Dec. 6, 1890.] THE BRITISE MEDICAL JOURNAL. 1295

sphenoidal lobe in various directions, but no abscess could befound. He then passed the cannula inwards, with a slight in-clination forwards and upwards, until it entered the apex of thedescending cornu of the lateral ventricle. There was instantly afull stream of clear fluid, which gushed out through the cannula.Lister's sinus forceps was passed beside the cannula, and then adrainage tube was inserted, and the wound closed and dressed.The child began to move the right arm and leg whilst on thetable, and during the course of the afternoon recovered conscious-ness. His condition was most satisfactory. The next morning,pressure symptoms again presenting themselves, the drainagetube was taken out, cleaned, and replaced, but the symptoms didnot improve. In abouu four days the child died, and a po8t-mnortem examination was made. The ventricles were found tocontain a very small amount of a sanio-serous fluid, the drainagehad been quite efficient, but the cause of death was apparent onremoving the brain, for its base was found to be the seat of puru-lent tuberculous meningitis. The immediate beneficial resultsof the operation were, however, so marked that Mr. Franks hadbeen led to hope that, by interfering earlier in these otherwisehopeless cases, one might succeed in obtaining a good result.-Mr.WHEELHOUSE mentioned the fact that he had tapped and drainedthe cranium in a case of chronic hydrocephalus, but with asteadily approaching fatal termination; and had been so impressedwith the hopelessness of the case from the first to the last thathe made up his mind that the operation did not hold out a reason-able prospect of success. He drew attention to the essential dif-ference between the contents of the peritoneum, the pleura, andthe cranium.-Mr. MAYo ROBSON, in answer to Mr. Wheelhouse,wanted it to be clearly understood that, although he had men-tioned the fact of his having drained a case of chronic hydro-cephalus, his paper was intended to illustrate the advantage to begained by the relief of pressure by operation in acute cases, whichso often ended fatally by pressure. He said, in answer to Mr.Bruce Clarke, that in future he would modify the rapidity ofdrainage should he have to operate on a case of chronic hydro-cephalus, as although he believed, from the record of numerouscases in which the loss of cerebro-spinal fluid had persisted forseveral days or longer, that per 8e it was not necessarily dan-gerous, the rapid evacuation, as in hydrocephalus, might be inad-visable. Mr. Robson thought Mr. Kendal Franks's case very in-teresting, and he believed with him that in many cases of tuber-culous meningitis one might look for cure by operation.

MEMORA'NDA:MEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATHOLOGICAL, ETC.

ON DUGAS'S TEST FOR DISLOCATIONS OF THE HEAD OFTHE HUMERUS.

IN the memoranda of the BRITISH MEDICAL JOURNAL of October18th Dr. John A. Anderson gives a case of dislocation at theshoulder, in which he applied Dr. Dugas's test, and found it fail.I wish to confirm Dr. Anderson's statement by giving my experi-enee in a recent case.On November 20th a pit headman came to we suffering from an

injury to his shoulder. Owing to a scaffolding giving way he fella considerable distance. He could not say what position his armwas in when he fell. On making a careful examination t foundthe head of the humerus dislocated into the axilla. The articularsurface of the bone could be distinctly felt in the axilla when thearm was raised. There was a decided hollow under the acromion,the shoulder was flattened, and the 'elbow stuck out from the side.In addition, and very important, I think, as a confirmation of thediagnosis being correct, all these signs immediately and permaenently disappeared when I reduced the dislocation by extensionwith the heel in the axilla. I could make out no sign of fracture.After the reduction the patient moved the arm about and felt per-fectly comfortable.'Remembering Dr. Anderson's case I determined to see what

light mine threw on the matter. I found that I could put mypatient's fingers upon the opposite shoulder quite easily, and with-out causing any pain worth mentioning, while his elbow was closeto his side. He was a well-developed man but not at all stout.so that there was no fat to interfere with the close approximation

7

of the elbow to the side. I am inclined to think that the explana-tion of the condition lies in the fact that the muscles about thejoint were very lax, as the arm could be freely moved, and alsovery slight traction was required to reduce the dislocation.

I consider the matter of some importance as I believe manysurgeons rely on Dr. Dugas's test as absolutely diagnostic of dis-location of the shoulder. I remember one of my clinical teachersaffirming this most positively and applying the test in a case offracture of the neck of the humerus to prove that it was not adislocation.

Kirkintilloch, N.B. W. T. BLAXELY, M.B.

IPECACUANHA IN LABOUR.WHILE the accelerating action of ergot in cases of lingering labouris universally known and acknowledged, there is another drugwhich, so far as I am aware, is not noticed in works on midwifery,and which yet is capable in such cases of rendering signal ser-vice; I allude to ipecacuanha. Not only in cases of rigid cervix,where possibly it might be considered to act in a similar mannerto antimony, but in cases of simple inertia in either flrst or secondstage, it is a potent instigator of uterine contraction.

In the course of general practice extending over many years Iinvariably carried a bottle of vinum ipecacuhanae in my mid-wifery bag, and rarely, if ever, gave a dose of ergot in the firststage of labour. Time after time on coming to a confinement casewhere the pains had been feeble and inefficient, or had totallyceased, two or three 10 or 15 minim dose3 of the wine at intervalsof ten minutes have been followed in a surprisingly short timeby energetic uterine action, with a rapid termination to the labour.It never produces the quasi-totanic contraction so often met withas the result of ergot, the pains continuing to recur regularly justas they do in natural labour, but with greater force and at shorterintervals. Conviction of the value of the drug for this purposeinduces me to give my experience of it, believing that its meritswill be recognised by any who choose to give it a trial.

Enniscorthy. THorzos DRAPES, M.B.

A LOOSE STITCH IN CCELIOTOMY.IN a recent ovariotomy, where I had to use a drainage tube, Iintroduced what I think is a novelty. When the glass drainagetube is removed the wound at that spot is usually closed by apiece of strapping, as it would be difficult and painful to thepatient to pass a suture with needles. What I did was this:When I sutured the wound I passed one stitch exactly at thesite of the tube, leaving it loose, and shotting the ends to preventits being accidentally drawn out, so that when the tube was re-moved all that had to be done was to tie this stitch. This hasacted very well in the case referred to, and perhaps will lessenthe tendency-of the site of the tube becoming a weak spot in thecontinuity of the wound. I have used the word " cceliotomy," sug-gested by Dr. Harris, to designate central abdominal incision asbeing infinitely preferable to " laparotomy," which can only meana flank incision.Harley Street, W. HEYWOOD SMITH.

COMPLETE ACUTE INVERSION OF THE UrERUS.MRs. M., multipara, sent for me at 2 A.M. on September 20th last.The message was urgent, as the child had been born before the mes-senger left home. I arrived on the scene about fifteen minuteslater, and found the patient suffering from the effects of severehmmorrhage and shock. I removed the child, and on applyingmy hand over the region of the fundus I failed to find any traceof the contracting uterus. The hmmorrhage had ceased, but thepatient continued bearing down forcibly, and said she could nothelp it. I was about to make a vaginal examination, when Inoticed the placenta, followed by a globular mass, to which itwas attacbed, coming slowly through the vulve. The case wasone of complete inversion.

I peeled off the attached placenta quite easily from the invertedfundus, smeared my hand with carbolic oil, and by means ofgentle manipulation I had not much difficulty in reducing thedisplacement, and I had the satisfaction of feeling the replacedorgan contracting firmly on my hand before removing it.My friend, Dr. Grimoldby, for whom I had sent on discovering

the serious nature of the case, confirmed the diagnosis of the con-dition, and we stayed about three hours with our patient, fearingthat she might die from the serious amount of shock from whichshe was suffering. For the first week the patient suffered from

1296 THE BRITISH MEDICAL JOURNAL [Dac. 6, 1890.

shock and aneemia, the uterus was washed out twice daily witha solution of permanganate of potash, and a catheter had to beused twice a day. The temperature remained about normal, andby dint of good nursing, the administration of iron, etc., she wasassisted to a good recovery. She sat up after fourteen days, andwas able to walk out at the end of the month.The patient is a slight anaemic person, but the immediate ex-

planation of the accident appeared to be the fact of a rapid ex-pulsion combined with a very short cord, the latter only measur-iDg about six inches. The placenta was not firmly attached.There had been no traction on the cord beyond that caused by theexpulsion of the child. T. W. J. ALLEN,

Honorary Surgeon Grimsby Hospital.

REPORTSON

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

AND THE COLONIES.

STATION HOSPITAL, AGRA, NORTH-WEST PROVINCES.A4 CASE OF TBEPHINING FOR CEREBRAL ABSCESS IN CONNECTION

WITH MIDDLE BAR DISEASE.(Under the care of J. C. WEIR, Surgeon M.S.)

