248 TM ftDlJ 1 EMORANDA.' [AU Xmica. JOURNAl l]Mj 1903. [AUG. 1,I, 1903-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ injection of Koch's tuberculin in the treatment of tubercu- treatment during the past third of a century have been com- losis, which we niow know was based on an erroneous thera- mensurate with our ine!reased knowledge of disease, and peutic principle; but since that time many modifications simply on account of time have I limited mryself in a great have been made that will bring the new tuberculin more into measure to diseases of the abdominal cavity. line with the ordinary bacterial vaccines, and the outlook for I have tried to shlow what a close connexion exists between a useful application of inoculation for tubercle is much more the science and art of our profession, and how very necessary hopeful, since we have at our disposal a vaccine which con- it is, if we are to continue our mareh of progress., that experi- tains in it elements derived from the bacterial protoplasm. mental researcll should not only be untrammelled by factious Moreover, the tuberculous serum sedimentation reaction and unreasoning opposition, but that it slhould reeeive furnishes a method by whic'h we can obtain information of greater recognition, encouragement, and support at the hands the progress of the reaction of immunization in the patient's of the publie. system. I have tried to forecast the future, and to show that whileb It was lhoped that the principle of serumtherapy which has surgery has still great strides to make and many difficulties been so eminently successful in the cure of diphtheria would to eonquer, such progress will be in a great measure initi- also be applicable in the case of bacterial diseases. Unfortu- mately bound up with the work of the physiciani, the patlh- nately, lhowever, our hopes have Inot been fulfilled, as not ologist, and the bacteriologist, and I thinik the time will come only have the sera thought to be applicable to other dis- when preventive measures suchi as I have portrayed will sav& eases failed to do good, but in some cases actual harm has much operative work, and when it will be thought a greater resulted. Neverthleless, the principle is capable of being triumph to prevent than to cure disease. worked out, and doubtless ere long will be, and I feel sure We can see that methods and policies which were suffieient that it is destinied to revolutionize our practice in dealing years ago are totally inadequate to day. We may modify but with localized bacterial invasions. we cannot prevent the world's advance, and whlile times An immense impetus has been given to this line of work clhange men change with them. The medical profession is by the investigations of Dr. Macfadyen, wh1o, utilizing the imbued with a spirit that half a eentury ago was undreamed discovery of the liquefaction of air made by Professor Dewar, of. Not only have apparently insurmountable diffieulties and the intensely low temperature that can be obtained been overcome, but habits of,;thought hlave beeni attained througlh its employment, has succeeded in grinding up whieh have made such achievement possible, anld a scientifie typhoid organisms and liberating the bacterial contents, attitude of mind has become charaeteristie of our professiolns which can be used as protective vaccines without the danger as it has of the leaders in every branch of the world's of introduciing living organisms that would tend to intensify progress. and continue the disease. In becoming more seientific, it is a mistake to suppose that The success of the experimental work already under- the medical profession has lost touch with higher beliefs. As taken leads one to hope for good results in other Lord Kelvin has so happily stated it lately, " Science posi- bacterial affections. For instance, take the numerous tively affirms ereative power. We only know. God in His; diseases due to infection by the bacterium coli commune, works, but we are absolutely foreed by scienee to believe with among which one may mention appendicitis, cholecystitis perfect eonfidenee in a directive power, in an inifluenlee other leading to gall-stone formation, colitis, cystitis, pyelitis, than physical, or dynamical, or electrieal force." There is inCf peritonitis, etc., all serious and often fatal diseases. harm in free thinking, for if we think strongly enouglh we are- In future it seems absolutely assured that many of those foreed by seienee to the belief in a higher power, wlhieh is the infections will be dealt with by the method of immuniza- foundation of all religion. tion; and it seems not at all improbable tlhat, even if such In conclusion, I must thank you for giving me so patient a diseases cannot be prevented, the necessity for operation may hearing, and at the same time I would apologize for many- in some be staved off, while in others the operative results eonscious omissions whieh, had time permitted, would not may be materially improved, anid the post-operative anxieties have occurred. I trust, however, that what I have said will lessened by protective inoculation before operation. serve to sh1ow that we are one and all imbued witlh a desire to Of the treatment of streptococcus infection, such as carry out our duties conscientiously, and to live up to the. erysipelas and other diffuse inflammations, by the antistrep- privileges of our highl eallinig. tococcus serum we can probably all point to some excellent as well as to other uncertain results; but as improvement in REFERENCES. the preparation of the antitoxin occurs, and as our knowledge Annals of Sutrgery, June, 1903. 2 Centralbl. f. Chir., I884 and 289o. of when and lhow to use it is increased, we shall be able to calculate on more certain results. At the present time sur- geons are finding the injection of the serum of service in immuninizing before operating in certain regions, such as the MEMORANDAI tongue, mouth, throat, and rectum, where asepsis cannot be secured with certainty. MEDICAL, SURGICAL, OBSTETRICAL, THERA- Dr. A. E. Wright's researches with regard to localized PEUTICAL, PATHOLOGICAL, ETC. staphyloccocus infection, as in boils, acne, and sycosis, have shown that in all these cases there is a defective power of EXTREME HYPERPYREXIA. phagocytosis with respect to the staphylococcus, as well as I NOTICE that in the BRITISH MEDICAL JOURNAL of July 25tll invasion by that organism. The inoculation of a staphylo- p. 193, there is a note on extreme hyperpyrexia. I think that coccus vaccine has the effect in a considerable proportion of most general practitioners occasionally notice very high tem- cases of immunizing the patient against the special organism, peratures before death, and those mentioned by Dr. Bunbury and in the Lancet for March 26th, 1902, Dr. Wright has given are fatal cases. These are certainly extreme temperatures. his experience of the remarkable results he has obtained in Dr. Bunbury, however, mentions finally that he has met with, these well-known and. troublesome diseases of the skin and a temperature of 1070 F. before death from peritonitis. More hair follicles. wonderful than these, however, are the very high tempera- These researches on the localized cutaneous invasions of tures one now and then comes across in cases that are not, staphylococci have paved the way for further therapeutic fatal, more particularly in influenza. I have many times. applications in conniexioin with wounds and open ulcers. seen influenza produce most alarming temperatures, often It seems not improbable, in the early future, that in all io60 F., and a few months ago I had a case of influenza in' inflammations, whether of the respiratory tracts or the pleura, which the temperature, taken with all care, was I07.20 F. It of the brain or the meninges, of the uterus or its appendages, was a oase with no complication, and under small continued of the middle ear and its sinuses, of the abdomen and its doses of antipyretics this alarming temperature yielded to contained viscera, as well as of the joints and bones, the the extent of 7 degrees within 24 hours. A sudden very services of a skilled pathologist will be required, who will by alarming temperature, followed by a wonderfully rapid fall I a blood examination or otherwise determine the organism or have seen occur very often in this affection. organisms causing the infection, when the appropriate serum Peebles, N.B. J. RODGaER WATSON, M.D. or vaccine will be immediately employed, so as to arrest the inflammatory process, or in case of the disease having TRANSMISSION OF SYPHILIS AS A PENAL OFFENCE.