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rigor mortis was well marked, the body was well nourished, and the uterus was found to be partially re-inverted, and gave the idea that had the patient been seen earlier, before she had lost so much blood, and the efforts at retaining the uterus been persevered in, complete reduction would have taken place. The patient was seen too late to allow of transfusion being attempted.

Dr. BARNES related a case of Retention of Urine from a Retroflexed Gravid Uterus. The patient, aged thirty-two, had borne four children, the last over three years since. She had been "regular" till November, and until February believed herself pregnant, when, whilst hanging clothes on the line, a pig bit her foot, and frightened her very much. This was followed by pelvic pain and a vaginal discharge. Rest was enjoined, and she went on well for a week. She was then seized with sudden severe abdominal pain, the abdomen began to swell, and she lost health rapidly. Seven weeks afterwards the abdomen measured thirty-nine inches at the umbilicus. The case was supposed to be ovarian; a tense, elastic tumour, giving a thrill of fluctuation, being detected. On passing a catheter, twelve pints of urine, charged with blood, were drawn off, but it had little or no uriniferous smell. After this, the abdominal tumour decreased in size. On further examination a retroflexed gravid uterus was detected. The patient being much exhausted, she was left until the next day, when Dr. Barnes saw her. The pulse rose to 144, and there was excessive tenderness over the abdomen. The uterine sound passed in three inches upwards and forwards, and the case was looked upon as hæmatocele; but on passing the hand into the vagina a fœtus of four or five months' maturity was removed. The uterus was found to be fixed in the pelvis. The patient being very ensanguine, transfusion with lamb's blood to ten ounces was resorted to. There was a faint attempt at restoration, with much excitement, and the patient died one hour afterwards. On making a post-mortem, an elastic tumour was detected in the abdomen, the bladder being filled with two pounds by weight of black clotted blood. At the fundus of the bladder was a hardened, infiltrated mass, from which the hæmorrhage had taken place. The transverse muscular fibres were very well seen. uterus was found to be retroflexed.

The

Dr. GODSON referred to a case of retroflexion of the gravid uterus with cystitis, where the whole of the lining membrane of the bladder came away, exposing the muscular fibres. The patient went to her full time, was safely delivered, and is still living, though she cannot hold her water for more than a few minutes.

Dr. BARNES stated that he considered the patient died from retroversion of the pregnant uterus; though there were symptoms of peritonitis, none was detected post-mortem. She died from exhaustion and uræmia.

The PRESIDENT requested Dr. Chambers and Dr. Hayes to examine the specimen further, and report upon it.

Dr. WYNN WILLIAMS related the particulars of a case of Intra-Uterine Tumour which was removed, with subsequent pregnancy, the patient being delivered by turning, and recovering after post-partum hæmorrhage. The patient, aged thirty-four, had had two children, the last one more than three years previously. In a subsequent miscarriage she nearly died from hæmorrhage. When first seen by Dr. Williams, uterine hæmorrhage had been going on for a twelvemonth, and the abdomen was found to be as much distended as a woman's would be at the full term of pregnancy. A large intra-uterine fibroid or polypoid growth was removed by means of the écraseur in several successive operations. She made an excellent recovery. Eleven months afterwards she aborted at the third month, and had severe hæmorrhage. She again became pregnant, and on labour setting in, the uterus was found to be high up above the pelvic brim, the head presenting. After waiting several hours chloroform was administered, and turning accomplished after much difficulty, a dead child weighing ten pounds being ultimately extracted. Hæmorrhage supervened three hours after delivery; a piece of sponge saturated with equal parts of liq. ferri perchl. and water was passed into the uterus, and the bleeding ceased forthwith. The sponge was withdrawn on the following day.

The PRESIDENT remarked that the case was interesting as showing the occurrence of pregnancy after the removal of a fibroid, weighing eighteen ounces, and the influence of the iron in restraining the hæmorrhage.

Dr. AVELING thought that the method of using the iron, leaving the sponge in utero, was a questionable proceeding;

the contraction of the uterus rendered the withdrawal of the sponge difficult, and if the string attached to it should break, it would be very awkward. He considered it a bad practice.

Dr. HEYWOOD SMITH thought that in operating for fibroids of the uterus it should be done rapidly, as Dr. Marion Sims suggested, in order to avoid septicemia.