PRIVATE J. C., aged 26, a muscular man, was admitted on June29th, 1890, suffering from aguish symptoms. He had a previoushistory of syphilis. He first came under my notice on July 13th,1890. The history of the case is as follows: On admission, he hada high temperature (vide Chart annexed), which in a few days fellto normal and at times below it. He had violent headache fromcommencement of illness; this at first was general, but graduallybecame localised. Faculties dulled. Bowels constipated, andnever moved without enema. Vomites frequently. Pulse infre-quent, full and soft. Can only be roused to answer questions withdifficulty. Complains of persistent pain, most severe behind rightear. There is some tenderness on deep pressure over the musclesat the back of neck, but no swelling or local rise of temperature.July 18th. To-day patient is in a comatose condition. Passed

urine and freces involuntarily. Has complete paralysis of left sideof body. Both pupils strongly contracted and insensible to light.Discovered from his medical history sheet that he had been treatedfor inflammation of external meatus of right ear. I find on ex-amination that he has a discharge from both ears. To-day vomitsall food. I consider the diagnosis of cerebral abscess certain.Patient fed by nutrient enemata.July 19th. Patient to-day profoundly comatose. Right corneal

reflex absent, left only slight. Determined, in consultation withSurgeons J. Maher and J. M. F. Long, that operative measures werethe only chance of saving the patient's life. The patient havingbeen put under chloroform, Surgeon Maher performed the follow-ing operation. A triangular flap was raised immediately behindright ear, using Reid's line as base, for two inches and a half ineach direction. A trephine, three-fourths of an inch in diameter,placed immediately behind the ear and at a tangent to base line,above. On raising the head of bone, very free haemorrhage fol-lowed; this was controlled by plugging with lint. The bone wasfound to be perfectly healthy, and also the membrane under it.No appearance of pus was discovered, though the mastoid cellswere opened. No further operative measures were taken this day.Wound dressed with 1 in 2000 sublimate solution.

July 20th. To-day no change for the better. Patient continuesin an unconscious condition. Determined to explore for pus;this was done with a fine trocar and cannula. I inserted this atthe upper part of the trephine wound, in a direction parallel withthe upper border of petrous portion of temporal bone, for abouttwo inches, without having previously opened dura mater. Onwithdrawing the trocar, pus issued freely; about two ounces ofstinking pus escaped, patient exhibiting immediate signs of re-lief. A probe was now inserted through the cannula, which wasthen withdrawn. A slight opening in dura mater was then madewith a knife, and the passage was enlarged with a sinus forceps.A larger cannula was then inserted; cavity syringed out with1 in 2,000 sublimate solution. Patient spoke shortly after opera-tion and moved all his limbs.July 21st. Patient fully conscious, takes food well, passed water

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1332 THA-BRITISR MEDICAL JOUIRAL. [Dec. 6,1890.

the nurses testified to the fact that they were not too hardlyworked, while the alleged large death-rate could not be urgedagainst the system. In ten years, out of 1,165 nurses, there hadonly been 16 deaths, many of which were from organic diseases orfrom contact with patients. The Committee suggested an increaseof ward maids, which would relieve the nurses of the domesticwork of the ward, which was objected to by some nurses, buteagerly done by others. What had been done by the matronduring the past ten years in the way of improvement might betaken as an earnest of what would be done in the future.The CHAIRMAN, in submitting the report, said that he greatly

regretted that it had been in the power of a few persons to do somuch harm to the greatest of East End charities.Mr. COBB seconded the adoption of the report, and adversely

criticised a number of tables which he stated had been circulatedamong the governors.

Mrs. HUNTER said that many of the matters of wbich theycomplained of had been altered since the House of Lords Com-mittee. The staff had been increased, more ward maids were tobe employed, and the question of increasing the holidays fromtwo weeks to three weeks had been under consideration.

Sir EDMUND CuRRIE having spoken in support of the report,considerable confusion followed, andMr. YATMAN, who met with repeated cries of "1 Vote !" rose to

move an amendment calling upon the Committee to make as manyimprovements as possible in the nursing staff.Mrs. HUNTER seconded the amendment, which was then put to

the meeting and lost, only four hands being held up in its favour.The report was then adopted.The existing committee and the officers were re-elected, and a

vote of thanks to the Chairman terminated the meeting.

ASSOCIATION INTELLIGENCE,LIBRARY OF THE BRITISH MEDICAL

ASSOCIATION.Mmuxrs are reminded that the Library and WritingRooms of the Asociation are now fitted up for the accom-modation of the Members, in commodious apartments, at theoffic of the Asociation, 429, Strand. The rooms are openfrom 10 A.M. to 6 P.M. Members oan have their lettersaddressed to them at the office.

SOUTH EASTERN BRANCH: EAST SUSSEX DISTRICT.A MEETING Of this district was held at the Queen's Hotel, East-bourne, on Thursday, November 20th, Mr. J. H. EWART, L.R.C.P.,M.R.C.S.,in the chair.Paper8.-Dr. ADAMs read a paper on Congenital Occlusion of the

Urethra, which will be published.-Mr. VERRALL read notes of acase of Obscure Abscess, which proved to be perinephritic, andwas due to injury of the spine or the psoas muscle.-Dr. DowNEsread a case of Ulcer of the Stomach, with severe hsemorrhage,treated by transfusion. The patient, a lady, aged 32, was at death'sdoor from profound aneemia, but rallied on the injection of sixounces of defibrinated blood. There was now no acute symptomsof gastric ulcer, and the patient was in fair health.E&hibit.-Dr. MACQUBEN showed four large Nails which had

been hammered their full length-about three inches-by a maninto his own head. The man, who at the time was under the in-fluence of drink, recovered, and appeared in better health thanbefore the injury.

BATH AND BRISTOL BRANCH.THIN second ordinary meeting of the session was held at theGrand Pump Room Hotel, Bath, on November 26th. Dr. A. B.BRABAZON, President, was in the chair, and thirty-four mem-bers members and one visitor were present.New Memberm.-The following gentlemen were elected mem-

bers of the Association and the Branch: R. W. Statham, M.R.C.S.,L.S.A., of Cheddar; R. V. Solly, M.B., B.S.Lond., F.R.C.S.Eng., ofBristol; G. F. Barker, M.B., B.Sc.Lond., of Redlands; Henry H.Williams, L.R.C.S., L.R.C.P.andL.M.Edin., of Wick; and JohnJarvis, L.R.C.P.L. and M.R.C.S.Eng., of Bath.

Communicationa.-Dr. AuST LAWRBNCB read a piper on PelvicPain in Women; its Treatment by the Hot Vaginal Douche andthe Faradic Current.-Dr. SWAYNB, Dr. TAYLOR, and Mr. SCOTTmade remarks.-Mr. PAGAN LOWE read a paper on Hiemorrhoids;their Treatment by operation, with remarks on Stretching theSphincter Ani in Chronic Constipation, which gave rise to a dis-cussion in which Messrs. DoBsoN and SCOTT, and Drs. GOODRIDGBE,AUST LAWRENCE, MARKHAM SKERRITT, and C. STEEL joined.-Mr. C. FLEMMING read notes of an Uncommon case of SepticEemia.-Dr. SWAYNB, Mr. GAINE, Mr. PAGAN LOWE, and Drs. BRABA-ZON, MARBKAM SEBRRITT, and Ausr LAWRENCE made remarks.

SOUTH-EASTERN BRANCH: EAST AND WEST KENTDISTRICTS.

A CONJOINT meeting of the above Districts was held at the WestKent General Hospital, Maidstone, on Thursday, November 20th,at 3.30 P.M.; Mr. HALLOWES in the chair. Forty members werepresent, twenty of whom afterwards dined together at the StarHotel at 6 P.M.

Police Surgeons in Kent.-The following resolution was pro-posed by Dr. EoAR, and seconded by Dr. HACKNEY, and carriedunanimously: "That this meeting records its deep regret at theacting of the Joint Standing Committee of the County Council ofKent in reducing the fees of the medical men attending membersof the County Police Force, as well as its sense of the injusticeand hardship inflicted on the medical profession thereby."-Dr.HOAP proposed, and Mr. RAVEN seconded, the following resolu-tion: " That the Council of this Branch be requested to take suchsteps as they think best calculated to assist the medical men whohave been thus injured in getting redress." This was carriedunanimously.

The Midwives Bill. -It was proposed by Dr. BELL, and secondedby Mr. GEORGE, RIGDEN, and earried unanimously: "That theMidwives Bill now before Parliament should be referred to theCouncil of the Branch to do as they think best in referenceto it."

CORRESPONDENCE,ARTIFICIAL SALICYLIC ACID.

Siu,-With reference to the letter from Dr. Stockman whichappears in the BRITISH MBDICAL JOURNAL of November 29th, Ishould like to point out that, contrary to Dr. Stockman's asser-tion, there can be no doubt of the poisonous nature of ortho-cresotic acid. My own experiments on this acid obtained fromartificial salicylic acid are conclusive on this point, and are con-firmed by those of Professor Demme, who used ortho-cresotic acidprepared from ortho-cresol, which is not likely to have containedthe "unknown impurity" which Dr. Stockman supposes to beattached to the acid I worked with. As regards para-cresoticacid, since the experiments of Professor Demme were broughtunder my notice I have resolved to further examine the pro-perties of this acid, as Professor Demme's mode of experimentingdiffers in several important respects from mine, and further tocompare the action noted with that of the acid obtained in theusual way.

