MEMO RANDAx REPORTS

x474

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[JUNI

HOSPITAL REPORTS.

I4,

19w.

haze; all other similar forms (for example, B. typhosus, B. paracolon, etc.) are white, and colour the surrounding medium an amber or orange tint., These forms (except some ON strains of B. typhosus) all make milk alkaline finally, and MEDICAL AND SURGICAL PRACTICE IN THB the amber colour is probably due to a similar change. HOSPITALS AND ASYLUMS QF THE The chief use of such a medium is, of course, for the examination of faeces, or anything-for example, water-in which BRITISH EMPIRE. the presence of intestinal bacteria is suspected. The taurocholate inhibits the growth of nearly all but intestinal bacSTOCKTON HOSPITAL. teria, and the neutral red at once differentiates B. coli from CASE OF INTESTINAL OBSTRUCTION: ARTIFICIAL ANUS: other forms. We have tested the medium with B. coli, SUBSEQUENT SHORT-CIRCUITING OF BOWEL. B. typhosus, B. enteritidis, B. pyogenes fetidus, and also with (By T. RUDOLPH SMITH, M.B., B.C.Camb., F.R.C.S.Eng.) faeces, urine, and water. History and State on Examination.-M. P., aged 32, female, " Krystall-violett" was used by v. Drigalski and Conradi for the same purpose-namely, as an inhibiting agent-as sodium married, was on November 5th, i9oi, rather suddenly seized taurocholate by MacConkey. We find that a lactose agar to with griping pain in the abdomen, and vomited. Enemata which both neutral red and " Krystall-violett " (I-Ioo,ooo) have resulted in the passage of a little flatus only. On Novembeen added, permits of a striking double stain of the colonies; ber gth, 190i, when I first saw her, I found her in a very exB. coli is red, but B. typhosus (also B. enteritidis Gaertner, hausted condition, vomiting brownish fluid frequently. The and others) are blue to purple. This effect is better seen after abdomen was moderately distended, and the bowels could be forty-eight than after twenty-four hours. The most typical seen contracting during the attacks of pain. The rectum was plates are, of course, obtained when a known mixture of two empty and dilated; enemata returned unchanged. She was bacteria-for example, B. coli and B. typhosus-is used. Very removed to the Stockton Hospital at once for operation. Previous History.-She had had two difficult labours, termipretty results are also obtained on slant agar tubes, and

REPORTS

neutral red lactose broth is also useful. The appended photograph (p. I473) shows well the difference between the (small light) typhoid colonies and the (large dark) colon colonies. NoTEs.

1 Neutral red or toluylen-red is a8-dimethvl-diamido-tolu-phenazin. The sample used was obtained from Grtibler. 2 " Krystall-violett " is one of the commercial forms of methyl-violet-namely, a methyl-triamido-triphenyl-methane. The particular sample used was kindly sent us by the HMchster Farbwerke. BIBLIOGRAPHY.

MacConkey, Thompson Yates Laboratories Report. vol. iii, Part I, p. 4T, x9oT. Centralbl. f. Bakt., vol. xxix, p. 740, 190I. Rothberger, Centralbl. f. Bakt., vol. XXiv, p. 3, I898. v. Drigalski and Conradi, Ztschr. f. Hygiene, Vol. XXxix, p. 283, 1902. flume, Thompson Yates Laboratories Report, vol. iv, pt. 2, p. 385, 1902.

MEMO RANDAx MEDICAL, SURGICAL, OBSTETRICAL, THERAPEUTICAL, PATHOLOGICAL, ETC. GLUCOSE IN ITRINE OF LOW SPECIFIC GRAVITY. IT used to be the custom with some insurance companies not to require an examination for sugar in the urine unless the specific gravity were high. It is well known that sugar may be present in more than mere traces with a perfectly normal specific gravity, or even with one that is slightly subnormal. In an insurance case the other day I found the specific gravity of the urine to be barely IOO4 when newly passed; it rose to I007 after it had cooled down. I was astonished to get a very marked reaction with Fehling's solution, so marked that after standing for ten or fifteen minutes there was a copious precipitate of red cupric oxide at the bottom of the tube. I confirmed this result with the safranine test, and then proceeded to the phenylhydrazine hydrochloride method, obtaining plentiful and typical crystals of glucosazone. The urine was unfortunately thrown away without my making a quantitative examination as I had intended, but there was no doubt as to the amount being very considerable. I have once before had a distinct reaction with Fehling's solution in urine with a specific gravity of IOO5, but was not able on that occasion to do more than assure myself that the Fehling's solution was in good condition, and had no opportunity of confirming the presence of glucose by other tests. Cornhill, E.C.

S. W. CARRUTHERS, M.D.

THE Guy's Hospital Biennial festival of past and present students will take place in the Whitehall Rooms, Hotel Metropole, on Tuesday, July ist, when the chair will be taken by Dr. A. L. Galabin. Applications for tickets should be made to the Honorary Secretary, Dr. G. Newton Pitt, I5, Portland Place, W.

nated by forceps, the children being still born. Subsequently, two years ago, a miscarriage occurred at the third month followed by a pelvic abscess. which discharged for several months by the rectum and then cleared up. Since then she had had occasional attacks of pain with increasing difficulty in getting the bowels to act. Operation.-Under an anaesthetic (with the assistance of Dr. Talbot) the abdomen was opened in the middle line between the pubes and umbilicus. Distended small intestine presented, and could be traced down into pelvis, where it was bound down in dense cicatricial tissue behind the uterus, which was double the normal size and very hard. Passing up from the pelvis was collapsed small intestine ending in the caecum. Her condition was so critical that the distended small gut was sewn into the abdominal wound and opened at once, a glass tube being tied in. Progress.-For a time she improved, faeces passing freely by the opening. Then the skin became very sore all over the front of the abdomen from the irritation of the bowel contents. She was in constant pain, and lost ground steadily. Second Operation.-December 5th, 190I. Under an anaesthetic the abdomen was opened by an incision parallel to and an inch to the right of the artificial anus. The bowel was transversely divided 2 in. above the artificial anus, and the lower cut end invaginated and sewn up. The upper cut end was then sewn into a lateral incision in the ascending colon, about 3 in. from the caecum, continuous silk sutures being used to unite the mucous coats and interrupted sutures the peritoneal coats. The patient was much collapsed all through the operation, requiring several injections of strychnine, and, finally, an intravenous saline injection. After-Progress.-Flatus passed naturally on the second day, and the bowels acted on the fifth day. Solid food was given on the fourteenth day. The incision healed by first intention, and the skin, which was quite raw all over the abdomen at the time of operation, rapidly recovered its normal condition. In three weeks and a-half the patient returned home. On February 12th, 1902, she had put on flesh and was free from pain, and was going about as usual. The artificial anus showed no Signs of contracting. But it gave no trouble, as there was nothing but a little mucus secreted, from the exposed bowel mucous membrane. The bowels acted naturally three or four times a day; the motions were very soft, but there was no undigested food in them. REMARKS.-The second operation had to be performed under unfavourable conditions, owing to the exhaustion produced by the constant pain following the digestive action of the bowel contents on the skin of the abdomen. To prevent this absolutely became of primary importance, and therefore the bowel was completely divided above the artificial anus in preference to a lateral anastomosis. The importance of completing the operation as quickly as possible made it inadvisable to attempt to estimate accurately the length of bowel shortcircuited. But judging from the present looseness of the bowels it was of considerable extent.

