ASSOCIATION INTELLIGENCE, · 2009-01-19 · Nov. 28, I874.] THE BRITISH MEDICAL 7OURNAL. 69 much dilated. The bladder was thickened in every part. The mu- cous membrane was superficially

V

ASSOCIATION INTELLIGENCE,ti

BATH AND BRISTOL BRANCH. bTIIIE second ordinary meeting of the scssion will be held at the York ItHouse, Bath, on Thursday evening, December 3rd, at 7.30 P. it.; F. 3MASO.N', Esq., President. a

R. S. FOWLER, VzoEDMUND C. BOARD, Ifonorary Strfaies. 1;

Bath, November 1874. SC

MIDLAND BRANCH. c

A SPECIAL general meeting of this Branch will be held at Lincoln, on cFriday, December i8th; T. SYrMPsoN, F.R.C.S., President; A. H. CDOLMAN, M.R.C.S., President-elect. a

Busih:ess. -To elect an Honorary Secretary and Treasurer, and teiglit ordinary MIembers of Council, accordinig to Rules 7 and 8.

Papers will be read and other business tranisacted.C. HARRISON, M.D., lhiro;oary Secre-ea;y.

Lincoln, November 23rd, i874.

SOUTHI-EASTERN BRANCCH: EAST SURREY DISTRICT. C

TimE next meeting will be held at the GreyhoUnd IHotel, Croydon, onThursday, December iotl, at 4 30 P. M%.; H. T. LANCIIESTER, MI.D., inthe Chair.

The following papers are promised. Dr. Moxon: On ParalyticTremor as a Symptom. Dr. Walters: Cases of Naso-Plaryngeal IPolypus; and Poisoning by Arsenic and IHydrocyanic Aci(d. Dr. Ilott:Clinical Cases and Specimens from Croydon General Hospital.The Chairman kindly invites members and their friends to luinch at

Park House, Croydon, at 2 r.Nt.Dinnier at 6 P.M%., at the GreyhounId Ilotel ; charge, 7s., exclusive of

i;vine. JOHNHi. GALTON, MI.D., honornary Secrchta)y.Novemiiber 25th1, 1874.

GI.OUCESTERSHIIRE BRAN'CH: ANNUAL MEETIN'G.THE annual mieting of this Branch s.-s held at Gloucester on Tues-day, November 17th. The officers for the coming year were elected.

Phi?A';-.-Dr. WASIII oURN (President) read a paper on thc Advan-tages and( Disadvantages of the (so-called) Higher Education of Women.

MIr. T. S. ELLIS read a paper on the Influence of Muscular Action inthe Prevention and Cure of Flat Foot.

.Various new Sanitary Appliances were exlhibited by Dr. Bond.The meinbers afterwards supped together at the Bell Ihotel.

WVEST SO'MERSET BRANCH: AUTUMNAL 'MEETING.T'iiE autumnal meeting of this Branch wvas held at the Railway Hotel,Taunton, on Tlhursday, October 29th, at five o'clock. Fourteen mem-bers wiere present. H. WV. RANDOLIlH, Esq., President, in the Chair.

A.vw Akent&vh-.-John W'. Norman, Esq., of Dunster, was elected amember of the Branch.

TVhoopgCGou,ghz.-After dinner, the following question, as previ-ously settled, was discussed-viz., Wlhat is the best Treatment forWhooping-Cough ?" The Secretary read wvritten replies from MIessrs.H. Adamiis, Hugh Norris, J. Prankerd, anid E. Stephens, who wereprevented from attending the meeting. After which, each memberpresent, in answering the question, related his favourite plan of treat-ment, the same being based either upon experience only, or on somethiecry to fit the practice; and finally the Chairman summed up thediSCLPSSiOnI, 'wbich. lhad lproved very diversified anid initerestinig.

,pper.-Dr. CORDWENT read a paper on "WWhat is a T'onic?" Theauthor began by stating that medicines termed " tonics" had most seduc-tiv e attributes-some of which were clearly impossible, and others equi-vocal. Most writers on mnateria medica, even of the present (lay, statedin effect that they were me(licines having the power of gradually in-creasing the tone of the muscular fibre when relaxed, and the vigour ofthe body when wveakened by disease. If it were so, be did not see whyme(lical men prescribed other medicines, because " to give tone to themuscular fibre wvhen relaxed, and vigour to the body when weakened bydisease, vMas, in its true meaninig, the science of all medical treatment".It was difficult, he argued, to understand how a patient, weakened, forinsta:nce, by fever, wherein the weakness resulted from, or was concur-

rent withi, much loss in several different tissdes, and each embodying a

[NoV. 28, 1874

rariety of elements, how a drug could restore these elements, though itnight, and sometimes did, unquestionably add a quotum of influence.lt was said, also, that tonics stimulated the appetite and increased diges.:ion; but appetite might be stimulated, or a sense of hunger induced,by many vegetable bitters, without the power of digestion being in theeast increased. In many cases of debility, as especially after fevers,to stimulate the appetite beyond its normal return, must be, he thought,X very questionable advantage, when usually the eliminating functionswere weakened almost in the ratio of the bodily attenuation. The-idneys, the skin, and lining membrane of the bowels had ordinarily5uffcred, hence the aptitude of surfeit, and the instinctive desire forchanged food. That only could, in fact, be a tonic which added orcaused to be added that of which the system failed, or subtracted orcaused to be subtracted that which was offensive. Iron was a tonic in

chlorosis, because it added to the blood an element, without sufficientof which, in convenient form, due oxygenation of tissue failed. So

albumen was tonic to the man exhausted by muscular exercise; so water

to onie drained by perspiration; so, again, of two scrofulous patients-one thin and irritable, the other fat and phlegmatic-cod-iver oil

was a tonic to the one, because supplying an element deficient, but tohim already fat it would be uncompensated abomination. He did

not argue that only to he a tonic which supplied nutriment, or caused it

to be supplied; and instanced quinine, which appeared to do greatgoox in anitmia, by arresting that abnormal migration of cells from the

capillaries, when, by its lowered condition, the serum of the blood had

lost its healthy standard and affinity: but if quinine were not food,modern research, with that most refined of inquisitors the prism, had

led, on very well sustained evidence, to the " supposition that man and

all animals possessed in every part of the body the most characteristic

peculiarity of the bark of the cinchona tree" (Bence Jones); and manydiseases might arise from deficiency in the system of this " animal quino.dine".