It is out of my province to discuss Dr. Stockman's statementsmade on the chemistry of this subject. That department of theinquiry belongs to Professor Dunstan, and he will no doubt takeoccasion to refer to the theory which Dr. Stockman has advanced.-I am, etc..Glasgow University. M. CHARTERIS.P.S.-To prevent any misconception I have to state that when

the substances were sent to me I simply examined them as im-purities which Professor Dunstan had obtained from commercialsalicylic acid, and attached no significance to the letters " 0. P. M."which they respectively bore. The melting points were takenafter their physiological action had been determined, and whenthe MS. of my paper was forwarded to Professor Dunstan hedesignated them as ortho, para, and meta. Their action was testedperfectly unbiassed, although I was not unacquainted with Pro-fessor Demme's use of para-cresotic acid in the form of its salt ofsodium.

Dae. 6, 1890.J THE BRITISH MADICAL JOURNAL. 133S

MEDICAL STAFF.SURGEON-MAJOR JOHN FINDLAY, M.B, C.I.5., retires from the service, re-ceiviug a gratuity, December 3rd. He was appointed Surgeon in the army,ISeptem'er 30th, 1875, and became Surgeon-Major twelve years therefrom. Hewas engaged in the Afghan war in 1880 including the defence of Candahar, andthe battle of September 11th (me ial with clasp), and with the Burmese lxpe-diirlon in 1886 as Surgeon to the Governor-General of India (medal with clasp).He was nominated a Companiion of the order of the Indiau Jlmpire, JanuarylIst, 1888.

TNDTAN MEDICAL SERVICB.SURGEON-MAJOR J. MOORHEAD, M.D., Benigal Establishment, Civil Suirgeon ofHazareebagh, is allowed leave of absence for one year and twenty-tive days.Surgeon C. ADAM8. M.B., Madras Establishmenit, Officiating Medical Officer

14th NAtive Infantry, is appointed to the officiating modical charge of the l5thNative Infantry.Stirgeon C. L. WELLIAMS. M.D., Madras Estab'ishment, doing duity In the

Maltras and Southern Distric s, is directcd to do duty in the Myingyan andMandalay Districts.Surgeon T. W. SHAW. Bombay Estsblishment, on general dutv in the Bom-

bay District, is ordered to officiafe in medical charge of the 12th Native In-fantry. vice Surgeon-Major H. B. Briggs, pro-eeding on leave.Daputv Surgteon-General ROBERT BIRD. M.D., late of the Rengal Establish-

ment, died on October X1st at Cobham, Virginia, U.S.A. He was anpointedSurgeon. August 4th. 1855: became Brigade-Surgeon, January 26 h, 1881; andretired with the honorArv rank of Deputy Surgeon-General, May 12th, 1881.The Secretary of State for Iniia has decided that it will henceforth be a con-

dition of appointment to the Indian Medical Service that an officer retiring onpension before completing thirty years' full pay service shall be liable, till hecompletes 55 years of age, to be recalled to duty in case of aDy enmergency.

ARMY MEDICAL RESERVE.SURGEoN RrclHARD MARSDrN PLIKINGTON Low, M.B., is appoinled Si rgeon-Major, ranking as Major, December 3rd.

THE VOLUNTEBRS.ACTUSG-SURGEON G. B. COURTNEY, M.B., 1st Middlesex Engineers, Fortressand Railwav Forces, Royal Engineers, has resigned his commission, which wasdated June 29th, 189.Acting:Surgeon C. J. WATSON, 1st Volunte-r Battalion Norfolk Regiment

(late the 1st Norfolk), has resigned his appointment, which dates from May10ch last.Surgeon and Surgeon-Major (ranking as Lieuitenant-Colonel) J. H, S. MAY,

2nd Volunteer BattalionDevonshire Regiment (late the 2nd iSevonshire). hasresigned his commission, with permission to retain his rank and uiniform; hisawppointment as Surgeon dates from January24th, 1871; that of Surgeon-Major,from Februaryr 1st, 1889.Mr. EDGAR DuEsjiuay WELLBURN is appointed Acting-Surgeon to the 1st

Volunteer Battalion West RidiDg Regiment (late the 4th West Riding of York-shire), November 29th.Acting-Surgeon R4. LAKE. 4th Middlesex (West London), has resigned his ap:

pointment, dated April 11th, 1888.Surgeon C. W. CATBCahT, M.B., Edinburgh Division of the Volunteer Medi-

cal Staff Corps, has resigned his commission, on which he entered May 22nd,1886.

MEDICO-LEGAL AND MEDICO-ETHICALFEES FOR LUNACY CERTIFICATES.

IMMEMOR NUNQUAM writes: 0. B. complains, in the BRITISH MEDICAL JOUR-NAL of November 22nd, that he has been unable to obtain paymenit for theexpenses attached to the consignment of a patient into an asylum; he alsoadds that there is no executor appointed, so he has " been informed."In the first place, executors are onli appointed as voluntary agents to

administer an individual's will after his decease; therefore that term can-not apply in the present instance. In the second place, he does not saywhether the patient is confined in a private or public asylum. In the thirdplace, if the patient is in the former abode, no superintendent of It wouldtake charge of her unless her expenses were fully guaranteed. In thefourth place, if in the latter one, the expenses would come to about 4s. aweek. defrayed by her friends; whilst the Government, out of the Consoli-dated Fund, contribute another 4s. In the fifth place, the person who signsthe certificate is legally answerable to defray the patient's expenses. In thesixth place, I should advise 0. B. to purchase the Lunacy Act of 1890, and toavoid, if possible, for the future attaching his signature to a certificate of in-sanity, which the medical profession now are so exceedingly chary of doing.

UNIVERSITIES AND COLLEGES,CAMBRI OGE.

ExiMINEaS -Dr. h. MsLcalister, Professor of Anatomy, ha3 beenappointed Chairman ot Examiners for the Natural Sciences Tripos.Dr. C. H. Ralfe, of Ctius College, has been appointed an additionalExaminer in Medicine, in view of the large number of candidatesfor the Third M B. Examination, Part 11.ACT.-F. W. Burton, of St. John's College, House-Physician to

Addenbrooke'A Hospital, has kept the Act for the degree of MB.(Thesis: That the Urine affords valuable Indications of certainConditions of the Alimentary Tract).

SYNDICs.-Dr. Bradbury and Dr. Jngle have been appointedmembers of the State Medicine Syndicate; Laurence Humphry,M.B.. M.A., has been appointed a member of the Special Boardfor Medicine: and Dr. (iaskell a member of the Special Board forBiology and Geology for the ensuing three years.LECTURER IN Paysics.-Mr. E. H. Griffiths, Lecturer at Sidney

Sussex College, has been recognised a3 a Teacher in Physics withreferencs to the regulations for the M.B. degree.SCHOLARSHIPS IN NATURAL SCIRNCE. - Caius: Scholarabips

and Exhibitions of from £40 to £n0 a year; subjects: Phbsics,Chemistry, Biology, Animal Physiology. Examination beginsMarch 17th, 1T9l. Application by March 11h to the Tutors,R: v. E. S. Roberts or Dr. J. S. Reid.PHILOSOPHICAL SOCIETY.-Professor Heidenhain, M.D., and

Professor E. Metscbnikoff, M.D., have been elected honoraryFellows of the Socie'y. David Sharp, M.B., F.R.S., has beenelected an Associate.

EDINBURGa.AT a meeting of the Senatus of the University of Edinburgh beld

on Saturday last, the following degrees were conferred by theV,ee-Chanc"llor. Sir Willism Muir:BRS.. in Piublic Health.-A. C. Coles, M.B.; A. H. Vtiteb, M.B.; A. M. W1l-

liamson. M.B.Degrees o1 MI.B. ard C.Mf.-D. Druimmond, R. H. He3rsey, W. S. Kerr, H. J.

Mackenzie, I. W. Siuiitb,W.W. Williamson.

SOCIETY oF APOTHECARIES OF LONDON.-Pass-list. November,1890. Tne following candidates passed the Examination in Sur-gely:G. M. Arkle, Liverpool, University H. P. Nunes, St. Mary's HospitalCollege G. P. 'mittn. Guy's Hospital

T. S. Byass, University College (J. T. Standring. King's CollegeJ. George, King's Culiege H. J. Thomas, BristolW. Hawker,Camhrldge University and Rt. L. Thomas, University CollegeMiddlesex Hospital F. Turner. University College

T. C. Hughes, Westminster Hospital ,. Wells, London HospitalB. Nauith. L M.S. Lahore and Puuj sub F. W. Welstead, Guy's HospitalUniversityThe following passed in Medicine, ForenEic Medicine, and

Midwiferv:W. L. W. Buss, Middlerex Hospital A. E. Leitch, Liverpool UniversityF. L Dick, o_Val Free Hospital CollegeL, F. l)ods, Et. Bartholomaw's Hos- R. H. D). Mahon, St. Thomas's Hos-

pilal pitalB. J. Finch, St. Marv's Hospital J. S. Tabb, Charing Cross Ho,uitalG. Garrard, St. Mary's Hospital R. L. Thomas, University CollegeC. H. M. nev, B.&.. Cambridge Uni- H. A. Vernon, London Hospital

versity and St. Mary's Hospital H. Watts, London HospitalC. M. Leakey, London HospitalThe following passed in the subjects as indicated:Medicine and Forensic Medicine:

F. W. Mawby, Guy's Hospital H. F. Nunes, St. Mxry's HospitalMedicine and Midwiff ry:

F. B. Shaw, Middlesex HospitalMedicine:

H. Fairfax, Charing Cross Hospital A. W. C. Herbert, St. Mary's H -spitalForensic Medicine:

G. M. Arkle, Liverpool UniversityCollegeThe following having passed the Qualifying Examination in

Medicine, Surgery, and tidwifery, were granted the Diploma ofthe SoJiety, entitling them to register and to practise in thesame.F. L. Dick R. L. ThomasL. F. Dods H. A. VernonG. Garrard H WattsC. E. M. Hey, B.A.Cantab. J. WellsC. M. Leakey F. W. We'steadR. H. D. Mahon

INDIA AND THE COLONIES,CANADA.

