APRIL 25, 1903.] MEMORANDA. [1XA JoU& 963really the organ which receives the shock after the skin and,muscles, and from it the nervous disturbance originates. Thevagi are powerfully affected along with the sympathetic andthe great solar plex.us; a sudden fall of blood pressure ensues,probably due in part to a dilatation of all the abdominal bloedvessels, with a direct disturbance, of the cardiac, respiratorya,nd even the higher centres.

Unfortunately, as happens in all forms of competitive sport,-accidents occur, and in a few cases these have been attendedwith fatal results. The cause of death may be direct orindirect; fracture of the skull, laceration of the brain sub-stance with haemorrhage, rupture of some of the large viscera,or shock without"any definite -external or internal lesion.This last is interesting, and has not been considered so far asI know. A man, perhaps of weak constitution, has trainedand reduced his weight and brought himself to a state of,extreme fineness, probably stalenaess. He has sapped hisnervous energy. He enters on a prolonged contest of, say,twenty rounds; blow after blow is struck; he exerts himselfto the utmost and fightavigorously; a round is at last reachedwhen he begins to give way; he is now reduced to his lastscrap of energy; a sharp punch lands on some vital spot, itmay be jaw, heart, or stomach; Nature is done, the mancollapses, becomes unconscious, the pulse weakens, and hedies some hours later. He is a -victim to what Sir LauderBaunton has termed the " summation of stimuRli."When a man is knocked out and does not speedily rally, the

first treatment is to get him away as soon as possible iromhis surroundings, well wrapped up in warm blankets, and putto bed; stimulants should be administered, and strychninehypodermically if necessary. As he comes round. the factof his defeat should be carefully withheld from him. Ofcburse, when eome more serious lesion exists, such asfracture of the skull, the treatment must be conducted onthe recognized surgical lines.-These are only blowa which may occur in boxing under

Qiueensberry rules, and no mention is made of foul blows, norof those dangerou3 blows 'esorted to in la Savate, nor ofthose secret blows and holds with a scientific knowledge ofwhich the Japanese are credited.

MEMO RANDAMEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATHOLOGICAL, ETC.A POSSIBLE USE OF THE ANTRA, FRONTAL

SINUSES, ETC.I DO not remember having read anywhere that the large,cavities situated -in the front and lower part of the head notonly by their presence lighten it, but actually help to supportit, and take the strain off the ligamentum nuchae and themuscles of the neck, but I venture to suggest that this is so.These cavities, including the frontal, ephenoid, ethmoid- andnasal sinuses. togetherwiththeantraand thetopofthepharynx,are filled with air which is considerably warmer than the out-side atmosphere and therefore much lighter. When we con-eider the great extent of these cavities I think we must admitthat being filled with lighter air they must at any rate reducethe weight of the head in some degree. I have seen a ballooninflated with heated air (not gas) rise from the ground with aheavy car attached, and I cannot help thinking that the warmair in the cavities above mentioned plays a part which, as faras I can ascertain, has been overlooked.Leytonstone. ARTHUR TODD -WHITE.

IS IT NECESSARY TO TIE IN THE C&THETER INWHEELHOUSE'S OPERATION?I HAVE recentlyhad occasion to performthis operation on

three cases.In the first two a No. 12 catheter was tied in for four days,

as recommended in the textbooks, and the urine conductedaway through an indiarubber tube.As great discomfort was occasioned by the tied-in catheter

I discontinued its use in the third case.The operation was completed in the usual way, and the

perineum plugged with a mass of cotton wool. For the firstday urination took place into a bedpan. For the next fivedays the patient sat in a hot hip bath three times, and passedurine in it. On the sixth day, under nitrous oxide, a No. 12bulbous-pointed sound was passed with the greatest ease.Subsequently to this , gr. of cocaine dissolved in a coup'e of

drachms of water was injected into the urethra, and a soundpassed daily without the slightest pain. I-think the use of.gas on the sixth day was unnecessary, and that cocaine wouldhave sufficed. The hot baths were continued until the wound-had practically healed.The great diminution i-n the amount of discomfort occa-

sioned to the third man, as compared with the other two, wasmost marked.One cannot oexpect to get a growth of granulation tissue,

round the catheter in four days sufficient to form -a con-tinuous urethra, and one cannot therefore see the necessityfor the continuous presence of the catheter. With a freetperineal opening there can, of course, be no fear of extravaEa-tion of urine.S.A.C. Hospital, Pretoria. F. J. W. PORTER, Major S.A.C.

SYPHILITIC PARALYSIS.A PROPO8 of the delightful lecture in the BRITISH MEDICALJOURNAL of April 4th, p. 773, by Sir William (iowers, as alsothe recent discussion on the same subject before the BritishMedical Association, the following brief notes of a case maynot be uninteresting:A. B., aged 27, had retention of urine with overflow for two

or three days before medical assistance was obtained, his'friends thinking it was incontinence. He then. presented.quite a typhoid aspect, with brown dry tongue, sordes on theteeth, pulse quickened, and temperature slightly raised. The.abdomen was immensely distended and dull on percussion. allover, while urine kept dribbling away. He lay on his bsckquite helpless, especially in his lower extremities. .thepresence of copper-coloured cicatrices over the shins led to aconfession of syphilik the previous year, elsewhere treated. Alarge quantity of ammoniacal urine was withdrawn by thecatheter, followed by a considerable muco-purulent residuum,and the bladder was washed out by siphonage with boracicacid. This had to be done twice a day for two or three weeks.while the biniodide with liquor stryehninae was administeredinternally, a Gaiffe's battery also being used. He thengradually began to regain the use of the bladder and hisother faculties, and in due course was able to be up and about.Now, after eight years, he still retains the distinctive tracesof his acute seizure in his slouching ataxic gait. He other-wise seems quite well.Sunderland. B. STRACHAN, M.B.

ACUTE RETROFLEXION AFTER CYCLING.1 HAVE this year had three cases of acute retroflexion of thefundus of the uterus in strong women occurring after longbicycle rides. The point in -these cases has been that theretroflexed portion was the fundus of the uterus or the upperhalf of the body of the uterus. Consequently the diagnosis-was difficult, as the cervix was little, if any, out of position,and the finger felt a free posterior wall of the uterus. The.sound passed a normal or approximately normal distance, andtherefore the uterus was enlarged in each case. . The pain andtenderness, metrorrbagia, discharge and weight, etc.,. in the,pelvis were severe, and two of the cases were diagnosed asmyoma of the utexrus. The third was complicated by salpingo-o6phoritis on the left side, and a very doubtful diagnosis andprognosis were given.

Professor Taylor has pointed out that even a pyosalpiw,x ortubal sac may be undetected when it is in the upper backregion of the pelvic cavity, and I cannot but think that thesehigh retroflexions, with a normal length of cervix and bodybelow the retrofilexion and very little, if any, out of theirnormal station, may be within this obscure province.These cases emphasize the necessity of examination under

an anaesthetic as often as possible in pelvic diseases. Theyalso show how often women overdo themselves in cycling longdistances and climbing hills.Wolverhampton. FREDERICK EDGE.

MENSTRUATION DURING PREGNANCY.ON P. 154, VOl. I, 7th edition of Playfair's Sicence and PracticeofMidwtlry we read tbat "I in certain cases menstruation maygo on for onie or more periods after conception, or even duringthe whole pregnancy. The latter occurrence is certainly ofextreme rarity, but one or two instances are recorded byPerfect, Churchill, and other writers of authority, and there-fore its possibility must be admitted." Again, on p. 155,"The occurrence, however, is so rare, that if a woman ismenstruating regularly and normally who believes herself tobe more than four months advanced in pregnancy, we are

964 ioTM m"an=j HOSPITAL REPORTS. LAPRIL 25, 903.

justified ipso facto in negativing her supposition." One iswarmed against mistaking haemorrhage due to placentapraevia. abrasion of cervix or a polypus, for menstruation.Lewers1 says: "Even as late as the fifth or sixth monththere may be haemorrhages at intervals of a month, whichthe patient takes for ordinary menstruation. The explanationof haemorrhages so late as this must be that there is really athreatened abortion each month, and that the bleeding occursat intervals of a month on account of the monthly conge,tionof the uterus, which probably goes on even during preg-nancy. Playfair2 says periodical bleeding after the thirdmonth can only occur from the canal of the cervix.In view of these statements I think the following case

worthy of record:R M., aged 33, wife of.a farm labourer,-was seen by me in Februarylast.

