Hospitals

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June 21, 1890.] THE BRITISH MEDiCAL JOURNAL. 1458

.in the House of Lords would extend their inquiry so as to embracethe provincial medical charities. It was signed by several of themembers present.

President's Address.-Dr. BOWER delivered an introductory ad-dress on Lunacy Practice, advocating early admission to asylums,pointing out the- desirability in many cases of consultations be-tween the asylum authority and the private medical attendantprevious to the removal of a patient, and alluding to the frequentmistakes and irregularities found in ordinary lunacy certificates.

Tariff of Fees.-Mr. BULL proposed a " recommendatory tariff ofcharges for the South Midland Branch," founding his observationson Dr. De Styrap's tables prepared for the Shropshire EthicalBranch of the Association, and inviting discussion thereon, butproposing no resolution. The proposal met with considerableopposition, and, after some discussion, was allowed to drop.

rapers, etc.-Dr. PRIoR read a paper on the Arsenic Industryof Cornwall. Dr. JONES, Mr. HEMMING and others made remarks.-Dr. INEwmAN read a short paper on Treatment of Retention ofUfrine due to Prostatic Enlargement by External Urethrotomy,describing two cases, and showing the advantages of the opera-tion.-Mr. HEMMING alluded to the cases he had seen at the Leeds,meeting, where the operation had been performed above the pubes.-Mr. PERCIVAL read notes on Salafer and Silol as AntisepticDressings, especially recommending the former, and showing;salufer cubes. His treatment of cases with it had been very satis-factory.-Dr. SKELDING read a paper on the Treatment of TyphoidFever, illustrating it by temperature and other tables and draw-ings, and comparing the treatment of the past with that of the'present day. tIe strongly advocated sponging of the body as con-ducive to sleep. Haemorrhage in typhoid fever was also alludedto, and its importance pointed out. The paper was founded onfifty cases, with six deaths and three necropsies. A good discus-sion followed, and Dr. SKELDING replied.-Mr. KINSEY exhibited aspecimen of Perforating Ulcer of Foot. and another of Charcot'sJoint in the Ankle of the opposite Limb, both being removedfrom the same patient, who was herselt brought before the meet-ing. and was examined by the members present.

Votes of Thanks.-Votes of thanks were cordially passed to theEx -President, to the Committee of Management, and to the BranchRepresentative for their services during the past year, to Dr.Bower for his conduct in the chair and for his hospitality, and tothe readers of papers, etc.

EAST YORK AND NORTH LINCOLN BRXNCIL.TmE thirty-fourth annual meeting of this Branch was held inHull on June 4th, forty members being present. Dr. Mersonhaving resigned the chair t3 Dr. Idward Daly, the usual businessof the Branch was transacted.

Officers and Council.-The following ofiice-bearers and membersof council were elected:-President: Edward Daly, M.A.,M.D.Oxon. -Ex-President: John Mp.rson, AI A., M.D Aberd. Presi-dent-Elect: E. P. Hardey. Vice-Presidents: J. Sherburn, M.B.;W. C. Rockliffe, M.D. Secretary and Treasurer: H. W. Pigeon,M.B. Repreientative of the Branch: J. Dix. Representative onthe Parliamentary Bills Committee: R. H. B. TNicholson: Membersof Council: H. Thompson, W. Stephenson, J. F. Nicholson, M.DW. J. Lunn, M.D.; T. A. Baldwin, M.D.; G. F. Elliott, M.D.; J. W.Mason, M1.B.; H. W. Chambers.

President's Address.-The PRESIDENT delivered an address onThe Simulation of Organic Diseases of the Nervous System byHysteria. He reviewed in detail the differential diagnosisbetween hysteria and (1) neuralgia, (2) epilepsy, (3) meningitis,(4) tumours and other gross lesions producing ptosis, hemiplegia,and hemianae3thesia; (5) diseases of the cord, namely, diffuse mye-litis or compression myelitis from Pott's disease, infantile paraly-sis, spastic paraplegia from sclerosis of the lateral columns, anddisseminated sclerosis; (6) syphilis of the brain and cord, chorea,tetanus. and hydrophobia. A cordial vote of thanks was accordedto the President.

Cases and Papers.-Mr. HIAGYARI) showed two cases of Trans-plantation of Animal Nerve for Paralysis following NerveTumours, in which the musculo-spiral and radial nerves were in-volved. The results had been excellent.-Mr. EVANS showed acase of TransDlantation of Skin for Cicatricial Contraction follow-ing Burns. The patient had been crippled, but after the operationwas able to walk with comfort.-Mr. R. H. B. NIcHoLsoN showeda case of Spina Bifida which had been cured by Morton's method.He also read notes of a case of Excision of half the Tongue for Epi-

thelioma, and of a case of Lithotrity in a Female, and showed thestone.-Dr. MERSON showed a case of Acromegaly.-Dr. WYLLIEshowed two children on whom he had operated for Haematothoraxand Empyema.-Dr. PIGEON showed a microscopic specimen froma case of Sarcoma of the Upper Jaw.-Dr. LowsoN showed partsof the third, fourth, fifth, sixth, and seventh ribs removed forthe cure of a Chronic Empyema; also a portion of the thickenedPleura; also eight inches of gangrenous bowel removed ina case of Inguinal Hernia. The case had done well, but thepatient had become melancholic. He also showed a specimenof Papilloma of the Posterior Wall of the Rectum.-Dr. ROCKLIFFEread a paper on a case of Py,-mic Panophthalmitis occurring in apuerperal woman.-Mr. CRAVEN read notes of a case of Chole-cystotomy, and showed the gall stones removed. The case haddone well.-Mr. KEETLEY read notes of a case of Gangrene of theForearm, after simple fracture, extending to the shoulder, but wasunable to offer any adequate explanation.Lunch.-After the business of the meeting was concluded, the

members sat down to lunch at the Station Hotel.

MIDLAND BRANCH.THE annual meeting of this Branch was held on Thursday, June12th, at the Lincoln General Dispensary, under the presidency ofMr. PILCHER.

Officers and Council.-Mr. Sympson and Dr. Webb were electedrepresentatives of the Branch on the Council of the Association,and Mir. Joseph White on the Parliamentary Bills Committee. Mr.Franklin was elected Vice-President for Leicestershire, and Dr.Stewart Vice-President for Nottinghamshire. In the BranchCouncil Dr. Marshall replaced Dr.Whitelegge forNottinghamshire;Drs. Benthall and Scriven replaced Drs. Livesay and Greaves forDerbyshire; and MIr. Bond replaced Mlr. Franklin for Leicester-shire. Tlae rest of the members, being eligible, were re-elected.Dr. C. A. Greaves (Derby) was chosen PreAdent-elect. The HonorarySecretaries and the Treasurer were re-elected.

President's Address.-Air. PILCHER gave an address on TheGeneral MIedical Council and the Licensing Bodies in their rela-tions to the Practitioner.

Communications.-The following papers were presented: Dr.1IANDFORD: Granular Kidneys in Childhood. Mr. CANT: Cases,with notes; Cataract Extraction without Iridectomy; ConicalCornea treated by actual cautery; Thoracic Aneurysm; Lupus Ery-thematosus treated by blistering.

Evhibits.-Dr. HANDFORD exhibited drawings of Hydroa Vac-ciniforme (Bazin), and Elephantiasis Arabum treated by Martin'sbandage.-Mr. BOND showed Perchloride of Mercury Tablets formaking antiseptic solutions.Lunckeon and Dinner.-The President entertained the mem-

bers at luncheon, and after the meeting the dinner was held atthe Great Northern Hotel.New Members.-At the meeting of the Branch Council, held on

the same day, the following gentlemen, being members of theAssociation, were elected members of the Branch: Dr. Mounsey,Mlr. F. S. Lambert, Mr. C. Stephens, Dr. C. W. S. Barrett, Mr.Blenkarne, and Mr. A. E. Lyster.

SPECIAL CORRESPONDENCEIGLASGOW.

Glasgoaw University and Public Health Diplomzas.-Glas.qow Uni-versity Extension Board.- Glasg2ov University Local Examina-tion Board.-Fresh Air for Children of the Poor.

THE unfortunate position in which the University of Glasgowhas found itself in relation to the granting of diplomas of publichealth will, there is great reason to fear. very seriously diminishthe esteem in which the degrees of the University are held. Thepublic can hardly be blamed if, proceeding on the principle exuno disce omnnes, they attach as little value to degrees in medicineamd surgery as has, by the General Medical Council, been attachedto the recently conferred diplomas in public health. Such a resultwould be as undeserved as it would be unfortunate. The examina-tions for degrees which confer a licence to practise are hedged aboutby so many safeguards, and are conducted with such rigour andcircumspection by the professors and the extra-university asses-

June 21, 1890.] THE BRITISH MEDICAL JOURNAL. 1469

be obtained by paying one penny a week to another society.There were other objections raised, but every one of them appliedto existing policies only, and he was prepared to make the clausespurely prospective. He felt that the only alternative to this Billmust be to prohibit infant insurance altogether.

Earl BEAUCHAMP quoted authorities to show that the legisla-tion of 1875 had not been a failure, and urged that a careful exa-mination of the facts led to the conclusion that the children whowere insured had a better life record than the uninsured, as theywere usually the children of thrifty parents.The LORD CHANCELLOR held it would be rash to proceed with-

out some further investigation. His idea was that if they readthe Bill a second time it should then be sent to a Select Com-mittee, on which different views would be represented, and beforewhich evidence might be taken. The fact that people were notbrought to justice was by no means conclusive that this legisla-tion was not required.Lord HEitSCHELL heartilysupported the second reading of the

Bill, and approved of the proposal to refer it to a Select Com-mittee.The Bill was then read a second'time, and referred to a Select

Committee, with power to take evidence.T7hursday, June 12th.

Soldiers' Baths.-Earl BROWNLOW, in reply to a question by Earl BEAUCHAMP,said he was fully alive to the advantages of giVing every facility for ablution tothe soldier. It was proposed to provide baths in the new barracks. Theywould be made of slate, that havinig been found the best material for the pur-pose, as it was clean, durable, and cheap. It was proposed that those bathsbhould be In a separate room, and further that, where there were opportunitiesfor it, it was proposed to give every facility for open-air bathing during thesummer months.Btind and Deaf Mufes.-The Marquis of LOTIIAN moved the second reading

of the Education of Blind and Deaf Mute Children's Bill, which he said wasfounded on the report of a Royal Commission, and which provided for the com-pulsory education of blind and deaf mutes in Scotland, and gave school autho-rities power to defray the expenses of their education and boarding out at insti-tutions, and the cost of their journeys to and from those institutions. lt hadnot been thought nectssary to provide for an extra grant, but if necessary thedlepartment would be willing to provide for that by an alteration of the code.The Bill was read a second time.

Fridav, June 13th.Working Classes Thwellings Bill.-On the motion of Lord ROWTON, tIliS Bill

was read a second time, and referred to the Standing Committee on Law.Diphtheria in Northamptonshire.-Earl SPENCEa complained of the delay on

the part of the Local Government Board in dealing with the sanitary condi-tion of East Haddon in Northamptonshire, where there had been an outbreakof diphtheria, which last year caused twenty-six or thirty deaths in a popula-tion of 500. In September last, the Local Government Board sent down anInspector, whose report was not received by the local authority till December.On January 28th, the local authority made an application for sanction to aloan for water supply, but up to now there had been no answer, while therehlad been another outbreak of diphtheria, which had already caused threedeaths.-The Earl of JERSEY pointed out that the delay lhad not arisen fromany negligence or indifference on the part of the department, but from thedifficultiks which surrounded the qulestion.

HOUSE OF COMMONS.-Thur8day, June 12th.Barracks Bill.-The House wenit into Committee on this Bill, and progress

was immediately reported on the motion of Mr. CONYJEARE.Hospital Dues at Constantinople and Srnyrna.-Sir J. FERGUSSON, in reply to

Colonel HILL, said the final arrangements with respect to hospital dues at Coni-stanititnople and Smyrna had not yet been decided on. They were still underconsideration.

Tile Blind and Deaf in Ireland.-Mr. A. J. BALFOUR stated, in reply to Mr.WOODALL, that the Government had before them the report and recommenda-t ions of the Royal Commission. They hoped to propose legislation for Irelandoni the subject as soon as the state of public business admitted. In framingtheir proposals careful attention would be given to the suggestions of the RoyalCommission.

Educcation of the Blind and Deaf-Sir W. DYKE informed Mr. MUNDELLAthat the English Bill for the education of the deaf and blind could not be intro-duced until certain diffictult questions connected with it had been disposed of.

The Census.-Mr. WOODALL asked the President of the Local GovernmentBoard when the Bill authorising the decennial census wouild be brought in;whether the Departmental Committee relative to the census had made their re-port, and whether it was intended to present the report to Parliament ?-Mr.IRITCHIE said he was not in a positioIn at present to state the date when the Billwould be brought in. The Departmental Committee had made their report,and it was under the consideration of the Government. It would shortly bepresented to Parliament.Medical Inspection of Fssigrants.-Sir MICHAEL HicKs-BEAcH, in reply to the

quiestion from Dr. TANNER printed in the JOURNAL last week, as to the reportedleper emigrant, said: The woman in question was permitted to land at Hulland pass through England. The Board of Trade have no statutory authorityto examine passengers arriving in this country from abroad. The woman didpass the examination of the medical emigration officers at Liverpool beforeembarking upon the Cunard steamship Cephalunia. These officers regarded thecase as one of lupus of a non-contagious character; sbe brought with her amedical certificate to that effect. She had a husband and six children inAmeKica, whom she was going to join, and the officers did not think there wassufficient justification for preventing her proceeding in the ship; but, in con-sequence of her appearance, It was required that she and her immediate partyshould be kept in one compartment, isolated from the rest of the passengers.

