810 xTNDBaLtJOU I MEMORANDA. [APRIL 13, 1895.

the camphor was administered died away without formingscabs or even any visible scales.To sum up, the two points upon which I wish to lay stress

are:1. The distribution showing that the disease was of

sympathetic origin.2. The effect of camphor. The improvement occurred so

suddenly after its administration that I feel very much in-clined to attribute the amelioration to its action, and wouldrecommend its trial in herpes.

I am sorry that the illustration is not better. The ladywould not consent to be photographed.

MEMO RANDAMEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATIIOLOGICAL, ETC.

INTUBATION IN DIPHTHERIA.IN the BRITISH MEDICAL JOURNAL of March 23rd Mr. GuestGornall records a fatal case of diphtheria treated with anti-toxin in a girl aged 4 years, in which he says that " the childwas already much exhausted by difficulty of respiration whenthe injection of antitoxin was made, but tracheotomy wasrefused by the parents." As some time ago I had a some-what similar experience-minus the fatal result, however-itmay not be amiss to record it also.On April 18th, 1894, a boy, aged 7 years, who had been

under my care for a few days with well-marked diphtheria ofthe pharynx, presented symptoms of invasion of the larynxby the disease. Early on the morning of April 19th thesebecame so alarming as to clearly indicate the opening of thewindpipe, and 1 suggested this to the child's father, who atonce said that that he would not under any circumstancesallow the patient to be operated on. I thereupon sent forDr. Hunter Mackenzie, who I knew had had an extensiveexperience of intubation in children. The father agreedto permit intubation, and this was accordingly per-formed by. Dr. Mackenzie, who during the operationdetached thick shreds of membrane from the larynx. Forseveral days the child swam for his life, and it was only onthe fifteenth day that the tube was permanently removed.On two or three occasions it was coughed up, and allowed toremain out for a few hours, until, in fact, the recurrence oflaryngeal dyspncea compelled its reinsertion. The urine, Imay add, was laden with albumen. The child slowly re-covered, with post diphtherial paralytic manifestations.Antitoxic treatment and bacteriological examination werenot in vogue in this country when this case was under treat-ment.My object in briefly recording this case is to direct atten-

tion to intubation, which seems to me a most valuable-auxiliary to the treatment of diphtheria by antitoxin notonly in such cases as Mr. Gornall's and my own, where theparents will not consent to tracheotomy, but in all cases inwhich, at or before the commencement of the treatment byantitoxin, laryngeal obstruction is present.Edinburgh. T. J. THYNE, M.B., F.R.C.P.Edin.

SCARLATINIFORM RASH IN INFLUENZA.IN the BRITISH MEDICAL JOURNAL of March 9th, p. 563, Dr.Ashby asked for observations of scarlatiniform eruptions ininfluenza.On March 5th I saw a lady, aged 39, who had had influenza,

with slight bronchitis, for three days. Some years ago shehad an eruption diagnosed as acute eczema by her formermedical attendant, and at the beginning of this year I hadtreated her for muscular rheumatism. When seen hertemperature was 101.60; the bowels had been constipated forthree days, but the tongue was clean. There was a slightredness over the upper part of the chest, in front.At 11 o'clock the same night I was sent for as the patient

thought she had "erysipelas." I found the arms and legsand front of the neck almost covered with urticaria, and afew plaques over the lower ribs on the right side. There wasa thick scarlatiniform rash all over the face, sides and back of

neck, chest, and upper part of abdomen; it also covered thelumbar region thickly, but faded away on the shoulders. Thetemperature was 1030; there was slight congestion of thefauces, but the tongue was clean.The bowels acted freely and spontaneously in a few hours,

and in twelve hours the urticaria had almost disappearedwithout spieading to the trunk. The scarlatiniform rash wasalso fading, and there was no trace of it on the second day.No desquamation occurred.The patient said she had had facial eryEipelas, but never

remembered a previous attack of urticaria. The slight con-stipation and febrile disturbance of the alimentary tract mayexplain the appearance of urticaria, but the other eruptionwould seem to be of the claes referred to by Dr. Ashby.The only other case in which I have seen it was in a girl of

20, and I have since examined twenty or thirty cases for thissymptom with negative results.Bristol. C. W. J. BRASHER, M.R.C.S., L.R.C.P.

RAILWAY SERVANTS' EYESIGHT.THE two following cases may serve as supplementary to thoserecorded by Mr. Lawford in the BRITISE MEDICAL JOURNALof March 23rd.CASE i.-A. B., aged 30, a guard on one of the large rail-

ways, was recently examined and failed to pass the colourtests. His eyes were sound, and his vision normal, but liewas the subject of red-green colour blindness. He had nowbeen reduced to an inferior position with less pay on accountof a defect which ought to have been recognised before heentered the service of the company.CASE II.-C. D., a signalman in the employ of another of

the large railway companies, came complaining of short sight.His distant vision was less than one-tenth (T) of the normal.He was found to have about four dioptres of myopia in eacheye, and with proper correcting glasses his vision was prac-tically normal. He carried in his pocket a pair of spectacles,without which he confessed that he could not be sure ofsignals, but he was obliged to be cautious in the use of hisglasses, for he feared that if it became known that he had towear spectacles he would be reduced or discharged. He saidthat his sight had never been tested by the company, butthat recently they had been " getting more particular."

W. TILLINGHAST ATWOOL,Ophthalmic Surgeon to the Torbay Hospital, Torquay.

A CASE OF SEPARATION OF AFTER-COMING HEAD.AT 2 A.M. on March 7th I was called to a collier's wife, whohad been in labour at full time just twelve hours. Thiswas her fourth child, and, labour being slow, the midwifesent urgently for me. It was a breech presentation, and onexamination my finger came in contact with a rough edgeof bone along the lower part of the spine, which proved to bea spina bifida. I hooked my finger round the thigh, and onmaking slight traction was astonished to feel the bone giveway. After getting the body born, the arms gave way as didthe thigh. Then I proceeded to get the head, foreseeing apossible separation, and, although only slight traction wasmade, the vertebrae cracked. I got my finger in the child'smouth to save the neck, and for half an hour tried with careto get the head: but the neck gave way and the head wasleft in utero. I then applied forceps ; but there was nothingfirm for them to hold by and they came off easily. On passingmy hand into the vagina, I found the head very large andhydrocephalic.

I asked Dr. Berry, of Wigan, to assist me. We found theneck presenting. We then passed the perforator into theforamen magnum, one holding the uterus firm while theperforator was pushed through the foramen. There wassome resistance, and, fearing the head might slip, Dr. Berryheld the perforator while I put the forceps on. We had thena good hold of the head, and I was able to push the perfora-tor home, opening it at the same time and turning it roundto break up the brain matter. I next withdrew the perfor-ator, and, passing the crotchet through the opening, was ableto get a good purchase on the rim of the foramen magnum.Then we applied traction, the forceps well backwards and thecrotchet downwards, until the head got below the brim of thepelvis; the head was then easily born. There was a rush of

APnIL 13, 1895.] HOSPITAL REPORTS. TEAL=BA; 811

6uid and brain matter through the foramen, which reducedthe head, which was " fully twice the normal size."The placenta had to be removed, being adherent at the

upper part. For three days after delivery the temperaturerose to 102.50 F. She was syringed with Condy's, and hadnot all the care one would wish, but she is now doing welland practically out of dauger. Temperature normal.By the above means of extraction there can be no danger to

the uterus or vagina from the jagged bones, as the delivery isthe same as it would have been had there been no separationof the head. With the forceps and crotchet there is a doublepurchase, and double force can be applied if required, besideswhich the head is compressed by the forceps.Newtown, Pemberton. GEo. WOLSTENHOLME, M.B., C.M.

URIC ACIDIN THE EXPECTORATION (LIVER- ABSCESS).

IN the interesting paper by Dr. Berkart On the Pathology ofthe Gouty Paroxysm, published in the BRITISH MEDICALJOURNAL of February 2nd, 1895, amongst the morbid transuda-tions in which uric acid has been found no mention is madeof its occurrence in the expectoration following the dischargeof a liver abscess through the lungs, and as I do notremember seeing this noted elsewhere the following case maybe of interest.A Scotch police constable was admitted to the General

Hospital, Singapore, on October 12th, 1891, complaining thatfor the last ten months he had suffered from general weak-ness, loss of appetite, and occasional attacks of fever. Two-days after admission he suddenly began to cough and spit uplarge quantities of chocolate-coloured purulent matter; ananalysis of this, made by Dr. Bott, the Government analyst,Straits Settlements, showed the presence, not only of urea,but of uric acid in small quantity. The urine at that timewas acid, its specific gravity varied from 1018 to 1022, and thepercentage of urea from 1.21 per cent. to 1.68 per cent. Thediagnosis of the case was confirmed at a subsequent post-mortem examination.

[This case was afterwards mentioned in a paper contributedby me to the Straits Medical Association.]

G. D. FREER, M.R.C.S., L.R.C.P.Lond.,Malacca, Straits Settlements. Colonial Surgeon.

REPORTSON

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

AND THE COLONIES.

rGUY'S HOSPITAL.TWO CASES OF TRAUMATIC PNEUMOTHORAX.

(Under the care of Mr. R. CLEMENT LuCAS.)CASE I. Pneumothorax wL'ithout Fractured Rib: Recovery.-W.

J. C., a male child, aged 2 years and 9 months, was admittedinto Guy's Hospital under the care of Mr. Clement Lucas onApril 7tti, 1894. He was brought to the hospital by a policeconstable, with the history that he had been run over in thestreet.

April 8th. When examined the child showed considerablerespiratory distress, and was blue and cold, but no fracturedribs could be detected. The breath sounds on the left side ofthe chest were exaggerated, the respiration prolonged, andmoist rdles were heard both on the back and front of thechest. The right side, on percussion, was found to be hyper-resonant, and a marked whistling sound was heard as if airwere being blown in and out of a cylinder, whilst normalbreath sounds were absent. A metallic tinkling was alsoto be heard on this side. The child always lies on the rightside. The right side does not expand in respiration so readilyas the left, and there appears to be some lateral flattening.Respiration 50, pulse 120, temperature 99.20. The child wasplaced in a,tent with a steam kettle.

