FEB. 25, I9221 MEMORANDA. [rtICALJOURAL 3T?

on a rigid milk diet (in addition to mist. carbonatis, lei in die)until tlhe twenty-eightlh day. Before discharae eaclh onereceives instructions as to what lhe should cat and diinkduring the ensuing year-invariably some alcoholic stimulantbeing recommended at lunch aud dinner.

It may not be reckoned irrelevant if I touclh on the proplhy-lactic treatment of this too prevalent malady, and in order toavoid prolixity, or getting ollt of deptlh, I will briefly nmention" ten commandments " whiclh I lhave found of great scrvice tocandidates for gastric ulcer wlho perforce lhavo to elke otita sedentary existence, withl comparatively little out-doorexercise.

1. As a general rule indulge only in two meals a day, andtake only two plates to each imieal-nmeat witlh vegetables, andfruit, with or without light milk pudding, or clheese.

2. Masticate thorouglhly, have any bad "stuinps " extracted.3. Take, in moderation, whatever alcolholic beverage is

most congenial to your stonmacll-tlhat is to say, wljiclh doesnot, lhours afterwards, create excessive acidity or a feelinaof "liver."

4. Whenever practicable, rest mind and body for one lhourafter a meat luuchl in order to allow tlle diaestive macllineto get ready before an extra call for blood is made by brainor muscles.

5. Allow at least a six-hour interval between mnidday andevening meals.

6. Do not pollute the refreslhing cup of afternoon tea withbread-and-butter, cakes, scones, or othler decomposing fer-menting carbolhydrate messes, wlhiclh deprive the unfortunatestomaclh of all clhance of a rest before it lhas to tackle itsdinner problem.

7. Abjure the use of any form of alcoholic refreslbrentexcept at your lunclh and dinner table.

8. Whenever feasible take a stroll in tlle evening afterdinner, and sleep in a room witlh a large open window-niotin a drauglht-so tljat the blood may be properly oxygenatedduring the eighlt hours of repose.

9. Make it a creed to talke regular morning exercise: beginwitlh a liard suap of slladow-boxing (commuence with twentyaud work gradually up to 100 double clouts) in order toextenid thle h1eart iimuscle alnd elastic tissue of the lungs;follow witlh plhysical exercises, tlleni lhave a cold slhower batl,and promptly conclude with towel drill before some opendoor or window.

10. Dnlce est desi'pere in loco, but iiot too often.I am aware thlat I tread on delicate grounid in advocating

tllo general moderate use of alcolholic drink witlh meals. I doso, not iniflated witil any exalted idea of preparina any mediumfor tlhe gradual evolution to a future conception of someincomnprelhensible super-race, but to endeavour to mnake thebest and most agreeable of wlhat we are, and to lubricate thecranking gear of life tlhrouglh its cllequered and allotted spanby applyinig the lessons detived froi thlirty years' experiencein meilical practice.

In response to the " Hillelujall cantations of asceticmrummers whose psychological diapason is solely comnprisedof one hlyplhenated falsetto-to eradicate an abuse it isnecessary to lop off the use-I lhave no compuuction inaffirming that the rational dietetic use of the fermenitedjuice of the grape, of the lhol, and of some cereals,is a godsend to miian's digestion, and tllat wlhile the indis-crimiinate use or bestial abuse of tile same unquestionablyspeeds down to tlle gra-ve, uuiversal total abstention wouldtend, in a comparatively slhort cycle of time, to dopopulatethle eartlh, and, in all probability, would compel wlhat-ever miglht remain witlh human form ultimately to seekref£ue in the simian freedom of an atboreal existenice.

TIme die is cast and the test is now beinig applied on a largescale: may I beg my readers and their descendants carefullyto note and compare, in the respective wet and dry zones,the fqture incidence of tuberculosis, cancer, lunacy, diabetes,-esistance to infection, addiction to thle drua lhabit, andfrequent and prolonged tours abroad for business, healtlh, andpleasure purposes ?

A COMMITTEE appointed to consider a suitable mihenmorialfor the soldiers of Madison County, -New York, lhas recom-menled the erection of a tuberculosis hospital to be main-tained, under the provisions of the State county law, at theexp?ense of the county.1)UIING 1921, according to the Newu York MIedical Record,

mledical pr.actitioners in New York state issued a. total.of946,700 presceriptions for alcoh6h'lA the Chicago district thenumrber was 2,189,000.

MEDICAL, SURGICAL, OBSTETRI-ICAL.BLINDNESS FOLLOWING INFLUENZA.