-A man advanced too far for arrest, to limit its extension, and by a has been sentenced to five months' imprisonment in Munich process of immunization to prepare the patient for operation, for having knowingly infected a woman with syphilis. The should such be called for. judgement was based on the ground that a serious injury had Gentlemen, I have tried to show that the advances in been inflicted on the complainant. AUG. 1, r9o3.] OBITUARY.D 3 [uB.,AL,279J 'University of and take up dhemistfry and physics, of struetion' of 'lunatic asylums in those countrie's On his ati elementary kind it is true, but still enough to place them return to S,ydney he wrote a valuable report, which gained in a much better position to start upon their work for the for him a high reputation, and was for a long time regarded TPre1iminary Scientific Examination than those to whom the as a standard work. He was subsequently appointed Inspector subjects are fresh. Hence it seems worth consideration of Hospitals for the Insane, and on the: passing of the whether in a preliminary examination recognized for entry Lunacy Act he became Inspector-General of the In- into the medical profession some quite elementary knowledge sane., This position he retained for twenty years, re-. -of a sci-entific subject would not be a desirable requirement, tiring in I898. During his, tenure of office he thrice .and it is not at all certain that the general mental training visited England, and on each occasion he took the thus afforded would be in any way inferior to that bestowed opportunity of inquiring into'the latest methods of treatmaent iby the small amount of classics displaced.-.I am, etc., of the insane. He was thus able to render an immense, ser- Park Crescent, W., July 24th. CHARLES S. TOMES. vice to New South Wales, the newer asylums at Callan Park and Kenmore having been .practically designed by him'. One THE TREATMENT OF APPENDICITIS. of the last occasions on which he appeared before a gathering 54R,-I have been interested in the correspondence which of the medical profession was a meeting of the New South 'which has appeared in the columns of the BRITISH MEDICAL Wales Branch of the British Medical Association 'two or'thikee. .JOURNAL'on the subject of appendicitis. During the twenty- years ago, when he read a paper on a subject which was near six years I practised in a coast town I have often attended to his heart, "the establishment of farm colonies for epi-^ cases which I diagnosed to be typhlitis or perityphlitis, but I leptics." Unfortunately, he did not live long enough. to' see. cannot remember a single fatal case or one which resulted this realized. in ulceration or abscess in the region of the appendi'x. Dr. Manning held several appointments at various.times., Several patients had a susceptibility to pain and inflamma- He was the Visitor to Court patients under the Lunacy Act; a, tion in that region induced by a chill, especially cold feet; position which corresponds to that of the Lord Chancellor'i' or at other times the symptoms were referable to local irri- Visitor in England. He had also held 'the positions of tation or obstruction; but as resolution usually occurred in President of the Board of Health and Medical Adviser to the the course of a week, no opportunity was afforded of ascer- Government. He was formerly Lectdrer-on Psychological. taiting the 'exact pathological condition. Medicine at the University 'of' Sydney, a Trustee, 'of the The rationale of treatment was first to-'relieve the pain by National Art Gallery, a local Director of the Equitable Life the administration of a pill eontaining calomel and opium Assurance Society- of the United ,States, a Director'of the every four or six hours, and the application of hot fomenta- Carrington Convalescent Hospital at Camiden, 'and' lately tiona and poultices of linseed meal, with the addition of some President of the Australasian Trained Nurses' Association. laudanum locally, followed by a fly-blister on the third or On -his retirement from' theEposition of Inspectot-General fourth day. As vomiting was often troublesome for a day of the Insane he became a consultant in mental diseases- or more, the diet was liquid and restricted in quantity continuing to render valuable assistance, to the Government usually milk alone or with soda or line water. in many matters bearing on the manag,ement of the hospitals When the acute pain was relieved,' the next. object was to for the insane. His health began to fail 'some tWo or thr;ee relievo- the bowels, either by enema or by a dose of castor oil, years ago, and the.last year of his life was spent in muiei ,With the addition of 3 or 4 gr. of grey powder. By the end pain and suffering. of the week the patient was convalescent, though weak for Dr. Manning was a bachelor. Of his personal and profes- :some time 'afterwards-. sional'qualilties it is hardly possible to "speak too highly. I presume this experience coincides with that of many He' was a perfect type of an English gentleman, and he was country practitioners who like myself have been astonished indeed beloved by all 'who knew his sterling worth and Iby the prevalence of appendicitis in recent years and by the kindly disposition. Few men have' done more thani he frequenby'with which operations have been performed for to adorn and exalt their profession, and'his death is: felt'as ,the removal of the appendix. In fatal cases after operation not only a national loss but as a real personal one by many of, it' would be interesting to discriminate whether 'the event his professional friends and others whlo never sought his help *as the result of the disease or the operation. It also seems or advice' in vain. Testimonies to his worth'were uttered in to me that the attention of the profession should -bedirected the Supreme Court by the Chief Judge in Lunacy, and' these, to the causation of this comparatively new disease, and if the were re-echoed by the leaders of the Equity Bar. 'But 'no over-indulgence in cigarette smoking has any relation to its stronger' manifestation of the esteem in which he'was held jirevalence.-I am, etc., coul,d be given than the imposing funeral procession which `1asgow, July 28th. WILLIAM A.