She had had four children, 'youngest 2 years 2 months of age. No mis-carriage. The menses were regular till marriage, then became irregular'mostly in the direction of infrequency. She never lost any blood whilstcarrying the above children. She has not had metrorrhagia, dysmenor-rhoea, or lencorrhoea. The usual length of her periods was from five tosix days. She now believes herself about eight months gone, having hadthe usual symptoms. There is no local pain. The bowels have beenregular. She missed two periods to begin with; the remainder have comequite regularly every twenty-eight days, and lasted the same time asusual. No loss whatever has taken place between times. Under thesecircumstances, I strongly urged a loeal examination, but unfortunatelyshe declined to have one, "as she felt quite comfortable."On April ist patient was confined shortly after 2a.m. of ahealthyfemale

child. The labour was quite easy, with head presentation. The placenta,etc., were delivered entire spontaneously. No undue bleeding. The pa-tient's last period commenced February 2 ist, and lasted five days as usual'The one that was due on March 2Ist did not appear. She has thus missedthe first two and the last periods. April 12th. Patient has progressed without a bad symptom.

It would be interesting to know the source of the bleedingsin this case. I think the theory that they were due tothreatened abortion unlikely for the following reasons:

I. There had been no previous abortions.2. The patient has throughout been in good health, living

in the country.3. If the tendency to abortion or miscarriage had been so

marked as to appear at seven monthly periods, such wouldalmost certainly have been completed at one time or other,especially as the patient did not lie up or otherwise attemptto stave off such an event.Eastbourne. T. PETTEY, M.D., F.R.C.S.Eng.

SYMMETRICAL GANGRENE IN ENTERIC FEVER.IN the BRITISH MEDICAL JOURNAL of January 24th C(ivilSurgeon Rooth reports three cases of symmetrical gangreneafter enteric fever. It may be interestiog to record anothercase which occurred in the Field Hospital, Mars Hill,Dordrecht District, Cape Colony, in April, 1902. In this case,which was that of a male native, aged about 28, the gangrenecommenced about the end of the third week of the fever withthe formation of bullae, and involved the toes, outer side ofthe feet, heels, and part of the soles of both feet. Lines ofdemarcation rapidly formed, and there was no extension ofthe gangrene beyond the areas over which it was originallynoticed. These parts became hard, dry, and shrivelled, andthere was extensive suppuration along the lines of demarca-tion. The case was sent as soon as possible to the C.C.F.Hospital at Dordrecht, where both feet were, I believe,amputated.The camp where this case occurred was situated on a spur of

the Drakensberg, over 6,ooo feet above sea level. The nightswere very cold, and I am much inclined to the opinion that thegangrene was due to frostbite. I have seen many cases ofenteric among natives in the Eastern Province of the CapeColony, but [ had not before seen or beard of one in whichthis complication occurred. It exactly answered to the text-book description of frostbite, and had no resemblance to therare cases of arterial gangrene after enteric fever.Pretoria, Transvaal. T. McD. TRouP, M.B.Cantab.

A DRUG RASH.ON February I ith I was consulted by a young domestic servantwho had noticed that morning an itching rash on her face andneck. Her temperature was 99.80, tongue furred, the faucesinjected, and there was. some malaise. During the nexttwenty-four hours the rash spread over the whole body, beingespecially vivid and almost confluentin the groins. Itcloselyresembled the rash of searlet fever. On inquiry I found that

D18. of Women, 4th edition, p. 174.2 Loc. cit.

for two days previously she had been taking a much advertisedremedy known as Doan's Backache Kidney Pills. As an ac-curate diagnosis was of great importance I isolated the patient.The subsequent history was uneventful. Therewas nopeeling.Some days later I obtained a copy of the pamphlet which isissued with the remedy, in which it is stated, " we bave knownof some cases where they have driven the poisons and im-purities out of the body on to the skin, in the form of a redrash." " It is one of the best results that could happen.'"" Don't stop taking the pills." Comment on the last twoextracts would be useless, but I have recorded the case in thehope that it may be useful to other general practitioners.Hartley Wintney, Winchfleld. PERCY E. ADAMS, M.D.Lond.

REPORTSON

MEDICAL AND SURGICAL PRACTICE IN THBHOSPITALS AND ASYLUMS OF THE

BRITISH EMPIRE.

ST. BARTHOLOMEW'S HOSPITAL.CASE OF ILEO-ILIAC INTUSSUSOEPTION SPONTANEOUSLY CURED.

I(Under the care of D'ARcY POWER, F.R.C.S.EDg.)[Reported by W. H. ATTLEE, M.B., House-Surgeon.]

A MALE infant, aged 6 months, was admitted into St. Bartholo-mew's Hospital on February 23rd, with the following history:History.-He was breast-fed and was in his usual health

until about 7 p m. on February 20th, when he suddenly beganto scream and to draw up his legs. This continued through-out the night, during which he refused to take the breast andvomited four times. On the morning of February 21st hepassed a very loose motion, he screamed and seemed in painduring the whole of the day and vomited frequently. In theevening he passed a quantity of blood and slime with a smallamount of faecal matter. On February 22nd he seemed inmuch the same condition, the screaming and vomiting con-tinuing. More blood and slime was passed during the after-noon, but no faecal matter. He had never been given any-thing but the breast, and had -never been ill before.

State on Eramination -On admission he was found to be a.healthy looking fat baby. He lay in his cot on his back withhis knees drawn up towards his abdomen, continually scream-ing as if in pain and was very restless. His temperature was99 20, his pulse 120, and his respirations 36. The tongue wascovered with a thin grey fur and was moist. The abdomenwas not distended and moved well. Nothing abnormal could.be found on palpation. No tumour could be felt and therewas no obsence of resistanee in the right iliac fossa. The rectumwas empty and the examining finger was covered with bloodand slime. Soon after admission a small quantity of bloodand slime was passed.Operation.-Immediate laparotomy was decided upon, and

the operation was undertaken by Mr. D'Arcy Power at i.1ia.m., -an hour and a-quarter after admission. Chloroformwas administered, and an incision 2a in. long was made in themiddle line midway between the umbilicus and the pubes.The interior of the abdomen was explored with the fiDger anda piece of the small intestine presented in the wound. Aportion of this abnut 3 in. in length was intensely congestedand covered with flakes of lymph. At one spot in this areathe intestine was constricted, appearing as if it had been.nipped there, and the peritoneum covering it was abraded.The-re was, however, no invagination. The intestine wasthen returned to the abdomen, and the interior of the abdo-men again examined with the finger, but nothing further wasdiscovered which was abnormal. The peritoneum was unitedwith interrupted sutures of fine silk, and the skin and mus-cular layfr brought together with interrupted sutures of fish-ing gut. The child was back in its cot twenty-five minuteaafter the commencement of the anaesthetic.Progress.-There was very little collapse following the oper-

ation, and beyond troublesome vomiting which lasted for threedays, convalescence was uninterrupted. The wound healedby first intention, and the child ft the hospital on March.z6tl well in every way.REMARKS BY MR. D'ARCY POWER.-I believe this to be one

of the few recorded cases of a condition whicb, under anycircumstances. must be a very rare phenomenon, though thespontaneous reduction of a true intussusception is not so rareclinically as it is pathologically. There has long been an

APRIL 25, 1903.] U SIVERSITIES AND COLLEGES. ltAt JOVIRM" 1003

with the Paddington Vestry, and afterwards with the Metro-politan Asylums Board, at whose North-Eastern Hospital,Tottenham, he was for three years Seixior Medical Officer. Hewas a frequent contributor to the medical press, and read apaper at the annual meeting of the British Medical Associa-tion held three years ago at Portsmouth. DDr. Priestley leftthe North-Eastern Hospital five years ago to take up privatepractice at Lee-on-the-Solent. Here his gentle, unostenta-tious manner and kindly disposition, together with his unre-mitting attention and skill as a medical man, endeared him-to all the community, and he is sincerely mourned by hispatients andi riends in and around Lee. He was local lec-turer to the St. John Ambulance Association, and on theTuesday previous to his death delivered the.last lecture of thesession. A memorial service was held in Lee Church onThursday, April 2nd, which was attended by practically everyinhabitant of the place. The body was removed to South-ampton, en route for Belfast, where the funeral took place inthe family burial ground on April 6th.

