530 MTDICAT JOUaRNA] DERMATITIS VENENATA. [MARCH 4, 1899.

A CASE OF ACUTE DERMATITIS CAUSED BYHANDLING THE RHUS TOXICODENDRON.*

By FRANK NICHOLSON, M.D.LOND.,Physician to the Hull Royal Infirmary.

ON July 30th, I898, a young lady, aged I9, living in Lincoln-shire, was sent to me by Dr. Godfrey Goodman of Brigg, andDr. Ffrench of Barnetby.-1She had been quite well till the day before, when she beganto suffer with prickling and smarting in both hands and theface, which quickly became red and swollen.Both hands were covered on their backs with scattered red

spots varying from the size of a pin's head to that of a splitpea, and there were a few on the lower parts of the forearms.The face, however, was much more extensively affected; theredness was much more uniform, and there was considerableswelling, so that the eyes could scarcely be opened. Almostthe whole of the face and forehead was invaded by the rash,which had a fairly sharp margin, and there were a few scat-tered islets beyond on the healthy skin. Both on the faceand hands, but especially the latter, there was a tendency tothe tormation, of vesicles. The rest of the body was entirelyfree from any eruption, the temperature was normal, thetongue clean, and there was no feeling of ill health beyondthe local discomfort. At first sight the face presented the ap-pearance of an ordinary case of erysipelas of moderateseverity, and in fact in a previous attack it had been treatedas such.

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The past history was good, with the exception of six orseven similar attacks, all of which had occurred during thepreceding five years, during-which period she had lived inthe same farmhouse with her palrents, and the attacks had allocurred when she was at home, most of them in the monthi. August.-* :Read at a meethng of the East Yorkshire 'and North' Lincolnshire

Branch of the British Medical Association.

From the story and the appearance of the case, dermatitisvenenata suggested itself. The number of attacks, theiroccurrence most frequently in August, when possibly someplant might be flowering or seeding, and so be speciallynoxious, and the fact that they never occurred before thetenancy of the present house, all seemed significant. I thengathered that the father had three times been affected, butonly on the hands, and on one of these occasions it had fol-]owed pruning a certain creeper which grew over the porch.The groom-gardener had also had an irritable rash from anunknown cause on two or three occasions. I asked about theprimula obconica, which is a recognised delinquent, but theyhad not had one for some years. Nothing else in the gardenthat they knew of was unusual or likely to be the offender,and, suspicion attaching to the creeper over the porch, I ad-vised that it should be destroyed.

1 wrote to Dr. Godfrey Goodman to this effect, and in replywas pleased to hear that at his next visit, to his satisfaction,but to the disgust of the groom who had undertaken the de-struction of the creeper, that unfortunate menial was coveredfrom head to foot with a scarlet, blotchy, irritable rash, andthat a specimen forwarded to Kew had been identified as therhus toxicodendron. The leaves are trifoliate, thin, shiningwhen fresh, and dark green, and not unlike the clematis.The leaves, branches, and flowers contain a milky juice, whichblackens on exposure, and which may be used as an indelibleink when applied to cotton or linen.The plant cannot be common, I think, either in East York-

shire or North Lincolnshire, as I do not remember havingseen it growing, nor ha've I previously. met with a similarcase; but I understand from the Curator at Kew that in manyparts of England it is fairly common in old shrubberies. Thefarmhouse in North Lincolnshire where this was growinghad had a sea captain as a tenant some years ago, and it isnot improbable that he had brought this plant home with himfrom abroad as a highly-prized treasure.

MEMO RAN DAIMEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATHOLOGICAL, ETC.

A CASE OF URETHRAL STRICTURE IN WHICHDEATI- OCCURRED FIFTEEN HOURS AFTER

PASSING A CATHETER.P.B., aged 57, a retired boatswain R.N., was first seen by meon December 26th, I898. The history given was that aboutthirty years previously. he contracted a stricture of theurethra, which had troubled himn ever since. He had suf-fered twenty years later from perineal abscess, and had beenin various naval -hospitals for his complaint. Of late yearshe had regularly catheterised himself, usually passing aNo. 8 gum elastic English catheter at intervals of a fortnight.Lately he had neglected this, and five weeks had elapsedsince passing any instrument, On December. 26th he wasunable to pass even a No. 2 gum elastic catheter, and hadmade himself bleed rather freely.I found him to be a rather plethoric-looking man, with a

pulse of 75, temperature 980 F., and very nervous about him-self. There was no retention of urine, which was clear anddid not contain albumen. No attempt at catheterisation wasmade; rest in bed, a diet of milk and barley water, and an,alkaline mixture with tincture of hyoseyamus, were ordered.The next day a No. 4 silk web catheter was passed through

the- stricture, which was tortuous and in the membranousportion of the urethra. On the 29th No. 4, No. 5, and No. 6.gum elastic catheters were passed, the last named beinggripped tightly.On the 3zst, just after midday, I made another attenipt,

beginning with a No. 5, but this would not enter the stricture;,a No. 4 entered the stricture, but would not pass through it..A-No. with a stilette was then tried, but this also would notpass through; and as a little blood was in the eye of thecatheter on withdrawal, I desisted from further attempts..Before leavingthe room: the; patient complained of feel-iIng cold, and said that hetwas; sure the, shakes" wereooming on. At 2 P.M., in .response to an urgent summons

MARCoH 4, ;8,99.] MEMORANDA. r TEBBRITSL[MDICAl JOUJIAs-53'

I again visited him. He was looking very ill, he had adusky colour, with noisy respiration, and with the skinbathed in perspiration. He complained of intense painin the lower part of the back and right lumbar region.About 5 ounces of urine had been passed, which was clear,and contained a little unmixed blood, evidently from theurethra; the passage of thishad caused intense burning painiri the urethra. The pulse was i1o per minute, small andfeeble, and the temperature 980 F., while great thirst wascomplained of. Hot fomentations with turpentine wereordered to the back, and a mixture containing liquor ammoniieacetatis and spiritus Tetheris nitrosi every two hours wasgiven by the mouth.At 4 P.M. he was worse, livid in aspect, streaming with per-

spiration, still complaining of intensepain in the back. Thebowels had acted freely, and he had vomited once. Thepulse was about 170, very feeble. Tincture of digitalis, 5minims, and tincture of nux vomica, 3 minims, were orderedevery hour.At iO P.M. he was evidently moribund from cardiac failure;

his pulse was almost imperceptible; he was barely conscious,and the skin still acting freely. Death took place at 3 A.M. onJanuary ist, i899. No definite convulsions were noticed atany time. A post-mortem examination was not obtained.The case appears to present none of the usual features of

death from ursemia with suppression of urine, but rather tohave resulted from a reflex cardiac failure.

H. W. WEBBER, M.D., M.S.,Assistant Surgeon to the South Devon and East Cornwall Hospital.

Plymouth.

CYST OF POSTERIOR VAGINAL WALL.M. K., aged 26, consulted me on May ist, I897, complaining ofher "womb coming down." The swelling she complained ofappeared about ten months previously, and was slowly in-creasing in size. When lying down shie found it disappearedinto the vagina, but in the erect position it protruded beyondthe labia. It caused no pain, only discomfort, and a feelingof pressure, and some leucorrhoea.On examination the swelling was soft and boggy, and as

large as a hen's egg. Examination with a finger in rectumand another in vagina clearly showed tumour to be cystic, andgrowing between layers of rectovaginal septum.On Maysth I removed the cyst. An attempt was first made

to enucleate it, but this proved impossible, owing to the thin-ness of its walls and its intimate connection with the tissuesforming the septum. An elliptical piece was therefore excisedfrom its wall, evacuating about il oz. of gelatinous fluid, andthe cavity (which measured 3 inches) was scraped with asharp spoon and swabbed with i in io carbolic lotion. Thevagina was lightly packed with iodoform gauze.Subsequent treatmentconsisted of a Condy douche night and

morning, the use of iodoform and eucalyptus pessaries', andpacking the vagina fairly firmly with iodoform gauze, so as topromote closure of the cavity. On May 25th a speculum ex-amination showed no sign- of any cavity, the wound beingsoundly healed. Throughout the temperature was normal.-At the time of this operation the patient was three months;

pregnant, and on November 6th after a very tedious and diffi-;clt labour I delivered her of a full time male child by forceps.The Qperation scar did not give way and she recovered withouta bad symptom.Whitehaven. G. W. H. TAWSE, M.B.

DECREASE OF UTERINE MYOMA AFTER EXCISIONOF BREAST.

