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4
APRIL 3, 195) MIEMORANDA. [ TE BRITISH 5 provisions only, for the Inidians in the vicinity liad long since kiltod or driven away all bush ganme. One night wvas spent in:a lian-uinocl. in an Indlian's hlut, and here I was attacked by large numibers of bed-b4ugs :which caused me intolerable distress. Th-e attaek- of angio-neturotic oc,dema comiimelnced- in tlle fcet - alnd terminatedI -by attacliinig the tongue; otlher parts, affected. were the genpitals, hauds-, upper anid lower lips, andl throat. It was acconipanied by a very severe ancd abuindlant pustular eruption, resemlbling impetigo, most pronounced on the trkink and extremities; this set uip a great deal of con- stitutionial disturbance with pyrexia. In contrast to tlle casC of X., thlere lhas been no return of the swellings. Dr. Bvi-o7 i Bram-iwell, in hiis Clinical Stttdlies, vol. v, p. 375, Tile characteristic features of the dlisease are: (1) The occur- renice at irregular intervals,-usually witlotht any obvious exciting cauise, of (a) oeenematouLs swellings-in various parts of tthe body, an(d (b) of attacks of abdominii-al pain anid vomniting; and (2) the fact that the disease is hereditarv. I klnow of no evidence of this comnplaint in any nmember of.mbly family, neitlher did I suffer from the severe visceral pienomena said to be . so clharacteristic of this somewhat rare affection. Dr. Byrom Bramwell also says (p. 396): Thle disase is often fatal and uisually (? always) k-ills by im- plfcatihig thie throat ith6 prodluctioil of oedemna glottidis). So far as I know, n-o treatmeilt hiitherto has been successfuil. In conclusion, I would lilke to cldraw attention to the fact that in this couniitry the iuontlis of August and September' are always particuldarly ho't nd trying. I wish very imlluch to tlhanli Dr. Harrison and Dr Calsel fo<the a'ssistance tlhey lhave s;o kindly given nie, and also Dr. Austin for .tlle Is-o of hiis valuable notes. MEDICAL, SURGICAL, OBSTETRICA1L. INFECTION FROM CLOTHES IN ENTERIC FEVER AND OTHER COMMUNICABLE DISEASES. FOnRTUJNATELY inocUiiation is so successftul against ente5ic fever tlat tllere is niot the samue fear of the spread of the disease as formiierly; but tlherc are otlher contagious and infectious dliseases against wljiclh at present w%e lhave no 'meains of relncdering imlen- immn-ie. It is to call attenttion to a possible cauLse of the spreading of infectious (liseases, a cause forgotten or not tlhoughlt of in the lhurrly of pre- paiations for war, that I wvrite to relmiiind miedical officers w.itlh troops of a practice l01ich prevailed in tlle Carlv part of tlhe Boer war, and, perlhaps, occasionally now-thdat is, the returning to men leavinog hos;pital of their clothes fromi the pack store unsterilized. On the occasion of an outbreak of enteric fever in a rcst canmp I found tlle clotiJes, great-coats, etc.,of men whlio lhad retLrined from lhospital convalescent after sufferina from enteric fever on slhelves in thie huit alongside the remains of food, hlidden away, suclh as bread, buitter, jam, etc. I found that these clotlhes lhad been worn by the men whilst they were beiDg taken to the lhospital. On arrival at the hospital the clotlhes were rolled up and placed in the pack store. On the men leaving the hospital convalescent, the clotlhes were given back to tllem just as they had been placedl in tlhe pack store. The result of my report was that an order was issued for the sterilization of all clotlhes before being returned to the lmen frolml tlhe pack store. Some time after I investigated anotlher epidemlic of enteric arising in a rest camp. In tllis case I found tllat a luan had come from an out-of-the-way lhospital, where there was no means of sterilizing clothles. He lhad suffered from enteric; Lis clotlhes lhad been talen from hiim on arrival at the lhospital and retutrned to him wn-itlhout sterilization. He came to the rest canlp; tlle result waas several eases of enteric in the rest camiip. At tlle time I reported these cases the spread of enteric bv any m-leans except water anid millk was doutbted, blut the experiments of Majors Firth anid 'Iorrochs, made later, as wvell as the fact that epidenmics of enteric fever have arisen from infected clothes and blankllets, lhave removed all doubts. and it is noow admlitted that enteric fever may be spread by infected clotlhes and flies as well as by water andcl mill. J. AUGUSTUS LEA, 1M.B., F.R.C.S.E., Grahamstowni, South Africa Honorary Major. NOTE ON THE AGGLUTINATION OF THE MENINGOCOCCUS. (Fromn Mobile Laboratory No. 1, G.H.Q.) IT is the experience of all bacteriologists who have worlied witlh the meningococcus that it exhibits very variable agglutination reactions, even to the extent of refusing to agglutinate with an anti-serum prepared from the samie strain. Our experience witlh a rabbit that was immunized with known strains isolated direct from tlle cerebro-spinal fluid is that thje strains that were used to inoculate a r.bbit sometimes fail to be agglutinated by the serum ol tlhe same rabbit. Tlie ability to use the direct agglutiDa- tion metlhod when searching for tlle organism on serumyi agar plates grown from tlle tlhroats of contacts is so valuable, and saves so much time ancd labour, that it is of the first imnportance to be able to place reliance on tlle constancy of tlle reaction. The explanation of the inconstancy of the agglutina- tion reaction that -we offer is as followvs: Tlle mleniingo- coccus is an organism tllat very quickly shows involu- tion formns in culture. Indeed, tlhe presence of these forms, slhown by irreguilarity of staining, is of the greatest aid in tlle identification of the origanism. It is pro- bable that tlhese involution forims are due to autolysis by an intracellular proteolytic enzynme. Wlhatever the origin of tllese forms, their presence in a culture lhas been found by us largely to upset tlle agglutination -process. The folloiving experiment-is given in support of tle statement. that irregularities. in agglutinating are very prone to occur in old cultures, and that. these irregularities disappear wlhen a younlg culture of the same organism is employed: Agyqltivation i11 &Serzom Dilutted 1 i7 .0. Read aftcr 2i Hours. Read after 6 Hours. Straini. 14 Hours' Growth. 48 Hours, Growtlh. price. Good Negative. Coll .... ... Slight Negative. Hienl . , ... , Fair Sliglht. Bal;. . Complete Very, little. Jahn. , Slight Slight. Harr. Good Negative. I3cl.h Good' N egative. Hop. Complete Negative. Pay. Coplete Negative. Car. .. ... Good Negative. The ctultures had been in subcultuLre for very nearly thle same period, all lhaving been isolated about teni days. Controls with normal rabbit serum diltuted 1 in 10 vere uniformly negative. SYDNE.Y ROWLAND, ADRIAN STOKES. MULTIPLE LIPOMATA AND ELEPHANTIASIS IN A COUNTRY SCHOOLGIRL. L. W., aged 12, was hiealtlhy at birth, and was breast-fed. When slhe was about four montlhs old the motlher noticed a swelling in the right mammary region. A swvelling imm-e- diately below tlhis, and anotlher above and to the riglht of the umbilicus, appeared soon after. Thle chIild talked before slhe was a year old, btut did not -walk until she was two years old. The mother tlhen nioticed that tlhe left .leg was thin. She does not know when the swelling of the riglht leg. and tlhiglh appeared, as slhc considered the lefL the bad leg. Thle general hbealth has been good. Thle father, a miner, and thle mnother were hlealthy; of thleir four' chlildrenl thle two brothlers and one sister w5ee hlealthly, hut the youlngest girl, aged 10, was feeble-minded. Thle chlild was anlaemuic and thlin, and( presented largo

