Nov. X6, 1898.] MEMORANDA. [TDICA JORN 1613

Such instances as the foregoing seem to me to prove thehereditability of the disease. It is obviously impossible in;most of them that the malady could have been acquired-from a common source of infection, and no fortuitous circum-stances will explain such concurrences.A remarkable feature about many cases of inherited cancer

is that like normal structure it is homotopic in its trans-mission; that is, it attacks the corresponding organ in each of*the related individuals. This is especially noticeable inSibley's case, where the mother and her 5 daughters all hadcancer of the left breast.Although this form of transmission often defaults, it is,

nevertheless, noteworthy that on the averagfe-taking all theseats of inherited cancer into consideration-homotopic trans-nission preponderates. Thus my analysis of the familyhistory of 136 women with mammary cancer shows that of the48 seats of inherited cancer the breast was the part affectedin I9.

EXTRAUTERINE PREGNANCY: FIVE MONTHSFCETUS: PLACENTA IMPLANTED ON

ANTERIOR ABDOMINAL 'WALL:OPERATION: RECOVERY.

By JAMES OLIVER, M.D., F.R.S.EDIN.,Plhysician, Hospital for Women, Solio Square.

History.-A. K., aged 28, and married three years and ahalf, had had no child and no miscarriage. She began tomenstruate at the age of 17, and tlle discharge thereafterrecurred regularly until March, I898, during which month andthe four succeeding months (April, May, une, and July) it,did not appear. A. haemorrhagic discharge from the vaginawas observed on August 8th and gth, from August 24th untilAugust 3ist, and again from September 5th until September24th, when the fcetus and placenta were removed byabdominalsection. Menstruation had always been accompanied by pain,and in March, when the menstrual discharge should havemade its appearance, pain similar to that usually experienced,during menstruation, but more severe, was then complainedof. Little or no pain was complained of during April, May,June, July, or August. On September 2nd patient was sud-denly seized with severe pain in the left iliac region, but shehas been, comparatively speaking. free of pain since this date.Almost immediately after the menstrual period was missedin March patient began to be sick in the morning, and thissymptom persisted until the end of April only. During Marchand April pain was experienced in the hypogastrium duringmicturition. The abdomen has increased in size since April.

Physical Signs.-The abdomen below the level of the umbili-cus is prominent; the left half is markedly more prominentthan the right. Palpation reveals the presence of a some-what pyriform tumour, which extends from the left anteriorsuperior spinie of the ilium to within 2 inches of the sameanatomical mark on the right side. The larger end of thetumour is located in the left abdomen, and its upper borderhere reaches to the level of the umbilicus, whilst the upperborder on the right side falls slhort of this level by 2 inches.The left portion of the tumour is smooth and appears to besolid, whilst the right half is slightly irregular and appearsto be cystic. No sounds are heard on auscultating thetumour. Colostrum is obtained readily from both breasts.The cervix uteri is located far back towards the hollow of thesacrum; it is not enlarged and the os is not open. Thevaginal roof anteriorly and on the left side is pushed downby a swelling which is a portion of the abdominal tumour.The body of the uterus is incorporated with the abdomino-pelvic tumour posteriorly. The pulse is 72 a minute and thetemperature normal. 0

Operation.-The abdominal wall was incised mesially fromin. below the umbilicus to within i in. of the pubes. The

upper portion of this incision opened the peritoneal cavity tothe extent of about I in. The tumour was carefully incisedbelow the peritoneal reflection. It was then observed thatthe placeilta was implanted on the anterior abdominal walland extended some inches to the right and left of the abdo-minal incision. I separated the placenta extensively fromthe abdominal wall, but as I failed to reach satisfactorily the

free margin of the placenta and feared I might injure thebladder by persisting, I broke through the placenta at a spotopposite the abdominal incision and delivered the foetus, headfirst, through- this breach. The remaining portion of theplacenta was thereafter separated and removed. The fcetus,q months old, whic'h had probably been dead 6 or 7 weeks,had been lodged in the mubstance of the left broad ligament,and had separated the bladder from the uterus. The cavityin the broad ligament was plugged with cyanide gauze, whichwas removed twenty-four lours after the operation. Conva-lescenee proceeded uninterruptedly.Remarks.-It is highly psobable that by rupture of the

Fallopian tube the ovum escaped into the substance of thebroad ligament during the fourth week after conception, or atleast some days before the placenta, had begun to be differen-tiated. No hfemorrhage from the uterus occurred until thefoetus was dead and no decidual shreds were ever observed.No spurious labour pains were experienced, and in none of thefull-time extrauterine pregnancies which have come undermy care have pains of a labour-like character been complainedof.' Although the fcetus had been dead 6 or 7 weeks before itwos removed there w:,s no evidence of any constitutional dis-turbance, the pulse and temperature even were normal.Morning sickness was a troublesome symptom for about 7weeks, and was noted first soon after the menstrual periodwas missed in March. The implantation of tb.e placenta onthe anterior abdominal wall centrally proved a troublesomecomplication at the time of operation.

REFERENCE.1 See A Study of Four Cases of Full-time Extrauterine Pregnancy. Edin.

Med. Jottrnal, August, I898.

MEMORANDAXMEDICAL, SIURGICAL, OBSTETRICAL, THERA-

PEUTItAL, PATHOLOGICAL, ETc.

THE TREATMENT OF ECZEMA.FROM time to time one sees in the BRITISII MEDICAL JOURNALand in other papers references to special treatment of eczema.In the EPITOME of November 12th, for instance, occurs a para-graph on the treatment of chronic eczema by iodine. Thetime seems opportune for me to emphasise what is practicallythe essence of treatment for this disease.

Antiseptic -Remedies.-Silver nitrate I discarded for iodinenearly ten years ago, but for the time I used it I must speakfavourably of its efficacy. The solution of iodine which Iadopted and have since used is one of ioo gr. of the metaldissolved in I fluid ounce of spirit, with potassium iodide andether. This solution may be used in most stages of thedisease, even when the skin is much fissured and inflamed,especially if its application is preceded by brushing the partto be treated with a solution of cocaine hydrochlorate (4 percent.). Thickening of the skin I soften by strapping with" infirmary strapping " previous to applying the iodine, butthis proceeding is not often necessary. More often I applythe iodine solution and over the painted part apply thestrapping. By this means an iodine vapour bath is ensured.Copper sulphate is a good remedy wlen used over smallareas, suCh1 as the fingers. After smoothing the fingers withsoap and pumice-stone, I rub on the blue-stone. The imme-diate effect is painful, but the resulting cure is rapid. Wheneczema has almost recovered there are often foci of inflam-mation left, which seem to reinrect the recovering surface.These must be cauterised, and for that purpose I prefer strongcarbolic acid lightly applied.

Eaxclusion ofAir.-When the skin is healing is the time todust over the surface with calomel or cover over with someair-excluding medium. For the horny eczema which occurs#readily on the hands and forearm a frequent application ofcommon paraffin oil is very useful. It is to be washed off bymeans of soap and warm water shortly after each application.On some large surfaces I have begun with a spray of ethylchloride, followed by painting with collodion flexile. Byexcluding air some- cases have recovered without furtherapplication.

1614 IC U l HOSPITAL REPORTS. [Nov. 24 19.Eczema of Scalp and Ears.-The most useful remedy is

yellow oxide of mercury, eight grains to one ounce of vaseline.This ointment has excellent effects in many forms ofeczema.Eczema of the Legs Complieated by Varicose Veins.-The best

method of treatment seems to be the application of infirmarystrapping, excluding all air as much as possible. This maybe left on for a considerable time, and after its removalfurther application of fresh strapping, or of collodion flexile,after washing off the remains of the plaster, may be made.Whatever remedies may be tried, exclusion of air is bene-ficial, and all successful remedies seem to be antiseptic.Some cases are absolutely cured by simply washing the

part affected in 20 per cent. carbolic soap. So-called baker'sitch, grocer's itch, etc., may be cured occasionally by thismeanis. Strapping, however, is often necessary as well, or acombination of strapping with application of iodine. Eczemarecently produced by contact with various woolly plants andseeds may be voided in most cases by a carbolic-acid treat-ment.The combinations of remedies for the treatment of eezema

must be frequently changed, but my experience continuallyimpressed on me the fact that antisepsis and exclusion of airfrom the part treated are the two most important factors inthe cure of the disease.

L. D. L. ELLIs, L.R.C.P., L.R.C.S.Edin., L.F.P.S.Glas.Folkestone.

CYST OF THE MAXILLARY ANTRUI.C. J., aged 32, came under my care in July, I898, with ahistory of a swelling which had appeared four years beforebelow the left eye, with frequent pain. It had remained inthis condition until twelve months ago, when a fulness wasfelt in the mouth; latterly this had increased a good deal.Fluctuation was easily felt between the roof of the mouth andthe front of the antrum.Under an anresthetic the swelling was opened in the

canine fossa, and the front of the .wall, which wasvery much thinned, removed. The cyst was found to con-tain a very large quantity of clear, glairy fluid, like whiteof egg, in which were white glistening crystals of cholesterin.The cavity was well washed out with an antiseptic solution,the walls scraped with a sharp spoon, a drainage tubeinserted, and daily antiseptic washing employed. I saw thepatient at the beginning of November, and he was then quitewall.RE;MAuIKS.-True cysts of the maxillary antrum are very rare,

and before operating I concluded that this was a case of cystof the upper jaw itself independent of the antrum. I am,however, led to believe that this cyst was in the latter cavityfrom the following facts: (I) There was easy communicationbetween the nose and cyst; (2) the finger passed throughthe opening could thoroughly explore what seemed to be thecavity of the antrum; (3) the great extent of the swelling inthe mouth; (4) the quanitity of the fluid evacuated.

WM. R. H. STEWART,Surgeon to the Ear, Throat, and Nose Department, Great Northlern

Central Hospital ; Consultilng Surgeon to the LondonThroat Hospital.

