-- SUPPIJEMENT TO TUN :

BRITISH MED I CALJIOURNL.

LONDON: SATURDAY, MARCH 27TH9, 1909. CONTENTS. PAGEC PAP5E ANNUAL MEETING. BELFAST, 1909: . PATFOL~GI~ALM ,SEUMTi PATHOLOGICA MUSEUM...... '... 145...... ASSOCIATION NOTICES.-Council Meeting 149 AND FOR SCIEN.TIFIC RESEARCH 145 ... G4A*$8S SCOHOLARSHIPS CENTRAL MIDWIVES BOARD .E .. 149 MEETINGS OF BRANCH13S AND DIVISIONS:. NAVAL AND MILITY APPOINTMENS ...... 150 Birmingham Branch ...... *.. 146 VITAL STATISTICS ...... 150 Central Division ...... 146 Gloucestershire'Branch ....i v ision147 VACANCIES AND APPOINTMENTS .... . 150 iraawashire and Cheshire Branch: Bury and Rochdale Divi- BIRTHS, MARRIAGES, AND DEATHS .. *.. * *,151 ~sions "I.*...... 147 Mktropolitan Counties Branch: Lambeth Division ...... 147 DIARY, FOR THE WEEK*.. ... 151 Stratford Division .. ... 147 Southern Branch Guernsey and Alderney Division ... 147 BOOKS, ETO., RECEIVED ...... Yorkshire Branch , ...... 148 CALENDAR ...... 152

The Museum-will-occupy a,central position, and will* be- easy of access. It is hoped that it will be possible for arrangements to be mad* wherHy;exiibitors myhiave an .oppbrtunity-of ANNUAL MEETING, BELFAST, 1909. demonstrating their specimens. THOMAS HOUSTON, THE PATHOLOGICAL MUSEUM. W. J. WILSON, Tau following Committee has -been appointed to organize Honorary Secretaries. the pathological museum: Communications should be addressed to; one of the President: Professor W. ST. CLAIR SYMMERS. Honorary Secretaries at Queen's University, Belfast. Honorary Secretaries: THOMAS HOUSTON, M.D.; W. J. WILSON, M.D., GRANTS AND FOR; J. S. DICKIE, M.B. C. H. P. D. GRAVES, MI.D. SCHOLARS9HIS RGWLAND HILL, M.B. (Cookstown). SCIENTIFIC RESEARCH. C. G. LOWRY, M.D. Professor MCWEENEY (Dublin). GRANTS. J. E. MACILWAINE, M.D. Professor MooRu, (Cork). THE Cowneil of the British Medical Association is pre- JOHN M'LEISH, M.B. C. H. NESBITT, M.D. (Randals- pared to receive applications from members of the Medical W. J. MAGUIRE, M.D. town). Profession for Grants in aid of Researches for the Advance- J. a. .RANxiN, M.D. Professor O'SULLIVAN (Duiblin). ment of Medicine and the Allied Sciences. FRED. SMYTH, M.D. R. T. ROWLETTE, M.D. (Dublin). The Grants are made subject to the following conditions ERNEST WALES, M.D. Professor WHrIE (Dublin). 1. That the work of the Grantee shall be subject to J. SINGLETON DARLING, M.D. JOHN WILSON, M.D. (Castle inspection by the Science Committee of the Associa- (Lurgan). blayney). tion. EX-OFFICIO MEMBERS. 2. That each Grantee shall ,furnish to the Science 'The Pre:sident-elect: Sir WILLIAM WHITLA, M.D., LL.D. Committee, on or before May 15th following the a}lot- The Local Honorary Treasurer: JOSEPH NELSON, M.D. ment of the grant, a report (or, if the object of the The LocalVHonora,y Secretaries: H. L. McKISACK, M.D.,; C. B. grant be not then attained, an interim repart, to be SHAW, M.D.; HOWARD STEVENSON,-F.R.C.S.I. renewed not later than the same date in each subse- The Committee propose that the material should be quent year until the final report is presented) ar,ranged.under the following heads: containing: L Exhibits bearing on discussions and papers in the (a) A statement, in a fom stisfactory to the various- sections. Science Cominittee, of the results. arrived at, or the II. Specimens and illustrations relating to any research stage which the inquiry-has reached; work. (b) A statement of expenditure incurred, accom4 III. Instruments relating- to clinical diagnosis and panied by vouchers as far as possible; pathological investigation. (c) A reference to any Transactions, Journals, or IV. 'Individual specimens of special interest, or a series otlber publications.in which the. resulti of the illustrating some special subject. research have been announced. It is also proposed to make a special effort to gather SCHOLARSHIPS. together a series of exhibits relating to: The Council of the British Medical Association is also (a) Tuberculosis. prepared to receive applications.for Research Scholarships, (b6) Diieases of warm climates. as follows: (c) Cancer of the uterus. 1. An ERNEST HART MEMORIAL SCHOLARSHIP, of the (d) X-rays and photography. value of £200 per annum, for the study of some The Committee wish it to be understood that the above subject in the department of State Medicine. are only suggestions, and if there is any subject in which 2. THREE RESEARCH SCHOLARSHIPS, each . of the Members are specially interested, and of which interesting value of £150 per annum, for research in Anatomy, specimens can be supplied, they will be glad to hear from Physiology, Pathology, Bacteriology, State Medicine, them Clinical Medicine, or Clinical Surgery. (258) to 2w 1 146 -- .TOVMALJ MEETINGS OF BRANCHES AND DIVISIONS. LMARCH 27, 11909- Each Soholarship is tenable for one year, but is renew- able by the Council, provided that the whole period of CENTRAL DIVISION. tenure shall not exceed three years. A SPECIAL and a general meeting of this Division was held The Scholarships are awarded subject to the followig at the Medical Institute on March 16th at 3.30 p.m. Mr. conditions: GAMGEE was in the chair, and there were twenty-five other members present. I 1. That the work of the Scholar shall be subject Special Meeting. to inspection by the Science Committee of the Earlier Election of Representative.-The CHAIRMAN, Association. having declared the meeting special, moved the alterations 2. That he shall farnish the Science Committee, of the rales necessary to enable the Division to elect the on or before May 15th following the grant of the Representative earlier than is at present possible: Scholarship, with a statement of the work done 1. In Rule 7, alter "three months" to "nine months." by him. 2. In Rule 11, "Business of Annual Meeting," omit Section (b). 3. That he sign an undertaking to abide by the These alterations were unanimously agreed to. above and other regulations affecting Scholarships, Vote of Thlanks to Former Representative.-A letter a copy of which w be supplied to him. from Dr. Foxeroft, tendering his resignation as Repre- sentative, was read, and it was resolved: Application. That this meeting of the Division accepts Dr. Foxcroft's Applications for Grants and Scholarships for the year resignatibn with regret, and tenders to him its best thanks 1909-10 must be made, not later than May 27th, 1909, for his past servicesas Representative. in the prescribed form, a copy of which will be supplied on application to the Medical Secretary, 429, Strand, Electionof Representative.-The SECRETARIES announced London, W.C. that the Executive had nominated Dr. Kirby as Repre- Each application should be accompanied by a recom- sentative, and, no further nominations being made by the mendation from the head of the laboratory in which the meeting, he was pronounced duly elected. This concluded applicant proposes to work, setting out the fitness of the the special business. candidate to conduct such work and the probable value of the work to be undertaken. This is not intended, General Meeting. however, to prevent applications for Grants in aid of Confirmation of MiJnutes.-The minutes of the last work which need not be performed in a recognized ordinary general meeting were read, confirmed, and signed. labOratOrY. Report of Re resentative.-Dr. KIRBY --ien moved the J. SMITH WHITAKER, Medical Secretary. resolution standing in his name: That the Representative shall submit his reporb to the first 429, Strand, W.C., general meeting of the Division held after the Annual March, 1909. Representative Meeting. This was seconded and carried unanimously. The following additional resolution was also carried: That the Executive Committee be instructed to bring this Ptt1dinlg if ~r 4s & i1Iziu. resolution before the next special meeting of the Division as a proposed addition to the Rules of the Division. [The proceedings of the Divisiom and Branche of the Medioal Inspection of School Children. - On the Assooiation relating to Soientifso and Clnical Medicine, Medico-Political Committee's report on the medical when rtported by the Honorary BSeretaries, are published inspectiOn of school children and the treatment of those considerable discussion arose. n the body of the JoumsAL.] found defective To the questions submitted to the Division the following answers were finally adopted: BIRMINGHAM BRANCH. Question 1. AN ordinary meeting was held at the Medical Institute That in thie opinion of this Division medical inspectors giving on Thursday, March 11th, Mr. F. MARSH, the President, their whole time to the duties should be paid by salary; being in the chair, and 20 members present. those only giving part time should be remunerated according Annual Report.