Dr. ROGERS thought the whole of the mass had been taken away at two sittings, one in the evening and one next morning. Dr. ROUTH remarked that when matters were retained in utero we did not get septicemia; it was only when they were partially expelled in the vagina. The application of plugs dipped in tincture of iodine to the surface, renewed every three or four hours, would succeed where carbolic acid failed in averting septicemia.

The PRESIDENT alluded to some cases where a practitioner in Cuba injected a solution of iodine and iodide of potassium into the uterus immediately after parturition, with a view to prevent puerperal mischief.

Dr. CLEVELAND doubted the propriety of administering morphia so soon after delivery, especially if the uterus had not properly contracted. He would have preferred to watch the patient.

Dr. WILLIAMS, in reply to Dr. Aveling, stated that he had never experienced any difficulty in removing the sponge. The contractions of the uterus forced the sponge out into the vagina. He considered the success of his method mainly attributable to it. In early abortion and in non-pregnant uteri he preferred swabbing out the cavity of the uterus with the iron. In reply to Dr. Routh, Dr. Williams stated that he himself had introduced the employment of iodine as an antiseptic; even tainted meat, washed with a solution of 3 iij. of tincture of iodine to 3viij. of water, became perfectly whole

some.

Dr. W. SCHNEGIERIEF, Physician to the Moscow Hospital, read a paper on Vaginismus. After alluding to the conflicting statements of Drs. Marion Sims and Scanzoni, he related the history of several cases that had been under his own care, showing that there were two different forms of the disorder-the one being regarded as inflammatory, and the other as nervous or hyperesthetic.

once.

Dr. EDIS thought, after carefully perusing the paper, that the deductions drawn from the first case cited scarcely carried conviction. She was a virgo intacta, and was only seen The second case seemed due to vaginitis and granular cervix. The paper was a most instructive one, and would form a valuable addition to the Transactions, the cases being given in a clear and graphic manner, and the observations ou their pathology and treatment well worthy of perusal.

The PRESIDENT remarked that he had only met with one case where no tangible cause existed. She was very nervous, and subject to epileptic fits. In all other cases some definite cause for it had been discovered, such as ulceration, etc. He considered Dr. Marion Sims's operation very rarely necessary; forcible dilatation, under chloroform, by means of the two thumbs placed back to back, being generally sufficient to overcome the obstacle.

Dr. JOHN WILLIAMS remarked that in the first case alluded to by Dr. Edis there were three distinct painful points which, when touched, caused spasm of the urethra. He thought the paper one of great interest.

OBITUARY.

ROBERT EDMOND GRANT, M.D., F.R.S., ETC. Ar the last soirée at the Royal College of Physicians might be observed in his accustomed seat in a retired corner of the library a venerable and striking-looking octogenarian. The old, the middle-aged, and the young, with a very rare exception, passed him by, most of them wondering who he could possibly be. I knew him of old in University College, and spoke to him. There was no particular alteration to be observed in his physical condition, but he was evidently not so quick in recognising me as he had done on so many occasions before. "Who is that," said a friend, "I saw you just speaking to?" "That," I said, "is the English 'Cuvier,' Robert Grant." "What Grant?" he asked. I had to explain that it was the great Professor of Comparative Anatomy for forty years past. It seems strange that a man who had occupied for so considerable a period an important space in the profession, and who had done so much as a great anatomist, should be personally so little

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known. Robert E. Grant was the seventh son of the late Mr. Alexander Grant, writer to the Signet. He was born at Edinburgh on November 11, 1793, and was educated at the high school of that town and the University. The favourite studies of his juvenile years were Greek and geometry, the former of which proved of great utility in his subsequent pursuits. He obtained his diploma of the Royal College of Surgeons in 1814, and his M.D. in the University of Edinburgh the same year. After visiting various foreign medical schools he returned to Edinburgh, and commenced practice. In 1827, on the institution of University College, London, Dr. Grant accepted the chair of Comparative Anatomy and Zoology. He was the last living of a long list of professors so appointed. During the time he was at University College he gave courses of lectures on Comparative Anatomy," and contributed many papers to the Transactions of the Zoological Society. He was a member and fellow of a large number of scientific societies at home and abroad. Dr. Grant was somewhat above the middle height, strongly and firmly built, and was remarkable for the long and firm strides that he took when walking. He had a head denoting great intellectual power, and a striking, manly set of features. In manner he was most gentle and courteous, and under ordinary circumstances it might be supposed he wanted energy and determination. But there were occasions when Prof. Grant could and did speak out firmly, decisively, and to the purpose. He abominated shams, and was a staunch reformer, though not a very prominent one, from the first. Dr. Grant's views with respect to many controversial points were in advance of his time, and in his works may be found foreshadowings of theories which have lately attracted much attention. His anticipation of "Darwinism" was specially mentioned by Professor Tyndall at Belfast, I believe. It is, perhaps, worthy of notice in so remarkable a man, that he was always, whether in the house or out of it, in full dress, even to the white necktie and the low tied shoes. J. F. C.