15I6

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NALVAL AND MIILITARY MEt ICAL SERVICES.

Surgeons, to the PemnbroiJe, for disposal, Juine 21St: L. M. MORRIS, 0. MILLS, and N. H. MUMMERY, surgeons, to the Vivid, for disposal, June 2ISt; T. B. SHAW, Surgeon, to the Resolution, JaLe 3oth. INDIAN MEDICAL SERVICE. COLONEL G. C. HALL, Bengal Establishment, is appointed to officiate as Principal Medical Officer, Lahore District. Lieutenant-Colonel J. P. GREANY, M D., Bombay Establishment, is appointed to officiate as Principal Medical Officer of Aden District.

ROYAL ARMY MEDICAL CORPS (MILITIA). LIEUTENANTS G. J. D. DAVIES and S. G. Mc ALLUM, M.D., are seconded for service in South Africa, June iith.

THE FUTURE OF THE R.A.M.C. (MILITIA). MILITIA writes: I beg to bring to notice the strong feeling existing among the officers of the R.A.M.C. (Militia) in reference to their future as regards military duty and employment. As civil practitioners who have either given up or lost our civil work, due to our having been embodied for the past three years, and so employed in militaryduties, we strongly feel-seeing the good work which the officers of the Corps have done, not only at home, but in South Africa, during the war-that we are entitled to generous treatment at the hands of the Government. We desire to be continued in our military duties after disembodiment in such ways as will not interfere with the R.A.M.C. We hold that such duties can be given us at d3pots, station hospitals, small stations, such as d6pots of militia regiments, where the medical duties are in a great number of cases done by civil practitioners and at stations where no military medical officers are employed. IMPERIAL YEOMANRY.

SURGEON-MAJOR J. T. JACQUES, Leicestershire (Prince Albert's Own) resigns his commission, retaining his rank and uniform, June xith.

VOLUNTEER ENGINEERS. MR. WILLIAM H. GATLOWAY is appointed Surgeon-Lieutenant in the 2nd West Riding of Yorkshire (Leeds), June ixth. VOLUNTEER RIFLES. MR. JOHN S. S. PERKINS is appointed Surgeon-Lieutenant in the ist (Exeter and South Devon) Volunteer Battalion the Devonshire Regiment, June iIth. Surgeon-Lieutenants A. EHRMANN. 22nd Middlesex (Central London Rangers), and C. A. MARRETT, ist Tower Hamlets, are promoted to be Surgeon-Captains in their respective corps. ROYAL ARMY MEDICAL CORPS (VOLUNTEERS). MR. ADAM M. PORTEOUS is apDointed Lieutenant in the Woolwich Companies, and to be Transport Officer to the Division, June ixth.

VOLUNTEER INFANTRY BRIGADE BEARER COMPANIES. SURGEON-LIEUTENANT H. W. WEBBER, M.D., from 2nd Devonshire Royal Garrison Artillery (Volunteers), is appointed Surgeon-Lieutenant in the Devon Company, and to command under Paragraph 55a, Volunteer Regulations, June iith. Surgeon-Captain J. M. H. MARTIN, M.D., from the ist Volunter Battalion the East Lancashire Regiment, is appointed Sureeon-Captain, North-East Lancashire Company, and to command under Paragraph 55a, Volunteer Regulations, June 11th. Surgeon-Captain T. HOLT M.B., from the 2nd Volunteer Battalion the 'East Laneashire Regimeni, to be Surgeon-Captain in the North East Lancashire Company, June zith.

VOLUNTEER MEDICAL ASSOCIATION. THE Annual Challenge Shield Competition of the Volunteer Medical Association was held on June 7th, by permission of the Lord Mayor, in the Guildhall. A large number of Volunteer medical officers witnessed the competition, and among others present were Brigade-Surgeon-Lieutenant-Colonel Andrew Clark (Chairman of the Association), BrigadeSurgeon-Lieutenant-Colonel W. R. Smith and BrigadeSurgeon-Lieutenant-Colonel M. Baines (Shield Trustees), Inspector-General Turnbull, Surgeon-Lieutenant-Colonel F. W. Humphreys, Mr. P. T. B. Beale, Surgeon-Major Godson, and Surgeon-Captains Swain, Coffin, and M. G. Foster. The examination included stretcher and wagon drill, first aid, bandaging, and anatomy and physiology. The winners of the challenge shield, with four first-class arm badges, were the sth (Glasgow Highlanders) Volunteer Battalion Highland Light Infantry, with a total of 2981 out of a possible 350 marks, the Queen's Royal West Surrey Regiment came second with a total of 285- marks; the ist City of London Rifle Brigade third, with 269, marks, and the others in order

[JUNE 14, 1902.

were the 21st Middlesex (Finsbury) V.R.C., the ist Cadet Battalion, King's Royal Rifles; the 2nd V.B. Royal Fusiliers (City of London Regiment); ist V.B. Princess of Wales's Own Yorkshire Regiment; the 4th Durham Royal Garrison Artillery (Volunteers), and the 22nd V.D. The Eseex Regiment. By the new rule that no member of a winning squad is eligible to compete in the ensuing year the winning squad of the 2nd V.B. Royal Fusiliers of last and several other previous years was excluded. By a carefully devised method of allotting a proportion of the total marks to each of the several portions of each question it was considered that the element of chance was to a very great extent eliminated from the competition. The shield and arm badges were presented amidst loud applause to the best squads by Brigade-Surgeon Lieutenant-Colonel Andrew Clark, V.D., who congratulated the winners on their success and the Honorary Secretary, Surgeon-Major J. J. de Zouche Marshall, on the excellent arrangements that had been made for the competition. MEMORIAL TO THE LATE SURGEON-GENERAL W. NASH. WE are asked to state that the following subscriptions to the above fund have been received by the Honorary Secretary, Major B. M. Skinner, R.A.M.C., I8, Victoria Street, S.W., since the last notiflcation. Cheques should be made payable to Major B. M. Skinner, R.A.M.C. crossed 't Sir C. R. McGrigor and Co., Memorial to Surgeon-Generai Nash," and addressed to Sir C. R. McGrigor and Co., 25, Charles Street, St. James's Square, S.W. i; s. d. Brigade-Surgeon-l,ieutenant-Colonel A. A.'Macrobin... I O O ... Deputy Inspector-General G. Saunders ... I I O Lieutenant-Colonel R. T. Beamish... ... o soo ... Brigade-Surgeon S. H. Dickerson ... ... ... o iO 6 ... Surgeon-Major-General C. K. Giraud ... I I al Lieutenant-Colonel J. I. Routh ... ... ... I O O Captain Clive S. Robinson ... ... ... I I O Surgeon Major W. Sharpe ... ... ... a IO a Colonel T. Ligertwood ... ... ... ... I I O Lieutenant-Colonel W. W. Pope ... ... ... I I O .. 92 I6 o Previously acknowledged .. .. Total

...