-The report of the Branch to the to the time spent on the work. Central Council on the and financial membership position Question 2. of the Branch, and on its proceedings during the year 1908, Resolution 1.-That this Division emphatically disapprove3 of was considered and approved. the treatment of school children in school clinics, as it con- Demonstration.-Mr. GEORGE HEATON showed a patient sidert that the available medical and surgical skill is fully in whom a liver abscess had burst through the right lung, adequate to meet all reasonable requirements. a fistula which of bile Resolution 2.-This Division considers that, should school leaving through large quantities clinics be established, the staff should consist of all medical were coughed up. The man was a painter aged 25. His practitioners in the neighbourhood who are willing to serve, illness started with pain in the left hypochondrium and and that they should be paid according to the time spent on left side of the abdomen, with fever and general malaise. the work. This continued for seven weeks. A rigor then followed, Question 3. and pain in the right side of the chest and abdomen. Ten As this question only applies to rural districts it was not days afterwards he was suddenly seized with suffocating considered. dyspnoea, and coughed up large quantities of grumous pus. Question 4. He then brought up daily bile-stained pus, and finally That this-Division looks to the Education Authority to devise of bile mixed with efficient means to ensure that parents, who can afford to large quantities pure frothy pus. pay for the treatment of their children when found defec- A diagnosis of liver abscess bursting into a large tive as the result of the medical inspection of school bronchus, and opening also one of the larger bile ducts, children, should be compelled to do so. was made. Under local eucaine anaesthesia a rib was Whole-time Medical Officers.-To the question submitted, excised, and the hepatic abscess drained through the "That medical officers of health should be debarred from diaphragm. The expectoration of bile, which had been engaging in private practice," the Division gave the as much as 35. fi. oz. a day, at once ceased, and he answer- gradually made a complete recovery. Mr. Heaton called attention to the extreme rarity of a biliary fistula through That this is desirable wherever practicable. the lung, ald discussed the probable causes of the original Certificates of Suitability for Hospital Treatment.- liver abscess. The recommendation"That a medical certificate of suit- Papers.-Dr. W. A. POTTS read a paper on the origin of ability for hospital treatment be required as a condition of the feeble-minded, which was discussed by Dr. MANN, Dr. hospital treatment, except in case of casualties," was AGAR, Dr. BELCHER, and Dr. HBNTON-WHITE. Dr. POTTS unanimously agreed to. and the Division "'strongly dis- replied. *Mr. J.-FURNEAUX JORDAN read a paper on certain approved" of the two motions referred on the " contribu- cases of haemorrhage from the uterus. This was dis- tions to, ho'spitals by employers of labour and employees." cussed by the PRESIDENT, Dr. SMALL WOOD SAVAGE, Mr. Fresh Pubc Medical InstitUtions.-The motion on the WH[TEHOUSEi and Dr. LYDALL. Mr. J. FURNEAUX JORDAN subject of fresh public medical institutions was unanimously replied. approved. MAT40H 2-79 IM'DI MEETINGS OF BR&NCHBS,..-AN-.D DIVISION80- .,- --. I . -U4-- 47 the effect that in thecase of septic stumps.in.the mouth it GLOUCESTERSHIRE BRANCH. was highly dangerous to have, more than 'quite. a few of A GENERAL meetina of the Branch was held at the Chelten- them removed at a time. Mr. Goadby quoted several cases ham Hospital, on March 18th, at 7 p.m., the PRESIDENT in in which the extraction of 7, 8, or more such septic stumps the chair, and twenty-two members present. had led to so increased an auto-infeotion that the patient Confirmation of Minutes.-The minutes of the last bad succumbed within a short time afterwards from meeting were read and confirmed. pyaemia, purpura haemorrhagica, and other most unfortu- Cases.-Dr. S. M. HEBBLETHWAITE showed a case of nate complications. There were many other points of achondroplasia, which was discussed by the PRBSIDBNT, interest in the paper, but they were too many to summarize and Messrs. BRAMWELL, CARDEW, PRUEN, CUTHBERT and briefly in minutes. COLLINS. Mr. ARTHIUR CARDEW showed a dermoid cyst of Coroners and the Medical Profession.-The CHAIRMAN the broad ligament, which was discussed by the PRBSIDBNT, drew the attention of the meeting to the fact that each and Messrs. CUTHBERT, HOWELL, COOKE, and BRAMWELL. member of the Division had received a communication Paper.-Dr. C. BRAINE-HARTNELL read a paper on the from the Medico-Political Committee re coroners and the early diagnosis and treatment of some forms of pelvic medical profession, and requested members individually obstruction. A discussion followed in which the PRESIDENT, to interest themselves in the matter, and send any infor- and Messrs. CARDEW, BRAMWELL, and PRUEN took part. mation they might have at their disposal either to the Dinner.-Fifteen members afterwards sat down to dinner Medical Secretary, Dr. Smith Whitaker, or the Secretary, at the' Cosy Corner. of the Lambeth Division, Dr. Herbert French. Suitability of Patients for Hospital Treatment.-It was LANCASHIRE AND CHESHIRE iBRANCH: proposed by Dr. FRENCH, seconded by Dr. TAYLOR, and BURY AND ROCHDALE DIvIsIoNs. carried unanimously: A JOINT meeting of these two Divisions was held on March 17th in That the Lambeth Division considers that a medical certificate the Navigation Hotel, Heywood, Dr. of suitability for hospital treatment should be required as HITCHON, Chairman of the Rochdale Division, presiding. a condition of hospital treatment, except in the case of There were present Drs. Hitchon, Melvin, Kerr, Walker, casualties. Geddes, and Brown, of the Rochdale Division, and Drs. Fresh Public Medical Institutions.-It was proposed by J. B. Kerr, Greenhalgh, and Turnbull, of the Bury Dr. DENNING, seconded by Dr. TAYLOR, and carried Division. unanimously: Minutes.-The minutes of the last two Confirmation of That the Lambeth Division considers that it is desirable that joint meetings were Soad and approved. no fresh public medical institution should be opened with- The Work of the Central Council.-Dr. GARSTANG, of out previous consultation with the local medical profession Altrincham gave an interesting address on the work of the through some organized body, such as the Division of the Central Council. A vote of thanks, moved by Dr. BROWN British Medical Association, in the area of which it is pro- and seconded Dr. J. B. was posed to establish such new institution, and that it be an by KERR, passed unanimously. instruction to the Council to give effect to this principle in Grouping of Divisions.-It was agreed that the Bury considering applications from Divisions or Branches for and Rochdale Divisions should be grouped together for the support in dealing with hospital questions. purposes of representation at the annual meeting. Dr. Memorandum from the Branch Co'uncil.-Attention was Brown, of Bacup, and Dr. Greenhalgh, of Bury, were elected called by the CHAIRMAN to the draft memorandum on the Representative and Deputy Representative respectively. proposed Federated Societies' Medical Benefit Association Assistant Medical Officer of Health to .Bury.-The by the Council of the Metropolitan Counties Branch of the SECRETARY of the Bury Division read a letter from the British Medical Association, and members were urged to Secretary of the Branch Council (Mr. Larkin), inquiring as do all in their power to dissuade members of the profession to the cause of failure to obtain the minimum salary in from lending any support to a scheme so injurious to the the case of the recent appointment. The Secretary was real interests of the community. instructed to reply that the failure was in some measure Votes of Thanks.-Hearty votes of thanks both to Mr. due to the opposition of the Chairman of the Health Com- Goadby for his paper and to the governors and Secretary mittee, who is a member of the British Medical Associa- of the Evelina Hospital for the kind arrangements that tion, and that the joint meeting, while disapproving of his had been made for the holding of the meeting there, were action, requests the Branch Council to deal with the matter proposed from the chair and carried and the as it deems expedient. The Secretary was also instructed unanimously, to write to the new assistant medical officer of health meeting adjourned at 5.40 p.m. explaining his position in relation to the recognized policy of the Association. STRATFORD DIVISION. Medical Certification of Sui*tability of Hospital A MBETING was held on Thursday, March 18th, at the Patients.