Fulture Business A)rraugements.-A long debate followed, as to the

desirableness or otherwise of continuing the present plan of having a

question fixed by the Council on whicli each member would be ex-

pected to cxpress his opinion at the ensuing meeting; and also, if a

question be propounded, whether papers, of which due notice had been

given, should not take precedence of such question. It was resolved,as to the first point, that, at the meetings of the Branch, the discussion

of the subject proposed by the Council shall be general, and not obliga-tory on such member; and, as regards the second point, without com-

ing to a (letinite resolution, it was arranged that the Secretary should

endeavour to ascertain, from members intending to read papers, the

titles of the papers, andl give due niotice of the same in his circularannouncing the iitcncled meeting, wihen the said papers would be

brought forward.

SOUTIIERN BRANCH: SOUTII I-IANTS DISTRICT.A MEO}FTIN( of the above District was held at thC School of Science

and Art, l'ortsmoutlh, on 'ruesday, Novemiber 17th. Twenty-fivemembers were presenit, aid WV. [I. GARRINGTON, Esq., J.P., occupiedthe chair.

BrpM'--s, etc.-I. Inspector-Gcneral SMART, M.D., C.B., readca paperon the Secondary Epidemics of Cholera in Europe. A long discussion

on the question of contagion followed.2. 3. Dr. KEALY and Dr. AxPORD read papers on Rupture of the

Uteruis.4. Dr. KNOTT exhibited a child labouring under hypospadias.5. Mr. G. TuRNER (Medical Officer of Health for Portsmouth) de-

scribed a new and ready method of Estimating the Quantity of Urea in

Urine.6. Dr. \WARD CousiNs brought a patient before the members

labouring unider Locomotor Ataxy with Amaurosis.

7. Dr. CousINs exhibited: a. Photographs of a patient, taken

before anid after an operation for the removal of an Extensive Epitheli-oma, which involved both lips and the clhin; b. Three Calculi recentlyremoved by Lithotomy; two of them were very irregular, and covered

with blunt-pointed processes; c. A large Stone, weighing eleven ounces,together wvith Llte bladder, removed from a patient, aged 6o, who died

of suppuration of the kidney. The lateral operation was performedafter death, but the stone could not be extracted even witlh a very freedivision of the prostate. It was readily removed by the suprapubicmethod. The calculus comnpletely filled the bladder. It was oblongand reg,ular in form. The large dliameter measured three inches and

a-half, the short (liameter three inches, and the circumference corre-

spondiing to the long diameter, ten inches. 'rhe right kidney waswholly disorganised and converted into an abscess. The ureters were

THE BRITIUH MEDICAL ?OURAAL.a

.l

Nov. 28, I874.] THE BRITISH MEDICAL 7OURNAL. 69

much dilated. The bladder was thickened in every part. The mu-cous membrane was superficially ulcerated, and covered with phos-phatic deposit. About an inch behind the orifice of either ureter, theinternal surface of the bladder was marked with a round opening,leading into a large sacculus. These sacculi were equal in size, andeach was capable of holding three or four ounces of urine.

The next District AIeetinm, will be held at Portsmouth on Decem-ber 15th.

REPORTS OF SOCIETIES.ROYAL MEDICAL AND CHIRURGICAL SOCIETY.

TUE SDAY, NOVEMBER 24TH, 1874.C. J. B. WILIAMS, M.D., F.R.S., Preside1t, in the Clhair.

CASES OF SYPHILITIC REINFECTION, WNITII RE'MA.RKS. B3Y GEORGEG. GASCOYEN, F.R.C.S.ENG.

IN this paper wvere given the details of eleven cases of syphilitic rein-fection wlhich had passed under the observation of the author, seven ofwhich he had hiiimself treated on both occasions. Ten of them hadpreviously had genieral syphilis, and in six of these constitutional symp-toms again manifested themselves; while, in four, an indurated chancreonly was the evidenwce of a second contamination. The remaining casewas one of well mairked iniduirated chancre with inguinal adenopathyfor the first disease, but the reinfectioni showed itself as an induratedchancre, followved by tertiary lesions, without the intervention of anyof the secondary affections. The importance of these cases was dweltupon, as evidenice that the diathesis created by syphilis may completelywear out and leave the individual free from all trace of his formerattack, so that he may become the parent of healthy offspring, andalso liable to conitract agrain the disease if exposed to contagion. Thatexamples of syphilitic reinfection cannot be so rare as is commonlysupposed, was slhowin by a table, in which sixty cases were collected,from various sour-ces; and, as in most of them, as well as in thosewhich formed the subject of the communicationi, a fuill mercurialtreatment had been employedl, they were consider-ed to afford strongtestimolny to the value of the drl-g, niot only as a remedial, but actuallyas a curativze, agent. The autlthor endleavoured to showv from thesecases what is the real meaning of the inldur-ationi which commonlyaccompanies an inifecting chancre. IIe did Iiot regard it as one of thestrictly local processes attendant Upoln, or essential to the developmentof, such a sore, buLt as the first of the so-called secondary symptoms-the earliest expression of a conistitutional contamination-which usuallymanifests itself at the poinit of inioculation, and which is as pathogno-monic of a general tainit as any of the affections admitted to be secontl-ary. In most of the cases related, the sore followed at once upon inter-course; and it was urged that a period. of incubation is by no meansniecessary to the evolution of an indurate(l chancre. Mluch differenceof opinion exists on- this point, and the author considered that thepresence or absence of incubation is determine(d by the nature of thelesions whence the chancre has beeni derivecl, whether froilm an infect-ing sore still suppurating and in full local activity, or from an indur-ated chancre whiclh has become indolent and ceasedI to form pts, orfrom some other constitutional affection. In the former case, whichi isan example of prinzm;y syp/hilitic inioculation, Iio incubation precededt'he pustular origin of the chancre; but, in the latter, which constitutesan example of secondla;y syp6hilitic inoculation, a periodl of incubationalways precedes the papular development of the resulting sore; and, asthe phenomena wvhiclh have been observed to follow the inoculation ofan indurated sore, are precisely the same as those w,vhich attend thesuccessful inoculation of mucous tubercles, or of syphilitic blood, in a per-son previously healthy, this fact was considered to afford an additionalreason for placing a noln-suppurating ilidurated chancre in the categoryof secondary syphilitic accidents. Some of these cases of reinfection,the author observed, threw light llpon the positiona which the moreremote lesions followinig upon syphilis really occupy wvith regard to thedisease. Six of the cases recorded occurred in persons sufferingr at thesame time from tertiary syphilis; and it was sotlght from the circum-sxance to show that some of the more advanced symptoms must be thesequlel,- of a past, andl not the manifestations of a still existent disease.For, since it is impossible to believe that two distinct attacks of ge-nieral sypllilis can take place in the same individual at the same time,these later manifestations, characterise(d by cachexia, ulceration, etc.,wvhich existed when the second contagioni took place, must be due tothe injury iniflicted upon the economy by a previous disease ; and thefact that a fresh infection can take place under such circumstances,

would seem to be convincing proof of tb,e accuracy of such an assump-tion.