THE TREATMENT OF LEUCOCYTHAEMIA BYCARBONIC ACID GAS.

A FURTHER report is ealled for in connection with my previousremarks on the Treatment of Leucocythalemia in the BRITISHMEDICAL JOURNAL for JUlY 23rd, I898.The two cases submitted to that treatment, although greatly

benefited at first, both as regards the reduction in size of thespleen and the general condition, did not progress beyond acertain point, and both of them, being severe cases, ulti-mately died. In both instances the inhalation of CO2 hadbeen suspended for a considerable time prior to the fataltermination, after a long trial, but in neither of them onaccount of any detrimental action. No evil effects could betraced to the inhalations. In one of the patients the spleen,which had once more greatly increased in size during a fourweeks' cessation of the treatment, rapidly diminished againafter a few inhalations. In the other case, in which the dis-ease was complicated by enormous lymphomatous swelling ofthe abdominal and intrathoracic glands; the spleen did not

return to its original size after the cessation of the itreatment.In two other cases of which I have had reports no impressionseems to have been made upon the size of the spleen, whichin both of them was of great size, and one of these patients is.now dead.The following provisional conclusions may be drawn fror

the limited experience gained so far:I. In some cases of leucocytheemia, the systematic inhala-

tion of carbonic acid gas, whilst failing to reduce the spleento its normal proportions, leads to a considerable diminutionin its size, and to a considerable improvement in the patient'sgeneral condition.

2. The treatment does not arrest the disease nor efficiently'counteract its fatal tendency.

3. So far as my experience goes, it does not permanentlycheck the excess of leucocytes in the blood.

4. No explanation can be offered for the different behaviour-of cases, but since in those which I have personally observeda remarkable advantage was gained tenmporarily, the treat--ment might be worth trying in all cases.Curzon Street, W. WAi. EWART.

REPORTSON

MEDICAL AND SURGICAL PRACTICE IN THBHOSPITALS AND ASYLUMS OF THE

BRITISH EMPIRE.

BRISTOL GENERAL HOSPITAL.THREE CASES OF DOIUBLE EMPYEAIA.

(By MARTIN RANDALL, M.D., F.R.C.S., late House-Surgeon.)THE following cases were admitted to the hospital under the~care of Dr. A. J. Harrison, Dr. Michell Clarke, and Dr. H. C.Newnham respectively, by whose permission they are pub-lished.CASE i.-S. G., male, aged 9 years, was admitted on July

29th, I896, under the care of Dr. A. J. Harrison, sufferingfrom double basal pneumonia. He was extremely ill on ad-mission, with a temperature of 1050. Signs of fluid were de-tected at the right base on August ioth and the exploringsyringe found pus. On the same day, under chloroform, aportion of the ninth rib, just external to the line of the angleof the scapula, was removed, and on opening the pleura.20 ounces of pus escaped and numerous large masses of lymphwere extracted. There were no adhesions within reach, butthe lung expanded well at once. Large masses of lymph cameaway at the dressings for the next four days, after which thedischarge became serous.The temperature however remained up, reaching io10 or I020'

at night, with morning fall, and the boy continued wasted andpale. Signs of fluid were now developing at the left base, butexploration on August igth failed to find pus. The tube wasleft out of the right side on this day.On August 25th pus was found in the left axilla, and under

chloroform a piece of the eighth rib in the posterior axillaryline was removed. Adhesions found above, behind, and irifront limited the cavity practically to the axillary region.Fourteen ounces of pus were evacuated, but the.lung did notat once expandfreely. A small piece of rib was removed fromthe right side, as it was evidently necrosed. On August 26ththe left lung was found to have expanded well and the tube-was left out on September ist. At neither operation was there-any serious shock.Recovery was quite uneventful after this. The right side

was soundly healed on September i3th, the boy running aboutthe ward and playing as if xothing were the mattee with him-He left the hospital a few days later with both wounds soundand air entering the lungs well.CASE ii.-J. T., aged I year io months, was admitted on

May 3rd, 1897, under the care of Dr. Micliell Clarke. Theillness commenced on May ist, and on admission doublepneurmonia was diagnosed. The temperature reached normalon the twelfth day, but began to rise again a day or two later,and assumed a hectic type. The patient became very rest-less, distressed in breathing, and of a peeuliar ashy-grey

i.658 T= Ban= I UNIVERSITIES AND COLLEGES. [Nov. 26, 18g8.

iuust see whether that techlnical objection was such as to indicate thatany injustice might be donie by not giving effect to it.The Lord Justice Clerk in the course of his judgment said that

the indictment described the person and proceeded to make the chargeagainst him. The prosecutor here with rather an indication of iroilygave the address, and then he said-calling himself physician and sur-geon, professor of medicine or surgery, and using the letters, titles, oradditions, A.M. S. after hiis name. Plainly he thought that might be heldhot to come into the charge in anyway whatever, for it was not said that heheldhimself out as that; or whether he held himself out as that butthatthatwas a name which he gave himself. There was nothiing contrary to law inthat. The charge began specifically with a statement that he. the personcharged, did in a certain place and on a certain date do certain things,and that charge alone might be taken, an-d what was given as designationat the beginning of the indictment could not be admitted. The next thingwas that the conviction did not apply to that charge, because the convic-tion convicted him only of using the letters A.M.S. after his name, imply-ing that he was recognised as a. practitioner in contravention of a certainAct. If the letters A.M.S., wlhich were made the ground of the conviction.were not given in the accusation of offence at all, his lordship did notsee how he could be convicted of haviing used them. He thought theframing of the clharge and conviction was faulty, and it would be necessarythat this conviction should be quashed. His lordship then added thatwhile it was not inecessary for the decision of the case, most undoubtedlyincompetent evidence must have been received.Lord Trayner agreed with Lord Justice Clerk. He thought it was very

material to note that the letters A.M.S. inldicated no degree in medicinewhatever in any university in the United Kingdom, and he did not knowwhat the words meant or indicated or implied; but what was still morestrange was that the prosecutor did not know, and did not pretend toknow, what those letters implied. As far as hiis lordship could judgefrom the complaint, and the evidence in the case, the "A.M.S." might aswell have been " A.B.C." or " X.Y.Z." and any of these three letters, so faras he could tell, would mean the very same thing, but none of them wouldindicate to his mind the claim or title to practise in medicinie. The chargewas one of a most general kind; the conviction wenit on to convict theappellant of a certain offence-namely, that iie used the title "A.M.S.,"implying that he was a recognised practitioner in medicine. His lordshipthought it important to notice, thouglh not necessary for the decision ofthe case, there hlad been an irregularity in these proceedings of a veryserious kind. Tlle Sheriff had received as evidence two letters andextracts from the minutes of the General Medical Council which certainlywere not competent evidence against the accused. He could not say lhowmuch it influenced the Sheriffs minid, or how little, but the evidenceupon which he proceeded was to some extent incompetent, and in hislordship's view this would be quite sufficient to set aside the convictioni.Lord Monereiff concurred with tlleir lordships in quashing the convic-

tion.The appellant was awarded expenses.

INQUESTS AND MEDICAL WITNESSES.IGNORAMUS asks for information on the followiing points: (i) What is thelegal amount of notice for a coroner to give to a imiedical miian to attendan inquest and to miiake a post-mortem exaiimiination ? (2) What is thelegal form of notice, and how oughlt it to be served ? (3) If the coronerfails to attend at the time specified in suclh notice, what is a reasonabletime for a medical man to wait for him ?*** z. When a coroner has received notice of a death and made pre-

liminaryinquiries and obtained the report of his officer thereon, hethen fixes the date of the inquest as soon as may be convenient andpossible, which is usually within a day or two of: the time whlen hedecided that an inquest should be held. It tlherefore follows that thenotices to the witnesses cannot be long; in most cases it is given the-day before. It is usual to let the medical witness know the decision ofthe coroner as early a&s possible in order that time may be given forpost-mortem examination, but there is no ldngth of tilmie for notice speci-fied by law.

2. A printed form of notice for witnesses, as well as for the making ofpo8t-mortem examinations, is generally used, and this form will be foundin the appendix to Jervis on Coroners. It is usually served the daybefore the inquest on the person required to attend, or left at Ilis lastknown residence.

3. It may occasionally happen that a coroner is unable to be presentat the time and place fixed for the holding of an inquest. Should thishappen, a communication by telegram or otherwise is made to timeofficer in attendance, explaining delay, and should the coroner be sodelayed tllat he finds he cannot be present within a reasonable time ofthe hour fixed, tllen lie instructs his officer to adjourn the inquiry,otherwise the witnesses must wait until the coroner arrives. At othercourts the witnesses are summoned to attend early on the day for whichthe case is fixed, and wait until it is called on, wllich may not be till thethird or fourth day of the sessions.

W. H. N. calls our attention to circumstanices in connection with aninquest recently held in Dublin concerning the death of a child whodied from the effects of scalds.*** It would appear that the jury returned a verdict that the deceased

child died fromii shock following scalds, and that the deathl was froman accidental cause. We should advise our correspondent to give littleheed to the statements of the mnotlher as to wlhat occurred at theinquest. The house-surgeon was probably called to give evidence atthe inquest, but we quite agree that if " W. HL. N." was lnot required as amedical witness, he should as a matter of courtesy have receivedacknowledgment of his communications to the coroner.

UNIVERSITIES AND COLLEGES,UNIVERSITY OF LONDON.