IN; connection with Mr. Stanley Boyd's paper on O0phorectomy,iin Cancer of the Breast, I might mention an initerestingobservation made undercircumstances of a somewhat oppositecharacter.Miss M. H. had suffered for a number of yearg, before she

came under my care, from a very large myomatous uteruswhich 'it had not been considered advisable to operate upon.!As usual in these cases, she was greatly impeded and dis-tressed by the size of the growth. In March, 1892, menstrua-ti6nv ceased, and the tumour b6gan to ,show signs of decreaseinbul-k. This latter, however, was not marked until April,I894, when, in consequence of scirrhus of the right mamma (thedevelopment of Paget's' disease of the nipple) her breast wes

excised by Mr. C. B. Ball. She was then 59 years of age.Within a week there was a most noticeable change in thegrowth. The usual firm condition gave place to a softenedtissue, which, with further considerable diminution in size,conduced greatly to the lady's comfort. Owing to her removalI have lost sight of her for some time. I may note, in passing,that a sister died of pulmonary cancer secondary to a mam-mary growth which had been removed.Monkstown, co. Dublin. R. LYNN HEARD, M.B.

THE TREAMENT OF H2EMOPHILIA.IN the BRITISH MEDICAL JOURNAL of February iith, Mr.Davies, of Tredegar, has given the results of his treatment ofa family of "bleeders" which appears to have been verysuccessful.There is a simple remedy which proved efficacious in

three cases under my observation, and it would be interestingif those who have the opportunity would give it a furthertrial. It is the administration internally to an adult of20 minims of dilute sulphuric acid in an ounce of water three,,times a day.When I first went on as dresser at St. Thomas's Hospital in

1 863 there was a case of wound over the kneecap of a"bleeder." The house-surgeon tried pressure, tincture offiron, nitrate of silver, etc., for two days, but without any;beneficial result. Mr. (now Sir John) Simon ordered acidsulph. dil. lntxx, aq. A j, three times a day, the result was thatthe bleeding soon ceased.This made a great impression on me, and I was able to test

the efficacy of the treatment when 1 was subsequently house-surgeon. During my tenure of office two brothers came in atdiferent times with scalp wounds, and both bled. In theircases, after pressure had been tried, the 'acid had the desiredeffect.

I have never met with any other "bleeders," but havefrequently administered the acid in repeated epistaxis'; and,combined with io-grain doses of sulphate of potash, for bleed-ing piles, with satisfactory results.

J. B. SIDDALL, M.D., C.M.Aberd., D.P.H.Cantab.Northam.

A CARTIflDGE IN THE RIGHT BRONCHUS.C. K., aged 7 years, was admitted into the Somerset Hospital,Cape Town, for slight dyspncea and cough. Eight days beforehe had been throwing a pistol cartridge up into the air andcatching it in his mouth, when he fell with a cry just as thecartridge got into his mouth. While at rest he was onlyslightly dyspnceic, and he could walk about with comfort, buthe was said to have turned very blue once or twice aftercoughing.On admission his pulse and temperature were normal, but

'his respirations were about 30 per minute. The right side of.his chest moved less than the left, and there was deficienrtentryr of air over the right chest below the fourth rib in front.There was no dulness or bronchial breathing. In the thirdand fourth right spaces was a loud rhonchus, which was trace-able across the sternum into the right axilla. With the x-raysand screen a foreign body could be seen just to the right ofthe spine. The next morning there was dulness in front belowthe fourth rib, with complete absence of entry of air, anddulness below the sixth rib behind. The temperature wasnormal.Having obtained leave to operate a low tracheotomywas.

done under chloroform, the trachea being opened freely. Witha stout piece of silver wire with blunted. point I was able to'feel the cartridge distinctly in the right bronchus. Each.mhnipulation caused the patient to cough, although under thoe'ansesthetic. After several trials with nasal polypus forcephaving a crocodile mouth, I su¢ceeded in catching one edge ofits open end and it was removed quite easily. He made agood recovery and was discharged well on August 23rd, thebreath sounds and resonance being then normal.The cartridge was an ordinary brass one .- inch long, the-eir*.

cumferenoe of the rim being I inch. '',The greatestldifficulty was caused by the coughing, wWuicl

immediately followed the gentlest manipulation. Thea-ridge caine out quite clean and was fnll of mucus, but ha4 a.-blood on it. i''iE,

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I

MARCH4, 1899.j OBITUARY. ["i. 567

The writer-an old friend-has purposely refrained fromover-adulation, alid adhered to the good old maxim of nil nisibonum. As the days and years roll on, the numerous finertraits in Dr. Rutherford's character will become better knownand will be treasured by his many pupils and friends.Any shadows there may have been will only serve to enhancethe glory and the brightness of his many virtues.

Professor Rutherford by his will bequeathed to the Univer-sity of Edinburgh his medical library, his microscopicalspecimens and diagrams used in connection with the class ofphysiology, and also a portrait of himself.The funeral took place at Ancrum Church on the morning of

February 25th. The funeral procession was headed by somefour hundred students walking four abreast. There was alarge representation of University professors and assi tants,of the medical profession generally, as well as of the public.The pall-bearers were: Dr. Rutherford, Kelso; ProfessorSimpson, representing the University and the Royal Collegeof Physicians; Mr. Walter Rutherford, Crailing Tofts(nephew); Dr. Carlier, the late Professor's UniversityAssistant; Mr. C. Rutherford (nephew); Mr. Walter Ruther-ford, jun.; and Mr. Carnegie Dickson, representing thestudents.

CHARLES JOSEPH ARKLE, M.D.LOND., F.R.C.P.,Assistant Physician to Charing Cross Hospital.

IN the BRITISH MEDICAL JOURNAL of February 25th, webriefly recorded the fact of the death of this promising youngphysician at the age of 37 after a few days' illness from pneu-monia on February 23rd. He was born in Liverpool, andwent to school at the Liverpool College. In I879 he matricu-lated at London University, and was forthwith entered forthe science classes at University College, London, and inOctober, x880, entered the hospital as a medical student.Here he distinguished himself by winning the Atkinson-Morley surgical scholarship, the highest surgical prize in theschool, and was successfully house-physician to Dr. WilsonFox, house-surgeon to Mr. Marcus Beck, and obstetricalassistant to Dr. Graily Hewitt. He obtained his first qualifi-cation in I884, and in I885 graduated as M.B.Lond., takinghonours in Medicine and Forensic Medicine; in I887 he tookthe M.D. degree, and in the following year he took thediploma of M.R.C.P.In i887 he was appointe.d Resident Medical Officer at Uni-

versity College Hospital, and held the post for two years.In i89i he was elected to the office of Medical Registrar at theHospital for Sick Children, Great Ormond Street, but re-signed six months later on being appointed to the newly-created office of Pathologist at the Charing Cross HospitalMedical School. Three years later a vacancy on the full staffthere gave him the opportunity of becoming attached to ametropolitan school he had so long looked for and so wellearned, and he became Assistant Physician to the CharingCross Hospital; he was at the same time appointed JointLecturer on Practical Medicine and Joint Medical Tutor inthe School. Subsequently he held the office of Lecturer onBacteriology, a post he resigned a short time back. For thelast three years he had been Physician in Charge of theElectrical Department, and had just completed on the veryday of his death his term of office as Vice-Dean of the School.In I897 he was appointed Assistant Physician to the BromptonHospital for Consumption, and last year he was elected tothe Fellowship of the Royal College of Physicians.

Dr. Arkle was not a voluminous writer, but he was a goodteacher; he knew exactly what students wanted, and howbest to bring home to their minds the facts that wereessential, and his sturdy common sense prevented him fromrunning after new doctrines at the expense of general prin-ciples. One of his former teachers once said of him thathe was cast in a big mould, and it was true of him bothphysically and mentally; a hard-headed Lancashire man, hewas essentially robust-no other word so aptly describes thewhole man. His disposition was most genial, he was full ofhumour, and was esteemed by all, and beloved4by those whoknew him at all intimately.A8, a student Arkle was a areat football player, constantly

representing his hospital. He was captain in the UnitedHospitals team, and played also for Richmonct. In i886 he

gained the blue ribbon for every footballer-his cap in theinternational- team. He was also an enthusiastic volunteerand as a member of the Artists Corps for many ear enjoyedtheir annual outings-; for the last five years* he bad beenSurgeon to the Inns of Court Rifle Volunteers, a distinctionhe highly prized. In I886 he beeame a member of the AlpineClub, and no member of that club could have looked-forwardmore keenly to his annual holiday in Switzerland or enjoyedit more thoroughly than Charles Arkle did. Dr. Arkle wasunmarried.