Mr. IIENRY LEE regarded Mr. Gascoyen's paper as a highly valu-able one. His own experience entirely agreed with what M\r. Gascoyenhad stated as to the reinoculability of syphilis on a person who hadalready had the disease. He was rather surprised to hear that therewere so few cases in English literature. He thought that he had pub-lished tNvo cases where reinfection had occurred. In cases of reinfec-tion, the character of the sore differed from that produced in a previ-ously healthy subject; it was small, and ran through its course quickly.The period of incubation was not so long as in an original sore ; theglands were not so definitely enlarged, and suppuration occurred. Thesecondary symptoms after reinfection were of the same character asthose following original infection, but were milder, and yielded morereadily to treatment. He could not draw a distinct line at the periodat which a person having had syphilis could be said to be free from thedisease: the passing off of the influence took place gradually, like, forinstance, that of vaccination. lie hacl treated a patient for syphilis,followed by slight secondary eruption, wrho, seventeen years after-wards, wvas reiinfected. On the second occasion there was a smallpimple, writh enlarged and suppurative glands, followed lately by thedevelopment of well defined copper-coloured blotches. He had alsoseen a case where there was general enlargement and suppuration ofthe glands, and which was probably one of reinfection. According toMr. Gascoyen, induration was essentially a constitutional symptom;hence, if there were no induration, there was no constitutional affection.The results of inoculation after reinfection did not seem to be the sameas those of inoculation from a soft sore. lie had lately seen some in-oculations by AMr. MNlorgan of Dublin, in which the cicatrix was raisedrather than depressed.-Mr. ACTON said that there was no doubt thatreinfection could take place ; but he could not understand that thisoccurred so often as was stated. He had not seers more than ten oreleven cases. lIe was often called to cases of supposed reinfection ;but hardness, niot necessarily the result of reinfection, might come on in,the site of a primary sore years after the first infection. He had metwvith a case wvhere a man, supposed to have recovered from syphilis forten years, againi presented symptoms of the disease. Such a case, accord-ing to Mr. Gascoyen, if iniduration were present, wN-ould be regarded asone of reinifection. It was an important practical observation, that incases of reinfection the secondary symptoms were recovered from almostwith the mere use of tonics, without mercury. With regard to inocula-tion from secondary syphilis, he thought that it was a question of greatdifficulty. Persons having secolndary symptoms cohabite(I for monthswithout producinc infection. He had seen attempts made to inoculatesecondary syphilis ; but the process was a difficult one. It was saidthat it was very easy to prove that reinfection occurred frequently. Washe to understand that, in order to prove this, surgeons had undertakenthe responsibility of inoculating healthy persons? Unless this weredone, there ws'as a w%ant of data that could be depended on.-Dr.DRYSDALE had been long on the look-out for cases of reinfection ; buthe had only met with one case, in which a gentleman who had a pri-mary sore followed by sore-throat and eruption in i86r, having re-covered, was reinfected in I870. lIe did not think that induration wasa sufficient sign of reinfection ; for tertiary induration might be mistakenfor that of a primary sore, and he believed that many authors hadprobably made this mistake. He di(l not agree with Mr. Hultchinson'sviecv that the tertiary symptomns were not really syphilitic. He thoughtthat, to prove that two attacks of syphilis had occurred in the sameperson, it vould be necessary to show that there had been roseola onboth occasions. Suclh writings as those of MIr. Gascoyen tended toshake the dualistic theory of syphilis, whiclh he believed correct. Hewould ask Mfr. Gascoyen whether syphilitic men ever begot syphiliticchildren without first infecting the mother. Inoculation from secondarvmanifestations had always resulted in syphilis. Infection had in somecases takeni place by the mouth. Prostitutes must sometimes infect bysecondary symptoms; it was scarcely possible that there could be suffi-cient primary syphilis among them to account for all the cases of infec-tion.-Dr. THIN said that the influence of iodide of potassium in ter-tiary syphilis indicated that it was niot merely due to the wearing downof the constitution.-MIr. TROTTER said that his experience in a regi-ment for twenty years confirmed the existeince of reinfection. It hadseveral times occurred that a man had a hard chancre, and recoveredunder treatment ; and that, after remaining well for five, six, or seven.years, he became reinfected. In the interval, he had been examined atthe regular inispections, so that any signi of disease w-ould have been de-tected. HIe was rather surprised that so few cases of the kind w'vere re-corded.-MIr. MIYERS had for fifteen year-s looked oni reinfectioni as ofcommon occurrence. Ile had also noticed cases where, after the heal-ing of an inidurated sore, induration was again produce(l by some irrita-

694 THE BRITISH MEDICAL 70URNAL. [Nov. 28, 1874.

Mr. Myers' veracity, and it is impossible to read his letter witlhout beingimpressedl by h)is earnestness and the bona fides of his statements ; an(dyet, when they are brought to the touchstone of a much wider experi-ence, they prove to be fallacies and misleading, because they are based;upon ajfr too limitied areaz bot/ in time and number of mten; and this isa fallacy whicli inievitably lessens the value of most of the reports, forthe troops are generally moved from year to year, and, therefore, fewmedical officers have more than a year's experience in any one place;and the same remark applies to the navy. The consequence is that,reading the armiiy and inavy reports consecutively, this feature is verystriking ; for strongly favourable opinions are continiually expresseduipon an experlienice of two or three months (in one case of less tlhani threeweeks) and seldlom extending so far as a year. Now, the fluctuations ofdisease from year to year are so great both in the army and navy, andand both inl protectedl anid ul)protected places, that an experienice ofmontihs is perfectly wvortl-bless, except as cointributing towards a whole.An experience of a year is quite as likely as not to be contradicted bythe next year-, and nothinig short of an experience of several years canfurnish any r-eliable informiiationi as .o its condition of disease in any par-ticular place, or the effect of the presence or absence of the ContagiousDiseases Acts. I will nlow (grive an illustration for several years from aprotected ancl an unprotected town from the army reports, and fronm aprotected and ani unprotected station from the navy reports ; and, lastly,an illustrationi of the quatrter-Iy fluctuations in Portsmouth from the NavyList Health Repor-ts for IS70.Manchester (unprotected).-686o: Ratio per I,ooo was 289, rose to

487, fell to 452, fell to 327, fell to 31i, rose to 381, rose to 570, fellto 38I.