INTO my consulting-roomi in South1 Africa so$1e years agowas led by two friends a man wlho was said to be blind. Helhad liad influenza. Examination slhowed only a low degreeof lhypermetropic refractive error. Deciding there wasnothing to prevent tthe patient seeing, I put up hiis correctionand told hiim to read tlo letters on a board wlhich wasopposite hiim. This lie promptly did, to Ihis deliglit and tothe mystification of hiis friends. I told him lhe did not needany glasses as he was an outdoor worker. He walked out ofmy room unassisted. Presumably the blurring-whiclh a lowerror of hypermetronia will produce-lhad been exaggerated bythe weakness of tlle ciliary muscle resultina from influenza.Tlhat lhe tlhought lhe was blind was obvious. Not only was lieled into mv room, but lie was actuallv on hlis way to book hispassage to England to see an eye specialist.Iilnhurst, nr. Rotherhani. CHARLES J. HILL AIT1EEN, M.D.

DUODENAL ULCER IN A NEWBORN INFANT.ON February 9tlh I attended a Mrs. X. in her second confine.ment, after an interval of six years. After a normal labourslhe was delivered of a hlealtlly female clhild, weighing justunder 8 lb. Respiration was not well establislhed at first,but after a few minutes the clhild breatlhed well and was alhealthy colour. The first fourteen lhours of life were un-eventful, and the clhild appeared to be normal in everyrespect. There was tlheni sudden haemorrliage from tllemOouth and the passaae of somewlhat dark blood per rectum.Calcium lactate witlh 1 minim of a 1 in 1,000 adrenalineclhloride solution was given by the moutlh, and rectal salines(1 oz. every lhour) administered. For several hours the childappeared to improve, but twenty-eight lhours after birth shedied after a profuse lhaematemesis and melaena.

I was fortunately able to get the consent of tlhe fatlher fora post-mnortem examination. Tlle stomach was full of Woodclot, but lhealtlhy. About lhalf an inch-from the pylorus tlherewas a small duodenal ulcer ratlher less than half tlhe sizo ofa threepenny-piece. The duodenium was' full of blood clot.There was no hiistory of lhaemopliilia or syplilis.

I unfortunately did not preserve the specimen, as at thetime of the J)08t-mnortem examiuation I did not think ofpublishliing the case.Braintrce. _ H. G. K. YOUNG.

CASE OF TRYPANOSOMIASIS FROM WEST AFRICACURED BY ANTIMONY.

So much has been said aud written about special metlhods oftreatment and curds of trypanosomiasis by serum therapyand so-called specific drugs that it seems justifiable to bringforward a case of miy own to add to those qnoted by Low audNewlham, wllicii were under tlle care of MIan3on and Daniels.Thbe patient served in tlle British Expeditionary Foirce intlle Cameroons in 1915; wliile there hie contracted nmalariaquartan and subtertian, Filaria loa, with its embryonic formF'. diurnta, and Trylpanosonza gamibiense. After many adven-tures lie reaclhed England, and came under mny care in theDreadnouglht Hospital from Februaiy to November, 1916.At one time trypanosomes were very abundant (4,000 per cubicmillimetre), witlh cyclical outbursts, tlle general conditionbeing bad. Atoxyl controlled but did not eradicate theinfection. Under intravenous injection of antimnony oxide1/2 grain the blood was rapidly cleared. For a year lie wasunider constant supervision in the laboratory at Greenwich,wlhere treatment was continued. In May, 1917, he was againadmitted into lhospital for a furtlher course of antimony, astlhere was a definite relapse, wlliclh rapidly' cleared ul). Asingle trypanosome was found in 1918, but none since; filimshiave been examined montlhly. He had a cou'rse -of ten in-jections each spring in 1918, 1919, and 1920, of 1/2 to 2 grainsof antimony tartrate. This patient is now* (1922) doing work,and is well but for tlle Calabar swellings; lie ha filaria inhis blood and a high eosinophilia. Thle strain of T. gambiens8is being mainltained in guinlea-pigs, and hlas reachsed thoesixteenthl passage.The case may nowr be claimled as a severe infection of