The woman was not reinspected by the medical officer of the Board of Tradeat Queenstown; such reinspection would be unusual. He learned from theCunard Company that this passeDger was allowed to landatBoston, and remainon shore for twelve days, and that she was returned, not so much on account ofthe disease, as that her husband could not pay for, her maintenance in hos-pital. She was isolated, as a matter of precaution, on her passage home, andher apartments were afterwards thoroughly fumigated, stripped, and disin-fected; and she was sent by the Cunard Company to her home in Sweden,accompanied by a special attendant. On passing through Liverpool, thepatient was, he understood, taken to the Brownlow Hill Workhouse, whereshe was visited unofficially by the two medical officers of the Board of Tradewho had previously examined her; these officers reported that her later sym-ptoms lhad more of the appearance of leprosy as understood by them. Everyprecaution was taken by the Board of Trade and its officers to prevent, as faras possible, the propagation of contagious and infectious diseases. It was to theinterest of all steamship companies carrying passengers to immediately isolateany suspicious case that might break out during the voyage, and subsequentlyfumigate, disinfect, and paint any space occupied by such a case, and he wasinformed that this was done in this particular instance.

Friday, June 13th.The Purity and Blending of Spirits.-The CHANCELLOR OF THE EXCHEQUER, in

reply to a question as to the Committee on Bonding and Blending of Whisky,said the terms of the reference would be generally as follows: " That a Com-mittee be appointed to consider the question whether, on grounds of publichealth, It is desirable that certain classes of spirits, British and foreign, shouldbe kept in bond for a definite period of time before they pass into consumption,and to Inquire into the system of blending British and foreign spirits In or outof bond, and as to the propriety of applying the Sale of Foods and Drugs Actand the Merchandise Marks Act to foreign spirits and mixtures of British andforeign spirits." The Right Hon. Sir Lyon Playfair had consented to act aschairman.Inquiry into the Inebriates Acts.-Dr. CAMERON has given notice, at the re-

quest of the Inebriates' Legislation Committee and the Council of the Societyfor the Study of Inebriety, of a motion in the House of Commons for the ap-pointment of a Select Committee to inquire into the working of the InebriatesActs, and consider the expediency of amending them and extending theiroperation. Monday, June 16th.Education of Blind and Deaf Mute Ghildren (Scotland) Bill.-This Bill passed

through Committee, and was reported with amendments to the House.Vaccination.-Mr. MATTHEWS, in answer to quiestions by Mr. CHANNixeo and

Mr. PICTON, said lie thought the fact that vaccination prisoners were not liableto hard lsbour must be well known to the magistrates without his using a cir-cular on the subject. Tuesday, June 17thThe Local Government Provisional Order (No. 6) Bill.-This Bill was ordered to

be read a third time.Wednesday, June 18th.

Public Health (Scotland) Act, 1867.-Mr. S. WILLIAMSON obtained leave tobring in a Bill to amend the Public Health (Scotland) Act, 1867, in relation tihospitals for burghs. The Bill was read a first time.

UNIVERSITIES AND COLLEGES,OXFORD UNIVERSITY.

THE question of admitting women to the examination for thedegree of Bachelor of Medicine came before Congregation at Oxfordon Tuesday afternoon, June 17th, when, after a debate occupyingtwo hours, it was finally decided to promulgate the statute ad-mitting women to the above examination. Professor Case hadissued a pamphlet to all members of the House, in which he re-quested them to reject this statute in this its initial stage. Heargued that it was not proper to admit women to any medicalexamination in a university of men. He pointed out that theproposed statute neglected the safeguards provided by the presentstatutes, which necessitated the gaining of the degree of B.A.before a person was allowed to present himself as a candidate forthe B.M. examination. He further argued that the effect of thisststute would be to prejudice the question of female doctors; andwhen the Royal College of Physicians and the Royal College ofSurgeons had deliberately declined to grant their diplomas towomen, and this closed the main avenues, it was not for theUniversity of Oxford to open a back door for women to the medi-cal profession. In consequence of Professor Case's declared oppo-sition, Congregation House was crowded, when the Provost ofQueen's, on behalf of the Council, moved the adoption of thestatute. He argued in favour of women doctors for women, andstated in his own experience he had known a woman who haddied because she objected to be examined by a male doctor. TheRector of Exeter, Professor Belham, and Sir Henry Acland sup-ported the statute, the latter remarking that as senior examinerhe could assure the Congregation there would be no difficulty inthe examination of the women, and mentioned that the late SirSalar Jung, in conversation with him, had stated there was urgentneed for over a thousand women doctors in India alone. ProfessorCase replied to the various speeches supporting the statute. Thepreamble was carried by 75 votes to 58. The statute will have to

140THE BRITISH MEDICAL JOURNAL.

come before the larger House of Convocation before finally be-coming the statute of the university.THE following persons have been appointed by the Hebdomadal

Council representatives of the Faculty of Medicine at the Inter-national Medical Congress at Berlin: Sir Henry W. Acland, M.D.;Professor Burdon Sanderson; Dr. William S. Churcb, M.D.; Dr.Francis H. Champneys, M.D., Brasenose College; and Mr. WilliamBruce Clarke, M.A., M.B., Pembroke College.

Sqcience Scholarships: Balliol College.-An examination will be held on Novem-ber 18th for a Brackenbury Scholarship, value £80 per annum, and also for anexhibition, value £40 per annum. Papers will be set in (1) Mechanical Philo-sophy and Physics; (2) Chemistry; (3) Biology. Not more than two out ofthese subjects will be expected. Candidates must communicate by letter withthe Master of Balliol on or before November 11th.Merton, New, and Corpus Christi Colleges.-Three scholarships will be offered,

each of the value of £80 per annum, at New College. Also an exhibition of £60per annum at Merton College. Candidates for the scholarships must be under19 years of age; but there is not any limit for the exhibition. Papers will beset in (1) Chemistry; (2) Mechanics and Physics; (3) Biology. Candidatesshould call on the Warden of Merton on Monday, June 30th, between 6 and 7P.M. The examination commences on July 1st.Magdalen College.-An election will take place in October next to one or more

Demyships in Natural Science. The value of the Demyship is £,80 per an-num, and their tenure is for two years; after which they may be renewed fora further period of two years. Exhibitions, varying from £25 to £50, are alsooffered. Candidates for the Demyships must be under 19 years of age.

CAMBRIDGE UNIVERSITY.ISAMBARD OWEN, M.D., Assistant Physician of St. George's Hos-

pital, has been elected, by the Council of the Senate, a governorof the University College of Wales, Aberystwith.AT the Congregation on Thursday, June 12th, 1890, the following

degrees were conferred:M.D.-J. H. Edwards, M.A., St. John's; L. Remfry. M.A., M.B., Christ's;

S. A, M. Copeman, M.A., M.B., Corpus Christi; H. W. Dumergue, M.A.,Corpus Christi.

M.B.-W. H. L. Copeland, B.A., King's; H. M. Fletcher, B.A., Trinity; W.Gordon, B.A., Trinity; H. A. Smith, B.A., Trinity; F. G. Swayne,B.A., Trinity-; E. G. Trevithick, M.A., Trinity; E. M. Pilcher, B.A.,Clare; A. B. Rendel, B.A., Clare; W. B. de Jersey, B.A., Pembroke; J.E. C. Bradley, B.A., Caius; H. J. Daggett, B.A., Caius; W. L. Dickin-son, Caius; J. H. Dickson, B.A., Caius; W. K. Fyffe, B.A., Caius; C. P.Handson, B.A., Caius; D. S. Long, B.A., Caius; G. H. Wickham,Caius; S. Yeoman, B.A., Caius; J. W. Russell, B.A., Trinity Hall; W.H. Cooper-Pattin, B.A., Jesus; A. E. Durham, B.A., Christ's; E. C.Williams, B.A., Christ's; B. Barclay-Smith, B.A., Downing.

B.C.-The above (except W. L. Dickinson); H. W. Dumergue, CorpusChristi; H. T. Bulstrode, Emanuel.

SCHOLARSHIPS, ETC., IN NATURAL SCIENCE.- Peterhouse:Open competition commencing on Tuesday, October 14th, candi-dates to be under 19; subjects, Chemistry and Physics; applica-tion to J. D. H. Dickson, tutor. The following students of thecollege are awarded prizes and scholarships in Natural Science:First year, Silberrad, Martin, Julian; second year, Burn, Brunner;third year, Bull, Leese, Penny, Tindall; fourth year, de Havilland.Cajus: The followingawards in Science have just been made:Prizes to Bottomley, Collcutt, Brunner, Keeble, Morrell; FrankSmart Prize for Botany to I. H. Burkill; Scholarships, continuedor increased, to A. S. F. Grunbaum, Bottomley, Collcutt, andawarded to W. Myers, H. F. Sheldon; exhibitions to J. W. G.Halliday, W. L. Griffiths. The Frank Smart Studentship in Botany(£90 for two years) is awarded to J. C. Willis, B.A., non-collegiate.Christ's: Elected to Scholarships: C. Krishnan, H. M. Stewart;If. T. Masterman, H. N. Weller, 0. Brockbank; prizes to New-stead, Krishnan, Stewart, Brockbank, Roberts. St. John's: Scho-larships awarded, continued, or increased, to: Groom, Hankin,Horton-Smith, Blackman, Hewitt, Lehfeldt, Woods, MacBride,Cuff, Whipple; proper sizarship and exhibition, to Baker;Wright's prizes to Hewitt, Lehfeldt, MacBride; Hutchinson stu-dentship (£60 for two years) to E. H. Hankin, B.A.; Hockin prizefor experimental physics to Lehfeldt. Cavendish: Prize toSmith.IN consideration of the marked services to botanical science of

Mr. Walter Gardiner, F.R.S., Fellow of Clare College, UniversityLecturer in Botany, his fellowship has been continued for sixyears.THE General Board of Studies, in a report to the Senate, recom-

mend that the fee for admission or readmiesion to each of theparts of the three examinations for M.B., be raised to £2 2s. TheBoard are of opinion that some of the additional annual ex-penditure proposed might reasonably be met by a charge madefor that purpose to the students for whose benefit the expenditureis incurred, at least till such time as the repayment of capitalraised for buildings has been accomplished.

READERSHIP IN MORPHOLOGY.-With a view of better recog-nising the services to the University and the scientific eminenceof Mr. Adam Sedgwick, the head of the department of AnimalMorphology, and of the teachers of Biology for the purposes ofthe Medical Regulations, the General Board of Studies proposethat his lectureship should be raised to the status of a Reader-ship. In the present state of the University finances they are,however, unable to propose an increase of the stipend of £100which he now receives.FIRST EXAMINATION FOR MEDICAL AND SURGICAL DEGREES,

EASTER TERM, 1890.-Elementary Biology. The following wereexamined and approved:Bagshawe. Caius Hill, A., Joh. Pearson, CaiusBaird, Caius Hobday, Christ's Renshaw, J. A. K., Trin.Bartram, Joh. Hughes, Christ's Rice, Trin.Biss, King's Hutchinson, L. T. R., Robinson, Emman.Bottomley King's Trin. Salt, CalusBurrell, Trin. Jackson, T. L., Joh. Smith, J., JesusClarke, Caius Jessop, Trin. Stead, CaiusCooper, Emman. Johnston, Trin. Stewart, C. B., Christ'sDavies, L. G. Jones, H. G. T., Joh. Tod, Trin.Donaldson, Caius Key, Emman. Twentyman, Christ'sDuckworth, Jesus Kingsford, Joh. Tyson; CaiusEdwards, Trin. Lobb, Caius Villy, Joh.Elliott,W. R., Joh. Maturin, Caius Vinter, C. H. S., CaiusGarrad, Clare Mayor, Joh. Ward, H. Selw.Gordon, King's May, Clare Warren, Trin.Grummitt, (Caius Michael, H. Selw. Watson, F. J., Trin.Gutch, Christ's Milsome, Trin. Weaver, Trin.Harrison, Caius Moore, Joh. White, Sid.Haward, Sid. Muir, King's Wills, CaiusHayward, Caius PagetSECOND EXAMINATION FOR MEDICAL AND SURGICAL DEGREES.