- CASNIE, M.A., M.D. followed his remains to theirlast resting place in the cemetery which is atta'ched to the.'institution where he had spent his best. days, and which he.'had himself selected some time ago for his grave. As the" coffin was borne to the grave by four 'OBITUARY. senior attendants of the different hospitals for the insane, a to NORTON MANNING, M.D.ST. AND., M.R.C.S, large number of the attendants followed, and he was laid FREDERIC L.S.A. rt in-the presence of a very large gathering of the medical Sydpey, New South Wales. profession-, the judges .of the Supreme Court, members of 'WE deeply regret torecord the death of Dr. F. N. Manning, Parliament,+ and representatives of many of the institatinsdh 9of Sydney, New Soith Wales, whi-ch took place on June i8th, with which he had been connected. -after l lingering illne, in his 65th year. The memory of Norton Manning will ever remain green in Frederic Norton Manning was born at Rothersthorpe, in the minds of thiose whose privilege it was to know himnas d Northamptonshire in the year 1839; 'He studied medicine at friend and adviser,' .ad the profession in New South,Wales :at. George's Hospital, and in i86o 'obtained the diploma of mourns to-day the loss of one of its brightest ornaments. the Royal College of Surgeons of Enigland and the Lidcene of the -Apothecaries' Hall in London. Two years later'he ob- tained the degree of M.D. from -the U-niversity of St. Andrews. Hav'ing got an appointment as surgeon in'the Royal Navy UNIVERSITIES_AND COLLESES.1 lie served on H.M.S.'Esk, and saw considerable service in -. -* UNIVERSITY OF EDINBURGH. -New Zealand during the Maori war. GRADUATION CEREMONIAL. THE autumn or Medical Graduation Ceremonlal took place on Saturday, In I867 there were only two asylums for the insane in'New July 2Sthj the Viee-Chaneellor-(Prineipal' S1t William. Turner) presiding. :South Wales, and' the' management of them and of the The following degrees were conferred: patients withiin their walls isi said to have been Degree of M.D.-tA. L. Anderson, M.B., C.M: The Roentgen- rays in who was at that, time intra,4horacic disease. F.- T. Auden, M.B., C.M.: The diagnosis be- atV6ious.- 'Sir;>'Henry Parkes,' tween yaws and syphilis. (In abseqntA). 4tW. J. Barclay, MB., Cli.B.: A 'Premier of the Colony, recognized. the urgent need obf a stuidy of the vital statistics of New Zealand, xwith a life table for the five complete reform. Happening to meet Mauning whose years,' 1g6. J. B. Blalkif, -M.B., C,M.: The intestinal dyspepsia of tship` the Esk, was thii in Sydney Harbour, he-was .so im- childrenn -J.f-Blyth', M.B., ¢C.M.: Infantile cOnvulsions. D.). . M.lBone, M.B.,;C.M. :-4he the patliology of the Chorea of Sydenham. pressed with hi cliar'ater and abllitids that he offered him R. T. Bruce, MBetiology-andCM. Associated movements inu hemiplegia.- *A. F. the task of reoVganizing the asyilums. This offer Mlanning CA&nre&n, M.B' 6.M.: The factors on, which -diagnosis, in small-pox is accepted; and 'he 'was appointed -Medical Superintendent at; ba*ed. *B. J.bCo'urtney, M.B,, Ch..B. * The diarrho4eal diseases of infancy: -o "as it;1s- then -cailled,' Tarban thdircauses,-symptOms, and treatment, etc.. tL.-. Crsaley, MB.,1-Ch.B.: the GIade-Vfilje ASylhi, Er)*kbelbs, with notesv ow eighty cases. tJ1i'E.'Dizel, MB.,: C.M.; 06*2." : In the, following year he was commissioned to vifst Framboesia in' Soutlh(China, *.ith descniptiot .8fios. .-HBH, Dodds, YEurope and"Aleriea-.to report on the management and con-. M.ilS.,'-Ch3l.k.i:Aladkwat0r faoer. '.0.J. Evans, M&B.,Ch.B.'; Clinical ob- 280 u 1 I TNKELDIWALBJrrMAJOuILNAti UNIVERSITIES AND, COLLEGES. [XUG. i I gol. servations on cnlargement of the spleen, and their diagnostic significance Hooper, A. Hutley, I. Ivey, Bertha Jex-Blake, J. M. Johnston, and pathology. 'H. Faulkner, M.B., Cli.B.; The miCiioFcopiC changes in tR. W. Johnstone, M.A., J. H. Kay, J. W. Keay, I. C. Keir, *J. M_ the blood duriing pregnancy and the ptuerperium, with special leference Kirkness, *L. A. H. Lack, W. S. Laidlaw, F. T. C. Linton, M.A., A. to leucocytosis. 'R. M. Fi-eer, M.B., C.M.: The value of vaccina- Lundie, B.Sc., F. W. Lundie, H. MacCormac, J. R. M'Gregor, G. S. tion at and after infection fromii smiiall-pox, witlh sonme re- Mackay, Marion Ellen Mackenzie, Clara Violet M'Laren, W_ ference to the duration of protection afforded by vaccination. MacLaren. J. J. M'Millan, J. B. M'Niell, I. M. Macrae, R. M. Main- A. W. Fuller, M.B., Ch.B.: An investigation of the urine of children-its waring-White, H. C. Martin, A. S. Millard, B.Sc., iG. H. S. Milln, normal amount and the contained urea and purins. "J. J. Galbraith, C. R. P. Mitchell, A. M. Moll, *W. C. Morton, M.A., E. Muir, C. H. M.B., Ch.B.: The patlhology and etiology of pulmoDary tuberculosis in Muller, tH. L. Munro, tD. M'K. Newton, W. H. Nutt, C. O'Flaherty.- relation to the natural imietlhod of liniitation of the disease, and the D. E. S. Park, tD. D. Paton, M.A., tT. Peebles, J. A. Pottinger, Julia various metlhods of inducing artificial limitation. A. Gilmour. M.B.; Letitia Pringle, W. L. Pritchard, A. M. Pryce, WV. Readmiian, Eva. Ch.B.: Some Soutlh African diseases. T. P. Greenwood, M.B., C.M.: Anne Robertson, W. S. Robertson, Amy Robinson, L. C. Robinson, Morbid bodily conditioins in the insane-some remiiarks, comparisonis, aud J. A. Ross, M.A., Mabel Ross, J. A. Roux, B.A., N. C. Rutherford, cases. IA. H. Griffith, M.B., Ch.B.: Dysentery, with special reference to W. Sanderson, tD. J. Scott, D. G. A. Scott, J. E. Scott, M.A., M. the disease as studied in Persia. F. A. Hardy, M.B., C.M.: An inquiry Sinclair, G. W. R. Skene, *G. H. Skinner, J. H. Smith, B.A., S. W. into the etiology, pathology, and clinical features of thoracic aneurysms. Smith, tEva Maud Snowball, H. Speirs, F. H. Stirling, Amelia Sut- IH. Harris, M.B., Ch.B.: Some common morbid conditions of the infantile cliffe, *J. Tait, B.Sc., J. E. Taylor, J. P. du Toit, L. Turiansky, R. alimentary system, with special reference to summer diarrhoea. 'J. Veitchl, W. R. S. Watkins, G. J. Wentzel, D. H. Wessels, L. West, G. Henderson, M.B., C.M.: The tveatment of pulmonary tuberculosis by Wight, W. Y. Woodburn, XV. D. Wright, G. W. Young. intravenous injections of lhetol, and subcutaneous injections of cinnamal e * First Class Honours. t Second Class Honours. of sodium. tT. Henderson, M.B., Ch.B.: A study of the cllanges following Certificates in Diseases of Tropical Climates were gained by D. Allison, upon extraction of cataract, witlh a histological report of thirty cases. A. K. Baxter. Nina Henrietta Beath, Edith Cochrane Brown, A. Buchanan. A. L. Husband, M.B., C.M.: Agoraphobia, and some allied conditions. H. Caird, Katharine Jane Stark Clark, C. S. Crichton, D. M. Crooks, J W. R. Jackson, M.A., M.B., C.M.: Some considerations on the disease Davidson, F. I. Dawson, W. E. C. Dickson, IH. B. Dodds, A. L. Duke, C. E. rheumatism. "W. E. JenniDgs, M.B., C.M.: The value of measures Dumanoire, J. Fortune, Agnes Josephine Gardner, R. G. Gordon, P. Gray- for the prevention of the spread of plague by railway traffic in India. Marshall, Frances Malgaret Harper, A. W. M. Harvey, J. M. Johnston, W. J. B. Jones, M.B., Ch.B.: Carneous mole-its nature and pathology. J. M. Kir-kness, A. Lundie, XV. MacLaren, J. A. Pottinger, Eva Anne F. F. Kerr, M.B., C.M.: The treatment of nineteen cases of an epidemic Robertson, Amy Robinson, Mabel Ross, WV. Sanderson, G. H. Skinner, of diphtheria of two months. tL. Kingsford, M.B.. C.M.: Tuberculosis Eva Maud Snowball, H. Speirs, E. L. Steyn, A. C. Turner, R. Veitch. in childhood. J. D. Leigh, M.B., C.M.: Gall stones-their etiology, physical characters, pathology, symptoms, and treatment. P. A. Prizes and Scholarshtips. Veighton, M.B., Ch.B.: Diphtheria, a study, illustrated by cases. G. H. Prizes and Scholarships were awarded as follows: The Goodsir Lewis, M.B., Ch.B.: The open-air treatment of clhronic pulmonary Memorial Fellowship, 0. C. Bradley: the Gunn,ing Victoria Jubilee Prize tuberculosis. T. H. Livingstone, M.B., Ch.B,: A study of gastric ulcer. in Physiology, A. Hunter; the Ettles Scholarship, L. A. H. Lack; the *G. Lyon, M.B., Ch.B.: Inflammatory changes in the kidney-an experi- Allan Fellowship in Clinical Medicine anid Clinical Surgery, A. A. Hall - mental study of the action of some toxins and poisons upon. the kidney, the Freeland Barbour Fellowship and the Buchanan Scholarship in and also upon tlle spleen. tD. M. Mackay, M.B., C.M.: The light sense in Gynaecology, J. M. Kirkness; the James Scott Scholarship in Midwifery, strabismus, epecially in tle amblyoleia of strabismus, examined by means of C. R. Gibson; the Moust Scholarship in Practice of Physic, R. Veitch; a new photometer. 