Transcript of Good' - BMJ

Page 1: Good' - BMJ

APRIL 3, 195) MIEMORANDA. [ TE BRITISH 5

provisions only, for the Inidians in the vicinity liad longsince kiltod or driven away all bush ganme. One nightwvas spent in:a lian-uinocl. in an Indlian's hlut, and here Iwas attacked by large numibers of bed-b4ugs :which causedme intolerable distress. Th-e attaek- of angio-neturoticoc,dema comiimelnced- in tlle fcet - alnd terminatedI -byattacliinig the tongue; otlher parts, affected. were thegenpitals, hauds-, upper anid lower lips, andl throat. It wasacconipanied by a very severe ancd abuindlant pustulareruption, resemlbling impetigo, most pronounced on thetrkink and extremities; this set uip a great deal of con-stitutionial disturbance with pyrexia. In contrast to tllecasC of X., thlere lhas been no return of the swellings. Dr.Bvi-o7 i Bram-iwell, in hiis Clinical Stttdlies, vol. v, p. 375,

Tile characteristic features of the dlisease are: (1) The occur-renice at irregular intervals,-usually witlotht any obvious excitingcauise, of (a) oeenematouLs swellings-in various parts of tthe body,an(d (b) of attacks of abdominii-al pain anid vomniting; and (2) thefact that the disease is hereditarv.

I klnow of no evidence of this comnplaint in any nmemberof.mbly family, neitlher did I suffer from the severe visceralpienomena said to be . so clharacteristic of this somewhatrare affection.

Dr. Byrom Bramwell also says (p. 396):Thle disase is often fatal and uisually (? always) k-ills by im-

plfcatihig thie throat ith6 prodluctioil of oedemna glottidis). Sofar as I know, n-o treatmeilt hiitherto has been successfuil.In conclusion, I would lilke to cldraw attention to the fact

that in this couniitry the iuontlis of August and September'are always particuldarly ho't nd trying. I wish very imlluchto tlhanli Dr. Harrison and DrCalsel fo<the a'ssistancetlhey lhave s;o kindly given nie, and also Dr. Austin for .tlleIs-o of hiis valuable notes.

MEDICAL, SURGICAL, OBSTETRICA1L.INFECTION FROM CLOTHES IN ENTERIC FEVER

AND OTHER COMMUNICABLE DISEASES.FOnRTUJNATELY inocUiiation is so successftul against ente5icfever tlat tllere is niot the samue fear of the spread of thedisease as formiierly; but tlherc are otlher contagious andinfectious dliseases against wljiclh at present w%e lhave no'meains of relncdering imlen- immn-ie. It is to call attenttionto a possible cauLse of the spreading of infectious (liseases,a cause forgotten or not tlhoughlt of in the lhurrly of pre-paiations for war, that I wvrite to relmiiind miedical officersw.itlh troops of a practice l01ich prevailed in tlle Carlv partof tlhe Boer war, and, perlhaps, occasionally now-thdat is,the returning to men leavinog hos;pital of their clothesfromi the pack store unsterilized. On the occasion of anoutbreak of enteric fever in a rcst canmp I found tlleclotiJes, great-coats, etc.,of men whlio lhad retLrined fromlhospital convalescent after sufferina from enteric fever onslhelves in thie huit alongside the remains of food, hliddenaway, suclh as bread, buitter, jam, etc. I found that theseclotlhes lhad been worn by the men whilst they were beiDgtaken to the lhospital. On arrival at the hospital theclotlhes were rolled up and placed in the pack store. Onthe men leaving the hospital convalescent, the clotlheswere given back to tllem just as they had been placedl intlhe pack store. The result of my report was that anorder was issued for the sterilization of all clotlhes beforebeing returned to the lmen frolml tlhe pack store. Sometime after I investigated anotlher epidemlic of entericarising in a rest camp. In tllis case I found tllat a luanhad come from an out-of-the-way lhospital, where therewas no means of sterilizing clothles. He lhad sufferedfrom enteric; Lis clotlhes lhad been talen from hiim onarrival at the lhospital and retutrned to himwn-itlhoutsterilization. He came to the rest canlp; tlle result waasseveral eases of enteric in the rest camiip.At tlle time I reported these cases the spread of enteric

bv any m-leans except water anid millk was doutbted, blut theexperiments of Majors Firth anid 'Iorrochs, made later, aswvell as the fact that epidenmics of enteric fever have arisenfrom infected clothes and blankllets, lhave removed alldoubts. and it is noow admlitted that enteric fever may be

spread by infected clotlhes and flies as well as by waterandcl mill.

J. AUGUSTUS LEA, 1M.B., F.R.C.S.E.,Grahamstowni, South Africa Honorary Major.

NOTE ON THE AGGLUTINATION OF THEMENINGOCOCCUS.