April 9th. There is still greater distress in breathing.Respiration 60, and temperature 100.20. Condition of thechest similar to what was found yesterday.

April 14th. The child has been gradually improving dur-8

ing the last few days. The respiration has fallen to 30 or 40,and the temperature to 970 or 98°. The child breathes morefreely, and is more cheerful.April 17th. The right lung has not yet recovered its normal

respiration, but the breath sounds are fairly audible at theupper part. Rapidity of respiration diminished, and tem-perature normal.May 3rd. The right lung has considerably improved, the

breath sounds being now almost as distinct as on the leftside. There is no metallic tinkling or hyper-resonance.Respiration normal. He was discharged convalescent to-day.CASE II.-Extensive Fractures of Ribs: Pneumothorax : Col-

lapsed Lung: Death.-W. B., a man, aged 43, was admittedinto (iuy's Hospital, under the care of Mr. Clement Lucas,on April 10th, 1894. The patient was admitted about 9 P.M.,having been found in a gateway by a carman, who hadnoticed on driving his van in that it had passed over someobstacle.The patient was under the influence of alcohol when ad-

mitted, and was bleeding rapidly and groaning. There wassome bleeding from the nose. On examination, extensivefractures of the ribs were discovered, especially on the leftside, where some were broken in two places. Loud crepituscould be heard on this side when he breathed. Bronchialrdles were heard all over the chest. On the right side sometubular breathing was heard, but no metallic tinkling. Asubcutaneous injection of morphine was given to ease hispain, and the ribs were strapped and bandaged. A steamkettle was placed near.April 11th. Patient complains of great pain on the left

side, especially when he coughs. Urine loaded with lithates,specific gravity 1026. He breathes better, and is quiet.April 12th. Remains about the same. Pulse 108, tempera.

ture 99.20.April 13th. Not so well. Pulse 114, respiration 24, tem-

perature 99.40.April 14th. Breathing was very bad last night. He has

frequent short cough, which causes great distress and painin left side. Pulse 132, respiration 24, temperature 100.20.His breathing is carried out with jerks, and he is veiywheezy, owing to the retention of secretions in the bronch-ial tubes. He is afraid to cough owing to the pain it causes.There is some mucoid expectoration, bat no blood.April 15th. Patient died at 1 A.M.At the necropsy the right lung was found compressed and

collapsed from pneumothorax, and the second to the fifthribs were fractured. On the left side there was recentpleurisy, especially at the base, and all the ribs, from thefirst to the twelfth, were fractured. The clavicles were notbroken.REMARKS BY MR. CLEMENT LucAs.-The first of the3e two

cases, in which the symptoms referable to air in the pleuralcavity were clearly marked, is of especial interest, since it isalmost certain that the lung was ruptured by compression,and not punctured by the fractured extremity of a rib. Ofcourse it is easy for the sceptical to presume that the ribinjury was overlooked, but such critics are usually of thekind least fitted by their own observations to form anopinion. On the other hand, those familiar with theanatomical characters of the thorax of the child, of itsextreme compressibility and elasticity, will not be slow toaccept the explanation I have suggested-that the lung wasrent within the pleural cavity as the result of the compres-sion to which it was subjected. It might be urged that thepleura, being an air-tight cavity, and the thorax being sub-jected to atmospheric pressure equally on its exterior, thelung would be equally supported on all sides; but observa-tion on a lung injected with wax will show grooves cor-responding to all the ribs, and projections correspondingto the intercostal spaces. It is clear, then, that undersevere distension the lung at one part would beless supported than at another. The explanation ofthis form of pneumothorax is probably as follows:The wheel in passing over the chest first obstructsthe air tube supplying some part of the lung; then, con-tinuing its pressure onwards, forces the air in the distendedpart beyond to rupture some of the air cells on the surface,and so allow the air to escape into the pleural cavity.

APRIL 13, 1895.1 UNIVERSITIES AND COLLEGES. [lb.BICL JOUL8LA 5

principle. The card contains no evidence of any such recognition. If itis a private enterprise we vould suggest to our correspondent to sendfull particulars to the Chairman of the Committee of the Council of theBritish Medical Association, as the subject of anonymous dispensaries isone which this Committee has decided to investigate.

"NOTICE OF REMOVAL."WE regret to notice in a recent issue of the Vfaterjord Standard what ap-pears to be an advertisement under the head "Notice of Removal." Thisannouncement states that a certain doctor may be consulted daily at anaddress mentioned. Such announcements, whether inserted as adver-tisements or through the complacency of the editor, do not enhance the,dignity of the doctor or of the profession to which he belongs.

ATTENDANCE ON THE CLERGY.BENEFIT OF CLERGY.-We apprehend that our correspondent, whoadmits that he has often read the rule relating to professional chargesto the clergy, must have done so in a perfunctory manner, otherwisehe should have experienced no difficulty in apportioning the relativefees in the cases of the two clergymen in question. We would referhim to the Medico-Chirurgical Tariffs (published by Mr. H. K. Lewis,price 2s.), page 9; and if after a careful perusal thereof he fails to com-prehend the specific instructions given, let him again communicatewith us on the subject.

THE EMPLOYMENT OF UNQUALIFIED ASSISTANTS.A. E.-The General Medical Council hold that a registered medical prac-

titioner renders himself liable to the censure ofthe Council if he em-ploy an unqualified assistant, " either in complete substitution for hisown services or under circumstances in which due personal super-vision and control are not or cannot be exercised by the said registeredpractitioner." The full text of the Tesolution will be found in theBRITISH MEDICAL JOURNAL of December 22nd, 1894, p. 1461.

MEDICAL COLLECTORS IN COLLIERY PRACTICES.MEMB. B. M. A.-It is to be regretted that our correspondentwas induced to take such a practice on so slender a guarantee, but ifthe facts detailed are correct, he was certainly justified in sending hiscollector to those who had promised to contribute towards his salary.It is always difficult, however, to be quite sure of the action of an agentof this kind, especially where the latter has employed a sub-agent, sothat it is possible the aggrieved neighbouring practitioner may havecause for his complaint; at the same time nothing can excuse hisalleged use of an unqualified man in the way described. If the facts arecorrectly reported the action alleged borders dangerously near on" covering," and is specially to be condemned here, as it tends to dis-place a qualified by an unqualified practitioner.There can be little doubt that it is a bad practice to allow the

collecting of the medical contributions of colliery employes to devolvelon the doctor. This obviously ought to be done by a responsible officialof the colliery, and then such complaints could not occur.

DOORPLATES.A, who is M.D., and B. who is a surgeon, enter into partnership; would

it be in bad taste to have " Drs." A. and B. on the doorplate?Can a L.R.C.S.I., L.M., L.A.H. legally put "physician and surgeon"

on his doorplate?*** In answer to our correspondent's first quTsrion, we may note that

such a title on the doorplate would, according to our view, be in badtaste, and might, strictly speaking, be deemned illegal.To the second query, our reply is that the diplomas referred to would

not entitle him to the de;ignation of "physician and surgeon."

LIABILITY FOR FEE.-.A MEsMBER writes: I am called to attend a patient and do so, findinghim suffering from an ailment not urgent or likely to be so. Havingprescribed, I intimate my intention to call the following morning andleave. An urgent case crops up, and detains me until the afternoon ofnext day, wlhen I call, but the patient refuses to see me, saying that asI had not called in the morning he had had to call in other advice. Iretire, having explained that I had been unexpectedly delayed, andsend in due course a bill for two visits, he not having sent me word tostay my second. My bill is returned by post unstamped, and thepatient in strong language expresses his resolve not to pay.*** " A Member" is, we think, entitled to charge for the first visit the

usual fee and something in respect of the second visit (say half fee).A firm application should be made for payment, which might be fol-lowed by proceedings in the County Court in default.

NOBLESSE OBLIGE.FAIRPLAY calls our attention to an advertisement in a Dublin daily paper

of the Meath Hospital with regard to students' classes, and points outthat in this advertisement the private adaress of the honorary secre-tary of the Medical Board is given. It would no doubt be preferable topublish only the official address of the school.

A MUNIFICENT GIFT.-Mr. Henry Harben, of Hampstead,who has taken the greatest interest in the North-WestLondon Convalescent Homes Fund for working men, hasdecided to erect at his own expense a building at Little-hampton to cost £20,000. The work will be put in handforthwith.

UNIVERSITIES AND COLLEGES,UNIVERSITY OF OXFORD.

MR. ARTHUR C. LATHAM, M.A.. M.B., Ch.B., of Balliol College, has beenappointed Radcliffe Travelling Fellow. In 1893 Mr. Latham obtained aUniversity Scholarship at St. George's Hospital Medical School, open tostudents of Oxtord or Cambridge.

UNIVERSITY OF EDINBURGH.THE following candidates have passed the Second Professional Exami-nation for the Degrees of M.B. and C.M.:D. N. Anderson, R. W. Anthony, H. S. Ballantyne, B.Sc. (with distinc-

tion), T. M. Callender, A. F. Cameron, M.A., W. Finlay, H.Fowler, D. V. Gold. N. Gunn, W. F. Harvey, M.A. (with distinction),R. K. Howden, C. H. Johnson, T. F. Johnstone, R. W. Knox, C. D.Lauder, R. E. Loney, A. L. Low, G. C. Low, M.A., J. E. Blackburn,J. J. L. Macfarlane, E. Matthew, M.A. (with distinction), N.Maudsley, J. P. Peterson, C. H. Phillips, E. E. Porritt. J. Richards,T. A. Ross, G. B. Serle, G. S. Small, H. T. J. Thacker, A. J. A.Theobalds, H. M. Tragnair (with distinction), J. H. White, A. R.Wight, W. G. Wight, F. U. Wilcox, J. F. Wolfe, C. Porter, W.Buchanan, L. M. Cairns, A. R. Eates, J. D. M'Crindle, J. E. Martin,J. Patton, H. W. Smitlh, D. T. R. Jones, J. Lee, F. Anderson, E.Bramwell, H. 0. Dougall, H. Douglas, J. Forbes, M.A., B.Sc., G.MIKellar, A. D. McPherson, M.A.. F. H. Merry, J. W. Simpson, J. R.H. Walker, A. E. White, A. E. Williams, G. Arkwright, S. Ducat, P.W. Freyer, J. M. de Frietas, J. D. C. Howden, W. Jagger, H. Jones,J. F. Lindsay, M. W. Manuk, M. S. Ran, B.Sc., J. A. Rees, J. F.Shirlaw, and T. A. Williams.