B.Sc. ExAMINATION.-The following candidates have satisfied theExaminers:

FHist Division.-C. E. Ashby (3, 3, 4), Owens College, PharmaceuticalSociety and University Tutorial College; F. B. Barrett (3, 4, 8),Mason University College; A. W. Bartlett (5, 6, 8), Royal College ofScience and private study; A. G. Cracknell (1, 2, 3), UniversityTutorial College; H. T. Davidge (I, 2, 3), Royal College of Scienceand private study; W. H. Eccles (T, 2, 3), Royal College of Science;J. L. Forbes (3, 4. 5), Univermity Tutorial College; W. G. Freeman(5, 7, 8), Royal College of Science; W. H. Harwood-Yarred (4, 6, 7),St. Thomas's Hospital; R. W. H. T. Hudson (I, 2, 3) St. Johni's Col-lege, Cambridge; W. A. Picknett (2, 3, 8), Royal Coilege of Scienceand private study; R. T. Robinson (I, 2, 3), private study; F.Shedden (3, 4, 8), Mason Uuiversity College; H. H. Swinnerton (5, 6,8), private study anid Royal Coflege of Science.

Second Division.-Sophia G. L. Adams (I, 2, 5), Royal Holloway College;R. Appleton. B.A. (4, 8, 9). University Tutorial College and People'sPalace; J. S. Bailey (I, 3, 6), University College, Sheffield; Anne E.A. Baker (4, 5, 7), Bedford College, London ; G. W. Baker (4, 5, 8),private study; F. Barlow (5, 6, 9), Royal College of Science andprivate study; G. R. Barnard (i, 2, 3), Kings College and privatestudy; S. E. Baynes-Smith (5, 6, 7), University College, Sheffield; J.C. Bedwell (4, 5, 8), private study and University Tutorial College;Mary Bell (I, 3, 4), Ladies' College, Cheltenham; Emily MaryBerridge (I, 3, 5), Royal Holloway College; Agnes G. D. Bigby (I, 3s,5)University College and University Tutorial College); A. W. Bird(I, 2, 3), private study and University College, Nottingham;, S.Blofeld, B.A. (I, 2, 4), University Tutorial College, BirkbeckInstitute. and private study; E. E. Brooks (I, 3, 4), private study;A. E. Case (T, 3, 4), Mason University College; T. J. C}heater (4. 5, 9),Finsbury Technical College and private study; H. R. Chilton(Is 3, 4), private study; E. Clark (I, 3, 4), University College, Shef-field; J. A. Clark (I, 2, 9), University College, Aberystwith; E. M.Conider (I, 5, 8), University College, Aberystwith; A. S. Cox (I, 2, 3),Hartley College and Royal College of Science; E. Crosland (2, 3, 4),Royal College of Science and private study A. N. Crosskey (2, 4, 8),private study and Carlyon College; T. Crossland (I, 2 3), FirthCollege anid University College, Bristol; R. Crostliwaite (I, 3, 4),private study: L. A. E. De Zilwa (6, 7, 9), University College andprivate study; G. T. Dickin, B.A. (I, 2, 3), Kingswood School andprivate study; E. H. Dixon (I, 3, 4), University College. Bristol; E.E. L. Dixon (5, 6, 8), Royal College of Science; C. V. Drysdale (I, 23), private study; H. B. Dutton, B.A. (4, 8, 9), Owens College andprivate study; C. G. Fernie, B.A. (I, 3, 4), University TutorialCollege and private study; Margaret S. Freemai (I, 2, 6), UniversityCollege, Aberystwith; F. Fritsch (5, 6, 8), private study andUniversity Tutorial College; E. Goulding (3, 4, 5), PharmaceuticalSociety and University Tutorial College; E. G. Guest (4, 8, 9),private study; H. L. Heathcote (I, 3, 4), Mason University College;H. A. Hinton (5, 8, 9), Royal College of Science, BirkbeckInstitute, and private study; F. W. Hodges (4, 5, 6), Univer-sity Tutorial College; F. Hodgson (I, 2 3) University College;Sarah Ann Hunt (4, 8, 9), University College and private studyA. E. Ikin (r, 2, 9), private study; A. J. James (I, 2, 4), private studyand tuition; Marguelrite Jefferies (I, 4, 8), Westfield and UniversityColleges; J. H. Leonard (5, 6, 8), King's and University Colleges andprivate tuition and study; L. Lownds (I, 2, 3), University College,Nottingham; T. Luxton, B.A. (I, 2, 4), private study; H. Main (4, 5,6), Birkbeck Institute and University Tutorial College; E. D. Mason(I, 3, 4), Mason University College; J. B. Miles (5, 8, 9), Carlyon Col-lege and Birkbeck Institute; H. Moore (3, .1, 9), Middlesbrough HighSchool and private study; A. Mort (3, 4, 8), Royal College of Science,Dublin, and Salford Tutorial Institute; A. Morton, B.A. (5, 6, 8),Heriot Watt College, Edinburgh and private study; R. Mundy,B.A. (5, 6, 8), Owens College; J. H. Nightingale (4, 5, 8), private studyand Uniiversity Tutorial College; A. E. H. Pakes (4, 7, 9), Guy's Hos-pital, Carlyon College, and private study; J. Parsons (4, 8, 9), Uni-versity College, Bristol; E. A. Pinchini (3, 4, 6), private study andBirkbeck Institute; P. P. Platt (I. 2, 3), private study; P. Rawlinson(r, 2, 3), private study; W. C. Reynolds (3, 4, 8), Royal College of Sci-ence ; S. S. Richardson (1, 2, 3), Royal College of Science and privatestuidy; Winnifred M. Ross (5, 6, 8), University Colleges, Aberyst-with and Liverpool; E. Russell (3, 4, s)s private study and BirkbeckInstitution; F. H. Shoosmith (3, 7, q), University Tutorial and King'sColleges and private study; C. J. Silverston (3, 4, 8), Mason Univer-sity College; C. Simnionds (3, 4. 8), University Tutorial College andBirkbeek Institute: R. W. Sioley (I. 2, 3), private study; C. Smith(I, 3, 4), Royal College of Science and private study; Lilian B. VossSnook (Is 2, 5), University College, Bristol; Margaret Emma Taylor!1, 2, 4), Bedford College, Lonidon ; A. E. Thomas (3, 4, 5), MerchantVenturers Technical and University Colleges, Bristol, and privatetuition; F. N. Tinkler (2, 3, 4), University College, Bangor, and RoyalCollege of Science; Elinor A. N. Twigg (5, 6, 8, Mason UniversityCollege; Winifred Esther WValker (I, 3, 5), University College,Bristol; G. H. West (I, 3, 4), Mason College, Royal College of Science,and private tuition; M. E. White (I, 3. 4), University College, Aber-ystwith; W. M. Williams (I, 2, 3', University College, Bangor; E.Witlham, B.A. (I, 3, 4), University College, Sheffield; P. M. Wright(Is 3, 9), private study and University Tutorial College.

Note.-The figures indicate the various Branches-namely: I, PureMathematics; 2, Mixed Mathematics; 3, Experimental Physics; 4, Che-mistry; 5. Botany; 6, Zoology; , Animal Physiology; 8, Geology andPhysical Geography; and 9, Moral and Mental Science.M.B. EXAMINATION.-The following candidates have satisfied the

Examiners:First Division.-C. W. Buckley, St. Mary's Hospital; H. Minnie Castle-

dine B.Sc., Royal Free Hospital; F. F. Elwes, Middlesex Hospital;J. G. Emanuel, B.Sc., Mason College and Queen's and General Hos-

Nov. 26, x898. -PUBLIC HEALTH. ICL JoUr 1659pitals, Birmingham; H. F.-N. Hine, Middlesex Hospital; T. J.Horder, B.Sc., St. Bartholomew's Hospital; H. Innies, London Hos-pital; H. G. Lawrence, St. Mary's Hospital; F. S. Lloyd, St. Mary'sHospital; D. N. Nabarro, B.Sc., University College; W. B. H. Wood,Queen's and General Hospitals, Birmingham.

Second Division.-W. M. Anderson, Londoni Hospital; J. Ashton, St.Mary's Hospital; H. T. Barron, Westminster ;Hospital; S. H. Bel-frage, St. Thomas's Hospital and University College; J. W. H.Bendle, St. Mary's Hospital: T. P. Berry, Guy's Hospital; G. P.Bletchly, Middlesex Hospital; Elizabeth Honor Bone, Royal FreeHospital- Gabrielle Ruth Slater Breeze, London School of Medi-cine and Royal Free Hospital; F. Brickwell, St. Bartholomew'sHospital F. Butterfield, Owens College and Manchester Royal In-firmary; V. E. Collins, Guy's Hospital; Mabel Eliza Cousins, RoyalFree Hospital: H. A. T. Fairbank, Charing Cross Hospital; LucindaCatherine E. Forster, Royal Free Hospital; G. D. Freer, Queen'sCollege and Mason College, and St. Bartholomew's Hospital;A. B. Fry, London Hospital; L. Gilbert, St. Thomas's Hospital;J. A. Glover, Guy's Hospital; A. S. Green, Royal College of Surgeonsin Ireland and Meath Hlospital; W. L. Griffiths, B.Sc., UniversityCollege; J. Grimshaw, London Hospital; S. Gross, Yorkshire Col-lege and General Infirmary, Leeds; J. P. Hall, Owens College andManchester Royal Infirmary; L. E. C. Handson, Guy's Hospital;H. E. Hewitt, St. Thomas's hospital; J. Howell, Guy's Hospital;R. C. Leaning, St. Mary's Hospital; F. C. Lewis, St. Mary's Hospital;C. D. Lindsey. St. Mary's Hospital J. P. Maxwell, St. Bartholomew's'Hospital; P. W. Moore, Guy's Hospital; D. J. Munro, Guy's Hospital;H. Peet, Yorkslhire College; A. G. G. Plumley, Medical School andUniversity College, Bristol, and Guy's Hlospital; C. S. Read, Uni-versity College; F. Riley, Westmiiinster Hospital: Adeline MaryRoberts, London School ot Medicine and Royal Free Hospital; P.W. Rowland, St. Bartholomew's Hospital; C. Rundle, St. Mary'sHospital; H. A. Scholberg, St. Bartholomew's Hospital; H. D.Singer, St. Thomas's Hospital; C. A. Sprawson, King's College; R.H. j. Swan, Guy's Hospital; G. P. Tayler, St. Bartholomew's Hos-pital; W. H. M. Telling, Guy's Hospital; C. J. Utley, Owens College;A. Younig, University Colleges, Sheffield and London.