Shorncliffc.-Ratio, S2, fell to 68, fell to 57, fell to 42. Act appliedrose to 77, fell to 6i, rose to IOI, fell to 3I.

Mlediterraniean (protected).-Venereal sores: i866: Ratio 24, thenup to 30, up to 47, downi to 38, down to 36, down to 34, up to 53.

Australia (unprotected).-i866: Ratio 32, Up to 42, down to 22,dow-n to IS, (down to 9, up to 13, UP to 39.

Quarterly fluctuations.-Navy, I870, p. 22: On board the Excelle'it,in Portsmotuth, and under the Act the whole time: i868, I869, 1879,first quarter et stubs., 15, 8, 5, 6, 3, 6, 13, i6, 17, 3, 2, I.

Tlhe whole subject of these Acts as sanitary measures is, however,considere(d miiore fuLlly in the statement for the Home Secretary, to whichI have alluded above, a copy of which I have now the pleasure offorwarding to you.

I am, etc., J. BIrKBECK NEVINS, M.D.Lond.Liverpool, November I874.*** To reftute the statemelnts contained in the letter of MIr. Myers,

Surgeon to the Coldstream Guards, in the JOURNAL for October 31st,Dr. Nevinis puts forward a quotation from the Army Medical Returnsthat has no relationi to Mr. Myers' statement, for it refers to somethingvery different. Air. lIyers, whose battalion is alternately quartered in'Windsor an-d in the metropolis, in his letter, compared the amount ofvenereal disease contracted by the soldiers under his care while quar-tered in the metropolis w^ith the amount contracted when at Windsor.In the metropolis the Contagious Diseases Acts are not in force ; atWindsor they have beeni in operation since i868. The battalion ar-rived at W\indsor o0i April 26th last, carrying with it seventeen cases ofprimary syphilis and two of gonorrhoea. During the next two months,fourteen more of primary syphilis and thirteen of gonorrhcea wvere sentto lhospital, of which onily onie of the primary syphilis and only tw,o ofthe gonorrlbcea were contracted at Windsor. In the remainder of thestay at MWindsor, four more cases wvere admitted, all being chargedagainst that district. This made nineteen cases imported on the arrivalof the corps, twenty-four others imported during the early part of itssojourn at Windsor, but only seven due in five months to contagionwithin the district; that is, forty-three to London and seven to Windsor.The battalioni then returned to London. Dr. Nevins maintaiims that thisexperience extends over too short a time to be trustworthy, overlookingMr. Myers' further statement that, though this is a marked example of themuch greater freedom of the Guards from venereal disease in the pro-tected dlistrict of Windsor than when in London, " it is only one of anever recurring series on a change of quarters from London to Windsor".Figures supporting this assertion have in previous years been publishedboth in thisJoUJRNAL and in a contemiporary. It lies nowwith Dr. Nevinsto prove that this great disparity between Windsor and London, orsomething approaching to it, existed when Windsor was "unprotected",as London still is. This he has not done; but, to show that greatfluctuationis are common, which no one familiar with returns of diseasedoubts, Dr. Nevins quotes the entries for venereal sore at Windsorduring the years I867 to I871 inclusive, wishing us to infer the greatdifferelnce between London and Windsor to be an accidental fluctuation.However, they do not apply to Mr. Myers. They simply show the

annual ratios of the men from several corps sent to hospital for venerealsore at Windsor during a term of years, without distinguishing betweenthe cases contracted in Windsor and those inmported into the town whenfresh troops came in. Mr. MTyers' figures deal only with the health ofa single corps in two different stations, one under, the other not under,the Acts. Statistics so essentially different do not affect each other.The evidence of Mr. Myers has another important bearing. Set injuxtaposition with the entries in the statistical tables, it helps toexplain why the entries for Windsor remain so high. It wouldappear that by far the greater part of the disease attributed toWindsor really belongs to an unprotected station, London, beingcontracted there and carried to Windsor by the frequent changesof the Guards and Household Cavalry. Dr. Nevins also disparagesthe testimony of the army and navy surgeons wvhose personal ex-perience is quoted in the blue books, on the score of the limited op-portunities for observation those gentlemen enjoy while moving fromplace to place with their regiments or ships. This is probably true ifthey attempt to show the general effect of the Acts; but their migrationfrom districts under the Acts to others not under the Acts enables themto do what Mr. Myers has done, and furthermore to distinguish betweenthe quality of the disease contracted in the protected districts and thatof the unprotected districts better, perhaps, than those who only studystatistical tables. Indeed, the tables corroborate their evidence in thisrespect, for in the protected districts the ratio of constantly sick fromvenereal sore is just onze hlfw7 that in the unprotected districts. For manyreasons, we have no reliance on Dr. Nevins' comparison between Man-chester and Shorncliffe, or between the Mediterranean and Australianports, even were it properly made ; but, if Dr. Nevins will again refer tothe official returns, he will find he has taken for Manchester the ratiosof venereal disease of all kindls, and for Shorncliffe the ratios of primaryvenereal sore only.

MEDICAL NEWS.UNIVERSITY OF LONDON.-Second M1.B. Examination. Examina-

tion for l1onours.-Medicine.First Class.

Gould, Alfred Pearce (Scholarship and Gold MIedal), University CollegeDuncan, Andrewv (Gold Aledal), King's CollegeEastes, Thomas, Guly's HospitalDuncan, Peter Thomas, University College

Seconzd Class.Sturge, William Allen, University CollegeRigby, James Arthtur, Guy's HospitalCrocker, Henry Radcliffe, University College

Obstetric Medicine.First Class.

Gould, Alfred Pearce (Scholarship and Gold Mledal), University CollegeDuincan, Andrew (Gold Mledal), Kinig's CollegeEastes, Thomas, Guy's Hospital

Seconid Cless.Rigby, James Arthtur, Guiy's HospitalDunican, Peter Thomas, University CollegeSturge, William Allen, University CollegeBranfoot, Henry Seymour, Gtuy's Hospital )Crocker, Heniry Radcliffe, University CollegeS equal

Tlzird Class.Nicholson, Arthur, King's CollegeHarris, Vincent Dormer, St. Bartholomew's Hospital

eWhittle, Edward George, University College equa

Forensic Medicine.First Class.