The following have passed in Anatomy, Physiology, and MateriaMedica:B. C. R. Aldren, T. R. W. Armour (with distinction), T. Biggam. W.

Burias, M.A., C. M. Cooper (with distinction), J. F. Falconer, J. S.Fraser (with distinction), W. Hamilton, P. Kinmont, I. S.Maclnnes, F. W. More, R. Riddell, and J. R. Williamson.

The following have passed in Anatomy and Physiology (under the newordinanve):E. P. Bauimann, L. W. Davies, W. S. Eaton, G. Gatenby, A. Gibson, W.

E. MeKechnie, G. W. Miller, J. D. S. Milne. A. H. Pirie, C. M.Robertson, J. D. Slight, W. M. A. Smith, and W. R. Somerset;

and the following in the same subjects under the old regulations:S. J. Grinsell. A. W. G. Clark. J. Graham. L. Kingsford, W. M. Milne,

M.A., J. Muir, J. W. Struthers, E. H. Jones, and 0. Rait.The Vans Dunlop Scholarship in Natural Science has been awarded to

Mr. James A. Murray.

UNIVERSITY OF GLASGOW.EXAMINATIONS.-The degree examinations in medicine and surgery at

the University are just concluded. For the First Professional under thenew ordinances 95 out of 148 candidates passed in one subject or another,while for the examination under the old regulations 4 passed out of 9.For the Second Professional under the new ordinances the candidatesnumbered 39, of whom 33 passed; under the old regulations 18 out of 37passed. For the Third Examination candidates presented themselvesonly under the old regulations to the number of 73, of whom 40 passed.Of women candidates there was a total of 23: 16 for the First Professional,of whom 14 passed; 5 for the Second, of whom 3 passed; and 4 for theThird, of whom 2 passed.LECTURESHIPS.-Two new lectureships have been instituted by the

University Court: one on diseases of the ear, to which Dr. Barr has beenappointed, and one on diseases of the throat and nose, to which Dr.Walker Downie has been elected.MEETINeG OF GESERAL COUNCIL.-The General Council of Glasgow Uni-

versity held the statutory meeting on April 3rd. There was little of in-terest or obvious importance in the meeting, except that the Council de-cided to represent to the University Court that it is now desirable thatwomen who intend to graduate in Arts should be permitted to join theordinary classes of the University. In the case of Moral Philosophyspecial permission was given for women to join the ordinary classes, andthe professor has testified to the marked success of this experiment.There seems no sufficient reason why women students in Arts shouldnot join the ordinary classes, and leave Queen Margaret College Build-ings free for the Medical Department for Women.The report of the Business Committee to the General Council contains

some interesting statistics referring to examinations and to the Univer-sity finances. At the Preliminary Examinations in Medicine, held in thefour universities of Scotland in September and October, 1894, the entriesand results were as follows: Edinburgh, 121 entries, 68 failures, 52 passes,1 pass in two subjects only; Glasgow, 89 entries, 56 failures, 31 passes, 2passes in one or two subjects only; Aberdeen, 32 entries, 22 failures, 10passes; St. Andrews, 8 entries, 4 failures, 4 passes.During the winter session 1893-94, summer 1894, the number of women

students in Arts at the University was 109, and in Medicine 58.

UNIVERSITY OF ABERDEEN.THE following candidates have received degrees in Medicine and Surgery:Degree of M D.-R. H. Cook. M.B.; J. Duffus, M.B.; J. Duncan, M.A.,

M.B.; H. Fernandez, M.B.; J. R. Keith, M.A., M.B.; J. Rust,M.A., M.B.

Degrees of M.B. and C.M.-B. A. Anderson, J. F. Christie, M.A., *WCockburn, M.A., R. L. Collings, H. W. A. Cowan, J. Cran, J. M. P.Crombie, R. W. Cruickshank, T. D. Cumming, C. H. Dyer, A. Fen-ton, M.A., G. W. R. Fernando, J. Fletcher, H. R. Gardner, K.Gillies. M.A., W. G. Grant, *H. McI. W. Gray, D. V. Haig. P. Harper,M.A., L. J. Relmrich, G. Hunt, G. H. Johnston, V. v. Langenberg,W. Lethbridge, R. Lindsay, **A. H. Lister, B.A., M. MacBean, J. R.Macmahon, W. R. Matthews, J. Moneur, A. Mowat, W. Murray,M.A., J. W. Myers, E. M. Payne, W. M. Philip, P. Prebble, A. Robb,

846 MlnsJum ] MEDICO-PARLIAMENTARY. [APaIL 13, 1895.

M.A., A. Rose, J. E. Skinner, H. E. Smith, M.A.. F. J. Troughton,W. S. 0. Waring, *J. S. Warrack, M.A., A. Wood, M.A.

The following candidates have passed the Examinations for theDegrees of M.B. and C.M., but will not graduate until they haveattained the necessary age: A. Falconer, C. Ritchie, G. B. Saott,A. Thomson.

The following gentlemen graduated with aonours:-Highest Honours:A. H. Lister, B.A. Honourable Distinction: W. Cockburn, M.A.,H. M. W. Gray, J. S. Warrack, M.A., W. G. Grant, K. Gillies, M.A.,A. Fenton, M.A., A. Robb, M.A.

Diploma in Public Health.-A. Alexander, M.A., M.B., C.M. (withCredit).

The following candidates have passed the first portion of the FirstProfessional Examination (New Regulations): R. Carnegie, R.Cranna, C. Hunter, J. M'Kay, F. M'Lennan, R. W. Reid, H. W. M.Strover, D. D. Whyte.

The following have completed the First Professional Examination(Old Regulations): J. M. Keith, I. Macquarrie, H. M. Nicholls, C.G. Peries, *M. G. Robertson, A. M. Watt. (New Regulations): IT.Adams, Hf. Barron, *R. J. Cheves, D. Dewar, F. W. Ellis, **.J. E.Esslemont, T. Fraser, W. h. Henderson, R. F. Hutchison, YJ. Irwin,H. Johnstone, F. Kinnear, *E[. J. M'Grlgor, A. D. M'Queen, T. N.Mitchell, *D. R. Moir, G. J. Pine, *C. E. Preston, T. F. Ritchie, H.P. Sleigh, **C. C. Slorach, J. Smart, W. E. Taylor, A. Urquhart, A.B. Walker.

The following have passed the first portion of the Second ProfessionalExamination (New Regulations): D. H. Ainslie, W. Ainslie, R.Bruce, A. Chalmers, W. D. M. Donald, J. Duff, A. G. M. Fraser, H.Garden, W. S. Hall, T. C. Hynd, A. Ledingham, T. W. Lumsden, J.S. Milne, J. Pozzi, A. A. Robb. J. Roger, D. Sivewright.

The following have passed the Second Professional Examination (OldRegulations): J. W. S. Attygalle, P. H. Bannister, G. Brown, D.Buchan, W. F. Cornwall, W. Cromar, A. Cruickshank, n. H. Dantra,J. Easton, C. I. Ellis, W. A. I. Fortescue, R. D. Gawn, J. L. Gordon,J. 3. Greig, T. Harper, C. Haslewood, A. J. Hynd, J. Innes, C. A. B.Laing, D. Mackenzie, A. H. ,Mackie, J. A. Milne, J. G. Pirie, A.Presslie, J.S. Purdy, H. Sinclair, G. Stephen, G. I. T. Stewart, G.F. Thomson, N. J. Townsend, R. d. Trotter, T. D. Webster, J. S.Wilson.

The first portion of the Third Professional Examination (New Regula-tions) has been passed by P. M'Kessack.

The Third Professional Examination (New Regulations) has beenpassed by *R. G. Henderson.f* With much credit.

* With credit.University Gold Medals.-Fife Jamieson Memorial Gold Medal in Ana-

tomy: T. W. Lumsden and J. Pozzi, M A, equal. Keith GoldMedal for Systematic and Clinical Suirgery: J. S. Milne, M.A.Shepherd Memorial Gold Medal for Systematic and Practical Sur-gery: W. A. I. Fortescue. Matthews Duncan Gold Medal in Ob-stetrics: A. H. Lister, B.A. Dr. James Anderson Gold Medal inClinical Medicine: A. Robb, M.A.

EXAMINING BOARD IN ENGLAND BY THE ROYAL COLLEGE8 OFPHYSICIANS AND SURGEONS.

THE following gentlemen passed the Second Examination of the Boardin the subjects indicated.Wednesday, April 3rd.Anatomy and Physiology.-L. H. McGavin, J. E. Dupigny, and H. E. C.

Fox, students of Guy's Hospital; M. H. G. Fell and R. H. Lloydof St. Bartholomew's Hospital; E. C. Lambert and W. B. Silas, ofWestminster Hospital; J. C. Briscoe, G. A. Roberts, C. T. Lewis,and F. A. Hadley, of King's College, London; H. D. Singer, of St.Thomas's Hospital: F. Atthill and H. A. T. Fairbank, of CharingCross Hospital; H. S. Barwell, of St. George's Hospital; T. H.Dugon, of London Hospital; G. B. Forge, of London Hospital andMr. Cooke's School of Anatomy and Physiology.