'J. W. MacKenzie, M.B., ClG.B.: The use of paraldehyde the Charles Murchison Memorial Scholarship in Clinical Medicine, C. J. as apulmonary sedative. "A. H. M'Shine, M.B., C.M.: The morbid anatomy Shaw; the M'Cosh Graduates and Medical Bursaries, J. Tait; the Beaney of gaucoma and its relations to the theories of causation. "A. A. Martin, Prize in Anatomy and Surgery, A. A. Hall; the Pattison Prize in Clinicat M.B. Gh.B.: Medical and surgical experiences while a civil surgeon, Surgery, L. R. H. P. Marshall; the Dorothy Gilfillan Memorial Prize, Eva South African Field Force, late Boer war. (In absentid.) F. C. Matt,hew, Maud Snowball; the Dobbie Smith Prize in Botany, A. N. Bruce; the M.B., Ch.B.: Chronic hyperplastic tuberculosis of t,he intestine, com- Vans Dunlop Scholarship in Chemistry, J. Anderson. monly causing stenosis. 1W. XV. Maxwell. M.B., Ch.B.: A series of eighteen The degree of B.Sc. in the department of Public Health was conferred: successivecases of post-scailatinal diphtlheria. tF. N. Menzies, M,B., Ch.B.: on G. Rattray, M.B., Ch.B., and J. Scott, M.D. F¶ushed breast-atorm of mastitis occurr ingveryearlyin the puerperium. The address to the new graduates was given by Professor Crum Brown. *P. E. Millard, -M.B., Cli.B.: A-ppendicitis. *J. Miller, (B.Se.,), M.B., He referred to the changes that had taken place in the Senatus during, Ch.B.: The histogenesis of the tubercle, or the primary action of the the past year, congratulated the new graduates, and referred to changes tubercle bacillus on the tissues. J. R. Munro, M.B., Ch.B.: Emergency in our methods of diagnosis, to tlle iiiprovemients in our means of obser- abdominal sulger-y in a pr-ovincial hospital. J. Niglltingale, M.B., C.M.: vation, to tlle new metlhods of treatment, and to the additions to our' A study of infantile miiortality in England and Wales, its causes and pre- power of doing tlings. Amongst these clhanges lie specially noted the. vention. A. S. M. Peebles, M.B., Ch.B.: Epilepsy; etiology and treatment Roentgen rays and their uses. He next discussed the autiseptic treat- from the point of view of a toxaemiiia. Ill. G. Pesel, M.B., Cli.B.: Some ment of wounds; time great advances in medicine, as, for examnple, in the observations on the blood in phthisis pulmoinalis. R. 0. Petrie, M.B., treatment of disease by drugs, in the discovery of the action of micro- C.M.: Primary car-cinoma of the body of the uterus. E. E. Porritt, M.B., organisms, in the " toxins " they produce, in the reimedial " antitoxins "; C.M.: Twelve cases of practical interest, with comments. (In absentid.) lie discussed the great work of Pasteur; lie noted rapidly the gland e- S. C. Pritchard, M.B., Ch.B.: Henoch's purpura. A. M. Rattray, M.B., tracts, specially tl-hyroid extract and adrenalin; lie ineferred to time need. C.M.: General paralysis of the insane, with special reference to its for sound judgement, a faculty whichl could be cultivated-"it comes etiology, symptomatology, and morbid anatomy. IM. B. Ray, M.B., C.M.: from the habitual conscientious performance of duty. It is a gift to the Some remarks on the therapeutic value of antistreptococcus serum. tJ M. good and faithful servant over and above hiis wages. May this and all. Reid, M.B., Ch.B.: Simple basal imieningitis in children. H. Richaldson. otlher good giuts be youlrs; you know whence they all come." M.B., C.M. : Some fevers met with in South Africa; their treatment and diagnosis from clinical observation during the Boer War, 1899-I902. G. L. UNIVERSITY OF . Roberts, M.B., C.M.: The etiology anid tr-eatment of exophtlaltauic goitre. GRIADUATION CEREMONY. J. A. Robertson, M.B, C.M.: Cape Colony as a health resor-t for those THE summer medical graduation ceremony in connexion with the Uni- suffering from pulimionar-y consumption, with special r-eference to the vearsity of Glasgow took place in the Bute Hall on July 2ist. There was a. "graduated altitude system." (In absentid.) L. Rose, M.B., C.M.: The large attendance of ladies and gentlemen who hlacd come to see tlleim- etiology and treatment of ulcer of the stomach, with special friends capped, and the Very Reverend Principal Story, the Vice- refereuce to the causal relation of anaemia. 'Laura Stewart Chancellor, presided. The following degrees were conferred: Sandeman, M.B., CliB.: Six cases of osteomalacia. A. M. Scott, Doctors of Medicine (M.D.).-*J. H. Teacher, M.A., M.B., C.M. (Thesis: M.B., C.M.: The r-adical cure of entropion and trichiasis. T. On Chmorion-epitheliomna and the Occurrence of Chorion-epitheliomatous R. S. Sibbald. M.B., C.M.: Mucous colitis. tF. D. Simpson, M.B., CliB.B and Hydatidiform Mole-like Structures in Teratomata; a Pathological Pelvitomy thr-ough the pubic bone by Gigli's method, as an operation in and Clinical Study). D. Stone, M.B., C.M. (Thesis: Infantile Atrophy. obstetrics. "G. S. Small, M. $., C.M.: Toxaemia of pregnancy; etilogy and with Statistics). A. C. WVhite, M.B., C.M. (Thesis: Blatta Orientalis athology, with observations on tlhree cases of eclanipsia. H. L. Spark, Secondary Reproductive Organs: Period of Development, etc.) .., Ci.B.: Pulmouary tuberculosis in pauper patients, witll sugges- Bachelor of Mledicine and Master in Surgery (M.B., C.M.) .-C. L. S. Gibson. tions for their cure and treatment. 1W. H. Swaffield, M.B., C.M.: The in- Bachelors of Medicine and Bachelors of Surgery (M.B., Ch.B.).-*tS. Mort, duction of prematur-c labour, with especial relation to past and present *A. Matheson, M.A., B.Sc.; *W. D. H. Stevenson, M.A.; *C. H.. Continental views of tIme questions involved. til. M. Traquail-, M.B., Browning, *P. L. Sutherland, 'M. Hutton, M.A., B.Sc.; IW. G, C.M.: The micr-oscopic examination of the secretions in conjunctivitis. Shand, 'Gertrude Dorman Bostock, B.Sc.; IA. WV. Sutherland, "E. J. Tyrrell, M.B., Cli.B.: Dissertation and research on the bactericidal M.A.;*IJ. C. Pairman, M.A.; 'J. W. Sutherland, IMartha Hunter action of some compounds of silver. E. E. Waters, M.B., C.M.: An Scott, 1J. Eadie, R. Adam, J. W. Arthur, Jeanie Auld, Helei. inquiry into the prevalence and causation of malaria, dysentery, and Stephen Baird. B.A.; T. Ballantyne, T. Bennett, M.A.; A. G. Bisset.. tuberculosis as seen in the Andaman penal settlements. (In absentid.) A. Blair, R. G. Bradford, J. Brown, R. Bruce, R. Bryson, Mary IJ. W. Wells, M.B., C.M.: Cod-liver oil and cod-liver oil emulsions. A. E. Charlotte Cameron, Jane Campbell, D. L. Carmichael, A. A.. White, M.B., C.M.: Pneuliuonia, pleurisy, empyema-cases, suggestions, Carruthers, W. B. Chapman, A. E. Clark, A. Connal, S. C. Cowan, and reflections. t. H. A. Whitelocke,.M.B., C.M.: The injuries inci- J. Cross, D. Dickie, Jessie Galloway Duncan, D. G. Dykes, C. C. dental to athletic exercises consideredas totlieir causation, patlhology, and Finlator-, J. Forsyth, Kate Fraser, B.Sc.; Jane Reid Foulds Gilmour,. rational treatm-lent. L. A. Williamiis, M.B, C.M.: Notes on the patholo- J. Glover, J. Hanson, M.A., W. Harvey, J. M. Kelly, A. D. Kennedy. gical effects of alcohol. H. D. Wilson, M.B., Ch.B.: Cases of carcinoma T. XV. Love, T. Lovett, D. Macaulay, J. D. M'Culloch, J. F.Mac- and epithelioma in clhildlhood and youth, with, notes. donald, Jessie Seath MacEwen, N. A. Macleod, J. A. Macvea, Anna *Gold medal. tHighly commended. I Commended. Pollock Martin, Eliza Jane Miller, Isabel Deane Mitchell, J. B. Degrees M.B., C.M. (Old Regulations).