-The Representative was instructed to support Alexandra Hotel, Stratford, E., Dr. SPURRELL presiding, in the recommendation of the Council. the unavoidable absence of the Chairman. Contributions to Hospitals through Insurance Com- An Address.-Mr. E. E. HENDERSON gave an address on panies.-No definite pronouncement was made. the diagnosis and treatment of some inflammatory affec- Fresh Public Medical Institutions.-The recommendation tions of the; eye, and, after discussion, was awarded a very of the Council was agreed to. hearty vobe of thanks. Memorandum from the Branch Council.-The draft memorandum on the proposed Federated Societies' Medical METROPOLITAN COUNTIES BRANCH: Benefit Association by the Council of the Metropolitan LAMBETH DIVISION. Counties Branch of the British Medical Association was A GENERAL meeting of this Division was held in the Evelina then considered, but, after full discussion, no decision was Hospital on Thursday, March 18,th, at 4 p.m.; Dr. ATKINSON come to in the matter. was in the chair. Confirmation of Minutes.-The minutes of the previous meeting were read and confirmed. SOUTHERN BR&NCH: Medical Officers of Health.-A communication from the GUERNSEY AND ALDERNEY DIVIsIoN. Public 'Health Committee re whole-time medical officers of A MEETING was held on Friday, March 12th, Dr. E. L. health was received, and, after considerable discussion and ROBINSON, President, in the chair. There were also proposed amendments, the following resolution, proposed present Major Myles, R.A.M.C. (President-elect), and by Dr. DBNNING and seconded by Dr. HERBERT TAYLOR, Drs. Aikman, Bishop, Brehaut, Conrad Carey, Carruthers, was carried nem. con.: Collings, de Jersey, and Bulteel (Honorary Secretary). That the Laambeth' Division of the British Medical Associa- Apologies for Non-attendance.-Apologies were received tion considers that medical officers of health should' not be from Dr. Bisson, Colonels Mosse and Robinson, and debarred from engaging in private practice in the case of Dr. Wallace. small towns and country districts. Confirmation of Minutes-The minutes of the last Paper.-The CHAIRMAN then called upon Mr. GOADBY to meeting, held on February lst, -were read and confirmed. read his paper upon Illnesses Influenced by Oral Sepsis. Lunacy Law8.-There were produced by the Secretary An interesting discussion followed, and a very practical the English Lunacy Act of 1890, the Gaernsey Lunacy point which arose out of it in regard to treatment was to Ordinance of 1903, a letter from Dr. Manning, of Salisbury, 148 1ER !, 14 BingIBWuM. MEDICA3xZIToJODAJJ MEETINGS OF tRiNCHOtS 'AND DVI-6ltd.8 [MARCH 't7f'- an,d -a letter from the Medical Secr'etary of the -Associa.tio'n, William Bertram11,UUlk M.D. ETheMounutX tarrogate; James enclosing copies of the protective clauses in the English .BlacklayvLockerbie, M.B., The lCliffe, ..Otlqy Road, ]$rd-. Act, and the report of the Association's special com- ford; Thos. StephenuMcSwiney, ,MDB., Monk Bretton, missioner on the subject in 1906. It was resolved that a Barnsley; James K. W.,Morris, M.1.j. Treeton, Sheffield; committee of five members, Drs. Benson, Bulteel, Corbin Matthew Bertram Potts, M.B., Dean House, Weat Vale, de Jersey, and Robinson, be appointed to go into the whole Halifax; William J. Burns Selkirk, :M,B., Children's question and report subsequently to the Division their Hospital, Bradford; Annie Florence Theobalds, M.B., Poor recommendations, and that they be empowered to continue Law Hospital, HWifax; Arthur Henry Thomas, M.B.,. in office, if necessary, beyond the next annual meeting and Boroughibridge, Yorks; Robert McLeod Veitch, M.D., The until their labours are completed., Esplanade, Harrogate. Divisional Library.-Communications were read from " Papers.-Dr. CAMPBELL (Bradford) read a paper entitled, the Science Committee through the Medical Secretary. Some Remarks on Graves's Disease." Dr. Campbel) Drs. Aikman, Bulteel, and Carruthers were appointed a pointed out that whilst myxoedema was a comparatively Library Committee, and instructed to draft rules for rare disease in the West Riding of Yorkshire, in fact. not management of the library, and to submi-t a list of recom- more often met with than might be accounted for by mended purchases, according to the available funds, out of importation and by the occasional passage. of exophthalmieq lists suggested by members. goitre into myxoedema, yet Graves's disease was exceedingly Earlier A ppointment ofRepresentatives.-The communi- common. He further remarked that in addition to true cation hereon from the Organization Committee having Graves's disease there werea-very large number of cases of been read, notice was given by the SECRETARY that he slight enlargement of the thyroid gland' associated with would confer with the Jersey Division, which was part of anaemia. He suggested that.there mjgbt possibly be some this constituency, with a view to each Division submitting direct relationship between the frequencyof the occurrence an amended rule of similar nature at the annual meeting and the almost universal use of uplandsurface water, poor of both Divisions. in calcium salts, in the district. With this view, he stated Whole-time Medical Officers of Health.-A memorandum that for the last tenx years he had consistently treated al. from the Public Health Committee on this subjest was his cases of Graves's disease with lime salts and hal read, and it was resolved that, in this Division's opinion, attained better results with this method, associated with medical officers of health should be debarred from engaging rest, etc., than he had observed in any other form of treat- inprivate practice, where possible. ment. Hediseussed the theories..of cusation, enumerated Midwiives Act. -It was resolved that, as the Midwives the principal symptoms, and described- the chief methods. Act is not in force in Guernsey, this Division feels unable of treatment that- had been employed, laying special sttess to express any opinion thereon. upon the advisability of giving abundant nourishment,lbut Medical Certification for Hospital Treatment.-On the of avoiding excessive quantities of milk or other food sub- question of medical certificates being considered a neces- stances which tended to stimulate the thyroid land to. srry condition of hospital treatment, except in Poor Law increased activity. In dealing with surgica proce urea e cases, it-was resolved that it be an instruction to the pointed outthat ligature of the thyroidarteries was a more Representative to reply in the affirmative. rational.andles dangerous form of treatment than partil Contributions to Hospitals by Employers and Employees.- removal of the gland. He concluded by saying that, in his So many and grave difficulties were apprehended in this opinion, allowing for the fact that exophthalmic goitre was- report that it was found impossible to come to any so often seen in degenerates who, of course, retain their decision. degenerate characteristics independently of the. cure Fresh Public Medical Institutions.-The statement of or amelioration. of the disease, the prognosis given the Hospitals Committee herein was read, and their pro- was often unnecessarily hopeless and the treatment position against such institutions being opened without that of inactivity which was the reverse of masterly previous consultatjon with the local medical profession. Dr. BRONNER thanked Dr. Campbell for his excellentpraper; It was ordered that,the reply be in the affirmative, and drew attention to the fact that in a recently,isue- MedicalReferees to Sanatoriums.