THE death of Mr. BADER, in his 72nd year, took place at hiscountry residence at Stoke Ferry, Norfolk, on February I3th.He was born in the Grand Duchy of Baden, where he alsoreceived his early education. He left that country during therevolution of I848, and settled in London. Ophthalmic workwas at that time advancing rapidly in Germany under theleadership of von Graefe and Helmholtz, and Mr. Bader,who profited thereby, .was so fortunate as to be appointedPathologist to Moorfields Ophthalmic Hospital, and- Curatorof the Museum after becoming M.R.C.S.Eng., and L.S.A.Lond.In i86i he became Assistant Ophthalmic Surgeon to Guy'sHospital; and in I873 was elected Ophthalmic Surgeon to theHospital, and retained the post for nine years. He was agreat advocate of operation for almost all diseases of the eyeand its appendages, and amongst the crowded out-patientrooms found multitudes of cases in which his manual dex-terity was of service. He also acquired a large private prac-tice in the City; and is said to have operated on 700 of hiscases in one year. He possessed great energy, and for yearsrose at 4 A.M., at any rate during the summer months. Hisoperations were often original in design and brilliant, but hefailed to win the confidence of the general body of Englishophthalmic surgeons. He was the author of awork on hisspecial department of practice, and of some fourteen articlesin the Guy's8 HIopital Reports. The chief of these were con-cerned with the description of the appearances of the hu'maneye in health and disease, as seen by the ophthalmoscope.Of recent years he had nearly retired from practice, and hadinvested his savings in property at Stoke Ferry, where he de-voted himself to agricultural pursuits, particularly the breed-ing of sheep and horses.

DEATHS IN THE PROFESSION ABROAD.-Among tlle membersof the medical profession in foreign countries who haverecently died are Professor C. L. Studsgaard, of Copenhagen,Surgeon-in-Ordinary to the King. of Denmark; Professor J. H.Etheridge, of the Rush Medical College, Chicago, a distin-guished gynsecologist; Dr. Eumner Pacha, Physician to theImperial Palace, Constantinople; Dr. Nasse, of Constanti-nople, who was at the head of the German Red Cross in theGraeco-Turkish War; and Dr. Biarnos, Lecturer on Chemistryin the Medical School of Toulouse.

UNIVERSITIES AND COLLEGES,UNIVERSITY OF ST. ANDREWS.

T. G. NASMYTH, M.D., B.Sc., D.P.H., Medical Officer of Health of Fifeshire,has been appointed Examiner in Public Health in the University of St.Andrews.

UNIVERSITY OF BRUSSELS.AT the February examination the following practitioners were successfuland obtained the M.D. degree: J. Q. Brown, Ashford; C. Franks, Newark;W. J. Jenuer, London; M. J. Morgan, Aberystwyth; G. Tillike, Ceylon.There were 12 candidates, 7 of whom failed.

ROYAL COLLEGE OF SURGEONS IN IRELAND.THE following candidates having passed the necessary examinationhave been admitted Fellows of the College:

J. K. Denham,, L.R.C.B.I.; E. J. Moore, L.R.C.S.I.; and T. G. Stevens,L.R.C.S.I.

The following candidates have passed the primary part of the ex-amination for tlhe Fellowship of the College:R. J. Coulter, B.Ch.Univ.Dub.; J. P. Frengley, B Ch.Roy.Univ.- R D

Joyce, M.R.C.S.Eng.; C. R. Boyce, E Glenny, P. J. Hanafin, sirs. H:L. Hennessy, J. M. S. Levis, and J. F. Peart.

APOTHECARIES HALL OF IRELAND.THE following candidates have passed the recent examinations for theLicence in Medicine. Surgery, and Midwifery, in the subjects indicated:Physiology, S. Adye Curran and L. J. Farrell. Anat6my, S. Adye Curranand A. J. Barnes. Materia Medica, A. J. Barnes. Pathqlogy, W. P. Harding,

568 M*icx JOU*NAL] NAVAL AND MILITARY MEDICAL SERVICES. [MAROH4, 1899.

who has also completed the Third Professional. Sturgery, Midwifery, andOphthalmic Surgery, W. W. Feris.The following have passed the L.A.H.: F. G. Adye Curran, W. P.

Delahunt, J. D. Power, M. P. O'Brien, and J. J. Ahern.

ROYAL COLLEGE OF SUJRGEONS OF ENGLAND.Tsu following gentlemen having passed the necessary Examinations,and having conformed to the By-laws and Regulations, have beenadmitted Members of the College:

Ackland, D. Evans, A. Pritchard, R. J.Adams, H. C. Evans, E. Pryce, H. V.Agnew, C. S. Forster F. C. Rae, F. L.Ainscow, J. Frost, JY. R. Rhodes, J. H.Allport, R. H. Gaff, J. Rice, H. R.Anderson, H. G. S. Goodbody, C. M. Richlards, F. G.Anderson, M. C. B. Hadley, F. A. Richards, G. M. 0.Baiss, L. A. Hearn, R. S. F. Ricketts, A.Bardswell, M. D. Henderson, W. S. Robinson, H. H.Barnes, C. H. Horn, A. E. Robinson, J. H.Barnes J A. P. Howlett, B. E. Roche, N. J.Barwell, H. S. Hughes, G. 0. Rose, F. A.Beatty, H. A. Hutchens, H1. J. Rowland, E. W. S.Bellamy, J. H. Hutchinson, G. A. Schofield, C. R.Berncastle, H. M. James, S. Sclluller, W. J.Bevan, A. Jones, A. W. Scott, C. W.Blake, M. D. Jones, J. H. Sewell, E. P.Bond, F. F. Jones, L. Silver, H. W.Bourdas, E. C. Kay, A. R. Spear, G. A. W.Bowles, A. Kemp, J. H. Stedman, S. B.Bradley. J. Kirkman, A. H. B. Stilwell, R. J.Brook, F. W. Knowlton, A. J. Tallent, J. H.Bryan, H. J. Landon, T. H. W. Thomas, D. J.Budd-Budd, E. J. McComb, J. A. Thompson. F. B.Butler, F. T. McCoy, W. J. Tucker, W. E.Carter, A. H. Manlove, J. E. Turner, F. D.Cato, C. S. Martin, R. C. Turner, H. S.Challice, J. S. Matthews, J. Vaughan, A. L.Clarke, A. E. Mawson, J. A. Von Eberts, E. U. M.Coates, F. A. Milbanke, W. B. Wainwright, s'. R.Crawford, W. J. Miller, G. V. Walker, F. E.Cullen, J. A. P. Milton, W. T. Walker, J. F.Curtis, P. J. Mitchell, C. M. Ware, A. M.Davis, W. H. Mondy, S. L. C. Wessells, C. A.Dawe, F. S. Moss-Blundell, C. B. Williams, P. G.Dawson, T. D. Nicholls. F. J. Wilson, A. G.Dean, E. C. Parker, HI. F. Wingate, B. F.de Freitas, Q. B. Parry, E. J. Worthington, E. S.Dixon, M. Perrin, T. Young, E.Dunston, J. T. IPilcher. C. W. Young, J. C.Edwards, E. S. Porter, W. G.

The following gentlemen having passed the necessary Examinationshave been admitted Diplomates in Public Health in conjunction with theRoyal College of Physicians of London:

S. Davey, L.R.C.P.Lond., M.R.C.S.Eng., London Hospital and King'sCollege, London.; J. R. Dickson, M.B., C.M.Edin., Edinburgh Uni-versity and University College. London ; J. R. Dodd, M.B.Durh.,F.R.C.S.Eng., Durham University and St. Bartholomew's Hospital;G. Fowler, L.R.C P. & SEd., LF.P. & S.Glasg., Madras, Edin-burgh, and Charing Cross Hospital; W. F. Grant, M.D., C.M.Edin.,Edinburgh University and University College. London; E. W. Her-rington, L.R.C.P.Lond., M.R.C.S.Eng., L.S.A .Lond., St. Mary's Hos-pital; W. Lansdale, M.D.Durh., L.R C.P.Lond., M.R.C.S.Eng.. L.S.A.Lond., Durham University and Guy's Hospital; R. G. McGowan,M.B M S Aberd., Aberdeen University and University College,London; W. A. Powell, L.R.C.P.Lond., M.R.C.S.Eng., CharingCross Hospital; J. T. Simllpson, L.R.C.P.Edin., L.F.P. & S.Glasg.,Yorkshire College and General Inflrmary, Leeds, and UniversityCollege, London; G. C. Walker, M.B., Ch.B.Vict., L.R.C.P.Lond.,M.R.C.S Eng, L.S.A.Lond., University College and Royal Infirmary,Liverpool; E. G. H. Williams, L.R.C.P.Lond., M R.C.S.Eng.. CharingCross Hospital and University College, London; E. M. Wyche,L.R.C.P.Lond., M.R.C.S.Eng., London Hospital.