Crocker, Henry Radcliffe (Scholarship and Gold Medal), University CollegeGould, Alfred Pearce (Gold Mledal), University CollegeDuncan, Peter Tliomas, University College

Second Class.Duncan, Andrew, King's CollegeEastes, Thomas, Guy's Hospital

ROYAI, COLLEGE OF SURGEONS OF ENGLAND.-The following gen-tlemen, having passed the required examifiations for the diploma, wereduly admitted members of the College last veek.

Anderson, William S., M. B.Glasg., MiddlesboroughBarker, Henry Martyn, BedfordBarlowv, John, ManchesterBate. George, L.S.A., Camelford, CornwvallBedford, Charles F., SleafordBlackmore, George H., HammersmithBrummitt. Robert, L.S.A., Banibury, OxonBuckell, Ernest H., ChichesterBull, William H., Hammer.mithCalcott, James T., Newcastle-on-TyneCarey, John T., GuernseyCarr, William Ward, M.D., Lce, KentChadwick, Alfred, Mlanchester

NOV. 28, i874.] THE BRITISH MEDICAL _OURNAL.Cobb, Robert, RochesterCollet, Golding Bird, WorthingDerington, John M., LeicesterDryland, William, DulwichEastall, Henry F., L. S. A., BlackheathEllerton, John F. H., HuddersfieldFerrier, John C., DublinFox, Richard H., L.S.A., Stoke NewingtonGibb, Robert C., JamaicaGill, Edmtund R., L. R. C. P. Edin., TorquayGravely, William Holmwood, HorshamHart, Philip Neville, l. B., Catton Vicarage, NorwichHerapath, Charles K. C., BristolHoffmeister, John lBates, CousesJohnston, Wingate K., Anerley, SurreyJoseph, Sidney W. J., St. LeonardsKebbell, William, BrightonLamb, Williami, L. R. C. P. Lond., NorthamptonM'Creevy. John A., M.D., New YorkMackenzie, John K., L R C. P. Edin., BristolMaples, Reginald, Spaslding. LincolnshireOckendon, Arthur John. liiightonParkinson, John Rendall, PrestonPhillips, Arthuir Owen 11., Newcastle-EmlynPotts, Edward, L.S,A., Birnminl3hamPowell, Harold Ml., L.S.A., Wandsworth, SurreyPoynder, George F., Bran(don, NorfolkRoberts, Theophiltis L., AlfretonRoe, Frederic L., Eccles, LancashireRoss, William Abraham, AlderneyRossiter, George F., L.S.A., TauntonRygate, Brougham R., L.S.A., Cannon Street RoadSandiford, Robert F., L.R.C.P.Edin., New Ormond StreetScatliff, John M. E., M.1B., BrightonSheehy, William H. P., Claremont SquareSmith, Herbert N., L. R. C. P. Lond., BrightonSquire, William, L.S.A., HansvellStelfox, John I<., Leigh, LancashireStewart, William R. H., Weymouth StreetSwift, William J. C., Ely, CambridgeshireSymonds, Horatio P., L.S.A., OxfordTaylor, Daniel P. H., Sierra LeoneThomas, George H. W., Stoke, PlymouthTomlin, Robert F., L.S.A., DevonportTreharne, John L., L.S.A., Weston-super-MareTreves, Edward, King Edward's RoadVereo, Joseph Cooke, ChelseaWaller, William B., L.S.A., SydenhamWandby, William, Mlile End RoadWhitworth, Edward, St. Agnes, Cornwall

APOTHECARIES' IIALL. -The following gentlemen passed their ex-

amination in the science andl practice of medicine, and received certi-ficates to practise, on Thursday, November igth, I874.

Johnson, Chadd Aloore, LancasterLingard, Alfred, D)erbyNicholls, Frederick, Cornsvall Terrace, StockwellRawlings, Alfred, Plympton, DevonReynolds, Edward Osmtund, Appledore, North DevonTreves, Frederick, King Edward Road, South HackneyYoung, Arthur, Hawkhturst, KentThe following gentlemen also on the same day passed their primary

professional examination.Badcock, George Sainitliill, Charing Cross HospitalChampneys, Henry Lawrence, Guy's Hospital

MIEDICAL VACANCIES.THE following vacancies are announced:-

ABBEYLEIX UNION-Apothecary for the Workhouse. Salary, £30 per annum.

ASHTON-UNDER-LYNE I)SITRICT INFIRMARY-Hotise-Surgeon: b8oper annum, board and residence. Applications on or before December n4th.

AXBRIDGE UNION-Medical Officer for the Second District. Salary, £30per annuim.

BRIDGEWATER INFIRMARY-Dispenser. Salary, £40perannum, withboard,lodging, and washing. Applications to be sent to Mr. E. Lilley, the HonorarySecretary, Bridgewater.

BRISTOL DISPENSARY-MIedical Officer. Salary, £i50 for first and secondyears; £I8o for the third and fourth years; afterwards, £200 a year. Applica-tions to be seclt in oin or lbefore December 3rd.

BUCKINGHAM UNION-M\Iedical Officer for No. 3 District: £o05 per annum.

CASTLEBAR DISTRICT LUNATIC ASYLUNI-Resident Medical Super-intendent.

CITY OF LONDON UNION WORKHOUSE-Resident Mledical Officer.CORK FEVER 110SP ITAL-Phsician.CROOM DISPENSARY and WORKHOUSE-Apothecary: £30 and £20 per

annum. Applications oni or before December 3rd.EAST SUSSEX, HASTINGS, and ST. LEONARD'S INFIRMIARY-Assistant-

Suirgeon.EXETER DISPENSARY-Surgeon.FIFE AND KINROSS DISTRICT ASYLUNI-Assistant Physicianship. Salary,

£I8, with board, etc. Apply to Dr. Fraser, Medical Superintendent, Cupar-Fife.

HARRIS, Parochial Board of-Surgeon. Salary, £66 per annum, including vac-

cination and medicine for the poor. The gentleman elected will get 9go perannum for attendiLng the ratepayers and cottars within South Harris. Applica-tions to be made to the Chairman of the Parochial Board of Harris.

LEXDEN and WINSTREE UNION-Medical Officer for No. 2 District: £36per annum.

MALTON DISPENSARY-Medical Officer: £;roo per annum. Applications toMr. H. Pickering, Honorary Secretary.

MORVEN (Parish of), Argyleshire-Medical Officer. Salary, £ioo per annum.Testimonials to be sent in on or before the 3oth December, to H. A. Fraser,Morven, Fort William, N. B.

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC,Queen Square, Bloomsbury-Medical Registrar. Salary, £50 per annum.Applications to the Secretary on or before December 2nd.

NORTHAMPTON GEN ERAL IN FIRMARY-Assistant House-Sturgeon. Ap-plications on or before 28th instant.