DR. J. V. LABORDE, whose death at the age of 73 has alreadybeen announeed in the BRITISH MEDICAL JOURNAL,. sUC-cumbed, according to M. Lancereaux, the President of theAcad6mie de Medecine, under the weight of the fatigue and*the emotions he felt duringthe course of the recent discussionon the dangerous essences, on which subject he was reporterto the special commission on alcoholism. Dr. Laborde wasborn of poor parents at Buzet (Lot-et-Garonne), and came toParis to study medicine. By' sheer force of character andpluck he became interne, and in due course graduated Doctorin Medicine. He did not practise, but as Chef de TravauxPratiques in Physiology he spent his time in the laboratoryand in teaching. He- was also -Professor at the School ofAnthropology; he was founder of the SociWt, de M6decineFPubliqu` :et d'Hygi6ne Professionelle, and one of the mostactive members of the SociRt6 de Biologie, of which he wasVice-President. In i887 Dr. Laborde was elected a member ofthe Acaddmie de MWdecine. He will go down to posterity asa benefactor to humanity by his discovery of, the method of-rhythmical tractions of the. tongue in the treatment of cases ofapparent death. Latterly he threw all his energies into thecampaigns against tuberculosis, and- more especially againstalcoholism. Hie convictions- were firm, and he always actedup to them.till the very end. As a freethinker he had a civilfuneral, simple and without speeches; as a hygienist, he was-cremated; as a member of the-.SociRt6 d'Autopsie Mutuelle,he willed his hody to be dissected; and, as an anthropologist,his brain will be preserved in the Anthropological Museum.

WiF regret to see the announcement of the death at Pretoria-of Mrs. HECKFORD, the wife of the late Dr. Heckford, thefounder of the East London I[ospital for Children. In the-cholera epidemlc' of IS66' the late Mts. Heckford and Dr.Heckford volunteered, the one as medical officer and theother as nurse- in East London. After their marriage they.established, in an empty warehouse at Radeliff Cross, a smallhospital of ten beds, which attracted the attention of Charles-Dickens, who described how Dr. And Mrs. Heckford devotedtheir life to the work, living in the 'hospital itself. Largelyowing to the great novelist's advocacy funds were found forthe erection of the building, subsequently extended, in whichthe hospital is now carried on. After Dr. lIeckford's deathMrs. Heckford lived for a time in Italy she travelled -after-wards in India, and aSeVd for-'a year or two as medicalattendant to-the Begtnm of Bhopal; afterwards she went tothe Tranisvaal' and was "for some twenty years more or less.closely identified with educational and philanthropic worksin that country.. -_ _

DEATHS IN THE PROFESSION ABROAD.-Ampongthe membersof the medical nrofession in foreign countries who haverecently died are-Dr. Julius Victor (Carus, Professor of Com-parative Anatomy in the University of Leipzig translator ofDarwin's works into German, and author of a large textbookof zoology, and 'a lsrge number of smaller books, aged 8o;Dr. von Kahldeoi, 'Profesqor of. Pathological Anatomy in theUniversity of Freiburg in Breipgau; Dr. Carlo Lopes, Pro-fessor of Physiology in the Medico-Chfirurgical School ofOporto; Dr. Robert S. Newton, a well-known alieniat andneurologist of New York, aged 45; Dr. James A. Stewart, formany years President of the Baltimore Board of Ilealth,aged 75; Dr. John E Sanborn, Professor of Chemistry andMateria Medica in the Univereity of Iowa, aged 79; Dr'. M.-B.

Borgono, Professor of Clinical Surgery in Santiago, Chile; andDr. Crolas, Professor of Pharmacy in the Faculty of Medicineof the University of Lyons.

UNIVERSITIES AND COLLEGES.UNIVERSITY OF OXFORD.

Examinations for Medical and Surgical,Def;rees.-The First and SecondExaminations for the Degree of Bachelor of MediCine will begin on Wed-nesday, June xoth. The names of candidates must be transmitted to theRegius Professor of Medicine not later than 10.30 a.m. on Wednesday,May 27th. The Examination for the Degree of Master of Surgery willcommence on Thursday, June 18th. The names of candidates must besent to the Regius Professor of Medicine not later than 10.30 am. onMonday, June st.

UNIVERSITY OF LONDON.Advance Courses in Botany.

THE Board of Studies in Botany, realizing that the reconstitution of theUniversity offers an admirable opportunity for organizing a -fairly com-prehensive scheme of advanced and post-graduate instruction in botany,has drawn up a s-heme of lectures and subjects which has been approvedby the Senate. The general idea is that each course should deal with a.definite branch of botanical knowledge or with nore general aspects ofthe science, and should extend to-abouit-ten- lectures. The nanel oflecturers at present arranged incliide Sir W Thiselton-Dyer, K.C.M.G.,F.R.S., Professor H. Scott, F.R.S.. Professor J. Reynolds Gre'en. F.R.S.Professor J. B. Farmer, F R.S.. and Professor B. W. Oliver. -Courges willbe given in each of the three terms in the three years I903-4, 1904-5, and1905-6.

Rogers Prize.Under the will of the late Dr. Nathaniel Rogers. the Senate offers a

prize of ;6zoo open fnr competition to asl members of the medical profes-sion in the United Kingdom, for an essay on the relation of tuberculosisand streptotrichosis frow a patbosogical point of view Essays must besent in not later than February 29th, IQ04, addressed to the eecretary tothe Senate. The prize has not been awarded this year.

King's Cyllege.A course of twenty lectures Qn experimental psychology, accompanied

by demonstrations and laboratory woi k, will be given by Pr. W. G. Smith.M.A., at King's College, during the summer session, on Wednesdays andSaturdays, -at xi a.m., commencing on Wednesday, May 6th.

UNIVERSITY OF GLASGOW.THE following have passed- the Third Professional Examinationfor thedegrees of Ba;ehelor of Medicine (A.MB ) and Bach-elor of Surgery (Ch.B.)in the.subjects indicatd (P., Pathology; M., Medical Jurisprudence andPublic Health):.A. C. Amy (P., M.), H. G. Anderson (P.), J. R. S. Anderson (M.), J. W.

Arthur (i.), D. Blackley (P., M.), F. Brechin (P., M.), C. Brown (P.,M.), G Y. Caldwell (P., M), P. Carrick. M.A.-(P., M ), R. B. Carslav,M.A. ( R.),I. P Cartwright (P.),- J. A. Cowie. B.A., B.Se. (P., M.), D.W. DIvidson (DL), T. T. M. Dlshington (P), H. M'M. Donaldson (M.).C. M. Drew, M.A. (P.. M.), H. R. Fulton (P.), G. Garry((P), J. Gnemmell(iM), -W a. Gillatt(v., M.), W. M. Gilmour (P.. M), D. L. Graham(P.. W.), J. Graham (P., M.), G. M. Gray (P.), L L. Greig (P.. M.). J. C.Henderson (P., M.), A Jamieson (P), R. D. Kennedy (P, M.), J.Kerr (M.). W. H.11 Kirk (P., M.), R. T. Leiper (P., M.), W. J. Logie (P.,M'), T. S. Mscaulay (P.. M.). J. D. M'Callum, M.A. (P., M.), D. C.M'Cormtck (P.), N. M'Dougall (M.). J. B. XMEwan (P., M ), T. D.M'Ewan (P.), D. Macfadyen (P.), J. M Farlane (P ), R. M. Macfarlane(P., M.), R. C. M'Guire (P.. M.), J.- M'Houl (P., M.). M. MlIntyre (P.).R. Mackinnon (P.), P. J. M'Leish. M.A., B Sc (P M ), N. A. Macleod(M.), A. B. M'Pherson (P.. M.), A. Meek (P, M ), P. Millar (P., M.). J.Muir (P., M ), M. Munro (P., M.), G. Clement-N'elson (P.. M.), T. Orr(P.), H. H. P&trick (P.-, J. C. Pickup (P.. M.).- A. M'M. Pollock (M.),A. M. Pollock (P.). J. Porter (P), W. M. Rae (M ), D. R. Reid (P.. M)D. S. Richmond (M.). B. H. Robertson, M.A, B.Sc. (P.. M.). R. T. C.Robertson (P.. M.). G. G. Smith. B.Se -(P-), J-. Stewa-t (P., M.), N. B.Stewart (P., M.). W. C. Stewart (P., M.). M. R. Taylor (F., M.), W.Templeton (P., M.), J. W. Thomson (P ). W y Turner, M.A. (P., HM),H. F. Warwick (P.), R. Watson (?.)^ A. C.VWest (P.. M.). A. S. Wileon(P., M.), D. W. Wilson (P,), G. Wilson (>M), H M'N. Wilson (P., M)W. Young (P.). Women-A. A. Baird, M A. (P., M.), A. M'C. Blat-k(P..H).. R..Campbell (P.), E. L. Chapman (P.), J. H. M'llroy, A.,B Sc. (P.. M.). J. S. M'Lauchlan (P.. M ), C. ,R. P'ark (P.), J. R.IShaw(Mf.), L. Smellie (P., M.), and E. T. Talbert (P., M.).