ROYAL COLLEGE OF SUJRGEONS OF ENGLAND.THE following gentlemen having passed the necessaly Examinationsand havinig coniformied to the By-laws an-d Regulations have beeni admiiittedMembers of the College:

Acland, H. T. D. Hart-Smith, H. M. Powell. C.Adam, J. L. Heatlh, F. H. R. Powell, J. E.Alexander, K. B. Ifendelrsoni, J. It. Puglh, C. G.Ambrose, W. C. Hoban, T. Renislhaw, G.Balderston, R. Hollqinder, B. Rice, D.Bates, T. W. Hutclinisoin, F. E. Richardson, W. S.Berry, T. P. Irvinie, G. H. Rowland, L. T. A.Berryman, E. N. Jeffreys, H. C. Rowlanid, P. W.Blackburn, V. K. Jolhnston, J. Ryder, C. C.Bonnet, S. R. Jones, W. J. Sandison, J.Brown, J. W. Jordan, A. C. Saward, A. H. M.B!ird, C. P. Keeling, G. S. Scapinig, H. M.Cannan, D. Lawsoi, F. H. Scholefield, E. H.Carsberg, A. E. Leaning. R. C. Sills, C. H.Chadborn, C. N. Letchliwortl, T. W. SiMpSOD, A. P. H.Churton, J. G. MacCallan. A. F. Simson, C. C.Claytoin, E. T. MeGavin, L. H. Simson, H.Clogg, H. S. McKay. R. Smith. S. R.Cogswell, P. D. McMullen, W. H. Smiyth, A.Coltart, G. H. Marrack, G. C. Somerville, J.Coltart, H. N. Martin, F. J. H. Sprawson. C. A.Colyer, S. W. R. Martin-Leake, A. Spurgin, P. B.Cooper, F. Maynard, G. D. Sumner. F. W.Crispin, E. S. Mayo, T. A. Symes, E.Dalgado, P. Milner, N. Tarbet, P. R.Darby, l\'. S. Morris, F. M. Telling, W. H. M.Davies, D. Morris, J. I. W. Thoomas. C. J.Eason, H. L. Murray, R. G. Thorp, H.Eddison, F. R. Nouise, A. W. Trotter, E.Eichliolz, 0. O'Neill, T. Tucker, W. H.Ereaut, H. J. Osborne, H. Turner, J. W.Evans, J. R. Owsley, G. C. Turton, E.Foss, E. V. Page, A. F. Underhill, S. V. H.Fox, H. E. C. Parsons. A. R. C. Uniwin, W. H.Frankling, H. G. Payne, R. W. Urwin, J. J.Fuller, L. 0. Peake, A. E. Verley, R. C.Galloway, W. H. Penninigtoin, S. B. A. C. Vernon, A. A.Gardiner, A. S. C. Walker, A. N.Glasier, H. Pierce. G. 0. Wilcox, R. L.Glynne, E. E. Pollard, S. P. Woodforde, R. E. H.Harris, J.

The following gentlemen have passed the First Professional Examina-tion for the Diploma of Fellow:R. A. Ross, M.R.C.S.; M. V. Dee, M.R.C.S.Eng., L.R.C.P.Lond., M.B.,

C.M.Edin.; H. S. Frenich, B.A.Oxon.; H. T. 11. Williams, M.R.C.S.Eng., L.R.C.P.Lond.; R. Hi. R. Whitaker; W. Wright, M.B.. Ch.B.Vict., S. Copley, M.R.C.S.Eng.. L.R.C.P.Lond.; T. C. Savage; A. L.Matthews; W. H. C. Green, B.A.Cantab.; H. Davies-Colley, B.A.Cantab.; E. L. Evans, M.B., B.C.Cantab., M.R.C.S.Eng L.R.C.P.Lond.; A. M. Collcutt, M.B.Cantab., M.R.C.S.Eng., L.R.C P.Lond.;B. S. Jonies; H. B. Bailey, M.R.C.S.Eng.. L.S.A.Lond., M.D.Brux.;A. T. Compton; N. Maclaren, B.A.Cantab.; B. E. Potter, M.R.C.S.Eng., L.R.C.P.Lond.; A. H. Brodribb, M.R.C.S.Eng., L.R.C.P.Lond.;S. H. Modi, M.R.C.S.Eng, LR.C.P.Lond., L.M.&S.Bombay: G. 1. T.Stewart, M.B., C.M.Aberd.; John Atkins; T. F. Robinson; J. W. T.Walker, M.R.C.S.Eng.. L.R.C.P.Lond., M.B., C.M.Edin.; F. E. Mur-ray; A. Edmunds; F. D. Blandy; C. E. West; L. Jones; W. F. H.Coke; M. F. Reaney; F. Challans; E. H. Hunt. B.A.Oxon.; T. IV.Smith, M.R.C.S.Eng., L.R.C.P.Lond.; and H. Walker, B.A.Cantab.

Thirty-seven gentlemen were referred back to their professional studiesfor six months.

SOCIETY OF APOTHECARIES OF LONDON.PASS LIST, November, I898. The following candidates passed inSurgery.-W. H. Bathurst (Section I), London Hospital; E. R. R.

Cheeseman, Charing Cross Hospital; E. L. D. Dewdney, Kings Col-lege Hospital; E. E. Evans, Royal Free Hospital; J. B. Hall (Sec-tion I), Leeds; J. Welsh, Dublin; J. M. Wood, Middlesex Hospital.

Medicine.-H. J. de Saram, Middlesex Hospital; J. E. H. Scott, Leeds;T. J. Vick, Guy's Hospital; A. F. Weston (Section II), St. George's

Hospital.Forensic .Vedicine.-J. E. H. Scott, Leeds; T. J. Vick, Guy's Hospital.Midwifery.-G. H. Bedford, Guy's Hospital; R. F. Ellery, St. Bartholo-

mew's Hospital; J. B. Hall, Leeds; P. O'Sullivan, Dublin; J. E. H.Scott, Leeds ; H. J. Watts, Manchester.

The diploma of the Society was granted to the following candidates:E. R. R. Cheesman, H. J. Watts, J. Welsh, and J. M. Wood.

PUBLIC HEALTHAND

POOR-LAW MEDICAL SERVICES.HEALTH OF ENGLISH TOWVNS.

IN thirty-three of the largest English towns, including London, 6,537births and 3,672 deaths were registered during the week ending Saturdaylast, November Igth. The annual rate of mortality in these towns, whichhad been 17.0 and 27.2 per i,ooo in the two preceding weeks, declined againto 27.2 last week. The rates in the several towns ranged from 8.8 inCroydon, I0.9 in Derby, II.6 in Oldham, and 12.0 in Hull and in Cardiffto22.4 in Newcastle-upon-Tyne, 22.6 in Liverpool, 23.1 in Wolverhampton,and 24.2 in Preston. In the thirty-two provincial towns the meandeath-rate was 17.4 per I,ooo, and was o.8 above the rate recordedin London, which was x6.6 per I,ooo. The zymotic death-rate inthethirty-three towns averaged I.7 per I,ooo; in London the rate was equaltQ 2.5 per I,ooo, while it averaged I.8 in the thirty-two provincial towns,among which the highest zymotic death-rates were 3.3 in Nottingham,3.8 in Burnley, 4.I in Swansea, and 4.2 in Norwich. Measles caused a death-rate of I.9 in Norwich and 2.2 in Nottingham; scarlet fever of I.0 inBurnlcy; whooping-cough of I.I in Halifax; "fever" of 2.2 in Sheffield,I.4 in Norwich, z.8 in Preston, and 2.3 in Birkenhead; and diarrhoea ofx.8 in Sunderland and x.9 in Burnley. The go deaths from diphtheria inthe thirty-three towns included 44 in Lonidon, 8 in Sheffield, 7 Liver-pool, 6 in Swansea, 5 in Blackburn, 4 in Leeds, and 3 each in West HamCardiff, and Leicester. No fatal case of small-pox was registeredduring the week under notice, either in London or in any of the thirty-two large provincial towns; and rAo small-pox patients were under treat-ment in any of the Metropolitan Asylum Hospitals. The number ofscarlet fever patients in these hospitals and in the London Fever Hos-pital, which had increased from 2,I78 to 3,I88 at the end of the twelvepreceding weeks, had further risen to 3,259 on Saturday last, NovemberI9th; 3I9 new cases were admitted during the week, against 336, 328 and340 in the three preceding weeks.

HEALTH OF SCOTCH TOWVNS.DURING the week ending Saturday last, November igth, 9I7 births and 588deaths were registered in eight of the principal Scotch towns. The annualrate of mortality in these towns, which had been x8.9 and 29.4 perx,ooo in the two preceding weeks, further rose to 19.5 last week, and was2.4 per r,ooo above the mean rate during the same period in the thirty-three large English towns. Among these Scotch towns the death-ratesranged from 13.8 in Paisley and 25.0 in Leith to 22.6 in Edinburgh and 23.0in Aberdeen. The 264 deaths registered in Glasgow included 6 fromscarlet fever, . from diphtheria, 5 from whooping-cough, 8 from "fever,"and 8 from dLiarrhcea. Five fatal cases of measles, 2 of scarlet fever, 3 of" fever," and 6 of diarrhcea were recorded in Edinburglh; and 5 deathsfrom diphtheria occurred in Dundee.