(Fromn Mobile Laboratory No. 1, G.H.Q.)IT is the experience of all bacteriologists who have worliedwitlh the meningococcus that it exhibits very variableagglutination reactions, even to the extent of refusing toagglutinate with an anti-serum prepared from the samiestrain. Our experience witlh a rabbit that was immunizedwith known strains isolated direct from tlle cerebro-spinalfluid is that thje strains that were used to inoculate ar.bbit sometimes fail to be agglutinated by the serum oltlhe same rabbit. Tlie ability to use the direct agglutiDa-tion metlhod when searching for tlle organism on serumyiagar plates grown from tlle tlhroats of contacts is sovaluable, and saves so much time ancd labour, that it isof the first imnportance to be able to place reliance on tlleconstancy of tlle reaction.The explanation of the inconstancy of the agglutina-

tion reaction that -we offer is as followvs: Tlle mleniingo-coccus is an organism tllat very quickly shows involu-tion formns in culture. Indeed, tlhe presence of theseforms, slhown by irreguilarity of staining, is of the greatestaid in tlle identification of the origanism. It is pro-bable that tlhese involution forims are due to autolysisby an intracellular proteolytic enzynme. Wlhatever theorigin of tllese forms, their presence in a culture lhas beenfound by us largely to upset tlle agglutination -process.The folloiving experiment-is given in support of tle

statement. that irregularities. in agglutinating are veryprone to occur in old cultures, and that. these irregularitiesdisappear wlhen a younlg culture of the same organism isemployed:

Agyqltivation i11 &Serzom Dilutted 1 i7 .0.

Read aftcr 2i Hours. Read after 6 Hours.

Straini. 14 Hours' Growth. 48 Hours, Growtlh.

price. Good Negative.Coll .... ... Slight Negative.Hienl . ,... , Fair Sliglht.Bal;. . Complete Very, little.

Jahn. , Slight Slight.Harr. Good Negative.I3cl.h Good' Negative.

Hop. Complete Negative.

Pay. Coplete Negative.Car. .. ... Good Negative.

The ctultures had been in subcultuLre for very nearly thlesame period, all lhaving been isolated about teni days.

Controls with normal rabbit serum diltuted 1 in 10 vereuniformly negative.

SYDNE.Y ROWLAND,ADRIAN STOKES.

MULTIPLE LIPOMATA AND ELEPHANTIASIS INA COUNTRY SCHOOLGIRL.

L. W., aged 12, was hiealtlhy at birth, and was breast-fed.When slhe was about four montlhs old the motlher noticed aswelling in the right mammary region. A swvelling imm-e-diately below tlhis, and anotlher above and to the riglht ofthe umbilicus, appeared soon after. Thle chIild talkedbefore slhe was a year old, btut did not -walk until she wastwo years old. The mother tlhen nioticed that tlhe left .legwas thin. She does not know when the swelling of theriglht leg. and tlhiglh appeared, as slhc considered the lefLthe bad leg. Thle general hbealth has been good. Thlefather, a miner, and thle mnother were hlealthy; of thleir four'chlildrenl thle two brothlers and one sister w5ee hlealthly, hutthe youlngest girl, aged 10, was feeble-minded.

Thle chlild was anlaemuic and thlin, and( presented largo

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596) MEl-.DRCAL JOUlRNAL J ROYAL ACADEMY Or MEDICINE. rAPRIL 3, I9I5_~~~~~~~~~~~!:-P-IL I 91

swellings in the right mammnary region, and above andl tothe riglht of the umbilicu.s. There was a similar smallswelling, about tlle size of a marble, on the sole of thle

riglht foot. These-* . ~~~~~~swellings were

l o b ul ated, fluc-tuating, aindfreelIy miovable.The riglht leg andtligl slhowed a

unifrm irmen-largemient, an1d

butn were pro-

"" .......:.. veinssuerica

in ne it. Thleswelling did notpit on prcssure.A supernumt-erarytoe was attaclhedto the tlird riglittoe. Tlle cliestwas thin, withsuipra- and intra-clavictular hiollow-ingt. The breath-ingy at th-e rightapex was faint,but vesicular inatll areas. Thlerewas a curvatureof the spine in thelower dorsal'

r1e1gion Convex to thde righit.. The child walked well.A bloo1d filin shio-wed some' poikilocytosis,slighYt poly.mnorphionuclearleucocytosis, and som-e miastcells. Th urine,specific gravity 1010, was pale straw colour, nieutral inreaction, and showed no abnormal constituents. T1heteethi and digestioni were good. The hecart was niotenlarged, anid the sounds -were closed and clear.The chiild walks, to schiool every day a distance of over a

imile, anid iS COnsidered ve-ry initelligenlt by lher teachier.She druills with thie other chlildren, anid Las no paiin in therighlt leg. The swelling does not iincrease during the day.Tlice tunmours hiave the characteristics of liponata, biut itis difficult to account for the associated condCitioni of theleg.

MARION H. ARCHIBALD, M.D., M..A., D.IP.-.,Assistant Sclool MIedical Oiricer, Derbyshire

County Council.

ROYAL ACAI)DEMY OF MEDICINE IN IRIELAND.SECTION OF MEDICINE.

AT a mCeeting on Marchi 5th, Dr. W. G. Sn11TH -in tllc clair,Dr. C. M. O'BRITEN showed a boy, aged 13, wlho h'ad sufferedfroml -a very pronlounced forimi of Lutpts n1on7-excdens fortlle last ninie years. Altlhouglh it was very widespread, theface of the pxatient was practically free; the mnucous uein-bralies were also uinaffected. Wheni admlitted onl October8th, 1914, the weight was 6 st. 4 lb.; lhe was now 11 lb.Ileavier. Tle patienlt was under treatmilent at tlhe LondonHospital for allost tlhree years, gettina one lhour's expo-sure of Fiuisen light oni five days of thie week. SinceOctober 8thi lhe hiad lhad tlhree sittiln(s per weeli of seventynminutes eacil. The most that could be claimiied for thetreatmientt was tlhat it stopped tllh spreadl. Dr. E. J.WATSONread a paper onl the X-ray treatmenlt of ringwvorm. TneCHAIRMIAN said hie tlhougllt thle whlole point of x-ray treat-mielnt was thaat tllis metlhod lhad reduced to weeks a periodof treatmllent wlichl wa's formerly m-leasured in 1m1lonths.Dr. HARVEY coUld support Dr. Watson's statemenit thatoccasionally cures occurred.witlhout epilation being CO111-plete. Dr. C. A. O'BRIEN regretted tllat Dr. Watsoni didnot refer to hiis expeTrience of childreln at the aae of 3, ashie considered it a great crux as to %vhletller they should betreated or nlot, anid if tlley were treated how it slhould bedone. He hiimlself lhad m1-ade it a sine qitoi 7non7 before treatinga clild un(ler the age of 3 to get the consenit of tile parentsin writing(,. Ile adopted tlhis JrOCecdUrc as it lhad been