T. qamsbie'nsc cured by repeated injections of anltimony.L:ondon. W. PERCY BASSETT-SMIITH. Ki.C.B., O.M.G.

3-32- FEB. 25, Ig22 OMBITEACAY. r JORnLg

DR. BERTRAM HAROLD KrNGSFORD died on January 29tb,at Slherwood, Woliing, from acute leukaemia of under threeweeks' duration, at the age of 51. Bertram Kingsford wasborn in Chelsea and educated at Merchlant Taylors School,London, and received his medical training at St. Thomas'sHospital. He became M.R.C.S., L.t.C.P. in 1892, M.B.Lond.in 1895, and M.D.Lond. in 1905. After leaving St. Thomas'slie lheld various resident posts in London and otlher liospitalr,liaving been lhouse-physician and house-surgeou at thie WestLondon Hospital. For two seasons lhe was surgeon on theNile steamers. He went to Woking twenty-five years ago. Inthe course of a busy professional life he was always ready togive the benefit of bi3 medical knowledge for the furtheranceof -any good work. He had been actively cOgaaed with theWoking Division of the Britislh Red Cross Society., instructingmany in first aid and nursing for maay years. He was one ofthe honorary medical officers of tlle Victoria Cottage Hospital.)lFor some years be lhad lheld the appointment of police surgeonto the -Woking Petty Sessional Division, public vaccinator ofthe Woking District under the Guildford Union, and certifying-factory surgeon to thje district. Dr. Kingsford was a prominentFreemason, being a member and past-master of the WeysideLodge and a member of tlhe Chesselden Lodge; he was alsoan old member of the British Medical Association. A colleaguewrites: Kingsford -built up a large practice in Wok1iDg, byreason of his untiring efforts, grcat sympatlhy and kiindness;knowing the end that awaited him, hiis fortitude, bravery andunselfishness were an example to all. He will he missedsadly by his devoted patients, friends and colleagues. Tlhememorial service, whiclh was most impressive, was attendedby hundreds, representative of various interests, to pay a.last tribute to th1e memorv of tl:eir friend. His remainswere cremated and buried at Brookwood Cemetery, beside tlheaslhes of hiis wife, wlho died tlhree years ago. Kingsfordleaves one daughter to mourn hlis loss.

Wz' regret to announce the death, on February 13th, ofMr. CHARLES WRAY, of London and Croydon. He receivedhiis medical education at the London Hospital, and took thediploma of MiR.C.S. in 1881, proceeding to the F.R.C.S. in1886. He specialized in ophtlhalmology, and was ophthalmicstirgeon to thie Crovdon General Hospital and to tlhe infirmaryand council schlools at Croydon. He was a member of theOplAtlalmological Society and of the British Medical Asso-ciation. Dr. E. H. Willock, late honorary secretary, CroydonDivision, writes: By the death of Charles WrayViyle BritishMedical Association has lost a staunch supporter. He wasa most active member of the Croydon Division and SurreyBranclh, and no clinical meeting was ever complete without anexlhibition of interesting cases by hiim. As an ophtlhalmologistbe was frequently in advance of the times. H-e was a skilfuland car6ful operator. (t vast experience, his opinion wasmuch sought-after and valued for the soundness of its judge-ment. Wray was a great and original thinker on manysubjects. He was generous, almost to a fault. His left handnever knew what hiis right lhand. did, and everything wasbestowed witlhout publicity or ostentation. Many of hiis pro.fessional brethren lhave lost agood friend in Charles Wray.

DR. AUGUSTINE MARSHALL of Lowestoft died on February2nd. Born in Leeds in 1866, lhe was educated at St. Thomas'sand the London Hospitals. He took the diploma of M.R.C.S.,L.L.C.P., and L.S.A. in 1894, the M.D.Brux. in the same year,and the D.P.H. in 1899. For some twenty years lie had beenmedical officer of health for the borouagl and port of Lowestoft,and was also scllool medical officer. He was aNvays mindfulof the welfarc of tlje town as a hlealtlh resort and brouglhtabout many hiygienic improvements. Dr. Marslhall had notbeen in good hjealthi lately, but continued to attend to hIisofficial duties and to the large number of cases recently at tllesanatorium, wlhcic hie was takeni ill suddenly. He wasformerly lonorary assistant surgeon to the Lowestoft Hos.pital, lheld maniy piiublic appointments, and was a member oftle-Nortlh Suffolk Division of the Britislh Medical Association.A keen yachtsman, a hard-working and painstaking official, inprivate practice considerate and comforting, his loss will begreatly folt in Lowestoft.

THEF cath is announced of Dr. GEORGE SAMUEL WILD ofFreDslfield anid Bootie. Ile was .educated at Liverpool, whereIle became Derby s-icholar in clinical medicine and surgery in

1884, in which year he took the diplomas of M.R.C.S.Eng.and L.R.C.P.Edin. In 1892 he took the D.P.H.R.C.P.S.I.,and graduated M.D.Durh. in 190O. He was consultingphysician to tlje Bootle Borough Hospital, and showed greatinterest in public affairs. He served as a towvn councillor fora long term, and was appointed Mayor of Bootle in 1901. Hewas created an aldertnan in 1903, but retired in 1908. InNovember, 1903, he was appointed a Justice of tlle Peace, andcontinned to act on the rota ever since. He was a member oftlle Soutlhport Division of the Britislh Medical Association.Dr. Wild is survived by his widow and a daughter.