AMALGAMATION OF MEDICAL SCHOOLS.-It is stated that theMontreal School of Medicine and Surgery and the Laval MedicalSchool in Montreal are about to be amalgamated, all the difficul-ties which have hitherto stood in the way of this arrangementhaving been adjusted.MONTREALW ATEBR SUPPLY.-Recent examinations by Professors

Ruttan and Wyatt Johnson show that the condition ot the watersupply of Montreal is far from satisfactory. The chemical anla-

1886 THB BRITISH MEDICAL JOURNAL. [Dec. 6, 1890.

lysis showed that the water has to be classea as dangerous orimpure, while the biological examination showed that the numberof bacteria present was excessive.

VICTORIA.LUNATIC ASYLUMS.-The annual report of the Inspector of

Lunatic Asylums for 1889 shows that, at the end of last year, therewere in Victoria 1,983 male and 1,648 female lunatics under officialcognisance. The corresponding numbers for the previous yesrwere 1,967 males and 1,667 females. The daily average number ofpatients in all the asylums was 3,425 in 1889, as against 3,324 in1888. Since 1848, wien the asylums were established, 19,568patients had been received, of whom 6,289, or 32.14 per cent., weredischarged as "recovered;" 876, or 448 per cent., as "re-lieved ;" and 3,935, or 20.11 per cent, as " unimproved." Since theopening of the asylums 4,841 deaths, or 24 74 per cent.. had oc-curred. The total expenditure on the asylums for 1889 was£114,081.

OB I TUARYEANTHONY H. CORLEY, M.D., F.R.C.S.I.

THE profession in-Ireland, and many of its members throughoutGreat Britain, will learn with deep regret of the death-of Dr.Anthony H. Corley. surgeon to the Ricbmond, Wbitworth andH;ardwicke Hospitals, Dablin. He died, after a very brief attack,on Monday last, December 1st, 1890, at his residence, 16, MerrionSquare, in his fiftieth year. The news came with all the force ofan uinexpected shock upon his friends. It was known only to afew of his immediate advisers that he had been suffering fromdiabetes for a couple of years, and although it was noticed thathe ws getting thinner, there was little suspicion outside that hehad a mortal disease. He was able to discharge his duties at hishospital on Saturday. and to his colleagues he was bright andcheerful as usual. He saw private patients on the same day, butin the evening he felt tired and out of sorts. On Sunday he hadan attack of dyspuoes, and Dr. James Little was summoned. Dr.Gordon and Mr. P. J. Hayes saw him later on. He was then be-coming listless and semi-comatose; the circulation was failing,and the train of symptoms continued to increase in intensityuntil death came on Monday about 1 o'clock.

Dr. Corley waq *x-Presideat of the College of Sargeons. Hegraduated in the Qu iea's UniverAity with first class honours, andon the formation cf the R yal 'Universiity was made a Fellow ofthat body. On the amalgan,a ion of the Carmichael. Ledwich, andCollege Schools, be became cne of the Professors of Surgery in thenew school. He reesived the dogree of D.Sc. honori8 cau8d from theQaeen's tJniversity.

Dr. Carley was an exceedingly able surgeon, and was highlyesteemed by his brethren. With all classes he was most popular,and-hewas rightlyregirded as a wise and in all things a mosthonourable man. To the Dublin School and to his colleagues hisloss is a great one, and if anything could increase the affection ofall for him, it is the courage which he showed in working to theend while he knew the course which his disease would probablyfollow. Had he lived he would no doubt have received furtherhcnours. As it is, few men have passed away of late yearsin Dublin whose death is so truly ragretted.

WALTER JAME3 STRANG, M.A., M.B.., C.M.Da. WALTBR STRANG, wbo has practised in ABoa for the last fiveyears, died on November 14th au his residence at Shillinghill, afteran illness of about a fortnight. He was the son of Mr. Strang,professor of music, Edinburgh. He practised in Newcastle beforecoming to Alloa, and during his five years' residence he mademany warm personal friends. Dr. Strang was a skilled musician,and has taken part in amateur orchestral entertainments as aviolinist. He was 36 years of age.

MEDICO-PARLIAMENTARY.HdOUSE OF COAJfONS.-Thursday, November 27th.

Vital Statistics.-Mr. BRADLAUGK asked the President of the Local Govetn-ment Board whether he was aware that the decennial reports of the late Dr.Parr showed the niumber of deaths in each registration distriot, cause of death,

and sex, but that the report 1871-80 of Dr. Ogle, in lieu of distiDguishing malefrom female, only showed persons; and whether, for the decennial report1881-90, the report of vital statistics could be compiled so as to distinguish sex.-Mr. RITCHIE said he found that the change of practice with regard to thedecennial reports referred to was made, and he was giving the matter his con-sideration.

Friday. November 28th.Midwives Registration Bill.-On the motion of Mr. FELL PEASE, leave was

given to introduce a Bill to provide for the registration of midwives. The Billwas introduced and read a first time.

Metropolis Management Act.-Sir JoHN LUBBOCR introduced a Bill to amendthe Metropolis Management Act in regard to the election and qualification ofvestrymen, the alteration of wards of parishes, and to certain sanitary matters,which was read a first time.

Tuesday. December 2nd.Koch's Remedy for Tuberculosis.-Sir W. FOSTER asked the Under-Secretary

of State for Foreign Affairs whether the Governmentwould take steps to obtainfrom the Government of Germany at the earliest possible date a supply of Pro-fessor Koch's fluid for the treatnent of tubercular diseases, and distribute thesame to recognised public Institutions in the United Kingdom.-Sir JAMESFERGUSSON said, by directions from Her Majesty's Government, the Ambas-sador had applied for some of Professor Koch's fluid for use in this country.He had reported that the quantity available was as yet small, and that the subjectwas not under the control of the German Government.-Sir W. FOSTER askedwhether the right hon. gentleman would take into consideration the latterpart of the question, and arraDge for a suDply of the fluid being distributed torecognised public institutioDs.-Sir J. FERGUsSON said the Agricultuaal De-partment, with whom the matter would lie, would doubtless endeavour toprocure a supply and distribute it in the manner suggested.-Mr. BRUNNER:Why the Agricultural Department?-Sir J. FERGUS80N understood that theAgricultural Department had applied for a supply of Professor Koch's fluid forthe treatment of tuibercular diseases.

I Adld Marriage in India -In reply to Mr. R. SMITH, Sir J. GORST said thebest Tnode of dealing by legislation with the difficult.. subject of child marriagein India had been tor some time engaging the anxious consideration of theGovernment of IDdia.

PUBLIC HEALTHAND

POOR-LAW MEDICAL BSERVIES.HEALTH OF BNGLISH TOWNS.

DURING the week ending Saturday, November 29th, 4,656 births and 3,532deaths were registered in twenty-eight of the largest English towns. includingLondon, which have an estimated population of 9,715.559 persons. The annualrate of mortality in these towns, which had increased from 20.8 to 21.3 per 1,000in the preceding three weeks, declined again to 19.0 during the week undernotice. The rates in the several towns ranged from 15.0 in Derby, 15.5 inSalford, 15.9 in Bristol, and 16.5 in Bradford to 22.4 in Oldham, 24.5 in Ply-mouth, 26.8 in Preston, and 30.2 in Manchester. In the twenty-sevenprovincial towns the mean death-rate was equal to 19.7 per 1,000, and exceededby 1.7 the rate recorded in London, which was only 18.0 per 1,000. The 3,532deaths registered in the twenty-eight towns during the week under noticeincluded 428 which were referred to the principal zymotic diseases, against 471and 481 in the preceding two weeks; of these, 17a resulted from measles, 64from scarlet fever, 58 from diphtheria, 51 from diarrhoea, 42 from whooping-cough, 41 from IIfever" (principally enteric), and not one from small-pox. These428 deaths were equal to an arnual rate of 2.3 per 1,000; in London thezymotic rate was 2.3, and corresponded with the mean rate in the twenty-seven provincial towns, among which the zymotic death-rate ranged from 0.0in Huddersfield, 0.5 in Derby, 0.6 in Wolverhampton, and 0.7 in Portsmouth to4.0 in Birkenhead, 4.5 in Bolton, 4.8 in Manchester, and 5.5 in Preston. Measlesshowed the highest proportional fatality in Bradford, Sheffield, Manchester,Bolton, Oldham, Preston, and Birkenhead; scarlet fever in Salford and Shef-field; whooping-cough in Leitester and Preston; and "fever" in Newcastle-upon-Tyne and Plymouth. The 58 deaths from diphtheria recorded duringthe week under notice in the twenty-eight towns included 48 in London and 2'in Sheffield. No fatal case of small-pox was recorded during the week, eitherin London or in any of the twenty-seven provincial towns; and no small-poxpatients were under treatment in the Metropolitan Asylums Hospitals onSaturday, November 29th. These hospitals contained, however, 1,905 scarletfever patients on the same date, against numbers declining from 2,024 to 1,968at the end of the preceding three weeks; 132 new cases were admitted duringthe week, against 169 and 197 in the previous two weeks. The death-rate fromdiseases of the respiratory organs in London was equal to 4.3 per 1,000, andexceeded the average.