THOMAS BALLARD, M.D., M.R.C.S., ETC. THIS well-known surgeon in general practice died on Tuesday last, at the comparatively early age of fifty-six. He was educated at Guy's Hospital. He was a member of several of the metropolitan medical societies, and author of "A New and Rational Explanation of the Diseases Peculiar to Infants and Mothers, with Obvious Suggestions for their Prevention and Cure," "Convulsive Diseases of Infants," "On Apoplexy, and the Value of the Abstraction of Blood in its Treatment.'

MEDICAL NEWS.

APPOINTMENTS.

The Editor will thank gentlemen to forward to the Publishing-office, as early as possible, information as to any new Appointments that take place.

CADDY, HENRY, M.R.C.S.E., L.S.A.-Junior House-Surgeon to the Royal Southern Hospital, Liverpool.

PIGGOTT, EDWARD ALFRED, L.R.C.P., L.R.C.S., L.M., L.S.A.-Medical Officer for District No. 6 of Downham Union.

PRIESTLEY, CLEMENT C.-House-Surgeon and Secretary to the West Norfolk and Lynn Hospital, Lynn, vice Mr. C. B. Plowright, resigned.

MILITARY APPOINTMENTS.

WAR OFFICE-MEDICAL DEPARTMENT.-The Christian name of SurgeonGeneral Fraser, M.D., C.B., who was appointed Honorary Physician to her Majesty in the Gazette of the 11th inst., is John and not James, as therein stated. To be Surgeons-Major: Surgeon Sydney Keyworth Ray, vice Henry Martyn Fraser, M.D., retired upon half-pay; Surgeon Thomas William Wright. To be Surgeons: Lloyd Brereton Ward, gent.; Thomas Joseph Gallwey, M D.; William Birkmyre Miller, M. B.; George Blake Hickson, gent.; Benjamin Richard Iagoe, M.D.; John Prendergast, gent.; William Simson Pratt, M.B.; Carew Charles Howard Smyth, M.D.; James Adolphus Smith, gent.; John Martin, gent. Frederick Simon Young, M.B.; John Joseph Greene, M.B.; Nathaniel M'Creery, gent.; Joseph Andrew Gormley, M.D.; John Edward Vaughan Foss, MD.; Charles Palmerston Turner, gent.

BIRTHS.

CRAWFORD.-On July 15, at Kussowlie, Punjaub, India, the wife of Deputy Surgeon-General T. Crawford, M.D., Army Medical Department, of a son.

EVANS.-On August 23, at 1, College-terrace, Belsize-park, N.W., the wife
of William Evans, M.D., late of Calcutta, of a daughter.
GRELLET.-On August 30, at Hitchin, Herts, the wife of Charles John
Grellet, M.R.C.S. Eng., L.S.A., of a son.

IRVINE.-On August 26, at 3, Mansfield-street, Cavendish-square, W., the wife of J. Pearson Irvine, M.D., of a daughter.

LONG.-On August 25, at Wells-next-the-Sea, Norfolk, the wife of
Frederick Long, L.R.C.P. Lond., M.R.C.S. Eng., of a daughter.
MADGE. On August 26, at 4, Upper Wimpole-street, Cavendish-square,
the wife of H. M. Madge, M.D., of a son.

WADD.-On August 25, at Richmond, Surrey, the wife of F. J. Wadd,
M.B., M.R.C.S. Eng., of a daughter.

MARRIAGES.

ALFORD-SMART.-On August 26, at All Saints' Church, Preston, Gloucestershire, William Alford, Esq., solicitor, son of Stephen S. Alford, F.R.C.S., Haverstock-hill, London, to Mary Ellen Smart, of Northcote, Cirencester.

BLAND PARKINSON.-On August 27, at St. Mary's, Islington, George Bland, L.R.C.P., M.R.C.S., of Park-green, Macclesfield, to Eliza Jane, fourth daughter of S. Parkinson, Esq., of Canonbury, N., Assistant Paymaster-General for Chancery Business.