DR. THiOMi0AS FRANKLIN PEDLEY died suddenly of heartfailure at Bridce HIouse, Rangoon, on January 13th, aged 67.He was the eldest son of the late George Pedley of The Haven,Surrey, and was educated at Guy's Hospital, taking thediplomas of M.R.C.S. and L.S.A. in 1876, and thle M.D. -of,Brussels in 1879. Shlortly after he went out to Burma, andhad practised in Rangoon for over forty years, lholding formany years the post of health officer of the Port of Rangoon,and latterly that of honorary mecdical officer of the DufferinMaternity Hospital. He joined the Rangoon Port Defence-Volunteers as medical officer in 1880, rose to the rank ofsurgeon lieutenant-coloniel, and received tlie Volunteer OfficersDecoration in April, 1899. He also held the first class gold'medal of thoe aisar-i-Hiud Order.

DR. JOHN GORDON LESLIE, late temporary Captain R.A.M.C.,-died at Guildford on January 23rd, aged 57, of septicaemia,caused by a 6.cratcli from a needle while performing a po8t-mnortem examination. He was educated at Edinburgh, wherehe graduated -M.B. and C.M. in 1893, and before the war wasin practice at Newent, Gloucestershire. He joined theR.A.M.C. as a tempporary lieutenant on August 1st, 1917,becamo captain after a year's service, and during the warserved in Egypt. He was on board thle Braemzar Castlewhen shie was torpecdoed in the Mediterranean.

LIEUT.-COLONML GEZORGE HERBERT LE MOTTI.E, R.A.M.C.(ret.), died in Guernsey on January 18th, in his seventy-secondyear. He was educated at Elizabetlh College, Guernsev, andMarlborough, and at King's Colleae H-ospital; he took thiediplomas of M.R.C.S. and L.S.A. in 1872, and became M.D. ofSt. Andrews in 1884. He entered tlle Army Medical Servicein 1875, passing into it at the lhead of the examnination list.His military service was spent clhiefly on foreign stations-South Africa and India. His last appointment was in India,as head of the Military Hospital in Quetta, an appointmenthe lheld for four years. He returned hoiue on sick leavein 1901, and shortly afterwards retired. In 1902 he returnedto his native island, and in the same year was elected a Juratof the Royal Court. During almost twenty years of publicservice lhe held the office of Supervisor and Treasurer of theStates for two years, and was also President of the St. PeterPort Harbour Committee and of the Board of Healtlh. In thelatter capacity he was instrumental in effecting.many improve.-ments and innovations, often in tlhe face of great difficulties.He had a very large circle of friends, and his old-fashionedcourtesy possessed a peculiar clharm of its own. ColonelLe Mottee married in 1889, and hlis widow and two daughterssurvive him.

UNIVERSITY OF CAMBRIDGE.AT a congregation held on February 17th the following were amongthe degrees conferred:M.B. AND B.CH.-E. L. Dobson, L. P. Costobadie, K. J. Yeo.M.B.-J. M. Lawrie.

UNIVERSITY OF BRISTOL.THE, following candidates have been approved at the examinationfindicated:FINAL M.B.. CH.B.-*P. Phillips, IM. Critobley, W. K. A. Richards.

Part 11 (Completing Examinatio7): lbyllis Beames, Madge E.Golding. W. A. Jacknian, Winifred G. Nott, Victoria S. Try-on.Part I (incl1udina Forensic Medi ine and T'oxicologv): B. A. Crook.J. M. Evans, Constance L. Griffiths. F. J. Hector, Marguerite G.Hughes. Frances M. Jones. A. J. Keevill, E. C. K. Kenderdine,Doris M. Pullen, J. A. L. Roberts, H. L. Shepherd. Part Ieoniy:F. H. Bodman, Carrie If. Osmond. H. J. H. Spreadbury.* With first class honours. f With second class honours.

CH.M.-(G-ynaeco1ogy) R. S. S. Statham. (Laryngologv). E. Watson.Will iaius.

D.P.H. (Part I cnlv).-B. A. Astley-Weston.

r

THE WELSH NATIONAL SCHOOL OF MEDICINE.THE TUBERCULOUS DISEASES DIPLOMA, UNIVERSITY OF WALES

(T.D.D. WALES).Regtllatiouzs:C(urriculumn antd Certificates.