Lioi

II

6

THE APPEAL FOR THE FAMILY OF THE LATE LIEUTENANTCOLONEL BRODIE, R.A.M.C. ON behalf of the widow and orphans oF Lieutenant-Colonel J. F. Brodie, R.A.M.C., for whom an appeal was made in the BRITISH MEDICAL JOURNAL of the 24th May, Colonel Leake begs to acknowledge, with many thanks, the following contributions and to express his cordial appreeiation of the kind words of sympathy which accompanied them:X s. d. Major J. Hickman . 2 2 O .. ... Major Paul Connolly, A.M.S.(R.) . I a 0 Previously acknowledged ... ... ... ... 21 IS O

Total to date

...

...

24

27

0

AN ACKNOWLEDGEMENT. SuRGEo-GENERAL H. S. MUIR begs to acknowledge with thanks donations towards the "Y Fund" from Professors Chiene, Fraser, Simpson, Wylie, Drs. Halliday Croom, Heron Watson, Underhill, Ronaldson, Crawford Renton, Hunter, Argyll Robertson, Milne Murray, Blair Cunynghame, Dunsmure, Joseph Bell, Mr. Barclay, Surgeon-Colonel Arnott (the foregoing kindly collected by Mrs. A-rgyll Robertson), Major and Mrs. Hickman Morgan, Captain and Mrs. W. E. Beyts, Mr. C. Vincent Cotterell, Brigade-Surgeon-Lieutenant-Colonel C. E. Harrison and the following officers R.A.M.C. --Colonel W. Allan May, LieutenantColonels Peyton. R. D. Donaldson, R. C. Gunning, Majors R. H. Hall, J. S. Edge, E. C. Freeman, A. T. J. Lilly, Captains H. N. Dunn, P. Evans, L. Addams Williams, Lieutenants L. N. Lloyd, H. M. Nicholls, A. C. Duffey. The Fund now amounts to £263 We are asked to state that the subscriptions have been given in response to an appeal made privatelyto members of the profession for benevolent aid in a distressing case which has been described in a letter sent to a limited number of medical men. Should any reader desire further particulars, with a view to expressing practical sympathy, a copy of the letter will be forwarded on application to Surgeon-General Muir, 26, Kensington Garden Terrace, W.

UNIVERSITIES AND COLLEGESI UNIVERSITY OF CAMBRIDGE. Degrees.-At the Congregation on June 5th the following degrees'were conferred -M.D.: H. A. Gaitskell, Clare; H. F. Parker, Emanuel; W. J. Lindsay, Sidney; R. J. Reece, Downing; J. A. Wright, Non-Collegiate. MB. ; E. J. Claxton, King's; J. A. Andrews, St. John's; E. R. Clarke, St. John's; A. P. Laycock, St. John's; R. Rolfe, Clare; C. H. Glenn, Pembroke; B. B. Sapwell, Corpus; H. 0. Butler, Emanuel. B.C.: J. F. Alexander, Trinity; J. A. Andrews, St. John's; A. P. Laycock, St. John's; C. de C. Pellier, Clare; B. B. Sapwell, Corpus.

PUBLIC HEALTH.

JUNs 14, 1902.]

UNIVERSITY OF LONDON. A MEETING of the Senate was held on May 28th. G6rantfront the T'echnical Education Board.-The scheme for the allocation of the grant of £io 000 a year from the Technical Education Board of the London Counlty Council was finally adopted, the consent of the various institutions concerned hlvlng been obtained. Gilchrist Endowment for Women.-The conditions for the Gilchrist scholarships and studentship for women were approved. A studentship of xzoo is tenable for one year by a Graduate of the University who is prepared to take a course of study in an approved institution in preparation for some profession. The holder must have graduated in honours in the University, and must be of not more than three years' standing from first graduation. Applications must be made to the Principal not later than the end of February, accompanied by three testimonials and the names of three references, toggether with a statement of the profession which the candidate if successful intends to pursue, and of the institution at whiclh she intends to study. FACULTY OF MEDICINZE. A meeting of the Faculty of Medicine was held at the University on Friday, June 6th, Mr. Butlin, the Dean of the Faculty, presiding. Proposed Institute of Preliminary and Intermedicute Studies.-A report from the Committee on the Proposed Institute of Preliminary and Intermediate Medical Sciences was received and adopted for presentation to the Senate without dissent. The report was in the form of a reply to the Senate in response to a request that it should be furnished with information as to (a) the capital outlay, (b) the annual cost of maintenance, and (c) the accommodation and staff necessary for the proposed Institute of Medical Sciences, with suggestions for the administration of the institute. The Committee in its report dealt with all these points, and submitted two alternative schemes for staffing the institute and remunerating the teachers, one of which they regarded,as the ideal if funds were available, and the other which was feasible even if no other source than students' fees were forthcoming for the maintenance of the institute. The report also contained some recommendations with regard to the site of the institute, and concluded by urging the Senate " to make the provision of the proposed Institute of Medical Sciences one of the chief items in the public appeal for funds shortly to be issued by the University." Regulations for M.B., B S. Degrees.-The Faculty also considered the regulations proposed by the Board of Advanced Medical Studies for the degrees of M.B., B.S. The three chief changes proposed by the Board are as follows: (a) The M.B., B.S. examinations shall be united so as to form a single entrance to those degrees, both of which shall be conferred on each successful candidate. (b) No separate examination shall be held for honours. (c) The subjects may be divided into two groups, one of which shall comprise surgery and midwifery and diseases of women, and the other medicine, pathology, forensic medicine, and hygiene. Either group may be taken first at the option of the candidate, or the groups may be taken

together.

These three proposals were allowed tobe sentto the Senate withoutcomment from the Faculty. Some other proposals contained in the Board's report gave rise to a good deal of discussion, more particularly the large number of compulsory lectures required and the shortness of the period of clinical study. On these and some other points the Faculty passed definite resolutions to be forwarded to the Senate. Regulations for M.D. and M.S. Degrees.-The consideration of the proposed regulations for the degrees of M.S and M.D. was adjourned till the next meeting of the Faculty to be held on Friday, June 20th, at 5 p.m. at the University.