HEALTH OF IRISH TOWNS.DURING the week ending Saturday, November 22nd,the deaths registered in thesixteen principal town-districts of Ireland were equal to an annual rate of 22.5per 1,000. The lowest rates were recorded in Sligo and Wexford, and thehighest in Waterford and Lurgan. The death-rate from the principalzymotic diseases averaged 1.8 per 1,000. The 157 deaths registered in Dublin wereequal to an annual rate of 23.2 per 1,000 (against 20.7 and 22.5 in the two pre-ceding weeks), the rate for the same period being 20.2 in London and 18.1 inEdinburgh. The 157 deaths registered in Dublin included 14 which were re-ferred to the principal zymotic diseases (equal to an annual rate of 2.k per1,000), of which 5 resulted from different forms of " fever," 4 from whoopiDg-cough, and 2 from diarrhoea.

DUTIBS OF POOR-LAW OFFICERS.M. asks the followlng questions:-

1. Is it the duty of the vaccination officer to attend each station at thpl3ours of the public v4eaixttor's visits? --

Dec. 6, 189O.] T13E BRITISE MEDICAL JOUBNAL. 1337

2. Is the relieving officer bound to visit patients before issuing medtcalorders in urgent cares ? Is it bis duty to investigate such oases ?

3. Is it the duty of the medical officer to measure for and obtain artificiallimbs for paupers in his district, the amputation not having been performedby him?

4. Is it the duty of a medical officer to attend a meeting of the bo3rd ofguardians if requested to do so?*** 1. It is not the duty of the vaccination officer to attend at the stations,

and we consider that his presence there would be objectionable.2. The relieving officer is not bound to visit patients before issuing orders,

but it is his duty to make proper and reasonable investigations of allcases.

3. We think it would be unwise to refuse the medical assistance requisiteto obtain artificial limbs for any of the paupers of the district who requiresuch appliances.

4. It Is the duty of the medical officer to attend any, but not all, meetingsof the board, if requested to do so by the c'erk on the part of the board.

POOR-L&W MIDWIFERY FEE.IQUIRENS asks: Am I entitled to a specialfee for the following case:-

On November 6th I received information that a patient was confined, andwas asked to call to see her when convenient. I did so the next day, andwas then presented with a medical order to attend the case. If I pay themidwife who officiated will that be considered equivalent to rendering thepatient the necessary aid in confinement?*** We think that as our correspondent did all that he was requested to do

In reference to the case, he would be justified in charging the usual feeallowed for ordinary midwifery; but his having paid the midwife would notconstitute a claim for it, and if the guardians question his legal right to thefee we are not sure that lie could establish it, as his first visit to the patientwas not paid till the day following the confinement.

HOSPITAL AND DISPENSARY MANAGEMENT.MINCHESTER AND SALFORD HOSPITAL SUNDAY AND

SkTURDAY FLJND.AT the twenty-first annual meeting in conne ,tion with the Man-chester and Salford Hospital Sunday and Saturday Fund it wasstated that. the amount paid to the Hospital Sunday account in1890 was £4,617 against £1,636 in 1889. wvbile to tne Saturdayfund the respective amounts were £3,657 and £3,536: adding'hank interest in both funds, there was an increase of £121 over1889. During the past twenty-one years th ' sum raised for themedical charities by this organisation was £154,770.

RICHMOND ASYLUA, DUBLIN.TEE CAsE. OF HAY S v. RICHMOND ASYLUM.

TaIS case, which was recently heard before the Recorder of Dub-.lin and a jury, and which resulted in a verdict for the plaintiff,has again been brought forward. This time the Board ofGovernors appealed against the decision of the Rwnrier and thejury. and the case was heard in the Quieen's Bench Division beforeAir. Justice Holme,.The case is chiefly interesting from the fact tl at the Recorder,

in summing up, put it to the jury that, although he had permittedtwo lunatics to give evidehee on oath to the efftct that they hadseen Hayes brutally assault a patient who subsequently died withsix ribs broken, and wlhose death was the consequence of the in-juries he had received, simply because they were lunatics theirevidence was not to be received, and in fact they must treatthe case as if there was no evidence whatever that the plaintiffhad a9saulted the deceased.Mr. Justice Holmes, in giving judgment, said that the conduct

of the Board was most proper, and it was completely in theirpower under the statute to dismiss a warder wben they thoughtfit. "That," he thought, "was a wise regulation in the case ofan asylum. This matter should not have been left to the jury atall, and it was clear that Hayes had no case, and the de cision ofthe Recorder should be reversed."

It would be a serious matter for the governing bodies of asy-lums if, upon due inquiry they were satisfied that an attendanthad assaulted one of the imates, and they should be powerless todismiss him becauee there was no evidence but that of ot,herpatients who saw the assaults committed.The law of the subject in England is made perfectly clear by

the case of Regina v. Hill. In this case, which was heard beforefive judges as a Crown case reserved, the decision of the judgeswas unanimously in favour of the admie8ibility of the evidenceof a lunatic. The judge should decide if the lunatic appreciatedthe sanctity of his oath, and understood that he was to speak the

truth to the best of his ability, and the jury would judge of hisevidence as given before them. In this case an atLendant waao )nvcted upon the evidence of one lunatic only.

MEDICAL NEWS,THE number of medical students in the University of Greifawald

during the current semester i3 371. The total number of studentsin all the faculties is 780.SUCCESSFUL V.&cCINATION.-Dr. A. T. Rowortb, of Grays, Essex,

has received a grant of £34 8i. for efficient vaccination in hisdistrict.MB. II. K. LEWIS announces that he will issue a third edition

of Dr. Crookahank's Manual of Bacteriology at an early date. Thework has been revised, and some new engravings and plates havebeen added.

Mr. F. A. SOUTHAM presided at the annual dinner of the Man-chester Medical Students' Society. There wasa goodly attendanceof medical students, and there were also present several of themedical professors and members of the Royal Infirmary staff.Tnn College of Physicians of Philadelphia announce that the

next award of the Alvarenga prize, being the income for one yearof the b3quest of the late St;inr Alvarenga, and amounting to 180dollars, will be made on July 14th, 1891. Essays intended forcompetition may be upon any subject in medicine, and mustbe received by the Secretary of the College on or before May ltt,1891.NATIONAL HEALTH Focnrry.-T wo xaminations have lately

teen held in the new offices, 53, Berners Street-ore was for thegranting of diplomas to teacbers of gymnastics, callisthenics, andpbysical exercises; the other examination was for the- silvermedal of the Society granted to ladies who have undergone atraining in bome nuraiDg, first aid to injured, and hygiene.Eighteen candidates presented themselves.THE DENTAL HoSPIrAL.-Dr. Joseph Walker presided on Satur-

day, Novembbr 29th, over the anniual dinner of the staff and pastand present, students of the Dental Hospital of London, held atthe Holborn estaurant. Thesupply of artidcial teeth topoor peoplehas been undertaken recently, and consequently increased publicsupport is needed. Dr. Samuel Wilke, who proposed the toast of"The Hospital and School," adduced a long list of reasons whydental surgery s!sould be held in the higtiest respect, the mostnovel being that many people " took to drink " be cause they couldn )t eat owing to bad teeth, and that the dentists, by supplyingthem with artificial means to masticate their food, did much forthe cause of temperance. Mr. Mor,,on Smale, the Dean of thehospital, and AMr. Sibley acknowledged the toast.

MEDICAL VACANCIES.The following Vacancies are announced:

BURTON-ON-TRENT INFIRMARY.-Two Assistant-Surgeons. Applicationsto Mr. J. C. Grinling, the Honorary Secretary, by December 8th.

CHILDREN'S HOSPITAL, Birmingham.-Assiatant Resident Medical Oficer.Salary, £40 per annum, with board, washing, and attendance in the in-stitution. Applications to James Stilliard, Secretary, Children's Hospital,Steelhouse Lane, Birmingham, by December 16th.

CITY OF LONDON LYING-IN HOSPITAL, City Road, B.C.-District Sur-geons. Applications to R. A. Owthwaite, Secretary, by December 17th.

COUNTY AND COUNTY OF THE BOROUGH OF CARMARTHEN INFIR-M&HY.-House-Surgeon; double qualifications; unmarried. Salary, £100per annum, with board, lodging, fire, light, and washing. Essential tohave knowledge of Welsh language. Applications to the Secretary, Mr. H.Howells, 11, Morley Street, Carmarthen, by December 16th.

COUNTY COUNCIL OF LANARK.-Medical Officer for the county mustdevote his whole time, and must reside within the district. Salary, £500per annum, and £100 to cover all expenses. Applications Lo W. AlstonDykes and Edward P. Dykes, District Clerks, Hamilton, by Decem-7htr 5th.

EAST RIDING ASYLUM, Beverley.-Assistant Medical Offlcer. Salary, £100per annum, with board, lodging. and washing. Age between 2.3 and 30.Applications to C. W. Hobson, Clerk to the Visiting Committee, by De-cember 13th.

