three members of one household were attacked and in two instances two, the period of time elapsing between the cases Correspondence. being from 10 to 28 days. The symptoms were much the same in all cases-viz., a mild fever, rarely above 100° F. ; the " Audi alteram partem." child was" off colour," refused food, and complained of sick. About the third or fourth the child THE feeling day usually PARLIAMENTARY vomited, and jaundice appeared. In all cases the jaundice OF THE COMBINED REPRESENTATIONUNIVERSITIES. was mild and the child was quite well at the end of a fort- To the Editor of THE LANCET. night. There was no enlargement of the liver or spleen in any case. In one case (a girl of 6g) symptoms of acute SIR,—Like many others, I have received a probably tuberculosis of left hip-joint set in within a fortnight. This circular from a self-constituted committee which seems was followed by a psoas abscess and signs of tuberculous desirous to for a Conservative or Unionist the appropriate peritonitis. I am, Sir, yours faithfully, seat in Parliament given to some seven Universities. Allusion S. HARTILL, M.B., B.Ch. Oxon. to this circular was made on p. 452 of THE LANCET on Abbots Langley, Herts, April 10th, 1918. March 23rd. May I venture to urge my co-electors in all the Univer- sities in question to set their faces like steel against the AKMY .N EP tlH.IT1. introduction of politics, especially of a kind now becoming To the Editor of TH:1!i LANCET. rapidly obsolete ?7 That some united action is necessary will back notes I can find be to all the but I would voice a wish SiR,-Looking through my no apparent graduates ; definite evidence to corroborate Dr. that what we at require-after a compromise Reginald Hartley’s this juncture to the between the several Universities concerned and the pro- interesting experience (THE LANCET, April 13th) effect that reduce the of fessions involved-are candidates keen on social questions- morphia may actually output albumin in the urine. So far as I could no . whether educational, health, or otherwise-who know their discover, drug had effect on the evolution of the subject and who we can support (financially if necessary) at any directly restraining the election and afterwards in their work. renal lesion. I am, Sir, yours faithfully, C. F. Will those in authority in these Universities who are COOMBS, Clifton, Bristol, April 16th, 1918. Major, R.A.M.C.(T.) representative of the professions involved wake up and give the graduates an opportunity to crystallise their opinions and actions before it is too late ?7 I am, Sir, yours faithfully, E. ROwL4NDROWLAND FOT]AFRGILL,FOTHERGILL, M.B. Durh., &c&c. Medical News. Hove, April llth, 1918. UNIVERSITY OF CAMBRIDGE.—At the examination ELECTRO-CARDIOGRAPHIC DEPRESSION in Sanitary Science held recently the following candidates PRODUCED BY DIGITALIS. satisfied the examiners in both parts of the examination :—’ To Lieutenant-Colonel Dudley William Boswell. R.A.M.C., *Edna Mary the Editor of THE LANCET. Goffe, James Lackhead Gregory, May Isabella Turner Reid, Captain SIR,-If Dr. 1. Harris’s interpretation of the depression Alexander James Hutchison Russell. I.M.S., Jane Stalker, and Captain Edgar James Tyrrell, R.A.M.C. between R and T in some in * . electro-cardiograms patients Distinguished in Bacteriology. under the influence of digitalis in your issue of March 30th is correct, I agree with the writer that the observation is of UNIVERSITY OF LONDON.-At examinations held the candidates were successful :- great practical value. That the depression was more easilyrecently following produced in " diseased heart muscle " cases tends to confirm SECOND EXAMINATION FOR MEDICAL DEGREES. the The value of the would have been Part I.