UNIVERSITY OF DURHAM-'TIE following candidates have -passed the first examin ation for theDegree of Bachelor in Medicine in the subjects underrioted'-Elementary Anatomy and Biology, Chemistry and Phy.sies,-I-Ionours.-

decond Class: C. G. Kemp, St Bartholomew's Hospital; C. R.Wilkins. College of Medicine. Neweasle u,.. n-tyne. Pass list:R. H. Blake, College of Medicine, Neweastle-upon-Tyne; (i. I.Cumberlege, College of MedicAino, Newcastle-upon Tvne: S. G V.Harris, M.R.C,S., L R.C.P.,D P H., Char(ng Cro.,s IHospital; F. J.Willans, College of Medicine, .NewCastle'upon-Type.

Elementary Anatomy and Bio'ogy -H. R. Crisp, College of Medicine,Newcastle-upon-Tyne; R. M1. D,.vies:.-Collegm of Medicine, New-castle-iupon-Tyne: W. H Edgar, College of Medicine, Newcastleipon-Tyne; G. R. Ellis, College of Mediviine, Newcastle-upon-'Tyne; J. Everidge, King's College, London: A. L. Forster,College of Medicine. Neweastle-upon-Tynoe; R. M. LevinsoD,CoUege of Medwinei Newcastle-iupor-Tyne;*X. D detcalfe, Collegeof Medicine. Neweastle-upon-Tyne; T. D. Miller, M. t.vu S,L R C.P., St. Thoomas's Hospital: E I). Strmitl. College of Medicine,Newcastle-upon-Tyne; H. B. Stevhenson, College of Medicine,Newcastle-upon-Tyne: G. Walker, College of Medicine, Newcastle-i-tpon-Tyne; F. W. White, College of Medicine, Newcastle upou-Tyne.

1004 TM PUBLIO HEALTH. - [AP= 25, Igo&Chemistry and Physics.-H. E. Blorsome, St. Bartholomew's Hospital;

L. A. Clutterbuck, L.R.C P. and S. Ed., L.R.C. P.I., College of Medi-cine, Newcastle-upon-Tyne; E. P. H. Joynt, Guy's Hoospital: H. F.Joynt, Guy's Hospital; A. C. H. McCullagh, College of Medicine,Newcastle-upon-Tyne; Jessie Jean Martin Morton, EdinburghMedtcal School; Bertha Mary Mules, London School of Medicinefor Women; Elizabeth Patterson, London School of Medicine forWomen W. Rollin, College of Medicine, Newcastleupon-Tyne;N. Speading, Coilege of Mecicine, Newcastle-upen-Tyne; E. F.Waddington, Yorkshire College, Leeds.

Elementary Anatomy.-S. Havelock, B.Sc., College of Medicine, New-castleupon-Tyne.

The following candidates have passed the Second Examination for theDegree of Bachelor in Medicine in the subjects undernoted:Anatomy, Physiology, and Materia Atedica.-Honours.-Second Class:

W. aircleugh,College of Medicine, Newcastle-upon-Tyne; J. C.Pearce, A Sc., College ot Medicine, Newcastleupon-Tyne. Passlist: J. B. Cooke, College of Medicine, Newcastle-upon-Tyne; H.Drummond, College ot Medicine. Newcastle-upon-Tyne: S. J.Fielding, St. Thomas's Hlospital; A. Finlay, London Hospital; W. P.A. Hardwicke, L S.A., College of Medicine, Newcastle-upon-Tyne;F. R. H. Laverick, College of Medicine, Newcastle-upon-Tyne; S. L.McBean, College of Medicine, Newcastle-upon-Tvne; J C. Norman,College of Medicine, Newcastle-upon-Tyne; R. Rutherford, Collegeof Medicine, Newcastle-upon-Tyne; A. J. Turner, London Hos-pital; R. J. Weidner, College of Medicine, Newcastle-upon-Tyne;H. H. Whaite, Birmingham University.

CONJOINT BOARD IN ENGLAND.THB following gentlemen have passed the second examination of theBoard in the subjects undernoted:Anatomy and Physiolooy.-L E Acomb, Middlesex Hospital; A. L. Baly,

B.A.Camb., Cambridge University and Middlesex Hospital; F C. H.Bennett, St. Mary's Hospital; P. V. Bhatt, St. Bartholomew's Hos-pital; W. T. Briscoe, B.A.Camb. Cambridge University; C. G.Browns Westminster Hospital; F. H. M. Chapman. St. George'saHospital: W. W. D. Chilcott. Charing Cross Hospital; E. Christof-ferson. University College, Bristol; J. Clarke, University College,Bheffield; -G. Cockcroft, Guy's Hospital: H. A. de Pinna, TorontoUniversity and Middlesex Hospital; G. Eager. King's College. Lon-don; K. E. Ecker'stein, University College. Liverpool; T. L. Evans,University College, Cardiff; A. .R. Fisher, Yorkshire College, Leeds,and King's College, London; C. F. Fothergill, B A.Camb, Cam-bridge University and Guy's Hospital; H. G. Gibson, Gtuy's Hos-pital; R. G. Gillies, Middlesex Hospital; C. W. Gittens, UniversityCollege, London; M. Grundy, Cambridge University and King'sCollege, London; B. Gooch and E. H R. Harries, London Hospital-;T. R. Harvey, Guy's Hospital; R. F. Hebbert, St. Thomas's Hospital;M. L. Hine, Middlesex Hospital; G. M. W. Hodges, Uni-versity College, London; F. W. Hobbs and W. L Holyoak,St. Mary's Hospital; C. B. Hutehison, London Hospital; T. J.Jenkins, University College. Cardiff: V. G. Johnson. St Mary's Hos-pital; H. E. Jones, London Hospital; H. J. S. Kimbell, St. Bartholo-mew's Hospital; H. A. Lash St. Mary's Hospital; T. B. Layton,-Guy's Hospital; R. Lecky, University College, Bristol: D. T. Lewis,University College, Cardiff, and Middlesex Hospital; H. B. Maxwell,Lcndon Hospital; P. F. McEvedy, J. H. Mayston, and G. H Morris,Guy's Hospital; A. C. Morson, Middlesex Hospital ; H C. Mulkern,St. Mary's Hospital: C. M. Page, St. Thomas's Hospital: H. A. Pal-lant, Guy's Hospital: J. W Parker and A. Randle, University Col-lege, London; F. E L. Phillips and A. H. Pollard, London Hospital;E E. Rendle, Guy's Hospital: C. F. Rumsey, Charing Cross Hos-pital; W 0 8aikey, St. Thomas's Hospital; F. Smith, UtiversityCollege, Sheffield: L. E. M. Smith, Charing Cross Hospital; R. T.Taylor, London Rospital; E. J. F. Thomas, Uuiversity Colle e,Bristol: C. H B Thompson, Middlesex Hospital; G G. Timpson,and H. E. H. Tracey, Guy's Hospital; W. F. Todd, London Hospital:F. B Treves, B A.Camb., Cambridge University; G. L. Walker,Yorshire College, Leeds:.C. G.Welch, University College, London;

* J. C. Wootton, St. Thomas's Hospital; A Zorab, Guy's Hospital.

CONJOINT BOARD IN SCOTLAND.THE quarterly examinations of'the above Board, held in Edinburgh, wereconcluded on April lti, with the following results:First Examitnation, 4 Years' Course.-W. Murray and H. L 0. Fleming.First Examination,- 6 Years' Course.-R. W. Duncan, N. Moxon, J. C.

Scanlan, H H. Babington. A. Rae, and R. K Nisbet.Two passed in Physics, 2 in Elementary Biology, and 3 in Chemistry.Second Examination, 4 Year8' Course.-J. H. Yearsley, R. B. Smith, N.

Oliphant, and J. J. Bell.One passed in Anatomy and x in Physiology.Second Examination, 5 Years' Course.-H. T. Simpson, W W. Dunlop,

W. E. Davies, H. Bower, J. W. N Roberts, G. A. S. Hamilton, J.Coffey, A. H. Bloxsome, J. E. Cox, R. W. Townley, L. H. Gill, andF. W. Cooper.