DORIN-ATKINSON.-On August 27, at All Saints' Church, Notting-hill, Arthur Frederic Lock Dorin, M.R.C.S. Eng., L.S.A., of Clapham, to Eva Catherine, daughter of the late Captain George Francklin Atkinson, Bengal Engineers.

ESSELL-WATSON.-On August 26, at St. Philip's Church, Kensington, William Guy, son of George Essell, Esq., of Rochester, to Eliza Louisa, third daughter of the late George Henry Watson, M.R.C.S., of Charterhouse-square, London. GALABIN-BAILY.-On August 27, at Swindon, Alfred Lewis Galabin, M.D.. Fellow of Trinity College, Cambridge, Assistant Obstetric Physician to Guy's Hospital, and Assistant-Physician to the Hospital for Sick Children, to Harriet Mignan, eldest daughter of the Rev. H. G. Baily, Vicar of Swindon.

HANNAH-READE.-On August 29, at St. Mary's, Apsley, Herts, J. B.
Hannah, M.D., 63rd Regiment, to Emily, elder daughter of the Rev. C.
Darby Reade, of 83, Holland-road, Kensington, late Rector of Stow
Bedon, Norfolk.

SIMON-ST. LEGER.-On August 6, at the Cathedral of St. Jago de la Vega,
Spanish Town, Jamaica, Maximilian F. Simon, L.R.C.P. Lond.,
M.R.C.S. Eng., Government Medical Service, Lucea, Jamaica, to Cornelia
G. St. Leger, of Boulogne-sur-Mer, France.
TERRY-MOXON.-On August 29, at Brigg, Francis Christopher Birbeck
Terry, M.A. Cantab., of Cardiff, and Thornton Rust, Yorkshire, to Lucy
Caroline, fourth daughter of J. B. Moxon, Esq., M.R.C.S.
THORNTON-BAKER. -On August 29, at St. Peter's Church, Wickham-road,
New-cross, S.E., Philip Thornton, M.R.C.S., of Old Charlton, S.E., to
Emily Mary, younger daughter of Thomas Palmer Baker, C.B., R.N., of
Wickham-park-terrace, New-cross.

TOSSWILL-DYMOND.-On August 27, at Widecombe-in-the-Moor, Devon,
Louis H. Tosswill, M.B., of Exeter, to Caroline Amee, eldest child of
Robert Dymond, F.S.A., of Exeter, and of Blackslade, Widecombe.

DEATHS.

BALLARD, THOMAS, M.D., M.R.C.S. Eng., L.S.A., at 10, Southwick-place, Hyde-park, on September 1, aged 56.

CLARKE, CATHERINE, widow of Dr. Patrick Dillon Clarke, R.N., and daughter of the late Major Charles Smyth, 28th Foot, of Newgarden, co. Galway, at 2, Devonport-street, Hyde-park-square, the residence of her son-in-law, on August 27.

CONOLLY, MICHAEL ALFRED, M.R.C.S. Eng., at 62, High-street, Camden
Town, of congestion of the lungs, on August 25, aged 43.
HAWKINS, JAMES, M.R.C.S. Eng, formerly Assistant-Surgeon on the
Staff, Head-quarters, Cavalry, Waterloo, on August 27, aged 80.
HUTCHINS, HENRY AUBREY, only and beloved son of Henry Hutchins,
F.R.C.S., of St. Margaret's Bank, Rochester, after years of suffering,
on August 29, aged 21.

WOOD, ADELAIDE MARY, youngest daughter of Andrew Wood, M.D., at 9, Darnaway-street, Edinburgh, suddenly, on August 25.

VACANCIES.

In the following list the nature of the office vacant, the qualifications required in the Candidate, the person to whom application should be made, and the day of election (as far as known) are stated in succession. BOROUGH OF STOCKPORT.-Medical Officer of Health and Public Analyst. Applications, with testimonials, to Walter Hyde, Esq., Town Clerk, Stockport, on or before September 14.

BRADFORD EYE AND EAR HOSPITAL.-Assistant-Surgeon. Candidates must be duly qualified. Applications, with testimonials, to the Secretary, on or before September 8.

BRISTOL GENERAL HOSPITAL.-Physicians' Assistant. Candidates must possess a registered medical qualification. Applications, with testimonials, to the Secretary, on or before September 24.