-Margaret Ida Balfour, W. H. Morton, G. Muir, G. Richmond, D. F. Riddell, M.A.; Mary Anti Winstanley. Thompson Ritchings, P. H. Robertson, Elizabeth Helen Smith, Degree8 of M.B., Ch.B.-D. Allison, tJ. A. Anderson, F. L. Atkinson J. B. Stevenson, W. Stewart, J. A. Thom, J. R. Thomas, J. Walker, M.A., C. M. Begg, W. F. Brayne, B.A., Edith Cochliane Brown, G. L' M.A.; W. N. W. Watson, R. T. Wells, M.A. ; J. F. Weston, J. Wilson, Brunton, G. M. Brunton, A. Buchanan, S. Burns, M.A., H. Caird J. Young (Glasgow), W. Young. T. P. Caverhill, Katherine Jane Stark Clark, Elizabetlh Lucy Colby * With honours. B.A., C. H. Craig, R. W. Craig, C. S. Crielbton, D. M'K. Crooks, D. H. t Mr. Mort gains the Brunton Memorial Prize of ten pounds, awarded t(> Croom, B.A., H. Curwen, J. M. Darling, M.A. *H. S. Davidson, J. the most distinguished graduate in medicine of the year. Davidson, W. H. Davison, D. E. Derry, A. C. Devereux, J. R. t With commendation. Dobbin, J. Donaldson, M.A., C. E..Dumanoire, Alice Mary Ebden, The usual valedictory address to the graduates was delivered by Pro- G. J. Farie, H. N. Fletcher, J. Fortune, *C. R. Gibson, M.A., J. D. fessor Graham Kerr, who congratulated them on the conclusion of their Giles, tJ. Girdwood, M.A., J. M. Glasse, W. Goodcliild, R. G. Gor- academic labours, and wished them prosperity in the careers they were don, A. Gray, M.A., LL.B., J. A. Gray, M.A., Elizabeth Catherine about to begin. Speaking to them as a zoologist he felt his task was an qunn, Annie Mabel Gurney, ;H. W. Gush.. *A. A. Hall, M.A., easier one than it would have been a few years ago. To-day the claims of r rances Margaret Harper, G. W... Halty, G. Henderson, M.A., zoology upoun edicine were recognized to be greater than formerly, and' R. L. Henderson, A. E. Hodgson,. R. B. Hole, A. 0. could not be denied. The problem of inalaria--one of the greatest AUG. I, I9Q3.] UNIVERSITIES AND COLLEGES. IIT@A BOWaNA 281

scourges of mankind-had gradually resolved itself into a beautifully M. F. Huston, Queen's College, Belfast; J. G. Johnston, zoological Galway; omplexc problem of the life-history of a low sporozoon organ- Queen's College, Belfast; A. H. Joy, Queen's College, Belfast; J. J. Moreover, month by month fresh evidence was being brought f or- Kearney, Queen's College, Cork; R. G. Kevin, Queen's College, ward to show the connexion of other diseases of man with the habits of Belfast; R. G. C. M. Kinkead, Queen's College, Galway; R. R. Kirwan, the lower animals. He recommended to them the study of parasites that University College, Dublin; J. B. Lapsley, Queen's College, Cork 'have successfully intruded themselves in the human being and other M. Leane, Queen's College, Cork; S. Levy, University College, animals as their hosts, and it was certain that in the study of their life- Dublin; J. E. A. Lynham, Queen's College, Galway; J. S. hlistories great results still awaited the investigator. Many of them, no MeCombe, Queen's College, Belfast; J. P. J. MeGivern, University dloubt, might become medical offlcers of health, and would have to do College, Dublin; A. P. MaeMohon, Queen's College, Cork, and with the bacterial treatment of sewage, which was another subject of University College, Dublin; G. H. Martin, Queen's College, Belfast; remarkable biological interest. In conclusion, Professor Kerr made an R. Martin, Queen's College, Belfast; C. J. Murphy, UniversityCollege, appeal for a more efficient collection of zoological preparations for his Dublin; J. F. Keary, University College, Dublin; P. J. O'Brien, Uni- department in the University. He trusted the graduates would assist in versity College, Dublin; P. C. O'Donnell, Queen's College, Cork; this matter, especially those who might be going to the tropics, and to W. H. O'Grady, University College, Dublin; P. O'Hart, CharingCross those he said he would be happy to furnish a list of the forms most Hospital Medical School; C. F. X. O'Sullivan, Queen's College, needed from the different regions, along with full instructions as to the Galway; D. O'Sullivan, University College and Royal College of best methods of preparation. He wished them godspeed, and hoped Science, Dublin; H. H. Prentiss, Queen's College, Belfast; J. P. they would do good in the world, bring honour to their University, and Quiery, Queen's College, Belfast; D. T. Sheehan, UniversityCollege, sometimes think with affection of their old Alma Mater. Dublin; J. Sinclair, Queen's College, Belfast; M. Waldron, Queen's College, Cork; M. White, Queen's College, Cork. UNIVERSITY OF ABER] EEN. UNIVERSITY OF BRUSSELS. GRADUATION CEREMONY. THE following is a list of English candidates who were successful at the THE graduation ceremony at the close of the summer session took place June examination for the degree of Doctor in Medicine. on Friday, July 24th, in the Mitchell Hall, at Marischal College. The E. Cullinan, M.R.C.S., L.R.C.P.Lond. (Westminster); R. Gillett, following is the list of graduates in the Faculty of Medicine: L.S.A.Lond. (Royal Free); *E. C. Lambert, M.R.C.S., L.R.C.P.Lond. Degree of Doctor of Medicine (M.D.)-A. G. Allen, M.A., M.B., C.M. (Westminster); (Thesis: "Clinioal Observations on Infective Gastro-Enteritis of Infants.") J. C. MeWalter. M.A., L.R.C.S.I., F.F.P.S.Glas., " D.P.H. (Catholic University, Dublin); C. E. J. Philippson,TF.R.C.S. 5. S. Cooper, M.B., C.M. (Thesis: Some Clinical Observations on cases of (Cape Town); *G. Sowden, M.R.C.S., L.R.C.P.Lond., D.P.H.Cantab. Pulmonary Tuberculosis.") W. Cruickshank, M.B., C.M. (Thesis: "Notes (London Hospital). on cases of Blackwater Fever.") A. Dingwall, M.A., M.B., C.M. (Thesis: *Passed with Honours. "A Review of the Antitoxin Treatment of Diphtheria.") S. J. C. Fraser, Threeeandidates failed to satisfy the examiners. M.B., C.M. (Thesis: "Some Remarks on the Allied Subjects of Rickets, Infantile Scurvy, and Artificial Infant-feeding.") G. Geddes, M.B., C.M.