ROYAL COLLEGE OF SURGEONS IN IRELAND. Barker Anatomical Prize for 1903.-A prize of £22 is offered for competition and is open to any student whose name is on the anatomical class list of any school in the United Kingdom. The prize is offered for a dissection of the sole of the foot. the preparation must be sent in by March 3Ist, o903, to the Curator, Dr. Arthur H. White, Royal College of Surgeons, Dublin, from whom further particulars can be obtained. Examiners in Surgery.-At a meeting of the Council of the Royal College of Surgeons in Ireland, held on June 5th, the following were appointed Examiners in Surgery for the ensuing year: Professor Conway Dwyer, Mr. S. T. Gordon, Mr. R. Lane-Joynt, and Mdr. Edward H. Taylor.

PUBLIC HEALTH AND

POOR-LAW MEDICAL SERVICES. HEALTH OF ENGLISH TOWNS. IN seventy-six of the largest English towns, including London, 8,,8 births and 4,569 deaths were registered during the week ending Saturday last, June 7th. The annual rate of mortality in these towns, which had bean 17., I6.7, and I6.5 per I,o in the three preceding weeks, further declined last week to I6.o per Izooo. The rates in the several towns ranged from 6 6 in Handsworth, 7.6 in Hornsey, 8.5 in East Ham, 8.8 in West Hartlepool, 9.8 in Newport(Mon.), o.oin Aston Manor, and 10.2 in Croydon and in Bournemouth to 22.9 in Sunderland,23.oin Tynemouth,23.I in Gateshead, 24.3 in Preston, 24.4 in Bootle, 24.5 in Oliham, 25.7 in Middlesbrough, and 29.7 in Wigan. In London the rate of mortality was 14.9 per r,ooo, while it averaged z6.6 in the seventy-five other large towns. The mean death-rate from the principal v motic diseases in the seventy-six towns was z.9 per r,ooo; in London tis death-rate was equal to 2.X per ,,ooo, while it averaged z.9 in the seventy-five other large towns, among which the highest zymotic death-rates were 3.8 in Newcastle, 4.2 in St. Helens, 4.9 in Sunderland and in Rhondda, 5.4 in Barrow-in-Furness, 6.o in Tynemouth. and 7.6 in Wigan. Measles caused a death-rate of z.9 in Plymouth, and inltochdale, 2.0 in Tottenham, 2.4 in Bradford, 3.o in

[M xBtx

I

Stockton-on-Tees, 3.1 in Rhondda, 3.2 in Sunderland, and 3.4 in Wigan ; scarlet fever of I.I in Burnley and in Middlesbrough; diphtheria of I.3 in Rhondda, I.6 in Griimisby, and I.7 in Middlesbrough * and whoopingcough of I.4 in Newcastle, I.5 in Coventry, 2.5 in South Shields, 3.4 in Wigan, 3.6 in Barrow-in-Furness, and 4.0 in Tynemouth. The mortality from "fever" showed no maiked excess in any of the large towns. The 49 fatal cases of small-pox registered last week included 29 which belonged to London, 6 to West Ham, 5 to Swansea, 3 to Croydon, 2 to Willesden, 2 to Tottenham, 2 to East Ham, and I to South Shields. The Metro olitan Asylums Hospitals contained I,I62 small-pox patients on Satur ay, July 7th, against 1,360, I,344, and 1,274 on the three preceding Saturdays; I88 new cases were admitted during the week, against 233, 307, and 251 in the three preceding weeks. The number of scarlet fever cases in these hospitals and in the London Fever lospital, which had been 2,207, 2,236, and 2,266 at the end of three preceding weeks, lhad further risen to 2,324 at the end of last week: 310 new cases were admitted during the week, againSt 270, 28o, and 329 in the three preceding weeks.

HEALTH OF SCOTCH TOWNS. DuRING the week ending Saturday last, June 7th, 974 births and 623 deaths were registered in eight of the principal Scouch towns. The annual rate of mortality in these towns, which had been 20.3 and 19 3 per x,ooo in the twvo precediiig weeks, was again 19.3 last week, and was 3.3 per I,ooo above the mean rate during the same period in the seventy-six large English towns. AmoDg the Scotch towns the death-rates ranged from io.6 in Leith and 15.4 in Dundee to 23 4 in Greenock, and 27.5 in Paisley. The zymotic death-rate in these towns avTeraged x.9 per x,ooo, the highest rates being recorded in Paisley and Perth. The 38 deaths registered in Glasgow'included 7 from measles, 13 from whooping-cough, and 4 from diarrhoea. Four fatal cases of measles and 2 of diarrhoea were recorded in Edinburgh; 2 deaths from measles and 6 from diarrhoea occurred in Dundee; 3 from diarrhoea in Aberdeen; and 7 from measles in Paisley. DISTRIBUTION OF ANTITOXIN IN NEW YORK. THE New York State Health Department has announced that it will furnish diphtheria antitoxin, prepared and tested in its antitoxin laboratory, under the following conditions :-That it is applied for the treatment or immunization of inmates of State institutions, or other charitable institutions in the State, or for persons who cannot afford to purchase the remedy, and that it will not be sold under any circumstances. Medical practitioners obtaining the antitoxin must agi ee to report the results of its use on a form provided by health officers. Those desiriDg the remedy for use in State institutions must apply to the State Department of Health, Albany, and all others can obtain it from the health officer of the city, town, or village in wvhich theyreside. The department specifies the amount of antitoxin which should be used in mild and severe cases of diphtheria, and for the purpose of immunization. PAUPER PATIENTS DYING POSSESSED OF MONEY. A PARISH MEDICAL OFFICER, practising in the eremote Highlands of Scotland, brings under our notice an interesting question. It appears that a pauper patient whim he had attended during her last illness was found after death to be possessed of a sum of money; of this money the inspector of poor took possession, and informed the doctor that probably out of it the parish council would pay the woman who had attended the pauper in her last illness and also the funeral expenses. The do2tor thinks that he also should be paid for his attendance, and he wrote to the Local Government Board of Scotland on the subject. The Secretary of that Board replied. stating ' that while there is probably no legal right to a share of the money referred to, the parish council may 'ousider that you have an equitable claim, and I am to suggest an application to them." Our correspondent does not wish to apply to the parish council, as probably not only would he not get any fee, but, knowing the composition of Highland parish councils, he might get snubbed for his trouble. He suggests that an alterxtion should be made in the law so that parochial medical men may be entitled to the fees out of any money that may be recovered from paupers. This appears to us to be a most reasonable suggestion.

DISTRICT MEDICAL OFFICERS AND FEES FOR CERTIFYING PAUPER LUNATICS. E. W. H. writes as follows: I am district medical officer, and was requested by the relieving officer-who sent me the form to be filled np-to see an alleged lunatic, and fill in the necessary certificates preparatory to his removal to the lunatic asylum. I certified him as insane, but not in a fit state to be removed to an asylum. I am now told that I can have no fee for this, as the man was not brought up before the magistrate. Can I claim one ? *** We are afraid our correspondent cannot claim any fee for this case, as no magistrate appears to have been consulted about it. If this assumption is correct, no magistrate would be authorized to order any fee to be paid. The relieving officer who induced our correspondent to sign the form he supplied ought to have known that it would not carry a fee. The question arises whether the relieving officer himself was not guilty of neglecting the, requirements of the Lunacy Act by omitting to bring the case under the notice of a magistrate in order that the magistrate himself might decide as to the proper course to adopt. It would then have been the duty of the magistrate to call a medical practitioner to his assistance. A fee could then have been claimed for the certification of the patient, even if he had been certified as not fit to be removed to an asylam.