PENSION GRANTED BY THE METROPOLITAN ASYLUMS BOARD.WE notice that the pension of £x84, beiiig a sixtieth of his salary for eachyear of service, has been granted to Dr. Walmsley, who has retired fromthe medical superintendentship of the Darenth Schools after upwards ofseven years' service. Dr. Walmsley having also served in theMetropolitanAsylums Board for several years previously as senior medical officer ofthe Leavesden Asylum, it can hardly be said that the amount of the pen-sion errs on the side of generosity.

"THAT TROUBLESOME NURSING QUESTION."THE phrase at the head of this note is one frequently heard during dis-cussions by Boards of Guardians as to the appointmeiit of a nurse ornurses for the workhouse infirmaries. The cause of the trouble is two-fold, the dearth of applicants and the unwillingness of Guardians toappoint nurses. With the former trouble we feel the greatest sympathy.The action of right-minded boards willing to secure all that is requiredfor the nursing of the sick is much hampered by a lack of suitable nurses.But with the latter we have no sympathy, for the trouble is self-created andarises from inability to appreciate the responsibilities of their position.Time is wasted and tempers are roused by fruitless discussion as to theneed of a nurse, a question beside the mark, as the Local GovernmentBoard has settled the point for the guardians, and moreover the medicalofficers are urgent in recommending the appointment of the trainednurse. The Bucks Advertiser and Aylesbury Nows has published aninstructive report of such a discussion by the Aylesbury Board when itwas resolved not to appointatrained nurse nor tohave other than pauperhelp at night, except when especially required. A guardian's standard of

i66o TE BErnIEALaoU^X-] -MIEDICAL N-EWS. [Nov. 26, i8gS..

an efficient nurse is apt to be one wlho gets oi wvell witlh the otlher officersand who can make the patients comfortable, anid the inftirmary nursereached this standard; but tlle medical officer wanted mlore. The"nurse" stated that she was overworked, whilst to emplhasise the nleedof skilled nursing a patient was reported to be suffering fromn bedsores.

TYPHUS FEVER IN THE PARISH OF KENSINGTON.TH.E following note as to the occurreince of typlhus fever in the parish ofKensington is contained in the repolt of the Medical Officer of Health, Dir.T. Orme Dudfield, for the four weeks enidiig Novuember 5tll. The repor-tis dated Novemiiber gth: " Three cases of this disease have been reportedrecently. The first was that of a married woman, who lhad beele removedto the infirmary from a lhouse in Kenley Street, wvhere, witlh other persols,she had been in illegal occupatiois of an underground room wllich lhadbeen closed upon proceedings taken by the Sailitar y Coimmittee in I895.The symptoms of the illness were suspicious, but obscure, and a positivediagnosis of typlhus was Inot ma.de until onie of the nurses who had beenin attendance upon the sufferer fell ill. This nurse wvas reimioved to 1ios-pital, and subse(luently a second nurse. both of whom are suffering fromtyphus. Tlelre las been no fatality so far; the original sufferer i3 con-valescent, and the two nurses are so far doing wvell. Tile critical periodhas not yet arrived in tlle case of the second nlurse. I mliay add that tlieSanitary Commllittee have directed proceedings to be taken against tlle'keeper' of the lhouse (whlich is registered) for permitting the illegal occu-pation of the unideigroun-d roomi (it is empty now), wlhere the disease isbelieved to lhave originated. The house drain hias been found to bedefective."

VACCINATION OFFICERS AND THE NEW ACT.AT a 'special meeting of the Vaccination Officers' Association lieldrecently Mr. Elkerton, the Honorary Secietary, said that a statementexplaining tlle views of the vaccination officers witlh regald to the Billhad been submitted to the Local Government Board. Among the mattersdealt with in it was the reduction of the age limnit from twelve, asoriginally proposed in tlhe Bill, to six montlhs and provision for the pay-ment of vaccinationi officers per head on the birtlh-rate in addition topayment on successful vaccination. Both these points lhad been insertedin the Bill. In a general discussion on the niew Act and Order severalspeakers called attention to a letter by " Public Vaccinator," wliclh lhadappeared in tlle BRITISH MEDICAL JOURNAL urging that public vac-cinators, private practitioners, and vaccination officers should cordiallyco-operate to nmake the best of the " trnemendous experiment" under thenew Act, in order that a fair trial could be given to it. Opinion was freelyexpressed that this suggestion should be adopted as far as vaccinationofficers were concerned in order that the period of five years duringwhich the Act will remain in force should not be wasted from the pointof view of experience.

MEDICAL ETIQUETTE IN REFERENCE TO POOR-LAWAPPOINTMENTS.

H. M. E. asks whetlher it is medical etiquette for any one wlho is a candi-date for a Poor-law appoiiitment to send copies of testimonlials tothe guardians.*** We believe this is ver-y frequently done, anid if tlhe-testimonials

are sent only to those who are enititled to vote when the election takesplace, it cannot be regarded as contrary to medical etiquette.

POOR-LAW FEES IN SCOTLAND.W.C.B.-We ar-e advised that in Scotlalnd tllere is no official tariff of feesfor "extras" ; tlhat, indeed, iiider a strict construction the salary miightbe held to cover all medical and surgical services. We lhave little doubt,however, that the parish council would not decline to paya r-easonablefee, whichnmight be set down at a guinea in respect of time primary ser-vice, and five guineas for tlhe operation, the latter fee including dres-sings. We know of no manual such as our correspondent desires.

CLAIM OF MEDICAL OFFICER UNDER SUPERANNUATIONACT, 1896.

W.E.S.B. writes to say that he lhas resigned his appointment of Poor-lawmedical officer, wlhich lie has held for fifteen years. He wishes to knowwhether " he is entitled to clafm compensation from the guardians underthe Superannuation Act."*** Our correspondent does not say what has led him to resign. We

know of no claim for compensation after a voluntary resignation of office,so unless lie has become incapable of discharging the duties of his oflice

consequence of "infirmiiity of body or mind," or of old age, or hasattained the age of 65 years, lie will have no claim on the guardians forsuperannuation-allowance.

INDIA AND THE COLONIES,INDIA.

THE SUBORDINATE MEDICAL SERVICE IN INDIA.-It is satisfactory toknow that the emoluments of a most useful class of public servants hYavebeen materially increased. The Secretary of State for India has sanc-tioned proposals submitted by the local Government for imlprovinig theposition of Assistant-Surgeons of the Subordinate Medical Service. TheService will in future be divided into four classes, on Rs.85, Rs.iIo. RS.ISO,sind RS.200 respectively, the existing class on RS.6o being abolished. Pro-motion will be given after certain fixed periods of service, the higlhestclass being attalned after nineteeni years instead of the present average oftwenty-four years. The Assistant-Surgeons of the Subordinate MedicalDepartment are often placed in positions of considerable r-esponsibility,especially when in sub-charge of military hospitals, where, duinig theabsence of military medical officers, they have, in addition to otlher duties,Jul-disciplinary power over patients.

MEDICAL NEWS,TYPHUS FEVER IN EDINBURGH.-Ten further cases of typhus

fever were reported in Edinburgh up to midday on Saturday,November igth.OWING to the death of Sir Stuart Knill the annual banquet

of the Plumbers' Company, fixed for Wednesday last, was.postponed.THE Duke of Cambridge will on December 12th open the-

Kingston Victoria Hospital, which is a local memorial of the-Queen's Diamond Jubilee. On the same occasion he will be-presented with the freedom of the borough.PRESENTATION.-On resigning the post of Assistant Medical

Officer to the Warneford Asylum, Oxford, Dr. Thomas Goldie-Scot was presented by the staff of the institution with a clockbearing a suitable inscription as a mark of affectionate-regard.BRIGHTON AND SUSSEx TIHROAT AND EAR HOSPITAL.-The

new building in Church Rtoad, Brighton, will be publiclyopened by the Duke of Norfolk on Tuesday, November 29th,at 12 o'clock. The building, which has been erected at a cost.of £4,600, will accommodate 20 in-patients, besides having aconvenient out-patient department.A DONATION of £1,ooo from "H.," and one of 50oo frini

"E.," have been received towards the special appeal of/ioo,ooo, started in November, i89o, to place Charing Cross.Hospital on a sound financial basis, and to provide a properout-patient department and nursing quarters, and otherminor improvements. A total sum of /41 ,ooo has now beenreceived.THE PLAGUE IN VIENNA.-Dr. Poech, who attended the late

Dr. Mueller and Nurse Pecha in the Franz Josef Hospital, andwho afterwards, together with Dr. Mayer and the Sisters ofMercy, was isolated in another part of the building, wasfinally released on November 13th. His colleagues proposedto give him a congratulatory dinner, but he declined thehonour. It is announced that he will deliver an address.on Dr. Mueller at the University.MR. JOHN EDWARD DUNN, M.R.C.S.. L.R.C.P., who was.

Mayor of Preston last year, was entertained at dinner by themedical profession in the town early in his year of office. Onthe eve of relinquishing his office this month, therMayor returned the compliment by entertaining members ofthe profession in the town to the number of between fifty andsixty at dinner in the Guildhall; the opportunity was taken,to present the Mayor with an address on behalf of the Medico-Ethical Sooiety, expressing the deep personal regard andesteem the members felt for him.THE following is a list of the officers and Council of the

Royal Society to be proposed at the annual meeting o fNovember 3oth: President: Lord Lister. Hon. Secretaries:-Professor M. Foster and Professor Rucker. ForeSqn Secretary.-Sir E. Frankland. Treasurer: Mr. Kempe. Council: Pro-fessor Bonney, Professor M. Foster, Sir E. Frankland, Mr.Kempe, Dr. Larmor, Lord Lister, Professor Maskelyne, Pro-fessor Poulton, Professor Riicker, Dr. Russell, and Dr. D. H.Scott, members of the existing Council; Professor Dewar, SirA. Noble, Professor Schuster, and Professor J. J. Thomson,who have served before; and Captain Creak, Professor D. J_Cunningham, Professor Halliburton, Professor Herdman, Mr.Victor Horsley, and Dr. G. J. Stoney, new members.THE ALVARENGA PRIZE OF THE PHILADELPHIA COLLEGE OF

PHYSICIANS.-The College of Physicians of Philadelphia an-nounces that the next award of the Alvarenga Prize, beingthe income for one year of the bequest of the late SeflorAlvarenga, and amounting to about i8o dollars (/36), will bemade on July I4th, I899. Essays presented for competitionmay be upon any subject in medicine, but must not havebeen published. They must be sent without signature, butidentified with a motto corresponding to one on the outside ofa sealed envelope containing the author's name. They must.be received by the Secretary of the College on or beforeMay ist, I899. The Alvarenga Prize for i898 has beenawarded to Dr. S. A. Knopf, of New York City, for his essayentitled: "Modern Prophylaxis of Pulmonary Tubereulosiaand its Treatment in Special Institutions and at Home."