CANDIDATES for the Tuberculous Diseases Diploma (T.D.D.) mustpossess a medical qualification registrable for practice in GreatBritain andIrelanid, be not less than 25vears of age, and either,

Category A, have held, for a period of not less tlhan five years,whole-time appointments for work on tuberculosis,and presentedthe following certificates: (a) A certificate of general suitability forwork in conniexion witlh tuberculosis, signed by a tuLberculosisphysician, medical superintendent, medical officer of health orother medical man under whom or with whom the candidatehasworked for at least one year. (b) Certificates in support of the factthat the candidate has worked for five years in whole-time tuber-culosis appointments, signed by the representatives of the autho-rities for whom the work was performed, or by the administrativemedical officer concerned;

or, Categor-y B, have held a registrable qualification to practisefor at least one year, and presented the following certificates:(the courses may be taken concurrently) (a) A certiticate of satis-factory pursuanice of a course of consecutive post-graduate studyof the clinical and epidemiological aspects of tuberculosis of sixmonths' duration at a recognized university, medical school, orhospital where such a course is giveni. (b) A certificate of satis-factory pursuance of a course of consecutive post-graduate prac-tical study of the pathology anid bacteriology of tuberculosis ofthree months' duration at a tuberculosis laboratory or a recognizedgeneral laboratory where such a course is given. (c) A certificateof three months' satisfactory attendance at a tuberculosis instituteor dispensary. (d) A certificate of general suitability for work inconiiexion with tuberculosis, signed by a professor of tuberculosis,or the Dean of the Medical Faculty, or the registrar of the hospitalwhere the course of six months' duration covered by certificate (a)has been satisfactorily pursued.

Exantination.The diploma will be granted to such candidates as pass an

examination divided into two parts, as follows:Part1.-(a) A written examination on the clinical and epidemio-

logical prolblerns of tuberculosis. (b) Oral and practical work,including the examination of patients, the recording of thephysicalsigns found tQ be present, the recognition of pathologicalspecimens, and a vi va- voce examination.Parit 2.-A written and practical examination on the pathology

and(I bacteriology of tuberculosis. But in the case of candidates ofCategory A, Part 2 may be remitted on the submission and accept-ance either of a thesis setting fortlh the results of clinical orepidemiological inlvestigation carried out by the candidate inconnexion with tuberculosis, or of reprinits or copies of not less thautwo original articles on tuberculosis published by the candidate inthe miledical press.An examinatioln in each part will be held annually on the first

Tuesday anid Wednesday of July in each year. Notice of candi-dature, together vith the entrance fee of£1010s. and the necessarycertificates, must be forwarded to the Registrar of the University,University llegistry, Cathays Park, Cardiff, not later thanJune 18tl.

IT is understood that Sir Alfred Mond has made substantialprogress in negotiations with various authorities and interestswith the object of getting agreement for a Pare Milk -Bill.His hope is to introduce and pass a measure this session, butthat may depend on the propinquity or otherwise of ageneral election. The probability is that the lines for legis-lation would be the establishment of a standard for milk,and the grant of greater powers to local authorities for in-spection of dairies. An important point not yet decided iswhether the exercise of such powers should be compulsoryor optional. The establishment of a standard would notnecessarily debar the sale of lower grade millk.AT a meeting at Essex Hall, on February 21st, the University

of London Labour Party adopted as its parliamentary candi-date Dr. W. H. R. Rivers, F.R.S.,.Praelector in. NaturalScience, St. John's College, Cambridge. Mr. Sidney Webb, thecandidate at the last election, who is standing for anotherconstituency, proposed the adoption of Dr. Rivers, andamong those who spoke in his support was Sir ArthurNewsholme, who described Dr. Rivers as the most advancedand original anthropologist in this country, whom the Uni-versity would honour itself by electing. The proposal wasunanimously approved; and Dr. Rivers, in accepting theinvitation to stand, mentioned that he was himself a Londongraduate, and that his 'whole academic career until he was30 years of age had been passed in Lrondon University. Heexpressed his whole-hearted adherence to the Labour pro-gramnle, which as a scientist newly turned to politics hefound very satisfying on account of its clear-cut principles.He criticized the Geddes proposals so far as they related toeducation. The meeting was small, but several persons ofdistinction sent messages. Sir Sydney Russell-Wells is theConservative candidate.

THEspecial six weeks' course in surgery, arranged by theFellowship of Medicine and Post-Graduate Medical Associa.tion, began on Monday last, and will be continued during thenext five weeks. There is a morning and afterhoon sessionon each day, and the appointments have been so arranged asto involve aminim-aum of travelling. Full particulars can beobtained fromi the Secretary of the Fellowship of Medicine,1, Wimpole Street, W.1.AT a meeting of themedical staffs of voluntaryhospitals in

Birmingham, held on February 13th, Mr. Albert Lucas andMr. William Billington were elected representatives of theBirmingham Voluntary Hospitals Committee appointed toassist the Conmmilission charged with the distribution of theGovernment grant of£500,000 for the benefit of voluntaryhospitals, and for the co-ordination of service's and appeals.MR. JOSEPH BARCROFT, F.R.S., Fellow of King's College,