of these, x72Iresulted from *small p, I,ei2 from me les, 564 from scarlet HEALTH OF SCOTCH' TOWNS. fever, 673 friom diplhtlicria, xI379 fromwhooping-cugh 33I from "fever" DURING the week ending Saturdaylast, July 25th, 946 births and 503 (rtncipalty enferic), aiid 862 irom diarrhoea. Theduath-rate frdm these deaths were registered in eight' of the principal Scotch towns. The disea es averaged 1.55 per x,ooo, being 0.29 per I,0oo below the death-rate annual rate of mortality in these towns, 'Which had been I6.3, x6.2 from the same diseases in the corresponding period of last year. In and 15.2 per I,ooo in the three preceding weeks, rose again last London this death-rate was slightly below the miiean rate in the seventy-six week to 15.4 per I,000, and,was 2.0 per I,ooo above the mean-rate during towhs, while in the sevevty-five large provincial towns the rates rangocd ,lie same period in the seventy-six large English towns. Among these from 0.25 in Bournemouth,,0.38 in King's Norton, o.4o in York, 0.47 in Scotch towns the death-rates ranged frem. II.I in Leith and 12.0 in Tynemouth, 0.48 in West Hartlepopl, oFso in Halifax, o.sr in Newc,astle-on- Greenock to I6.9 in Glasgow zg.s.in Paisley. 'The death-rate from the Tyne, 0.52 in South Slhields, aud 0.53 ia1 Devonport to 2.6 in'Wolverhamp- principal infectious diseases averaged I.g per I,0o0 in these towns; ton, 2.40 in Great Yarmouthl, 2.7i ia Tottenham, 2.88, in West Bromwich, the highest rates being recorded in Edinburgh and Paisley. The 255 3.28 in Middlesbrough, 3.3I in C,oventry, 3.36 in Swansea, 3.45 in Oldham, deaths registered in Glasgow last week included 4 which resulted from and4.7 idn - The fatal cases,of small-pox registeredduringthe quarter measles, from scarlet fever, 6 from-whooping-cough, 3 from "fever." and ineluded 49 'ln Liverpoal, I7 in Oldlham, x4in Leicester, 12 in- Bradford, ii from diarrhoea. Four fatal cases of whooping-cough, 2 of "fever," and xl in Leeds, Io in Manchester, 6 i.n Salford, 6 in Burnley, and 6 in 1lateshead. g of diarrhoea were recorded in Edinburgh; 5 of diarrhoea in Dundee; 2 The death-rate from measles was equal to 0.48 per x,ooo, being slightly less of diarrhoea in Aberdeen; 2 of measles and 3 of diarrhoea in Paisley ; and -than the rate in- the corresponding period -f last y,er,; in London the a of diarrhoea in Greenock. death-rate from this disease was o.66 per I,ooo, while it averaged o.4o in the seventy-five large provincial towns, amongwhich measles.was propor- tionally most fatal in Tottenham. Walthamstow, Wolverhampton, Westr Bromwich, Coventry, Wigan, Sh8ffield, Middlesbrougi, and Swansea. The, mortality from scarlet fever was equal to an annual rate of o.zx per z,oOo, HOSPITAL AND DISPENSARY MANAGEMENT. or'o.o2 per x,ooo below the rate ii ,the second,quarter of last year. In london the scarlet fever death-rate was only o.o7 per x,ooo, while.it averaged O. I in the seventy-five large provincial towns, among which the AMALGAMATION OF THE NATIONAL ORTHOPAEDIC AND THE Iiiglhest,death-rates from tliis disease were recorded in Great Yarmouth, ROYAL ORTHOPAEDIC HOSPITALS. Wigan , Rhondda, aud Merthyr Tydfil. The A SPECIAL meeting of the Governors of the National Orthopaedic Hospital mean aeath-rate fromStockton-on-Tees,diphtheria in tle seventy-six large towns was o.i8 for the Deformed was held at the hospital on July 24th, with Mr. Robert per r,ooo, and showed a decline of o.os per I,Op from that recorded for Cooper in the chair. The Chairman, in proposing that the amalgamation of the 'corresponding quarter of last year;; in Loudon the rate was o.x5 -per the National Orthopaedic Hospital and the Royal Orthopaedic ]ospital X,000, while it averaged o.Ig in thk seventy-five provincial towns, in accordance With the arrangements agreed upon at the meeting of the the highest rates being reeorfded in Portsmouth, Great. Yarmouth, Committee of Management on March 20th, I903, be approved of, ard that Hanley, Coventry, Oldhain, Hull, Middlesbrough,: and Swansea. The the carrying out of the details be left to the Chairman and the Cominittee ifatal cases of whooping-¢ough were equal to an annual rate of 0.37 per of Management, discussed the steps which had led up to the proposed I goo, against 0.45 per x,oQo in the second quarter of last.year'; in London amalgamation. The Chairman also read a letter from the Medical Board this disease caused a death-rate of 0.39 per 'x,ooo, and an average rate,of of the hospital which stated tha t a meeting of the Medical Board on 0.36 per x,ooo in the seventy-fiv'e other large townS, among which the July 22nd It was unanimously resolved that it having been reported in th,e *greatest proportional mortality- from this disease occurred in Totten- press that on amalgamation of the two hospitals the surgical staffs, as at ham, West Ham, 'Manciester, Salford, Oldham, Burnley,.Preston, Shef- resent constituted, woul4 be ioined together, the medical staff of the field, and Rotherham. 'The. deth-rate from " Ofever" aveaged o.og.per National Orthopaedic Hospital desired that at the special general meet- .x,oo in the seventy-six large towns, aid was o.o3 per x,ooo -be-ow the rate ing of the Governors called for July 24th, their absolutely unanimous *in the corresponcung period of last year; in London the "'fever " death- opinion should be recorded that all members of the surgical staff of the rate was only 0.04 per I,oo while, the mean rate was o- per x,ooo in the amalgamated hospitals without any exception must be Fellows of the seventy-five provincial towns, among which " fever " was proportionally Royal College of Surgeons, England. This stipulation, the medical staff nost fatal in Wolverhampton, West Bromwich, Liverpool, Wigan, Preston, understood from the Chairman of the Committee of Management, had BBarrow-in-Furness, Mid,dlesbrough, and Rhoudda. .The mortality from always been put forward by him in the negotiations with the King's .diarrhoeawas equal to an annual rate of 0.23 per ,ooo, gainsto.17 r, Hospital Fund. After Mr' Muirhead Little and Mr. A. H. Tubby had in the second quarter of last year. The rate in Londog corresponded with spoken on this subject, Mr. C. D. Hoblyn, seconded the resolution the average rate for the-seventy-six tbwns, While among the seventy-,five proposed by the Chairman, which was thereupon unanimously a rreed to. large provincial towns the highest death-rates from diarrhoea were It was announced that the name of the future hospital was to be the recorded in' Great YarMouth, Volverhampton, West BronMwich, Liver- Orthopaedic Hospital, and, the proceedings terminated with the usual pool, Warrington, Prestbn, Middlesbrough, and Merthyr Tydfil. votes of thanks. Ixiant mortality, measured by the proportion of doaths among clildren under I year of age to !registered births, Was equal to jI per ,oo last quarter, againot I27 pei z,ooo in the corresppnding period of ast year., in Londop the pro or ion, during the quarter under notice, was b03' per i,ooo, while !it averaged Ixo in the seventR-f v' other large MEDICAL NEWS, towns',and ranged front 5I in Bournemouth, 65 in Wlhamstow,7tin urton-on-Trent. i5 in Sputhampton, 79 in West Hartlepool,t 8x In'Hastiugs and in Devanport, and 8p in Britol to'46 in Coventrt and in Mancheter, A FEM4E practitioner, Dr. Charlotte Steinberger, of Buda- I48 ;inXunderland, I53 in Srwansda, x58 In Sheffleld, i6i in West Bromwich, Pestl., has been appointed 1Lurarzt of the Visk-Varhegy Baths m36inOldhami,n6 ind iddlesbrough, itd xg in;Burnley. in the Marmaros ,ounty, Hungary. Thecauses of 697, or g.2 per cent, of the deaths in these seventy-six -towns last quartOr were not certified, either by a registered medical THE Honorary Treasurer of the practitioner or by a coroher. The causes of. all.the 4eaths were duly cer- Cancer Research Fund tififd,in Croydon, Hoirfisey, Tottenham, Walthamstow, Hastings, South- under the direction of the Royal Colleges of Physicians and am,pton, CGreat Yarinout)a, Devo port, Burton-on-Trent, Derby, Wallasey, of Surgeons has received a donation of ,i,ooo to the fund 1olton Du an Newport [on.); while. the highest proportions of "In Memory ofi' M.'"' unoertfIed death,s were regis red i SmethwickrLiverpool, Bootle, it. Heliens, Warrington1 Blackburn, Barrow-in-Furness, SQuth Shields, ANTIALCOHOL CONGRusa IN FRANCE.-The first French arid Glateshead.______National Antialcohol Congress will be- held in Paris from HEA4LTH OF'.ENGLISH' TOWIS. October 26th to 29th under the honorary presidency of IN seventy-six of the largest English towns, including- London, 8,687 M. Casimir-P6rier.