DUTIES OF POOR-LAW MEDICAL OFFICERS. RuSTICUS IN URBE, who is a Poor-law medical officer, is called in by the guardians to visit and examine a feeble-ninded boy with a view to his being taught a trade. He examines and reports on the case. Some

~58

MEDICAL

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time after he is requested to see the case again, and to fill up a printed only 7 deaths. There were I,179 in-patients and x5,988 new out-patients Neve and Mr. Arthur document certifying that thae boy is feeble-minded and in a fair state of under the same medical supervision (Dr. Ernest Neve. F.R.C.S.); 154 patients were admitted into the Kashmir State Leper health. He asks what fee is due to him for each visit. to hold five sets of was erected Our correspondent, who is a public vaccinator and Poor-law medical Hospital, and during the year a new block officer, also desires to know whether he is allowed to resign one of the married people. appointments and still keep the other. F (i) We are advised that our correspondentcannot claim any special fee simply for hiis visit to the patient in question, or for his certificate given to the guardians, but if the patient is so far an imbecile as to be properly classed as a pauper lunatic he should be entered as such in THE muzzliDg order has been extended to the administrathe return made to the Lunacy Commissioners at the end of the quarter. Our correspondent would then, by the Lunacy Act, z8go, be able to tive county of Carmarthen and the borough of Carmarthen. claim 28. 6d. for the quarterly visit, and also for any subsequent quarTHE Royal Dental Hospital of London, Leicester Square, terly visit as long as the patient continued to reside in his district. has received the sum of 4,500 from the Trustees of Smith's (2) Our correspondent could resign his appointment as district medical (Kensington Estate) Charity. officer at any time without abdicating his position as public vaccinator, but the guardians could at any time, by giving him twenty-eight days' SUCCESSFUL VACCINATION.-Mr. F. H. Turner, East Bergnotice, terminate his vaccination contract. holt, Suffolk, Public Vaccinator of the Capel District of the

MEDICAL NEWSE

DISPOSAL OF TYPHOID EXCRETA. H. 0. M. asks for advice as to the best way of dealing with exereta from typhoid patients in an isolation hospital where there is no system of drainage and earth closets are used. *** We think that the exereta of typhoid patients should not be received into an ordinary earth closet, the main principle of which is that its contents are to be kept dry. There is no evidence that the B. typhosus is effectively killed in such a closet. Excreta may, however, be received into sawdust and subsequently burnt in a cremator pro-vided for this purpose. Or a trench may be dug in the grounds and the contents of bedpans systematically buried, the trench being then covered in. Great attention to detail is necessary with all sulch methods, if the conveyance of infection by soiling and by dust is to be avoided. It is wise to keep the dejecta in contact with an acid solution of perchloride of mercury for at least half an hour before they are emptied from the bedpan. It must also be noted that the urine may be as infective as the faeces, and equally rigid measures are required for it. Our correspondent might consult the two papers by Major H. A. Cummins, R.A.M.C., published in the BRITISH MEDICAL JOURNAL of November xoth, 0oo0, p. 1369, and April 20th, 190T, p. 904, in which the method of disinfecting exereta by boiling with carbolic acid (used during the Boutli African campaign) was fully described. PUBLIC VACCINATION. . V.-It seems clear that the Vaccination Act, z898, Section I, Subsectioin (2) leaves a public vaccinator no alternative but to vaccinate " if the parent or other person in charge of a child so requires." After the provisions of the Act and Order have been observed we do not think that a public vaccinator can do more than suiggest to the parents that the vaccination should be performed by their ordinary medical attendant. REPORT ON WORKHOUSE INMATES. L.P. states that he lhas been requested to examine eighteen inmates of a worklhouse of which he is not the medical officer and report as to their condition; he asks what would be a fair charge to make for this duty. **, LP. does niot state the circumstance under which he had been called on to make a report on the condition of the inmates of a work house of which he is Inot the medical officer. In the absence of informa-tion on this point we should tlink 3s. 6d. a head would be be as much as the guardians would expect to pay.

HOSPITAL AND DISPENSARY MANAGEMENT. CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST. FIR EDWARD SASSOON presided recently at the festival dinner of the ,-City of London Hospital for Diseases of the Chest at the Hotel Cecil, Strand. Covers were laid for nearly200 guests. The Committee appeal for .£ coo to reopen 24 of the beds now empty for want of funds, and to provide accommodation for the nurses. The Chairman, in proposing the toa.st of -' The Royal Family," announced that the Duke of Connaught, the Presi(lent of the bospital, was vresent at the matiade held at Wyndham's -Theatre tlat afternoon in aid of the propoqed sanatorium for open-air treatment of phithisis. A telegram was read from Dr. Heron stating that the sum realized by the natfin&e amounted to ,;66o, and late, on it was stated that over o2.000 had been contributed to the funds of the institution. In the cour se of his remarks proposing the toast of " Prosperity to the Hospital," the Chaii-man observed tha.t before new hospitals for con.sumption were b1)ilt, it was righ-t that everv bed in the present hospitals should be uttilized. That. hlivever. required more money and more nurses -and more nurses necessitatedl further expenditure. Mr. J. Benson, L.C.C.. pr-oposefl " The Committee and Executive Staff," which was respondle(d to by Mr. F. Hyland. The toast of " The Medical Staff " was -entrnstedrto Mr. H. Robertson. M.P., and was replied to by Dr. Glover Lyon. The companiy separated after a vote of thanks had been accorded to the Chairmani on the proposition of Mr. E. E. Cooper. RKASHMIR M[SSION HOSPITAL. `OiRo fthe recently issued report of the Kashmir Mission Hospital we leorn that during the past year 3,2I8 operations were performed, with

Samford LTnion, has received the Government grant for successful vaccination. A SUM of £15o has been received by the North-Eastern Hospital for Children, Hackney Road, from the Editor of Little :Folks, being the fourth instalment towards a sum of £2,000 which is being collected by the readers of the magazine for the endowment of a ward. MEDICAL LEGISLATORS IN BELGIUM.-The new Belgian Chamber of Deputies contains seven medical members, being an increase of two as compared with the last. The names of the deputies are Drs. Branquart, Cousot, Delbast6e, Delporte, Heynen, Pierard, and Terwagne. BRITISH BALNEOLOGICAL AND CLIMATOLOGICAL SOCIETY.The annual dinner took place at Pagani's Restaurant on Tuesday, June 3rd; the President, Dr. Douglas Kerr (Bath), occupied the chair, and Sir Lauder Brunton, F.R.S., was a guest of the Society. A very successful conversazione was held at 20, Hanover Square, on the same evening, at which there was a very large attendance of Fellows and guests. Sir Lauder Brunton gave an address on Some Health Resorts in the MediterranSn, which was illustrated by magic lantern slides. Dr. Ivor Murray proposed, and Dr. Symes Thompson (the President-elect) seconded, a vote of thanks to the lecturer. THE Provincial Meeting of the Society for the Study cf Diseases of Children will be held at the Childreni's Hospital, Pendlebury, on Saturday, June 2ISt. Cases will be demonstrated in the wards by the medical staff from 2.30 to 3 30 p.m, and an ordinary meeting will be held at 4 p.m.. wben clinical papers will be read. The members and their friends will dine together at the Queen's Hotel, Manchester, at 7.30 P.m. On Sunday there will be an excursion into Derbyshire, after which London members will be able to return direct. Further particulars can be obtained from the Honorary Secretary of the Society, Dr. George Carpenter, 12, Welbeck Street, London, W.