-Human Anatomy and Physiology. The following candidateswere examined and approved:Alston, Clare Garratt, Trin. Penny, Pet.Bird, Emman. Harris, W. J., Christ's Phillips, H. R., H. Cav.Bliss, Sid. Hart, Jesus Roper, ClareBower, Trin. Kirby, R. A., Trin. Shuter, H. Cav.Brown, H. Selw. Lambert, Joh. Smith, B. A. C., CaiusCarr, Trin. Langmore, Joh. Smith, G. G., H. Cav.Colby, Kings Lewis, C. E. M., Joh. Stallard, Sid.Collcutt, Caius Macdonald, Emman. Stephens, CaiusCooper, C. E., Caius Marks, Jesus Tatham, CaiusDay, F. N., Caius Maw, H. T., Christ's Thompson, G. W., Christ'sEdwards, Emman. Neill, Caius Wanklyn, CaiusEvans, Emman. Pellew, Trin. Willson, H. S., Emman.There were ninety-one candidates in all.BALFOUR STUDENTSHIP.-The managers of the Balfour Memorial Fund an-

nounce that the Balfour Studentship will be vacant by the resignation of Mr.William Bateson, Fellow of St. John's College, on October 18th, 1890. Thenames of applicants, together with such information concerning their qualifi-cations as they may think desirable, must be sent by October 1st, 1890, to theSecretary, J. W. Clark, M.A., New Museums, Cambridge. The regulationsaffecting the studentship are given in the Cambridge University Reporter forJune 10th, 1890.

ABERDEEN UNIVERSITY.UNIVERSITY GENERAL COUNCIL.-A meeting of the General

Council was held at Marischal College on Saturday, PrincipalGeddes presiding. Reports were submitted on the variouscurricula by committees which had been appointed at the pre-vious meeting. The following report of the Medical Committeewas, on the motion of Dr. Garden seconded by Dr. Mac-kenzie, unanimously adopted:-

1. Medical Preliminary Examination.-From information furnished by theDean of the Medical Faculty, and from consideration of typical examinationpapers, the Committee concludes, first, that the nature of the present examin-ing body is not compatible with thoroughness in the examination; secondly,that the practice of permitting attendance on qualifying classes before thepassing of the whole preliminary examination is thoroughly Inexpedient andmischievous; thirdly, that the examination papers are no sufficient test of pro-ficiency in the subjects prescribed. The Committee, therefore, recommends:-First. That the standard of examination be raised. Secondlv. That students benot permitted to attend qualifying classes until they have passed all subjects ofthe preliminary examination. This will involve a change in the 'relative dateof the examination. Thirdly. That the professors of the Medical Faculty donot conduct or assist in conducting the medical preliminary examination.Fourthly. That among the preliminary conditions of the M.D. degree, an ex-amination in Greek be no longer compulsory.

2. The Medical Curriculum and Professional Examinations.-The Committeefinds, first, that the medical curriculum is overburdened, chiefly by reason ofhaphazard additions to the curriculum without regard to proportion of sub-jects; secondly, that, as a consequence, the lecture method of communicatingknowledge has been developed out of all proportion, and largely to the detri-ment of practical education; thirdly, that the amount of practical work, com-pulsory or voluntary, is not a fair proportion of a professional curriculum. TheCommittee, therefore, recommends:-First. That, in accordance with the recom-mendation of the General Medical Council, the medical curriculum be extendedto five years. Secondly. That the first year of the five Include a course of physics,which shall be compulsory for graduation. Thirdly. That the fifth year of thefive be devoted to clinical and practical work, and shall not involve compulsory

1460 [June 21 1890.

HEBITSHMDIALJORAL 18

attendance on university or other systematic lectures. Clinical and practicalare here taken to mean hospital and dispensary attendance or pupilage to aregistered practitioner. Fourthly. That for the better correlation of subjects,and to prevent overlapping in the various lecture courses, the Dean of the Medi-cal Faculty be required from session to session to lay before the Universitycourt a full syllabus of all lecture courses given within the University, of allextramural classes recognised by the University, and of all non-university

classes necessary for graduation. Fifthly. That, in accordance with the recom-mendation of the General Medical Council, the number of systematic lecturesin the curriculum be reduced. Sixthly. That for the better sequence of subjectsin the curriculum and the better apportionment of examinations, the pro-gramme of changes already approved by the Senatus and University Court beadopted, with the modifications required by the five years' curriculum.Seventhly. That those cliuical teachers whose lectures are compulsory forgraduation shall, like the professors of the Medical Faculty, be ex ofictoex-aminers for degrees in medicine. Eighthly. That the number of assessors toexaminers be increased to one for each subject. Ninthly. That all oral exami-nations be conducted in public.

3. Finance.-The Committee recommends: First. That after two winter ses-sions and one summer session of practical anatomy, every student shall receive,without payment of further fee, a perpetual ticket, which shall entitle him todissecting room attendance in perpetuity. Secondly. That all class and labora-tory fees be paid into a common fund. Thirdly. That the professors of theMedical Faculty be paid by salary. Fourthly. That inquiry be made into theconditions of the WilsouL bequest with a view to using the funds of the bequestto found a medical fellowship or lectureship. Fifthly. Thatthe class of medicallogic be abolished, and that the funds thereby set free be devoted to some prac-tical purpose within the medical curriculum.

ROYAL COLLEGE OF PHYSICIANS OF LONDON.AN extraordinary comitia of the College was held on Wednesday,June 18th, the President, Sir ANDREW CLARI, Bart., in thechair.

It was announced that Dr. Thomas Oliver had been appointedGoulstonian Lecturer for the ensuing year, and Dr. BroadbentLumleian Lecturer.Communications were read from the Chairman of the Board of

Examiners in Chemistry; and from the Secretary of the Inter-national Medical Congress about to be held at Berlin; and alsoone from the Metropolitan Asylums Board, enclosing the fulldetails of the scheme for making the fever hospitals available forpurposes of clinical instruction, the scheme having received thefinal sanction of the Local Government Board.An important communication was received from the legal

representatives of the descendants of Sir Hans Sloane respectingthe Physic Garden at Chelsea, at present in the occupation of theSociety of Apothecaries, and after some discussion the subject wasreferred to the Council for consideration.A letter was received referring to the grievances of the army

medical officers and the general dissatisfaction at present exist-ing throughout the service, and inviting the College to take uptheir cause.

Dr. FARQuHAR5sox moved a resolution to the effect that theCollege should, in conjunction with other licensinig bodies, send adeputation to the Secretary of State for War pointing out thegrievances and urging the claims of the Army Medical Depart-ment. He said that the army medical officers were a scatteredbody unable to combine, and it was therefore the duty of bodieslike the College to take up their cause; he thought that promptaction was urgently needed, and that it was most important thatthe deputation should go before the Estimates came on in theHouse of Commons. They should insist that the report of LordCamperdown's Committee should be adopted by the Government,and they ought to try to obtain the formation of a Royal Corps onthe same lines as the Royal Engineers.

Sir DYCE DUCKWORTH seconded the resolution, and said thatthe treatment the subject had received from the Secretary of Statefor War was unfair, ignominious, and intolerable, seeing the im-portance of the subject and the great care bestowed on it by theCommittee. He thought that such a deputation as was proposedshould have great welght, and must succeed in its object. Owingto misunderstandings about the question of rank very seriousbreakdowns might occur.Dr. BALFOUR said that, as the representative of the College at

the Committee, he was sure that every endeavour had been madeto get at the root of the grievances, but their recommendationshad been set aside by the Secretary for War by the advice of hismilitary advisers.

Sir GUYBER HUNTER said that in India the medical men wereeithei engaged in civil or in military duties. During sixteenyears in the former capacity no friction had ever occurred, whilstwhen engaged in the latter capacity friction with the militaryofficers was constantly arising. He felt sure that if the Collegewent to the Government it would succeed.

Sir JOsBPH FAYRER, after alluding to the hesitation he felt in

speaking on this subject owing to his official position, gave theCollege the opinions which his long experience had led him toform.

Dr. PYB-SMITH thought the College was not in a position to ex-press an opinion at all; it had not sufficient knowledge of thesubject, and had no right to form an opinion. On all medicalquestions, and on those relating to education, it could pronouncewith weight and effect and was entitled to be heard.The PBSIDBNT observed that no improvement in this or kin-

dred matters had ever taken place except as the result of agita-tion from without, and he thought the evidence collected by theCommittee already referred to did supply the College with ampleknowledge on the subject. It was a duty which ought to beundertaken by the College whether it succeeded or not.

Dr. JOSEPH EWART thought that they would succeed; at anyrate they must not show want of courage. The reforms musteventually be conceded, if not at once.

Dr. PLAYFAIR also supported the resolution, and thought itwas clearly their duty to come to the rescue of their militarybrethren.

Dr. QUAIN thought they had a good right to ask why the reportof the Committee had been ignored, and was decidedly of opinionthat the College should take action in the matter.

After a few words from Dr. FAUQUHRSON, the resolution wasput and agreed to.A report from the Committee of Management was received and

adopted.The consideration of the amended scheme for the reconstitution

of the University of London was postponed pending the report ofthe Committee of the College, who had been appointed to discussthe whole question.

ROYAL COLLEGE OF SURGEONS OF ENGLAND.Recognition of Colleges and Hospitals.-AT the last meeting

of the Council of the Royal College of Surgeons a reportwas received from the Committee of Management, and wasadopted subject to the approval of the College of Physicians.The Committee recommended that as the Cooper Medical Col-lege, San Francisco, had fulfilled the requirements respectinga preliminary examination in arts, it should now be added to thelist of institutions recognised by the Conjoint Board for profes-sional study. They farther recommended that the Royal Ports-mouth Hospital be added to the list of hospitals recognised bythe Board; but with respect to an application from the College ofState Medicine, the Committee resolved "that they were not atpresent prepared to recommend to the two Colleges to recognisethe Laboratory of the College of State Medicine as a place of in-struction for the diploma in Public Health."Lord Camperdown'8 Committee.-At the same meeting of the

Council, the Committee appointed to consider the report of LordCamperdown's Committee on the Status of Army Medical Officersrecommended that a letter should be addressed by the Presidentto the Secretary-of State for War desiring him to reconsider thequestion, and to take steps to carry into effect the recommenda-tions contained in the report of the aforesaid Committee. Thisresolution was adopted.Examiner8.-The following gentlemen have been elected exa-

miners:-First Examination. Elementary Anatomy: Messrs. C.A. Ballance, F.R.C.S.Eng.; Arthur Hensman, F.R.C.S.Eng.; W.Arbuthnot Lane, F.R.C.S.Eng.; C. Barrett Lockwood, F.R.C.S.Eng.;and C. Stonham, F.R.C.S.Eng. Elementary Physiology: MessrsJ. R. Radford, M.R.C.S.Eng., and W. G. Spencer, F.R.C.S.Eng- Second Examination. Anatomy: Messrs. W. Anderson,F.R.C.S.Eng.; J. N. C. Davies-Colley, F.R.C.S.Eng.; HowardMarsh, F.R.C.S.Eng.; and G. D. Thane, M.R.C.S.Eng. Physiology:C. H. Golding-Bird, F.R.C.S.Eng.; Vincent D. Harris, F.R.C.S.Eng.;and B. T. Lowne, F.R.C.S.Eng.-Third Examination. Midwifery:Drs. William Duncan, F.R.C.S.Eng.; W. S. A. Griffith, F.R.C.S.Eng.;Peter Horrocks, M.R.C.S.Eng.; and J. B. Potter, M.R.C.S.Eng.-First Professional Examination for the Diploma of Fellow.Anatomy: W. H. Bennett, F.R.C.S.Eng.; W. Bruce Clarke,F.R.C.S.Eng.; A. Pearce Gould, F.R.C.S,Eng.; G. H. Makins,F.R.C.S.Eng.; and Frederick Treves, F.R.C.S.Eng. Physiology:John Barlow, F.R.C.S.Eng.; B. T. Lowne, F.R.C.S.Eng.; D'ArcyPower, F.R.C.S.Eng.; and Gerald F. Yeo, F.R.C.S.Eng.-Mr. A.Winterbottom has resigned his appointment as member of theBoard of Examiners in.)ental Surgery.Mr. John Marshall.-At the last meeting of the Council it was

1461June 21, 1890.] -T-H-B BRITIS-ZI MBDICAL JOUBNAL.

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1462 THE BRITISH MEDICAL JOURNAL. [June 21, 1890.

unanimously resolved that the best thanks of the Council be givento Mr. Marshall for his efficient services as representative of theCollege in the General Medical Council. The Council likewiseexpressed their deep regret that Mr. Marshall had determined toretire from his seat on the Council of the College.The Select Committee on Hospitals.-In response to an applica-

tion by Mr. J. F. Symms-Jeune, expressing the hope that theCouncil would assist the Select Committee in their inquiry re-specting the metropolitan hospitals, etc., and requesting to befurnished with the names of gentlemen willing to act as witnesses,the Council have signified their approval, and it was left to anymember who might so desire to give evidence.The University of London and the Royal Colleges.-The Re-

gistrar of the London University has forwarded to the Councilcopies of the scheme for the reconstitution of the University, asamended since the conference with the representatives of the twoRoyal Colleges, and sanctioned by the Senate. The Council re-ferred the scheme to the delegates of the two Colleges, to considerand report to a subsequent meeting of the Council.

KING AND QUEEN'S COLLEGE OF PHYSICIANS IN IRELAND-Thefollowing Licentiates in Medicine of the College having compliedwith the by-laws. have, pursuant to the provisions of the Supple-mental Charter of Victoria. dated December 12th, 1878, been dulyadmitted Members of the College:

J. Crawford, Lic. Med., 1868, London; S. T. Gordon, Lic. Med., 1874,Dublin.

At special examinations for the licences of the College, held onTuesday, June 10th, 1890, the following registered medical prac-titioners were successful:For the Licence to Practise Medicine.-J. A. Baird, L.R.C.S.I., Dublin; J. E.