Anatomy only.-G. F. Mf. Clarke, of Charing Cross Hospital.Nineteen gentlemen were referred in both subjects and 2 in Anatomy

only.Thursday, April 4th.Anatomy and Physiology. J. A. Mawson, of Yorkshire College. Leeds;

G. B. Thwaites, B. A. Young, and J. F. McClean, of St. Thomas'sHospital; P. 0. Grubner, of St. Bartholomew's Hospital; W. E.Morgan, of Charing Cross Hospital T. Marles-Thomas, J. L. Jones,and C. Dykes, of University College, London; H. N. Coltart, of St.George's Hospital; G. Louis Atkinson and T. H. Gardner, of King'sCollege, London; A. T. Richardson-Jones, of Oxford Universityand King's College, London; H. S. Crapper, of Guy's Hospital; R.McKay, of Middlesex Hospital; J. M. Wilson, of Middlesex Hos-pital and Rloyal College of Surgeons, Edinburgh; H. J. Farhi, ofSyrian Protestant College, Beyrout, and London Hospital; andW. 3. Lubeck, of Medical College and University, Madras.

Anatomy only.-M. Clover, of University College, London.Physiology only.-T. H. Body, of Guy's Hospital; and F. A. Johns, of

London hospital.Fourteen gentlemen were referred in both subjects, 2 in Anatomy and

2 in Physiology.Friday, April 5th.Anatomy and Physiology.-S. W. R. Colyer, of Charing Cross Hospital;

F. F. Bond, of Westminster Hospital; W. T. Milton, P. Turner, C.L. G. Chapman, R. Fell, S. B. C. C. A. Pennington and T. P. Berry,of Guy's Hospital; D. Samuel, R. H. Dixon, E. H. Barrett, and A.S. Gardiner, of St. Mary's Hospital; W. T. Rowe and R. Raines, ofSt. Bartholomew's Hospital; J. A. Barnes, J. E. Kilvert and T.Hoban, of St. Thomas's Hospital; hi. Dixon and P. G. S. Williams,of University College, London; W. B. Bannerman and P. Norman,of London Hospital.

Anatomy only.-H. C. Harrison, of St. Bartholomew's Hospital; and E.U. Bartholomew, of Charing Cross Hospital.

Thirteen gentlemen were referred in both subjects, and 1 in Anatomyonly I

Monday, April 8tb.Anatomy and Physiology.-R. C. Leaning, H. Dyer, F. C. Lewis, and F.

S. Dawe, of St. Mary's Hospital; S. A. Millen and W. C. Long, of St.Bartholomew's Hospital; F. E Walker, F. J. H. Martin, W. H. M.Telling, F. H. R. Heath, H. M. Berncastle, A. E. Clarke, and E. G.Goddard, of Guy's Hospital; S. 0. Bingham, H. H. Scott, and E. A.Gates, of St. Thomas's fHospital; H. M. Hlart-Smith of CambridgeUniversity and University College, London; C. L. iBetteson, C. ItPike, G. H. Herbert, and C. W. Chaplin, of London Hospital; A.Martin-Leake, of University College, London; E. P. Smith and L.Milburn, of Middlesex Hospital.

Twelve gentlemen were referred in both subjects.Tuesday, April 9th.Anatomy and Physiology.-. A. Ruzzack, H. L. Eason, A. C. Ambrose,

and W. Mussellwhite, of Guy's Hospital; A. J. McN. Cuddon-Fletcher. of St. Bartholomew s Hospital; R. A. R. Lankester, ofUniversity College Hospital; G. Winn and I. W. W. Hunter, ofLondon Hospital- T. Jones, A. E. Relph, and G. H. Lucas, of Mid-dlesex Hospital and A. F. Millar, of St. Thomas's Hospital.

Anatomy only.-A. E. Seller and J. M. Carvell, of London Hospital; C.W. Gibson, of Guy's Hospital; P. Phillips, of Charing Cross Hos-pital; and A. E. Street of Charing Cross Hospital and Mr. Cooke'sSchool of Anatomy and Physiology.

Physiology only.-F. H. LawsoD, of Middlesex Hospital; N. Buendia, ofUniversity of Colombia; and C. E. Andrews. of London Hospital.

Thirteen gentlemen were referred in both subjects, 5 in Anatomy, and5 in Physiology only.

ANDERSON'S COLLEGE MEDICAL SCHOOL.APPOINTMENTS.-The changes in the staff of Anderson's College Medical

School have recently been so numerous as almost to amount to re-organisation. Dr. Dunlop has retired from the chair of surgery, thechair of physics became vacant by the death of Mr. Alexander, thelectureship on diseases of the ear became vacant by the transference ofDr. Barr to the University, Dr. Downs resigned the lect,ureship on publichealth, and Dr. Dalziel resigned the chair of medical jurisprudence tofill that of surgery. The whole of the new appointments are as follows:Dr. Dalziel, surgery; Dr. R. M. Buchanan, medical jurisprudence; Dr.James Erskine, aural surgery; Dr. Pearson Munro, public health.

MEDICO-PARLIAMENTARY1HOUSE nlF COMMON,R.

Accommodcftion for Seamwn on Board Ship.-The PRESIDENT OF THHBOARD otl TIADE stated, in reply to Mr. HAVELOCK WILSON, that.such steps as the Board could take in the absence of freshlegislation had already been taken. When an opportunity forlegislation occurred the question of increasing the minimumallowance of space for the crew would be considered. All Britishmerchant vessels were required to have for each seaman orapprentice not less than 72 cubic feet. It appeared that incertain vessels earrying Lasear seamen only 36 cubie feet was provided,which was the amount required by the Indian Act. Owners, however,had been informed that they must comply with the provisions of theImperial Act, and representations had been made to the Secretary ofState for India.Infirmary Visit8 by GCtardians.-In reply to Mr. MACDONA, who asked a

question with regard to St. Olave's Union, Southwark, the PRESIDENT OF'THE LOCAL GOVERNMENT BOARD said that the Board had not thought itexpedient to fix the hours during which the guardians might visit aworkhouse or infirmary, but they had expressed a decided opinion thatthe case must be very exceptional to warrant a guardian in paying such a.visit late at night. The Board had also stated that a visit late at nightought not to be paid to a sick ward unless it had been previously ascer-tained from the medical officer that it would not be detrimental to anyof the sick occupants of the ward.Factories and Workshops Acts.-Sir CHARLES DILKE asked the Secretary

of State for the Home Department whether he would issue instructionsto inspectors of factories and workshops that a place where manuallabour was exercised for the purpose of gain in such processes as thoseof sorting rags, packing goods, or bottling liquors, was a workshopwith?n the meaning of the Factory and Workshop Acts, 1878, and thePublic Health Act, 1875; or whether he would, if necessary, introducesuch an amendment to the Factories and Workshops Bill of this sessionas would provide that all such places should be treated as workshops.within the meaning of those Acts.-Mr. ASQUITH said in reply that hehad no power to issue the Instructions suggested. To extend the term" workshop" so as to include a warehouse not connected with a factoryor workshop, where the work carried on was mere packing or bottling,and not in any sense the making or adapting for sale of the article,would be a very great extension of the Factory Acts, and would bringwithin their operation the establishments of most wholesale grocerschemists, and drapers. Many of the provisions of the Acts were no;really appropriate to the work carried on in these places, and the dutyof inspecting them would necessitate a very large increase in the presentstaff. He must not be understood as holding that warehouses of thiskind might not properly be made the subject of statutory regulation,but he thought if they were to be dealt with, as iathe case of shops, thereshould be special legislation on the subject.The Pay of Army Medical Officers in India.-Mr. HANBURY asked the

Secretary of State for India whether it was the fact that the pay ofSurgeon-Major-Generals in India was reduced from April 1st last fron2,500 rupees to 2,000 rupees per month; and, if so, whether such reduc-tion would be followe by diminished duties and responsibilities on thepart of those officers. And whether it was proposed to reduce the pay ofofficers of corresponding rank in India at the same time and on a similarscale.-Mr. G. RUSSELL said that the number cf the principal medicabofficers in India had been increased from three to five; the responsibili-ties of all except the Surgeon-Maj r-General at headquarters had thus

APRIL 13, 1895.] OBITUARY. M3DICkL JORA 847

been reduced, and their pay was diminished accordingly. It was notproposed to reduce the pay of offlcers of corresponding rank in India.

Quarantine.-Sir F. POWELL asked the Secretary to the Treasury whetherit was the intention of the Government to introduce at an early date aBill containing such provisions as were necessary to terminate quaran-tine.-Mr. SHAw LEFEVRE, who answered the question said that a Billwas being prepared on the subject, and he hoped it wouid be introducedshortly after Easter.

OBITUARY.WILLIAM JACKSON CLEAVER, M.B., C.M.ED.

WE regret to have to record the death of Dr. WilliamJackson Cleaver, of Sheffield, from pneumonia superveningupon influenza, at the early age of 47.He was born in Liverpool, the third son of a well-known

solicitor of that city, and studied medicine at Edinburgh,where he graduated in 1869. Subsequently he visited Paris,and amongst other clinics attended that of Desmarres. Heafterwards served as House Surgeon at the Royal Infirmary,Edinburgh, to the late Professor Syme. He becamethoroughly imbued with the teaching of that distinguishedsurgeon and of the other well-known men of that day. Healways spoke with pride of his connection with Edinburgh;among the friends made at this period were numbered Or.Byrom Bramwell and Surgeon-Colonel Lawrie, of Hyderabad.Returning to his native city he became House-Surgeon to theLiverpool Royal lnfirmary, holding the office for two years.In 1874 he went to Sheffield, and joined the late Mr. MarriottHall, since whose death in 1878 he had been in sole posses-sion of an excellent good-class practice.

Dr. Cleaver was of handsome presence and engaging man-ners, and it will be in connection with diseases of childrenthat he will be chiefly remembered, for in 1876 he was mainlyinstrumental in founding the Sheffield Hospital for Children.This institution from the first has had a most successfulcareer. Beginning with only an out-patient department,under Dr. Cleaver's fostering care it developed into a com-modious well appointed hospital with thirty-five beds. Hewas, moreover, so careful in its origination that, in contrastto what sometimes happens, the appointments from the firstwere much sought after by medical men. His interest in itthroughout has been unflagging, and in this hospital he hasan enduring monument to his memory.A few years since Dr. Cleaver was President of the Sheffield

Medico-Chirurgical Society. His education at Edinburghgave him a distinct bias towards methods of treatment andpractice associated with that school. Thus he had a strongpreference for chloroform over ether, and his enthusiasticadvocacy for the former, if properly administered, was well-calculated to make those favouring ether pause. He wasSurgeon to the School for the Blind, to Wesley College, andwas Surgeon-Captain in the Artillery Volunteers. The largeattendance at his funeral testified to the regard in which hewas held.