One passed in Anatomy and I in Physiology.Third Examination, 6 Years' Course.-F Hannah, Edith S. Warboys,

Bessie Chapple, W. H. Woodger, E. Gaunt, K. G. Gharpurey, A. B H.Pearce (with distinction), A. D. Fox, J. M. G. Ewing, M. A Gibbs,T. F. Murphy, R. M. Fraser (with distinction), J. G. Cormack, E. P.Tittert,on. J. Watson, S E. Mangdnie, A. Oyejola, T Archdeacon,J. R. Purcell, J. S. McLean, B. Ingram, H. A. Hagenauer, aud D. D.Sathaye.

One passed in Materia Medica.Final Examination.-W. Gerrard, Elizabeth S. Graham, F. R. Alles,

G. J. W. Keigwtn, A. B. Marsh (with honours), H. d Christoffelsz,C. A. Whyte, J. F. Boyle, W. A. A. Joshua, C. M Campbell, T. F:Owens, D. Bruce, G. A. Charter, Minnie Green, H. H. Warren, G. T.Alley, M.D.; M. J. McCarthy, J.S. Burton, J. Twohig, D. A Whitton,M.D.; W. D. Lq.wton, R. J Harley, V. D). Afinwalla, E Hull, R. B.Narain, A. H. Khan, J J. Crowley, B.A.; C. G. Evers, L. E Jarratt,G. A. MacFarland, T. Russell. C H. Nash, W. Hall, H A. Karinii, R.Colomb?swala, W. Hughes, P. R. Sataravala, A. B. Timms, and N.McGowan.

Five passed in the division of Medicine and Therapentics, 3 in Surgeryand Surgical Anatomy, S in Midwifery, and 5 in Medical Jurisprudence.

At the April sittings of this Board, held in Glasgow, the followingcandidates passed the respective examinations:

First Examitation, 5 Years' Course.-Laura Gertrude Powell (withdistinction), W E. Barrett, J. J O'Callaghan, J H. Patterson, G. L.Irwin, J. A. Smith, J. A Scott, T.. F. M. Leishman.

First Examination, 4 Years' Course.-J. R. Lawther.Second Examination. 5 Years' Course.-W. N. Alexander, A. E. M'Dougal

(with distinction), A. Brown, J. A. Ashurat (with distinction), 3..Macnamara. P. Henderson, G. H. Waugh (with distinction),W. W. N. KDox, F. J Breakell, E. F. Nyhan.

Second Examination, 4 Years' Course.-J. 8. Farries.Third Examina ion -A. R. M. Macllraith, Maud V. Everett, A. F. G

Spinks, J. Watson, J. H. Fyfe, L.D S.FAnal Examination.-Lizzie Denny, R. N. Macdonald, W. G. Macdonald,

W. C. M. Burnside. D. D. Sathage, B. M. Dunstan, W. J. Baty, R. D.Hirsch, K. J. O'Brien.

SOCIETY OF APOTHECARIES OF LONDON.PASS IJsT, April igo90 -The following candidates passed in:Surgera.-T. W. A. Hills (Section I), Cambridge and St. Mary's Hospital;

D. J. Lewis (Sections I and II). London Hospital; W. S. Lewis (Sec-tion 1), Birmingham; E. H. Noney (Section II), Calcutta and West-minster Hospital; J. A. Renshaw (Section 1), Manchester; C. C.Rushton (Sections I and II), University College Hospital.

Mediine.-H. J. Aldous (Sections I and II), King's College Hospital;-F. .G. H Cooke (Section It). University Oollege Hospital; J. W.Elliott (Sections 1 and II). St. Mary's Hospital; A. F. Heald (Sec'tions I and II) Cambridge and St. Mary's Hospital; T. W. S. Hills(Section I), Cambridge and St. Mary's Hospital; HI. Jacques (SectionII), London Hospital L HR Lewis, Middlesex Hospital; G. Lucas(Sections I and II), Camrbridge and St. George's Hospital; K. L.Pethick (Sections I and II), Royal Free Hospital; J. A. Renshaw(Section 1), Manchester; R. C. Rumbelow, Middlesex Hospital;.H. G Sewell (Sections I and II), London Hospital.

Forensic Medicine.-L. E. Ellis, St George's Hospital; A. F. Heald,Cambridge and St. Mary's Hospital; H. Jacques, London Hospital.G. Lucas, Cambridge and St. George's Hospital; J. A. Renshaw,.Manchester: H. G. Sewell. London Hiospital.

Midwife-ry.-A. T. Barnard, Royal Free Hospital; J. C. 0. Bradbury,Cambridge and Guy's Hfospital; T. Campbell, Liverpool; C. F. W.Dunn, Middlesex Hospital; T. W. S. Hills. Cambridge and St.Mary's Hospital; G. H Rains, Westmi ster Hospital; J. A. Ren-shaw, Manchester; J. P. 8. Snell, Middlesex Hospital.

The diploma of the bociety was granted to J. C. 0. Bradbury, J. W`_EUiott, A. F. Heald, H. Jacques, G. Lucas, E. H. Noney, M. L. Pethick, R..C. Rumbelow, C. C. Rushton, H. G. Sewell.

ST. THOMAS'S HOSPITAL MEDICAL SCHOOL.THn following prizes have been awarded for the winter session 1902-3:First Year's Students: H. J. Nightingale, the William Tite Scholar-ship, £27 xos.: A. C. F. Turner, College Prize, £20; S. F. Dudley, College'Prize, ,Lio. Second Year's Students: C. M. Page, the Musgrove Scholar-ship, 4 8 xos.; H. B. Whitehouse, College Prize, £20: R. F. Hebbert,.College Prize, £io Fifth Year's Students: A. E. Boycott (Medicine), Prize,.

ico; H J. Pinches (Surgery, including Ophthalmology), Prize, £io: H.J. Pinches (Midwifery and Diseases of Women), Prize, ,4ro; A. E. Boycott.(Pathology), the Hadden Prize, £zo: A. H. Hudson (Pharmacology andTherapeutics), Prize, 4xo; 0. R. Rickett and F. W. Smith (Forensic:Medicine and Insanity). Prizes, ,5 each; A. E. Boycott (Public Health),Prize, £to. The Wainwright Prize £ro, and the Seymour Graves FollerPrize for proficiency in Medicine, Pathology, and Hygiene were awardedto A E. Boycott of Magdalen College. Oxiord. The Mead Medal and the?Treasurer's Gold Medal to 0. C. Adeney. The Cheselden Medal for pro-ficiency in Surgery and Surgical Anatomy was awarded to H. S. Bennett

PUBLIC HEALTHAND

POOR-LAW MEDICAL SERVICES.STATE VACCINATfON BY ALL REGISTERED

PRACTITIONERS.The Bradford and West-Riding Medico-Ethical Union, at a

recent meeting, approved of the following memorial to thePresident of the Local Government Board:That in the opinion of your memorialists it would lead to the extension

of the practice of vaccination in this country if Parliament were to enact.that every duly qualifed medical practitioner shall be put on the samefooting in regard to the practice of vaccination, as that on which publhrvaCcinators now are.

It is well known to your memorialists that many adult persons whorefuse to visit the public vaccinator would have their children vaccinatedand would be themselves revaccinated if this could be done free of costto themselves by their regular medical attendant.

VITAL STATISTICS OF LONDON DURING THE FIRST QUARTEBOF Iqo3.

[SPECIALLY RBPORTBD FOu THB BaInsH MEDICAL JOURNAL.JIN the accompanying table will be found summarized the vital statisticsof the metropolirani boroulghs asd of the City of London, based upon theRegistrar-General's returns for the first, or winter, quarter of the year.The mortality figures in the table relate to the deaths of persons actuallybelonging to the various boroughs, and are the result of- a completesystem of distribution of deaths among the several boroughs in whichthe deceased persons had previously resided.The 33 422 births registered iU London during the three months under

notice were equal to an annual rate of 2Q.1 per ,owo of the popula-tion, estimated at 4,613,812 persons in the middle of the year; in thecorresponding quarters of the three preceding years the birth-rates hadbeen 30 9, 3o. x, and 30 8 per x,ooo, while the average for the first quartersof the ten years 1893-1902 was 31.2 per x,ooo. The birth-rates last quarter

0oq6 I1T hhB MEDIOAL NEWS. [APRIt 25, 1903.CAN:A MEDICAL OFFICER OF HEALTH BE A COUNTY

COUNCILLOR ?M.D. is medical officer of health for an lurban district whose appointment

is subject to confirmation by the Local Government Board. Half of hissalary is refunderl by the county council. Does this disqualify "M.D."from acling as (a) representative on the county council of the districtfor Which' ne is medical offlier of health, or (b) for any other district inthe Aame county ?* By the incorporation of certain parts of the Municipal Corpora-

tions Act,' 1882, with the Local Government Act, i888, it seems that noone is qualified for election as a county councillor if he has directly orindirectly, by himself or his partner, any share or interest in anycontract or employment with, by or on behalf of the council. Thisclearly prevents a county medical officer of health appointed underSection xvii of the Local Government Act, I888, from becoming a countycouncillor; but we do not think, in the absence of any expressauthority on the point, that this-provision can extend to prevent amedical officer of health for'an urban district'becoming a candidate'for the council, either as a representative of his own district or of anyother district in the county.IAlthough his salary is paid partly by thecounty council, he is not chosen or appointed by them, nor have theyany right to order his dismissal. The case, however, is somewhat near'the line, and we would not recommend our correspondent to become acandidate without a definite legal opinion upon the point.