-Janet Kerr Aitken and Ruth Mildred Arkwright, London explanation. paper School of Medicine for Women; John Vincent Armstrong, enhanced if the age-groups of the patients had been given. St. Mary’s Hospital; Helen Rosaline Ashton, London School of It is well that the of the chambers Medicine for Women; Edward Townley Bailey, Middlesex Hos- recognised distensibility Marcus Bird, of London Brian of the heart diminishes as from fibrotic pital ; Henry City School; age advances, Blakelock, St. Thomas’s Hospital; Mary Hilda Youle Blakeston, changes in the heart muscle, consequently, with these less Rosalind Bradley, Lorna Phoebe Brown, and Edith Kathleen depression should occur. On the other hand, a fatty heart Budden, London School of Medicine for Women; Charles Louis should be to Dr. Harris will continue Crawford Burns, St. Thomas’s Hospital; Arthur Nicholas Carter, prone yield. Perhaps University College ; Marjorie Frances Cartledge, London School of his observations and place the cases in two or three series Medicine for Women; Kathleen Frances Cawthorne, University according to age, &c. . College; Grace Dorothy Chambers, B.A., London School of Medi- the that cine for Women ; James Charles Churcher, St. Thomas’s Hospital; Sir Samuel Wilks in ’70’s " taught the slowing Annie Eveline Connan and Gwendolen Coode Cotton, London School effect on the pulse by digitalis was due to the tonic effect of of Medicine for Women; Bernard Delchowsky, King’s College; the on the heart muscle whereby a number of frequent Edward Charles Dodds, Middlesex Hospital; Barsoum Dous, King’s drug Helen Winifred Duncan and Elman, London are fewer and more College ; Marguerite ineffective contractions replaced by School of Medicine for Women; Lucy Margaret Elsom, King’s effective ones. This beneficial effect was seen at its best College; Doris Kathleen Emery, London School of Medicine for in the condition now recognised as auricular fibrillation. Women; Frankis Tilney Evans, St. Bartholomew’s Hospital; Dr. Harris raises the of the relative Vivian Feldman, University College; Emmie Dorothy Fenwick, incidentally question London School of Medicine for Women; Hugh Scott Forbes, value of large and small doses of digitalis. I suggest that University College ; Dora Janet Fox, Hilda Margaret Garlick, and it is a good rule not to give more of a drug than is necessary Lena Bella Gayer, London School of Medicine for Women; to the and there Dorothy Gibson, Newnham College; Marjory Annie Godfrey and produce required result is, generally Janet Vera Good, London School of Medicine for Women ; Arthur speaking, less risk in giving oft-repeated small doses than William Gott and Muriel Dorothea Graham, University of Leeds; massive ones. When large or doses of Eleanor May Grantham, London School of Medicine for Women; repeated digitalis John St. Thomas’s Doris are it is well that the should be in Fereday Hackwood, Hospital; Mary prescribed patient kept Hammond, London School of Medicine for Women; Phoebe Bliss bed until the effect of the treatment has been noted. This is Hickling, University College; Edith Winifred Wheelton Hind, especially important when the patient is not under close London School of Medicine for Women ; Donald Methuen observation. I Hutchinson, University of Sheffield ; Lily Graham Iliff, Erna am, Sir, yours faithfully, Henrietta Jebens, and Eva Mary Johnson, London School of Harley-street, W., April 10th, 1918. CHARLES W. CHAPMAN. Medicine for Women; Edmund Mervyn Jones, University College, Cardiff ; Gladys Hilda Emma Harriette Jane Jones, London School of Medicine for Women; Harry Cyril Killingback, St. Bartholo- EPIDEMIC CATARRHAL JAUNDICE IN mew’s Hospital; Alfred Thomas Lock Kingdon, University College; Gladys Muriel Lambourne, London School of Medicine ENGLAND. for Women; Henry Dillon Lawson, London Hospital; Ruth Arminal Mary Leak, King’s College; Ivor Lewis, University To the Editor of THE LANOET. College, Cardiff; >’David Martyn Lloyd-Jones, St. Bartholomew’s Sin,—I was interested in reading Captain G. C. Gray’s Hospital; Alison Nicol Macbeth, University College ; Ivan Bailey in THE LANCET of Between McCann. Guy’s Hospital; Caroline Gordon Lennox MeHardy, note on this subject April 6th. Muriel Mackintosh. Phyllis Margaret Manson, Clara Edith Mathias, Oct. 13th, 1917, and March 31st, 1918, I have attended 15 Merell Philippa Middlemore, and "Enid Marjorie Moore, London cases of catarrhal All cases have been in School of Medicine for Women ; Andrew John Morland, University jaundice. my London School of Medicine for and of them were 6 College; Olga Mary Naylor, children from 5 to 16 years, eight years Women; Hubert William Needham, St. Bartholomew’s Hospital; old. There were nine girls and six boys. In one instance Elizabeth Muriel Nicholson-Smith, London School of Medicine for