Dormer, L.R.C.S.I., Newtounbarry, co. Wexford.For the Licence to Practise Midweifery.-J. A. Baird, L.R.C.S.I., Dublin.

ERR&TUM.-In the examination list for the F.R.C.S., in the JOURNAL of June14th, p. 1405, line 2, for " M. L. Trenchmann " read " M. L. Trechmann."

NAVAL AND MILITARY MEDICAL SERVICES.THE ROYAL COLLEGE3 AND THE ARMY MEDICAL

OFFICERS.THE ROYAL COLLEGE OF SURG'EONS, ENGLAND.

WE have before mentioned that the College of Surgeons hasresolved to take action in support of the claims of the armymedical officers to real army rank and titles, as urged by theParliamentary Bills Committee of the British Medical Associa-tion, and endorsed by resolution of the Association at its last twoannual meetings to which that Committee has reported. TheCamperdown Committee having approved the claim thus madeas reasonable and proper to be granted, and the Governmentbaving nevertheless refused to act upon those recommendations,the Council of the College has now addressed the followingletter:-

To the Right Honourable the Secretary of Statefor WTar.SIR.-With reference to the Report of the Committee on the Pay, Status. and

Conditions of Service of Medical Officers of the Army and Navy, to which, atyour request, a representative was appointed by this College, I am desired bythe Council of the College to express to you their deep regret that the recom-mendations of this Committee with regard to the grant of army rank and titlesto medical officers of the army have not been acted upon.The Counci! submit that the evidence taken by the Committee proves that it

is necessary for the efficiency of the medical service that the recommendationscontained In Section 3 of the report should be carried into effect, and thatarmy rank and titles are essential for medical officers,to enable them thoroughlyto perform their duties, especially when engaged on active service.In the opinion of the Council the witholding of strictly defined army rank

and titles from medical officers places them in a position of inferiority, wbich isunjust, considering their professional attainments and the important dutieswhich they have to perform.Moreover, the want of army rank and titles leads to such constant annoy-

ance and mortification in the daily work and life of medical officers that manybecome disheartened and leave the service directly thev can secure a pension, tothe detriment of the army and the rapid augmentation of the non-effectivecharges.

It is believed also that the grievances complained of, if left uinredressed, willin futuremuch prejudice the service in respect of the quality of those who seekto enter it.The Council therefore beg to urge youi to reconsider the question, and to take

steps to carry into effect the recommendations with regard to the grant of armyrank and titles to medical officers contained in the report of the aforesaid Com-mittee. I have the honour to be, Sir,

Your obedient servant,JONATHAN HUTCHINSON, President.

THE ROYAL COLLEGE OF PHYSICIANS, EDINBURGH.THE following is the memorial of the Royal College of Physiciansof Edinburgh:-To the Right Honourable Edwvard Stanhope, M.P., Her Majesty's

Secretary of State of War,Sheweth that the Royal College of Physicians of Edinburgh is

deeply interested in everything which concerns the welfare,honour, and efficiency of the medical profession, and that theArmy Medical Staff is a very important branch of that professior.That the College believes it to be universally admitted that the

efficiency of the arnmy depends in no small degree on its medicalstaff, and that it is necessary for the efficiency of tbe medical staffthat there be no just causes of dissatisfaction among its members.That the College understands that just causes of dissatisfaction

exist at present in regard to the rank and position in the armyheld by the Medical Staff, and that these causes of dissatisfactionaffect the consideration in which the members of the staff areheld, and, consequently, their usefulness in the service.That the College believes that the dissatisfaction which exists

would be removed if the Medical Staff were granted rank as inthe Royal Engineers, such rank being effective, as was recom-mended by Lord Camperdown's Committee, " in all respects and forall purposes except that of military command, which last shallappertain to medical officers only in hospitals, and when on dutywith officers and men of the Medical Staff Corps or attached to itfor duty."That the College strongly urges that you will be pleased to talke

steps with a view to bring about some such arrangement, andthus place the Army Medical Service in the position which it isdesirable it should hold in the eyes of the army, of the public, andof the medical profession.

T. GRAINGER STERWART, M.D., President.A copy of the above has been sent to every Scotch member of

Parliament from the College.

THE ROYAL COLLEGE OF PHYSICIANS, LONDON.AT the last meeting it was resolved to send a deputation to Mr.Stanhope (see page 1461).

REMARKS ON THE REPORT OF LORD CAMPERDOWN'SCOMMITTEE.

WE have received a small pamphlet on the above subject printedfor private circulation. The author clearly summarises the originand development of the present controversy. He shows that itcentres round the all-important questions of rank, title, and armystatus. Medical officers were content to share relative rank withthe other army departments, but, in the advance of these depart-ments, cannot consent to be left in a wholly inferior position;they must be levelled up; and it is not merely a question of sen-timent, but of efficiency. It was owing to the independent action ofthe British Medical Association, in spite of official opposition, thatmedical officers were enabled to express their real feelings anddesires. The result was the Camperdown Commission, which hasfairly fixed the grievances. As regards pay, the cry that the me-dical staff were overpaid as compared with other branches issimply proved to be untrue. Not only is their pay not high, butit is the only thing they have to look to, as they have " no prizes."He condemns interference with retirement, and the retrospectiveapplication of the period in the rank before claiming the pensionthereof.As regards rank and title, he declares the attempt of the Com-

mission to trace the origin of the dispute to the abolition of theregimental system as wholly fallacious and absurd. He maintainsthat 80 per cent. of medical officers desire substantive rank andtitles, and that, if the majority of the " medical witnesses " werein favour of double titles, then they did not truly represent theirdepartment.On the question of service, he says the medical staff is rapidly

becoming a foreign service body, which will mean a startling in-crease in the odds against life and health. He says the Govern-ment of India should simply be ordered to give effect to RoyalWarrants. The author touches on the curious dissents attachedto the report. The outrageously retrograde proposal to "relieve"medical officers from command in their own establishments showsthe spirit in which the dissent is conceived. So also the pro-posal to "ticket" or brand the medical officer's uniform. if itnecessary to ticket engineers, paymasters, ordnance officers, etc.,

1466 T1IB ARITISII MEDICAL JOURNAL. [June 21, 1890.

INDIA AND THE COLONIES,INDIA.

SHAMA SHuM LALA has offered 60,000 rupees towards theerection of an eye hospital at Calcutta. Rani Mohlab Kunjar, ofKatiari, has given 3,000 rupees for the endowment of a scholarshipat the Agra medical school.

THE LEEWARD ISLUNDS.THE MEDICAL SEBRVICE IN THE LEEWARD ISLANDS.-The want,

of medical officers in the colony is said to be the cause of muchindignation among all classes, and efforts are being made to bringthe whole question before Parliament, failing action on the part ofthe local government. Local papers received by the last mail re-port that in St. Kitts, in three districts covering twenty-one miles,with a population of over 18,000, there is only one doctor, who hasalso to attend to one of the district hospitals. If, however, ourreaders will refer to the letter which we published in our issue ofNovember 9th, 1889, p. 1078, they will see that the work and pro-spects of any new medical settlers are described as "simplyheart-breaking."

OB I TUARY.ROBERT EMINSON, M.R.C.S., L.S.A.

Mr. EMINSON, of Scotter, Kirton-Kindsey, has been cut off by afatal epidemic of pleuropneumonia, which during the last threemonths has been rife in this village of North Lincolnshire, due, itis said, to grave insanitary conditions. In less than three weeks hedevotedly attended about ten cases of this terrible disease, mostof them being fatal, several dying within a few hours, and hardlyone extending over a week. His own case has been the most pro-tracted observed, beginning suddenly early on the morning of May8th, and terminating in death on June 8th. This was owingpartly to the more chronic character which the disease assumed,and partly to his iron constitution, his whole life having been oneof constant activity, the most regular and simple habits, andalmost perfect health. His end was hastened by the news of thedeath of his third son of the same disease.Two years ago he celebrated his golden wedding amidst children

and grandchildren, and his wonderful activity of mind and bodythen gave promise that a long and useful career might be pro-longed to extreme old age.He was a pupil and admirer of Sir Astley Cooper, and all through

life an ardent temperance reformer. He has actively practisedmedicine in Scotter for fifty-six years, and obtained the Poor-lawappointment in 1839. He was the first medical officer of healthfor the Gainsborough Rural Sanitary District, and effected im-portant improvements in many of the villages of the union.He leaves a widow, five sons (two members of the medical pro-

fession), and two daughters, as well as a large circle of friends, bywhom he was much beloved and esteemed.

AUGUSTUS NEWMAN, MA., M.B.OxoN., M.R.C.S., L.S.A.THje death of Dr. Augustus Newman, at the age of 58, after alingering illness, has caused a feeling of regret among a widecircle of friends in Derby. The deceased gentleman was a nativeof Dartmouth. He was formerly House-Surgeon at the GeneralLying-in Hospital, Lambeth, and Hospital for Sick Children,Great Ormond Street. He took the degrees of B.A. in 1855, M.A.in 1858, and M.B.Oxon. in 1859. He was for some time Surgeonto the Dartmouth Yeomanry, and J.P. for the Borough of Dart-mouth, where he was much respected. He removed to Derby,and held for fifteen years the position of senior medical officer inconnection with the Amalgamated Friendly Societies' MedicalAssociation. He was for many years a member of the BritishMedical Association, and an occasional contributor to its JOURNAL.His funeral was attended by several of his medical colleagueswho were desirous of paying a last tribute of respect to hismemory.

DR. Miaxow, the Chief Physician of the Bulgarian Army, hasbeen dismissed from his post, and, it is said, will be tried forcomplicity in the Panitza conspiracy.

MEDICAL NEWS,THB Middlesex Hospital MedicalSociety will give a conversazione

in the grounds of the hospital on Friday, July 4th.A NEW School of Naval Medicine will be established at Bor-

deaux in July.THE new hospital for the sick poor in the Abbey parish, Paisley,

was opened recently. The building is estimated to cost £8,000.THE Limerick Town Council have granted a presentment of £75

towards the funds of St. John's Hospital.THE Congress of the French Association for the Advancemfnt

of the Sciences will be held at Limoges from the 7th to the 14thof August.Dn. BRIEBGER, whose name is favourably known for his original

work in bacteriology and general pathology, has been appointedExtraordinary Professor in the University of Berlin.THE general meeting of the German-speaking Cremation So-

cieties is to be held this year at Frankfort-on-the-Main, on July27th.THE Committee of the International Medical Congress to be

held at Berlin has decided to give their guests a grand farewellbanquet, at an estimated cost of 15,000 marks (£750).THE annual prizes will be distributed to the students of St.

Mary's Hospital Medical School on July 1st, at 4 P.M., by SirHenry Roscoe, M.P., F.R.S.GUY'S HOSPITAL.-The Dental School of Guy's Hospital has

been recognised as a place of instruction for the Licence in DentalSurgery of the Royal College of Surgeons of England.THE annual meeting of the Metropolitan Provident Medical

Association will be held this day (Friday) at 4.30, at Mrs.Bischoffsheim's, Bute House, South Audley Street.A LADIES' COMMITTBE has been formed in connection with the

International Congress to be held at Berlin to provide for thecomfort and amusement of the wives of foreign practitionersduring their stay in the German capital.BEQUESTS.-Among other charitable bequests by the late Miss

Louisa and Miss Frances Childers, of South Belmont, Doncaster,the Doncaster Infirmary has benefited by £500 from each of thetwo ladies.THE Archduchess Marie Valerie, of Austria, has handed over the

sum of 50,000 florins, voted by the Vienna Town Council for publiccharitable purposes on the occasion of her wedding, to the St.Anna Children's Hospital, on condition that it shall be applied tothe erection of a pavilion for children suffering from infectiousdiseases.

IT is proposed to establish a Medico-legal Institute in the centreof Paris. Many po8t-mnortem examinations, which at present haveto be performed at the Morgue, will then be made in the newinstitution, and it is hoped that this arrangement will enable thepractical teaching of forensic medicine to be carried out withoutwounding the feelings of the relatives of the deceased persons.Da. DELArAILLE, of Bayonne, has been commissioned by the

French Minister of Public Instruction " to study the questions ofphysical exercise and school hygiene" in Spain. As neither exer-cise nor hygiene is among the cosas de E,.paha that attract theattention of scientific observers in the land of the Cid. Dr. Del-vaille's report on his mission is not unlikely to recall the famousessay, " On Snakes in Iceland."A SERIOUs outbreak of typhoid fever is reported in the Porta

Genova quarter of Milan, and diphtheria is said to be prevalentin other parts of the city. The Gazetta Medica Lombarda of June14th says: " Such rumours seem to us destitute of foundation ;"but so carefully guarded a contradiction is hardly likely to appeasepublic anxiety. An inquiry has been instituted by the MedicalMunicipal Office.A NBw medical society has recently been formed in France with

the title of " La Soci6t6 Clinique des Praticiens de France." Itis to meet twice a month, and will hold the now inevitable "con-gress" from time to time, together with an annual dinner. Be-sides this the Society will publish two journals, the Annales de laqociUt6 Clinique and the Clinique Franfais.

THE BRITISH MEDICAL JOURNAL.