ROYAL NAVY AND ARMY MILITARY SERVICES.THE ESTIMATES FOR THE ARMY MEDICAL

ESTABLISHMENTS.THE Army Estimates for I899-I900 are, as usual, compiledwith much care and given in great detail; but some expert-ness is required in separating items and cross entries so as toarrive at totals that will exactly balance.The following analysis may be taken by those who catinot

examine the Estimates for themselves as correct in allpractical particulars: Vote 2, "Medical Establishments,-Pay, etc.," amounts to /305,800 against £295,000 last year,being a net increase of £/o,ooo. This increase, if partlyautomatic, provides also for an augmentation of i8 officersand 150 men, Royal Army Medical Corps; but as regards theofficers it cannot be counted as an absolute increase to a pre-viously normal establishment, for that was greatly understrength, as explained in the following note: "It is antici-pated that the actual numbers will more closely approximate tothe establishment than has been the case during the last few

years;" which, in other words, means that it is hoped someprogress may be made during the financial year in filling up adepleted establishment.The officers and men provided for the Home and Colonial

establishments are as follows:Officers. ... ... ... 543Warrant and non-commissioned officers and men ... 2,792

Total .. ...3,335Of this total 2,562 are for home and 773 for Colonial estab-

lishments.The cost is as follows:

Pay, Army Medical Service... ... ... ... ... 238,2Militia medical officers and civilian practitioners 13,900Corps pay and extra duty pay of the Royal Army eMedical Corps, nurses, clerks, and subordinates j3%7°0

Medicines and instruments ... ... ... ... 14,000, Contingencies ... ... ... ... ... ... ... I,300

Total ... ... 307,IOODeductappropriations in aid ... ... ... ... I,300

Net total ... £305,80But the above does not include the regimental pay of the

Royal Army Medical Corps, stated at £84,430, or, less stop-pages and fines, £83,500. The following medical officers inranks are voted:

Home. India,Surgeon-Major-Generals (litle of Major still retained) 7 ... 3Surgeon-Colonels (term Surgeonl still retained ... IO.Lieutenant-Colonels, Majors, Captainis, and Lieu-tenants ... ... ... ... ... ... ... 49 . 322

Surgeons on probation P.?Acting medical officers (retired pay appointments) ... 85Quartermasters ... ... ... ... ... ... ... 35 ... -Assistant apothecary, Hong Kong Regiment ... ... ...

Totals ... ... 636 335

Grand total ... 97IThis grand total shows an excess of i8 officers over last year,

as previously explained. But these numbers require furtherexanmination to arrive at a correct estimate of the truly effec-tive medical strength of the service on full pay; from thetotal must be deducted the acting medical officers (so-called),the quartermasters, and the apothecary, leaving 850. Thislatter figure shows the full-pay strength still 4o under theestablishment spoken of as " dangerously low" by thelate Director-General, Sir Thomas Crawford. Taking intoconsideration the increase in army establishments, and theconsequent greater demands on the medical service, it is tobe hoped some progress will be made during the year in atleast completing a deficient establishment.The non-effective vote, which used to be railed at as ab-

normally large, but which is really proportionate to corre-sponding branches of the service, shows totals of 492 indi-viduals and £20I ,ooo, a reduction of lo persons and £4,000 onthe previous year. The actuaries of Sir Ralph Thompson'sCommittee of I879 foretold, with great accuracy, that themedical non-effective vote would, as the result of the greataugmentation of the service during the Crimea and Mutinytimes, attain its maximum about 1892; it has been shrinkingsince. But it is explained in a note that the vote is relievedof a charge of £32,4o0 by the employment of medical officerson the retired list, whose salaries are included in the activeVote 2.

It is sad to note how rapidly the old ranks of the depart-ment are disappearing from the pension list: only i inspec-tor and 4 deputy inspector-generals of hospitals, about adozen surgeons, and 8 assistant surgeons are left; and thesame steady shrinkage, through death, is shown among theold captains of orderlies, apothecaries, and purveyors.The total Vote for the Effective and Non-effective Medical

Establishment is given at page 234 as £659,778. This includesall charges for officers and men, pay, pension, transport, pro-visions, forage, fuel and light, field allowance, rents, lodging,colonial allowance, barracks, clothing, and schools.

ROYAL NAVY MEDICAL SERVICE.THE following appointments have been made at the Admiralty: HENRYC. WHITESIDE, Surgeon, to the Boscawen, for the Dolphin, February 22nd;STRATFORD D. T. HALLIDAY, Surgeon, to the St. Vincent, for the Martin,February 22nd; JAMES M. G. SWAINSON, Surgeon, to the Boscawen, for thePeaflower, February 22nd: ADRTEN A. FORRESTER, M.B., Surgeon, to theBoscawen, for the Wanderer-, February 22nd; WARREN G. WESTCOTT,Surgeon, to the Lion, for the Liberty. February 22nd ; FRANCIS J. MCKENNA,M.B., Surgeon, to the Impreqnable, for the Nautilus, February 22nd;EDWAIRD 0. B. CARBER, M.B., Surgeon, to the Impregnable, for the Pilot,

37 EIA ES MRH4 89

MEDICAL NEWS,THE Treasurer of St. Thomas's Hospital has received a

donation of x,ooo from "G. R." for the endowment of asurgical bed "in memoriam," being the fourth bed endowedby this generous benefactor.

HOSPITAL FOR DISEASES OF THE THROAT.-Dr. HerbertTilley has received from the executors of the late EdwardArmitage, R.A., a donation of £500 to the funds of the Hos-pital for Diseases of the Throat, Golden Square.THE late Miss M. A. Macneilledge of Liverpool has by her

will bequeathed fi ,ooo to the Liverpool Royal Infirmary, £500each to the Infirmary for Children, Royal Southern Hospital,Northern Hospital, Stanley Hospital, Bootle Borough Hos-pital, and the Liverpool Out-door Maternity Charity; and£200 to the Liverpool Hospital for Cancer and Skin Diseases.THE MAHDI's HEAD.-With reference to the revived rumour

that the Mahdi's head is at the present time in the posses-sion of a certain medical institution in Edinburgh, our Edin-borough correspondent telegraphs that he has made inquiryat the medical institutions, and has found that there is abso-lutely no foundation for the report.

INDIUSTRIAL FARM COLONY, REIGATE.-The annual report ofLady Henry Somerset's Industrial Farm Colony, presented tothe recent meeting at the Mansion House under the presi-dency of the Lord Mayor, stated a fair proportion of cures hadbeen effected by the moral and physical treatment adopted.Lady Henry Somerset said that the Home took not onlypolice-court cases, but also women who, having become thevictims of secret drinking, had wrecked their homes, and, ina moment of repentance, voluntarily entered the colony for ayear. For this latter class the recent Inebriates Act made noprovision, so that there was the 'greater necessity for publicattention being drawn to this institution and its financialneeds.

A CASE OF MALTA FEVER IN PHILADELPHIA.-In the Proceed-ings of the Pathological Society of Philadelphia for Februaryist, Dr. J. H. Musser and Dr. J. Sailer (as we learn from theNew York Medical Journal) report the case of an army officerwho appears to have contracted the disease in Puerto Rico.Malarial plasmodia were frequently sought for in his blood,but never found. A culture of the micrococcus melitensisgave an agglutinative reaction with the patient's blood. Theauthors intimate that the name of febris undulans, suggestedby Hughes, is the most appropriate for Malta fever, which,they remark, occurs in Malta, in Naples, at Gibraltar, on thenorthern coast of Africa, in India, and possibly in Hong Kongand along the Danube. So far as they know it has. notpreviously been observed in the United States.ASEPTIC SWEARING.-We mentioned lately that objection

had been taken and allowed, on sanitary grounds, in someAmerican law courts, to the superstitious observance of"kissing the book," as to which there have been so manypassages of arms between doctors and ultra-conservativeJudges in this country. Our American cousins, who arenothing if not inventive, have endeavoured to reconcile theclaims of hygienic science with the sanctity of the oath bymaking the ritual of swearing aseptic. At the Court ofSpecial Sessions of New York a new Bible with celluloidcovers has been provided for the use of witnesses. A ministerof the law has been instructed to sponge the cover after eachwitness has kissed the book in due form. At the close of theday the sacred volume is washed in a solution of carbolicacid.