MEDICAL VACANCIES. The following vacancies are announced: ABERDEEN UNIVEELSITY.-Additional Examiner for Graduation in (1) Botanvy (2) Chemstry, (8) Medical .Turisprudence and Public Health. Applications to the Secretary of the University Court by June 30th. unAYLESBURY: ROYAL BUOKINGHAMSHIRB HOSPITAL.-Resident surzeon, married. Salary, &80 per annum for first year, Increasing to £100, with board and furnisbed apartments. Appltoations to the Secretary. ner BANBURY: HORTON INFIRMARY.-Reuse Surgeon and Dispenser. Salary. e8lMarlannum. with board and lodgingj Applications to the Honorary Secretary, 21, borough Road, Banbury. SurBIRMINGHAM: ROYAL OBTROPAEDIC AND SPINAL HOSPlTAL.-AssistantGieat gon. Applications to the Honnrary secretar to the Medical Committee, 9, Charles Street, Birmingham.hy June 30tb. £60 er BRIGHTON, HOVE, AND PRESTON DIlPENsAuY.-House-Surgeon. Salary, Secretary, 13,

annum, witb furmished avartment,4. ete. Applications to the Assistant Queen's Road. Rrightoti, he June 17th. and Ansesthetist. BRIGHTON: SUSSEX COUNTY HOSPITAL.-Second House-Surgeon lumarried, and under Sfl years of age. salary, £70 per annum, with board and residence. ApDlications to the Seoretary by June 18th. Salary, £140 rer BRISTOL CITY LUNATIC ASYlUII.-Medioal Assistant; unmarried. annum. rising tn £160. with tarnished apartments, hoard. and wasbing. Aprli'ations. marked '`Mdical Assistant." to be sent to the Clerk to the Visiting Committee. The Council House. Bristol, hy June 27th. Inn Road. W.C.-TTxuseCENTRAL LONDON THROAT AND E&R HOSPIT&L. Gray's Surgeon (non-resident). Honorarium at the rate of 40 guineas per annum. Appications to the Secretary. Lecturer on Rac. CHARI'NG CROSS HOSPITAL-Bacteriologist to the Rospital and teriology to the Mediod School. salary, £100 per annum and share of class fees. Applications to the Secretary hi July 9th. OF THIE CHEST, Victoria Park. E.CITY OF LONDON HOSPITAL FOR DIREASER second House-Physician. Appomtment for six months. Salary at the rate of £8 per annum. with board, washing, and residenoe. Applications to the becretary by July 2nd.

LmRDICAL JouRNAL 1519

DIARY

JUNE 14, 1902.1

DEVONPORT: ROYAL ALBERT HOSPITAL--Resident Medical Officer; unmarried and under 82 years of age. Salary, £110 per annum, with board and lodgings. Applications, on forms provided, to be sent to the Chairman of the Selection Committee by July 11th. EAST LONDON HOSPITAL FOR CHILDREN, Shadwell, E.-Resident Medical Officer. Salary. and board residence, and laundry. Applications to the Secretary by July 5th GLASGOW: ST. MUNGO'S COL(iEGE.-Notman Chair of Physiology. Applications to the Secretary, 93, West Regent Street, Glasgow. by June 30th. GREAT NORTHBBN CRNTER&L HOSPITAL Holloway, N.-Pathologist and Curator. Salary, 50 guineas per annum. Applications to the Secretary by June 16th. GREENOCK INFIR5IARY.-Assistant House-Surgeon. Salary £40 ger annum, with board and residenoe. Applications to the Secretary, 2, Hamilton 3treet, Greenock, by June 21st. HARTLEPOOL HOSPITAL.-House-Rurgeon. Salary, £100 per annum, with board, washing, and lodging. Applications to the Assistant Secretary, 9,Albon Terrae. Hartlepool, by June 25th. HEREFORD COUNTY AND OITY ASYLUM.-(lM Senior Assistant Medioal Officer; unmarried. Salary, £1I0 per annum. (2) Junior Assistant Medical Offeer; not over 28 year of age. Salary,£100 Board, lodging, and washing provided ineah case. Applications to Medial Superintendent. HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST, Brompton.Resident House-Pbysicians. Appointments for six months. Honorarium £25. Applications to the Secretary by July1st. LIVERPOOL DISPENSARIES.-Assistant Surgeon; unmarried. Salary, £100 per annum with board and apartments. Applications to the Secretary, 56, Vauxhall Road, Liverpool, by June 20th. LONDON HOSPITAL, Whitechapel,B.-(l) Assistant Surgeon. (2) Surgical Registrar salary, perannum, Applications to the House-Governor by June 27th. ROYAL INFIRMARY.-Assistant Medical Officer to the Convalescent MANOHESTER Hospital,Oheadle: unmarried. Appointment for stx months. Salarv, at the rate of £80 per annum, with board and residence. Applications to the General Superintendent. Royal Infirmary, Manchester, by June 21st. MOWBRAY, NEAR CAPE TOWN: VALKENBERG ASYLUM.-Assistant Medical

Thomas, L.R.C.P., L.R.C.S.Edin., 8HANAsy, Lowan, Victoria.

appointed Health Officer for the Shire of A. Bannier, OhC.B. MD.Glasg., appointed Assistant ledical Officer to the Fever Hospitals of the Metropolitan Asylums Board. STEWART Frederick H., B.&., MB., B.Ch.. B A.O., appointed Fourth Assistant and Pathologist to the Kent County Lunatic Asylum, Barming Heath. STUAR1T, P. J., M.R.C.S., LR.C.P.Lond., appointed Senior Assistant Miedical Offloer to the Northampton Oounty Asylum. SYKEs, Walter L R.O.P.B.. L.HC.S.BE., appointed Senior House Surgeon to the Birmingham and Mida Eye Iospital. TODD, C E. M.D.Brux., L.R,O.P.Lond, X .M.C.S.Eng., appointed Hon. Assistant Surgeon to the AUelaide Hospital, South Australia. TROTTEBR Alexander M B B.0h.Sdin.. appointed Res'dent Surgical Ofheer to the Birmingham and kidlanA Eye Hospital. WILKINSON, G. T., L.R.C.P.Edin,1L.R.C.P.I. appointed Medical Officer of Health to the Scalby District Oouncil. WILKINOsN, J..M.D.Edin., D.P.H., appointed Medical Officer of Health to the Droitwich Rural Distriot Council.