GLAMORGAN COUNTY ASYLUM, BRIDGEND.-Assistant Medical Officer. Candidates must be fully qualified. Applications, with testimonials, to the Medical Superintendent.

GLOUCESTER COUNTY PRISON.-Surgeon. Candidates must be duly qualified. Applications, with testimonials, to George Riddiford, Esq., Clerk of the Peace, Shire Hall, Gloucester, on or before September 15.

GREAT NORTHERN HOSPITAL, CALEDONIAN-ROAD, N.-Physician; also a Surgeon. Applications, with testimonials, to the Secretary, on or before September 15.

KINGTON UNION.-Medical Officer for the Eardsley District. Applications, with testimonials, to the Clerk of the Union, on or before September 18. LANGPORT UNION.-Medical Officer for District No. 1 A. Applications, with testimonials, to Mr. J. F. H. Warren, Clerk to the Union, on or before September 22.

LUNESDALE UNION.-Medical Officer. Candidates must be duly qualified. Applications, with testimonials, to Mr. Robert Stephenson, Clerk, on or before September 8.

NEWCASTLE-UPON-TYNE INFIRMARY.-Junior House-Surgeon. Candidates must be duly qualified. Applications, with testimonials, to the Chairman of the Weekly Sub-Committee, on or before September 15.

QUEEN CHARLOTTE'S LYING-IN HOSPITAL, ST. MARYLEBONE-ROAD. — Resident Medical Officer. Applications, with testimonials, to the Secretary, on or before September 7. SOUTHPORT CONVALESCENT HOSPITAL.-Resident Medical Officer and Superintendent. Candidates must be qualified. Applications, with testimonials, to the Chairman of the Hospital, on or before September 21. SUNDERLAND AND BISHOPWEARMOUTH INFIRMARY AND DISPENSARY. Junior House-Surgeon. Candidates must possess both a medical and surgical qualification. Applications, with testimonials, to the Secretary, on or before September 24.

THREE COUNTIES PAUPER LUNATIC ASYLUM.-Resident Medical Superintendent. Candidates must be duly qualified. Applications, with testimonials, to Mr. F. G. Butler, Clerk to the Committee of Visitors, St. Neots, Hunts, on or before September 21.

YORK LUNATIC ASYLUM.-Resident Medical Superintendent. Candidates must be duly qualified. Applications, with testimonials, to the Secretary, Bootham, York, on or before September 19.

UNION AND PAROCHIAL MEDICAL SERVICE.

The area of each district is stated in acres. The population is computed according to the census of 1871.

RESIGNATIONS.

Easingwold Union.-Mr. William Teasdale has resigned the Stillington District; area 20,892; population 2846; salary £42 per annum.

Kington Union-Mr. Henry Horton has resigned the Eardisley district; area 5860; population 1001; salary £20 per annum.

Narberth Union. -Mr. George Richards has resigned the Second District; area 6161; salary £35 per annum.

APPOINTMENTS.

Horne Union.-Henry H. Dearsly, M.R.C.S., L.S.A., to the Hoxne District.

Newcastle-under-Lyme Union.-Edward Turner Thompson, L.R.C.S. Ire., L.K.Q.C.P. Ire., to the Whitmore District.

Pontefract Union.-Walter Samuel Simpson, L.R C.S.E., to the First District.

St. Mary, Lambeth, Parish.-Wm. Hodgson Pywell, L.R.C.P. Edin., M.R.C.S.E., to the First District.

Tynemouth Union.-John Wm. Bramwell, M.B., L.R.C.S., to the Tynemouth District and Workhouse.

JOHN SIMPSON, a beer-seller at Stoke, has been fined £5 and costs (£32 48. in all) for having sold ale adulterated with not less than 250 grains of salt to the gallon.

WE have much pleasure in learning that a rowing club has lately been formed at the London Hospital, which has received the most active support of both staff and students, Dr. Andrew Clark being president.

ON Saturday last, Professor Erasmus Wilson took the leading part in the ceremony of laying the foundation stone of the porch of Swanscombe Church, near Dartford, Kent. The Professor is a native of Greenhithe, and he has given sums amounting to about £2500 towards the restoration of the old church of Swanscombe, the ecclesiastical district which embraces Greenhithe. The work of restoring the porch was undertaken by the "Erasmus Wilson Lodge" of Freemasons, and the ceremony of laying the stone was carried out in accordance with the Masonic formula.