Nov. 26, 1898.1 VACANCIES AND APPOINTMENTS. TENR Bainguu 66roDIJk oMAxZ 16

DECLINE OF RABIES.-It is satisfactory to note the markeddecline in the number of cases of rabies reported to the Boardof Agriculture during the past year. Only I6 cases haveoccurred in the whole of the eountry since January last, as

compared with some hundreds in previous years. TheMuzzling of Dogs Order has been revoked in Berkshire,Buckinghamshire, Oxfordshire, and part of Hampshire. Itwas stated at the meeting of the London County Council on

November 15th that if no case of rabies occurred in Londonbefore the beginning of December applicaticn would be atonce made to the President of the Board of Agriculture torevoke the Order for London. Tile date mentioned is fixedbecause at the beginning of December it will be six months-since the last reported ease of rabies occurred in London.

DIPHTHERIA IN LONDON.-There was a marked further in-crease last week in the mortality from diphtheria in London.TThe deaths referred to tilis disease, whlicil had been 28 and 31

in the two precedingweeks, further rose to 44 duringthe weekending Saturday last, November igth. Of these 44 fatalcases, 6 were of persons belonging to Mile End Old Town, 4 toLambeth, 4 to Battersea, and 3 to Bermondsey sanitary areas.

The recent increase in the number of notifications of diph-theria in the metropolis was fully maintained last week, thenew cases numbering 301, against 250, 276, and 293 in the threepreceding weeks. The increase was ehiefly in Central andEast London. In St. Pancras there was a further increase inthe prevalence of the disease, I8 new eases being notified;while in Hackney the new cases, wliich reached the exception-ally high total of 27 in the preceding week, declined to IO lastweek. There was a marked increase in the number of new

cases notified in Shoreditch, Lambeth, Wandsworth, Green-wich, Lewisham, Woolwich, and Lee. In the MetropolitanAsylums Hospitals there were 1,246 diphtheria patients undertreatment on Saturday last; the 186 new cases admitted duringlast week showed a further increase upon the numbers inrecent weeks.DEATH FROM AN ENENMA OF LAUDANUMr.-An inquiry was

Ileld recently at Kingston as to the eause of death of a man

lwho had been an inmate of the Tolworth Isolation Hospital-and died fromn the effects of an overdose of laudanum admin-istered in the form of an enema. It appears from the evidenceas reported in the Stctndard that the patient was admitted forenteric fever, and suffered from persistent dia-rhccea. OnOctober 30th, the medical officer wrote a prescription for halfa drachm of tincture of opium and gave verbal dii ections tothe matron as to its administration. The prescription paper

was left on the ward table and the nurse on duty was given a

two-ounce bottle of laudanum from which to measure the re-quisite quantity. It was stated thlat she had had two years'experience of hospital work, but this was the first occasioni o01whieh she had been called on to administer this par-ticular form of enema. Slhe had been taught theordinary signs and symbols used in prescriptions, but sheunfortunately misread half a drachm for half an ounce. Onfinding that the patient was under the influenice of thenarcotic and was breathing stertorously, she at once reportedthe fact. The antidotal treatment proved of no aval, and thepatient died the following morning. The death of a patientunlder such distressing circumstances is a subject for deepregret, but it is difficult to apportion the blame. The medicalofficer gave his directions as to the dose in writing, andnaturally enough trusted the matron to see that his instruc--tions were carried out. The matron seems to have been underthe impression that she could safely trust a nurse of twoyears' standing to measure out half a drachm of laudanum,and to give the enema. The nurse may hlave had-comparatively little experience in reading prescriptions, orpossibly the ward may have been dimly liglited. We are toldtllat it was the custom of the matron to measure out poisons,,and it was unfortunate that tile practice was departed from onthis particular occasion. In many chemists' shops every bottleof medicine dispensed is checked by another dispenser, butit would not always be easy to carry this out in the wards of a

liospital. No system is perfect and no person is infallible.Our only consolation is that such mistakes are of very rareoccurrence, and that as a rule medicines are dispensed withmarvellous care and accuracy. The coroner pointed out thatif tihere were gross and culpable negligence it would amount

to manslaughter; but the jury very wisely returned a verdictof "1 Death by misadventure," adding, however, a rider to theeffect that much greater care should be exercised in dis-pensing poisonous drugs.

MEDICAL VACANCIES.The following vacancies are announced:

BEDFORD COLLEGE (LONDON) FOR WOMEN, York Place, Baker Street, W,-Pro-fessor of Hygiene. Applications to the Secretary of Council by December 10th.

BIRMINGHAM: MASON UNIVERSITY COLL EGE.-Lecturer on Osteology and ChiefDemonstrator of Anatomy. Applications to the Secretary by December 3rd.

BIRMINGHAM AND MIDLAND EYE HOSPITAL.-Assistant House-Surgeon. Salary,*50 per annum, with apartments and board. Applications to the Chairman of theHospital Board by December 10th.

BRTGHTON AND HOVE HOSPITAL FOR WOMEN AND LYING-IN INSTITUTION.-Honorary Surgeon in Ordinary. Applications to the Secretary, 76, West Street,Brighton, by November 30th.

CAMBRIDGE: ADDENBROOKE'S HOSPITAL.-Resident House-Physician. Salary£65 per annum, with board, lodging, and washing. Applications to the secretary byDecember 3rd.

CARDIFF INFIRMARY.-Resident Medical Officer. Salary, £100 per annum. Assist-aint House-Surgeon. Appointment for six months. Salary at the late of £10 erannum, board, washing, and apartments provided in each case. Applications to theSecretary by December 5th.

CENTRAL LONDON OPHTHALMIC HOSPITAL, Gray's Inn Road, W.C.-AssistantSurgeon. Applications to the Secretary by December 5th.

CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, Victoria Park, E.-House-Physician. Appointment for six months. Salary at the rate of £30 perannum, with board and residence. Applications to the Secretary by December 2nd.

EAST LONDON HOSPITAL FOR C(HILDREN, SHADWELL. - House-Physician.Board, residence etc., provided, and an honorarium of £25 at expiration of sixmonths' approved service. Applications to the Secretary by December 17th.

FINSBURY DISPENSARY, Brewer Street, Goswell Road, E.C.-Resident MedicalOfflcer. Salary. £100 per annum, with attendance, coals, and gas. Applications tothe Secretary by November 30th.

GOSFOILTH: NEWCASTLE-ON-TYNE CITY'ASYLUM.-Assistant Medical Officer;unmarried, and under30years of age. Salary, £130ayear rising to X150, with fur-nished apartments, board, etc. Appl cations to the Medicail Superintendent.

GIAMORGAN COUNTY COUNCIL.-Bacteriologist. Salary, £250 per annum. Applica-tions to the Clerk of the County Council by November 28th.

GLASGOW, UNIVERSITY:OF.-Five Examiners for Degrees in MIedicine. Salary forthe Examinerships in Chemistry, Zoology, and Materia Medica and Therapeutics,£30, and those in Clinical Surgery and Clinical ledicine, £10. Applications to theSecretary of the Court, 91, West Regent Street. Glasgow, by December 17th.

GLOUCESTER: GENERAL INFIRMARY AND GLJUUESTERSHIRE EYE INSTI-TUTION.-Assistant House-Surgeon. Board, residence, and washing provided. Nosalary. Applications to the Secretary by November 30th.

HOSPITAL FOR SICK CHILDREN, Great Ormond Street, W.C.-House-Physician; un-married. Appointment for six months. Salary, £:20, with board and residence. Ap-plications, on forms provided to the Secretary, by December 6th.

HULL ROYAL INFIItSIARY.-House-Stirgeon; unmarried. Salary, 100 guineas perannum, with boatd and furnished ap-rtments. Applications to the Chairman ofthe House Committee by December 5th.

KINCARDINE: ;PARISH COUNCIL OF.-Hesident Medical Officer. Salaries, £42 10s.per annum as Medical Otficer, anid £5 per annum as Vaccinator. Applications toDavid ioss, Inspector of Poor, Ardgay, N.B., by December 8th.

LIVERP)OtO EYE AND EAtR HOSPITAL.-House-Surgeon. Salary, £80 per annum,with resileuce and maiutenance. Applications to the Honorary secretary, 13, Berey'sBuildings, George Street, Liverpool.

LONDON HOSPITAL, Whitechapel, E.-As istant Surgeon. Applications to the House-Governor by December 16th.

LONDON LOCK HOSPITAL, Harrow Rtoad, and Dean Street, Foho.-Registrar. Ap-plications to the Secretary. Harrow Road, W., by December 9th.

MIANCHESTER: ST. MARY'S HOSPITAL, 'Quay Street.-House-Surgeon and ResidentO:stetric Assistant Surgeon. Salary, !141) per annum, with board and residence.Applicativ"ns to the Secretary by December 7th.

NEW&RK-UtL' ,-TILENT HOSPITAL AND DISPENSARY,-House-Surgeon; un-m%rrie I. Sal.stry, £80 per annum, with board and lodging, Applications, oii formsprovidet. tC- t Secretary by end of December.