-The reference from textbook on ophthalmology, 300 pages were devoted to this the Representative Meeting of the- undesirability of local subject. He considered that the disease, wasdue. to ax practitioners holding, or continuing to hold, appointments toxic condition. To his mind, some of the most interesting as honorary local medical referees to the National Associa- symptoms were those produced in the cornea. In some' tion for the Establishment and Maintenance of. Sania cases a keratitis was produced, with a degeneration of the toriums for Workers suffering from Tuberculosis was read. centre of the cornea, inducing sloughing and the ultimate It was resolved that this Division assents thereto. destruction of the cornea. Dr. GILMOUR (Burley) remarked School andCoompeneation Certificates. No certificates that mental synqptoms were by no means. uncommon,,and in from hospitals with a view to compensation are issued here, Scalebor Park Asylum there were at present 3 or 4 cases as the Workmen's Compensation Act does not apply. No cases with mental derangement. He had recently been certificates are issued for fitness or unfitness for school treating cases of this character by giving milk from goats except on order of the Board of Education (generally for which had had the thyroid gland- previously removed. ringworm), and for which a fee of 2s. 6d. is paid. Eachgoatgave about 21- pints of milk daily. :Hehadfound- theemaciation reduced, but the other symptoms ad.not been very markedly improved. Dr. BLACK (Harrogate) spoke stonglyin favour of the treatmentof Graves's disease by rest. YORKSHIRE BRANCH. He had in mind eapecially one patient)whom, he.,had kept A MEETINGOf this Branch was held at the Royal Eye and in bed for nearly a year, and treated by 3 or 4 minim doses Ear Hospital, Bradford, on Wednesday, March10th, Dr. o!tinture of aconite. At the end ot,the year the patient R. TURNER (York), President, in the chair. was much.better, and now was nearly qie well again. Adoption of Minutes.-Dr. BRONNER (Honorary Secre- Dr. J. J. BELL (Bradford) having asked a question as to tary) read the minutes of the last meeting, which were why Dr. Campbell prohibited the use of. milk, Dr. adopted. CAMPBELL replied that he thought milk and meat juice TheReferendum.-Dr. SINCLAIR WHITE.(Sheffield) pro- stixuplated- the activity of the gland, and should rather posed and Dr. MossoP (Bradford) seconded that the be avoided. Dr. EURICH (Bradford) read a paper onaD President and Secretary should be empowered to sign unusual rare and fatal form of skin disease. The condi- a petition to the Privy Council, asking for an amend- tion was a remarkable one, and the disease appeared to ment in the Charter to the clauses relating to. the be an unnstwl.form of lupus erythematosus. The case Referendum. This was adoptednem. con. was discussed by Drs. BLACK, BAMPTON (Ilkley), and HEAPY The Report for the Year.-The annual reports and (Bradford); andD.r. EuRicH replied. Dr. TREVELYAN (Leeds> financial statements of the Branch and its constituent gave a most interesting address, illustrated, by lantern Divisions for the past year, were presented. slides, on an alysis of 56 cases of total facial palsy; New Memboes.-The following were elected to the mem- occurred before 10years, between7 10and20,-25 between bership of the Association: Ernest Woodhead Blackburn, 20 and 40,and 12 after 40 years. Males and females were M.B.,lvy House, Barnsley; James Grahame Campbell, M.D., equally affected, namely, 28 of each. In 4 cases, two or Brantwood, Rotherham; Henry J. Clarke, jun., M.B., 53, Hall three preceding. attacks had occurred. In all cases, the Gate, Doncaster; George 0. Gauld, M.B., Elvington, York; onset took'place in the night, and in 5 others pain or dis- ARMOCILTIOS, "NOTICE& (.51 MARCHMARCH '279'.Wg-27, 'XgOg.]1- ASSOCIATION NOTICES. --349 comdort in the{ace wa' noted t. the commencement. -In importint subject by attending and expressing their opilion.. FQr the oonvenience of those takintgtat in.the 3f,bilateral cases 1 was accmpanied- by paralysis in the reference to the SUPPLEMENT of the BRITISH MEDICALdipqqssionJOUIINAL arms (?:postinfienzal) and in the other 2 by bulbsr of June 20th and July 18th, 1908, will be of assistanoe. (3}Any symptoms In 1 case, in a boy aged 8 years, the palsy other business. - C. CLARK BURMAN, Honorary Secretary., was congital and was, looked upon as a persistent birth Alnwick. - _ palsy. In 2 cases the sixth nerve was also affected. In 1 case of eighteen years' standing with -no recovery of SOUTH-EASTERN OF IRELAND BRAECH.-A meeting of this Branch, also a meeting of the Branch Council asd the local voluntary power, a reaction to direct and indirect faradism Division, will be held at Adelphi Hotel, Waterford, on Wednes- together with emotional movement persisted in the muscles day, April 7th, at 3.15 p.m. Agenda: (1) Minutes of last meet- about the angle of the mouth. In several cases the above. ing. (2) Letters of apology. (3) Correspondence. (4) Dr. named muscles were seen to be the last to recover. In Lasffan will move that dinners at Branch meetings be paid for at some cases with preserved faradic reaction rapid recovery so much to each member present and half of that amount to in four to six weeks was noted. In 1 case recovery com- each absent member. (5) Dr. Mackesy will move that members of this Branch bind themselves not to acocept a less fe6 than one menced well after. twelve months from the onset. Dr. guinea for examination and report in any case under the BJRONNEn (Bradford) showed by lantern slides the method Employers' Liability Act or Workmen's Compensation Act at for the direct examination of the oesophagus and upper common law, whether same be 'furnished on behalf ol air passages by Bruning's instruments. At the close of his employers or insurance companies. (6) Any other 'b-siness.- address Dr. Bronner demonstrated with the actual instru- J. QUIRBE, Honorary Secretary, Piltown. ments the methods. for their employment. The demon- SOUTH MIDLAND BRANCH: BUCKINGHAMSHIRE DIVISION. stration elicited the greatest interest on the part of the The first meeting-of this Division will be held at the Royal! members, and Dr. Bronner was heartily thanked for the Bucks-Hospital, Aylesbury, on Tuesday, March 30th, at 3.30 p.m. great trouble he-had gone to in the matter. The meeting Order of business will be as follow: (1) Adoption of Rules.-It is suggested that the whole of the rules sent out be passed then terminated. en bloc. They have been carefully gone over by the Committee Dinner,-Seventeen members dined at the Midland and adapted to suit the Division. (2) Election of officers. Hotel. (3) Resolutions proposed by the Committee: (a) That three of the meetings be held at Aylesbury and one at some other place within the Division. (b) That at each Aylesbury meeting refreshments be provided, and that a fund be formed to meet, gTbTo ensure the, isertion of notices in this cohmn, they the expenses. (c) That an annual dinner be held about the rwt&st be receive4 tt the entral Offces of the Assooiation month of October. (d) That the Executive Committee be also the Ethical Conmittee. (4) Medical Inspection of School not later than the first post on Tuesday. Children: (a) Paper -by Dr. Carruthers. (b) Resolution by Dr. Shaw in reference to fees offered by the Bucks County Council for certificates ini infectious cases. (e) Voting on the- titz. questions asked at the end of the Memorandum. (5) Demon- A itIio stration by Dr. William Hill (St. Mary's Hospital) on Direct Vision Laryngoscopy, Tracheo-bronchoscopy, and Oesophago- COUNCIL MEETING. scopy on Living Patients under Cocaine Anaesthesia. All members of the Division are heartily invited to bring any A MEETING of the Council will be held at 2 -o'lock in the medical friend with them.-ARTHUR E. LARKING, afternoon of Wednesday, April 28th, in the new Council WEST SOMERSET BRANCH.-The next meeting of this Branchi. Room, at' 429, Strd; London, WC. will be held at the Taunton and Somerset Hospital on Friday,. April 2nd, at 3.30 p.m., when the President, Dr. H. T. S. Aveline, By Order, will take the chsir. It is hoped to make this largely a clinical March 25th, 1909. Guy ELLISTON. meeting, and-members are invited to submit cases and speci- mens of interest. The following are already promised:-Mr. A. J. H. Iles: Skiagrams showing the utility of X Rays in the BRANCH AND DIVISION MEETINGS TO BE HELD Diagnosis of Diseases of Bone. Mr. A. E. Joscelyne: A Case nf "Port Wine " Mark treated with High-frequency Currents. DORSET AND WEST HANTS BRANCH.