A TRULY cardiac patient-one suffering from actual disease of the heart-as a rule comes to you complaining, not of that organ, but of one or other of the secondary results of his lesion. He complains of breathlessness or of dropsy, either or both of which may result from that lesion if it be uncompensated, or if the compensation be ruptured. If the patient complain of shortness of breath, as is often the case, you will find that this cardiac breathlessness presents certain distinctive features wherein it differs from pulmonary breathlessness, the most striking of these being the perfect tranquillity of the breathing while the patient is at rest, at the same time that any exertion at once produces so anxious a desire for more air as can be expressed by no fitter term than the air-hunger of the Germans. The amount of lesion is not to be measured by this breathlessness, but its seriousness, as dependent upon the degree in which the compensation is ruptured, may certainly be so. The patient may only puff considerably in going up a hill or ascending a stair, or his shortness of breath may be so great as speedily to compel him to call a halt on attempting either of these feats; or it may be so extreme as to prove distressing on making such perfectly trifling exertions as merely sitting up or turning in bed. At the same time there is no true dyspnoea, or difficult breathing properly so called; there is no obstruction either to inspiration or expiration; there may even be no curtailment of the air-space in the lungs from any cause whatever; the breathing while the patient is at rest is perfectly quiet and natural: yet such is the difficulty-from cardiac causes of getting the blood aërated, that the slightest exertion produces such a gasping inquietude as is extremely characteristic. This is one form of cardiac asthma, as it is termed; now and then we have another, in which the breath

lessness, though not dependent upon exertion, is yet equally independent of pulmonary lesion. In this case the patient wakes gasping and alarmed from his first sleep; he has palpitation, occasionally pain (angina), almost always irregular action of the heart, which is always feeble; now and then the patient is sick, and sometimes vomits a mouthful or two. This form of cardiac asthma is mostly senile in character, and associated with muscular degeneration rather than with valvular lesion. It frequently arises from some slight gastric derangement, which reflexly affects the enfeebled heart in an injurious manner; and it is often the beginning of the end to those affected the first intimation that the "pitcher is broken at the fountain," and that death has already seized the very citadel of life. Such patients, however, never come to you-you are always sent for to see them; and I have only mentioned this affection now to illustrate the fact that exertion is not always necessary to produce cardiac breathlessness, and that even in this case the panting is characteristic, while the absence of pulmonary lesion marks its cardiac origin. To produce socalled cardiac breathlessness, however, it is not necessary to have actual cardiac disease. Breathlessness depends upon imperfect aëration of the blood, and in the absence of pulmonary lesion may depend upon lesion of the heart or of the blood itself. Even though a patient, then, presents all the characteristic symptoms of cardiac asthma, we must not therefore set him down as certainly labouring under cardiac disease: he may be only anæmic. But inasmuch as anæmia and cardiac disease. frequently coexist, the assured presence of the former, evinced by the bloodless condition of the lips, gums, etc., does not exclude the latter. The presence of breathlessness having the characteristic symptoms described, makes us certain that we have to do with a hæmic or a cardiac lesion; which it is, we must determine by further inquiries.—“ On the Diagnosis of Disease of the Heart," by George W. Balfour, M.D., F.R.C.P.E. (Edinburgh Medical Journal, June, 1874).

NOTES, QUERIES, AND REPLIES.

Be that questioneth much shall learn much.—Bacon.

Joseph V. N.-The influenza epidemic in this country towards the end of 1847 and the beginning of 1848, according to Dr. Farr, was fatal, directly or indirectly, to not less than 5000 persons in six weeks.

A SCIENTIFIC FACT-THE Sʊs.
Were sun to speak, the Sun could say,
O'er Earth I reign both night and day;
All would remain in darkness quite
Unless I sent my heat and light:
All life would cease without the twain,
And Earth to Chaos come again.
At once Discernment sees from me
That not by mine but His decree
Who reigns o'er me, the worlds and earth,
And gave to all that lives its birth,
To senseless matter form and order,
Time and eternity the border-
Sees that from me, or through me, two
Great principles come into view,
Simple, but grand, a great design,
From power and mind the source divine.
A Reflection.