MEDICAL NEWS,TILE annual dinner of the Pharmaceutical Society of Great

Britain will take place at the Whitehall Rooms, H'Otel Mdtro-pole, on Tuesday, May igth.AcCORDINGc to the Times, Kunwar Sir Ranbir Singh, uncle

to the youthful Maharajah of Patiala, has made a free gift ofhis residence at Kasauii to the Pasteur Institute there.DR. L. H. BALL, who bas recently been elected United States

Senator for the State of Delaware, is a member of the medicalprofession. He took his degree at the University of Pennsyl-vania in 1885.A BILL legalizing cremation, which was lately introduced

for a second time into the Prussian Chamber, of Deputies byDr. Langerhans and Dr. Barth; has, again been rejected, butby a dimiaished majority.MoToR C.RSG OR CONVALuESCiNus.-Motoring Illustrated is

endeavouring. to promote a league for taking convalescentwomen ahd children in London hospitals out for an airing.The active agent is. Miss Anneslsy Kenealy, care of Motoringtlustrated, Arundel Street,- Strand. .It seems a good echeme.THE opening meeting of the Twentieth-Annual Congress of

the French Ophthalmological Society will be held in; Paris onMlay ist. The subject ptoposed forrdiscussion is the diagnosisana treatment of tumours of the orbit, on which a report willbe presented by M. Lagrange, of Bordeaux.A CENTE,NARIAN PRACTITIONER.-It is repnrted, say the

Boston Medical and Surgica;t Journal, that hDz. Jobn H. Woods,of Thomas, Aklahoma, died on March.28th, at the age of ioiyears. He had been actively engaged in the practice of hisprofeasion for seventy-five years.LONGEVITY IN PARIS.-Accordibg to the,Gazette"Mdicale. de

Paris there are at the present time 5 men in Paris, over IOOyears of age; it is noteworthy that none of these Methusalehais married. There are 53I ,nonagenarias, 85 of. whom arewithin a few months of completing their ce-ntury of life. Ofoctogenarians there are no fewer than 10,617.AN Austrian Society for the -Prevention of Venereal Dis-

eases, on the lines o( the German Society recently .estab-lished with the same object, has just.- been founded inVienna. A provisional committee, conlisting- of ProfessorsFinger and Schiff and Dr. Zemann, has been formed.A POST-GRADUATE course of. lectures and demon'strations

will be Riven during the summer session in the Central Hallof the Central Out-patients Department, 7, Fitzroy SqUare, W.of the Mount Vernon Hospital for COnsumption and Diseasesof the Cliest. An introductory address On' the CaUse tTuberculCsis will be delivered by Professor T. CliffordAllbutt, F.R.S., on Thursday, May I4th, When the chair willbe taken at 4 p.m. by Sir Hermann Weber.BEQUESTS.-Under the will of the late Miss Ann, LonsdaleFormby, of Formby, Iancashire, the sum of £i,oco has been

bequeathed to the Royal Infirmary, Liverpool, in memory of

her late father, who was for many years physician to thathospital.-Under the will of the late Mrs. Elizab'eth Crate,of South Kensington, the sum of £i,ooo each has been be-queathed to the Cancer Hospitai, Fulbam Road, and theBrompton Consumption Hospital for the endowment of a bedin each of these hospitals.-By the will of the late Mr.Samuel Palmer, of Northcourt, Hampstead, a former treasurerof the institution, a legacy of £sco, free of duty, has been leftto the St. John's Wood and Portland Town Dispensary.'SCHOOLS FOR CRIPPLED CHILDREN IN Nhxw YORK.-There are

four special schools for crippled children unable to attend thepublic schools in New York, which are carried on under thedirection of the Children's Aid Society of New York City.The schools were established in I898, and have now amongtheM 248 pupils. The cost of educating the children is atrifle over £6 a head, as against £40 in the average inatitu-tion for the crippled.ANTICIGARETTE LEGISLATION IN AMERICA.A Bill making it a

misdemeanour to sell cigarettes to any person under 21 yearsof age, and imposing a fine of ioo dollars (£20) to 30o dollars(£60) for violstions of the enactment, has passed the Penn-sylvania Legislature. A similar Bill has passed the Wis-consin Assembly. It forbids the manuracture or sale ofcigarettes or cigarette paper in the State, and comes intoforce on July ist.*GERMAN PUBLIC HEALTH SOCIETY.-The German' PublicHealth Society will hold its twenty-eighth annual meeting atDresden on September i6th, 17th, i8th, and igth. The fol-lowing questions are proposed for discussion:-(i) In whatdirection do our existing measures for the prevention oftuberculosis require to be supplemented ? (to be introduced byProfessor Karl Fraenkel of Halle); (2) the hygienic regulationof hotels and public-houses (to be intrcduced by Dr. Boern-trager of Dantzig); (3) the sanitary supervision of the milksupply) to be introduced by Professor Dunbar of Hamburg;(4) the purification of drinking water by ozone (to be intro-duced by Dr. Ohlmueller of Berlin); (5) architecture in rela-tion to public health (to be introduced by Herr Stubben ofCologne and Dr. Rumpelt of Dresden).OPENING OF- THE MILITARY HOSPITAL AT ALTON.-It is

announoed that the Military Hospital at Alton, Rants, willbe formally opened on May Ist by Princess Louise. It willbo remembered that, ag recorded in the BRITISH MEDICALJOUIRNL_Of July 7ith 1900, P. 42, this hbspital, which wasintended eventually to become a sort of supplement to Netleyand Woolwich,, was initiated as a hospital and convalescentcamp for' sick and wounded soldiers fromi South Africa, andwas to be built, equipped, and mnaintained, at any ratein the first instance by 'the "Absent-minded Beggar ReliefCorps" formed by the Daily Mail. It was to be in everyrespect a civilian hospital, except that a military medicalofficer was to be given charge over it, and to be responsiblefor the statistics and reports required by the War Office. Apark-like piece of land of I55 acres was secured on the slopeof a wooded hill, and a railway siding connected with thelight railway to Basingstoke was constructed so as to lbeimmediately to the rear or the wards.THE MISSION TO LEPERS.-The objects of "The Mission to

Lepers " is to convert them to Christianity, and also to relieveas far as may be their sufferings and provide for their simplerwants. It has been in ezistence for a good many yearse now,and its twenty-eighth annual meeting was held on April 20that Exeter Hall. The seat of the operations of, the Society is'the Middle and Far East, and the report preeented at themeeting shows that its work is now carried on at 54 differentstations. The number of inmates in the society's inistitutions,or in those aided by it now number 6,420, of whom some 2,5s0have been converted to Christianity. A veryuseful part ofthe work carried on. is the care, in separate establishments, ofsuch childTen of lepers as at present show no taint of thedisease. The work receives a certain amount of recognitionfrom the Central Government of India, and a good deal fromvarious native princes. According to the Committee there isgreat need, in addition to its present work, of establisbing acentral home for European lepers in some healthy situation inIndia. The accounts published at the meeting showed thatthe financial position of the Society at the present time isvery good, the receipts for last year having been £21.395,while the expenditure was acnly some £15 ooo. The meetingwas presided over by Sir A. Wingate. and members of severalordinary missionary societies in London took part in the. prc-ceedings.