-The spring meeting of Hospital Treatment: The members of the Branch will be asked this Branch will be held in Dorchester on Wednesday, May 5th. to instruct their Representative how he shall vote on the follow- Members wishing to read papers, show cases, exhibit specimens, ing resolution, which will be-brought before the next Repre- or propose new members, are requested to communicate, sentative Meeting: "That a medical certificate of suitability not later than Thursday, April 22nd with JAMES DAVISON, for hospital treatment be required as a condition of hospital Honorary Secretary, " Streateplace," Bournemouth. treatment, except in the case of casualties." Further par- ticulars on this subject will be found in the SUPPLEMENT to the DORSET AND WEST HANTS BRANCH AND WEST SOMERSET BRITISH MEDICAL JOURNAL of February 27th, 1909. "What is BRANCH-Nominations for the office of a Representative on an Accident?" Should time permit, Dr. Aveline will open a,. the Central Council should be sent, on or before Tuesday, discussion on this subject, which, owing to the Workmen's April 13th next, in accordance with By-law 25, to JAMES Compensation and other recent Acts of Parliament, has become DAvISON, " Streateplacs," Bath Road, Bournemouth. of interest and importance. Tea will be served at the conclu- sion of the meeting.-W. B. WINCKWORTH, Honorary Secretary, EAST ANGLIAN BRANCH.-The spring meeting will be held at Taunton. Bury St. Edmunds on Thursday, April 15th. Members wishing to read papers or show cases should communicate at once with Dr. Gutch, Ipswich, the Honorary Secretary for Suffolk.-B. CENTRAL -MIDWIVES BOARD. NICHOLSON, Senior Secretary, East Lodge, Colchester. A MEETING of the Central Midwives Board was 'held at Caxton House, Westminster, on March 18th, with Dr. F. H. LANCASHIRE AND CHESHIRE BRANCH.-Change oJt date of CHAMPNEYS in the chair. Branch Council meeting. Owing to April 14th falling in Easter week the Branch Council mneeting will be held a week earlier- Registration of Births. namely, on Wednesday, April 7th, 4.30 p.m., at Onward Build- A letter was received from the Registrar-General as to ings, 207, Deansgate, Manchester.-F. CHARLES LAREIN, the Board's request for the addition of a new column to Honorary Secretary, Liverpool. the birth register for the registrars to add the name, status, and address of -the person who delivered the child. ILANCASHIRE AND CHESHIRE BRANCH: ALTRINCHAM DIVISION. In this letter-the Registrar-General said that these par- -A general meeting will be held at the Greenbank Hotel, ticulars, although no doubt useful, were not among the Northwich, at 5 p.m., on Wednesday, April 21st, to receive reports from the Executive Committee, to consider matters most desirable additions that could be made; it appeared referred to Divisions, and to transact the usual business. At to the Registrar-General that this information might be 6 p.m. Dr. Manwaring White will read a paper on Frontal inserted in the notice of birth ftirnished to the medical Sinusitis as a Complication of Influenza. Dinner at 7p.m.- officers of health in places where the Notification of Births T. W. H. GARSTANG, Honorary Secretary. Act had been adopted. NORTH OF ENGLAND BRANCH: NORTH NORTHUMBERLAND Practitioners " Covering " Midwives. DIvISION.-A meeting will be held in the Blue Bell Hotel, Letters from Dr. A. G. R. Foulerton, County Medical Belford, on Wednesday, March 31st, at 2.30p.m. Business: Officer for East Sussex, as to medical practitioners (1) Confirmation of minutes. (2) A disc.ussion on the question of Treatment of School Children under the Education Act will "covering" midwives, were considered. The Board de- be opened by Dr. Burrow, Medical Inspector of School Children, cided that the Secretary be instructed to draft a case'for and members are requested to show their interest in this the opinion of the Privy Council as to whether a certified ..I NAVAL AND MILITARY APPOINTMENTS. [MAcW 27, 1909. mnidwife' personally delivering a woman in childbirth is 3.5 in Wigan, 3.9 in Portsmouth, 4.2 in Birmingham, 4.4 in Smethwick, 4.6 in West Hartlepool. 4.9 in Aston Manor, 5.9 in Sunderland, and acting as a midwife where a medical practitioner has been 13.2 in St. Helens; scarlet fever of 1.9 in Blackburn and 2.2 in engaged to attend the case. St. Helens; whooping-cough of 1.3 in Coventry, 1.4 in Nottingham, 1.6 in Brighton, 2.0 in Great Yarmouth, and 2.7 in Swansea; enteric fever of 1.4 in Warrington; and diarrhoea of 2.2 in Smethwick. The Midwives in Essex. mortality from diphtheria showed no marked excess in any of the large A report was considered from Dr. J. C. Thresh, County towns. One fatal case of small-pox belonging to London and 1 to Bristol were registered last week. The Metropolitan Asylums Hospitals Medical Officer for Essex, to the Essex Education Com- contained 3 small-pox patients at the end of last week, against 1 and 2 mittee on the suipply of midwives in that county. The at the end of the two preceding weeks; 1 new case was admitted during the week, against 2 in the previous week. The number of Board directed that Dr. Thresh be thanked for the scarlet fever patients remaining under treatment at the end of the presentation of his report. week in these hospitals and the London Fever Hospital was 2,596, against 2,873 and 2,670 at the end of the two preceding weeks; 279 new cases were admitted during the week, against 285 and 268 in the two preceding weeks. HEALTH OF SCOTTISH TOWNS. DURING the week ending Saturday last, March 20th, 956 births and 754 deaths were registered in eight of the principal Scottish towns. The ROYAL NAVY MEDICAL SERVICE. annual rate of mortality in these towns, which had risen from 18.2 and THE following appointments have been made at the Admiralty: Fleet 21.6 per 1,000 in the five precedingweeks, declinedagain last week to 21.1 Surgeon W. BETT and Staff Surgeon (G. C. C. Ross, M.B., to the Sutlei, per 1,000, and was 1.0 per 1,000below the mean rate during the same period March 15th; Fleet Surgeon H. X. BROWNE to the Leviathan, March in the seventy-six large English towns. Among these Scottish towns 15th; Surgeon F. E. BOLTON to the President, additional, for three the death-rates ranged from 17.2 in Edinburgh and 17.6 in Perth to 23.7 months' course at West London Hospital, March 16th; Surgeon M. in Dundee, 23.8 in Paisley, and 26.0 in Greenock. The death-rate from HAIYDON to be lent to the Thames during the absence of Staff Surgeon the principal infectious diseases averaged 2.4 per 1,000, the highest Pearse, March 17th; Fleet Surgepn A. J. PICETHORN to the Triumph, rates being recorded in Glasgow and Paisley. The 366 deaths registered March 18th; Fleet Surgeon H. S. R. SPARROW to the Sapyphire, addi- in Glasgow included 2 which were referred to scarlet fever, 6 to diph- tional, for the Sapphire II, April 10th; Fleet Surgeon E. CORCORiN to theria, 37 to whooping-cough, 4 to enteric fever, and 8 to diarrhoea. the Royal Marine' Division, Plymouth, April 10th. Two fatal cases of scarlet fever and 2 of whooping-cough were recorded in Edinburgh; 2 of diphtheria and 5 of whooping-cough in Dundee; 3 of whooping-cough in Aberdeen; and 2 of scarlet fever and 2 of whooping- INDIAN MEDICAL SERVICE. cough in Paisley. ¶THE following officers are admitted to the Indian Medical Service, their commissions to bear date August lst, 1908: R. B. LLOYD, A. C. MUNRO, A. G. TREsIDDBR, G. G. JOLLY, H. STOTT, A. A. C. M'NEILL, HEALTH OF IRISH TOWNS. B. L. GAMLEE, G. F. GRmAHAM, T. D. MURISON, J. J. H. NELSON, S. S. DURING the week ending Saturday, MLarch 20th, 598 births and 571 F. F. A. SYMEs, G. L. deaths were registered in the twenty-two principal urban districts of PHIPSON, S. SmaTH, J. C. LITTLE, T. C. BoYD. Ireland as against 595 births and 524 deaths in the preceding period. The annual death-rate in these districts, which had been 23.0. 22.5, and 23.9 per 1,000 in the three preceding weeks, rose to 26.1 per 1,000 in the TERRITORIAL FORCE. week under notice, this figure being 4.0 per 1,000 higher than the mean ROYAL FIELD ARTILLERY. annual death-rate in the seventy-six English towns for the correspond- SURGEON-LIEUTENANT-COLONVE AND HONORARY SURGEON-COLONEL ing period. The figures in Dublin and Belfast were 29.3 and 21.0 IsAAC MossoP and Surgeon-Captain J.. C. WRIGHT, M.B., from the 2nd respectively, those in other districts ranging from 12.3 in Drogheda and West Riding of Yorkshire Royal Garrison Artillery (Volunteers), are 15.9 in Tralee to 46.1 in Queenstown and 46.2 in Clonmel, wbile Cork appointed to the 2nd West PRiding Brigade, with rank and precedence stood at 31.5, Londonderry at 30.2, Limerick at 17.8, and Waterford at as in the Volunteer Force, April 1st, 1908 (Surgeon-Captain Wright to 33.1. The zymotic death-ratein the twenty-two districts again averaged be supernumerary). 1.3 per 1,000, and thus has not varied for the past three weeks. ROYAL GARRISoN ARTILLERY. Surgeon-Captain J. CRoam, Tynemouth unit, to be Surgeon-Major, July 17th, 1908. Surgeon-Captains E. N. CLOSE and A. A. MACKEITE, M.B., from the 1st Hampshire Royal Garrison Artillery (Volunteers), are appointed to the Hampshire unit, with rank and precedence as in the Volunteer Force, April lst, 1908.