NORWICH FRIENDLY SOCIETIES MEDICAL INSTITUTE-Surgeon.OAKHAM RURAL SANITARY DISTRICT-Medical Officer of Health;

£6o per annum.ROYAL FREE HOSPITAL, Gray's Inn Road-Senior Hotuse-Surgeon. Salary,

£I04 per annum, with board and residence in the Hospital. Testimonials to besent in to the Secretary on or before December gth.

RYDE DISPENSARY-Physictan.ST. BARTHOLOMEW'S HOSPIrAL-Assistant Physician.ST. PANCRAS UNION-Non-resident Dispenser. Salary, £8o per annum, with

dinner daily. Candidates must be L.S.A., or duly registered under the Phar-macy Act (i868), or some other authority of law in that behalf. Applications onor before December 8th.

SALISB3URY INFIRMARY-Two Physicians. Candidates mtust be Graduatesin Medicine, or a Fellow, Member, or Licentiate of one of the Colleges of Phy-sicians in the United Kingdom. Applications must be sent to the Secretary onor before December ioth.

SEVENOAKS UNION-Medical Officer and Public Vaccinator for No. 2 Dis-trict. Salary, £70 per annttm.

STRATFORD-ON AVON UNION-Medical Officer for the Alverton District.Salary, £50 per annum.

TORPHINS in the Parish of Kincardine O'Neil, Aberdeenshire-Parochial Medi-cal Officer: £45 per annum. Applications to Chairman of Parochial Board.

TRINITY COLLEGE, Dublin- Professor of Chemistry: o500 per annum, andfees. Applications to the Rev. Dr. Haughton, Trinity College.

WEM UNION-Medical Officer for the Shawbury District. Salary, £40 per ann.WESTERN GENERAL DISPENSARY, Marylebone Road- Physician in Or-

dinary. Honorary Physicians must be Fellows or Members of the Royal Col-lege of Physicians of London, and duly registered. Applications must be madeto the Secretary on or before December I4th.

WESTMINSTER-Medical Officer of Health and Analyst. Salary, £tso as Me-dical Officer of Health, and £50 as Analyst. Applications, on or before Decem-ber gth, to George Buzzard, Vestry Clerk.

MEDICAL APPOINTMENTS.Names marked with an asterisk are those ofMemnbers of the Association.

*DAVIES COLLEY, J. N. C., M.B., appointed Visiting Surgeoni to the Seamen'sHospital, Greenwich. vice R. Rendle, F.R.C.S., resigned.

DENHOLM, Andrew, M.B., appointed Assistant-Physician to the Western Infirmary,Glasgow.

EDMUNDSON, Joseph, M.D., appointed Resident Medical Superintendent of theEnniscorthy District Lunatic Asylum, vice T. WY. Shiell, Ml. B., deceased.

FoULIS, David, M.B., appointed Assistant-Surgeon to the Western Infirmary,Glasgow.

RousE, Ezekiel, L.R.C.P.Ed., appointed Surgeon to the Bideford Infirmary, viceE. Cox, M.R.C.S., resigned.

SABERTON, FrederickW., M.R.C.S.Eng., appointed House-Surgeon to the Burton-on-Trent Infirmary.

SCOTT, William J., M.B., appointed Assistant-Surgeon to the Western Infirmary,Glasgow.

SNELL, George, L.R.C.P.Ed., appointed House-Sturgeon and Registrar to theVictoria Hospital for Sick Children, Chelsea, vice H. G. Brigham. Esq., resigned.

*THOMPSON, John, M.D., appointed Surgeon to the Bideford Infirmary, vice D.Kin-, M.R.C.S.Eng., deceased.

TICEHURST, Atugustus Rowland, M.R.C.S.Eng., appointed Surgeon to the EastSussex, Hastings, and St. Leonard's Infirmary, v'ice G. B. Turner, M.D., resigned.

*WILLIANIS, William, Ml.B., appointed MIedical Superintendent of the North WalesCotinties Lunatic Asylum, Denbigh, vice G. T. Jones, Esq., resigned and super-annuated.

BIRTHS, MARRIAGES, AND DEATHS.The charge for inserting announcetentfs of Births, AMarriages, aid Deaths,

is 3s. 6d., which shouoid be forwvarded int stamps with the comtcmunlication.MARRIAGEF

WILSON-BUCHANAN.-On November 4th, at 2, Sandyford Place, Glasgoxv, by theRev. Dr. Roxbtirgh, of Free St. John's Chtirch, assisted by the Rev. GeorgeReith, of Free College Church, J. G. Wilson, M.D., F.R. S. E., Professor of Mid-wifery, Anderson's University, Glasgow, to Edith Gray, youngest datighter of theRev. Robert Buchanan, D.D., Glasgow.-No cards.

DEATHS.HAWKINS, James Stilwell, M.R.C S., at Bow, aged 37, on November 8th.JAY.-On November igth, at St. Stephen's Sqtuare, Norwich, MIary, relict of S.

Jay, M.R.C.S.Enu., of Great Yarmouth, and daughter of the late Daniel Hook,Esq., of Great Yarmouth, aged 6'.

PEARLESS, Charles D., M.R.C.S.Etig., at Sevenoak-s, of diphtheria, aged 32, onNovember igth.

WARD.-On November 23rd, at Penistone, Elizabeth, wife of John Ward, Esq.,Surgeon.

TESTIMONIAL.-Mr. William Wilkinson of Sheffield has been pre-sented with a handsome marble timepiece, purchased by subscription,on which is inscribed," Presented toWm. Wilkinson, Esq., Ml. R. C. S.E.,and L. S. A., in testimony of the high esteem in which he has been heldduring thirty-nine years by the inhabitants of Harthill, Thorpe-Salvin,Wales, and Todwick, as their medical adviser, friend, and neighbour:1874."

695

THE BRITISH MEDICAL _OURNAL. [Nov. 28, 1874.

OPERATION DAYS AT THE HOSPITALS.

MONDAY ......Metropolitan Free, 2 P.M.-St. AMark's, 9 A.m. and 2 P.M.-RoyalLondon Ophthalmic, II A.M.--Royal Westminster Ophthalmic,1.30 P.M.