APRIL 25, 1903.1 DIARY. rTim Batm I00[IfmnsCat JOsse&t °007

PRESENTATIONS.-At the recent annual meeting of ihe(,horlton Board of Guardians, the Chairman, on behalf of theBoard, made a presentation of a purse of gold to Dr. J. MilsomRhodes, who has been for twenty-one years a member of theBoard. Dr. Rhodes in his acknowledgement referred to theimprovement in workhouse dietaries and in the condition ofworkhouse children as the two great reforms which had takenplace during his tenure of office, and expressed the opinionthat the Poor-law guardians were now rendering a greatservice to the State.-Mr. G. Gardner Oakley, M.R.C S.,L.R.C.P.Lond., has recently been the recipient of a hand-some case of pipes from thbe members of a men's ambulanceclass whom he instructed in "first aid." Mr. Oaklev, inthanking the members, congratulated them on the excellentresults of the examination recently conducted by Pro-fessor T. Wardrop Griffith, of Leeds, under the aus-pices of the St. John Ambulance Association. Fiftymen qualified for atten('ance at the examination, forty-five of whom presented themselves, and forty-two passed.

MEDICAL VACANCIES.This list of vacancies is compiled from our advertisement columns, wchere fillparticulars will be found. To ensure notice in this column advertisementsmust be received not later t,ian the first post on Wednesday mlorning.

BANGOR: CARNARVONSHIRE AND ANGLESEY INFIR31ARY.-Hbuse-Surgeon.Salary, £80. increasing to £100 per annum, with board, etc.

BAT1H: ROYAL MINERAL WATER HOSPITAL.-Resident MedicalOfficer; unmarried.Salary, £1ie per annum, witlh boardl and aaartments.

BIltRt NGII kM: GENERIAL h0SPITAL-House Surgeon forSpecial Depirtmentts.Appointment for six months. Salary atthe rate of£50 per annum, etc.

BIRMINGHAM WORtKhlOUSE INFIRMARY.-Assis5ant Resident Medical Officor.Salar.v, £100 per annumn, with fturnished apartiiients, rations, etc.

BRIGHTON: SUSSEX COUNTY HOSPITAL.-Third Rouse Surgeon. Salary Li6a perannum, with board, readence, and washing.

CANCCER HOSPITAL, S.W.-Heuse-Surieeen. Appointment for six monthis. Salary,70 per anilum, with board aiid residence.

CHARING CROSS HOSPITAL.-Assistant Pbysician; misat be F. or lI.R.C.P.Lond.EASt LONDON HOSPITAL FOR CHILDREN, Shadwell, E.-(1) Ophthalmic Surgeon,

must be F.R.C.S.Eng. i2) Pathologist asid Registrar. Honosiarium, £100.TIALIFAX ROYAL INFIRMARY.-Thiru House-Surgeon; unmarried. Salary,1£.8per

amnuiii, with residence, board ard washing.HE3IEL HElIPSTEAD: WEAT HERTS INFIRM31RY.-Honse-Surgeon. Salary £100

per anctum, with furnished rooms, b ;ai d, and washing.IIOSPITAL FOH DISHEISES OF TIlE TIIROAT, Golden Square.-Ifouse Surgecn.

Salary, £50 per anritm, with board and residence.HOSPITAL FOR SICK CHILDREN, Great Ormond Street, W.C.-House-Surgeon; un-

marr;ed. Appointment for six months. Salary, £10.LEEDS UNION.-Assistant Medical Otficer for the Workhouse Schools and Infirmary;

Salary, £130 per annum, rising to £150, with board, washing, and apartments.LElCESTER INFIRM1ARY.-Clinical Clerk. Honorarium, £10 les. for six months, withi

board, apartments, ard washinD.LIVERPOOL INFECTIOUS DISEASES HORPITAL.-Assistant Resident Medical

Omcer. Salary, £120 per annum. with board, wasbing, and lodeing.LIVERPOOL ROYAL INFIBMARY.-Vacancies on Resident Staff. Appointments for

SiX mObths. Board, reede-nee, and wasbing provided.MANCHESTER SOUTHERN AND MATERNITY HOSPITAL--Resident llouse-

Surgpon.3IARtAREET STREET HOSPITAL FOR CONSUM1PTION AND DISEASES OF THE

ChIEST, W. (for Out.patients).-Physieian.MOUNT VERNON HOSPITAL FOR CONSU3MPTION, Hampstea.-Junior Resident

Mledical Orficer. Honorarum, £00A.NEWPORT AND MONMOUTHSHiRE HOSPITAL.-Assistant Hou8e-Surgeon. Saary,

£50 eer annum, with hoard, res-dence. and washing.NO14TI lA3IPTON GENER1AL INFI1RMARY.-Hiouse-Surgeon;S: usimarried. Salary,

t1il per aenum, with furnished apartments, board, etc.NORWICff: NORFOLK AND NORWICH HOSPITAL.-Second Assistant lioiepe-

Surgeon. Appointment for six montbs. Honorarum_,£90, witn boanr, h,dgRiuic etc.SAIlIWAK ltEDICAfE DEPARTMENT.-Medical Ofticer; unmarried, and:not more

than S yeass of age. Salary, 3(O dols. a m,nth, and unfurnished quasil e8.SHEFFIELD ROYA., HOSPITAL.-JuntorAssistant House-Surgeon. Salary. £:,0per

anntum, wita board.ete.SOCIETY OF APOTI ECAEtIES, London.-Examiner in Medicine.VICTORIAl IIOSPITAL FOR CHt ILDREN, Chelsea.-House Surgeon. Appointment for

six months. Honorarium, £15, wilth board and lodsing.WESTMINSTER GENERHAL DISPENSARY.-Honorary Dental Surgeon.YiRK COUNTY HOSPITAL.-Ilouse-Physician. Salary, £100,withboard, residence,

and washing.YORK DISPENFARY.-ltesident Otedical Officer; unmarried. Salary, £:11)per annum,

with bjara. lodgiiig, atid atteLdance.

MEDICAL APPOINTMENTS.A.Rtot Donald John, R.A.,MI.B.Tor., l.R.C.P.Lcnd.,F.R.C.S.Eng ,appointed Assistant

Surge,-n to the AWeasr LonDonll tospiLal.B.ONNERMIAN, James, MB , C..MEdit., appointei Iedical Officer of Itealth for Stanhope

Rliral DsoTrict, ant Mtedical Oficer and Public Vaccinator for atauhope District ofW1'eardale Union.

BRA NDER, Wm, M.B., Cbh..Aberl., appointed Resident Medical Officer to the EcelesallBtelhow Union lnilrmary, Sheilela.

BRHnIGHTeORE, H. S., M.B., Ch.B.V set., appointed District Medical Officer of the SalfordUnlon.

Ileow-N, Josephine, M.B.Lond., appointed Assistant Medical Officer to the LincolnCounty Asylum, Bracebridge.

BROWN, W. Brodie, M.B., C.M.Aherd,, appointed Medieal Officer and Public Vaccinatorfor Aboyne and Glentanuer, vice A. D. Kuth, M.B., C.M., resigned.

EV iNs. D. Ht. Powell, L.R.C.P.Lond., M.R.C.S.Eng., L.S.A.Lond., appo!nted Clinicalia.fistant to the bamaritan Hospital for Women.

FOoGE. G. B., M.R.C.S.Eng., L R.C.P.Lond., appointed District and Workhouse Med.ealu-v-cer of the Itochifo d Union.

HAARRISOy, James, M.R.O.S.Eng., L.R.C.P.Edin, appointed Medical Officer for theWVurkliouse and First District of the East licinstead Union.

HA.YNES, W. F., L.R.C.P.Lond., appointed lDstrict Medical Omcer of thd Bishop S ortfordUlilon.

IIEGGS, T. Barrett M.B, Ch,R, appointed House Pbysician to the Sussex CountyHospirtal, rice J. hesire'son,'M.B., sesigned.

HaoO)(so, FT. W., M.R.0.S.Bng., L.R.C.P.L'nd., appin'ed Fe-cnl Asastant MedicalO.ow.r of A hit cliarel Union.

JARDINE, RI)bbrt. M.D.EdiD., 3I .R..S.Ene,, L.F.P. and S.Glag., F.il.8.Edlin., apnninted,Profeisor of Miawifery in at. Mungo's College, Glasgow, vice Dr. Jaa.es Stiltoni,resigned.

JOHNSTON, G. A., M.D.Brux., F.R.C.S., L.R.C.P.I., appointed District 3Medical Officer ofthe Ke; dal Uniion.

KmRR, Harold, M.B., Ch.B.Edin., appointed Assistant House-Surgeon to Rotherham,Hosestal and Disserisary.I

KITCHIN, B. H., M.B., B.C.Cantab., appointed Medical Officer of the Skipton Unicti Wos k-house.

KNAPTON. George, L. R.C.P.E lin., etc., appointed Medical Examiner for the Ecottisli Irn-perial Insurance Company.