MEDICO-PSYCHOLOGICAL AssoCIATION.-The next examinationin England for the certificate in psychological medicine will beheld at Bethlem Hospital, London, on July 17th, at 11 o'clock inthe morning. The examination for the Gaskell prize will takeplace on the following day at the same place. Candidates arerequested to give fourteen days' notice to the Honorary GeneralSecretary, Dr. Fletcher Beach, Darenth Asylum, Dartford.THERE is a great flutter among the dovecots of quackery in

Italy at present. Under the new law as to the " illegal exerciseof the healing arts," 450 cases of unqualified practice of one kindor another were tried in the first three months of the presentyear. It is to be hoped that this springtide of virtuous indigna-tion will not be followed by a proportional ebb-at least till ithas done its work.DEAFNESS IN TABES DORSALIS.-Morpurgo (Archiv fur Ohren-

heilkunde, 30 Band, 1 u. 2. Heft) states that 81 per cent. of personssuffering from tabes dorsalis have some abnormality of hearing.The majority are deaf, others hear sounds. Some of the patientsshowed aural disease that would account for the deafness, but thegreater number did not. The author considers that they are ex-amples of nerve deafness; he does not know whether they arecentral or peripheral.BENEFIT SOCIETIES IN BERLIN.-At the end of 1889 the num-

ber of benefit societies in Berlin was 89, the total receipts ofwhich during the year amounted to 5,689,215 marks (about£284,460), and the total expenditure to 5,100,133 marks (about£255,006). Of the latter sum 47.4 was for sick money, 4.8 percent. for burial money, 6.7 per cent. for medical treatment, 15.9per cent. for medicines, 15.8 per cent. for hospital expenses, and8.3 per cent. for management.SEAMBN'S HOSPITAL SOCIETY.-It has now been decided that

the Prince and Princess of Wales will embark on board a specialsteamer at Westminster Stairs on June 24th, at 1.30 P.M., andproceed down river to the site of the new hospital of the Seamen'sHospital Society at the Royal Victoria and Albert Docks. Therethe opening ceremony will take place in one of the large shedsbelonging to the dock company, after which their Royal High-nesses will inspect the new building, and the Princess will beasked to allow a ward to be named the Alexandra Ward.THYROID GRAFTING IN MYXCEDEMA.-Mr. Horsley's suggestion

that myxcedema might be treated by transplantation of a pieceof thyroid gland from an animal to the human subject has latelybeen carried into effect by Professor Lannelongue, of Paris. Thepatient, a female cretinoid idiot, aged 14, presenting the usualsigns of myxcedema, had a piece of the thyroid gland of a sheepimplanted into the subcutaneous tissue of the left side of the

chest. The wound closed over the graft, but sufficient time basnot yet elapsed to allow a judgment to be formed as to the resultsof the operation on the constitutional condition.INSANITY IN GERMANY.-The number of lunatics in the asy-

lums of the city of Berlin, which was 1,582 in 1882-83, amountedto 2,528 in 1889. This shows a very large increase in the numberof insane persons relatively to the growth of the population; inthe period referred to the merease in the population was 22.49 percent., whilat the increase in the number of lunatics was 59.79 percent. The number of insane persons in confinement in the wholeGerman Empire rose between January l1t, 1881, and the same datein 1886, from 34,270 to 42,669, being an increase of 24.5 in the fiveyears, as against an increase of 3.6 per cent. in the general popu-lation in the same period.MICROBES IN HAILsTONEs.-Bacteria of various kinds have

been found in ice and snow, and Dr. Fontin, a Russian observer,has now proved that hailstones are not free from them. He hasfound that the water produced by the melting of hailstones con-tains on an average 729 bacteria per cubic centimetre. Neitheryeast fungus nor mould was present, but nine different kinds ofbacteria were found, five of which (B. mycoides, liquefaciens,luteus, sarcina lutea, and aurantiaca) are already known. As the4rdinary dwelling place of the bacillus mycoides is the earth, weare confronted with the fact that microbes of terrestrial originmay be carried up into the air, and thus rain, snow, and hail maybe the direct means of conveying infection.PORRO'S OPEBRATION FOR ATRESIA VAGINAE.-Dr. Spaeth, of

Hamburg, describes in the Miinchener mediciniecke Wochenechrifta case where a woman, aged 30, suffered from almost complete

stenosis of the vagina, the result of damage during cranioclasisat a labour seven years previously. Dilatation was performed byaid of the finger and vulcanite ball pessaries. Connection becamefeasible, and the patient conceived. A plastic operation on thevagina waas out of the question, and further dilatation of thecanal was not considered safe. When labour pains came on,Porro's operation was performed, a living child being delivered.The patient made a good recovery. It was not considered rightto perform an ordinary Cmsarean section, as the lochia could notreadily flow away through the narrow vagina.TEE STUDY OF INEBRIETY IN AMERIcA.-At the recent meet-

ing of the American Medical Association at Nashville, Tennessee,the Section of Medical Jurisprudence spent a whole day discuss-ing papers on the criminal responsibility of inebriates. The sub-jects of the paper were: Inebriate Responsibility, by Dr. Evans;Medico-Legal Aspects of Insanity and Inebriety, by Dr. T. L.Wright; Inebriate Medico-Legal Questions, by Dr. Crothers; Me-dico-Legal Facts from 5,000 Cases, by Dr. L. D. Mason; and theNeed of a New Criminal Jurisprudence affecting Inebriety, by Dr.Norman Kerr. The Section endorsed the disease view of ine-briety, and elected Dr. T. D. Crothers, the leading American spe-cialist on this question, as Chairman for next year's meeting atWashington. To ensure a full discussion of the subject, the Sec-tion will in future be called the Section of Medical Jurisprudenceand Neurology.LOCAL TujBiRCULOUS INFECTION.-An accident which recently

befell Dr. Gutzmann, of Berlin, may serve as a warning to sur-geons and pathologists to be careful in handling tuberculous tis-sues. On February 19th, while he was making a post-mortemexamination on a patient who had died of acute miliary tuber-culosis, the nail of his right middle finger was slightly raised fromthe matrix. He felt a little pricking at the tip of the finger, butcould see no wound. After washing it in sublimate solution andalcohol, he forgot all about it, and used the finger in percussionwithout inconvenience. On March 20th it again became painful,and a tiny abscess was found under the nail. This was openedand the pus examined by Ehrlich's method, when three tuberclebacilli were discovered. The preparation was shown to severalpractitioners, who all identified the bacilli. The abscess was thenscraped out and disinfected with alcohol. Up to the present therehas been no lymphangitis or glandular enlargement, and no rise oftemperature. Dr. Gutzmann regards the case as an example oflocal tuberculous infection.THE SANITARY INSTITUTE CONGRESs.-The following arrange-

ments have been made for the Congress and Exhibition atBrighton, which commences August 25th. President: Sir ThomasCrawford, K C.B., M.D. Honorary Treasurer: The Mayor ofBrighton. Honorary Secretary: A. Newsholme, M.D., D.P.H.President Section I: Sanitary Science and Preventive MIedicine:George Vivian Poore, M.D., F.R.C.P. President Section II: En-gineering and Architecture: Professor Roger Smith, F.R.I.B.A.President Section III: Chemistry, Meteorology, and Geology:Wm. Topley, F.R.S., F.G.S. Conference of Medical Officers oflhealth: President: A. Newsholme, M.D., D.P.H., M.O.H. Confer-ence of Inspectors of Nuisances: President: A. Carpenter, M.D.,M.R.C.P. On Tuesday there will be a conversazione in the PavilionBuilding; Wednesday, Lecture to the Congress by W. H. Preece,F.R.S.; and on Saturday there will be excursions, and an addressto the working classes by B. W. Richardson, M.D., LL.D., F.R.S.The meetings of the Congress and Exhibition will be held in thePavilion Buildings.CHARING CROSS HOSPITAL MEDICAL SCHOOL.-The annual dis-

tribution of prizes at the above school took place on Wednesdayafternoon, June 18th, when the Rev. S. J. Cumberlege, Rector ofSt. Paul, Covent Garden, took the chair. The meeting was heldin the new Anatomical Lecture Room. The Sub-Dean read theannual report, which showed a steady increase in the number ofthe students. Reference was made to the very large physiologicallaboratory which had been erected in the new buildings, and tothe difficulties which had been experienced in obtaining permis-sion to close Bedford Court, and thus make the new buildingsmuch more complete and useful, and the hope was expressed thatthe difficulties would eventually be overcome. The prizes werethen awarded as follows: Llewellyn Scholarship, H. S. Baker;Golding Scholarship, G. H. Hooper; Governors' Clinical GoldMedal, J. B. Williams; the Pereira prize, J. Busfield; and theusual class prizes. After the distributions, the Chairman very

June 21, 1890.] 1467

THE BRITISH MEDICAL JOURNAL. [Junie 21, 1890.

briefly addressed the meeting, dwelling first of all on the greatloss sustained by the death of Dr. Pollock, and paying a hightribute to his integrity and impartiality. In a few well-chosenwords, he reminded his hearers of the importance of the medicalprofession, and the necessity for making the utmost of their op-

portunities during their student career, and then briefly referredto the new buildings, which were nearly completed. A cordialvote of thanks to the reverend Chairman brought the meeting to a

close.ALCOHOL AND CHILDHOOD.-The Duke of Westminster presided

at a conference promoted by the Church of England TemperanceSociety, Junior Division, on " Alcohol and Childhood," recentlyheld at Sion College. A paper, by Dr. More Madden, of Dublin, on"1 Alcoholism in Childhocd and Youth; its causes, results, and pre-

vention," having been read, Dr. Samuel Wilks declared that child-ren sbould be brought up without any alcohol whatever. Dr.Langdon Down was convinced that alcohol as a food was non-essential, and thoroughly detrimental to the welfare of the child.Nor was he prepared to admit that it was as useful as a medicineas some fancied. An analysis of the statistics cf wine given atthe London Hospital during the last eight years showed that inthe case of one physician the average administered per patient was8.05 ounces, whilst another used 43.6 ounces; the mortalityamongst the patients of the two being 14.7 and 18.2 respectively,and the average stay 27 days as against 31 days. Drunkenness inparents distinctly tended to idiocy in children. Dr. Thomas Bar-Jow thought it inrperative that medical men should be abso-lutely honest with themselves and the public. For his part per-

sonally be should be very reluctant to be deprived of the use ofalcohol in the treatment of acute disease, for his experience ledhim to the opinion that it yielded better results in picked juvenilecases than in adult cases, over a limited period. For prolongedperiods, in the conditions of convalescence and chronic illness, itshould be looked upon with the greatest possible caution. Dr.Bernays emphatically held that alcohol and childhood shouldhave no connection whatever. Dr. Dukes objected to giving theyoung of both sexes alcohol in any form, except as a remedy fordisease, when it was sometimes a drug of great value. Especiallydid he condemn the cruel and pernicious plan of supplying beerto boys in public schools at supper time, and contended that theextinction of the practice was one of national importance. A re-solution declaring against alcohol as a dietary was carried.

MEDICAL VACANCIES.The following Vacancies are announced:

ALCESTER UNION, Warwickshire Parishes. -Medical Officer. Salary, £80per annum. Applications by July 8th to the Clerk.

AMPTHILL UNION, Beds.-Medical Officer for No. 2 District. Salary,£1(5per aninum, exclusive of fees. Applications by June 25th to the Clerk, JohnWright.

BOOTLE BOROUGH HOSPITAL.-Assistant House-Surgeon and Dispeneser.Salary,£40 per annum, with board, lodging, and washing. Applicationsto be addressed to the Chairman of the Committee, Bootle Borouglh Hos-pital, DerbylRoad, Bootle, by July 1st.

CHARING CROSS HOSPITAL.-(1) Medical Registrar; (2) Assistant-Anas-thet ist. Salary of the appointment of Medical Registrar,£40 a year. Ap-plical ions to be addressed to the " Chairman of the Medical Committee" byJune 22rd.

COOTEHILL UNION, Cootehill Dispensary District.-Medical Officer. Salary£.95 per annum,including£5 as Medical Officer of Health, with usual re-

gistration and vaccination fees. Applications to the lionorary Secretary,lHenry Brown, J.P., by June 28th.

DEIIBY AMALGAMATED FRIENDLY SOCIETIES MEDICAL ASSOCIA-TION.-Senior Resident Medical Officer. Age not under 30 or over 42.Salary,£280 per annum, with house rent and taxes free, midwifery fees,and cabhire. Applicationis to the Secretary, Mr. J. Bullivant, 58, AbbeyStreet, Derby, not later than June 21st.

DERBYSHIRE GENERAL INFIRMARY.-Resident Assistant House-Surgeon(175 beds). Board and washing and bonus of £10. Applications to theHouse-Surgeon by June 21st.

DINORWIG QUARRY HOSPITAL, near Llanberis, Carnarvonshire.-Sur-geon; must speak Welsh. Applications to the Hon. W. W. Vivian, PortDinorwig.

DROITWICH UNION.-Medical Officer and Public Vaccinator. Salary, £85per annum. Election onJuly 9th.

GENERAL HOSPITAL, Birmingham.-Assistant House-Surgeon, with sur-gical qualification. No salary; washing provided. Applications to thehlouse-Governor, J. D. M. Coghill, M.D., by June 28th.