EDMONTON UNION.-Medical Officer for the Workhouse at Bdmonton. andDistrict Medical Officer of the Edmonton District. Salary for the Work-house Medical Officer, £150 per annum; for the District Medical Officer,£60 per annum, and 20 per cent. thereon in lieu of payment for expensivemedicines and fees. Applications, on specified forms to be obtained ofFrancis Shelton, Solicitor and Clerk, High Road, Lower Tottenham, byDecember 9th.

THEB BRITISH MEDICAL JOURNAL. [Dec. 6, 1890.

MILLER HOSPITAL AND ROY&L KENT DISPENSARY, Greenwich Road,S.E.-Senior Resident Medical Officer; post tenable for six months. Doublequalifications. Salary, £60 per annum, with apartments, board, and wash-ing. Applications to the Honorary Secretary, G. R. Roberts, by December12th.

MILLBER HOSPITAL AND ROYAL KENT DISPE1NSARY. Greenwich Road,S.E.-Junior Resident Medical Officer; post tenable for six months. Salary.£30 per annum, with apartments, board, and washing. Applications tothe Honorary Secretary, G. R. Roberts, by December 12tth.

MORPETH DISPENSA.RY.-House-Surgeon; douible quialificatinns. Salary,£120 per annum, with house, coal, and gas free. Applications to G. 0.

Wright, Honorary Secretary, by December 27th.RICHMOND ASYLUM, Dublin.-Clinical Assistant. Applicati ms to Dr

Conolly Norman, Richmond Asylum, Grangegorman, Dublin. Election onDecember 16tih.

ROYAL BERKS HOSPITAL. Reading.-AsEistant Hcnse-Surgeon. 'Salary,£40 per anntrm, with board and lodging. Applications to John T. Hugo,Secretary, by December 9th.

ROYAL FREB HOSPIT&L, Gray's Inn Rotd.-Registrar (MIedical and Sur-

gTcal); must be P.R C.8.Rng. Appointment for twelve months. Applica-tions to the Secretary by Deeember 24th.

ROYAL FREE HOSPITAL, Gray's Inn Road.-Junior Resident Medical Officer;double qualifications. Appointment for six months. Board and residenceprovided in the Hospital. Applications to the Secretary by December 24th.

sr. SAVIOUR'S UNION, Surrey.-Assistant Medical Superintendent at theInfirmary, Bast Dulwich Grove. Salary, £.130 per annum, with furnishedapartments, board, and washing. Applications. to be marked ouitside " Ap-plication for Assistant Medical Superintendent," to Howard C. Jones, Cle!kOffices. John Street West, Blackftiars Road, S.E., by December 11th.

SHEFFIELD PUBLIC HOSPITAL AND DISPENSARY.-Physician. Mustbe Graduate in medicine of a University of the United Kingdom, or Fellowor Member of a College of Physicians of the United KiDgdem. Applica-tions to Geo. F. Lockwood, Honorary Secretary, by December 6th.

SXbIDLBY'S HYDROPATHIC ESTABLISHMBNT. Matlock. -ResidentJunior Physician. Appointment for two years, with honorarium of 100guineas for first. and salary of £200 for second year, board and residenceincluded. Appliaations to the Secretary by December 13th.

STAFFORDSHI RE COUNTY ASYLUM, Stafford-Junior Assistant MedicalOfficer. Double qualifications; unmarried. dalary, £l00 per annum, withfurnished apartments, board, and attendance. Applications to the MedicalSuperintendent, County Asylum, Stafford, by December 10th.

T 1UNTON AND SOMBRSET HOSPITAL.-Honorary Dental Surgeon; mustbe registered practitioner or licentiate In dental surgery. Ap0lications toJ. H. Biddulph Pinchard, Secretary, 13, Hammet Street, Taunton, byDecember 10th.

TOWNS HIP OF TOXTETH PARK.-Assistant Resident Medical Officer of theWorkhouse and Infirmary for six months; double qualifications. Salarvafter the rate of £75 per annssm. Applications. marked " Assistant Medi, alOfflicer," to J. Moulding Clerk 'o the Guardians, 15, High Park 15treet,Liverpool, by December 10th.

UN .VERSITY OF GLASGOW -Assistant Examiner in Medical Jarisprudence.Annual fee, £30. Applications to the Secretarv of the University Court,Mr. A. B. Clapperton, 91, West Regent Street, Glasgow, by January 10th.

VICrORIA HOSPITAL FOR SICK CHILDREN, Queen's Road, Chelses,S.W.-House-Surgeon. Double qualifications. khonorarium of £75 perannum; board and lodging In the hospital. Applications to the Secretary,W. C. Blount, by December 13th.

VICTORIA HOSPITAL FOR SICK CHILDRBN, Queen's Road, Chelsea,S.W.-House-Physician. Double qualifications. Honorarium, £50 perannum, with board and lodging In the hospital. Applications to the Secre-try, W. C. Blount, by December 13th.

WEST LONDON HOSPITAL, Hammersmith Road.-House-Surgeon; ten-able for six months. Board and lodging. Applications to R. J. Gilbert,Secretary-Superintendent, by I)ecember 11th, and to appear before theMedical Council at 4 30 on December 12th.

WEST LONDON HOSPITAL, Hammersmith Road.-House-Physician, ten-able for six months. Board and lodging. Applications to R. J. Gilbert,Secretary-Superintendent, by December 11th, and to appear before theMedical Council at 4.30 on December 12th.

MEDICAL APPOINTMENTS.

ALLDHH, Sidney, M.D.Durh., B.S., L.R.C.P., M.R.C.S., appointed AssistantResident Medical Offlcer to the Hospital for Consumption and Diseases ofthe Chest, Brompton.

BEHRENDT, M. Raphael Julius, L.R.C.P.. L R.C.S.Edin., appointed DeputyMedical Officer for the Cowingham District of the Gainsborough Union.

BOUSTEAD, R. J., L.R.C.P., L.R.C.S.Bdin.. appointed Medical Officer of Healthfor the Rural Sanitary District of the Hexham Union.

CLUFF, Dockor, L.R.C.P. & S.Edin., L.F.P.S.Glagg., appointed OutdoorAssigstan-to the Bradford Medical Aid Association.

Diwsorr, Richard Henry, M.R.C.S.Eng., L.S.A., appointed Deputy MedicalOfficer for the Newton-on-Trent District of the Gainsborough Union.

DEWAR, J., M.B., C.M.Glas., appointed Medical Officer and Public Vaccinatorfor the Parish of Portree, Isle of Skye.

DICKSON, Joseph Henry, M.B.Glas., ¢.M., appointed Medical Officer to theWhitehaven District of the Whitehaven Union.

s&'rON. W. F. Balley, L.R.C.P., L.R.C.S.Edin., appointed Public Vaccinator totlhe No 5 District of the Barton Regis Union, vice D. B. Bernard, M.R.C.S.Eng., L.R.C.P.Edin., resigned.

FALKENER, Ninian tIcTntire, A.B., M.B., L.R.C.P.I., appointed Resident Medi-c sl Officer to the Monkstown Hospital.

Fr.y. John Farrant, L.R.C.P.Lond., M.R.C.SE.Bug., appointed Medical Officer tothe No. 1 District of the Shepton Mallet Union, vice Broonlow N. Hyatt.

GILPIf, F., M.R.C.S., L.S.A., appointed Medical Officer of Health to the Stratford-on-&von Rural Sanitary Authority, vice Dr. Fosbroke.

HALt, W. Winslow, M.B.. C.M., M.R.C.S., appointed Surgeon to St. Monier'sHome Hospital for Children.

HAYWARD, Mr., appointed Dispenser to the Reading Union.HuGHEs. David Arthuir, M.R.C.S., L.S.A., rexppointed Medical Officerof Health

to the Barmouth Local Board.HYAqT, James Ta lor, L.R.C.P.Edin., M.R.C.S.Eng., appointed Medical Officer

for the Workhouse, Shepton Mallet.MILL, William, L.R.C.P.Edin., M.R.C.S.Enpr., appointed Me3ical Officer for

the Second District of the Shepton Mallet Union.

O'HAGoN, J. J., M.R.C.S., M.R.C.P., appointed District Surgeon by theL. & N. W. R. Co. at Garston.

PALMER, Harold Lewis, M.R.C.S.Eng., L.S.A., re ppointed Medical Officer forthe Llanllwohaiarn District of the Rewtown and Llanidloes Union.

PAYNE, H., L.R.C.P.Edin., M.R.C.S., appointed Vaccination Officer to theDerby Union.

PENNY, M. D., F.C.S., appointed Analyst to the Hull and Goole Port SmnitaryAuthority.

THOMAS, J. E., M.B., C.M.Edin., appointed House Surgeon to the Carnarvon-bhire and Anglesey Infirmory, Bangor, vice C. Grey Edwards, M.B.

WALLIS, F. C., B.A.. M.B., B.S.., appointed Assistant Demonstrator ofAnatomyat St. Bartholomew's Hospital.

WARD, Brnest, L.R C.P.Lond., M.R.C.S.Eng., appointed House Surgeon to theRoyal Berks Hospital, Reading.