ROYAL ARcu MEDICAL CORPS. This lst Qf is ompid from our ad&rtiemnt cohlmns. -For Attachment to Units other thuan Medical Units.-Surgeon-Captain vaoanbes R. B. SiDEBOTTOM,from the 6th Battalion the Cheshire Regiment, to be where fullIpartioulars wil befound. To ensure notice in this cohumn, Captain. Ootober 3rd, 1908. He is promoted to be Major, October 4th, awvertimaeents nust be receied ot later than the first post 1908. The announcemIlents of the transfer of Surgeon-Captains E. N. WeedY msorning. ILOSE and A. A. MACKAtTH, M.B., from the 1st Hampshire Royal VACANCIES. Garrison Artillery (Volunteers), which appeared in the London Gazette, Ootobet 20th, 1908, are c&tielled. BIRKENHEAD UNION.-Male Resident Assistant Medical Officer for Four'th London Genrat Hospital.-Surgeon-Lieutenant-Colonel and the Infirmary and Sanatorium. Salary, £120 per annum. Honorary Surgeon-Colonel (Honorary Captain in the army) ATWOOD BIRMINGHAM CITY.-Assistant Mledical Officer of Health. Salary, TBORNE, M.B. from the 2nd Middlesex Royal Garrison Artillery £250 per annum. (Volunteers), to be Lieutenant-Colonel with the honorary rank of BRIGHTON: ROYAL ALEXANDRA HOSPITAL FOR SICK Sursieon-Colonel, with precedence as in the Volunteer Foree, dated CHILDREN.-House-Surgeon. Salary at the rate of £80 per April 1st, 1908. GEortaE NioXN BIGGS, M.B., to be Major, dated annum. February 26th, 1909. Fifth Northern General Hospital.-Major A. V. CTARKE, M.D., from BRISTOL ROYAL HOSPITAL FOR SICK CHILDREN AND the Mobilization Listi, Royal Army Medical Corps, Territorial Force, to WOMEN.-Assistant House-Surgeon. Salary, £50 per annum. be Lieutenant-Colonel, February 24th. Captain L. K. HARISON, M.B., BURY INFIRMARY.-Junior House-Surgeon. Salary, £80 per annum, from the Mobilization List, Royal Army Medical Corps, Territorial increasing to £90 after six months. Force. to be Major, February 24th. CANCER HOSPITAL. Fulham Road, S.W.-Surgical Registrar. S'anitary Service (Officers whose services will be available on Honorarium, £26 5s. per annum. Mobilization).-Captain L. C. PARKES, M.D., to be Major. March 24th. CANTERBURY: KENT AND CANTERBURY HOSPITAL.-House- Captain CLAUDE B. KER, M.B., to be Major, dated April 1st, 1908. Surgeon. Salary. £90 per annum. CHELTENHAM GENERAL HOSPITAL. - (1) Honorary Surgeon; (2) Honorary Clinical Pathologist. SPECIAL RESERVE. CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, ROYAL ARMY MED!CAL CORPS. Victoria Park, E.-House-Physician (male). Salary at the rate of CAPTAIN C. R. TICHEBORNE, from the late Royal Army Medical Corps £75 per annum. (Militia), having assented to be transferred, is appointed to the Special Reserve of Officers, retaining the rank and seniority which he held in COLCHESTER: ESSEX COUNTY HOSPITAL. - House-Surgeon. 1908. Salary, £80 per annum. the Militia, September 20th, DUDLEY: GUEST HOSPITAL.-Assistant House-Surgeon. Salary, £60 per annum. ENNISKILLEN: FERMANAGH COUNTY HOSPITAL.-House- Surgeon. Salary, £72 per annum. EVELINA HOSPITAL FOR SICK CHILDREN, Southwark Bridge Road.-Physician to Out-patients. GROCERS' COMPANY.-Two Scholarships of £300 a year each for HEALTH OF ENGLISH TOWNS. Research in Sanitary Science. IN seventy-six of the largest English towns, including London, 8,632 births and 6,985 deaths were registered during the week ending Saturday HULL: ROYAL INFIRMARY.-House-Physician. Salary, £100 per last, March 20th. The annual rate of mortality in these towns, which annum. had been 19.1, 21;3, and 22.1 per 1,000 in the three preceding weeks, was LEAMINGTON: WARNEFORD, LEAMINGTON, AND SOUTH again 22.1 per 1,000 last week. The rates in the several towns ranged WARWICKSHIRE GENERAL HOSPITAL.-Senior and Junior from 10.3 in Walthamstow, 11.9 in Devonport, 12.0 in Hornsey, 12.5 in Resident Medical Officers. Salary, £100 and £65 per annual Wallasey, 12.7 in Gateshead, 13.2 in Barrow-in-Furness, and 13.4 in respectively. Burton-on-Trent, to 25.5 in Burnley. 26.0 in Merthyr Tydfil, 26.5 in LEEDS GENERAL. DISPENSARY.-Ophthalmic House-Surgeon. Wigan, 26.7 in Warriragton, 27.9 in Liverpool. 28.2 in Sheffield, and 36.7 in Salary at the rate of £0 per annum. 'St. Helens. In London the rate of mortality was 24.0 per 1,000, while LEEDS PUBLIC DISPENSARY.-Junior Resident Medical Officer. it averaged 21.5 in the peventy-five other large towns. The death-rate Salary, £100 per annum, increasing £10 on reappointment. from the principal infectious diseases averaged 2.3 per 1,000 in POOL EAR -the seventy-six towns; this was the rate in London also, while LIVER EYE AND INFIRMARY.-Honorary Assistant among the seventy-five other large towns the death-rates from these Surgeon. -diseases ranged upwards to 4.4 in Portsmouth, 4.6 in Coventry LIVERPOOL: ROYAL SOUTHERN HOSPITAL.-Hcuse-Physician. a,nd in West Hartlepool, 4.7 in Birmingham 4.9 in Blackburn, Salary, £60 per annum. 5.1 in Warrington, 5.5 in Aston Manor, 6.3 in Wigan, 6.5 in LIVERPOOL: STANLEY HOSPITAL.-(I) Senior House-Surgeon; Sunderland, 7.4 in Smethwick, and 17.0 in St.. Helens. Measles salary, £100 per annum. (2) Two Junior House-Surgeons; salary, -caused a death-rate of 3.0 in Handsworth (Staffs) and in Sheffield, £60 per annum each. son MARCH 27, 19091- DIARY. I uuu-t5sp* I^IEROO;:WET ERY NIO F I 5UWAI Medical Offlcer.SaBry, £100 per aanum.~~~~~~~~~~~~~~~~~~~~~~~IFIMAY.Asisan d- d LIVERPOOL: WEST DERBY UNION INFIRMARY.- Assistant Medical Officer. Salary, £100 per annum. BIRTHS, MARR AND DEATHS. LONDON SCHOOL OF TROPICAL MEDICINE.-Craggs' Research The charg for hnsertis a_t,ee#mteof Births, Marriages, an Prize, value £50. Deaths is 8e. 6d., which sum should be forwa-rded insost.ojo orders MANCHESTER: MONSALL FEVER HOSPITAL.-Medical Superin- or stamys with thenoti not later than Wednesay morssgs.in ordr tendent. Salary, £425 per annum. to ensure insertion in the current 4rse. MANCHESTER VICTORIA MEMORIAL JEWISH HOSPITAL. - Resident Medical Officer. Salary, £80 per annum. BIRTH. MEDICAL GRADUATES' COLLEGE AND POLYCLINIC, Chenies TAYLOR.-On March 12th, at Wray Croft, Lacock, Chippenham, the Street, W.C.-Clinical Pathologist. wife of S. H. Stanley Taylor, M.B., Ch.B., of a son. MOUNT VERNON HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST, Hampstead.-Senior and Junior DEATHS, Resident Medical Officer. Honorarium, £100 and£50 per annum HARDY.-On March 8th, at Aden, of sleeping sickness, on the voyage respectively. home from Nyassaland, Captain Frederick HaIlam Hardy, R.A.M.C., M R.C.S., L.R.C.P.Lond., aged 36, son of Major-General NEWCASTLE-UPON-TYNE: ROYAL VICTORIA INFIRMARY.- F Pathologist to the Infirmary, and Lecturer on Pathology to the Hardy, C.B., York and Lancaster Regiment, Shawford (University of Durham College of Medicine. Salary, £400 per Wincheste'. annum. SOLTAI.-On March 17th, at Benares, the result of an accident NORWICH- NORFOLK AND NORWICH HOSPITAL.-Male Assistant George Alick Soltau, M.B., B.S.Lond., Captain I.M.S. House-Surgeon. Honorarium, £20 for six months. PADDINGTON INFIRMARY.-Second- Assistant to the Medical Superintendent and Medical Officer of the Workhouse. Salary at DIARY FOR THE K. the rate of-£72 per annum. PORTSMOUTH PARISH.-Second Assistant Resident Medical Officer for the Workhouse Infirnasry, Workhouse, and Children's Home. TUENSDA8Y. Salary at the rate of£100 per annum. ROYAL COLLEGE OF PHYSICIANS or LONDON, Pall Mall East, S.W.. ST. MARYLEBONE GENERAL DISPENSARY, Welbeck Street, W. 5 p.m.