suggested in some cases treated in London that the expo-sure to x rays lhad some effect on the brains of a child.Dr. M. J. HAYES said he wvas always cautious in the use ofold tubes in tlle treatment of ringworm, as one couild notbe sure of their vagaries. Tubes which hiad been used formany hours in a period of montlhs would give off raysgreater than one would expect. Tllis he could not explain,but lie lhad experienced it on one or two occasions. Hehad used cataplhoresis witlh copper sulphate ions, but thiswas somewhat troublesome, and was more painiful. Dr.E. J. WATSON replied. Dr. W. M. CROFTON read a paper onthe Pr ophylactic inzoculatioz against tuberculosis. Hesaid that practically every one who attained to adult yearsgot infected withl tuberculosis, but only a proportion ofthose infected developed the disease to a serious extent.The recovery of the majority was due to a normal resist-ance; therefore, the problem would be solved if the resist-ance of the muinority could be made and kept normnal. Thleonly metlhod was to render tlle soil unsuLitable by proplly-lactic inoculation. T.R. was used, dissolved in liquidparaffin containiing 2 per cent. benzoyl chloride. Tlle dosesare given at intervals of a week, increasing ten timiies eachadministration. Tlhey began at one-millionth of a milli-gram, and rose to one-tlhousandtlh for infants. Ten timesthese doses miglht be given to older children, and for adultsan extra dose of one-tenth milligram might be given. Thetest of success would be the reduction of case incidenceand of mortality. Tlle experiinent was innocuous, clieap,and easily carried out. Dr. MOORHEAD said that lie hadcome to tlle conclusion that tuberculin as a proplhylacticremedy against tuberculosis was niot of much value. Pro-fessor COLLINGWOOD pointed out tllat one attack of tuber-culosis did not produce immunity against anotlher, butrather predisposed to it; tllerefore, one could niot arguethat a dose of tuLberculin could produce immunity. Tlledebate was continued by the CHAIR'MAN and Dr. LAw.

SOCIETY OF 1MEDICAL OFFICERS OF I1EALTH.AT a mCeeting on March 12tl, Dr. HERBERT JONES, Presi-dent, in tlle cllair, a paper oni tlei Etiology of diphtheriawas read by Dr. W. G. WILLOUGHBY, in w%ihich lhe dealtwitlh thle incidence of the disease on differenit soils. Aswitlh otlher diseases, though1 an individtual cotld iiot lhavethe disease witlhout the bacillus, many individuals liar-boured tlle bacillus wvitlhout sufferinig from the specificdisease; until the otlher conditions besides the bacilltus ofdiplhtlheria wvere niecessary for the production of tlle diseaseor whiat caused tlle bacillus to becomc pathogenetic wereascertained, the disease wouLld not be stamiiped out. Dr.Hualg Snell lhad giveni statistics wllicll seemed to slhowtllat those districts were better off botlh as to prevalenceaiid fatality tllat did not take diplhtheria cases into lios-pitals. Dr. Willouglhby considered that tlie trLue explana-tioii was district iinmnunity and that diplhtlheria was ofsLtcll varied inici(lence according to locality that olne dis-trict could not faim-ly be comlpared witlh another. He gavecomparative figuLres of tlle relative incidence of over 1,000cases of dliphtlheria occurring during the past twenty yearsin lhouses of the same class occupied by persoiis of tllesamue s.ocial positioni and situated respectively on alluvium,on thte beaclh, and on the chall. Amuong the houses on thealluvium 46 per cent. were affected and 56 per cent. of tllecases occurred; amiiong those on tlle beach 24 per cenit. ofthe hlouses were affected and 21 per cent. of tlle casesoccurred, and aml-ong tlle houses oIn the chalk 30 per cent.of tlle lhouses were affected and 23 per cent. of ttie casesoccurred. Dr. J. T. C. NASH considered thlat secondattacks with no clinical symptoimus niight account forepidemuies. l)r. J. J. PATERSON said it vas not enough tohiave a tlhroat and tlle specific organlism; tllere must alsobe an activating factor. He quoted a case in wllich tllediphtheria organism was carried for two montlhs in spiteof local treatmuent aiid withouit tlle slightest disturbanceof healtlh, but at the end of that time clinical symnptomiisdeveloped. Dr. CHARLES PORTER anid theC PRESIDENT wereof opinlion that tllc iiietliodical practice of swvabbilng wasnot of suchl importanlce as wvas genlerally conlsidlered, anldDr. T. WV. N. BAR1LOWT saidl thlat inl Walla.sey, whrvle thlerewas nlo swvabbilng in hlospital, thlere wsere fesv returnl cases.Dr. C. SANDERAS, D1r. CATES, Dr. SIDNEY LAWRENCE, anDr. H. N. I-JAR:DIN8G also tooki part in thle discussion.

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622 AttDICAL JOURNAL MEDICAL NEWS. [APRIL 3, I91Ivery thankful for furtlher enliglhtenment on the question oftlhe comparative nuitritiveness or food value of thesedifferent fats, including animal fats othier than milk fat.ls tihere a. difference in the number of calories available ?-I atim, etc.,Criccieth, March 15th. E. LLOYD OWEN, M.D., D.P.H.