- The programme consists of two parts- births and 3,874 deaths were registered during the week ending Saturday the first devoted to a review of the existing situation in regard last, July 2sth. Theaniiual rate of mortalityin. these towns, which-had to alcoholism and the struggle the second to the oene 44-4, 13-7, and 13-5. per x,ob in the thi'ee preceding weeks, further against it; declined to 13.4 jper Ix0oo last! week- The; rates in the several towns plan of campaign, including the action of the State, and ranged from 5.7 in To tenham,j 6-3 i7 Reading and in Handsworth,-'6 of local authorities and private initiative, the medical in Walthamstow, V.o in thaipton, 7-. in East Ham, 7.2.111 York, and profession-, the clergy, etc.; syndicates, prudential associa- .7,3 inHorusey, to I8-Iin Sundrland`-E8.2 in Ipswich, '8-9 in Warrington and in Burnleyi ig.I in Stockpprt andin St. Helens, ig.2 in'BoltoD 20'6 in tions; educational propaganda among young people; the Jiury audnd siI in'Grea4tiYarm uth. In London the rate of mortaiitj-was influence of women. 'The'Congress will also disc]s ythe i2.7 per x,ooo, while itA veragel x3.7 per i,000 in the seventy-five other organization of a systematic warfare against alcoholism by large towns. ThAe dea#h-rate from 'the p.-incipal' infeotious diseases means of the federation averaged I.8 per ,o000 ii the .'sventy*-six large towns; in London this of antialcoholic forces directed by a death-rate was equal to 1.4 per i,ooo, while it averaged 2.0 in'the permanent committee. seventy-five large progincial*towns,, am whic4 the highest death- rates, from the - Nrin ipal in0ectious diseases- were 3-! -in Rhondda, OPONTOLOGICAL SOCIETY OF GREAT BRITAIN.-The, follow- 'J2 in Birkenhead, j.in leeds, .3.7 jin Burnley, 4.0 in Tyne- ing have been elected jofficers for the ensuing session: monlth,' 4.7 in Sheield, Sgir .tocziport, .,z in! Bootle,,-and in President: Arthur S. Warrirgton. Measles iaused z death-rate ofi.3 i,n Aston Manor,5,- Underwood. Vice-Presidents (resident): -in Ipswich, I.6 i Stookport, nd 2. in heffield whooping-corigh ,[.5of W. IT. woodruff B. G. Betts, L. Matheson; (non-reside.nt) W or in Willesden "fever 'of x.; in BJotle; iand diatrhoea of 1.8 in Bury' B. Bacon (Tunhridge Wells), H. B. Mason (Exeter), Dr. J. and in Gateshe'ad, 2.0 in Tynemoutl, 4,8 in Birkenhead, f.4in Bootle,-and Ark6vy (Buda-Pesth). Treasurer C. F. Rilot. Librarian.: H. V5 in.Warrington'. Th mortality froM scarlet fevet an'tfrom diplitheria showe4 no. marked ex ess in-ny-of; the lIrge towns. Of the sgdeaths Baldwin. Uurator: J. F.- Colyer. Editor qf T1ransactioas: H. -from small-pox registei:ed, in tl ese toWns last week,', belonged to -Smeth- Lloyd Williams. Hono'rary ecretaries: J. H.T -Muziery wick, I to Livetpool, I to eeds, 3 to Hull, ad - I to Newcastle. 'TForeign), M. F. Hopson (Council), G. Hem (Society). The ,number of gmall-ox pati nts ubder treatment in the Metropolitan Asylutms Hospitals, which hadtbeen 7 and 71 at the ehd of the three 'Counicillors (resident): R.S Denison Pedley, J. Percy-Smith; A. preceding weeks; was again 71 at tlle jnd of last week; 12 new cases were 'Hopewell-Smith E. Preedy, Carl Schelling, W. Rushton, H. admitted duringn the *eek, against 31,4Itndd 7 in the three preceding 1W. Messenger, J. B. Parfitt, D. P. Gabell * (noa-resident), J. weeks. The number ot scarleti fever, cases 'in thesl hospitals an4 in-the -J. H.I Sanders E. London Fever Hospital on Satup day lst, July 25th, was x,7:11, against r1646, (Barnstaple); A.-Bogue (New Ylork), J. F. L. 2,7001-and X,710o o the three p "etcedipg Saturdays ; 229 neW. cases were Pike (Sheffield), G. W. Watson (Edinburgh), Kevin E. O'Duffv atdmitted during last week, ataiast 24, 2S3, and 243 ia' the three- pre-, (D4blin), John E. Grevers' (Amsterdam), J. C. Foran (Baat- ceding weeks. bourne . S. Ho1ford (Sutton), 0. Fergus (Glasgow). AUCG. 1, i9o3.] LETTERS, NOTES, ETC. [MIZ JOA 287

THE REGISTRATION- OF PLUMBERS.-At the meeting of the Royal Institute of Public Health recently held at Liverpool, LETTERS, NOTES, AND ANSWERS TO the Section of Preventive Medicine and Vital Statistics passed unanimously the followiing resolution proposed by Dr. -ORRESPONDENTS. Franci,s Vacher, County Medical Officer for Cheshire, and COMMUNIcATIoNs respe'ting Editorial matters should be addressed to the Editor, 2, Agar Street, Strand, W.C., London; those concerning buainess matters, advertisementsi non- seconded by Dr. Scurfield, Medical Officer for Sunderland: delivery of the JOURNAL, etc., should be addressed to the Manager, at the Offlce 29, "That this 1903 Con-gress of the Royal Institute of Public Strand, W.C., London. ORIIGNAL ARTICLES and LETTERS, tfr,scardec Jfr p'lzieation are uafderstood to be Health, held at Liverpool, approves of the efforts made by otre'ed to the BRITISH}1EDICAL JOURNAL a/oiie, o* tie cohtrarly be vtated. the Worshipful Company of Plumbers, in promoting the AUTHXORS desiring r,oprints of their aFticles.published in the BizzITISI .lEI)ICAL JOLRNA are requiested to communlicate witlh the 1anager,e429, Strantd, W.u.. oto rceoipt of proof. Plumbers' Registration Bill, believing that such a measure CORRESPONDENTS WhIO Wish Xotice to he: taklen ot their; couitlnimicai ionis should autlienti- will be for the safeguarding of the public healtli, and bene- 'ate them,M ithl their names-of course not necessarliy for pthblicatioii. ficial to all classes of the community, and appeals to the CORRESPONDENTPS not answered are requestedto leot at the Notices to Cor1respendeiint of the following week. 4 Government to give facilities and support to the measure." MAN.USCRIPTS FORWARDBD. TO THEr OFFICE OF TitIS'JOURNAL CANNOT UNDER ANY FRENCH CONGRESS OF ALIENISTS AND NXUROLOGISTS.-The CIRCUMSTANCES BE RETURNED. IN order to avoid delay, it is particularly requlested that ALT, letters on tbe editoril bhusi- Congress of Alienists and Neuirologists of Franice and French- ness of the JOURNAL be addressedto tlie Editpr,at.tlje' Offic-3 of the JOURNAL, a44 neo Speaking Countries will hold its thirteenth annual meeting at at lii Isprivate house. rELEGRAPHic ADDREss.--Tbe telegraphic addres% of thie, F.DITOit, of thk. JlinTISH Brussels on August ist and following days under the honorary MEDrCAL JOURNAL is AVitlogiot, Lon,am: The telegrapic address of the MAX'AGER presidency of Baroni van der Bruggein, Minister of Agriculture, of the BRITISH MEDICAL JOeIRNAL istArticulece. Loidon. and M. A. Gerard, Frenclh- Minister at Brussels. The pro- gramme of discussions is as follows:-Psychiatry: Katatonia and stupoi, to be introduced by Dr. Claus of XAntwerp. - Queries, answers, and communications;relating to subjects to which Neurology: Histology of general paralysis (to be introduced special departments, of the BRITISH MEIiDICA,L,JOURNAIL are devoted .will be by Dr. Klippel of Paris). Therapy: Treatmeint of restlessness found under their respective headings. and insomnia, in mental and nervous diseases, to be intro- duced by Dr. Trenel of Saint Lyon. The General Secretary is QUERIES.; Dr. Croeq, 27, Avenue Palmerston, Brussels, to whlom all KINGSTON asks for advice in the'treatniihutof a case ohf verruca on thc communications should be addressed. mucous membrane of the upper lip. MEDICAL VACANCIES. A. G. would be much obliged for information co-ncerning Joliannesburg, This list of vacancies is compiled from our advertisenent columns, where fulU South Africa, as an opening for ata oplhthalmic suisgeonu also cost ci particulars will be found. To ensure notice in this columnn advertisenents living etc., there; or where- such inforllation couLld be reliably .,ob- must be received not later than the.first post on Wednesday morning. tainea.. BIRKENHEAD BOROUGH HOSPITAL.