NEwC'AsTLEl.1" '-TYNE UNION.-Assistant Resident Medical Officer: unmarried.Salary, £10 ,t r annum, with fuirnished apartments, rations and washing. Applica-tions to tno' Clerk to the Guardians, Union Offices, Rewcastle-upon-Tyne, byNovember 3th.

NORTH-EASTERN HOSPITAL FOR CHILDREN, Hackney Road, N.E.-House-Sur-geon. Appointment for six months. Salary at the rate of £50 per annum with board

wiashing. Aplications to the Secretary, 27, Clement's Lane, Lombard gtreet, E.C.,oy Novembler28th.

ROYAL BERKS HOSPITAL.-Assistant Melical Officer. Board, lodging and' washingprovided, and honorarium of 10 guiineas. Appointment for six months. Applicationsto the Secretary by December 6th.

ST. LUKE'S HOSPITAL, Old Street, E.C.-Assistant Medical' Officer: unmarried.Salary, £150 per annum, with board, lodging, and washing. Applications to theSecretary by December 1st.

SHREWSBURY: SALOP INFIRMARY.-Assistant House-Surgeon. Appointment forsix months. Salary at the rate of £40 per annum. Applications to the Secretary byDecember 7th.

WEST HAM HOSPITAL, Stratford, E.-Junior HouiseSurgeon. Appointment for oneyear but eligible ror the post of Senior. Salary, £75 per annuimi, with board, resi-dence, etc. salary for Senior post £100). Applications, endorsed " Junior House-Surgeon," to the Secretary, by1December 3rd.

WESTMINSTER HOSPITAL, Broad Sanctuary, SW. - Fourth Assistant Physician.Must be F. or M.R.C.P.Lond. Personal application to the House Committee onNovember 29th.

WESTERN GENERAL INFIRMARY, Marylebone Road. - Honorary Physician,Accoucheur, and Diseases of Women. Applications to the Honorary Secretarybefore December 1st.

WEST LONDON HOSPITAL, Hammersmith Road, W.-House-Physician and House-Suirgeon. Applications to the Secretary-Superintendent by December 15th.

WREXHA3M INFIRMIARY AND DISPENSARY- House-Surgeon. Salary, £80 perannum, with furnished rooms, board, gas, coal, and attendance. Applications, onforms provided, to the Secretary, 27, Regent Street, Wrexham, by December 6th.

MEDICAL APPOINTMENTS.AHtRENs, G. H., appointed House-Surgeon of the Royal Ear Hospital, vice John

Fallows, L.R.C'.S.E., L.S.A.BEDDARD, William Oliver, M.R.C.S.Eng., L.R.C.P.Lond., appointed House-Surgeon to

the Dover Hospital.BRUtSHFRLD, Archiblald N., M.R.C.S., L.R.C.P., appointed Senior House-Surgeon to the

lMacclesileldInfirmary.BURTON, E. T., M.R.C.S.Eng., L.R.C.P.Lond., apponted;Resident Medical Officer at!the

Workhouse Inflrmary, Birmingham.CLARKE, F. A. H., M.R.C.S.Eng., L.R.C.P.Lond.,jappointed Assistant lMedical Officer at

the Beech Aventue Workhouse. Nottingham.

i66z T=UBRTTInsN DIARY. lNov. 26, 1898.

GERMAAN, Arthur W., M.R.C.S., L.R.C.P.Lond., appointed Medical Officer for theNorth Municipal District of the West Derby Union, vice A. Dunbar, M.D.,deceased.

GIBBON, A H L B C P L.R.C.S.Edin., appointed Medical Officer for the St. Mary'sDistrict of the Bury St. Edmunds Incorporation.

GRANT, W. Torrey, M.B., C.M.Edin., appointed Delegate for Sweden and Norway to theQuarantine Board of Egypt.

HUFFERNAN, H. H., M.R.C S Eng L.R.C.P.Lond., appointed Medical Offlcer for theWoolston District of the Rugby tnion.

KELYNACK T N., M.D., M R C P appointed Honorary Pathologist aad Bacteriologistto the ifanchester kar iospiial.

MCKINLAY, J. R., M.R.C.S., L.R.C.P.Lond., L.S.A., appointed Assistant Medical Officerto the Gordon Road Workhouse and the Heaton iltoad Homes of the Parish of St.Giles's. Camberwell. vice A. J. Bennetts, M.R.C.S.Eng., L.R.C.P.

MORGAN, John H M.A.Oxon., F.R.C.S., appointed Examiner in Surgery at the Uni-versity of Oxforx.

OsBORNE, Oswald. M.R.C.S.Eng., L.R.C.P., reappointed Medical Officer of Health tothe Bexhill Town Council.

PRICHARD A Heaword, M.R.C.S.Eng., L.R.C.P., appointed House-Surgeo to theCancer fospital, Br(,mpton, S.W.

ROWLAND 'John T M.D.St.And., M.R.C.S., reappointed Medical Officer of Health tothe Richmond Town Council.

ROWLEY, Oswald F., M.R.C.S.Eng, L.R.C.P.Lond., appointed Honorary Surgeon tothe Beckett Hospital and Dispensary, Barnsley, vice Edward Jeffery, M.R.C.S.,L.S.A., deceased.

SCOTT,%Charles R., M.B.Edin., appointed Assistant Medical Officer,to the WarnefordAsy um, Oxford.

SIEVE KING, A. H., IL.R.C.P.. L.R.C.S.Edin., L.F.P.S.Glasg., appointed Senior MedicalOtmicer to the Uganda Railway, East Africa.

STANTON, T. W., M.R.C.S.Eng., L.R.C.P.Lond., appointed Medical Officer for theOsburnby District of the Sleaford Union.

WALKER, G. Charles, Jun., M.B., Ch.B.Vict., M.R.C.S.Eng., appointed Resident MedicalOfflcer and House-Physician to the Royal Mineral Water Hospital, Bath.

WILLIAMS, Ralph Paul, M.B.Lond., appointed House-Surgeon to the Hospital forSick Children, Great Ormond Street.

DIARY FOR NEXT WEEK.MONDAY.

London Post-Graduate Course, Medical Society orLondon, 8.30 P.m.London Throat Hospital, 8 P.M.- -Mr. Pearce Gould: A Consideration ofDr. Herbert Tilley: Demonstration of the Value of Pressure in the TreatmentSelected Cases (Ear, Throat. and Nose). of Wounds.

TUESDAY.London Post-Graduate Cours, of the Nervous System 73, Welbeck

Bethlem Royal Hospital for Lunatics, Street W., 4 P.M.-Dr. !iarry Camp-2 P.m.- Dr. Craig. Moral and Im- bell: bases of Muscular Rigidity.ulsive Insanities, and Lunacy Law. National Mospital ror the Para.elospital for Diseases of the Skin, Black- lysed and Epileptic Queen Square,

frlars, 4.3) P.M.-Dr. Phineas Abraham: C. 3130 PMx-Mr. Ballance: A CaseThe Surgery of the Skin. of Fifth Nerve Neuralgia treated by

West End Hospital for Diseases Operation.WEDNESDAY.

London Post-Graduate Course, -Dr. Biss: Principles of Treatment ofofygiene at Parkes Museum, 4.30 P.M.- Pulmonary Tuberculosis.Priofessor Wynter Blyth: Disinfection West London Post * Graduateand Disinfectants. Course, West London Hospital W

Hospital for CoNsumptIon and 5 P.M.-Dr. A. Beddard: ClinicaI Ei-Dtseases of the Chest, Brompton, 4 p.M. amination of Urine.

THVRSDAY.London Post-Graduate Course, and Pathological Demonstration to

Central London Sick Asylum, 5.30 P.M.- Senior Students.Mr. James Cantlie: Splenic Enlarge- Iarveian t4oclety ot London, 8.30ments. P.M.-Dr. William Iwart: Disease: its

Hospital for Sick Childron, Great Treatment and the Profession ofOrmond Street, W.C., 4 P.M.-Dr. Medicine in 1899. Harveian Lecture I.Colman: Demonstration of Selected Charing Crols MospItal, Post.Cases. Graduate Course, 4 P.M.-Mr. Wallis:

London Temperance Hospital, On Some Rectal Disorders.2 P.M.-Dr. Soltau Fenwick: Clinical

FRIDAY.London Post-Graduate Course, West London Medico-Chirurgicaljucteriology at King's College, 3to 5 P.m. Society, West London Hospital 8 P.M.-

-Professor Crookshank: Tetanus, Ra. Clinical Evening. Cases will 6e shownbies, and Cholera etc. by Dr. F. H. Alderson, Mr. Swinford

Lectures on iedical Reliet Edwards, Mr. C. B. Keetley, Mr.Portman Rooms, Baker Street, W., 4.9u McAdam Eccles, and Dr. J. B. Ball.P.m.-Mr. F. G. P. Neison: Sick In- Laryngological Pociety ot Laonsurance. don, 20, Hanover Square, W., 5 P.m.-

West London Post - Graduate - Cases and Specimens will be shown byCourse, West London Hospital, W., Messrs. Cheatle Wingrave, and Lake5 P.m.-Dr. A. Beddard: Clinical Ex- and by Drs. Bona, Spicer, Grant, Tilley,amination of Urine. Hill, and others.

BIRTHS, MARRIAGES, AND DEATHS.The charge for inserting announcements oJ Births, Marriages, and Deaths is

8s. 6d., which sum should be forwarded in$post_offce order or stamps withthe notice not later than Wednesday morning in order to insure insertion inthe current isse.

BIRTHS.EODGECOMBE.-November 14th, at [2, Royal Villas, Station Parade, Harrogate, the wife

of Wilfrid Edgecombe, M.B.Lond., F.R.C.S.Eng., of a daughter.SCoTT.-On November 20th, at Madeira House, Shanklin, I.W.. the wife of W. Whitelaw

Scott, L.R.C.S.I., L.K.Q.O.P.I., of a daughter.