BURSTING GOLF BALLS.SiR,-There nmuist hiave been a considerable niumriber of

cases of iniury to tlhe eye, in Enigland as well as America,fromii the bursting of golf balls, tlhouglh we are told therc isonly one sutch case recorded in any English oplhthalmicjournal. I lhave mlyself lieard of two or tllree instances,and some four or five years ago I was slhown a case at tlleSunssex Counity Eye Hospital at Briglitoin. In this casethe front of the eyeball was completely disorganized. AssuLal, the accident- liad resulted wlhile the boy was

cutting open the ball out of curiosity to see the contents.-I am, etc.,Wolverlhaiml pton, -MVarch 28th. F. WEATHERHEAD.

OThUlltnarj.DAVID MAOORE ALEXANDER, MI.D.,

LIVERPOOL.THE untimely cleatlh of David Moore Alexanider on March18tl, from pnietum-lonia, has removed one of muclh prom-lisein the rainks of researchl anid scielntific medicine in Liver-pool. Only 37 years of age, lhe received hiis primnary andprofessional education in the city of hlis birtlh, and graduatedM.13.Vict. in 1901, and M.D.Liverp. in 1906. He was clhiefof tlle inocuilation departmiienit at the Royal Soutlherni Hos-pital; Assistant Medical Superintendent, Magbull Epi-leptic Colony; and Assistant Lecturer on Bacteriology inthle University of Liverpool. He had contributed severalarticles based onl original observation. Amonig these weretlec bacteriology of tlhe rcspiratory infections; the uisesand abuises of vaccinie tlherapy; the specific treatmilen't ofhjay fever; the bacteriology of tlle intestines. His mostiirwportant wvokl is contained in thle Supplemientts to tlleReports of tlhe Medical Officer of the Local GovernmiientBoard, and h-is -work was largely concerned witlh tljebacteriology of epi(lemnic diarrhloea and the part played bythle donmestic fly in its causation.At the timne of hiis fatal illness Dr. Moore Alexander was

oceupied in inoculating soldiers against typlhoid, a suibjectwitlh wlichl he was thoroughly conversalnt. He had justreceived the appointment of bacteriologist to the LiverpoolCity Mercllants' Mobile Hospital, wlichl hias n0owY left forthe front. At the tirmie of hiis deatlh lie was secretary totlle pathological nmeetinias of the Liverpool Medical Inisti-tution, and, out of vespect, the niectiDg of Marelh 18tll vasadjouLrned.

Dr. Moore Alexander was tlhe only son of Dr. WilliamAlexander. He leaves a widow and one clhild. Incllaracter lie was quiet and unassumiing, and as recreationlie devoted his holidays to fisliin(. lie leaves belhind thememory of a lhard-working patlhologist and an amiablemedical maan, mutclh appreciated by a largc. circle offriends.

THO;MA.S RAWDON GLYNN, MA.B., B.C.CAN-TAB.,LIVERPOOL.

TIIE deatlh of Dr. Tlhomnas Rawdlon Glynn occurred onMlarchl 9tl. He was the seconid son of Dr. T. RobinsonGlvnn, professor of medicinie in the University of Liver-pool, anid brotlher of Dr. Ernest E. Glynin, professor ofpatlhology tlhere. Tlhomas Rawdon Glynin received hisgeneral education at Liverpool College, and hiis medicaleducation at tlhe Universities of Camiibridge and Liverpool.He graduated in medicine in 1910, and held tlhe usualresident appointmients at the Liverpool Royal Infirmiary,andld later was elected phiysiciani to the Hospital for Con.suimaption and Diseases of tlle Clhest. His imedical careerwas tllus auspiciously beguin, but lie discovered unfortu-nately that lie was suffering from a malady which herealized would in all probability termllinate his life in a fewyears. Notlhing dauinted lie determin.ed with noble courageto pursue his daily duties, taking all rational measures topreserve his health. Until a few weeks ago he was about,anid to those unaware of the precariousness of his life hecxhibited that clieerfulness so characteristic of- him. He

became seriously ill at his father's country residence,NerqLis Hall, Flintslhire, where he passed peacefully awzayin hlis 35tlh year.

Tlhomas Rawdon Glynn has left a pleasant miemory--a companionable -ouing mnan, a staunclh friend, anid, nowthat we know lhowv hiis life lhung, so to say, on a tljread, anexample of endtlring courage, ready to do his duty untillhe could do it no longer.

DR. GEORGE I'KERROW, of Ayr, hias died at hiis residencein that town, at the age of 65. HIe graduated M.B.,C.M.Glasg. in 1871. After servinig as residlent plhysicianandl surgeon at the Royal Infirniary, Glasgow, lhe settledat Waterside, where lie practised amionga the colliers forabout tlhirty-five years. He wvas stirgeon to the AyLCounty Hospital, and J.P. for the couinty. For solmle timelbefore hiis deatlh lie had been laid aside by illness.

DR. CHARLES MACFIE. of Bolton, formnerlY a mueml11ber ofthe Council of the Britishi Medical Associatioin, diedl onMalrch 25th, after six weeks' illness, froxim angipa. Th'e-funeral took place at the Mancliester Crematorium olnMarch 30th. It is hoped to publishi shiortly an obituarynotice.THE Honorary Secretary of the School Medical Service

Group of the Society of Medical Officers of Health (Dr. A.Asilkenny, 2, London Road, Basingstoke) gives nlotice tomembers and others interested in the service that a nieet-ing of the Group will be leldk on Satuir(lay next, April 10th,at 3.30 p.m. at the Society's offices, 1, IUTpper AMontaguStreet, Russell Square, London, W.C. The annual meet-ing, postponed on accouint of the war, will be lhel(d at3.30 p.m., and the general meeting imnmiiediately after teaat 4 p.m. Several itemns of importance to members of tlhcservice brou"ght up by menmbers or referred to the Groupby other official boclies will be considered.THE West London Aledico-Clhirurgical Society jas

decided, in place of the annual dinner, to give a recepi ionat the West London IHospital on Friday, April 23rd. Theprogramme will incluide war exhibits andcl shlort illustratedaddresses on war subjects. The charge for each ticlet,whetlher for a melmlber, lady or guiest, will be 5s., andcl the,whole of the proceeds after the deduction of expenses willbe presented to the Belgian Doctors' and Pharmacists'Relief Fuind. Applications for ticliets, accompanied by aremittance, may be sent to either of the lhonorarysecretaries, Mr. Oswald Addison, 125, Harley Street, W.,or Dr. Reginald Morton, 66, Harley Street, WV. At the n1extmeeting of the society, on Friday n1Cxt, at 8 p.m., a seriesof clinical cases vill be showin.VISCOUNT BRYCE, O.M., whio hias become presidenit of