MACKAY. James, M.B.Aberd.. etc.. appointed Medlical Examiner for Hearts of OakBenefit Society for Msaiehester, Mess bide, and Old I raffaid.

MAC L'ENNAw, Alex., M.B., C.M., L.M., appointed Visiting Surgeon to the Glasgow Txain-ing lotue for Nurses, vice Dr. G. IH. Eaurgton.

NYfAN, Denis, L.It.C.P, L.R.C.S.Fdin.. L.F.P.S.Glasg. appointed Medical Officer ofHealth to the Brvnmawr District Council, vice 8. Situps n, M.B., resiwned.

PEBRY, F. W., L.R.C.P., L.R.C.S.I., appointed DIstrict 3Medical Ollicer to the MallingUnion.

Toms A. H., M.R.C.S.Eng., L.S.A., appointed D:strict Medical Officer of the TecterdenUni ii.

WASDALE, J. D., M.B., appointed tecturer on Opbthalmology in the University ofDurham Cohlege of mertioine, Newcastle-tPon-Tyne.

WRIPHAM, T. R. C., M B., B.Ch.Oxon., M,R.C.P.Lond., appointed Physician to Out-patients to the Evelina Hlospital for Sick Children.

WHITE, J. B., M.lD., M.Cb., HR. J.1., appointed Medical Officer to the Ilomerton Work-house of the City of London ULioll.

DIARY FOR NEXT WEEK.

MONDAY.Medleal Society of London, 11, Chandos Street. Cavendish Square. W., 8.3o.p m.

-Mr. H. F. Waterhouse will introduce a discussion on the Treatment of RectalCancer.

Odesntoloxical Society of Great Britain, 20, Hanover Square, W., 8 p.m.TUESDAY.

Roval MedicAl and CIitrurgical Society. 20. Hanover Squntre. W.. 8.0n r.m.-Dr. Cecil Wall On Acute Cerebro-spinal Meningitis caused by the Diplococcus Intra--cellularis of Weicheelbaum: A Clinical Study.

FRIDAY.Society of Anaesthetists. 20, Hanover Square, W., 8.30 p.m.-Mr. Crouch: On.,

Tliree Cases of Vagu4 Inhibition from Chloroform.West Kent Medico-ChirurYicail Society, Royal Kent Dispensary, Greenwich

Roar, S. B., 8.45 p.m. -l1e President (Dr. George Hiereccell) will deliver an address onthe Diagnosis of Cancer of the Stomach in its Earliest Stage.

West London Medico-Chirurgical Society, West Loondon Hospital, Hammer-smith, W. -8 p m. Spicial Generai Meeting. 8 30 p.m.-Mr. Lunn: An Obscuire Caseof Ii.testinal Obstruction due to an Obturator Hernia.-Contnuation of (tiscussioson Dr. Squire's paper on the Modes of Cure in Tuberculosis of the Lumg.

Larynolsglcal Soeiety of London, 20, Hanover Square. W.. 5 p.m.-Csss,rsnecimens, and inistrisments will be shown by Dr. W. H. Keleon, Dr. HerbertTilley, MIr. Atwood Ihurue, Dr. Bronner, aiid cthers.

POWT-GRADVATU COURS AND ILU7URUMKedical Graduates' College and Polyclini, 22, Cheniea Street, W.O. Demonitratiom will

be given at 4 p.m. as follows -Monday, skin; Tuesday. medical;'** unesday.surgical; Thursdav. surginal; Frinay, eye. Lectures will also be givpn at 5.15s m as follows: Monday, On Blood Coagulability and its Relation to Ocdesr a asi(lSerous Effusions gerii rally; Tuesday, Chorua; Wednesdaw, MIe. tal ULrsoulidlnessamounting to Certitiable lnsanity; Thursday, The Tongue in Ditease; Friday,Insects of Medical Interest.

BIRTHS, MARRIAGES, AND DEATHS.The charge for inserting annoouncements of Births, Marriages, and Deaths is

ds. 6d., which szom should be forwarded in po8t-office orders or stamps witlhthe notice not later than WVednesday morning, in order to ensure iDsertion inthe current issue.

BIRTHS.CooK.-At Mtengo, Ugands, February 21st., the wife of .1. H. Cook, H1. S., M.B., F.R.C.S.,

ol a son (Normani Ethelbert).ME_OLEY.-(ln Ap il l6th, at Raverswood, Prestosi. the wife cf Edridge Healey, a son.P silKER.-Oan April 18th, at Cloveliy, Kilmalculihi, Renfrcebhire, the wife of James

1-arker, B., C.31., of a daugnterWILLIAMS.-Un AsrciI tb, at Lieveron House, Tunstall, the wlfe of George l. Williams_

L.C.O.r., L.R.C.S.ddin., of a soti.MARRIAGES.

DxvIS-LANE.-April 15tb, at St. Swithin's, Hempsted, Gloucester, by the IRev.,J lin George, Vicar of Noitbmooi, Oxford, cousin of b-desrouin, assisted hIv the lIov.at dRev. C. H. Sinclair, rector, Richard Davies, .D.TL daim., M.u.e..$., I.R.C.P., ifPuilteney Villa, Cheltenham, to LoloEby Rathlteui Lane, ol)y saughoer of SidneyLane, of lIempsted.

FAIRLEEY-STANLEY.-On April 15th, at St. MichaelandAll Angels, Bedford Park, W.,Pytie ReV. A. Cooke, uncls of the bride, assistedl by the Rev. J. Wilson, ALA., Samuej B.Fairls, M.D., of Gravelly Hill, Birmingham, to Helen Stanley, L. C.p.E. and S E.yi.uag.r laughter ef the .late C&ptain Frances Cuoke staLley, aLd grandiaughter stthe late MaIjor Richard Ireland Stanley, London.

MORROw-MCLAUGHLIN.- On April 8th, at Wbitpabbey Presbyterian Clisrel', by theRev. R K Hauna, B.A., assisted by the Hev. J. R. Plenter MI.A., Join S. Alt srow,B,A, M.D., Belfast, to Mlay, eldest caughter of W. H. McLaughlin, kacedon,Bejfaso.

itumo raRY-Horv.-On April 21st, at All Saints, Knithtsbridge, bv the Rev. CanymoJ mjirnmos'th Shore, Joln Percy l.ockart Muummery, B.A., P.1:.S., e deso. son otT. HRward Mummero, to Ethel, third daughter of Adrian Hope, of 5o, krinr a Gate.

SaUIrn- EosTocx:-On April 16 h, at the Parish Cbureb, Itorsham, by the Rev.C arlts Bostock, of..NorthWalttba assisted by the Rev. Ca,ioni Daniel, VScar ofhbe arish, Edward Protheroe Smith, l..C.S., L. t.C.'. o0 Relutitsch, Wnrt estersbire,eldest saU vivi g son of Heywood Smith, M.D., if Weibsck Street, to Eva Mary, eldtstdaughter of E. ingram Bostock, Mi. L..S., of Horsham.

STEELE-BROWN-On-Wednesday, Aptil 15th, at St. Paul's Churcb, Carlisle, by theRev. W. IJ. heith. Ste"e. incumbent of Chlrist Chur-ch, B.ou,oa y, Kent, brother ofThe bridegroom, asssted by the Rev. W. E. atricklaud, Vuicr, afi tie Rev.J. B. Seatu., euiie, Riechard 'IrVine, solicitor, fourth son of the halee Thomas Seele,of Pi arswanth, Cianterland, formeels Judgit in she Ceol. sn Civil cervice, 0o Hilcda,elldest daughter of Willia , Brown,-F.J.C.8.E., Mediral Officer of Health for the Cityof Carlisle. Mis. R. 1. Steele at home, Scotby, from Mlay 18th to 30tb.

THOasow STYLE -On April 21st, at. St. Mary's Churcb, Shirehan.ptov, by-the IIv.J.. C, Saunders, Rector of Folksworth, uncle of the bride aFs,sted by the 1iev,,A. T Him vey, Viecar of the parisb, Henrv Torrayics Thomson, o.l),. kdin., to MargsretHelen Style, M B,, daughter of toe Rev. George w3yle, Hla.lmaster -f U ggleawick School.

DEATH.HALLIDAY.-At Halifax, Nova Sontia, on MIarch 100t, 19t A4di ew Hallidav, M.B, CM..

JL.IF.iH., aged 36 yearn, son cf the_lat-A- Arew uial;-fdy, C-tee urr, smf -toth;rtG-VaLd.