-Junior House-Surgeon. Salary, £80 per annum. HAEMOGLOBIN where BRIGHTON: SUSSEX COUNTY HOSPITAL.-Second House-Surgeon andAnaesthetist, inquires he can purchase the Tallgvist's Haemo- resident. Salary, £70 per annum. globinometer recomnmended by Dr. Cabot in.his book on Cliniecat Extni- CHELSEA HOSPITAL FOR WOMEN.-Clinical Assistant. nation of the Blood. C1TY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, Victoria Park, E.- *** We understand that Messrs. Hlawkfley, 357, Oxford Street, lhave Second House Physician, resident. Salary at the rate of A:30 per annum. DEVONPORT: ROYAL ALBERT HOSPITAL.-Assistant House-Surgeon, resident. them upon sale, and that the price is, 5S. Salary at the rate of £50 per annum. LANCASHIRE COUNTY ASYLUM, Whittingham.-Assistant Medical Officer, resident. Initial salary, £175 per annum. LANCAS rER ROYAL INFIRMARY.-House-Surgeon, resident. Salary, £100 per ANSWERS. annum. LIVERPOOL STANLEY HOSPITAL.-Second House-Surgeon, resident. Salary, £'80 per anmum. E. R. F. Application migli-t be made to the Lady Superintendent, Invalid RAMSGATE GENERAL HOSPITAL.-Residenit Medical Officer. Salary £100 per Children's Itome, Witney, Oxon, this being one of the few institutions annum. where somne amount of mental defect would not be a bar to admission. READING: ROYAL BERKSHIRE HOSPITAL.-(1) House-Physician; (2) House- Surgeon. Salary, £80 per annum each. SHREWSBURY: SALOP INFIRMARY.-House-Surgeon, resident. Salary, LICO per MIcRO.-We advise our correspondent to condLilt the Fourth Elitidn` of Dannum. the work by Drs. Vaughan ano Novy, oni ellnfar Toxins. or the Chetnical SOUTHWARK UNION.-Assistant Medical Superintendent, resident. Salary, £130 per Factors in the Causation of Disease (London-. Messrs. Rebman, Ig.903 'I4s) annum. INFIRMARY.-(ll Assistant House and Visiting Surgeon. (2) Janior Assistant House-Surgeo4. Both resident. Salary, £A8 and £40 per ainum respec. DR. W. H. MACDONALD (AntigOnish, Nova Scotia).-The passage. occur:K at tivlely: *_- the end of a -paper by Dr. George Parker. in the lRITeiSrl ktCAL JOURNAL of May gth, p. ioS. The reference ts to a reaction described ALLIsON, MEDICAL APPOINTMENTS.. by Ehrlich, not Vtry recentl,y. 'Theedprdgess is as follow*: l4oiDt at ALLISOif, T. M., M.D., B.S.Durh., Physician to the Hospital for Diseases of Women, dried but unfixed blood film'in a solutiQi$Y of iodine I gram, potassiu Newcastle-on-Tyne. iodide 3 grams, distilled water rot c.C.n.," to whtih enough BUTLER, Willimw, M.B., M.M.Glasg., D.P.H.Lond, Medical Officer of Health for Wil- arabic has beeri added to form a. syrupy solhtion. Examine after about lesden, vice D. S. Skinner, M.D., deceased. five minutes. The' reaction- consists.in a brown staining of' the'poto' CRAIG, C. Hawklns. CM.B.,MB., Houe-Surgeon to the Edinburgh Royal Maternity and Simps6ftlXemorial Hospital, plasm of the polymorphs, whichl. is. either diffuse or confined to 'large EDRDU M. Cofner, B.So.Lond. M A, M B Cantab., F.R.C.S.Eng., Assistant Surgeon or small granules. It is supposed to be due to the presence of glycogen to tle Hospital fbr Sick Chiilren, dreat Ormond Street. in the cells. In normal blood. cells-tlhls.intracellular reaction does not Fox, Hugh Clayton, F.R.C.S.I., Assistant Surgeon to the Metropolitan Ear, Nose, and occur,.but it is more or less marked .according to circumstaneces it Throat Hospital, Graf tp Street, W. cases .of septic toxaemia and pneumonia. Som-e who. have examined it WEST, Leonard, iB, Ch.B House-Surgeon to the Edinbiirgh Royal Maternity and state that the reaction forms a useful guide. as, to the forination of pus, Simpson Memoriil Hospital. in cases. of appendicitis and allied conditions. BIRTHS, MARRIAGES, AND DEATHS. CYCLIN0 DURING PItG14ANCY. The charge .fqr inserting anwouncement8 of Births. Marriages, and Deaths i F.R.C.S.L writes: With reference 'to the -qdery"by "Connaiight Ringer&" S.& 6d., which sum. should be forwarded in post-office orders or stamps with in the BiAITISI MEDICAL JOURNAL' of June i7th, I beg to state tlbt Ily t notice not'later t;han Wednesay morning, in order to ensure insertion in experience, which however, is limited-, Thkes mne decidedly fav6ur the current issue. cycling for ladics Auring pregnancy provided, of course, that tlhb is - IRTHS. no obvious contraindication, and tihat the exercise is taken with tin1e GRmIPIT;sO.-n Jtuly 21st, at 6, Windosor Place, Cardiff, the wife of Cornelius A. care. The saddle must be absolutely domfortable (I prefer thc : -e.o-,- .sou.-'. "Esmond," E. '7), and not too, high. The 'pace must be'slow, afid the MooR.-On July 23rd, at Rosslyn, Warley, Essex, the wife of George A. Moore, M.D., exercise taken 'on a smnooth, level.T-roadl'iwhero there is little 'orno Captain R.A.M.C., of a son. traffic. I have lately seen two primiparae who cycled up to within a fe* O'KiwA&LY.-On July 27th, at 10, Westbourne Crescent, Hyde Park, W., the wife of weeks of their, confinements. In both the general health Wqas muifch Major F. O'Kinealy, Indian Medical Service, o0 a son. benefited by the exercise. There was ah entire absence oftmorning sick- ROBERTSoN.-On July 26th, at 57, Crouch Hall Road, Crouch End, N., the wifeof Andrew ness, and both labours were Robertson, M.B., C.M., of a daughter. exceptionally rapid and easy. MARRIAGES. THE TREATMEN!'OF IHYPOSPADIAS. BOOTH-EVAN.-On 'July 18th. 1903, at Christ Church, Martin's Lane Liscard, by the Rev. Dr. Bowman, M.A., Lawrence T. Booth L R.C P Lond., ILR.C.S.Eng., soti MR. J. HowsoN RAY., F.R.C.S. (Salford) writes: With reference 'to of Lawrence Booth, urzon Park, Chester to Ethel, second daughter of Samuel the inquiry by '1Clio " and the reply given by Mr. H. J. Curtis I have Evans, of Liscoard, Cheshire. (At home, ielrose Terrace, Liscard, September 2nd operated on I8 cases of this condition in the last five years, and hbve in- and 3rd.)I variably.used the method by reversed.. aid superimposed' flaps for RXTHVEN-HENDEsSON.-OIn July 25th, in the Presbyterian Church, Capetown. James scrotal and varieties. I cannot think that a Heniry Ruthven, Johapnesburg, to Jane Buchanan Henderson, MM.D.Brux. and penile media,n perineal L.R.C.P.&S.Edln. and Qlasg., younger daughter of the late George Henderson, section is essentisl to .success, as 'it was not carried out in any one.of :Bo'nt,se (By cable.) my cases, each of which proved successful.. It is advisable to cut' th}e TITtBRTON-GlRAHAEM.-At the Parish Church, Portobello, on July 22nd, by the Rev. flaps carefully and to avoid tension bymaking a dorsal incision,through George T, Jamieson, Minister of the Parish, assisted bf the Rev. John Fergusson, the prepuce at the conclusion of the plastic operation. Linlithgow, John Tarratt Titterton M.B., e.M., Portobello, son of C. R. Titterton, Eastbourhe House. Portobello, to1 Fhe Garven, youngest daughter of the late Rev. Rohert Graham,. Minister of Punlop, Ayrshire and formerly of St. David's Parish, .PORT.ARTP FILTE R. Ktrkiltilloch, and of Mrs. Graham, Dunlop Vil&a, Joppa, N.B. J. W.-In replvto our correspondent's the most WILt9sHURsT-PATERSON.-At All Souls Church, South Hampstead oi July 23rd, by inquiryasto hest, porfable Atlm Rev. Qeorge Frtderick L. Th. Terry F.S.A, G'eorge Cecil *iiinshurst, of 7', and eMlcient pocket filter for use in Scuth Afirica,, there appea.rs,to b6 no Alfelalde a, -South Hlampstead, to )E"a, dauihter of Surgeoi-Major-uenerai single filter tlat meets all lequiliewents. \Ve have referred the ,cu-stidn lienry FolJambe,PAteroov, Army Medical Staff (retired}. to o: eof tlli highest autlhorities on tesu'ject, who expresse4 the,belief