Cambridge, deliwered the sixth Harvey Society Lecture atthe New Yorlk Acadeimiy of Medicine, on February 11th, on"The raison dYtre of the red corpuscle."THE programme for the ensuing session of the Child Study

Society, London, includes a lecture byMr. Macleod Yearsley,F.R.C.S., entitled"A plea for the deaf child," on April 6th,and a paper oln April 27th on" The natural defences of theupper air passages," by Dr. Octavia Lewin. The meetingsare held on Thursdays, at 6 p.m., at the Royal SanitaryInstitute, Buckiiuglhamu Palace Road, S.A. 1; particulars canbe obtained from the secretary, Miss H. M. Richards, at thataddress.A GRANT of 75,000 dollats has been made to the Health

Commissioner of New Yorli to employ additional medicalpractitioners, nurses, and inspectors in connexion with anunusualnumuber of scarlet fever cases in the city, and to takeprecautions against the possible recurrence of an epidemic ofinfantile paralysis, which usually runs in cycles of five or sixyears. In 1920 there were 6,885 cases of scarlet fever inNew Yorlk, in 1921 there wvere 13,880. Part of the grant willbe spent on the laboratory study of scarlet fever and infantileparalysis.PROFESSOR CHAUFFARD has been elected vice-president of

the Acad6mie de MIedecine for 1922.THE lecture committee of the Boston (U.S.A.) Society of

Natural History has reorganized itself into the Committeefor the Protection of Animal Experimentation, and an appealfor funcds signed by leading mnen of science in America,hasbrought, it is stated, an encouragting response. the commnitteowas formiied to combat the activities of the various anti-vivisection societies. in America, which were beginning tomenace the health of the cornmunlity; in California last year,for instance, a mrieasure that threatened all animal experi-mentation was defeated with some difficulty.DR. HENRI CLAUDE has-recently been appointed professor

of mental diseases in the Paris Faculty of Medicine insuccession to the late Dr. Ernest Dupre.THE Uniiversity of Toronto has instituted a post-graduate

course for a diploma in radio!ogy. Candidates for thediploma are required to be graluates in medicine o- a uni-versity recoguized by the Senate, and must also have spentat least one year after graduation in a resident appointmentat a recog,nized hospital. The curriculum for the diplomaextends over eight montlhs, and includes radiographic tech-nique and interpretation, and gastro-intestinal examination.A COURSE of five lectures dealing with recent researches

on the accessory food factors will be given by Dr. 1S. S. Zilvaat the Battersea Polytechnic, Battersea Park Road, S.W.1l,on Thursdays, from 5.45 to 6.45 p.m., commencing onMarch 2nd. The fee for the course is 10s.DR. G. 0. C. MACKNESS of Broughty Ferry has, on the

occasion of his retirement from practice, been presented byhis friends and patients with a cheque for £700 as a mark oftheir esteem for his services to the cotnmunity.AMONGST the volumes announced for early publication by

Messrs. J. and A. Churchill is Thte Principles of Radiology,by Dr. J. A. Crowther, University Lecturer at Cambridge inPhysics Applied to Medical Radiology; it will contain fifty-fiveillustrations, and deals with the physical side of the subject:Messrs. Heinemann will shortly publish a book on anaes-thetics in practice and theory, by Dr. Joseph Blomfield, O.B.E.DURING the week ending February 18th the number of

deaths from influenza showed a further decrease. In the105 great towns the figures were 670 against 759 in thoprevious week. In London there were 17 fewer deaths fromthe disease than in the week ending February 11th (92against 109). There was an increase in Liverpool (54 against43). In Cardiff, Edinburgh, and Glasgow the number ofdeaths from influenza were 19, 24, and 28 respectively,against 27 in the first-nlamed town and 48 in the latter twoin the previous week. Wlhile in the aggregate of the 105great towns there was an increase of 408 ideathis fronallcauses, the deaths from influenza showed a decline of 89.

I

'FEB. 25, 19221 r Tjwz Bit, MICDXCAL JOURNAL 333MEDICAL NEW S.