If out of matter aught be wrought,
We trace it to design and thought;
In man so gifted proofs are found,
In God the higher proofs abound.
The laws which rule and fashion nature
Can ne'er be traced to lifeless matter;
Design and product need a factor-
No play's perform'd without an actor.
Like alchymist in search of gold,
Many such search, scarce need be told,
Is now pursued by learned men,
Objects to reach beyond their ken.-T. S.
Bibliopole.-The Library and Museum of the Royal College of Surgeons
will be reopened on October 1.

H. M., St. Bartholomew's.-The old students' annual dinner will take place in the grand hall of the Hospital on Thursday, the 1st proximo, when Professor Rolleston, F.R.S., will take the chair.

Venous Murmurs.

"Shake one, and it awakens; then apply

Its polished lips to your attentive ear, And it remembers its august abodes, And murmurs as the ocean murmured there." Macie.-Sir Samuel Garth, M.D., published a mock-heroic poem entitled "The Dispensary," in 1697. It referred to a dispute in the College of Physicians respecting the commencement of a charitable institution, in which he strongly advocated the cause of benevolence.

VITAL STATISTICS OF LONDON.

Tasso.-Dr. George Budd on "Diseases of the Stomach." Dr. T. King Chambers on "Digestion and its Derangements."

Narcissus.-The first regular advertisement which has been met with, was in No. 7 of the Impartial Intelligencer-the first number of which appeared on March 7, 1649. It is from a gentleman of Cavendish, in Suffolk, from whom two horses had been stolen.

Important to Journalists.-After many adjournments and prolonged arguments, Vice-Chancellor Little decided at Liverpool on the 12th ult. a case of the highest importance to proprietors of the press. The editor, Mr. John Vaughan, of the Liverpool Leader, had been summoned before the Registrar to answer interrogatories as to the sources of his information for articles which appeared in the Leader referring to the Civil Service Association. Mr. Vaughan declined to disclose his informants, and took the responsibility of the articles upon himself. The ViceChancellor decided that he was not bound to answer the questions.

PERIODICALS AND NEWSPAPERS RECEIVEDLancet-British Medical Journal-Medical Press and Circular-Pharmaceutical Journal -Allgemeine Wiener Medizinische Zeitung-Berliner Klinische Wochenschrift-Centralblatt für Chirurgie-Gazette Médicale de Paris-Gazette Hebdomadaire-La Tribune Médicale-La France Médicale-Le Progrès Médical-Gazette des Hôpitaux-Bulletin de l'Académie de Médecine-Bulletin Général de Thérapeutique-The Obstetrical Journal of Great Britain and Ireland-Lincoln GazetteAmerican Journal of Insanity-Monthly Microscopical Journal-Science Gossip-Nature-Irish Hospital Gazette-L'Archives Générales de Médecine-Greenhithe Monthly Magazine-Public Health-Students' Journal and Hospital Gazette-Edinburgh Medical Journal.

BOOKS AND PAMPHLETS RECEIVED

Barnes's Notes on Surgical Nursing-Statistical Tables of the Patients under Treatment in the Wards of St. Bartholomew's Hospital-Nouveau Système prouvé par l'Existence du Peuple Juif, par P. A. F. BoboeufHalf-yearly Report of the Medical Officer of Health for the Port of London-Harvey on the Past Progress and the Present Aspects of Medicine, in relation chiefly to Therapeutics-Clinical Report of the Lying-in Service at the Bellevue Hospital, New York-Archives of Ophthalmology, vol. iii., No. 2, and vol. iv., No. 1-Muter's Introduction to Pharmaceutical and Medical Chemistry-Bennett on How to Restore the Walking Powers and Muscular Movements generally-Quarterly Return of the Marriages, Births, and Deaths in Ireland-Annual Report of the Sanitary Condition of Ipswich-Note on the Perception of Musical Sounds, by J. G. M'Kendrick, M.D.-Sur l'Uréthrotomie Interne, par Professeur Barbosa, traduction française par le Dr. Bertherand-Du Traitement de l'Angine Diphthérique par les Fleurs de Soufre, par Professeur Barbosa, traduction française par le Dr. Bertherand-Memoria sobre a Laqueaçao da Arteria Iliaca Primitiva a Proposito d'Esta Operaçao, par Professeur Barbosa.