the neiwly formned Belgiuim Towni Planniinig Committee,will openi a Belgian exhibition at University Collere,Gower Street, on April 6th. This exhibition,' which willremain open unitil the enid of the miiontlh, is the resuilt ofthe conference recently held at the Guildhall. The coin-mittee has been formed by the amalgamation of variousbodies which had previously been considering the questionof the replanning of BelgiuLmil. It is proposed to establishsubcommnittees of arclhitects, lawyers, and otlhers, in-cluding, we may hope, umedical men experienced in putbliclhealth adlministration, although thlis is noL stated, to coni-sider the technical sides of town planining. Tlie offices ofthe commnittee are at the School of Arclhitectu-re, UTnliver-sity College; the chairmrian is Mlr. Rayimonid Unwvin, andthe secretary Mr. Ewart G. Culpin.THE Annual Congress of the Op)hithalmnological Society

of the United Kingdom will be lhel(l on Thursday, Fridlay,aud SattLrday, April 22nd, 23rd anid 24th. On Tlhursdlaymorning papers will be read at the Roval Society ofMedicine, 1, Vimpole Street, XV.; at the afternoon sittiniga discussion Onl " Ophthalimic Injuiries in Wa-rfare':" will beopened by Mr. XV. H. H. Jessop and Colonel W. T. Lister.Friday miiorning will be clevoted to a discussion on "LDe-tachmnent of the Retina," to be olpened by Dr. MaitlandRamsay, Mr. Leslie Paton, and Mr. M. S. Mayou; in theafternoon there will be a clinical nmeeting at tlle RloyalLon-don Ophtlhalmiic Hospital. On Saturdlay morninigpapers will be read. Members desirous of reading papersor showing cases should comumunicate at once with theHonorary Secretary, Mr. G. Coats, 50, Queen Anne Street,W. It is intended to hold an exhibitioli of drawings,epecimens, etc., and exhiibits shoulld be addressed toMr. M. S. Mayoui, 30, Cavendish Square, WV.

Page 4: Good' - BMJ

X-pmP 3, 19I53 UNIVERSITIES AND COLLEGES. TinIIRBITIsH 623|. MLDICAL JOURNAL 623

THE ROYAL COLLEGE OF PHYSICIANS OFLON,DON.

ELECTION OF PRESIDENT.AN extraordinary Comnitia ;as held on MlKonday, ialhel2)1hi, Sit Thomna; Barlow,v Bt., K.C.V.O., being in tllechair.

Presidential Jddress.Sir Tlhonsias Barlow dlelivered the usual presidential

aJidress, in the couirse of XXhich hle referred to the royallionours whiich had been conferred ois Fellow^rs, Members,anid Licentiates duLring tlhe year. He especially l-elntionedlCaptain A. M. Leake, R.A.I.C., who for the second tisileliad been awarded the V.C. He also reviewedl the list oftile lecturers of the year, the gifts made to the college,an.l the lileclals and scholarships awVarded. After con-sideration of the principal matters Xwhich had been dis-cutssed at the college, the President read obituary noticesof the Fellows who lhad died durinig the year, namely:Samnuel Herbert Habershon, EdXvard Cox Seaton, IsaaciB3rney Yeo, Eustace Smitli, Johl Abereronmbie, andPhilip Henry Pye Smith. In conclusion, time Presidentthiaiilied the Censors and the oMflcers of the Colleae anid theFellows for the support they liac given hiin during thetiale he lhad occupied the presidlential chair.

Vote of Thait's to the President.Dr. P. XV. Lathsai proposed a resolution tllaiikislg the

President for hiis address. alId requLestimig that it niigist bepritntedi, anid expressing the Fellows' higll appreciation ofhiis services to the College whilst he had been President.Sir Thomnas Barlow tianlied tile College, and vacated

the cllair.Elention of President.

A lballot tlheln toolk place for the election of President,a,nd 1)r. Frederick Taylor was elected. The Senior Censor(Dr'. Percy Kidd) delivered the cllarge, and lhanded to Dr.Frederick Taylor the insignia of office. Tlle Presidenttls ni gave hlis faitlh to the College, and thanikecl the Collegefor thle hioniouir coiferre(d on hlim. Tle Comitia wVas tiledissolved.

UNIV'ERSITY OF DURHAM.THE followinig candidates have beers approved at the exalmii-iiatioris in(dicated:FnST M.B.-J. Al. Brydson, R. Huglhes, S. E. H. Aniderson,

S. R Chatterii, Iris Clieeseright, E. Girgis, I. Girgis, MaryI. A. Grimmer,G J. D. Haiinisond, Bt. A, Ilickley, D F Hocken,E. Lavine, D. Levinsteini, A1. Saleh, H. W. Walther, G. R.XWoodhead.

TnrsD M B (mlateria.Aedica, Piha rnaecology antd Pharn7acy, PutblicHealth, Iediicmal Jurirspritdence. Pathology, and7 ElemtentaryBacteriology,.-N A Martin,G N.Metzger, A. Smlirthwaitc.

ith second-class honours.

VICTORIA TJNIVERSITY OF MANCHESTER.THE following candidates lhave beesl approved at the examina-tiois iisdicated:FIRSTM.B. AND CH.uB. (Part I. Inorganie Chemtistry asid P7hysics).-Mary E. Boulleni,G. H. Buckley, T. H. S. Builough, T. El. Coope,(r. Cuiiiimiing, EC. B. A. Edelston, F. C. Jones, S. Kelly, J.