INOCULATION AGAINST ENTERIC FEVER.-Since ProfessorWright's visit to Bangalore-where, as we have already an-nounced, he inoculated250soldiers of theWest Riding Regimentagainst enteric fever-he has been at Rawal Pindi, and hasaddressed the "Queen's8" on the advantages of inoculation,pointing out that 1,500 men are annually ill with entericfever and that 3oo die. He stated that, of 200 attendants atthe'Maidstone Asylum, 95 were inoculated, and none con-tracted enteric fever during the epidemic there, while ofthose who refused to undergo the process, I9 suffered fromthe disease. Further, that at Khartoum, cf 8young sub-

alterns, 6 consented to inoculations and the other 2 agreed totake their chance; I was very ill with enteric and the otherdied; the inoculated officers escaped. He added that he hadinoculated 3,000 troops, and had proved by their medicalhistory sheets that more than half of this number nevercaught enteric fever.VITAL STATISTICS OF EGYPT.-A report containing a sum-

mary of statistics of births and deaths in Egypt for the fiveyears I886-90 has been issued recently by the StatisticalBureau of the Ministry of the Interior of the Egyptian Govern-ment. The delay in the appearance of the report is ex-plained by the necessity of revising and verifying the statis-tics of births and deaths relating to the city of Cairo, whichwere found to be inaccurate, and by the fact that a census ofEgypt was taken in i897, the results of which it was thought.desirable to await in order to obtain a more correct estimate.of the population of the fourteen towns whose vital statisticsare displayed. The figures which constitute the basis of thissummary are admittedly deficient and faulty, both as regards.number of events and accuracy of assigned death causes.They are, therefore, of very doubtful scientific value; still,from an administrative point or view, it appeared desirable to-tabulate them more for the purpose of comparison with future.registrationthan as atrustworthyrepresentation of thereal factsof Egyptian vital movements. The report is admirably drafted,.the tables and charts are most skilfully constructed, and theconclusions drawn from them clearly stated. The statisticsof the native and foreign populations are separately shownand in great detail. The pity is that so much labour andingenuity have been expended on such faulty material. The.section relating to hospital statistics embraces the periodI887-90, and includes the transactions of nineteen institutions_Particulars are also given regarding six hospitals for foreignersin Cairo and Alexandria.THE MEDICAL PROFESSION IN GERMANY.-According to the-

Reichsmedicinal-kalender which has just appeared, the totalnumber of medical practitioners in the German Empire atthe end of I898 was 25,757, being an increase of j884 as com-pared with the previous year. While the increase in the.general population in I875-85 was 9.7 per cent., and in I885-95,iI.6 per cent., the number of medical practitioners increasedin I876-87 by I5.4 per cent., in I887-95 by 46 per cent., andsince I895 by 1I.5 per cent. The number of practitioners inPrussia is now 15,454, in Bavaria 2,803, in the kingdom ofSaxony II I, in the kingdom of Wuirtemberg 851, in the GrandDuchy of Baden i,ooO, in the Grand Duchy of Hesse 651, inrAlsace-Lorraine 767, in the State of Hamburg ew, in Meek-lenburg-Schwerin 276, in Brunswick 234, in Saxe-WeimarI95, in Oldenburg i44, in Bremen 14I, in Anhalt I37, IDSaxe-Coburg-Gotha io8, in Saxe-Meiningen 92, in Saxe-Altenburg 74, in Ltibeck 66, in Lippe-Detmold 53, in-Schwarzburg-Rudolstadt 39, in Mecklenburg-Strelitz 36,in Waldeck 34, in Schwarsburg-Sondershausen 32, in Schaum-burg-Lippe i9, and in Reuss i8. The proportion of medi-cal practitioners to population in the whole Empire is 4.93 per-IO,ooo. In Prussia it is 4.85, in Bavaria 4.82, in Saxony 5.13,in Wiirtemberg 4.09, in Baden s.8o, in Hesse 6.27, in Mecklen-burg-Schwerin 4.62, in Alsace-Lorraine 4.67, in Hamburg 7.98,in Bremen 7.I8, and in Lubeck 7.92. In Munich the propor-tion of doctors is 14.2 per io,o0o inhabitants ; in Dresden it is12.1, in Leipzig 10.2, in Strassburg 15.2, in Stuttgart 12.3, inNiurnberg 7.7, in Brunswick 8.5, and in Chemnitz 5.9. In the.other chief towns the number of medical practitioners rela-tively to population is as follows: Berlin 1 in i, Breslau i in774, Cologne I in 1,054, Frankfort-on-the-4ain i in 783,Charlottenburg I in 532, Konigsberg I in 735, Hanover I im895, Halle I in 582, Magdeburg I in 1,269, Dfusseldorf ini1,107, Stettin I in 957, Danzig I in 872, Aachen I in 1,159,.Altona I in I,773, Dortmund I in i,545, Elberfeld I in 2,144,Barmen I in I,984, Krefeld I in 2,o83. The number of doctorsin Germany tends steadily to increase. During the last sum-mer semester there were 8,633 students of medicine in theuniversities, as compared with 8,310 in the correspondingsemester of I897.THE French Otological and Laryngological Society will hold

its annual meeting this year in Paris on May ist and follow-ing days. The questions proposed for discussion are: (i)Anosmia; (2) Testing of the Hearing Power.

Tin Banum 1372 MZDICAL JOURNALJ MEDICAL NEWS. IIgAPXH 4, 1SW-

MA3RCH 4, 1899.1 VACANCIES AND APPOINTMENTS.

MEDICAL EDUCATION IN CONSTANTINOPLE.-Professor Rieder2Bey,who was some time ago entrusted with a commission toreorganise the Turkish Imperial Faculty of Medicine, and alsothe School of Military Medicine of Constantinople, has pre-

sented a detailed report in which he recommends a consider-able extension of the courses of clinical instruction and prac-

tical studies. The pupils of the Military Medical School willin future be required to attend Professor Rieder's clinic fortwo years after taking their degree before they are sent to jointheir regiments.MEDICAL WOMEN IN ROUMANIA.-By a recent ordinance of

the Superior Sanitary Council of Roumania women will nothenceforth be permitted to hold the office of plasa medicalofficer (a sort of Poor-law doctor paid by the State) or physi-cian to a communal hospital. Only large hospitals, withspecial departments for diseases of women, are to be allowedto have female physicians or surgeons on the staff. As thereare very few such hospitals in Roumania, this ordinancepractically closes the door of public employment in the faceof the medical woman in that country.THE IRISH MEDICAL SCHOOLS' AND GRADUATES' ASSOCIATION.

-The St. Patrick's Festival Dinner of the Irish MedicalSchools' and Graduates' Association will this year be held on

SaturUay, March i8th, at 7.15 P.M., at the Cafe Monico,Piccadilly Circus. The chair will be taken by the President,Sir William Thomson, of Dublin. The Association will havethe honour of entertaining as the guest of the evening a

distinguished Irishman, General Sir George White, V.C.,G.C.B., G.C.S.I., G.C.I.E., the Quartermiaster-General, and

late Commander-in-Chief in India. We are requested tostate that as a very large attendance is anticipated, membersshould make early application for dinner tickets for them-selves and their guests to the Honorary Secretary, 46, HarleyStreet, W.A CONGRESS ON LIFE INSURANCE.-A Congress on Life In-

surance is to be held in Brussels from September 25th to 30th,I899. A circular has been sent out by Dr. Poel, Chief Phy-sician to the Belgian Company of General Insurances, statingthe objects of the Congress to be to establish closer fraternalrelations among physicians connected with insurance offices,to centralise statistics, and to submit to general discussionmedical questions connected with insurance. Among thesehe mentions the following as instances of the importantmatters with which such a congress might profitably deal: Thecontinuity of morbid states throughout life; the study of con-

stitutional flaws; the admissibility of glycosuric, albumin-uric, and syphilitic lives; neurasthenic patients; traumaticneuroses (accidents); statistics as regards life and as regardsaccidents; the necessity of a uniform medical schedule inregard to life insurances; general paralysis; professionalsecrecy in regard to insurance companies, etc. The hope isexpressed that one result of the Congress may be the forma-tion in each country of a permanent committee which shoulddeal especially with medical questions regarding life insur-ance.

MEDICAL VACANCIES.The following vacancies are announced :

BIR1IINGHAM AND MIDLAND HOSPITAL FOR SKIN AND URINARY DISEASES.-Climucal Assistant. Applications to the Secretary, John Bright Street, Birmingham,

b,y A.La.i L

BRISTOL CiTY HOSPITALS.-Residfnt Medical Officer at the Ham Green Fever Hos-pital. Salary, £100 per annum, with board lodging, and washing. Applications toDr. D. S. Davies, Public Health Offices, 40, Prince Street, Bristol, by March 18th.

UHELSEA HOSPITAL FOR WOMEN, Fulham Boad4 S.W.-Registrar. Honorariumguineas per annum. Applications to the Secretary.

-OVENTRY AND WARWICKSHIRE ASYLUM Coventry.-Assistant House-Surgeon.Appointment for six months, subject to re-election. Salary at the rate of £M0 per

annum, with rooms, board, washing, and attendance. Applications to the Secretaryth

'CUMBURLAND INFIRMARY, Carlisle.-Assistant House-Surgeon. Salary, £40 per

annum0with board, lodging, and washing. IApplioations to the Secretaroy by

DENTAL HOSPITAL OF LONDON Leicester Sqnare.-Assistant Anesthetist. Appli-cations to the Secretary by March 20th.

EAST LONDON HOSPITAL FOR CHILDREN, Shadwell, E.-House-Surgeon. Boardand residence provided, and honorarium of £25 on completion of six months' approved

servio. Applications to the Secretary by March 18th.

EDINBURGH UNIVSRSITY.-Lecturer on Diseases of Tropicaldlimates. Applicationsto the Secretary of the University Court by March 6th.