334 FEB. 25, 1922J LETTERS, NOTES, AND ANSWERS.L MEDICALURNAL

THE British Committee for Aiding Men of Letters andScience in Russia has received a letter from ProfessorOldenburgh, Permanent Secretary of the Academy of Sciences,at Petrograd, stating that the books dispatched in ten casesfrom this country had been received and had been placed ina special reading room at the House of Savants. He ex-presses the deep gratitude of scientific workers in Petrogradfor this stimulating intellectual aid. The British Committeeconsiders that its work is now at an end. It receivedaltokether £448. Out of the surplus it has spent £50 on booksfor the University of Latvia, and the small balance will be'handed over to the'Universities Committee of the Imperial-War Relief Fund.THE use of solutions of hypochlorites for the disinfection of

ivatetr and to assist in the disinfection of clothes In thelaundry* is well known. Messrs. Vincent Robert's and Co.,-en'gineers of Leeds, have a machine which produces sodiumnhypochlorite by electrolysis and can be used wherever anelectric current is available. They have issued a' leaflet con-taining some reports from factories and institutions wheretheir electrolyser has been used with success. In a noteappended by the firm to these reports there is an error."Disinfectants," it is stated, "only disguise unpleasantsmells." The distinction is between disinfectants, anti.septics, and deodorizers.' An effective disinfectant used inproper proportions destroys the organisms with which-'it isbroug-ht into contact, and this is what the hypochlorites 'do.-Antiseptics inhibit bacterial growth iand prevent decomposi-tion. Deodorants merely oxidize or absorb malodorousproducts. 'Reference may be made on -this point to Hygieneand Putblic Health, by Parkes and Kenwood (sixth edition).IT is reported that the number of foreign medical students

in France increased from 1,192 in 1920 to 1,555 in 1921.THE idea of making all sizes of medicine bottles with the

same size of neck (to fit an ordinary 6 oz. bottle cork) shouldprove exceedingly useful to the dispensing practitioner; suchbottles are being made by the Medical Requisites Company,of 54, Deansgate, Manchester.

3tittrz1 , otte, anub mturr.As, owtinig to printing difficulties, the JOURNAL mu1tst be senzt to press

earlier thant hitherto, it is essential that comnnumications inttenzdedfor the currentt issue shoutld be received by the first post onTuesday, and lengthy docunments on M,onday.

ORIGINAL ARTICLES and LETTERS forwarded for publication areunde-rstood to be offered to the BRITISH MEDICAL JOURNAL alonetnless the contrary be stated.

CORRESPONDENTS who wish notice to be taken of their commntinica-tions should authenticate them with their names-of course notnecessarily for publication.

AUTHORs desiring reprints of their articles published in the BRITIIMEDICAL JOURNAL are requested to communicate with the Office,429, Strand, W.C.2, on receipt of proof.

IN order to avoid delay, it is rarticularly requested that ALL letters onthe editorial business of the JOUIRNAL be addressed to the Editor at theOffice of the JOURNAL.

TiE postal address of the BRTTISH MEDICAL ASSOCIATION and BRITISHMEDICAL JOURNAL is 429, Strand, London, W.C.2. The telegraphicaddresses are:

1. EDITOR of the BRITIsH MEDICAL JOURNAL, Aitiologv,Westrand, Lonzdon; telephone, 2630,- Gerrard.

2. FIDANCIAL SECRETARY AND BUSINESS MANAGER(Advertisements, etc.), Articulate. Westranid, London; telephone,2630, Gerrard.

3. MEDICAL SECRETARY, Medisecra, Westrand. London; tele-phone, 2630, Gerrard. The address of the Irish Office of the BritishMedical Association is 16, South Frederick Street. Dublin (telegrams:Bacillus, Dutblitn; telephone, 4737, Dublin), aud of the Scottish Offiee,6, Ruttland Square, Edinburgh' (telegrams: Ass6ciate, _Edinburgh;telephone, 4361, Central).

QUERIES AND ANSWERS.

TREATMENT OF TAENIASIS.A CORRESPONDENT writes that a patient of his has been afflictedwith a tapeworm (Taenia saginatta) for the past six years, whichhas defied all attempts to remove it. Filix mas, pomegranate,and pelletierine have all been tried; only the first gives anysatisfactory result, but the head has never been found. Ourcorrespondent invites suggestions as to further treatment.Some years ago Sir James Kingston Fowler described in our

columns (April 14th, 1906, p. 841) a method of treatment whichhe had employed for some time with success. (1) The patient iskept in bed. (2) For two or three, or in some cases four, daysthe diet consists of: Beef-tea, 2 pints; Mason's essence, one tin;two rusks; and port wine 4 ounces. During the same periodthe patient takes tabloids of cascara sagrada (gr. ij) three timesdaily. (3) OnI the fourth day (usually) at 5 a.m. haustus sennaeco.. j: at 9 a.m. a capsule containing itt xv of the extract ofmale fern; at 9.15 ditto; at 9.30 ditto; at 9.45 ditto; at 11 a.m.

haustus sennae co. j. If by 1 p.m. the worm has not beenpassed and' the head found a second course of treatment withmale fern at intervals of fifteen minutes is begun; to be followedin an hour by a purgative -draught.' If the head is not fountd athird course of treatment is prescribed. It is rarely advisableto continue the treatment beyond this without an interval of aday, as the patient may be somewhat exhausted.