Leather, AV. E. Mason, P. B. Muniford, E. Ori-nerod, Elim6ltatuier, J. S. Robinson, H. Stafford, Doris Al. Towpkin,Rmtici A. wison. (Part Ir, Biology)l-N. Abdolh, May Ash-burnser, Mary E. 13oullems, G. H. Buckley, T. H. S. Bullough,r. E. Coope, G. Cuisitising, Kathleen Doyle, Georgiaia l.'Duthie, IE. B. A. Edelstoii, Olive MA. Ginsoni, F.G. Ilamnett,A. Harris, F. C. Jones, S. Kelly, J. Le%ther, J. A. Marriott:XV.E. Mason, P. B. Mum1ford. J. G. Nolani, E. R. Orisserod, XV.Reikan.J. S. Robinson, A. H. Sadek, H. Stafford, Doris R.Toilspkiin, Ruth At. X'ilsoim.rmiimnD MW.B. AND CH.B.-E.R. Giliinore,J. B. Leigh, B. L. Lloyd.H1icoNi) M.B.-Frances G. Bullough, J. Charnley, R. S. Paterson,IL.T. Savagle.

D.'. -T. F. Bamimford, A. G. Bryce, D. I. Dakeylme,EI. H. Proudfoot,1).Al. XVilsois.

ITNIVERSITY OF EDINBURGH.THE f Wilowimlg calididates have beetl a,pproved at the examliilla-tioiisimi(licated:

FiNArJ -AMB., Cu.B.-F. A. Amnderson, Block,R B. Boston,J G.Dobson, D). S. F&lconer,-F.J. Ng-t-FoOk, 11.J. Foote, A.W. For-rest, H. C. Fox, E. FuLllerton,E.G.M. Gilehbrist, David Golding,H. A. Hewat, ELic Jam-ieson, A. C Laing,J. Lawsoni,R.J.S.IMDowall, I. Mackay, B. Ml'Kinlay, P. C MacRae, J. W.Mathews, Isabel Mitchell, S. N Mizra,R.1'. T. Newbery, C.I1.NeWton,-J. M'C. Orme, LIN. Phlease, XXW B. Postletlswaite,J. 0.

Reid, C. Resnekov,Mluhaninsad Abdul Latheef Sayeed. J. C.Sisselair, B IP Varissa.

ESsCOND M.B. (PhYsilo0yY.-.E. H. Ablett, Lal S. Aisand,G. Balsillie,V. C. Beckerleg, ,.J. de Beer, XX'. T. Benison, R. F. Boltman,(.Buichanan, R. Al. Buincle, R. Burns, Ruby T. Camr,

B. Clseifitz, A. C. Y. Chow, AnnaG. Christie, EvaM. Clark,A. Y P. Colerane,. I). D. D. Dicksoi,J. Edelstein, H. S. Fisher,H..A. E. Girby, H. U. Groldb-rg, XW. H. Herberg. L. C. D. Her-ilitta, N. Hirschnsan, XV.W.GHugles, H. Jacobs,3J. V.John-ston. A. Klene-nau,

MLall, 4. Lange,J. Leariisont, T. K.Lwin,XVM. M.l'.Alister,J.3C. C.lCartuey, H. B. Mackenzie, A.V. Mackie,

1. F. Mlacleod, R. Macnair, J. 1A. Macphei.son, A. M£acRae, A. Maja,P. M:talherbe, J. S. Manzi, C. J. van der Merwe, D. J. Micalb, J. K.tlitchell, T. B. Moyes, T. Parr, 1. Platzky. H. S.-Ploman. J. W.Rabkin, K. N. Rao, Gertrude M. V. Richardson, L. Rifkind,Dorothy A. Robertson, I. H. L. Shapiro, G. M. S. Smnith, JanetSlmith, Janet S. Smitlh, F. B. Sutlherlaild. A'. B. Thaw, J. C.Truiter. M. S. TuIn, H. Wall&ce, G. R. S. Walles, K. L. S. Ward,G. N. Wardle, D. T. Watt, J. J. Wessels. U. G. Williamls, J. L.Wilson. (Auatomny).-Janet C. P. Alison, Z. J. de Beer, W. T.lenson, R. M. BowmVlanl, R. E. -urns, Ruiby T. Carr, Eva NI.Clark, E. D. D Dickson, G. W. Dunlop, D. T P Gay, H. A. E.Girby, H. R Goldberg, W A. Gray, L. C. D. fherilitte,C. Edith L. Hole, W G. Hughes, H. M. Jacobs, J. T. Johnston,A. Klenermnan, MI. Lall, J. Learmilonit, J. K C. Liddell, A. G.Ma^3kay, H. B. Mackenzie, R. D. Mackenzie, A. S. l'Kerni, J. NI.Macpberson, A. MacIlae, J. S. Mann, D. J. Micah, J. K. .Mitchell,T. 14. Moyes. J. 0. Muriay, Mary 8. Paterson, A. ReniwicCk,Gertrude M. V. Richardson, Annie C -Roberts, Susan A Robert.soU, J Robinisoni, G AM S. Slmiith. Janet S. -inith, S Stsin, F B.Sutherlanid. H. W Y. Taylor, A B. Thaw, H Wallace, G. N.Wardle, J J. Vessels, J. L Wilson

THIRtD M.B. (Pathology).-J. J. Ackermiian, J. Allison, Sarah Boyd,Y(. Y. Cbani, E. Chapielle, D. Colombog, D. Cook, P. B. Corbctt,F. II. Cripps, P. W. Edwards, N. P.R Galloway, K. Gillis, J. G.Gilriuth, G. WV. Grant, B.A., J. A. C. Guy, Maltha L. Hamiiilton,J. B. Hanna, Elizabeth Harper, Jeannie .J. Harper, J. L. Hill,M.A., N. Jenlings, S. N. Kaul, J. T. M'Atslin Ainnie AI. Mackayl,I. MlacKenzie, P. D. M Laren, AI.A., 1). W MALean. W. U.MvIathiewson, G. H. H. Maxwell, J. S Munro, R. A. Natianiel,A. van der Poe], A. J. Pollock, J. C. Prestoni, J. K. Rose, E. S.Seah, G. L. Al Smitl, Al. Stewart, R. L. Stewart, C. G. T'errell,L. W. Thom1]as D. W. Warren, C B. Woolward, H. D. Wriglit,D. M. Youing. (llateria MA dica).-J. J. Ackerman, oarali Boy,l.Y. Y. Chan, A. H. Chu. D. Cook.P. B. Corbett, W. J. 1I'. Craig, W. C.Craig, It C. Crawf urd, F. R. Cripps, A. L.V. D)avin, P'.W. Edwards,J. W. C. Fairweather, N. P. 1R. Galloway, J. S. Galvini, K. Gillis,G. W. Grant, B.A, J. A. Hadfleld, M.A., B It. Hanidoo, ElizabethHarper, C Harris, B.A., J. L. Hill, M.A., A. N. Hoiniewood,M. K. Jardinie, J. T. M'Auslin, Marjorie I. S. M'Gregor, J. 0.M\Iarais, B.A., E. A. Mills, R A. Nathaniiel, J. H. Neill, M. S N.Panlilikkar, 1). H. Patersoni, B.A., P. W. Robinson, Jealn K. IRo.sc,i. C. Rntdd, J. Sellar, I.L 0. A. ginger. J. M. Smiellie, E. 1).Soderstroimi, 1B. L Stewart, D. W. Warren, Gladys U. M. V.William11soI, T. Po Woo, H. D. Wright, D. Ml. Young.