GORDON HOSPITAL FOIR FISTULA AND OTHER DISEASES OF THERECTUM.-Assistant-Surgeon. Applications by July 12th to the Secretary,278, Vauxhall Bridge Road, S.W.

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST,Brompton.-Housc-Physicians. Applications byJuly 2nd to the Secretary,HenryDobbin.

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHE3T,Brompton.-Assistant-Physician. Applications by June 25th to the Secretary, Henry Dobbin.

HOSPITAL FOR WOMEN, Soho Square, W. - House-Physician; doublyqualified. Appointment for six mouths. balary, £30 witlh board, etc. Ap-plications to the Secretary, David Cannon, by Jtuly 2nd.

HULL BOROUGH ASYLUM.-Assistant Medical Officer; niot over 35 years ofage; unmarried. Salary, £100 per annum, with board, lodging, and attend-ance. Applications by June 25th to the Medical Superintendent.

INFIRMARY FOR CONSUMPTION AND DISEASES OF THE CHESTAND THROAT, 26, Margaret Street, W.-Physician in Ordinary. Appli-cations by June 21st to the Secretary, William H. Johnson.

INFIRMARY FOR CONSUMPTION AND DISEASES OF THE CHESTAND THROAT, 26, Margaret Street, W.-Three Visiting Physicians.Applications by June 21st to the Secretary, William H. Johnson.

INFIRMARY FOR CONSUMPTION AND DISEASES OF TIHE CIhESTAND THROAT, 26, Margaret Street, W.-Surgeon. Applications by June21st to the Secretary, William H. Johnson.

LANGPORT UNION.-Resident Medical Officer for the 3 A aLd B (CuirryRival) District. Salary, £86 per anntum, witlh fees and extras to about £100.

Applications to John Louch, Clerk, by Junle 2 ith. Election on July 1st.LINCOLN ODD FELLOWS' MEDICAL INSTITUTION. - Junior Medical

Officer from August to Decembrr. Salary at the rate of £120 per annum(out-door). Applications to Secretary, William Coulson, 12, North Parade,Lincoln.

LIVERPOOL EYE AND EAR INFIRMARY.-Houise-Surgeon; doubly quali-fied, and have paid special attention to ophthalmic practice. Salary. £80per annum, with residence and maintenance. Applications to the Hono

rary Secretary, Reginald Haigh, 6, Gr^svenor Buildisngs, Liverpool, byJune 23rd.

LONDON THROAT HOSPITAL, 204. Great Portland Street, W.-House-Surgeon. Applications by June 30th to the lHonorary Secretary of the

Medical Committee, W. R. A. Stewart.MANCHESTER HOSPITAL FOR CONSUMPTION AND DISEASES OF

THE THROAT.-Resident Medical Officer at Bowden, Cheshire. Salary,£60 per annum, with board, apartments, and washing. Applications byJuly 20th to C. W. Hunt, Secretary.

MANCHESTER ROYAL INFIRMARY. Resident Medical Officer for theFever Hospital at Monsall; double quialifications; not less than 25 years of

age. Remuneration, £230 per annum, with board and residence. Applica-tions by July 5tlh to the Chairman of the Board.

NORTH RIDING OF YORKSHIRE.-Medical Officer of Health for theRiding; quialified to practise medicine, sturgery, and midwifery. Remune-ration, a fixed fee of £100 per annum, and 5 guineas per day (to includeexpenses) for every day's services, with leave to hold other appointments.ApplicatioDs to William C. Trevor, Deputy Clerk of the County Council,Clerk of the Peace Office, Northallertoss, before June 30th.

OXFORD UNIVERSITY.-Deputy Linacre Professor of Human and Compa-rative Anatomy. Salary, £700 a year. Applications to the Registrar of the

University by June 21st.REDRUTH SANITARtY AUTHORITY.-Medical Officer of Health. Appoint-

ment for three yeara. Salary, £100 per annum. Applicationis by July 3rd

to the Clerk, Thurstan C. Peter, Union Office, Iledrutli.RETFORD UNION, Retford District.-Mdedical Officer. Salary, £40; fees, £20

per annum. Applications by June 19th to the Clerk.RETFORD UNION, Dunham-on-Trent District.-Medical Officer. Salary, £15;

fees, £a per annum. Applications by June 19t1 to the Clerk.ROYAL ALBERT HOSPITAL, Devonport.-Assistant House-Surgeon. No

Salary; board, lodging, and washing. Applications by June 25th addressedChairman of Medical Committee.

ROYAL FREE HOSPITAL, Gray's Inn Road.-An additional Assistant-Surgeon; aE'ellow of the Royal College of Surgeons of England. Appli-cations to the Secretary, Conrad W. Thies, by June 24th.

ROYAL GENERAL DISPENSARY, 23 and 26, Bartholomew Close, E.C.-Resident Medical Officer; doubly qualified. Candidates must attend per-sonally the Medical Committee on June 24th at the Dispensary at 2 o'clock,with diplomas and certificotes of qualification.

ROYAL WESTMINSTER OPHTHALMIC HOSPITAL, King William Street,West Strand.-Clinical Assistants. Candidates must be quialified; prefer-ence given to those experienced in ophthalmic practice. Applications byJune 21st to the Secretary.

TAUNTON UNION, Bishop's Lydeard District.- Medical Officer. Salary, £29(to include all fees except midwifery, los.. and 2s.(;. for lunatic returns).

Applications by June 21st to the Clerk, W. F. B. Dawe.

WALLASEY DISPENSARY.-Assistant or Junior House-Surgeon, to visit anddispense. Unmarried; must devote his whole time to the duties. Salary,£80 per annum, with furnished apartments, coal, gas, and attendance. Ap-plications by June 22nd to the Honorary Secretary, Mr. William Heap, Elm

Mount, Penkett Road, Liscard, Cheshire.WALSALL AND WEST BROMWICH SCHO3L DISTRICT.-Medical Officer.

Salary,£50 perannum. Applications to the Clerk, H. Ward, Church Street,West Bromwich, by June 21st, endorsed" Medical Officer."

WELLINGBOROUGH UNION RURAL SANITARY AUTHORITY.-MedicalOfficer of Health. Salary,250 per annum. Election, July 2nd. Applica-tions to Willan Jackson, Assistant Clerk, Wellingborough, by June 25th.

WILTS COUNTY ASYLUM.-AsFistant Medical Officer; unmarried; with ex-

perience preferred. Salary,£100 per annum, with board, residence, attend-

ance, and washing. Applications. endorsed" A. M.O.", to be addressed

to the Medical Superintendent, Wilts County Asylum, Devizes, by June23rd.

WOLVERHAMPTON AND STAFFORDSHIRE GENERAL HOSPITAL,Wolverhampton.-Resident Assistant; one qualification preferred. Board,

lodging, and washing provided. Applications to be inecribed," Applicationfor Resident Assistant," by Jutne 23rd, to the Chairman of the MedicalCommittee.

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June 21, 1890.] THE BRITISH MEDICAL JOURNAL.

ZETLAND COUNTY COUNCIL.-Medical Officer for the count.y and district-to reside in the county, with liberty to engage in private practice. Appli,c tions, stating qualifications and salary, to be lodged with the CountyClerk at Lerwick ty June 30th.

MEDICAL APPOINTMENTS.BENSON, T., L.R.C.P.Edin., M.R.C.S., Reappointed Medical Officer of Health for

No. 3 District of the Lanchester Rural Sanitary District.BOLTON, W. T., L R.C.P.Edin., M.R.C.S.Eng., reappointed Medical Officer of

Health for No. 2 District of the Lanchester Rural Sanitary District.BRAINE, C. Carter, M.R.C.S., appointed Anaesthetist to the Charing Cross Hos-

pital, vice Woodhotise Braine, resigned.BROWN, William, M.D., C.M.Glasg., appointed Medical Officer for the Staple-

ton Union District.BUENO DE MESQUITA, Ernest, M.B.Lond., M.R.C.S., L.R.C.P., House-Surgeon

at the Miller Ihospital, Greenwich. appointed House-Surgeon to the Croy-don General Hospital, vice Henry W. Drew, F.R.C.S., L.Ii.C.P., etc.

COLMAN, G. B., L.R.C.P.Edin., M.R.C.S.Eng. appointed Medical Officer for theFirst District of the Hemsworth Union (rearrangement of districts).

COLTE£R. J. F., L.D.S., M.R.C.S., appointed Assistant Surgeon-Dentist to theCharing Cross Hospital.

COOMB3ES, S. Welsley, F.R.C.S., L.R.C.P.Edin., L S.A., reappointed MedicalOfficer of the North Claines District of the Droitwich Union for threeyears.

CRGFT, (iward Octavius, M.R.C.S.Eng., L.R.C.P.Lond., appointed HonorarySurgeon to the Leeds Hospital for Women and Children, vice John Horsfall,M.A., F.I.C.S.

DICKIXsoN, George F., M.R.C.S., L.R.C.P., appointed House-Pbysician toCharing Cross Hospital.

EVERETT, Wm., M.B.Edin., appointed Second Assistant Medical Officer to theKent County Lunatic Asylum, vice T. Brushfield.

EVILL, F. Claude, M.R.C.S.Eng., L.R.C.P.Lond., appointed House-Surgeon tothe Central London Ophthalmic Hospital, Gray's Inn Road, vice A. L.Travers, L.R.C.P., M.R.C.S.

EVISON, Hanson Cotton, L.R.C.P., L.R.C.S.Edin., appointed House-Surgeonto the Lancaster Ilfirmary and Dispensary, vice Charles William Dean,L.R.C.P., L.R.C.S. B.

FR.ANCE, E. P., M.R C.P.Eng., L.R.C.P.Lond., appointed Junior House-Surgeonto the North-Eastern Hospital for Children, Hackney Road, N.E., vice Mr.Marshall, M.B.Vict., promoted.

GABRIEL, Wm. M., L.R.C.P., L.R.C.S.Edin.. appointed Medical Officer of theWorkhouse of the Keighley Union, vice Mr. J. Russell, resigned.

GALE, Arthur K., L.R.C.P.Lond , M.R.C.S.Rng., reappointed Medical Officer tothe Fifth District of Ecclesall, Bierlow Union.

GRANT, Frederick, L.R.C.P.Edin., L.M., reappointed Medical Officer of Healthto the Market Harborough Local Board.

GRAVES, Dr., appointed Medical Officer of Health for the Urban Sanitary Dis-trict of Knighton.

HAVFLOCE, Dr., Second Medical Assistant at Montrose Asylum, appointedFirst Assistant, vice Dr. Chambers, resignied.

HIND, Albert, L.R.C.S., L.M., L.S.A., reappointed Medical Officer of Health tothe South Molton Urban Sanitary District.

HINJDLE, F. T., L.R.C.P.Lond., M.R.C.S.Eng., appo'nted Medical Officer for theThird District of the Hemsworth Union (rearrangement of districts).

HOIINGSWORTH. John McKee, L.K.Q C.P.Irel., F.R.C.S.I, appointed MedicalOfficer for the btebbing District of the Dunmow Union.

JoiiNsroN, David, M.D., L.R.C.S.Edin., reappointed Consulting Physician tothe Montrose Lunatic Asylum and Infirmary.

LAWRENCE, Samuel, M.D St.And., L.R.C.S.Edin., reappointed Coo'sulting Phy-sician to the Montrose Lunatic Asylum and Infirmary.

MAcGILL, George, L.R C.P, L.R.C.S.Edin., reappointed Medical Officer ofHfea'th to the Wuerdle and lVardle Urban eanitary District.

MACKENZIE, W. Scobie, L.R.C.P., L.R.C.S.Edin.. reappointed Medical Officerof Health to the Normanton Urban Sanitary District.

MOLONY. P. J., L.R.CS.I., L.K.Q C P.I., etc., appointed Clinical Assistant tothe Central Throat and Far Hospital, Gray's Inn Road.

MORTON, JOIDn M.B.Lond., M.R.C.S., L.S.A.. reappointed Medical Officer ofHealth to the Guildford Urban Sanitary District.

MOTT, Frederick Wal-her, M.D.Lond., M.R.C.P., appointed Assistant Ph3sicisnto the Clearing Cro3s Hospital, vice Dr. J. Abercrombe, msde full Pbysician,v ce Dr. A. J. Pollock, deceased.

MOUNCEY, Chas. J., M.B., appointed Medical Referee to the Government,Earlestown District (Lancashire) for Insurance and Annuities.

OGDEN, C., L.R.C.P.Edin., M.R.C.S.ling., reappointed Medical Officer of Healthto the Milnrow Urban Sanitary District.

ROBERTS, E. A., M.B., L.R.C.P., M.R.C.S., appointed Third Attending MedicalOfficer to the Pimlico Road Free Dispeinsary, vice T. Foster Palmer, ap-pointed Surgeon.

IRcwsE, E. L., M.R.C.S, L.R.C.P., appointed Resident Obstetrical Officer toCharing Cross Hospital.

tULLIVAN, E. J. H., M.D., appointed Medical Officer for the Fourth District ofthe Hemsworth Union (rearrangement of districts).

THOMAS, Dr., appointed Medical Officer of Health to the Swaffham Urban Sani-tary Authority.