SLON,

the

Officer; unmarried. and not more than83 years of age. Appointment fortbree years. Salary,£100 per annum. with board, lodging, and washing,ana free passage each way. Applications to the Agent-General for the Cape of Good Hope, 100, Viotoria Street, London, by June 23rd. NORTHAMPTON GENERAL INFIRMARY.-Assistant House-Surgeon; unmarried, and not under 22 years of age. Salary. £75 per annum, withfurnshed apartments, board, attendanoe. and wasning. Applications to the secretary by June 24th. NORTHAMPTON: ST. ANDREW'S HOSPITAL FOR MENTAL DISEASES.-Junior Assistant Medical Officer, unmarried. Salary,£150 per annum rising to 2300. wtth board, furnished apartments, and washing, Applications to the Medical Supermtendent by June 21st. NORWIOCH: AND NORWICH HOSPITAL.-Second Assistant HouseSurgeon. Appointmentforsxmonths. Honorarum,£20. Applications to the Seore. tary by June 17th. NOTTINGHAM,GBNBRAL DISPENSARY,-Assistant Resident Surgeon; unmarried. Salary, £160 per annum, increasing £10 yearly. with furnished apartments, etc Applications to the Secretary, Mr. M.I. Preston, JournalOhambers, Nottingham. ROY&L DENTAL HOSPITAL OF LONDON AND LONDON SCHOOL OF DBNTAL SURGERY, Leicester Square-Lecturer on Dental Anatomy. Applications to the Dean by June 19th. ROY BAR HoSPITAL, Soho, W.-House-Surgeon;onn-resident. Small honorarium given. Applications to the Honorary Secretary, edical Board, by June 26th. SALSBURI: FISHEIITON ASYLUM.-Assistant Medical Offloer; unmarried. Salary, oommence, with board, lodging, and asing. Applications to r. £150 per annum to Fineh. SALOP AND MONTGOMERY COUNTIES LUNATIO ASYLUM. Bicton eath, near of age. Salar, £6w Shrewsbury.-Mediocal Superintendent; not exceeding 41onyears per annum, with unfurnishedhonse, forms provided, to be sent ete. Applications, to W. Baxter, Clerk To the Committee of'Visitors, Shirehall. Shrewsbury, by June30th. SHOREDITCH: PARISH OF ST LEONARD.-Public Vaccinator for the Haggerston District. Applications to the Clerk to the Guardians, 213, Kingeland Hoad, h.E., by June 20th. STAFFORDSHIREOOUNTY ASYLUM, Stsfford.-Junior Assistant Medical Officer; 9 0 year of age. Sal ar £1 per annum, rising to £0, Unmarried, and not over with furnished apartments, board, etc. Applications to the Medical Superintendent. WEST LONDON HOSPITAL, Hammeremith Road, W.-(I) House-Physician. (2) HouseSurgeon. Appointments for six months, Board and provided. Applications to te Secretary-SuperIntendent by June 18th. WOLVERHAMPTON 5GENERAL HOSPITAL.-Assistant House-Physician. ment for sixm ont. Honorarium at tbe rate of75 er umwith board, lodging, and washing. Applications to the Rouse Governor by June 23rd.

NORFFOLK

Appinnt-

MEDICAL APPOINTMENTS. BANTON, Geo. Alex. Heaton, M.D.Brux, M.R.C S L.R.C.P., L.S.A.Lond., appointed Lonon Second Anaesthetist to the North-WWest oiftaI I'omp BEAN, Harold Knowles, M.D., C,M,Edin.. appointed Government Medical Officer and Vaccinator at New South Wales, vice J. J. Stapleton, M.D.Edin, deaeased. BRowN, Georgte. M.B., appointed Senior House-Surgeon to the Dunedi Hospital, New Zealadnd. viceHDr.lBaIl resigned. T. R. Beale, M.R.C.S.. L.R.C.P., anpointed Junior Assistant Medical Officer to BaoowNru the Northampton County Asylum, vice F. J. Stuart. X.R.C.S., L.R.C.P. BuCHANAN, G. Burnside M B., C. M., F.F.P.S.G., appointed Assistant Surgeon to the Western Infirmary.Gaasgow, BUTLER, T. Harrison, M.A., M.D.Oxon., ML. M. C LH.C.P., appointed Clinical Assistant to the British Ophthalic;i Hospital at Jerusaem. CoLE, Robert H., M.B.. LL,B,Melb., appointed Coronerfor Victoria. S. V.. M.R.v.S., L.R.O.P.Lond. appointed Medical Officer and Public VacDuwN,CN cinator for the District of Kookynie, Veestern Australia, FARRINGTON, John, M.LC.S., L.R.C.PLond., appointed Provincial Medical Officer, Fiji, GURDON, E. J., L.R.C.P.Edln. M.R.C.S.Eng.. appointed Health Officer for Nannine, Western Australlamee T. Eelgrrve, B. M.D.Syd., i.t C.S.Eng., resigned. JONEs, W. B., X.R.C.S., LR.C.P., appointed Medical Superintendent to Brecon and Joitt Counties Asylum. Radnor C.M.. M.R.C.PEdin. appointed Honorary Assistant Surgeon to GLEGG,Birmingham Wiltrid. M.D., and Midland Ear and lhroat Hospital. the the Longford MCCANN, WM. C., L.R.C.P., L.R.C.8.1rel., appointed Medical Officer Victoria. Dispensary District, ce J. J. Yorke, M.B., B.Cb.R.U.I. XCGzE,William, L.K.Q C.P.I, appointed Health Oficer for PhPllip Island and Woolamal, MACQuARIE. Charles W., L.R.C.P., L.R.C.S.Edinn, appointed Medical Officer of Health lor the Shire of Omeo, and Public Vaccinator for the North-Bastern District, Victoria. Housue-Physician to the Hospital for gick Children, MRNziEs, F. Norton, M. B., appointed Great Ormond Street. William B M R C S.,L.R.g.r. tond., appointed Medical Officer for the Cam. MORLGAN, berwell District Camberwell Union, vice D. M. Serjeant, M.D.St. Ana., M.R.C.s., resigned. MUSGROVE, Charles D., M.D.Edin, appointed Medical Offloer of Health for Penartb. O'BRIENz, Daniel P., F.R.C.S-, L.W'C.P.Irel., appointed Visiting Medical Officer the Meteor parkarDbanage, Stanwell, Rockhampton, Queensland, vice D. S. Macdonald, M.B.. Ch.CK.Edin