The follosWing caLdidates have passed in Practical MateriaMedica:

J. J. Ackerman,J. Allison, R. M. Buncle. W. E. Canekertne, B. T.Chain, Anna G. Clhristie, W. J. F. Craig, N. P R. Galloway,H. Gordon, A. B. Grant, J. A. C. Guy, Martlha L. Hanmiltonl,B3. R Handoo, J. B. Hauna, J. L. Hijl, M.A., Y. C. Lee, J. H'.M'Auslin, J. C. M-Cartney, R. MacGarrol, R. D. Mackeinzie,J. S. Munro, R. B. Oliklolin, A. J. Pollock, J. Ratcliffe, B. Ii.lIteiton, WV. Richards.Ji C. Rudd, J.M. Sim-iellie, U. L. M. Simitlh,A. F. de Waal, J. D. White, D. H. Williamlison, Gladys H. M. V.XX illiaisoii, J. W. van Zyli

UNIVERSITY OF ABERDEE}N.TIIE followinig candidates have been approved at the exianiinationi inidicated:

FIsNALJ M.B., Csr.1.-W. Aniderson, Elizabeth CT. Berneraud, D. WV.Berry, 'T. J. Bruce, 1P. T. Catto, A. b. Clarke, R. T. ("ox,D. Craii, ';A. G. B. DuIIaan, G. W. Elder, A. Farmahar,IR. Forgan, *J. A. Iniies, J. W. Innes, W. HI. Kay, W. leslie,"H. J. A. Longmioro, J. M. Mackenszie, J. Iuoir, U. Munro, I.. B.Myle.4, E. Newton, C. M. Nicol, F. H. 1B. Norrie, G. W. Rose,C. U. Shearer, -V::. J. Webstec.

Passedwvith distinction.

UNIVERSITY OF ST. ANDRtEWSTHE followving canidi(dates have beenl approved at tlle examina-tioni indicated:SEcOND M.B., Cu.B. (Anatomy).-Annie Renwick Camipbell, F. T.

Charltoni, J. R. Ne'son. (Physiology).-D. Fislher, Dora AM.WValker.UTNIVERSITY OF DUBLIN.

TuiE following canididates hlave beers approved a.t the exasninationis indicated:INTERMEDIATE M.B. (Po)rt 1, PhiysioorAy).--P. B. Moloney, T. S.

McDoniald, H. J. WVrieght, T. R. Hill, T. M. 3euitley, W.-V.Pellissier, A. I Steyn, H. BIanklls, WV. A. Byrn, 1".W. P. Sullivan,Meta G. Jacksoni. W..r. Hamiiiltoni, J.E. Hill. (Part II, Ap)pliedtAnatomy and Applic(d Pliysielogy): VW. I'. Fearon, E. D'A.McCrea, S. C. Mitchell, A. H. Davidson, *A.R.lBarlas, E. 0.Marks, G. W. B3. Sliaw, W.iP. Lubbe, H. J. Rice, A G. X\`right,F. J. Smith, J.R. Brennan, 11. A. McSwiney,MA. Dippl)eneakr,Itita Henry, P. Rtocls, I. XV. Nisbett, C. 1P. Cha.ibers.W.J.McCliuitock, H. Brill, P. Hall, J. G. Bird, Eileenl G. Gwynn,Marie A. Hadden.

FINA1, M.B. (PartI, Materia l1Iedica, MledicalJriisprmlvu(7enlce,an1dHlygtiene anti Pathology). 'C. ('. J. YounIg, A. H. Watson, F.J.Murphy, Clotilda BI. Beivis, TXX. Ii. Bates, 3J. T. Westby, JE.LIipmani, R. H. Gralhamii, E:E. Parker,..J. 3. Keatley, §H. S.Cam-ipioni, It. M. Gordoni,1J. A. C. Kidd, T. E. Beatty,, X.Hunt,11T. G.Itoche, ¶G.1J. Murphy. (Part II, Surgery): 1J.Speares, H.McW. Daniel, E. J. McSwiney, A. C. lBateiinan,J. S.Robinson, A. W. P. Todd, G. Stanitoni, 1I. Maunix, V. A.L'Estrange, Clara BMP. Adderley, W. B. Cathcart, H.-I.G.Ruttherford, Kathleen D. XVallace. (3lMedicive): 'J. V. Cope,'J. Spearea, F. S-. Mitchell, J. Al. Ryan, A. C. lBatemlall,I.W.Corkey,tW. B. Catlhcart, IXW. F. Wilson,Hilda Varman, N. AleC.Boyce, E. Robinison, W. MlcE. Snodgrinss, Geraldinie MurplhyE. Boyers,J. S. Robinsoni, J.EI. C. Walker, C. C. Albcertln.(Pca t II, 1Miidwifery):W. F. Wilson, G. XV Dorani, F. It '.Snaw, T. Stanitoni, tG. Bateinlan, W. 3J Dowling, Evelyn Ross,T. E. B Beatty, G. 0. F Alley, E. G. Fishe, A. G- Fisher, G. L.Murphiy, W. B. Walker, R. Wr. Achesoni, C. F. B-rady.FIRST D.P.H.-W. Crane, M.D., E H. P. Murphy, M.13.Higlh miiarks. Equal. Materia Medica, Pathology§ Medical Jurispruden-ce and Hygiere, Materia Medica.Mlateria Medica completinig examiniation.

If Pathology completing examination.