THo.MPSON. C. Sinclair, M.B.Edin., C.M., appointed Medical Officer for Abbot-sham District of the Bidelord Union, vice J. Thompson, M.D.

TODD, H. B., M.R.C.S.Eng.. L.R.C.P.Lond., reappointed Medical Officer ofHealth to the Charlton King's Local Board.

1469

WILAIAMS, Ernest G. H., M.R.C.S., L.R.C.P., appointed House-Surgeon toCharlng Cross Hospital.

WILSON, J., M.D., reappointed Medical Officer of Health for No. 1 District ofthe Lanchester Rural Sanitary District.

WOOD, E. Stanley, L.K.Q.C.P.Irel., L.M.. M.R.C.S.Eng., appointed Surgeonunder the Factory Act for Pontypool District, vice Dr. Edmunds, of Pont-newydd, deceased.

WOOD, G., M.D., L R.C.S.Edin., appointed Medical Officer for the Second Dis-trict of the Hemsworth Union (rearrangement of districts).

WRIGHT, Alfred, M.R.C.S., L.S.A., appointed Honorary Medical Officer to theRomford Victoria Cottage Hospital.

WRIGHT, John Lister. L.R.C.P.Edin., M.R.C S.Eng., appointed Honorary Medi-cal Officer of the Derby Children's Hospital.

DIARY FOR NEXT WEEK.

HONDAT.LONDON POST-GR&DUATE COURSE, Royal London Ophthalmic Hospital, Moor-

fields, 1 P.M.-Mr. R. Marcus Gunn: On Externial Diseares ofthe Eve. Hospital for Sick Children, Great Ormond Street.4 P.M.-Mr. Arbtuthnot lane: On Complications of Disease ofthe Middle Ear.

ROYAL COLLEGE OF SURGEONS OF ENGLAND, 5 P.M.-Mr. Wl'illiam Huinter(Arris and Gale Lecturer): On Ptomaines, their Nature andActions. Lecture I

TWESDAY.LoNDoN POST-GRADUATE COURSE, Bethlem Hospital, 2 P.M.-Dr. R. Percy

Smith: On Legal Relations of Insanity. Hospital for Diseasesof the Skin, Blackfriars, 4 P.vr.-Mr. Jonathan Hutchlinson: OnUrticarial Affections.

ROYAL COLLEGE OF PHYSICIANS OF LONDON, 5 P.M.-Dr. D. Ferrier: TheCroonian Lectures on Cerebral Lccalisation. Lecture V.

WEDNESDAY.LONDOx POST-GRADUATE COURSE, Hospital for Consumption, Brompton, 4 P.m.

-Dr. Robert Maguiire: On the Therapesitics of Phthisis.Royal London Ophthalmic Hcspital, Moortields, 8 P.31.-Mr. A.Quarry Silcock: Ophthalmoscopic Cases.

ROYAL COLLEGE OF SURGEONS OF ENGLAND, 5 P.m.-Mr. William Hunter(Arris and Gale Lecturer): On Ptomaines, their Nature andAction. Lecture II.

THURSDAY.LOxDON POST-GRADUATE COURSE, National Hospital for the Paralysed and

the Epileptic, Queen Square, 2 P.M.-Mr. R. Brudenell Carter:On Ocrelar Symptoms in Nervous Diseases. The New Infirm-ary, Paddington, 4 P.M.-Mr. J. Ilutchinson: Clinical Lectureon Surgical Cases. 5 P.m.-Dr. Savill: Post-mnort(m Examina-tions.

ROYAL COLLEGE OF PHYSICIANS OF LONDON, 5 P.mr.-Dr. D. Ferrier: TheCroonian Lectures on Cerebral Localisation. Lecture VI.

FRIDAY.LONDON POST-GRADUATE COURsE, Bethlem Hospital, 11 A.M.-Dr. R. Percy

Smith: Clinical Demonstration. Hospital for Consumption,Brompton, 4 P.M.-Dr. Robert Maguire: On the Therapeuticsof Phthisis.

ROYAL COLLEGE OF SURGEONS OF ENGLAND, 5 P.M.-Mr. William Hunter(Arris and Gale Lecturer): On Ptomainies, their Nature andAction. Lecture III.

BIRTHS, MARRIAGES, AND DEATHS.The charge for inserting announcemenets of Births, Ilarr-iaes, and Deaths is 3s. Cd.,which sum should beforvarded in Post Office OQder or Stamps with the ?notict notlater thanl Wednesday fornznrg, ine order to insure insertion ien currenrt issue.

RIRTH S.COLBOURSE.-At 11, Cleve Road, N.W., on June 12tli, the wife of L. Colbourne,

M.D. (Buenos Ayres), of a daughter.HARLAND.-On June 14tll, the wife of Henry Harland, M.D., of Eastridge

Court, Ilyde, Isle of Wight, of a Eon.STEEL.-On Wednesday, the 11th inst., at Nevill Street, Abergavenny, the wife

of William Dynie Steel, M.D., of a son.MARRIAGES.

EDWARDS-DRIVER.-On the 14th inst., at St. Peter's, Cratsley Gardelss, by theRev. J. F. Downes, F. Swinford Edwards, FI.R.C.S., of Wimpole Street, W.,to Evelyn Dudley. only daughter of S. Dudley Driver, Esq., of WestgateTerrace, South Kensington.

MILLIGAN-ANDERSON.-At the Presbyterian Church, Marlborotugh Place, St.John's Wood, London, on the 17th inst., by the Rev. Professor Milligan,D D., the University, Aberdeen (father of the bridegroom), assisted by theRev. J. R. Gillies, M.A., William Milligan, M.B., C.M., Manchester, toBertha Warden, daughter of James Anderson, Esq., Frognal Park, London,and of Bicton, Aberdeenshire.

DBATHS.HARMAH.-On June 17th, at 27, Hamstead Road, Handsworth, Birmingham,

James Harmar, M.R.C.S., L.S.A.PAINE.-June 13th, at Corbett House, Stroud, William Henry Paine, M.D.,

F.R.C.P.. F.G.S., etc., J.P., Gloucestershire, aged 66.WHITEFOORD.-On the 'th inst.. at his residence, St. John's Wood, aged 82

years, Charles, eldest surviving son of Caleb Whitefoord, F.R.S., anid grand-son of Sir Adam Whitefoord, Bart., of Blairquhan, Ayr, N.B. Buried inWhitton Churchyard, Burford, Salop, Thursday, the 12th inst. Requiescatin pace.

1470 THE BRITISH MEDICAL .JOURNAL. [June 21, 1890.

HOURS OF ATTENDANCE AND OPERATION DAYSAT THE LONDON HOSPITALS.

CANCER, Brompton (Free). Hours of Attendance.-Daily, 2. Operation Days.-Tu. S., 2.

CENTRAL LONDON OPHTHALMIC. Operation Days.-Daily, 2..CHARING CROS.S. Hours of Attendance-Medical and Surgical, daily, 1.30; ob-

stetric, Toi. F., 1.30; Skin, M. 1.30; Dental, M. W. F., 0. Throatalnd Ear, F., 9.30. Operation Days.-M., 3; Th. 2.

CHELSEA HOSPITAL FOR WOMNEN. Hours of Attendance.-Daily, 1.30. Opera-tiois D.zys.-M. Th., 2.30.

EAST LONDON HOSPITAL FOR CHILDREN. Operation Day.-F., 2.

GREAT NORTHERN CENTRAL. Ihlurs of Attendance.-Medical and Surgical, M.Tu. Wed. Th. F., 2.30; OIbtetric, W., 2 30; Eye, Toi. Th., 2.30;Ear, M. F., 2 30; I)iseases of the Skin, W., 2.30; Diseases of theThroat, Th., 2.30; Denital Cases, W., 2. Operation Day.-W., 2.

Guy's. Hours of Attendance.-Medical and Sturgical, (daily, 1.30; Obstetric, M.Tti. F. 1.30; Eye, Al. Tu. Tb. F., 1.30; Ear, Tti., 1; Skin, Tu., 1;Dental, daily, 9; Tlhroatt, F., 1. Operation Days.-(Ophthalmic),M. Th., 1.30; Tu. F., 1.30.

HOSPITAL FOR WOMEN, Chelsea. Hours of Attendance.-Daily, 10. OperationDays.-M. Th., 2.

KING'S COLLECGE. Hours of Attendance.-Medical, daily, 2; Suirgical, daily, 1.30;Obstetric, daily, 1.30; o.p., Tu. WV. F. S., 1.30; Eye, M. Tb., 1.30;Ophtlhalmic Department, WV., 2; Ear, Tli., 2; Skini, F., 1.30; Throat,F., 1.30; Dental, Tu. TIl., 9.30. Operation Days.-Tu. F. S., 2.

LO.-DON. hoturs of Attendance.-Medical, daily, exc. S., 2; Snirgical, daily, 1.30,awd 2; Obstetric, M. Tik., 1.30; o.p. W. S., 1.30; Eye, Tu. S., 9; Ear,S.. 9.30; Skin, Th., 9; Dental, Tu., 9. Operation Days.-M. Tu. W.Tll. S., 2.

METROPOLITAN. Hours of Atten4ance.-Medical and Surgical, daily, 9; Ob-stetric, W., 2. Operation Day.-F., 9.

MIDDLESEX. Hours of Attenzdance. -Medical and Surgical, daily, 1.30; Obstetric,M. Th., 1.30; o.p., M. F., 9, WV. 1.30; Eye, Tu. F.,9; Ear and Throat,Tu., 9; Skin, Tu., 4, Tb. 9.30; Dental, M. W. F., 9.30. OperationDays.-W., 1, S., 2; (Obstetrical), W. 2.

NATIONAL ORTHOPHEDIC. Hours of Attendance.-M. Tu. Th. F., 2. OperationDay.-W., 10.

NORTH-WEST LONDON. Ilours of Attendmnce.-Medical and Surgical, daily, 2;Obstetric, W.. 2; Eye. W., 9; Skin, Tu., 2; Dental, F. 9. OperationDay.-Th., 2.30.

ROYAL FREE. Hours of Attendance.-Medical and Surgical, daily, 2; Diseasesof Women, Tu. S.. 9; Eye, M. F., 9; Dental, Th. 9. OperationDays.-W. S., 2; (Ophthalmic), M. F., 10.30; (Diseases of Women),S., 9.

ROYAL LONDON OPHTHALMIC. Hours of Attendance.-Daily, 9. OperationDays.-Daily. 10.

ROYAL ORTHOPEDIC. Hours of Attendance.-Daily, 1. Operation Day.-M. 2.

ROYAL WESTMINSTER OPHTHALMIC. Hours of Attendance.-Daily, 1. Oper-ationDays.-Daily.

ST. BARTHOLOMEW'S. Hours of Attendance.-Medical and Surgical, daily, 1.30;Obstetric, Tti. Tli. S.,2; o.p., W. S., 9; Eye, W. Ti;. S., 2.30; Ear,Tu. F., 2; Skin, F.. 1.30; Larynx, F., 2.30; Ortlbopnedic, M., 2.30;Dental. Tu. F., 9. Operation Days.-M. Tu. W. S., 1.30; (Oplitihal-mic), Tu. Th., 2.

ST. GEORGE'S. Hours of Attendance.-Medical and Surgical, M. Tu. F. S., 12;Obstetric, Th. 2; o.p., Eye, W. S. 2; Ear, Tto., 2; Skini, W., 2;Tliroat, Th., 2; Ortliopnedic,W., 2; Denltal, Tu., S., 9. OperationDays.-Th., 1; (Ophthalmic), F., 1.15.

ST. MARK'S. Hours of Attendance.-Fistula and Diseases of Rectum, males, W.,8.43; females, ThI., 8.45. Operation Days.-M., 2, Tu. 2.30.

ST. MARY'S. hiouirs of Attendance.-M1edical and Surgical, daily, 1.45, o.p.,1.30; Obstetric, Tti. F., 1.45; Eye, To. F. S., 9; Ear, A1. Tli., 3;Orthopvclic. W., 10; Thlroat, Ti;. F., 1.30; Skin, M. Thi., 9.30; Electro-therapeltics, Tu. F., 2; Dental, W. S., 9.30; Conisuiltations, M., 2.30.Operationt D.sys.-Tu., 1.30; (Orthopndic), W., 11; (Oplhtl;almic),F., 9.

ST. PETER'S. Houirs of Atte;dance.-M., 2 and 5, Tu., 2, WV., 2.30 and 5, Th., 2,F. (Women a;;d Children), 2 6.. 3.30. Operationt D,e.-W. 2.30.

ST. THOMAS'S. Hours of Attendance.-Mdedical and Surgical, daily, except Sat.,2; Obstetric. Tu. F., 2; o.p., V., 1.30; Eye, M. Tu. W. Tli., F, 1.30;o.p., (laily, except Sat., 1.30! ENar, M., 1.30; Skin, F., 1.30; Throat,Tu. F., 1.30; Children, 8. 1.30; Deiltal, Tu. F., 10. OperationDays.-W. S., 1 30; (ophbttslmic), Tu., 4, F., 2.

SA.MARITAN FREE FOR WOMEN AIND CHILDREN. Hours of Attendance.-Daily,1.30. Operation Day.-W., 2.30.