JAMES FOULIS DUNCAN, M.D., F.R.C.P.I.,Dublin.

-UR. JAMES FOULIs DUNCAN died at Dublin on April 2nd, atthe age of 83 years. He had long retired from the activepractice of his profession, but he was for many years anactive and prominent member, and was held in the highestesteem. For many years he was one of the physicians to theAdelaide Hospital, and he had also held the presidency of'the King and Queen's College of Physicians. He devotedmuch of his time to the promotion of religion, and he wasknown everywhere as one of the most charitable of men.

WE record with regret the death, at the early age of 43, ofMr. HAROLD J. MOLYNEUX, M.R.C.S., L.R.C.P.Ed., of Up-holland, Lancashire. Mr. Molyneux, who was born atiUpholland, received his early education at Stonyhurst, andentered the Liverpool School of Medicine in 1868. He quali-fied in 1872, and subsequently succeeded to his father'spractice in his native village. He was medical officer ofhealth to the Billiuge district, and held several Poor-law.appointments. A little over a year before his death he beganto suffer from hbematemesis, and succumbed eventually tomalignant disease of the stomach. Mr. Molyneux was held

in high and deserved esteem, and his funeral was attended-by a large number of patients and medical friends whosepresence testified to the regard and affection in which he washield.

Dr. MoRIz GAUSTER, Director of the Public Lunatic Asylumof Lower Austria, President of the Austrian Medical Unionand of the Public Health Association, who died recently atthe age of 78, was one of the leading alienists and hygienistsin Austria. fe was born in Vienna in 1828, took his degreein the University of that city in 1851, and was appointed As-sistant Physician in the New Asylum in 1853. ln 1872 hewas transferred to the Lower Austrian Asylum, of which,after the death of Schliager, in 1885, he became Director. Hiswritings include works on Moral Insanity, Psychical Degene-rations, Mental Disease following Influenza, besides numer-ous pamphlets and papers on Medical Statistics and SanitaryLegislation. He was a member of the Commission appointedby the Austrian Government in 1866 to inquire into theorganisation of sanitary reform. He was named a member ofthe Imperial Council in 1869.

DEATHS IN THEE PROFESSION ABROAD.-Among the mem-bers of the medical profession in foreign countries who haverecently passed away are Dr. Max Landsberg, a pupil of VonGraefe's and well known as an ophthalmologist, aged 54; Dr.Ronaldo Roseo, Professor of Forensic Medicine in the Uni-versity of Rome; and Dr. W. S. W. Ruschenberger, a dis-tinguished surgeon of the American navy, a former Presidentof the Academy of Natural Science, and author of numerousvaluable contributions to science, aged 88.

PUBLIC HEALTHAND

POOR-LAW MEDICAL SERVICES.HEALTH OF ENGLISH TOWNS.

IN thirty-three of the largest Englislitowns, including London, 6,611 birthsand 4,280 deaths were registered during the week ending Saturday,April 6th. The annual rate of mortality in these towns, which haddeclined from 35.0 to 23 4 per 1,000 in the four preceding weeks, furtherfell to 21.1 last week. The rates in the several towns ranged from 10.9in Croydon, 13.1 in Huddersfield, and 15.2 in Plymouth, to 28.5 in Old-ham, 31.9 in Preston. and 33 0 in Burnley. In the thirty-two provincialtowns the mean death-rate was 22.6 per 1,000, and was 3.6 above therate recorded in London, which was 1t.0 per 1,000. The zymotic death-rate in the thirty-three towns averaged 1.3 per 1,000; in London therate was equal to 1.4 per 1,000, while it averaged 1.3 in the thirty-twoprovincial towns, and was highest in Cardiff, Salford. and Burnley.Measles caused a death-rate of 1 0 in Cardiff, 1.1 in Sheffield, and3.1 in Bolton; and whooping-cough of 1.2 in Portsmouth.1.4 in Preston, and 2.1 in Burnley. The mortality from scarlet fever andfrom " fever" showed no marke(d excess in any of the large towns. The51 deaths from diphtheria in the thirty-three towns included 23 in Lon-don, 5 in Birmingham, 4 in Manchester, and 3 in West Ham. One fatalcase of small-pox was registered in Derby, but not one in London orin any other of the thirty-three large towns. There were 53 small-pox patients in the Metropolitan Asylums Hospitals and in the HighgateSmall-pox Hospital on Saturday last, April 6th, against 57, 58, and 65 atthe end of the three preceding weeks; 7 new cases were admittedduring the week, against 12, 14, and 10 in the three preceeding weeks.The number of scarlet fever patients in the Metropolitan Asylums Hos-pitals and in the London 'Fever Hospital, which had been 1,615, 1,587,and 1,555 at the end of the three preceding weeks, had further declined to1,519 on Saturday last, April 6th; 143 new cases were admitted duringthe week, against 133, 184, and 161 in the three preceding weeks.

HEALTH OF SCOTCH TOWNS.DURING the week ending Saturday, April 6th, 949 births and 713 deathswere registered in eight of the prinlcipal Scotch towns. The annualrate of mortalitv in these towns, which had declined from 42.8 to 25.4 per1,000 in the five preceding weeks, further fell to 24.7 last week, butexceeded by 3.6 the mean rate during the same period in the thirty-three large English towns. Among these Scotch towns the death-ratesranged from 18.9 in Perth to 30.3 in Aberdeen. The zymotic death rate inthese towns averaged 2 6 per 1,000, the highest rates being r-ecorded inAberdeen and Leith. The 341 deaths registered in Glasgow included 13fromii whooping-cough, 3 from measles, and 2 from small-pox. Sevenfatal cases of measles were recorded in Edinburgh, and 7 in Aberdeen.

IMPROVEMENT IN THE PUBLIC HEALTH OF EDINBURGH.THE health of Edinburgh is gradually subsiding to its ordinary condi-tion. Last week the death-rate went down so far as to be equivalent toan annual mortality of 19 per 1,000. Fifty-two deaths out of the total of101 were due to diseases of the chest and 11 to zymotic causes. A fewcases of genuine influenza still continue to occur. The deaths of Leithwere equivalent to an annual mortality of 24 9 per 1,000.

848 MLMCALJ J] MEDICAL NEWS. LAPRIL 13, 1895.

THE DUTIES OF HOUSEHOLDERS TOWARDS THEIR DOMESTICSERVANTS IN THE MATTER OF INFECTIOUS DISEASE.

AT the Sunderland Police Court a servant girl was prosecuted on March21st for travelling on the North-Eastern Railway while suffering fromscarlet fever, her employers being charged with assisting to commit theoffence. The case against the girl was withdrawn. and her employersthen pleaded that she went home of her own accord although they didtheirbest to induce her to stay. The Bench, however, inflicted a fine of5s. and costs upon both master and mistress.The medical man who saw the girl in the first instance advised her

removal to hospital and pointed out that the van could be obtained totake her there forthwith. The girl stated that her mistress told her shecould not keep her in the house as she had a young family. A case of thiskind serves to bring into prominence the fact that the law provides forthe protection of the public and should impress upon householders thenecessity of either isolating or securing the removal in special convey-ances of any member of the household attacked by infectious disease.

CONVALESCENT HOMES AND INFECTIOUS DISEASES.THE report of Dr. Jackson, medical officer of health for Hexham, drawsattention to the want of hospital accommodation for infectious diseaseswhich seems to have led to the removal of a case of enteric fever to theconvalescent home. From the account of the meeting of the DistrictCouncil which appears in the Hexham Herald, it seems that this use of-the convalescent home has produced a certain amount of friction into thedetails of which we need not enter. What is plain enough is that aworkhouse infirmary Is by no means a sufficient provision for infectiousdisease, and that a convalescent home, if it is to be of any use for itsostensible purpose, is the last place to which infectious diseases shouldbe sent. To go to the expense of a sanitary machinery which notifiesdisease and yet has no means of isolating it is futile. Nothing couldshow more markedly the want of a hospital for infectious diseases thanthat such cases should have to be mixed either with paupers or con-valeseents.

THE DIAGNOSIS OF DIPHTHERIA.IN his report for the past year, Dr. Thresh has brought before theChelmsford rural sanitary authority the matter of the differential dia-gnosis of croup and diphtheria, and he therein lays stress on his viewthat the bacteriological test for determining whether or not a particularcase is diphtherial is not to be relied upon as affording absolute securityagainst error. He holds that in those instances in which the diphtheriabacillus is not forthcoming upon bacteriological experiment the diseasemay very likely not be diphtheria; but, on the other hand, he is ofopinion that in mild cases, where it is of very great importance thatcorreet diagnosis should be made, examination of the patients' throatsmay one day show no bacilli and on the next may result In their dis-covery. Experiments of his own have led him to find the bacillu,s in butfew cases, though this may be due, he says, to the unreliability of themethod adopted, or to the fact that but few of the notifications were ofdiphtheria, not, perhaps, so unlikely since the rate of case mortality wasonlv 6 per cent. But If this difficulty presents itself in doubtful cases,whilst our state of knowledge is as at present, at least the danger can ina measure be obviated by repeated experiments with material from theame patients; and, indeed, in this way it may well be that we shallarrive the quicker at that perfect knowledge of the differential charac-ters of one and another kind of diphtheritic disease to which it is sodesirable to attain.