-Third Lumleian Lecture, by Dr. Norman -(1) Honorary Physician; (2) Honorary Anaesthetist. Moore: Rheumatic Fever and Valvular Disease. SALFORD ROYAL HOSPITAL.-Junior House Surgeon (male). THURSDAY. Salary at the rate of£50 per annum. NORTH-EAST LONDON CLINICAL SOCIETY, Prince of Wales's Hospital, SEAMEN'S HOSPITAL, Greenwich.-(1) Two House-Physicians; Tottenham, 4.15 p.m.-Discussion on Empyema, to be (2) Two House-Surgeons. Salary at the rate of-£50 per annum opened by Dr. T.R. Whiphaim. each. ROENTGEN SOCIETY, 20, Hanover Square, 8.15 p.m.-Paper by Mr. J. H. SOUTHAMPTON FREE EYE HOSPITAL.-House-Surgeon. Salary, Gardiner: The Origin, History, and Development of £100 per annum the X-ray Tube. SOUTH SHIELDS: INGHAM INFIRMARY AND SOUTH SHIELDS ROYAL COLLEGE OF PHYSICIANSOF LONDON, Pall Mali, East, S.W., AND WESTOE DIdPENSARY.-Junior House-Surgeon (male). 5 p.nf.-First Oliver-Sharpey Lecture, by Professor Salary,£90 per annum. C. S. Sherrington, F.R.S.: The Rdle of Reflex Inhibi- ,SOUTHPORT COUNTY BOROUGH.-SchoolMedical Officer. Salary, tion in the Co-ordination of Muscular Action. £250 per annum, rising to £300. FRIDAY. STOCKPORT COUNTY BOROUGH.-School Medical Officer. Salary, ROYAL COLLEGE OF PHYSICANSOF LONDON, Pall MAll East, S.W., £250 per annum,increasing to£300. 5 p.m.-Second Oliver-Sharpey LectUre, by Profeesor VICTORIA HOSPITAL FOR CHILDREN, Tite Street, S.W.-House- C.S. Sherrington, F.R.S.: The Rdle of ReflexItnibi- Surgeon. Salary,£30 for six montbs. tion in the Co-ordination of Muscular Action. NVAKEFIELD: CLAYTON HOSPITAL. Junior House-Surgeon. ROYA.L SOCIETY OF MEDICINE: Salary,£80 per annum. LARYNGOLOGICAL SECTION, 20, Hanover Square, 5 p.m.- W ALLASEY DISPENSARY AND VICTORIA CENTRAL HOSPITAL. Cases and Specimens. -House-Surgeon. Salary,£100 per annum. WEST LONDON MEDICO-CHIRURGICAL SoCIETY, West LondonHtospital 'WEST LONDON HOSPITAL, Hammersmith Road, W.-(1) Clinical Hammiersmith Road, 8 p.m.-Clinical Evening. Assistants; (2) Three Casualty Officers. POST-GRADUATE C9URSES AND LEOTU9ES, WORCESTER GENERAL INFIRMARY.-House-Physician. Salary, CENTRAL LONDON THROAT AND EAR HOSPITAL, Grarts Inn 9"d, W.C. £100 per annum. -Tuesday, 3.45: Anaesthetics. Friday, 3.45: Mouth and Teeth. LONDON SCHOOL OF CLINICAL MzEDIcINE, Seamen's Hospial, Green- wich.-L)aily arrangements: Oult-patient,lmonstra- - APPOINTMENTS. tion, 10 a.m.; Medical and Surgioal Climes, 2.15p.m. and 3.15 p.m. respectively; Operations, 2 1m. 8pecial IIRD, Gerald F., M.B.Cantab., Medical Officer to theM eath Home for Clinics: Ear and Throat, at noon and 4 V.m., Monday, Epileptic Women and Girls, Godalming. and noon, Thursday; Skin, at noon and 4p.m., Thurs- iLAXTAND, A. Jasper, M.B., M.S.Lond., F.R.C.S.Eng., Assistant day, and noon, Friday; Eye, 11 a.m., Wednesday and Surgeon to the Norfolk and Norwich Hospital. Saturday; Radiography, 4p.m., Thurtday. Special iIUCHAN, George F., M.B., Ch.B.Glasg., D.P.fl.Camb., Medical Officer lecture, Monday, 4 p.m., Aphasia. of Health for the Urban District of Heston and Islewortb, MEDICAL GRADUATES' COLLEGE AND POLYCLINIC, 22, Chenies Street, W.C. - The following clinical demonstrationshave C Hounslow. JANNEY, J. R. L.R.C.P., M.B., B.C., House-Surgeon been arranged for next week at 4 p.m. each day: C., M.R.C.S., to Monday, Skin; Tuesday, Medical; Wednesday, Sur- University College Hospital, Gower Street, W.C. gical; Thursday, Surgical; Friday, Ear. GRAY, Leonard, M.R.C.S.Eng., L.R.C.P.Lond., Honorary Visiting NORTH-EAST LONDON POST-GRADUATE COLLEGE, Prince of Wales's Physician to the Staffordshire General Infirmary. General Hospital, Tottenhan, N.-Monday, Clinics, HARD, H. S., M.D.(U.S.A.), Clinical Assistant to the Chelsea Hospital 10a.m., Surgical Out-patient; 2.30 m.,p MfedicalOut- for Women. patient; Nose, Throat. and Ear; XRays; 4.30 pm., HEWKLEY, Frank, M.D.Durh., F.R.C.S.Eng., Honorary Ophthalmic Medical In-patient. Tuesday, 10 a.m., Medical Out- Surgeon to the Western General Dispensary, Marylebone Road, patient Clinic; 2.30 p.m., Operations; Clinics, Surgical, N.W. Gynaecological. Wednesday, 2.30 p.m., Medical Out- IITrDsoN. Miss Margaret, B.A., M.B., B.S.Lond., Superintendent of patient, Skin, and Eye Clinics. Thursday, 2.30 p.m., the Boarding-out Department, Dr. Barnardo's Homes. Gynaecological Operations; Clinics: Medical Out- patient; Surgical Out-patient; X Rays; p.m.,3 Medical ILEwis. John. M.R.C.S. L.R.C.P., M.B., B.S., Obstetric Assistant to In-patient. Friday, Clinic: 10 a.m .,Surgical Out- University College Hospital, Gower Street, W.C. patient; 2.30 p.m., Operations; Clinics:Xedical Out- 2IERY. Carlos, M.D.Paris, Clinical Assistant to the Chelsea Hospital patient, Eye; 3 im.,p Medical In-patient; Demonstra- for Women. tion on the Infectious Fevers (at theNorth-Eastern PARE, J. W., M.D., C.M.Edin., L.D.S.Eng., Dental Surgeon to the Fever Hospital, St. Ann's Road, N.). Hospital for Diseases of the Throat, Golden Square, W. COLLEGE, West : POST-GRADUATE London Hospital, Hammersmith, W. ROBERTSONF. Gordon, M.B., Ch.B.Glasg., Junior Assistant Physician -The followingare the arrangements for next week: to Ayr District Asylum. At 2 p.m., Medical and Surgical Clinics, X Rays; SANxxY, R. H., M.A., M.B., B.Ch.Oxon., M.R.C.S., L.R.C.P., Medical 2.30 p.m., Operations. Monday andqThursday (and Officer to H.M. Prison at Oxford. Wednesday and Saturday), 2 p.m., Diseases of the Eyes. Tuesday and Friday, 10 a.m., Gynascological LUTHEBLAND, Halliday, M.D.Edin., Resident Physician to the Royal Operations; 2 p.m. (and Wednesday -and Saturday, Victoria Hospital for Consumption, Edinburgh. 10 a.m.). Diseases of Throat, Nose, Blar;and 2.30 p.m., VALLEB, H. K., M.R.C.S., L.R.C.P., House-Physician to University Diseases of Skin. Wednesday and Saturday, 10 a.m., College Hospital, Gower Street, W.C. Diseases of Children. Lectures: 10a.m., Monday and IDINBUIRGH RoYALINFINRFYY-The following appointments have Thursday, Demonstration by Surgical Registrar; been made: Friday, Demonstration by Medical Registrar; 12 noon, Monday, Pathological Demonstration; 12.15p.m., Wed- Resident Physicians: W. B. Romers, M.B., Ch.B.: F. W. Hay, nesday and Saturday, Practical Mdiedine; 5 p.m.. M.B., Ch.B ; H. A. Watson-Wemyss, M.B., Ch.B.; A. F. FHewat, Monday, Clinical; Tuesday, Thursday, M.B., Ch.B.: J. T., Simeon, M.B., Ch.B.; and R. A. Krause, Clinical; M.B., Ch.B. Clinical; Friday, Clinical. Ressident Surgeons :W. F. Buist, L.R.C.P.and S.Edin.; J. E. Spence, M.B., Ch.B.: W. A. Young, M.B., Ch.B.; H. M. Anderson, M.B. Ch.B.; 4. C. Mallace, M.A., M.B., Ch.B.; and J. B. de W. Molony, BOOKS, B-To., RECEIVED. M.B., ChB. NNon-resldent House-Surgeons: B. W. L. Todd,M.B., Ch.B., B.Sc.; Health, Morals, and Longevity. By G. Gresswell and A. Gresswell. H. P. Milligan, M.D.; and J. Lochhead, M.D. Bristol: J. Wright and Co.; and London: Marshall. Clinical Assistants: J. Langwill, M.B., Ch.B.; J. M. Deuchars, 1_909.5.. Simp)dn, M.B., Ch.B.; A. Fleming', M.B., Ch.B.;- I. S. Stewart, M.D., Dictionary of National Biography. Edited by S. Lee. Vol. xi!!. M.B., Ch.B.; B. H. Jamieson, M.B., Ch.B.; J. G. Greenfield, Masquerier-Myles. London:Smith. ElderandCo}. 1909. i1s. M.B., Ch.B.; S. Jackson,M.B., Ch.B.; F. R. Laing, M.B..#Ch.B.; Operations upon the Uterus, Perineum, and Roundd Ligaments. By A. White, M.B., Ch.B.; A. B. Darling, and F. M.B., Ch.B.; E. W. J. S. McKay,M.B., M.Ch, , B.Sc. London: Bailli4re, Tindall Reynolds, M.B., CIhB., L.M. and Cox. 1909. 21s. X32 OACZNDAR. [lAACH. 271 9§O§ CALENDAC OF THE ASSOCI.