TiJROAT, Gc ien Square. Hours of AttaNdance.-Daily, 1.30; Tu. and F., 6.30.Operation Day.-Th., 2.

w2SIVHERSITY COLLEGE. Hozzrs of Attendance.-Medical and Surgical, daily, 1.30;Obstetrics, M. W. F., 1.30; Eye, M. Th., 2; Ear, M. Th., 9; Skin,W., 1.45, S., 9.15; Throat, M. Th., 9; Dental, W., 9.30. OperationDays.-W. Th., 1.30; S. 2.

WFnT LONDON. Hours of Attendance.-Medical and Surgical, daily, 2; Dental,Tu., F., 9.30; Eye, Toi. Th. S., 2; Ear, Tu., 10; Orthopaedic, W., 2;Diseases of Wome;;, W. S., 2,; Electric, Tu., 10, F.. 4; Skin, F., 2;Throat and Nose. S., 10. Operation Days.-Tu. F., 2.30.

WESTMINSTER. Hours of Attendance.-Medical and Surgical, daily, 1; Ob-stetric, Tu. F., 1; Eye, M. TIb., 9.30; Ear, M., 9 Skin; W., 1;Dental, W. S., 9.15. Operation Days.-Tu. IV., 2,

LETTERS, NOTES, AND ANSWERS TOCORRESPONDENTS.

COMXuNIcATIONS FOR THE CURRENT WEEK'S JOURNAL SHOULD REACH THE01FFICE NOT LATEB THAN MIDDAY POST OX WEDNESDAY. TELEmBAMS CANBE RECEIVED ON THURSDAY MORNING.

COMMUNICATIoNS respecting editorial matters should be addressed to the Bditor.429, Strand, W.Ca, London; those concerning business matters, non-deliveryof the JOURNAL, etc., should be addressed to the Manager, at the Office, 429,Strand, W.C., London.

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

AuTORBS desiring reprints of their articles pubUshed in the BRrTIx MEDICALJoURNAL are requested to oommunicate beforehand with the Manager, 429,Strand, W.C.

CoRREsPONDENTs who wish notice to be taken of their communications shouldauthenticate them with their names-of course not necessarily for publication.

CORoESPoNDExTS not answered are requested to look to the Notices to Corre-spondents of the following week.

MANUSCRIPTS FORWARDED TO THE OFFICE OF THI JOURNAL CANOT UNDER ANYCIRCUMSTANCES BE RETURNED.

PUBLIC HE:ALTH DEPATMENT.-We shall be much obliged to Medical Offoenof Health if they will, on forwarding their Annual axnd other Reports, favourus with Duplicate Copies.

IV Queries, answers, and conmunications relating to subjects to which specialdepartments of the JOURNAL are devoted, will be found under their ri sp(ctiveheadings.

QUERIES,

W. G. asks for the composition of " Dr. Wright's Pearl Ointment."

GROWING PAINS.PAINS asks for advice in the treatment, curative or palliative, of " growingpains."*** A note on Dr. Comby's recent observations on this subject is to be

found in the JOURNAL for April 16th, 1890, p. 816.

TREATMENT OF PRURITUS VULVA.A MEMBER wishes for advice in the case of a patient, aged 32years, the mother

of tbree children, who is suffering from pruritus vulvae, which came on whenbathing at the seaside last autumn, and has continued ever since in spite ofall the constitutional and local treatment which he and his medical friendscan think of. Lately the vulva was completely burnt with the thermo-cautery without any beneficial effect. The patient has no uterine disease, ex-cept a very slight leucorrhcea occasionally, and no sugar in the urine.

THE "WAGE LIMIT" AT HOSPITALS.DR. R. R. RENTOUL (Liverpool) asks to be informed of the existence of a rulereferring to the " wage limit " which debars applicants for receiving in-patit ntmedical relief at the voluntary hospitals. He does not refer to the " wagelimit" for out-patients.

ANSWERS.

MORPHINE HABIT.A CHEMIST writes: Seeing an inquiry as to relinquishing the habit of morphine-taking in the JOURNAL, I desire to bring to your notice my own case. I wasin business as a chemist, and through an accident was induced to takemorphine; it grew into a habit, and for years I took 60 grains a day. Aboutieleven years ago I became very ill, and my wife called in a medical man, whosaid the morphine must be given up. He had me under his care for sometime, and since October. 1880, I have not taken an atom.

I give the name of my doctor and my own name, not for publication, blitfor bonsfides.

INCOME TAx.MEMBER OF BRTTISH MEDICAL AssoCIATION will find in Chapman's IncomeTax; How to get it Refunded a special section devoted to the deductions whiclmay be made by doctors in making their returns. It is published at is. byEffingham Wilson, Royal Exchange, or will be sent post free by the IncomeTax Repayment Agency, 25, Colville Terrace, W., on receipt of thirteenstamps.

CERTIFICATES OF IDENTITY.F. S. A.-It is not customary-indeed, we never knew it done-to charge any

fee for signing the identity paper of a discharged soldier drawing pension. Itis a labour of love which magistrates or medical men perform.

TEE AvERAGE ALCOHOLIC CONSUMPTION.DR. R. S. STEWART.-We have no detailed information as to England, Scotland.and Ireland separately, but. the following has been the average annualconsumption of intoxicant. in the United Kingdom per head of the popu-lation: 1876,£4 9s.; 1886, £3 7s. 10d.; 1887, £3 7s. 8d.; 1888, £3 6s. 8d.; 1889,£3 98. Ild.

NOTES, LETWU, ETC.

RUSTICUS is requested to communicate his address.

THIE BIOLOGY OF DAILY LIFE.IN answer;to the author of The Biology of Daily Life, we would -express olurregret that we have in one particular inadvertently misrepresented his teach-ing. He does not, it would appear, recommend a bread made out of sawdust,-the passages in. which he dilatea uies suchdiet were, it would seem, " writsarcastic."

THE BIRIISHI MEDICAL JOURNA.t. fJune 21, 1890,

PRACTICE IN BRITISH COLUMI3DA.DR. M. D. BRYDONE-JACK (Vancouver, British Columbia) writes: As theseason for graduationi at the different college3 antd univer3ities is approach-ing, and gradtiates will be looking round for good locatioas, I have thoughtthat it might be advisable to give your readers an idlea of what BritishColumbia-which, perhaps deservedly, on account of its climate and naturaladvantages, is being brouglst before the public-will offer in the way ofattraction to the medical profession.Every person who desires to practise in British Columbia, iso matter what

their degrees are-whether university or college, English, Scotch, or Amnerican-is compelled to pass an examinationi in all medical and surgical subjects,comprising chemistry, physiology, anato:ny, materia medica, and all theother usual stubjects, and for this examination a fee of one hundred dollarsis cllarged.

These the present proportion of medical men to the population is abolut 1to every 400 or 500, and as the class of imnmigrants is a remarkably healthyonle, and as British Columbia itself is onie of the filuest and healthiest locali-ties in the worldi to live in, it follows tliat the proportion of sickness is verysmall. In Vanicouver, the largest aind most tvpical city in British Columbia-witlh. perlsaps, tlie exception at present of Victoria-tlse death-rate is 9.2per 1,000; and what will cositribute to make it still more healthy now is thefact that tisev are puttinig in anl efficieint systesn of sewerage, and they havealready what is probabl'y one of the best water supplies in the world.People need not be deterred from coming here by the fear of not having

efficient medical or surgical attenidance, as there are here in Vancouveralready eight or ninie practitioners, graduates of leading English and Scotchuniversities and colleges, while perhaps in the province there are altogetherbetween thirty and forty; then, in additioni to this number, we must reckoiiin numerous graduates of Canadian and United States colleges and univer-sities who are practising here; and I may further add that the class of prac-titioners is as a rule exceptionally good. I might, perisaps, say that theproportion of medical men to, tlle population is more than what is statedabove, as while writing I have heard of three more who are about to settle inVancouiver.

Wisile heartily endorsing everything favoisrable that can be said aboutBxitisis Columbia-its climate, natural resouirces, mininigr capabilities, farm-ing, lands, etc-it must be remembered that nio one ought to come to a newcountry witlsout being furnished with ample resources to assist in firstdeveloluing that country; thems, and then olsly, may he expect to reap anample harvest in return for lsis money.

It may, perhaps, intere3t your readers to know that the average annualrainfall mean is 58.40, and that the average temperature mean is 47 9S; itvery rarely goes below 340, anid very rarely above 701. We lIave in the distr'ctnumerous hot sl)rings, wlsich are available for the treatment of variousdiseases, and the hotel accommodationi is all that anyone can desire.

If any of youLr readers would like assy further islformation about theprovince and its prospects I shall te pleased to let them have it.

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M.O.H.; Mr. W. W. WVagstaffe, Sevenoaks; Dr. J. Oliver, London; Dr.Willoughby, London; Surgeon-General Hassard, Dublin; Dr. D. J. Cun-ningham, Dublin; Dr. C. 3. Mouncey, Earlestown; Dr. H. R. Crocker,London; The Rev. G. H. Wright. London; Dr. A. Duke, Dublin; Surgeon-Major C. S. Swaine, Jalna, Deccan; Mr. G. H. Makins, London; Mr. P. MI.Penman, Fleetwood; Mr. W. Fraser Roe, London; Mr. Arthur Wiglesworth,Liverpool; Dr. C. J. Evans, Northampton; Mr. C. II. Warren, London;Trompe; Dr. Russell, Glasgow; Dr. A. G. Bateman, London; Dr. W. B.Ransome, Nottingham; Dr. Kendal Franks, Dublin; Mr. H. C. Philli s.London; Autogenesis; Dr. C. It. Illingworth, Accrington; Dr. J. B.Hellier, Leeds; Dr. Burder, Clifton: Mr. M. L. Trechmann, London; Mr.E. G. Annis, London; Dr. W. M. Harman, Winchester; Mr. F. W. Lowndes,Liverpool; Mr. C. K. Cooke, London; Dr. Balding, Royston; Messrs. Oppen-heimer Brothers and Co., London; Mr. W. Powell, London; Mr. C. B. Burt,London; Mr. T. M. Watt, Hovingham; Dr. W. M. Kelly, Taunton; Mr. C.F. M. Althorp, Bradford; X.; Dr. S. Copeman, London; Equity; V. Wano-strocht, M.B., Beddgelert; Mr. J. R. Harmar, Birmingham; Rankle; Mr.J. H. Simpson, Rugby; Mr. W. Rivington, London; Dr. J. W. Moore, Dub-lin; Dr. E. .J. Edfardes, London; Surgeon H. W. Elphrick, Meean Meer;Dr. W. A. Carline, Lincoln; Dr. C. E. Puirslow, Birmingham, Dr. J. W.Byers, Belfast; Mr. R. F. Owen, London; Mr. L. Mark, London; The Secre-tary of the Doard of llealth, New South Wales, Sydney; A Doctor, etc.

BOOKS, ETC., RECEIVED.

Actions des Produits S6cretei par les Microbes Pathoglne3. Par Ch. Bouc'La xl.Paris: Gautbier, Villars, et Fils. 18°0.

Hygiene of Chi'dhood. By Francis 1H. Rankin, M.D. London: H. K. Lewis.1890.

The Shadow Test in the Diagnosis and Estimation of Ametropia. By W. M.Beaumont. London: H. K. Lewis. 1890.

Maladie de la Peau dite Maladie d3 Pagret. Par le Dr. Louis Wickham.Paris: G. Masson. 1890.

Gray's Botanical Textbook, Vol. II. Physiological Botany. By Gs:rge LincoLsGoodall, A.M., M.D. London: Macmillan and Co. 1890.

L'iLtoxication Chroniqsse par la Morphjine et ses Diverses Fornies. Par le Dr.L. It. 1dgslier. Paris: Aux Bureaux du Progres Medical. 1890.

Contribiltion a 1'13tude de la Syringomy6lie. Par le Dr. I. Brulis. Paris: AuxBsurau.x du Ps'ogrHs Medi,al. 1890.

Les B et6ri( s et leur IhOle dans l'Iltiologie, l'Anatomie, et l'Histologie Patholo-gqtles de} Maladies Infectieuses. Par A. V. Cornil et V. Bares. Tomne3I et II. Troisi6me Edition. Paris: Felix Alcan. 1890.

The Throat and Nosa and their Diseases. By Lennox Browne, F.R.C.S.E.T'llird Edition. London: BailliOre, Tinidall. and Cox. 1890.

£eee:ted Subjects in Connection with the Surgery of ITnfancy and Childbocd,beilg the Lettsomian Lectures delivered at the Medical Society of London,1890. By Edmund Owen, M.B., F.R.C.S. London: Bailli6re, Tindall, andCox, 1890.

On Localised Peritonitis, its Etiology, Diagnosis, and Treatment. By JohnWallace. M.D. London: Baillifre, Tindall, and Cox. 1890.

Practical Manual of Diseases of Women and Uterine Therapeutics. Bv H.Macnaughton Jones, M.D. Fourth Edition. London: Baillifre, Tiusdall,and Cox. 1890.

What Cheer O? By Alexander Gordon. London: James Nisbet and Co.Burdett's Hospital Annual for 1890. Edited by Heniry C. Bsrdett. Loadosn:

Office of the Hospital. 1890.Oxford anid Modern Medicine; a letter to Dr. James Andrew. By Sir Henry

Acland, K.C.B., F.R.S. London: Henry Frowde. 1890.

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