Walliend,

or

Rithee

to

DIARY FOR NEXT WEEK. TUESDAY. Pathological Society of London., 20. Hanover Square, W 830 p.m.-Dr. Phear BoneMarrow in a Case of Suppuration of the Knee-joint, with Seco'ndaryHaemorrhage. Mr. H. J. Waring: Neuro-lipomata of the Median Nerve. Dr. Fawectt: Chyle Oyst of the Mesentery. Mr. H. 8. Paterson: Dermoid Cist of theIngulnal Canal. Dr. C. Riviere: The Meniagnoowcus in a Case Cerebral tumour Simulatinig Posterior Basal Meningitis. Mr.Shattock: Tuberculosisin a Python, Oard SpeciWaring: Congenital Lymphangtoma of the Face, and Congenital

mens-Mr. Tumour of the Superior Maxilla. Royal Statistical Society, 9, Adelohi Terrace, Strand, W.O, 5 p.m.-Mr. T. A. Welton: A Study of Some Portions of the Census ofLondon of 1901.

iniversity of London Physiological Laboratories, South Kensington, S p.m.-Dr. Waller: The Signs of Life. WEDNESDAY. Royal Microscopical Society, 20, Hanover Square. W., 8p.m. PhYstologlcal University of London Laboratories,Soath Kensington, * The Physiology of Respiration. 5 p.m.-Dr. Leonard Hill Royal Meteorological Society, 70, Victoria Street, Westminster, S.W., 4.30 p.m POIST-GRADUATE COURSES AND 1LECTURES Charing Cross Hospital, Thursday, 4p.m.-Demonstration of Surgical Cases.

Hospital for Consumption and Diseases of the Chest, Brompton, Lecture on the Treatment of PulmonaryTnberculosis.

Wednesday,4p.m.-

Hospital for Sick Children Great Ormond Street, W.C.. Thursday, 4 p.m.-Demonstration of the Treatmenu of Tuberculous Disease of Joints. MdialGraduates' College and Polyolinic 12,OCemes Street, W.C. Demonstrations Will be given at 4 p.m. as follows:-Monday, skin; Tuesday, medioal; Wednesday, sur-

gical

Thursday. surgical;Friday. eye.

National for the Paralysed and Epileptic, Queen 8.80 p.m.-Leoture on Surgery of the Nervous System.

Square,

W.a.,

Tuesday,

West London Hospital Hammersmith Road, W. Lectures will be delivered at 5 p.m. as follows ;-Ikonday: Urethral Stricture. Tuesday; Heart Murmurs, their

SignificanceandTreatment. Wednesday; Surgical Antomy. Thursday: Treatment Injuries. Friday: Disinfection, of Hospital, S.W., Tuesday, 4.30 p.m.-Demonstration on Menorrhagia,

Westminster

BIRTHS, MARRIAGES, AND DEATHS. The charge for inserting announcements of Births, Marriages, and Deaths is should be forwarded in post-office orders or stamps with Cs. 6d., which the notice not later than Wednesday morning, in order to ensure insertion in the current ii885te.

stm

BIRTHS. BARsNDT-June 7th, at 65. Rodney Street, Liverpool, W., the wife of Frank Hugh Barendt,M.D.lLnd., F.R.C.S.Eng., a son. DUNCAN.-On:JUne 4th. st 94, Sidwell Street, Exeter, the wife of Thomm Duncan, B., .M.Edin.. of a daughter (stillborn). EvANs-On June 6th. 1902, at Berth Ddu, Cottenham Park Wimbledon. S.W. the wife a of David Robert Powell Evans, L.R.C.P.. M.R.C.S.. L SI., of eoon lborn). MACKINTosH-At Grbaameton, Troon, N.B., on June 5th, the wife of Hugh J. Mack.intosh, MB., CoM. ofs a on. McNABB.-On June 4th, at 4, Meldon Terrace, South Shields, the wife of Laurence MlB., B.S., of a sun, McNabb, XoYNIHAN-June 8th, at Woodhotus Square, Leeds, to Mr. and Mrs. B. G. A. Xoynian, adcauxhter. at Severn Houce, Lydney, Gloucesterahire, the wife of C. THoxAs.-On Sunday June nelson ThomassA, M'A.S 4.1. B.C.. of a son.

S,

8th,

MARRIAGES. ESCOMBE-STEPRN50ON.-OK June 4th, at St. James's Church, Grimsby. by the Rev. H. by the Rev. H. P. Walktr, William Escombe, X.RV.S.., ltullook, Vicare,assisted L.R.C,P. Load., third surviv and Ecombe, sq., of Slackheatu and 3. East lndia Avenue, fon isabella, third daughter of G. B. Manor lmaby, (South African and New Stbephenon, Esq.. M.D., of Zealand papers please copy.) GRIiFFITs-DAvIEs.-At Mount Pleasant, Swansea, on June 4th, by tl'e Rev, James Owen andthe Reea v. C. Griffiths. Cornelliu A. Gnifiths, F.1.C.S., Cardiff, and Laiie, youngest daughter of the late J. R. Davies, of Swansea. HAXILToN-DARri3BI5Hz-On June 4th, at the English Congregational Church at Penmaenn, wr, brthe Rev. David Walters. of Headingley ' Leeds assisted by the Rev. S. C. Hart. of Penmacnmawr, Graeme, younger son of Sr. Alexander Halmilton of Fias. of Ashton-under-Lyne, to May IAlian, eldest daughter of C. H. Darbishire, Mawr,enmaenmaw Jn 7th.at the Conggatlonal Churoh, Tynemouth. 1y tb' HowI IE-DE RUSETT- D DModerator of father Rev, Robert HowieB Free urchof Scotland. otd ned the Rev. B. Dunombe the bridegroom, dRuseLt M.A.. of Greenwicb, brother of the bride, and tkie Rev. C. Stanley North Shiels J'. Coulson Howie. M.A., M.D., to Mary Evelyn de M-B., ES., of Tynemouth. LAwRIE-KEENEDY.-At St. A Cndws U.F. Churc, Edinburgh, on une4th by the Rev, Robert a, D.D., and the Rev. J. King Hewison John DDD, Rotoheay, ot Jamesenne d, toLsaJeuneJel er. elderdaugite Lawrie, M.B. C Kibmarnock. At home, Calcutta 34, Buckingham Logge, Kilmarnock. Fridays after August. PLAYER-HARDY.-Ou June grd, at St. Barnabas Church, Dulwicb. Rush Bernard, second son of Fewster Player, of Bxmouth, Devonshire. ti Horatia Daisy, of 129, Dulwich Grove, S..B eldest daughter of H. Nelson Hardy, 7th at St. G. H. Michael's, Headingley, hythe Rev. ander, ssistdb Light ourleyWhitebead, MSB., S.. Qf Rlev Park Square Leeds to Clara Evelyn Lander, only child of the lao P. #J. Land6r, aLd T ofT.. E. u y, of Leeds. niece

asksisteddy Rdmstt, SndemO W5rrace.

l5eq., WH[ITEIREAD-LA.ND1ER-June F.R...S19din.. ase

.

,