PAYMENT OF NOTIFICATION FEES.D.P.H. asks if a district council has power to require medical men tofurnish every six months a detailed statement of cases notified, withnames and dates; and, if so, whether a fee is due for the additionallabour of preparing the return.** This is one of the many details, not foreseen and provided for by

the framers of the Notification Act, which leads to quite unnecessaryfriction between authorities and practitioners. The Act is silent as toany such duty on the part of the notifier, and if the authority refuse topay the proper fees unless an account is rendered, there is an appealto the county court. What view the judge would take is anothermatter, as there Is no binding precedent. It seems reasonable tocredit the authority with being competent, to manage for themselvessuch a simple task as keeping a record of cases notified; they cannotpay any additional fee to the practitioner for making out the returnfor them.

PUBLTC SLAUTGHTERHOUSES.MR. HERBERT GARDNER, Minister of Agriculture, in replying to a depu-tation of the Church Sanitary Association and the Church Society forthe Promotion of Kindness to Animals, last week, said that the actionof the local authorities generally lagged behind the opinion of thecentral authority on sanitary matters. The most useful work the Societiescould do was to educate public opinion.

TzE Urban District Council of Barnoldswick, Yorkshire, has adoptedthe Infectious Disease Notification Act, 1889, and the Infectious DiseasesPrevention Act, 1890.

MB. GEO:RGE ORELL, M.R.C.S., of Winsford, Surgeon-Lieutenant- Colonel 3rd Volunteer Battalion Cheshire Regi-ment, has, on the recommendation of the Duke of West-minster (Lord Lieutenant) been placed on the Commission ofthe Peace for the county of Chester.

MEDICAL NEWS,LORD IVEAGHa has contributed £1,000 to the Special Appeal

Fund of St. Thomas's Hospital, now being raised for thepurpose of opening the five wards at present closed.THE Earl of Erroll will preside at the Festival Dinner of the

East London Hospital for Children, to be held at the Hall ofthe Worshipful Company of Leathersellers on May 30th.A PAPBER on the Organisation and Working of Medical Aid

to the Wounded in Modern War, will be read by Surgeon-Lieutenant-Colonel Evatt at a Conference which has beenarranged by the Matrons' Council, to be held at the rooms ofthe Medical Society of London, 'on Thursday, April 18th, at8.30 P.M.THB will of the late Sir William Savory, Consulting Sur-

geon to St. Bartholomew's Hospital, and at one time Presi-dent of the Royal College of Surgeons, has been proved, thegross personalty being £93,190 19s. 4d. The net or actualvalue was not stated. With the exception of a legacy of£5,000 to his brother, Dr. Charles Tozer Savory, and of a giftin memento to his grandson, the testator leaves the whole ofhis estate to his son and successor in the baronetcy.DR. LANDEL OSWALD, an honours graduate of Glasgow

University, senior assistant at (iartnavel Royal Lunatic Asy-lum. has been appointed to the medical superintendentshipof Gartloch Asylum, the new asylum of the City of GlasgowDistrict Lunacy Board. From toe date of his graduation in1888, Dr. Oswald has devoted himsolf to hospital and asylumwork, and specially to the study of mental disease, and hisappointment is a well-merited reward.GLASGOW Hospital Sunday Fund is now an established in-

stitution. The first annual meeting was held a little timeago, under the presidency of the Hon. Lord Provost Bell,through whose efforts the fund has been successfully inaugu-rated. The total contributions last year were £3,640, butmany churches had already contributed before the fund wasestablished. If these contributions be added, the total isover £5000. As all the churches and Sunday schools areexpected to fall into line this year, a much larger sum isexpected to be contributed on December 1st, which is thedate fixed for the collections this year.DR. J. FRANCIS SUTHERLAND was recently entertained at

dinner by the Glasgow Caithness Benevolent Association.The occasion of the dinner was Dr. Sutherland's appointmentas Visiting Commissioner in Lunacy in Scotland. Dr. Suther-land, in acknowledging the toast of his health, observed thatwhile the population of Glasgow and the county of Lanarkwas only one-fourth of that of all Scotland, one-half of thederelicts of society, and 35 per cent. of those who had losttheir reason, resided in the city of Glasgow or the county ofLanark. He expressed the opinion that further legislationwith regard to inebriety could not be far off. The Committee,which had been sitting for four months, had examined 150witnesses, and he believed that the report when presentedwould be found to be very thorough.THE PREVENTION OF HYDROPHOBIA.-A meeting of the

general committee of the Society for the Prevention ofHydrophobia and Reform of the Dog Laws was held on April8th at 25, Cavendish Square, W.; Professor Victor Horsley,F.R.S., in the chair. In the Chairman's report reference wasmade to the communications which had passed between theBoard of Agriculture and the Society's executive on thesubject of the Dogs Bill, and also to the prevailing epidemicof rabies and hydrophobia in Yorkshire, Lancashire, andother Northern Connties, and in Ireland. It was pointedout that but for political considerations the policy ad-vocated by the Society and endorsed by the highestmedical authorities, as well as by many of the mostimportant dog breeders and dog owners throughout thecountry, would doubtless be carried into effect by the Govern-ment of the day. The object aimed at by the Society was thetotal extinction of rabies and hydrophobia from the UnitedKingdom by a system of universal muzzling for at least twelvemonths, coupled with rigid and permanent quarantine. Theattitude of the general public, except during the scare createdby an epidemic of rabies, was one of apathy and indifference.It was useless, therefore, to expect the assistance which

MEDICAL VACANCIES AND APPOINTMENTS.

many causes derive from a public movement or demonstra-tion in their favour. The aims the Society had in viewwould therefore be best promoted by securing the increasedadherence of members of the medical profession, and men ofinfluence generally (especially of those recognised as leadersof opinion in canine matters), so that when the propermoment arrived the Society would have sufficient supportbehind it, to convince any Government that the subject wasnot a question of party politics but of public welfare. Sincethe last meeting of the Committee, liberal contributions tothe funds of the Society had been received from the Duke ofNorthumberland (President of the Society), the Duke ofWestminster, the Earl of Coventry, Sir Joseph Lister, Bart.,Sir James Whitehead, Bart., and many others.PRBESENTATION TO DR. DALZIEL.-Dr. T. Kennedy Dalziel

has recently resigned the post of Surgeon to the City ofGlasgow Police, after holding the office for ten years. Dr.Dalziel turned the opportunities afforded by this connectionto profitable account in instructing students of Glasgow inpractical forensic medicine and casualty work, and his un-failing earnestness on their behalf has endeared him to alarge number of students and created for him a high place inthe esteem of his professional brethren. The Glasgow policeforce have marked their appreciation of his long service bypresenting him, on April 5th, with a hall clock in solid oakand gold and enamelled face. It bears the following inscrip-tion: " Presented to Dr. T. Kennedy Dalziel by the membersof the City of Glasgow Police on his retiral, after ten years'service, as Casualty Surgeon for the Central District andlecturer in ambulance instruction to the force, in apprecia-tion of his high professional attainments and personalworth." Dr. Dalziel has just been appointed Professor ofSurgery in Anderson's College.

MEDICAL VACANCIES.The following vacancies are announced:

BIRMINGHAM GENERAL DISPENSARY.-Resident Surgeon; doublyqualified. Salary, £150per annum (with an allowance of £30 perannum for cab hire), and furnished rooms, flre, lights, and attend-ance. Applications to Alex. Forrest, Secretary, by:April.22nd.

BRADFORD INFIRMARY AND DISPENSARY.-Junior House-Surgeon;unmarried. Salary, £50 per annum, with board and residence. Ap-plications, endorsed" Junior House-Surgeon," toWilliam Maw, Sec-retary, by April 23rd.

BRITISH LYING-IN HOSPITAL, Endell Street, Long Acre, E.C -Physician to the Out-patient Department. Applications to theSecretary by April 20th.

CARDIFF UNION.-Medical Officer for the Bonvilstone District. Salary,£45 per annum. Applications to Arthur J. Harris, Clerk, Queen'sChambers, Cardiff, by April 16th.

CHILDREN'S HOSPITAL, Dublin.-Assistant Surgeon. Applications tothe Honorary Secretary by April 13th.

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST,Brompton.-Resident House-Physicians. Applications to the Secre-tary by April 18th.

HOSPITAL FOR SICK CHILDREN, Great Ormond Street, W.C.-Surgical Registrar and an Ancesthetist. Appointments for one year.Honorariums of £40 and £15 15s. respectively at the expiration ofterm. Applications to the Secretary by April 23rd.

HOSPITAL FOR SICK CHILDREN. Great Ormond Street, Bloomsbury,W.C.-Resident House-Physician also House-Surgeon. Appoint-ments for six months. Salaries, £20, with board and residence in thehospital; unmarried, and possess a legal qualification to practise.Applications and testimonials to Adrian Hope, Secretary, before Tues-day, April 30th

KENT COUJNTY LUNATIC ASYLUM, Barming Heath, near Maidstone.-Fourth Assistant Medical Officer and Pathologist; unmarried.Salary, £175 per annum, rising £5 annually, with furnished quarters,attendance, coals, gas, produce, milk, and washing. Appointmentfor twn y'-ars in the first instance. Applications to Francis iJ.Howlett, Clerk to the Subcommittee of Visitors, 9, King Street, Maid-stone, by May lst.

LONDON HOSPITAL MEDICAL COLLEGE-Assistant Demonstrator inAnatonmy. Salary, £90 per annum. Applications to the Warden byApril 2ath.

MIDDLESEX HOSPITAL, W.-Assistant Surgeon; must be Fellow (orhave passed the qualifying examination for the Fellowship) of theRoyal College of Surgeons of England. Applications to F. ClareMelhado, Secretary Superintendent, by May 1st.

NATIONAL HOSPITAL FOR DISEASES OF THE HEART AND PARA-LYSIS, 32, Soho Square, W.-Two Clinical Assistants for theElectrical Department. Applications to Dr. Haydon or the Secretaryby April 15th

NORTH-EASTERN HOSPITAL FOR CHILDREN, Hackney Road, Shore-ditch, N.E.-Physician. Must be F. or M.R.C.P.Lond. Applications

LlJsBoxmz 849IBKzDxcI JOr1LNAL 84

to T. Glenton-Kerr, Secretary, at the Office, 27, Clement's Lane, E.C.,by April 16th.