Date. Meetings to be Held. Date. Meetn to be Eteld. MARCOH APRIL (Continad). 28 5mabai . LONDON: Medico-Political Committee, 29 MONDA! .5pm LANCASHIRE AND CHESHIRE BRANCH, (BUCKINGHAMSHIRE DIVIsION, South Council- Meeting, Onward- 'Build- 30 TUESDA.Y .. Midland Branch, Royal Buckls Hos- 7 WEDNESDAY ings, .207, Deansgate, Manchester, pital, Aylesbury, 3.30 p.m. 4.30 p.m. SOUTH-EASTERN OF IRELAND BRANCH, BATH AND BRISTOL BRANCH, Bristol. Adelphi Hotel, Waterford, 3.15 p.m., (LANCASHIRE AND CHESHIRE BRANCH, also meeting of Branch Council and Branch Ethical Committee, Liver- Local Division. 31. WEDNESDAY- pool Medical Institution, 4.30 p.m. 8 TH - NORTH NORTHUMBERLAND DIVISION, North of England Branch, Blue Bell 9 FRIDAY Good Friday. \Hotel, Belford, 2.30 p.m. 10 SATURDAY. APRIL. 11 Sanba *- 'SOUTH WALES AND M19ONMOUTHSHIRE 12 MONDAY .. Bank Holiday. BRANCH, Spring Meeting, Brecon. (LONDON: Organization Committee, 1 THURSDAY .. WESTMINSTER DIVISION, Metropolitan 13 TUESDAY *10.30 a.m. Counties Branch, Criterion Restau- rat+ 4.30.p.m.p.m 'RICHMONDCounties Branch,DIVISION,Medico-MGetr.opolitazn1oitical (.WANSEA DIVISION, South WVales and 1Meeting, Royal Hospital, Richmond, 2 FRIDAY Monmouthshire Branch,' 8.15 p.m. 8.30 p.m. 1 WEST SOMERSET BRANCH, Taunton EAST ANGLIAN BRANCH, Spring Meet- and Somerset Hospital, 3.30 p.m. 15 THURSDAY..*ing, B St. Edmund's. 3 SATURDAY JLONDON Ophthalmia Neonatorum SWANSEA DIVISION, South 'Wales and *Committee, 10 a.m. 16 FRIDAY . MonmoUth8hire Branch, Clinical . Meeting, 8.15 p.m. 4U1IU4&hunbat ...... 17 SATURDAY . Naval and Military Com- *U]KONIAY {LONDON:mittee, 2.30 p.m. 18 hUnZ~ Public Health 19 MONDAY 6- TUESDA- 13ILONDON:P.m. Committee, 20 TUESDAY

ANNUAL MEETING4 BRITISH MEDICAL ASSOCIATION, BELFAST, 1909, THE Seventy-seventh Annual Meeting of the British Medical Association will be held at Belfast from July 23rd, to July 31st, 1909, under the Presidency of Sir William Whitla. The Annual Representative Meeting commences in Belfast on July 23rd. The Presidential Address will -be delivered on July 27th. The Sections .will meet' on July 28th, 29th, and 30th. A preliminary programme of arrangements was published in the SUPPLEMENT, Febuary 27th, 1909. The Honorary Local Secretaries are: Henry Lawrence McKisack, M.D., M.R.C.P., 17, University Square, Belfast; C'ecil Edward Shaw, M.A., M.D., M.Ch., 29, University Square, Belfast; and Howard Stevenson, B.A., M.B., F.R.C.S.I., 2, College Square North, Belfast.

MEMBERSHIP OF THE BRITISH MEDICAL ASSOCIATION. TiHE British Medical Association exists for the promotion of medical and the allied sciences, and the maintenance of the honour and the interests of the medical profession. The Annual Subscription to the British Medical Association is £1 5s. Od., and the BRITISH MEDICAL JOURNAL is sapplied weekly, post free, to every member of the British Medical Association, wherever he may reside. Forms of application for membership can be obtained from the General Secretary, 429, Strand, W.C. The principal rules governing the election of a medical practitioner to be a member of the; British Medical Association are as follow: Article XII.-Any Medical Practitioner registered in the United Kingdom Member of the Branch Council, and the candidate, if not disqualified under the Medical Acts and any Medical Practitioner residing by any Regulation of the Association, may be elected a Member of within the area of any Branch of the Association situate in any part the Association by the Branch Council at any meeting thereof; held of the British Empire other than the United Kingdom, who is so not less than seven days (or such longer period as the Branch may registered or possesses such medical qualifications as shall, subject by its Ruleg prescribe) after the date of the said notice. A Branch to the regulations, bo prescribed by the Rules of the said Branch, may by special Resolution require that each candidate for election shall-be eligible as a Member of the Association. The mode and to the Association shall furnish a certificate from two -Members of conditions of election to Membership shall from time to time be the Association to whom he is personally known. Officers of the debermined by or in accordance with the By-laws. Every Member, Navy, Army, and Indian Medical Services on the Active List are whether one of the existing Members or a subsequently-elected eligible for election through the Council or a Branch 'without Member, shall remain a member until he ceases to be a Member in approving signatures as laid down in By-law 3. accordance with the provisions hereof. -By-law 3.-Every candidate whose place of residence is not included By-law l.-Every candidate for Membership of the Association shall in the area of any Branch shall forward his Application to the apply for election in writing, addressed to the Association, and General Secretary of the Asso'ciation, together With a statement stating his agreement, if elected, to abide by the Regulations and signed by three Members of the Association, that from personal By-laws of the Association, "and the Rules of such Division and knowledge they consider him a suitable person for election. Branch to which he may at any timne belong, and to pay his sub- Notice of the proposed election shall be sent by ths General scription for the current year. Scretaryto every Mem,ber of the Council, and the qandidate, if By-law 2.-Every candidate who resides within the area of a Branch not disqualified by any Regulation of the Association. may be shall forwArd his application to the Secretary of such Branch. elected a Member of the 'Association by the Council at any Notice of tie proposed election shall be sent by the- Branch meeting thereof held not less than one month after the date of the Secretary to the General Secretary of the Association, and to every said notice. The' a=nual subscription to the BRITISH MEDICAL'JOURNAL for non-members is £1 8s. Od.- for the United Kingdom, and rE£1 15s. Od. for abroad. Printed and Publiuhed by the Brltish Medial Ausociation at their Offioe, No. 4d, Strand, in the Parih of St. Martin-in-the-Fields, in the ounty ot Middlesex.