TUESDAY......Guy's, 1.30 P.M.--Westminster, 2 P.M.-Royal London Oph-

thalmic, II A.M.-Royal Westminster Ophthalmic, 1.30 P.M.-

West London, 3 P.M.s-National Orthopadic, 2 P. t.WEDNESDA' ..St. Bartholomew's, 1.30 P.M.-St. Mary's, 1.30 P.mi.-Middlesex,

I P.M.-University College, 2 P. At.-St. Thomas's, T.30 P. .-Lon-don, 2 P.At.-Royal London Ophthalmic, I I A. A1.-Great Northern,2 P.mi.-Samaiitan Free Hospital for Women and Children, 2.30P. m.-Cancer Hospital, Brompton, 3 P.sA.- King's College, 2 P.Al.-Royal Westminster Ophthalmic, 1.30 P.M.

THIURSDAY .... St. George's, I P. M.-Central London Ophthalmic, P. Ai.-RoyalOrthopoedic, 2 P.r.-Royal London Ophthalmic, II A.Nt.-Hos-pital for Diseases of the Throat, 2 P.am.-Royal Westminster Oph-thalmic, I.30 5..M.

FRIDAY.........Royal XVestminster Ophthalmic, 1.30 P.M. -Royal London

Ophthalmic, II A.si.-Central London Ophthalmic, 2 P.Ai.-RoyalSotuth London Ophthalmic, 2 P.Al.

SATURDAY ....St. Bartholomew's, T.30 P.I.-King's College, 1.30 P.s.-Charing

Cross, 2 P.At.-Royal London Ophthalmic, It A.ms.-Royal Free,2 P.A.-East London Hospital for Children, 2 P.M.-Hospital forWVomen, 9.30 A.m.-Royal Westminster Ophthalmic, I.30 P.M.-

St. Thomas's, 9.30 A.Ni.-Royal Free, 9 A.M. and 2 P.M.

MEETINGS OF SOCIETIES DURING THENEXT WEEK.

MONDAY-.MIedical Society of London, 8 P.r. Mr. J. Astley Bloxam, "A livingspecimen of Spontaneotus Congenital Dislocation of the Patella, and anotherfrom sshom a Fibro-cystic Growth and portion of the Styloid Process hasbeen removed"; Mr. Richard Davy, "Resection of the Knee-joint in youngsubjects".

TUESDAY.-Pathological Society of London, 8 Pa.M Mr. Bustlin: Chondromaof Lachrymal Gland. Mlr. Btitlin: Osteoma of Superior Maxilla. Dr. Dick-inson: Obscure Abdominal Tumour. Dr. Cayley: Round-celled Sarcoma ofthe Cerebral Pia Mater. Mr. Hulke: Popliteal Aneurysm ctired by Pressure,associated with Aortic Aneurysm. Mr. W. Adams: Parts after Resection ofthe Hip and Elbov-joints. Dr. Dowse: Cardiac Aneurysm. Dr. Dowse:Aneurysm of Aorta. Dr. Ralfe: Tatooing in Colours. Mlr. Godlee: Rup-ture of the Trachea.

WEDNESDAY.-Obstetrical Societv of London, 8 P.r. Disctussion on Dr.Gervis's paper on "Retroversion of the Gravid Uterus"; Dr. Hoggan, "Onthe Dysmenorrhreal Membrane" (illustrated); Dr. Bathtirst Woodman, "Onthe Treatment of Mammary Abscess by Rest"; Dr. Madge, " On a Case ofLabour complicated by Pelvic Tssmour and by Convulsions"; Mr. AshburtonThompson, "On Zinc Phosphate in Cases of Amenorrhcea"; and other coin-

munications.THURSDAY.-Harveian Society of London. 7.15 P.iM.: Special Meeting of

Coloncil. S P.Ar. Mr. J. R. Lane (the President), "On the Modern Treat-ment of Syphilis".

NOTICES TO CORRESPONDENTS.CORRESPONDENTS not answered, are requested to look to the Notices to Corre-

spondents of the following week.PUBLIC HE:ALTH DEPARTIMENT.-We shall be much obliged to MIedical Officers ofHealth if they will, in forwarding their Annual and other Reports, favour us withD#licste Cobies.

AUTHOR,, desiring reprints of their articles published in the JOURNAL, are requestedto communicate beforehand with the printer, Mr. T. Richards, 37, Great QueenStreet, W.C.

CORRESPONDENTS, who wish notice to be taken of their commuinications, shouldauthenticate them with their names-of course, not necessarily for publication.

WE CANNOT UNDERTAKE TO RETURN MIANUSCRIPTS NOT USED.COMMUNICATIONS respecting editorial matters, should be addressed to the Editor:

those concerning business matters, non-delivery of the JOURNAL, etc., should beaddressed to the General Manager, at the Office, 36, Great Queen Street, W.C.

BRAND'S ESSENCE OF BEEF.Tir, preparations to which we last week referred as Brandt's are, we find, knowvn as" Concenitrated Beef-Tea" and " Essence of Beef" respectively. They are mantu-facttured by MeSsrs. Brand and Co., No. Ir, Little Stanhope Street, MIayfair,London.

THE Lincoln County Hospital Ftund now amouints to £17,70I :8 :4. The Commit-tee in consequence have determined to commence building as soon as they havedecided tipon a suLitable site.

ADVERTISING QUACKS.THE Glasgow atthorities have an effective method of dealing with advertising quacks,and in this respect show a good example to the metropolitan and other municipalpowers. A man named James James was brought before Bailie Morrison, of theCentral Couirt, Glasgow, on the 2oth instant, charged with having caused the dis-tribution of obscene circulars. The defendant admitted the offence, and the pre-siding " bailie" mtilcted the " Dr." in a 40S. penalty, and his servant, who hadbeen engaged in distribtuting the pamphlets, in Ios. This Scotch plan of punishingthe chief offender is far preferable to the English system, which punishes the bill-distributor only, and allows the chief offender to go unpunished.

WE: are obliged to defer several correspondents' letters and other matter till next

week.

MR. JAMES STEWART, L.R.C.P. (Mlexborough).-Weybridge would, think, be

the most suitable locality within the radius named.

TESTS FOR ANILINE DYES.

SIR,-R. M. J. will find the tests for aniline dyes and arsenic in Miller's Elernctusof Chemyistry. These are the products so extensively tised in dyeing wearing

apparel; and, as arsenic enters largely into the composition of of them, it is

this which should be sought for. I am, etc., S. M. MOORE.

Physiological Laboratory, St. George's Hospital, S.W., November 1874.