NORTH-WEST LONDON HOSPITAL, Kentish Town Road, N.W.-Resident Medical Officer and Assistant Resident Medical Officer.Appointment for sixmonths. Salary at the rate of£50 per annumisattached to the senior post. Applications to the Secretary by April26th.

PADDINGTON GREEN CHILDREN'S HOSPITAL, W.-Surgeon to theThroat and Ear Department. Applications to thedecretary by April22nd.

POPLAR HOSPITAL FOR ACCIDENTS, Blackwall, E.-Honorary Sur-geon. Applications to theHouse Governor by April 20th.

ROTHERHIAM HOSPITAL AND DISPENSARY.-Assistant House-Sur-geon; doubly qualified. Appointment for six mouth'i. Rooms,commons, and washing provided in lieu of salary. Applications tothe House-Surgeon by April 18th.

ROYAL COLLEGE OF SURGEONS OF ENGLAND.-Four Examiners inAnatomy and four Examiners in Physiology for the Fellowship;candidates for the former must be Fellows of the college. FourExaminers in Elementary Anatomy (First Examination). TwoExaminers inElementary Biology(First Examination). Four Exa-miners in Anatomv (Second Examination). Three Examiners InPhysiology (Second Examination). Four Examiners in Midwifery(Third Examination). Two Examiners in Public Health. Applica-tions to the Secretary by April 25th.

ROYAL HOSPITAL FOR DISEASES OF THE CHEST, City Road, E.C.-Resident Medical Officer. Appointment for six months. Salary)£loo per annum, with furnished apartments and board. Applicationsto the Secretary by April 24th.

ROYAL SOUTH HANTS INFIRMARY, Southampton.-Assistant HouseSurgeon; must be willing to engage for six months. Gratuity of£10will be given at the end of this period if satisfactory. Board andlodging provided. Applications to T. A. Fisher Hall, Secretary, byApril 24th.

ST. LUKE'S HOSPITAL, E.C.-Clinical Assistant; must be duly qualifiedto practise and registered. Appointment for six months, with boardand residence. Applications and testimonials to Percy de Bathe,M.A, Secretary, by April 22nd.

SWANSEA GENERAL AND EYE HOSPITAL.-Clinical Assistant. Ap-pointment for six months. Board, lodging, and washing provided.Applications to the Honorary Secretary of the Medical Staff byApril 15th.

TANCRED'S CHARITIES.-One Studentship In Physic at Gonville andCalus College, Cambridge. The student will receive £50 a year anda share in the surplus rents and profits (the stipend not to ex-ceed £loo a year) until admission to the degree of Bachelor ofMedicine, and for three years afterwards, or for such shorterterms as may be determined by authority. Candidates must not.be below the age of 16 or above the age of 22. Forms of petitionand all information may be obtained from Mr. George Edgar Frere,28, Lincoln's Inn Fields, W.C., Clerk to the Tancred's Charities, towhom petitions must be sent by April 20th.

UNIVERSITY OF GLASGOW.-Two Examiners for Degrees in Medicineto examine in Clinical Medicine and Clinical Surgery respectively.Appointment to last till December 31st, 1898, at the rate of £50annually. Applications to Alan E. Clapperton, Secretary of theGlasgow University Court, 91. West Regent Street, Glasgow, byMay 1st.

WESTON-SUPER-MARE HOSPITAL 'AND DISPENSARY. - MedicalOfficer to the Provident Dispensary; must possess a recognised medi--cal and surgical qualification; must be registered under the MedicalAct. Salary, £80 per annum, with board, lodging, and washing.Applications and testimonials to the Honorary secretary beforeApril 30th.

MEDICAL APPOINTMENTS.ALEXANDER, Thos. Arthur, L.R.C.P., L.R.C.S.I., reappointed Medical

Officer for the Saham Toney District of the Swaffham Union.BLAKISTON, Arthur A., M.R.C.S.Eng., reappointed Medical Officer of

Health to the Glastonbury Borough.BOA, John F., M.B., C.M.Glasg., reappointed District Medical Officer of

the Clun Union.BUCHANAN, Geo. Seaton, M.D., B.S., B.Sc.Lond, appointed Medical

Inspector of the Local Government Board.BURGHARD. Frdd6ric F., M.S.Lond., F.R.C.S., appointed Surgeon to Out

Patients at Paddington Green Children's Hospital.BUXTON, Thomas, L.R.C.P.Edin., M.R.C.S.Eng., reappointed Medical

Officer for the Fazeley and Kingsbury District of the TamworthUnion.

COOKE, Francis H., M.R.C.S., L.R.C.P.Lond., appointed Medical Officerfor the Birch District of the Lexden and Winstree Union, vice H. Hiart,L.R.C.P.Edin., M.R.C.S.Eng., resigned.

CREAGH, William, L.R.C.S.I., L.S.A., reappointed Medical Officer for theClifton District of the Tamworth Utnion.

DAVIES, W. T., appointed Medical Officer for the Western District of theLlandilofawr Union.

DICKIN, E. P., M.B.,C.M.Edin., appointed Assistant House-Surgeon tothe General Infirmary, Northampton.

DICKSON, John D., M.D.Q.U.I., L.R.C.S.I., appointed Medical Officer ofof Health for the Wycombe District.

EDMONDSON, C. R., M.B., C.M.Edin., appointed Senior House-Surgeon tothe Royal Southern Hospital, Liverpool.

FAUSSET, Herbert Jobn, M.D.Dub., reappointed Medical Officer for theTamworth District of the Tamworth Union.

APRIL 13, 1895.]

850 TMIBDLLm IVVMIUDICAL JOUV^NAL-I DIARY. [APRIL 13, 1895.

FLEMMING, C. E. S., M.RC.S.Eng., appointed Medical Officer for theNo. 8 DJistrict of the Batlh Union.

-GILBns, L., M.R.C.S., L.R.C.P.Lond.. arpointed Second Assistant MedicalOfflicer to the St. Marylebone Infirmary, Notting Hill, vice U. R. 1.Smythe, M.B.Lond., resigned.

HOLLTS, H., B.A., M.B,. B.C.Cantab., rappointed House-Surgeon to theGeneral Infirmary, Northampton.

LOCK, G. H., M.R.C.S., L.R.C.P., appointed House-Surgeon to PaddingtonGreen Children's klospital.

MACDONALD. Thomas, M.B., C.M.Edin., appointed Medical Officer for theParish of Kiltarlity, vice Dr. Corbett.

McDoNALD, T. F., M.B., appointed Medical Officer for the Workhouse andthe Hellingly District of the Hailsham Union, vice J. P. Billing,L.R.C.P.I., L.F.P.S.Glasg., deceased.

MARSH, James. M.B., C.M.Edin., appointed Second House-Surgeon to theRoyal Southern Hospital, Liverpool.

MILNER, James, L.R.C.P.Edin., M.R.C.S., reappointed Medical Officer forthe Bradenham District of the Swaffham Union.

PATERSON, Mr. J,, appointed Medical Officer for the Berriew District ofthe Forden Union.

IPERCIVAL, Thomas, M.R.C.S.Ene., reappointed Medical Officer of Healthto the Pontefract hural District Council.

POLAND, John, F.R.C.S.Eng., appointed Surgeon to the City OrthopaidicHospital, vice E. J. Chance, h.R C.S.Eng., deceased.

PRICHARD, R. D., L.R.C.P., L.R.C.S.Edin, L.F.P.S.Glasg., appointedlMedical Officer for the Second CeAtral District of the NeathUnion.

PUCKLE. S. H., M.B., C.M.Edin., reappointed District Medical Officer ofthe Clun Union.

-ANDERSON, J. A., L.R.C.P. & S.Edin, appointed Junior House-Surgeonto the Royal Southern Hospital, Liverpool.

SMYTHE, U. R. I, M.B.Lond., appointed House-Physician to the Work-house Infirmary, Birmingham.

eTEELE, Henry F., L.R.C.P.Lond., M.R.C.S.Eng., reappointed MedicalOfficer for the Oxborough District of the Swaffham Union.

1THOMAS, Augustus Wm., L.R.C.P., L.R.C.S.Edin., reappointed MedicalOfficer for the Sporle and Igourgh Districts of the Swaffham Union.

THOMPSON, Dr., appointed Medical Officer to the Launceston PostOffice.

WVEST, Waldemar S., M.A.. M B.. B.C.Cantab., appointed Obstetric HousePhysician to the Middlesex Hospital.

DIARY FOR NEXT WEEK.TUESDAY.

TEB CLINICAL MUSEUM, 211, Great Portland Street.-Open at 2 P.M.,Lecture at 4.

WEDNESDAY.ItOYAL METEOROLOGICAL SOCIETY, 12, Great George Street, Westminster,

7.30 P.M.NORTH-WEST LONDON CLINICAL SOCIETY, 8.30 P.M.-Clinical meeting.RCOYAL MICROSCOPICAL SOCIETY, 20, Hanover Square, 8 P.M.

TRHURSDAY.'HAEVEIAN SOCIETY, 8.30 P.M.-Clinhcal Cases. Dr. Alexander Morrison:

On Syncopal Bradyeardia.

BIRTHS, MARRIAGES, AND DEATHS.The charge for inserting announcements of Births, Marriages, and Deatf.. t

88. 6d., which 8um should be forwarded in po8t office order or stampo utiththe notiep not later than Wednesday morning, in order to ensure insertion inthe current issue.

BIMTHS.4JAMERON.-On April 5th, at, 9, Elmiis itoad, Clapham [Common, the wife

of Albert Cameron, M.B., C.M.Edin., of a son.CROOKSHANK.-On April 5th, at 7, Midan Babel Louk, Cairo, the wife of

H. E. (Crookshank Pacha, F.R.C.S., Director-General of Prisons, of adaughter.

ROLLESTON.-On April 7th, at 13, Upper Wimpole Street, the wife ofH. D. Rolleston, M.D.Cantab., F.R.C.P., of a son.