MARRIAGES.LLYTON-YONGE.-October 20th at HolyCross Church. Newton Ferrers, Devon, byRev. C. B. Yonge, Rector, brother of bride, and Rev. Henry Layton, Vicar of

S. Stephen's, Hounslow, father of bridegroom Frank George Layton. L.R.C.P.Lond.,M.R.C.S.Eng The Lawn, Walsall, to Dorothea, second aughter of the late Rev.Duke Yonge;, ector of Newton Ferrers.

ILOWE-JAMES.-On November 17th, at the Parish Church, Louth, by the Rev.Canon Wilde M A Rector, assisted by the Rev. D. H. Ellis, B.D., LL.D., Mus. Bac.,Vicar of St. Iotoilph's , Lincoln, Godfrey John Ralph Lowe, M.R.C.S., L.R.C.P., L.S.A.,third son of Dr. G. M. Lowe, Lincoln, to Alice Maud Mary, youngest daughter of thelate Thomas James, F.R.C.S., and MArs. James, Westgate, Louth.

DEATHS.cH.xNDxLrIcxK.-At Maxieburn Stonehaven, on November 18th, Mary Souttar, wife ofJohn Gray MeKendrick, Professor of Physiology in the Unlversity of Glasgow.

WILLIS.-On November 19th. at Greek Street, Stookport Robert John Willis, L.R.C.P.and L.R.C.S., youngest son of the late William Willis, Belfast. No cards.

HOURS OF ATTENDANCE AND OPERATION DAYS AT THELONDON HOSPITALS.

CANC ER, Brompton (Free). Attendances-Daily, 2. Operations.-Tu. F. S., 2.CENTRAL LONDON OPHTHALMIC. Attendances.-Daily, 1. Operations.-Daily.CENTRAL LONDON THROAT, NOSE, AND EAR.-Attendances.-M. W. Th. B., 2; Ta. F.,

5. Operations.-I.-p., TU., 2.30; O.-p., F., 2.CHARING CROSS. Attendances.-Medical and Surgical daily, 1.30;Obstetric,Tu. F., 1.30;

Skin, M. Th., 1.45; Dental, M., 9; Throat aud Ear, F.,9.30. Operations.-Th. F.S., 3.'

CHELS&A HOSPITAL FOR WOmEN. Attendances.-Daily, 1.30. Operations.-M. Th. F., 2.CITY ORTHOP.HDIC. Attendances.-M. Ta. Th. F., 2. Operations.-M..4.EAST LONDON HOSPITAL FOR CHILDREN. Operations.-M. W. Th. F., 2.GREAT NORTHERN CENTRAL. Attendances.-Medical and Surgical, M. Tu. W. Th. F.,

2.30; Obstetric W 2.30 Eye, M. /rh.. 2.30; Throat and Ear, Tu. F. 2.30 ; Skin W.,2.30; Dental, W., 2.' Operations.-M. W. Th. F.

GIuY's. Attendances.-Medieal, daily, 2; Surgical, daily, 1.30; Obstetric, M. Tu. F., 1.30Eye, M. Tn. Th. F., 1.30; Ear, To 1; Skini Tu., 1 Dental, daily, 9; Throat, F.,2. Uperations-Tu. F., 1.30; (Ophihaltnic) it., 1.30; Tb., 2.

HOSPITAL FOR WOMEN, Soho. Attendances.-Daily, 10. Operations.-M. Th., 2.KING's COLLEGE. Attendances.-Medical and Surgical daily, 2; Obstetric, daily, 2; o.-p.,

daily, A.30; Eye, M. W. Th., 1.30- E'r Th 2.30; Throal, M., 1.30, F., 2; Dental, M.Th., 0; Skin, W., 1.30. Operations.W. TI. F., 2.

LONDON. Attenrdances.-Medical, daily, i.-p., 2, o.p., 1.30; Surgical, daily, 1.30 and 2;Obstetric, l. Tu. Th. F., 2; o.p., S., 1.30; Eye, Tu. S., 9; Ear, W., 9; Skin, Th.,9; Dental, Tu., 9. Operatzons.-Daily, 2.

LONDON TEMPERANCE. Attendances.-Medical, M. Tu. W. Th. F., 1.30; Surgical, M. Th.,130. Operations.-M. Th., 4.30.

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

METROPOLITAN. Attendanees.-Medical and Surgical, daily, 2; S., 9 ; Obstetric W. 2;E e, W., 2; Throat and Ear, Th., 2; Dental, Tu. Th. S., 9. Operation8.-Tu. *., 2.0Th., 4.

MIDDLESEx. Attendances.-Medical and Surgical daily, 1.30; Obstetric, Tu. Th., 1.30;o.p.,M.,9; W.,1.30; Eye, Tu. F.,9; Ear and Throat Tu. F., 9; Skin, Tn., 4; Th.,9.30; Dental, M. F., 9.30; W., 9. Operations.-Daily, i.30.

NATIONAL ORTHOPARDIC. Attendances.-M. Tu. Th. F., 2. Operations.-W., 10.NEW HOSPITAL FOE WOMEN. Attendances.-Daily, 2; Ophthalmic, W. S., 9.30 Opera-

tions.-TU..F., 9.NORTH-WEST LONDON. Attendances.-Medical, daily, exc. S., 2, S., 10; Surgical, daily

exe., W., 2, W., 10; Obstetric, W., 2; Eye, W., 9; bkin, F., 2; Dental, F., 9. Opera.tions.-Tl., 2.30.

ROYAL EYE, Southwark. Attendances.-Daily, 2. Operations.-Daily.9OYAL FREE. Attendances.-Medical and Surgical, daily, 2; Diseases of Women Tu S..

9' Eye M. F., 9; Skin, TI;., 9; Throat, Nose, anid tar, W., 9. (OperationsV. S, 2(6phtltalmic), MI. F., 10.30; (Diseases of Woluen), S., 9.

ROYAL LoNDON OPHTHALMIC. Attencdances.-PJaily, 9. Operationts.-Daily, 10.ROYAL ORTHOPA3DIC. Attenclances.-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, H. Tn. W. Th. S.,2; o.-p.,M. Th.,9; . S., 2.30; bEar,Tu. F., 2: SKin, Tu., 9 Larynx Ta F, 2.30; OrthopHdic, M., 2.30; Dental, Tu. F., 9.Electrical, H. 'Tu 'TIL. F., i.io. Operations.-Daily, 1.30; (Ophthalmic), Tu. F.,2;Abdominal Section for Ovariotomy, F., 2.

ST. GEORGE'S. Attendanlces.-Medical and Surgical, daily, i.-p., 1; o.-p., 12 ; Obstetric,i.-p., Tu. F., 1.45; o.p., M. Yb'. 2.30; Eye, W. S., 1.30; Ear, Ta., 2; Skin, W., 2.455;Throat, F. 2- Orthop dic F., 12; Dental, M. Tn. F., S., 12. Operations.-Daily, 1;Ophthalmic, M., 1; Dentali, Tb., 9.

ST. MARK'S. Atteacdances.-Fistula and Diseases of the Rectum, males S., 2; females,W., 9.30. Operations.-HE. 9; Tn., 2.30.

ST. MARY'S. Attcndances.-Medical and Surgical daily, 1.45; o.p., 12.45: Obstetric, Tu.F., 1.45; o.p., M. Th., 1.0; Eye,Tu. F., 9; Ear, V. Th 9' Throat, u. F., 3; Skin, Hi.Tb., 9; Dental. W. 9; EectrotheraYeutiCs NI. Thi.,'2.30; Children's Medical, Tu.F., 9. Operations.-., 2.30.; Ta. W. F., 2; Th., 2.30; S., 10; (Ophthalmic), F., 10.

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

ST. THOMAS'S. Attendances.-Hedical and Surgical M. Tu. Th. F.,2; o.p., daily, 1.30;Obstetric, Tu. F 2' o.p. W. S., 1.30; Eye, 'u. k., 2; o.p., daily, exc. S., 1.30; Ear,H., 1.30; Skin, i. 1.30 Tlhroat, Th., 1.30; Children, S., 1.30; Electro-therapeiu-tics, o.p., Th., 2; Mental Diseases, o.p., Th., 10; Dental, Tu. F., 10. Operations.-M.W. Th. S., 2; Ta. F., 3.30; (Ophthalmic), Th., 2; (Gynecological), Th., 2.

SAMARITAN FREE FOR WOMEN AND CEILDuEN. Attendances.-Daily, 1.30. Opera-tions.-Gyntecological, NI., 2; W., 2.30.

THROAT, Golden Square. Attendances.-Daily, 1.30; Tu. F., 6.30. Operations.-Daily,exc. M., 10.

UNIVERSITY COLLEGE. Attendances.-Medical and Surgical, daily, 1.30; Obstetrics, M.F.,1.30; Eye, M. W., 1.30; Ear, M. Th., 9; Skin, To. F., 2; Throat, H. Th., 9; Dental,Tu. F., 9.30. Operations.-Tu. W. Th., 2.

WEST LONDON. Attendances.-Hedical and Surgical, daily, 2; Dental, Tn. F., 9.30; Eye,Tu. Th., 2; Ear Tu 2'- S 10 ' Orthop Bdic W, 2; Diseases of Women, W. S., 2; Elec-tric, M. Tb., 2 Skin, Ai. F., 2; Throat an sNose, Tu., 2; S., 10. Operations.-Daily,about 2.30 ; F., 10.

WESTMINSTER. Attendances.-Medical and Surgical daily, 1.30; Obstetric M. Tu. F.,1.30; Eye, Tu. F., 9.30; Ear, Tu., 1.30; Skin, W.. 1.30 Dental, W. S., 6.15. Opera-tions.-M. Tu. W., 2.

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