WICKHAM, Catherine Mary, L.R.C.P., L.R.C.S Edin, appointed ResidlentMedical Officer to Dr. Barnardo's Home for Children, Hawkhurst, Kent.

WIGHTWICK. Fallon Percy, M B.Dnrh., I.R.C.P Lond.. reappointed MedicalOfficer of Health to the St. Olave's District, Southwark.

WILLIAMS. C. R.. M.B. 4din.. C.M., reapnointed Medical Offier forNos 2 and 3DistAicts of the Ashby-de-la-Zouch Union.

DIARY FOR NEXT WEEK.

KeMDAT.KJCDICAL Sc)IETY OF LONDON. 8.30 P.M.-Mr. William Adams: Congenital

Contraction of the Fingers and its association with " Hammer-i o'"; its Pathology and Treatment Mr. Reginald Harrison:Remarks on some Cases ia which a Non-malignant Coinmuni-cation existed between the Bledder aud the Intestines.

TEUMDAY.ROYAL MEDICAL AND CHIRURGICAL SocmEry, 8 3) P.x.-Dr. Frederick Hewtt:

Clinical Observations upon Respiration during Alawthesia,with special reference to the Causes of Embarrassed and SI)-structed Breathing. Mr. R. C lement Lucas: Nephrolithotomy(following Nephrectomy) for Total Suppression of Urine lastinigFive Days; Complete Recovery and Good Health Five Yearsafter Operation.

WEDNESDAY.HUNTERIAN SOCIETY, 8 P.M.-Pathological Evening: Mr. Openshaw: Sarcoma

ef Scapula. The President: 1. ALeurysm of Arch of AortaCompressing Trachea. 2. Ulceration ot Large Intestine. Mr.John Poland: Impected Fracture of Tibia. Dr, R. HingstonFcx: Tubercular Disease of Kidneys.

EPIDEMIOLOGICAL SOCIETY OF LONDON. 11, Chandos Street, W.. 8 P.M.-Bri-gade-Surgeon H. Skey Suir, M.D.: On the Cause of BatericFever in India.

TITUAYDAY.OPHTHALM)LOGICAL SOCIETY OF THE UNITED KINGDOM. 8.30 P.M.-Patients

and Card Specimens at 8 30.-Mr. Stanfordc Morton: Diphthe-ritic Paralysis of External Recti, with case. Mr. Brailey; Onsome points in the IDevelopment of Cataract. Mr. R. W.Doyne: Paresis of External RXti, with case. Mr. Hartridge:Haemorrhage into Glaucoma Cup.-Mr. Treacber Collins: Rup-ture of the Posterior Capsule of the Lens following a Blow intothe Eye from a Stone. Mr. Beaumont (Bath); Living Specl-men; ? Macular Coloboma.

FRIDAY.CLINICAL SOCIETY OF LONDON, 8.30 P.m.-Dr. Bristowe: A Case of Death

after Exploratory Puncture of Hydatid of Lung. Dr. SidneyCoupland, and Mr. Pearce Gould: ACase of Double Empyema;Free Drainage of both Pleural Cavities; Recovery. Dr. A. F.

Voeleker: A Case of Empyema in which a communication wasestablished with the CEsopbagus. Dr. Herbert Hawkins: ACase of Abscess of the Lung, probably of Pneumonic Origin*;Drainage; Recovery.

BIRTHS, MARRIAGES, AND DEATHS.The chargefor inserting announements of Births, Marriages, and DeatAs is Ss. Bd.,which sum should beforwarded in Post Otiice rder or Sf amps with the notice notlater than Wednesday Morning, is t weare uret i.

BIRTH,WILSON.-At 14, St. Giles's, Oxford, on December 2nd, the wife of George John

Wilson, M.B., M.R.C.S., of a daughter.

DEATHS.

RING.-On Novemter 28th, at 12, Cambridge G&rdens, Kilburn, his father'sresidence, John Ring, jun., M.R.C.S., and L.R.C.P.L., et. 23. Deeplyregretted.

WILLIAMS.-On Saturday, November 22nd, at 63, Shaw Street, Liverpool, Sarah,the beloved wife of Dr. D. b. Wllliams, aged 56 years,

1333

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1840 THB BRITISH MEDiCAL JOURNAL. [Dec. 6, 1890.

Dr. B. B. Robertson, Ardros- Dr. G. Thomson, Oldham ... 5 5 0san .. ... ... ... 1 1 0 Dr. T. Thomson, Sheffield ... 2 2 0

Dr. J. Rodger, Aberdeen ... 3 3 0 Dr. T. P. Thomson, Shrews-Dr. G. Roper. Aylsham ... 3 3 0 bury.0 5 0Dr. J. Ross, Manchester ... 5 5 0 Dr. W. A. Tough,Crook 2 2 0Dr. J. Russell, Sandhurst ... 1 1 0 Dr. P. Tytler, Manchester 1... 1 0Dr. Buxton. Sheffield.. ... 1 0 0 Dr. A. J. Venn, London ... 2 2 0Dr. T. Seccombe, London 1 1 0 Dr. Walker, Newtonheath .. 1 1 0Dr. T. A. Sellar, Aberlour 0 10 6 Dr. T. J. Walker, Peter-Dr. H. C. Seneviratne, Ceylon 1 1 0 borough ... ... ... 2 2 0Dr. D. M. Shaw, Gosport ... 2 2 0 Dr. A. Waller. London ... 2 2 0Dr. Shepherd, Liverpool ... 1 1 0 Dr. P. H. Watson, LL.D.,Dr. J. Shives, Normanton ... 1 1 0 Bdinburgh ... .. ... 5 5 0Dr. A. Sims, Congo Independ- W. J. Walsham, Esq., London 5 5 0ent State ... ... ... 1 1 0 Dr. A. Westland. London 2 2 0

Dr. J. Simpson. Alford ... 1 1 0 Dr. W.-White, Manchester ... 2 2 0Dr. W. Sinclair, Aberdeen ... 2 0 U Dr. J. F. Wilkin. Beckenham 1 1 0Dr. G. Smith, London ... 1 1 0 Dr. W. H. Williamson, Aber-Dr. P. B. Smith. Aberdeen :. 1 1 0 deen. ... 2 2 0Dr.W. D. Steel, Abergavenny 1 1 0 Dr. Windle, Ovenden... ... 11 0).. Tait,.Esq. Birmingham ... 2 2 0 R. S. Wyld, Esq., LL.D., Bor-Dr. Tavlor. Keith ... ... 1 1 0 dighera... ... ... ... 2 2 0Dr. S. taylor, London ... 2 2 0 Dr. Wvness, Aberdeen ... 2 2 0Dr. B. Tavlor. Nottingham... 2 2 0 Dr. W. Yeats, Manchester ... 2 2 0Dr. Thin,;London ... ... 1 1 0 Dr. Yellowlees, Gartnavel ... 2 2 0

MEDICAL BOOKKEEPING.DR. A. SHEEN (Cardiff) writes: The A B C, A 1, and Carlyle's are all copies inprinciple of the system I published many years ago under the name of" Handy," and are devoid of its perfectness and simplicity. Kempe's, men-tioned by one of your correspondents. is all but & piratical copy of my day-book on a smaller scale. The " Handy " is published by Lewis, buke street,Cardiff, and Hamilton, Adams, and Co., London, and copies are to be seen Inthe library of the British Medical Association.

POULTICING THE CERVIX UTERI.DR. HEYWOOD SMITH (Harley Street, W.) wiltes: In obstinate cases of chronic

cervicitis where it Is desirable to reduce the Inflammatory condition of thepart, I have found the application of a linseed poultice of very great service.I first began its use several years ago at the Hospital for Women, and havecarried it out more recently at my private hospital, and venture to lay it be-fore your readers in the hope that they may find it equally successful. Thepoultice should be made quickly, and put into a bag of fairly strong butthin material, and passed right up to the cervix uteri through a large specu-lum freely greased on the inside. It may be retained all night, and if re-peated two or three nights in succession will in many cases give great relief.