EDIBIBURGH: VICTORIA HOSPITAL FOR CONSUMPTION.-Resident Physician;and a Non-resident Medical Officer. Appointments for six months. Salary at the

rates of £20 and £60 per annum respectively. Applications to the Honorary Secre-taries, 1, North Charlotte Street, Edinburgh, by Mlarch 11th.

ILASGOW uNIViy Iiy.-Professor of Pathology. Salary, £1,100. Applications to AlanB. Olapperton. Secretary olthelGlasgow university Court, 91,1West Pegent Stieet-Glasgow, by March 24th.

GREAT NORTHERN HOSPITAL.-Sorgeon to In-patients; must beF.B.P.S. JuniorHoues-Surgeon. Appointment for six months. Salary at the rate of£53 per annum,

with board, lodging, and washing. Also Assistant Aniesthetist.3 Appointment for

six months but eligible for re-election. Honorarium at the rate of 10 guineas per

annum. ipplications to the Secretary for the first by March 15th and for thelatter two by Marcb 20th.

KING'S COLLEGE, London.-Sambrook Surgical Registrar and Assistant OphthalmicSurgeon at King's College Hospital. Appliationsto the Secretary for the former by

March 13th.

LANCASHIRE COUNTY ASYLUM, Whittingham. Junior Assistant Medical

Officer, unmarried and not over 30 years of age. Salary, commencing at£100 per

annum,increasing to£250, with furnished apartments, board, attendance, andwashing. Applicationstb the Medical Superintendent.

LEICESTER INFIRMARY.-Afssstant House-Surgeon. Honorarium£42 for twelvemonths, with board, residenoe, and washing. Applications to the Secretary, 24,Friar Lane, Leicester, by March 20th.

LIVERPOOL NORTHERN HOSPITAL. -Assistant House-Surgeon. Salary,£70 per

annum with residence and maintenance. Applications to the Chairman of the Com-mittee by March 9th.

LONIDSN HOSPITAL, Whitechapel, E.-Surgical Registrar. Salary, £100 per annum.Applications to the Rouse-Governor by March 16th.

LONDON TEMPERANCE HOSPITAL, HampsteadRoad, N.W.-Assistant ResidentMedical officer. Appointment for six months. Residence, board, and washing pro-

vided. and honorarium of 5 gaineas. Applications to the Secretary by March 16th.

METROPOLITANHOSoPlTAL, Kingsland Road, N.E.-House-Physician House-Surgeon,AssistantHouse-Physician, and Assistant House-Surgeon. Appointments for sixmonths. The two former will receive salaryat the rate of£40 per annum, and the

two latter at the rate of£20 per annum. Applications to the eecretery by March13th.

MILLER HOSPITAL AND ROYAL KENT DISPENSARY, Greenwich Road SB..-Junior Resident Medical Officer. Salary,£40 per annum, with board, attenaance,and washing. Appointment for six months, with prospect of re-election as Senior.Applications to the Secretary by March 8th.

PLYMOUTH: iSOUTH DEVON AND EST CORNWALL HOSPITAL. AssistantHouse-Surgeon. Appointment for six months, but renewable. Salary at the rate of

£50 per annulm, with board and residence. Applications to the Secretary byMarch11th.

ROYAL COLLEGE OF PHYSICIANS OF LONDON AND ROYAL ICOLLEGE OF

SURGEONS OF ENGLAND.-Director of Conjoint Laboratories. Applications to theSecretary, Examination Hall, Victoria Embankment, W.C., by March 15th.

ST. GEORGE HANOVER SQUARE PaOVIDENT DISPENSARY Little GrosvenorStreet.-Resident Medical Officer. Salary, £100 per annum, with allowance about£80,and residence. Applications to the Secretary by Mfarch 10th.

SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN Marylebone Road,N.W.-Ancesthetist. Honorarium,£20 per annum. Applicatioasto the Secretary byMarch 10th.

STAFFORDS SIRE GENERAL INFIRMARY, Stafford.-Assistant House-Surgeon.Salary, £30 per annum, with board, lodging, and washing. Applications to the

House-Surgeon by March 15th.

STOCKPORT INFIRMARY.-Assistant House-Surgeon and Visiting Surgeon. Salary,£70 per annum, with board, washing, and residence. Applicationis to the Secretaryby march 14th.

VENTNOR: ROYAL NATIONAL HOSPITAL FOR CONSUMPTION.-Clinical Assistantfor three or six months. Residence, board, and washing provided. Applications tothe Resident Medical Officer.

WEST BROMWICH DISTRICT HOSPITAL.-Resident Assistant House-Surgeon. Ap-pointment for six months. Board, lodging, and washing provided. Gratuity£20.Applications to the Secretary.

WEST LONDON HOSPITAL, Hammersmith Road, W.-House-Physician and House-Surgeon. Appointments for six months. Applicationsto theSeoretary-Superintendentby March 22nd.

MEDICAL APPOINTMENTS.ADAMs, W. D., M.B., appointed Medical Officer of the Workhouse and the Second District

of the Guiltcross Union.

ALLEN, W., M.D., appointed Medical Officer of Health to the Benfleldside UJrban DistrictCouncil.

BENNETT, F. D.,M.R.C.S., L.R.C.P., appointed Assistant Anesthetist to the Royal EarHospital, Frith Street, Sobo.

BENSON, P. L., M.D., D.P. Hl., reappointedMedical Officer of Health for Rural District ofBuckingham.

BRODRICK,c C., L.R.C.P., L.R.C.S.Edin., appointed Medical Officer of Health to theTavistock Urban District Council.

COOPER, Alfred, F.R.C.S., appointed Honorary Consulting Surgeon to the St.Mark'sHospital.

CURETON, Edward, M.D.Brux. M.R.C.P.Edin., appointed Honorary Consulting Physicianto the Montgomeryshire Infirmary.

FENWICK, P. Clennell, M.B.Lond., M.R.C.S., L.R.C.P., appointed Surgeon to Christ.church Hospital, New Zealand.

FORSYTH, Robert, M.B.,C.MGlasg.. appointed Medical Officer and Public Vaccinatorfor the Cramlington District oi the Tynemouth Union, vice Robert Anderson, M.D.,resigned.

GIBBONs. Henry, K.B.,C.M.Aberd., appointed Medical Officer for the Desborough Dis-trict of the Kettering Union.

HODGES. James M.R.C.S.Eng., L.S.A., appointed Medical Officer of Health to the

Edmonton Urban District Council.KERPE, Gilbert, M.D., B.S.Dunelm, M.R.C.S.Eng. L.R.C.P.Lond., appointed Medical

Officer of Health for the Salisbury Rural Distric.LANGSTON, John James, L.R.C.P.I., L.M., L.S.A., appointed Medical Offlcer for the No.6

District of the Lambeth Union.LAl-ERICK, J. B.. M.B., C.M.Glasg., appointed Medical Officer for the Lythe District of

the Woitby Union.

MILLER, Robert Craig, M.B., appointed Medical Officer for the Dervock DispensaryDistrict, vice P. G. Camack, MD.Glasg., resigned.

MORE, John, L.R.C.P.Lond., M.R.C.S.Eng., appointed Medical Officer for the RothwellDistrict of the Kettering Union, vice James More, M.D. idin., resigned.

NORMAN, Frederick, M.D Brux., D.P.H., L.R.C.P.Lond., M.R.C.S., appointed, MedicalOfficer for the Bighth District of the Lambeth Union, vice Dr. Percy Fox.

PRATT, John W., L.R.C.P.Edin., M.R.C.S., reappointed Medical Officer of Health to theWiveliscombe Urban District Council.

BOBERTs, K., L.R;C.P.Lond., M.R.C.S., appointed Medical Officer of Health to theAmpthill Rural District Council.

Ross James M., M., C.M., B.Sc.Edin., appointed County Medical Officer of Health for

W'ilts.SPROULLE, A B R C PL.R.C.P.I., appointed Medical Officer of Health to the

Withernsea UIrban District Council.TAYLOR, E. C., M.D., appointed Medical Officer of the Workhouse of the Parish of

St. John, Hampstead.ST. THOMAs's HosPITAL.-The following gentlemen have been appointed House Offlcers

from March 7th:

House-Ph,sicians.-E. A. Gates, L.B.C.P., M.R.C.S.; A. E. Stevens, M.B.Durh.,L.R C.P., M.R.C.S.

Assistant House-Physiclans.-E. H. Ross, L.R.C.P., M.R.C.S.; H. Thorp, M.A.,

M.B., B.C.Camb.House-Surgeons.-S. 0. Bioham, L.L.C.P lM R S E. M. Corner MA., MB.

B.C.Camb BSc.Lond. ,L.R.C.P., M.R.C.S.;. A. Barnes, L.H.P., MAJ.8.; J.IE.