INCOME TAX."K. R." asks how he should show the ownership of his residenceby his'wife -6n his income'ax form.

*** In making a decla'ration of total income the assessed valueshould be shown as incoi6e-of the' wife, and any payvments fronmwhich tax is deductible should be detailed in the space providedon such declarations.

LETTERS, NOTES, ETC.DR. EDGAR CYRLIAX asks us to correct an error made by him in his

letter published in the JOURNAL of February 11th, p.' 247:Line 11-12 should read " which had been' diagnosed as iivfluedZeia,"instead of "which had been diagnosed as scarlet fever."

THE TREATMENT OF PNEUMONIA WITH CREASOTE."M.D." writes: The treatment of pneumonia with a 'mixturecontaining 5 -minims of creasote and 10 grains of potassiumiodide in each dose, to be given every four hours, the dose ofcreasote to be increased if necessary, has been advocated,onseVeral occaSiO;ns iS>the ]3RUrH ME:DICAL JOURNAL. As tha,useof creasote may havre fal4en,into disrepute, I would suggest thatthe large dose of potassipnm- iodide-a, drachm daily-may .be adefect in the mixture, for in suclh large doses it probably-acts onlyas a depressant. Given in doses of a to3 grains it has a well markedexpectorant action, and thie addition9f a stimulatingexpectorantsuch as aromatic spirit otfammonia, is advantageous., 'The pre-ncriptjo-n' wlll then rdnas'follows':' Creasote ntv'; 'pot. lod. gr. ij;sp. ammon. arombat.-, sp. rectificat., ext. glycyrrhizae liquid.,iA 3ss; aq. chloroformi ad Sj; to be given every foiir hours.Probably not more than two ounces of brandy will be necessaryin the twenty-four hours. The potassium iodide should beomitted in cases with profuse expectoration. I lbelieve it issometimes beneficial to remove the pillows and raise the foot ofthe bed, if the patient can bear it, by way of draining thebronchi and aiding the expulsion of the sputum.

ROYAL COLLEGE OF SURGEONS OF ENGLAND.DR. RICHARD GILLBARD (Willesdeni Green) writes: The control

of the Royal College of Surgeons by the Fellows has been dis-cussed week after week in the lay press-a Sunday newspaper.I, hazard a guess, therefore, it will not be debarred from amedical one. Apart from the suggestive comparison of theM.R.C.S. and F.R.C.S. with the B.A. 'and M.A. of Oxford andCambridge Universities, the fact remains the F.R.C.S.' men area mere fraction of the College. It is a question of democraticcontrol and the Members being masters in their own house-ofthe House of Lords being over the Commons, the peers abovePym, Pill, and Balfour. If the Members with -these basic factsaffronting them acquiesce in the statius qu(o and government bythe Fellows, it is not possible to afford sympathy. They deservewhat they "' are about to receive."

BIRTHI CONTROL AND ABORTION.DR. MARIE C. STOPES writes: -As Presiden't of the Society forConstructive Birth Control and -Racial PFrogress, may I registerour committee's regret that in your -otherwise excellent pa-ragraph on abbrtion in Austria you have.uinfortunately headed it"'Birth Control.' in Austria",? ..True, the words are in invertedcommas, but we think it most deplorable_ that ,abortion slioutdever be referred to under the misnomer "]BirthContr6l."

VACANCIES.NOTIFICATIONS of offices vacant in universities, medical 'colleges,and of vac,ant resident abnd' other appolnitnien'ths'ospialswitl be foua'd at pages'26,'27, 30, 31, 32, andf 33 6f ourradvertisementcolumns, and. advertisem,ents as to paitnerships, issistantships,and locumtenencies at pages 28 and 29.

SCALE OF CHARGES FOR ADVERTISEMENTS IN THIBRITISH MEDICAL JOURNAL.

X cl

Sixlineg and under ... ... ... ... 0 9 0Each additional line ......... ... 0 1 6Whole single column (three columns to page) ... 7 10 0Half singlecolumn ... ... 315 0Half page... .. ... ...... ... 10 0 0Whole page ... ... ... 20 0 0

An average line contains six wordcs.All remittances by Post Office Orders must be made payable to

the British Medical Association at the General Post Office, London.No responsibility will be accepted for any such remittance not s0safeguarded.Advertisements should be delivered, addressed to the Manager, 429,

Strand, London, not later than the first post on Tuesday morningfpreceding publication, and, if not paid for at the timie, should beaccompanied by a reference.NOTE.-It is against the rules of the Post Office to receive z'oste

restante letters addressed either inl initials or numbers.