WE are indebted to correspondents for the following periodicals, containing news,

reports, and other matte of medical interest:-The Birmingham Daily Gazette,

Nov. 23rd; The Lincoln Gazette; The Lincoln, Rutland, asod Stamford Mercury;The Leeds Mercury The Blackburn Times; The Leicester Advertiser; The

Cork Constitution; The Lincoliishire Chronicle: The Carlisle Patriot; The Mac-

clesfield Advertiser; The Atsckland Times and Herald; The Northampton Mer-

cury; The Knaresborough Post; The Wrexham Advertiser; The Northern Daily

Express: 'The Easternl)aily Press; The Western Daily Mercury The Ulster

General Advertiser; The Brighton Examiner; The Lincolnshire Chronicle ;The

Melbourne Argus; The Isle of WNight Observer: T'he Accrington Times; The

Leighton Buzzard Observer The Lincolnshire Chronicle; The Daily Telegrapli;The Duirham fChronicle; The Halifax Evening Reporter; The Elgin tsourier; The

Sheffield Daily Telegraph: The Hampshire Telegraph; The Sheffield anct

Rotherham Independelit; T'he Standard; The Portsmouth Times; T'he Armagh

Guardian; The Mlorpeth Herald; 'Ihe Bradford Observer; The Stroud Ness

and Gloucestershire Advertiser; T'he Glasgowv Herald; I'he Liverpool Mercury;

The Liverpool Porctupine; The Scotsman; The Hackney Express; The Bedale

and Northallerton 3limes; The Broad Arrow; The Surrey Advertiser; TheSussex Coast Mercury; The Ulster Advertiser; etc.

COMIMUNICATIONS, LETTERS, ETC., have been received from:-

Dr. J. Hughes Bennett, Nice; Dr. C. J. B. Williams, Lolldon; Dr. G. Johnson,

London: Dr. J. Smith, Dtumfries, Dr. J. C. Bucknill, Rugby; Mlr. Joseph Bell,

Edinbtsrgh; Mr. J. E. Ingpen, London; Dr. Fisilayson, Glasgow; Dr. J. Wil-

son, Chatteris; Dr. J. Wilson, Liverpool; Dr. Robert J. Lee, London; M.D.;

The Secretary of Apothecaries' Hall; The Registrar-General of England ; The

Registrar-General of Ireland; Mr. Wanklyn, London; The Registrar of the

Medical Society of London; Dr. R. P. Cotton, London; Dr. Beale, London;

Dr. Headlam Greenhow, London; Mr. R. Liebreich, London; Dr. Buchanan,Glasgow: The Secretary of the Statistical Society, London The Secretary of

the Clinical Society; Dr. R, Mlaclaren, Carlisle; Dr. F. J. Brown, Rochester;

Amicus certus in re incerta cernitur; Mr. E. Halse, London; Dr. Desmond,

Liverpool; Dr. Galton, Woodside; Mlr. H. E. Armstrong, Newcastle-upon-Tyne;Dr. Arthur Graham, Weybridge: Mr. R. Jasckson, Birkesihead; Dr. Ringland,Dublin: Dr. de Chatimont, Netley; Dr. Stevens, Liverpool; L.R.C.P.Edin.,Dr. Bell Taylor, Nottingham: Another Discontented SuLrgeon; Mr. R. Glyn

Griffith, Aden: Dr. Parsons, Dover; Mr. Francis Parsons, Bridgwater; Mr. J. A.

Nunneley, Leeds; Dr. Cheadle, London; Dr. Pavy, London; Mr. Aldersey,Havant; Dr. Wickham Legg, London; Dr. Hilton Fagge, London; Mlr. S.

W. Moore, London; Dr. Copeman, Norwich; Dr. Argyll Robertson, Edin-

burgh; Dr. Thomas Jones, London; Dr. Wilson Fox, London; Dr. Arthur

Farre, London; Mr. Howvse, London; MIr. Francis Mason, London; Mr. G.

Cowell, London; Dr. Paterson, Louth; Mir. Bowman, London; Dr. Clouston.Edinburgh; Dr. Duffin, London; Dr. Batty Ttike, Edisiburgh; Dr. Althaus,London; Dr. G. Btichanan, Glasgow; Sir James Paget, London; Mlr. Thomas

Smith, London; Mr. R. Davy, London; Sir William Gull, London; Dr. J. W.Ogle, London; Dr. Matthews Duncan, Edinburgh; Dr. Clifford Allbutt, Leeds;

Dr. G. Harley, London; Dr. E. B. Baxter, London; Dr. Theodore Williams,

London; Mr. Spence, Edinburgh; Mr. Griffith, Grosnant; Dr. R. Liveing,

London; Mr. E. Osven, London; Dr. F. J. Mouat, London; Dr. Atthill, Dublin;

Dr. Htimphry, Cambridge; Dr. Wade, Birmingham; Dr. F. T. Roberts, Lon-

don; Dr. A. S. Taylor, London; Mr. J. T. Clover, London; Dr. MIcKeindrick,Edinburgh; Dr. Mackay, Birmingham; Dr. Shingleton Smith, Clifton; Our

Dublin Correspondent; Inspector-General Maclaren, Netley; Mr. T. M. Stone,

London; Our Edinburgh Correspondent; Mr. B. Hill, London; Mr. Partridge,

Stroud; Dr. Kraus, Vienna; Mr. Garner, Stoke-upon-Trent; An Old African

Officer; Mr. James Stewart, Mexborough; Mr. Walter Pearless, Sevenoaks;

Dr. L. W. Sedgwick, London; Mr. Burdett, Greenwich; Dr. Symes Thompson,

London; Mr. T. P. Teale, Leeds; Dr. Grainger Stewvart, Edinburgh; Dr. T. XV.

Grimshaw, Dublin; Dr. W. B. Woodman, London; Mr. Rushton Parker, Liver-

pool; Dr. Durrant, Ipswich; Mir, Spencer Welis, Lorndon; Mr. Wagstaffe, Loni-don; Dr. H. M. Madge, London ; Dr. Cassells, Glasgowv; Dr. Julius Pollock,London; Mr. J. V. Hosvard, London; Mlr. J. Foster, London; etc.

BOOKS, ETC., RECEIVED.

Autobiography of A. B. Granville, M.D., F.R.S. Vols. I and si. London: HenryS. King and Co. I874.

The Maintenance of Health. By J. Mlilner Fothergill, M.D. London: Smith,Elder, and Co. 1874.

Physiological Chemistry. By S. XV. AMoore. London: Smith, Elder, and Co. 1874.

A Handbook of Therapeutics. By Sydney Ringer, M.D. Fourth Edition. Lon-don: H. K. Lewis. I874.

Pathological Anatomy of the Nervouss Centres. By E. L. Fox, M.D. London:Smith, Elder, and Co. 1874.

The Common Frog. By St. George Mivart, F.R.S. London: Macmillan and Co.I874.

696