KilRlvert, f.l.b.P., Dl.Ra.s. '.-

Txx BzrriumLMEDICAL JOURENAR 573

TEu BRIT8 1 DMARCH 4, H899.574 MBLICAL JOURNAt DIARY.

Assistant House-Surgeons.-H. J. Phillips, L.H.C.P., M.R.C.S.; P. W. (O. Sargent,M.&., M.B., B.C.Camh., L.R.C.P., M.R.C.S.; S. A. Lucas, L.R.C.P., M.R.C.S.; }. *. D.Acland, L.R.C.P., M.R.C.S.Obstetric House-Physicians.-(Senior) R. H. Bell, M.A. M B., B.CCamb., LB.C.P.,

M.R.C.8. (Junior) S. H. Belfrage. M.B.Lond., L.R.O.P.. iM. W..S.Ophthalmic liouse-8urgeons.-(Senior) J. S. Hall, L.R.C.P., M.R.C.S.; (Junior) T.

Hoban, L.R.O.P., M.R.0.8.Clinical Assistants in the Special Departments for Diseases of the Threat, Skin, and

Ear.-Throat: B. C. Bourdas, L.R.C.P., .R.C.S. Skin: J. Gaff, L.B.C.P., M.J.C.S.Bar: A. W. Jones, L.R.C.P., M.R.C.S.Clinical Assistant in the Electrical Department.-A. Bevan, L.R.C.P., M.R.C.S.Several other gentlemen who held offices before have received an extension of their2

appointments.

DIARY FOR NEXT WEEK.

MONDALY.Medical Soeciety of London, 8.30 p.m. Royal College of Surgeons, 5 P.m.

-Dr. Samuel West: Some of the Clinical -Professor e. G. Parsons: On JointsAspects of Granular Kidney. (Lettso- of Mammals contrasted with those ofmian Lecture III.) Man. (Lecture I.)

West London Post - Graduate Odontological Society of GreatCourse, West London Hospital, W., Britain, 40, Leleester Square, W.C.,5 P.i.-Mr. L. A. Bidwell: The Examin- 8 P.m.-Papers by Mr. C. S. Tomes andation of the Abdominal Viscera. (Lec- Mr. F. T. Paul. Casual communicationture I). by Mr. Ashley Barrett.

TIYESDAY.West End Hospital ror Diseases Royal College of Physicians of

of the Nervous System, 73, Welbeek London, 5 P.m.-Dr. G. R. Murray: OnStreet. W., 4 P.i.-Dr. T. D. Savill: the Pathology of the Thyroid Gland.Electricity in the Treatment and Dia- (Goulstonian Lecture I.)gnosis of Diseases of the Nervous Sys- Pathological SocletY of london,tem. 20, Ianover Square W 8.30 P.M.-Ad-

National Hoipital for the Para. inurned discussion on Pseudo-tubercu-lYsed and Epileptic, Queen Square, losis. The following speakers are ex-w.C., 8.30 P.i.-Mr. Ballance: Sur- pected to take part iii the debate: Dr. J.gery of the Nervous System. F. Payne, Professor John MacFadyeaj,

Chelsea Clinical soclety, Jenner Mr. Foulerton, Dr. Wethered, Mr. W. C.Institute of Preventive Medicine, 8.30 Pakes.Dr.W.S. Lazarus- arlow. Ltan-P.x.-Dr. Allan Macfadyen: Enteric tern 8lides, microscopic slides, and speci-Fever and Diphtheria in theirBacterio- mens illustrating pseudo-tubercll sislogical Aspects. will be shown. Other card specimeiis

will also be shown.WEDNESDAY.

Medical Society of London, White- Royal London Ophthalmic Hos-hall Btooms, Hotel Mdtropole,,7.30 P.m.- pital, Moorfields, 1 P.i.-Mr. Nettle-126th Anniversary Dinner. ship: On Retrobulbar Neuritis.

Royal Coliege of Surgeons, 5 P.m. Re ital for consumpnpon and-Professor F. G. Parsons: On Joints DIseases of the Chest, BromDton, 4 P.m.of Mammals contrasted with those of -Dr. Aeland: On Bronchiectasis.Man. (Lecture II.) Hunterian Society, 8.30 P.m. -

Dermatologteal Society or Lon. Pathological evening. Specimens willdon, 11, ahandos Street, Cavendish be shown by Sir Hugh Beevor, Dr.Square. 5 15 P.m.-Demonstration of Goodall, Dr. F. Oliver, Mr. Targett, andClinical ases, other Fellows.

SAnitary Institstte, 8 P.M.-Discussion Evelina Hospital, S.E., 4.30 P.i.-Dr.on the EstablishmOnt of Public Abat- Frederic Willcocks: Citnical Demoustra-toirs in the Metropolis in relation to the tion on Mledical Cases (Post-graduatePrevention of Ttuberculosis, to be opened Course).by Dr. W. A. Bonld.

THURSDAY.Royal College of Physiclans of St. John's Hospital ror Diseases

London 5 P.m.-Dr. G R. Murray: On of the Skin 49. Leicester Square, 4.30the Pathology of the Thyroid Gland. P.m.-Dr. A fred Eddowes: Cases of(Gouletonian Lecture II.) Keloid and other Affections of Scars.

Hospital nor Sick Children, Great British Gynsecologlcas Society,Ormond Street, W.C., 4 p..m-Dr. 8.30 P.x.-Specimens will be shown byBarlow: Demonstration of Selected Mr. C. tyall and Dr. Winson E.amsay.Cases. Papers: Dr. Granville Bantock: The

Ophthalmologieal Society of the Modern Doctrine of Bacteriology or theUnited Kingdom. - Card Speimens Germ Theory of Disease, with specialat 8 P.m. Papers at 8.30 P.i.-Mr. C. reference to gyneecology. Dr. JamesD. Marshall: Epithelial Implantation Oliver: Adenoma Universale of theCysts of the iris. Mr. Work Dodd: Endometrium infiltrating the Myome-Green Vision in a case of Tabes Dorsalis. trium.Messrs. Arnold Lawsonand Sutherland: West London Post * GraduateFurther note on a case of Albuminuric Course, West Iondon Hospital, W.,Retinitis in a Child. Mr. E. Donaldson: 5 P.X.-3mMr. L. A. Bidwell: The Examin-Strabismus Fixus. ation of the Abdominal Viscera. (Lec-

london Temperance Hospital, ture II.)2 P.i.-Dr. Soltau Fenwick: Clinical Charing Cross Hospital, Post.and Pathological Demonstration to Graduate Course, 4 p.i.-Mr. Gibbs:Senior Students. ! - Demonstration of Surgical Cases.

FRIDAY.Royal College or Surgeons, 5 P.i. Mr. A. E. Barker and Dr. N. Nabarro:-Professor oe. G. Parsons: On Joints A. case of Pancreatic Cyst treated by In-M

of Mammals contrasted with those of cision and Drainage. Mr. Battle: Re-Man. (Lecture IIl.) moval of a large Fungating Tumour of

Clnitcal Soclety ot London. 8.lprm., the Skull withl subsequent grafting of- Mr. Betham Robinson :1 Hydatid the dura mater. Mr. Arbuthnot Lane:Cysts of the Upper Lobe of the Right A case of Erasion of the Ankle-jointLung and Liver successfully Removed. illustrating a new Operative Procedure.

BIRTHS, MARRIAGES, AND DEATHS.The chargefor inserting announcements of Births, Marriages, and Deaths is

.58. 6d., which s8m should be fOrwarded in post -office order or stamps withthe notice not later than: Wednesday morning in ord4r to insure insertion inthe current issue.

BIRTHS.COLE.-On February 23rd, atlSneinton, Nottingham, the wife of ,George Cole, M.R.C.S.,

L.B.C.P., of a daughter.HARGREAVES.-On Janary 10th, at Akaroa, New Zealand, the wife ot W. H. Hargreaves,

M.R.C.S.Eng., L.C.O.P.Lond., of a daughter.MRRIAGtE.

SHINSE-FITZGERALD.-On February 14th, at Holy Trinity Church, Brook Green,London, b.v the Rev. Father Grant, assisted by the Rev. Father Hill, Holyrood,Barnsley, John Power Shine, 1K,B., of Bicket Vill, Barnsley to Margaret MaryJosephine (G#reta) Apjohn, fourth daughter of John Connel Fitzgerald, Req.,Abington House, Murros, co. Limerick.

DEATH,AXRKLE-.On Pebru Sind.1 at 66, Wlujpolehtret . rmPenoi h bJehArkle, M.Deb uEt. ilth son oftW e lateeatet, W from Lieaona. Charles Jseph,ly.W.V.MhooofthlateBenjamin &ikl-b,aoLi-verpool1agedt37.1

HOURS OF ATTENDANCE AND OPERATION DAYS AT THELONDON HOSPITALS.