MARRRI GES.CAIGER-HERITAGE.-On March Pth, tt St. Mary's, Woodstock, Cape

Town, by the Rev. C. F. Atkinson, Herbert Caiger, M.h.Lond.,F.R.C.S.Eng., of 3a(cobsdal, Orange Free State, SouthAfrica, to Mary,eldest daughter of Joseph Heritage, of Bicester, Oxon.

STUART-PRIMROSE.-On September ]8th, 1894, atToowoomba, Queens-land, Professor Andersotn Stuart, University of Sydney, to Dorothy.second daughter of F. A. Primrose, Esq., and granddaughter of theHon. Bouverie F. Primrose, C.B., moray Place, Edinburgh, Scotland.

THOMSON-MACKINTOSE.-At St. Giles Cathedral, Edinburgh, on April3rd, by the Very Rev. Cameron Lees, D.D., LL.D., Dean of theChapel Royal and Order of the Thistle, and the Rev. Andrew Gray,!D.D., Minister of the Parish of Dalkeith. James Stitt Thomson,F.R.C.P.E., etc.. of Belmont, Dalkeith, and The Mount, Lincoln, toLouisa Ella Mary (Edgie), eldest daughter of the late Henry Florence'Mackintosh, of Totteridge, Herts, and Rylstone, Yorks.1

DEATHS.&kTKINSoN.-On April 7th, at 216, Camberwell New Road, S.E., of c( rebral

meningitis, Walter Guy, infant son of W. A. Atkinson, M.B.t:EEKS.-On April 5th, suddenly, at Southwick,'-Sussex, John Recks,M.R.C.S., L.S.A, aged 3Q..

HOURS OF ATTENDANCE AND OPERATION DAYSAT THE LONDON HOSPITALS.

CANCER, Brompton (Free). Hours of Attendance. -Daily, 2. OperationDays.-Tu. F. S., 2.

CENTRAL LONDON OPHTHALMIC. Operation Days.-Daily, 2.CHARING CROSS. Bours of Attenzdan?ce.-Mledical and Surgical, daily, 1.30;

Obstetric, Tni. F., 1.30; Skin, Al., 1.30; Dental, Al. W. F., 9;Throat and Ear, F., 9.30 Operation Days.-XV. Th. F., 3.

CHELSEA HOSPITAL FOR WOMEN. Hours of Attendance.-Daily, 1.30.Operationt Days.-M. F., 2.

EAST LONDON HOSPITAL FOR CHILDREN. Operation Day.-F., 2.GREAT NORTHE RN CENTRAL. Hours of Attendance.-Medical and Sur-

gical, M. Tu. XV. Th. F., 2.30; Obstetric, WV., 2.30; Eye, M. Th.,2.30; Ear, Tu. F., 2.30; Diseases of the Skin, W., 2.30; Diseasesof t lhe Thlroat, Tli., 2.30; Denital Cases, XV., 2. Operation Day.-WV., 2.

GUy'S. hloutrs of Attendance.-Medical andSurgical,daily, 1.30; Obstetric,Mf. Tu. F., 1.30: Eye, M. Tu. Th. F, 1.30; Ear, Tu., 1; Skin, Tu.,1; Dental, daily, 9; Tlhroat, F., 1. Operation Days.-(Ophthal-mic), M. Tli., 1:30; Tu. F., 1.30.

HOSPITAL FOR WOMEN, Soho. Hours of Attendance.-Daily, 10. OperationDays.-Ml. Tlh., 2.

KING'S COLLEGE Houirs of Attendance.-AMedical, daily, 2; Surgical, daily,1.3,0;- Obstetric, daily, 1.3o; o.p., Tu. W. F. S., 1.30; Eye, M. Th.,1.30; Oplhtlhalmic Departiiment, XV., 2; Ear, Tlh., 2; Skin, F.,1.30 Thlroat, F., 1.30; Dental, Tu. Tli., 9.30. Operationt Days.-M. F. S., 2.

LONDON. Houtrs of Attendance.-Mledical, daily, cxc. S., 2; Siirgical, daily,1.30 and 2; Obstetric, hi. Tli., 1.30; o.p., W. S, 1.30; Eye, Tu.S., 9 Ear, S., 9.30; Skin, Tbl., 9, Deltal, Tu., 9. Operation Days.-M Tu. XV. Tlh. S., 2.

LONDON TEMP-E RANCE HOSPITAL. Hours ofAttendance.-Medical, M. Tu.F. 2; Surgical, M. Tli., 2. Operation Days.- i. Tlh., 4.30.

METROPOLITAN. Houirs of Attendance.-AMedical and Surgical, daily, 9;Obstetric, XV., 2. Operation Day.-F., 9.

MIDDLESEx. Hlours of Attendance.-Medical and Surgical, daily, 1.30Obstetric, M. Tlh., 1.30; o.p., A. F., 9, XX., 1.30 ; Eye, Tu. F., 9;Ear and Tlroat, Tu., 9; Skini, Tu., 4, Tli., 9.30; Dental, M. W.F., 9.:30. Operation Day/s. -V., 1.30, S., 2; (Obstetrical), Thl., 2.

NATIONAL ORTHOP2EDIC. Rours oJ Attendance.-hi. Tu. Th. F., 2. Opera-tion> Day.-XV., 10.

NORTH-WVEST LONDON. ilouirs of Attenidance. -iedical and Surgical,daily, 2; Obstetric, XV., 2 ; Eye, XV., 9; Skiil, F., 2; Dental,F., 9. Operation Day.-Tli., 2.30.

ROYAL EYE HOSPITAL. Soutliwark. Hours of Attendance.-Daily, 2. Opera-tiont Days.-Daily.

ROYAL FREE. Hours of Attendance. -Medical and Surgical, daily, 2;Diseases of XWomnen, Tu. S., 9; Eye, hi. F.. 9; Dental, Tb., 9.Operation Da?ys.-XV. S., 2; (Oplhtlhalnic), hi. F., 10.30; (Diseasesof XVomein), S., 9.

ROYAL LONDON OPHTHALMIC. Ihour1s of Attendance.-Daily, 9. OperationDays.-Daily, 10.

ROYAL ORTHOP7EDIC. HIoturs oJ Attendance.-Daily, 1. Operation Day.-hi., 2.

ROYAL WESTMINSTER OPHTHALMIC. Hours of Attendance. -Daily, 1.Operation Days.-Daily.

ST. BARTHOLOMEW'S. lfoutrs of Attendance.-Medical and Surgical, daily,1.30; Obstetric, Tu. Tli. S., 2; o.p., WV. S., 9; Eye, XV. Tli. S.,2.30; Ear, Tu. F., 2; Skinl, F., 1.30; Larynx, F., 2.30; Ortlio-paedic, MI., 2.30; Denltal. Tu. F., 9. Operation Days.-M. Tu. W.S., 1.30; (Oplitlialmnic), Tu. Tli., 2.

ST. GEORGE'S. Hours of Attendance.-AMedical and Surgical, M. Tu. F. S.,12; Obstetric, M. Tb., 2; o.p., Eye, W. S., 2; Ear, Tu., 2; Skin, W,2; Throat, Th., 2; Orthopiadic, W., 2; Dental, Tu. S., 9. Opera-tion Days.-Tli., 1 ; (Oplhtlhalmic), F., 1. 15.

ST. MARK'S. Iroztrs of Attendanzce.-Fistula and Diseases of the Rectum,males, S., 3; females, XV., 9.45. Operation Days.-hi., 2., Tu. 2.30.

ST. MARY'S. Houtrs of Attendance.-Medical and Surgical, daily, 1.45; o.p.,1.30; Obstetric, Tu. F., 1.45; Eye, Tu. F. S., 9; Ear, M. Th., 3;Orthopadic, W., 10; Throat, Tu. F., 1.30; Skin, hi. Th., 9.30;Electro-therapeutics, Tu. F., 2; Dental, W. S., 9.30; Consulta-tions, M., 2.30. Operation Days.-Tu., 1.30; (Orthopmedic), W.,11; (Oplhthalmic), F., 9.

ST. PETER'S. Hours of Attendance.-r., 2 and 5, Tu., 2, W., 5, Th., 2, F.(Women and Children), 2, S., 4. Operation Day8s.-W. and F., 2.

ST. THOMAS'S. Houtrs of Attendance.-'Medical and Surgical, daily, exc.W. and S., 2; Obstetric, Tu. F., 2; o.p., XV. S., 1.30; Eye, Tni., 2;o.p., daily, exc. S., 1.30; Ear, hi., 1.30; Skin, F., 1.30; Throat,Tu. F., 1.30; Children, S., 1.30; Dental, Tu. F., 10 OperationDays.-W. S., 1.30; (Ophthalmic), M., 2.30, F., 2; (Gynaecologi-'ial), Th., 2.

SAMARITAN FREE FOR WOMEN AND CHILDREN. Hour-s of Attendance.-Daily, 1.30. Operation Day.-WV., 2.30.

THROAT, Golden Square. Hours of Attendance.-Daily, 1.30; Tu. and F.,6.30; Operation Day.-Th., 2.

UNIVERSITY COLLEGE. Ihours of Attendance.-Medical and Surgical daily,1.30; Obstetrics, M. W. F., 1.30; Eye, Ai. Th., 2; Ear, M. Th.. 9;Skin, W., 1.45, S., 9.15: Th-roat, M. Th., 9; Dental, W., 9.30;Operationt Days.-Tu., W. ThI., 2.

WEST LONDON. Houtrs of Attendance.-Ahedical and Surgical, daily, 2;Dental, Tu. F., 9.30; Eye, Tu. Th. S., 2; Ear, Tu., 10; Ortliopm-dic; W., 2; Diseases of XWomen, XV. S., 2; Electric, Tu., 10, F.,4; Skin, F, 2; Throat and Nose, S., 10. Operation Days.-Tu.F., 2.30.

WESTMINSTER. Hours of Attendance.-Medical and Surgical, daily, 1; Ob.stetric, Tu. F., 1; Eye, Tu. F., 9.30; Ear, M., 9; Skin, W., 1;Dental, W. S., 9.1a. Operation Days.-Tu. W., 2.

a