COMMUNICATIONS, LBTTERS, etc., have been received from:(A) Mr. A. Anus, London; Messrs. Arnold and Co., London; Actuary of theClerical Medical and General Life Assurance Society, London; Surgeon-Major R. Anderson, Hove; Mr. E. J. Abbot, Birmingham; Professor JohnAttfield, London; Dr. Sidney Allden, London; A. J. Anderson, M.B., Black-pool. (B) Dr. A. B. Buckell, Chichester; Messrs. Buchanan and Co., Dum-barton; Dr. F. Beach, Dartford; Dr. W. Bernard, Derry; Dr. F. H.Barendt, Liverpool; Dr. A. T. Brett, Watford; Staff-Surgeon C. W.Buchanan-Hamilton, Exmouth; Mr. G. Balfour, Wimbledon; Dr. Balding,Royston; Dr. P. Boobbyer, Nottingham; Mr. W. L'Heureux Blenkarne,Leicester; Mr. W. Briggs, London; Mr. B. Burchell, Brighton; Dr. R.Barnes, London; Mr. G. Buckston Browne, London; Dr. Bristowe, London;Dr. C. Y. Biss, London; Dr. C. B. Beevor, London; Dr. C. Beale, London;Dr. Bantock, London; Dr. J. B. Berkart, London. kC) Dr. J. Carey,Taunton; Dr. C. Cameron, London; Dr. Ward Cousins, Southsea; Mr. T. A.Collinson, Hanwell; Dr. D. H. Cullimore, London; Mr. T. Clark, Mine-head; Mr. W. Carte, Dublin; Mr. H. G. Croly, Dublin; Dr. F. M. Corner,Poplar; Mr. Bruce Clarke, London; Dr. Cullingworth, London; The Com-mittee of the Ballad Singers, London; Mr. Harrison Cripps, London; J. A.Coutts, M.B., London. (D) Mr. W. 0. Duncan, Aberdeen; The Dean ofKing's Collgge Hospital, London; Dr. H. De Tatham, London; Mr. E. J.Day, London; Mr. A. Doran, London; Rev. J. R. Diggle, London; SirHorace Davey, London; Mr. N. F. Davey, Abergavenny; Dr. Arthur Dalzell,Wimbledon; Messrs. S. W. Downard and Co., Hove; Mr. W. Dudley, Bir-mingham; Mr. P. M. Davidson, Congleton. (E) Mrs. Bland, London; Mr.W. F. B. Eadon, Hambrook; Mr. Edward East, London; Mrs. A. M. Evan-son, Chilverton Elms. (F) Mr. S. Fergusson, Alloa; Mr. A. Freer, Stour-bridge; Mr. A. H. Frere, Lincoln; Dr. H. Fox, London; Mrs. Fincham,London; Dr. W. H. Fenton, London; Mr. G. P. Field, London. (G) Mr.B. Ground, Maidstone; Dr. H. F. A. Qoodridge, Bath. (E) Dr. J. B.Hellier, Leeds; Mr. G. Hopper, Worthing; Mr. J. Hutchinson, jun., Lon-don; Mr. G. Hermanni, Hamburg; Dr. J. B. Haycraft, Edinburgh; Mr. C.B. Hoar, Maidstone-; Dr. Halliburton, London; Dr. T. P. Hunt, Guildford;Mr. W. H. Haley, Wakefield; W. W. Hall, M.B., London. (I) Dr. C. R.Illingworth, Acorington. (J) Mr. C. L. Josling, Wallington. (K) Dr. R.Kirk, Partick; Dr. G. C. Kingsbury, Blackpool. (L) Miss F. Lankester,London; Messrs. Lea Brothers and Co., Philadelphia; Mr. N. Laupp, Tu-bingen; Dr. J. S. Lyttle, Pontypridd; Mr. C. B. Lockwood, London. (K1)Messrs. Mawson, Swan, and Weddle, Newcastle-on-Tyne; Mr. K. W. I.Mackenzie, Ryde; Dr. A. Morlson, London; Mr. D. McCallum, Glasgow;Mr. H. McConnel, Litchdon; Dr. J. A. Menzies, Brighton; Surgeon-MajorJ. Moorhead, Nagpore; A Member; Mr. W. T. McCormick, Brighton; Dr.

James Murphy, Sunderland; Dr. Mickle, London; Miss A. Mark, Felstead;Mr. A. E. Maylard, Glasgow. (N) Mr. L. Newton, Alconbury Hill; Dr.Richard Neale, London. (0) Dr. J. O'Connor, Manchester; Mr. J. J.O'Hagan, Garston. (P) Mr. L. Pasteur, Paris; Mr. D'Arcy Power, London;Dr. C. Parsons, Dover; Dr. L. Parkes, London; Mr. J. Poland, London;Dr. G. W. Potter, London; Mr. F. Perks, London; Dr. Leslie Phillips,Birmingham; Dr. Phillips, Whitley. (Q) Mr. R. H. Quine, Pendleton. (R)The Registrar of the General Medical Council, London; Dr. G. H. Rodman,East Sheen; Mr. G. J. Roberts, London; Dr. W. Russell, Edinburgh; Dr.J. J. Ridge, Enfield; Dr. A. Routh, London; Dr. Pecho de Recio, Jerez dela FTontera; A. T. Roworth, M.B., Grays. (S) Mr. James Stewart, Read-ing; Dr. James Stewart, Bristol; Dr. C. E. Shelly, Hertford; Dr. AlderSmith, London; Mr. S. P. Snook, London; Dr. R. Stockman, Edinburgh;Mr. C. B. Sewell, London; The Secretary of the Apothecaries' Hall, London;Dr. G. E. Shuttleworth, Lancaster; W. K. Sibley, M.B.. London; Messrs.Street and Co., London; The Secretary of the Decimal Association, London;Mr. H. J. T. Siuclair, Cheetham; Dr. W. J. Scott, Lucan; Mr. J. Stothard,Hull; Mr. W. F. Sheard, Putney; H. Stalkartt, M.B., London; Senex.Mr. S. A. K. Strahan, Northampton; Dr. A. Sheen, Cardiff; Mr. J. BlandSutton, London; Sanitas; Dr. R. J. H. Scott, Bath; Mr. W. D. Severn,Putney; Dr. M. Skerritt, Clifton; Dr. Saundby, Birmingham. (T) Dr. G.Thin, London; Dr. G. St. G. Tyner, Downpatrick; Mr. E. F. Trevelyan,Leeds; Dr. Thorne Thorne, London; Dr. J. C. Thresh, Chelmsford; Mr. R.Thomason, Hertford; W. T. Thomson, M.B., St. Andrews; Mr. LawsonTait, Birmingham; Dr. A. W. Thomas, London; Mr. B. D. Taplin, Dorring-ton; Mr. J. J. B. Taylor, Ulverstone; Dr. W. B. Thorne, Berlin. (U) Ute-rine. (V) G. H. VoB, M.B., Tottenham; Messrs. Vanderhoeck and Ruprecht,Gottingen; Mr. T. J. Verrall, Brighton; Mr. C. T. V. Vereker, Dublin. (W)Mr. T. B. White, Bagshot; Mr. R. W. Walden, London; Dr. H. Woods, Lon-don; Mr. B. Wiegand, Dresden; Dr. Hale White, London; Dr. Willoughby,London; Mr. B. Ward, Leeds; F. C. Wallis, M.B., London ; Dr. J. W. White,Uddington. (Y) Dr. D. Young, Rome; Dr. Burney Yeo, London; etc.

BOOKS, ETC., RECEIVED.

Maggie in Mythica. By F. B. Doveton. London: Swan Sonnenschein andCo. 1890.

In the Days of Luther. By Rima Stuart. London: Swan Sonnenschein andCo. 1890.

Joseph Sturge. By Alexandrina Peckover. London: Swan Sonnenscheinand Co. 1890.

The Children of the Castle. By Mrs. Molesworth. London: Macmillan andCo. 1890.

Lehrbuch der allgemeinen und speciellen pathologischen Anatomie ftir Aeratennd Studirende. Von Dr. Ernst Ziegler. Zweiter Band. Jena: GustaYFischer. 1890.

Das Cyllnderepithel Carcinom des Magens uind des Dickdarms. Von Dr.Gustav Hauser. Jena: Gustav Fischer. 1890.

Ueber Muskelregeneration nach Verletaungen. Von Professor Dr. C. Bau-werck. Jena: Gustav Fischer. 1890.

Sanitv and Insanity. By Cbarles Mercier, M.B. Icndon: Walter Scott.1890.

Lehrbuch der Auscultation und Percussion. Von Dr. C..Gerhardt. Tubingen:H. Laupp. 1890.

Klinische Abhandlungen. Von Dr. G. A. Sacharjin. Berlin: August Hirsch-wald. 1890.

Zalr Geschichte des Bruststiches. Von Professor Dr. 0. Gerhardt. Berlin :August Hirschwald. 1890.

Aetiologische und klinische Malaria Studien. Von Dr. Friedrich Plehn.Berlin: August Hirschwald. 1890.

Handbook of Dr. Koeh's Treatment in Tubercular Disease. By Edward F.Gtrun, M.R.C.S., L.R.C.P., and Walter D. Severn. London: J. and A.Churchill. 1890.

Aids to Sanitary Science. By Francis J. Allan, M.B. London: Baillibre,Tindall, and Cox. 1890.Researches on Micro organisms. Bv A. H. Griffiths, Ph.D., F.R.S.E. London:

Bailliere, Tindall, and Cox. 1891.Hazell's Annual for 1891. Bdited by E. D. Price, F.G.S. London: Hazel',Watson, and Viney. 1891.The Vicar of Wakefield. By Oliver Goldsmith, with a preface by Austin Dob-son, and illustrations by Hugh Thomson. London: Macmillan and Co.

1890.A selection of Diaries, Calendars, etc., from Messrs. Griffith, Farran, and Co.

From the Society for Promo' ing Christian Knowledge.The Birth and Growth of Worlds. By A. H. Green, M.A., F.R.S.Rocked in the Cradle of the Deep. By Gordon Stables, C.M., M.D.Seven Idols. By. F. E. Reade.Soap Bubbles. BL C. V. Boys, A.R.S.M., F.R.S.Spinnin, Tops. y Professor John Perry, M.E., D.Sc., F.R.S.Lennard s Leader. By Edward N. Hoare, M.A.

From Cassell and Co.The Magazine of Art. Vol. xiii.Cassell's Family Magazine for 1890.Lost in Samoa. ByED. S. Ellis.¶Fal. By E. S. Ellis.Wanted a King. By Maggie Browne.Letts's Medical Diaries for 1891.