OANCER,Brompton (Free). Attendance8.-Daily,2. Operations.-Tu.W.F.,2.CENTRAL LONDON OPHTHALMIC. Attendances.-Daily, 1. Operations.-Daily.C3NTRAL UONDON THROAT, NOSE, AND EAR. Attendances.-3M. W. Th. S., 2; TR. F.,

5. Operations.-I.p., TU., 2.30; o.p., F., 2.CHARING OROss. Attendances.-Medical and Surgical, daily, 1.30; Obstetric, Tu. F.,1.30; Skin, M. Tb1., 1.45; Dental, M., 9: Throat and Ear, [., 9.30. Operation8.-Th. F.8.,CHELSEA HOSPITAL FOR WOMEN. Attendances.-Daily,1.30. Oper:ztions.-31. Th. F.,2.CITY ORTHOP.EDIC. Attendances.-M. Tu. Th. F., 2. Operations,-M., 4.EAST LONDON HOSPITAL FOR CRILDEEN. Operations.-M. W. Th. F., 2.GtEAT NORTHERN CENTRAL. Attesdances.-Medical and Surgical, 31. Tu. W. Th. F.,

2.30; Obstetric, W., 2.30; Eye. M. Tb 2.30; Throat and Ear, Tu. F., 2.30; Skin, W., 2.80;Dental, W., 2. Operatiois.-M. W. TLF.

Guy's. Attendancep.-Medical, daily, 2; Surgical, daily. 1.30 - Obstetric, 3. Tu F. 180'Eye, M. Tu. Th. l., 0.30 Ear Tu., 1; Skin, Tu.. 1; Dental, daily, 9; Throat, Y.. 2:Operations.-Tn. F., 1.30; (Ophthalmic), M., 1.30; Th., 2.

HOSPITAL FOR WOMEN, Soho. Attendances.-Daily, 10. Operations.-M0. Th., 2.1KING'S COLLEGE. Attendances.-Medical and Surgical, daily, 2: Obstetric daily 2-

o.p., daily, 1.30; Eye. 30. W. Th., 1.30 Ear Th.. 2.30; Throat, 3l., 1.30; F., 2; Wental, M.Th., 10; Skin, W., 1.30. Operations.-W. l'h. F., 2.

LONDON. Attendances.-Medical, daily, i.p., 2: o.p., 1.30; Surgical daily, 1.30 and 2-Obstetric, M. Tu. Th. F., 2; op S. 1.30; Eye, Tu. B., 9; tr, W, 9; Skin, Th.,9,Dental, Tu., 9. Operations.-Daily, 2.

LONDON TEMPERANCE. Attendances.-Medical, M. Tn. W. Th. F., 1.30; Surgical, M. Th.,1.30. Operations.-M. Th., 4.80.

LONDON THROAT, Great Portland Street. Attendances.-Dauly, 2; Tu. F., 6. Operations.-Daily, 2.

METROPOLITAN. Attendances.-Medical and Surgical, daily, 2; S., 9; Obstetric W 2-Eye, W., 2; Throat and Ear, Th., 2; Dental, Tu. Th. S., 9. Operations.-Tu. WI., 2.h0Th., 4.

MIDDLESEX. Attendances.-Medical and Surgical, daily, 1.80; Obstetric, Tu. Th., 1.30-o.p., M., 9; W., 1.30; Eye, Tu. F., 9; Ear and Throat, Tu. F., 9; Skin, Tu., 4; Th., 9.80Dental, Al. F., 9.30; W., 9. Operations.-Daily, 1.30.

NATIONAL C)RTHOP2.DIC. Attendances.-M.Tu. Th. F., 2. Operation8.-W., 10.NEW 1 OSPITAL FOR WOMEN. Atte;idanceo.-Daily, 2; Ophthalmic, W. S., 9.30. Opera.tions.-Tu. F., 9.

NORTH-WEST LONDON. Attendances.-Medical,daily, exc. S., 2; B., 10; Surgical, daily,exe. W., 2; W., 10; Obstetric, W., 2; Eye, W., 9; SKin, F., 2; Dental, F.,9. uperatiosss.-Th., 2.30.

ROYAL EAR, Frith Street. Attendances.-M. W. F., 3; Tu. F., 9.80 and 7.80. Operation..-nu., 3.

ROYAL EYE, Southwark. Attendances.-Daily, 2. Operations.-Daily.ROYAL FREE. Attendances.-Medical and Surgical, daily, 2: Diseases of Women Tn. S.

9: Eye, 31. F., 9; Skin, Th., 9; Throat, Nose, and Ear, W., 9. Operations.-B.2S.,2kOphthalmic), M0. F,, 10.30; (Diseases of Women), S., 9.

ROYAL LONDON OPHTHALMIC. Attendances.-Daily, 9. Operations.-Daily, 10.ROYAL ORTHOP2EDIC. Attendances.-Daily, 2. Operations.-M., 2.ROYAL WESTMINSTER OPHTHALMIC. Attendances.-Daily, 1. Operations.-Daily, 2.ST. BARTHOLOMEW'S. Attendances.-Medical and Surgical, daily, 1.30; Obstetric,M.W.F.,2; o.p.,W.S.,9; Eye,M.Tn.W.Th.S., 2- op.,M. Th.,; W.S. 2.0; Ear.Tu. F2; Skin Tu 9; Larynx, TU. F., 2.80; OrthopHedic, 30., 2.30; Dental, T'. F., 9: Electri-cal, 30; Tun. 5'h. F., 1.30. Operations.-Daily, 1.30; (Ophthalmic), Tu. F. 2; AbdominalSection for Ovariotomy, F., 2.

ST. GEORGE'S. Attendances.-Medical and Surgical daily; i.p., 1 op. 12' Obstetrici,p., Tu. P. 1.45; op.3M. Tu., 2.8 * Ee W. S. 1.80; Ear, 1ld., 2; Skin W. 2'45' ThroatF., 2; Orthoptedlic, F., 12; Dental', MV.ita. F., 5., 12. Operations.-Daily, 1; Ophtbalmio30, 1; Dental, Th., 9.

ST. MARK'S. Attendanzces.-Fistula and Diseases of the Rectum, males, S., 2; temales,W., 9.30. Operations.-M., 9; Tn., 2.30.

ST. MARY's. Attendances.-Medical and Surgical, daily, 1.45; op., 12.45: Obstetric, Tu.,F., 1.45; op.. 31. Th., 1: Eye, Tua F., 9; Ear, 3M. Th., 9; Throat, Tu. F. Skin I3 hb9; Dental, W. S., 9 Electro-Therapeutics, 31. Th., 2.30; Children's Me&ical, u.F., 9Cperations.-M., 2.30: Tu. W. F., 2; Th., 2.30; S., 10; (Opathalmlc),F.,10.

ST. PETER'S. Attendaxces.-M., 2 and 5-; Tu., 2; W., 5; Th., 2; F. (Women and Children),2; S., 4. Operationts.-W. F., 2.

ST. THOMAS'S. Attendances.-Medical and Surgical, M. Tu. Th. F., 2; op. daily 1.80;Obstetric, Tu. F., 2 o.p. W B., 1.30; Eye, Tu. F. 2- o.p., daily, exc. S., 1.60; Ear, 3.,1830' Skin, F., 1.80' 'Throat Th 1.80;- hildren, S., 1.;0; Electro-therapeutics, o.p., Th.,2;*iental Diseases o.p Th.,10; Dental, Tu. F.. 10. Operations.-M. W. Th. S., 2' Tu.F., 30; (Ophthalmic), Th., 2, (GynEecological), Th., 2.

SAXARITAN FREE FOR WOMEN )ND COHILDREN. Attendances.-Daily, 1.80. Opera-tios.-GynEecological, M., 2.; W.1 2.80.THROAT, Golden Square. Attendances,Daily, 1.30; Tu, F., 6.30. Operations.-Daily,ex¢. M., 10.

UNIVERSITY COLLEGE. Attendteces.-Medical and Surgical, daily, 1.80; Obstetrlcs, M.F., 1.30; Eye, M. W., 1.80' Ear M. Th., 9; Skin, Tn. F., 2; Throat,M. Th., 9; Dental, Tu.F., 9.30. Operations.-Tn'. W. bh., 2.

WEST LONDON. Attendances.-Medicaland Surgical daily 2; Dental, Tn. 'F 9.80* EyeTu. Th., 2- Ear, Ta 2 S, 10; Orthopeedic W., 2'-iseas4s of Women, W.S.,2; Elecgtri, M' Th2 SkinI, Ui. F.,2'; Throat Zia Nose, Tu., 2; 5., 10. Operationi.-Daily,about 2.30; P., 10.'

WESTMINSTER. Attencdances.-Medical and Surgical daily 1 Obstetric, 3. Tu. F.,1830- Eye Ti. F., 9.30; Ear, Tu., 1.30; Skin, W.- I130; bentai, W. A., 9.15. Operatios,.-M. i. W2., 2.

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