COMMUNICATIONS have been received from

Dr. PERCY LESLIE, London; A NORTH CAROLINA SUBSCRIBER; Mr. E. P. HAYWARD, London; Mr. E. LYON, London; Mr. HUSSEY, Oxford; Dr. GARDE, Kinsale; Dr. J. G. M'KENDRICK, Edinburgh; Mr. J. LEWTAS, M.B., Liverpool; Mr. P. WOOD BUNNING, Newcastle; Professor STRUTHERS, Aberdeen; Mr. T. STOKES, Nailsworth; THE REGISTRARGENERAL, Edinburgh; Mr. GODLEE, London; Mr. H. K. EVANS, London; Dr. JOHN DOUGALL, Glasgow; Dr. WILLOUGHBY ARDING, Wallingford; Dr. WM. STRANGE, Worcester; Mr. DONELLY, Dublin; Dr. JOHN MACPHERSON, London; Mr. E. BELLAMY, London; Mr. J. CHATTO, London; Dr. J. P. IRVINE, London.

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Boroughs, etc. (Municipal boundaries for all London.)

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London
Portsmouth
Norwich
Bristol
Wolverhampton
Birmingham
Leicester
Nottingham
Liverpool

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Salford
Oldham
Bradford
Leeds
Sheffield
Hull...
Sunderland

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Temperature

of Air (Fahr.)

Temp. of Air

Fall.

Rain

(Cent.)]

Estimated Population to

middle of the year 1874.

Persons to an Acre.
(1874.)

Births Registered during
the week ending Aug. 29.
Deaths Registered during
the week ending Aug. 29.

Highest during
the Week.
Lowest during
the Week.
Weekly Mean of

Mean Daily Values.

Weekly Mean of

Mean Daily
Values.

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1234 79 9 440 59 4 15:22 0.23 0.58

79 120436 26'8 82257 11.0 55 192889 43.3 180 70896 20 9 59 ... 360592 430 254 106202 33 2 73 70 90894 45'5 510610 980 350 355339 82-8 281 133068 25 7 105 64 86281 18:5 163056 22'6 139) 85 73-4 460 56 8 13.78 0.17 0:43 278798 12.9) 262 155 760 440 57-6 14:22 0.11 0.25 261029 13:3 211 118 690 440 56-3 13:50 10:19 0:48 915 130996 36·0) 79 700 400 54:3 12:39 0.10 0.25 104378 316) 73 63 73 0 46 0 58:0) 14:44 0.15 0.38

28 0.32 0.81 30 71.5 40 5 55 2 12.89 0.03, 0.08 66 754 490 59.7 15:39 0.37 0.94 37 73 6 46 8 58:5] 14.72 10.76 193 195 728 416 580 14:44 0:49, 1′24 42 709, 441 568 13.78 10:57 1:45 31 764 425 57:5 14:16 042 107 344 735 505 58 3 1461 0.66 1:69 20173-5 48 2 59 0 15:00 0:57 1:45 78 72 6 46 S 57 2 14:00 0.83 2:11 56

Newcastle-on-Tyne 135437 252 139 85

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314666 313 139 123 77-9 410 589 14-941-30 3:30

in United Kingdm 7618655 36.6/5302 3350 79.9 40.0 57.6 14:22 10:43 1:09

At the Royal Observatory, Greenwich, the mean reading of the barometer last week was 29 85 in. The highest was 30 21 in. at the beginning of the week, and the lowest 29:56 in. on Saturday at noon.

The figures for the English and Scottish towns are the numbers enumerated in April, 1871, raised to the middle of 1874 by the addition of three years and a quarter's increase, calculated on the rate which prevailed between 1861 and 1871. The population of Dublin is taken as

stationary at the number enumerated in April, 1871.

RULES AND REGULATIONS

OF THE

EXAMINING MEDICAL BODIES IN ENGLAND. SESSION 1874-75.

REGISTRATION OF MEDICAL STUDENTS BY THE GENERAL MEDICAL COUNCIL.

THE following regulations have been adopted by the General Medical Council in reference to the registration of students of Medicine:

1. Every medical student shall be registered in the manner prescribed by the General Medical Council.

2. No medical student shall be registered until he has passed a preliminary examination, as required by the General Medical Council.

3. The commencement of the course of professional study recognised by any of the qualifying bodies shall not be reckoned as dating earlier than fifteen days before the date of registration.

4. The registration of medical students shall be placed under the charge of the Branch Registrars.

5. Each of the Branch Registrars shall keep a register of medical students according to the subjoined form:

Form for the Registration of Medical Students.

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6. Every person desirous of being registered as a medical student shall apply to the Branch Registrar of the division of the United Kingdom in which he is residing, according to the annexed form, which may be had on application to the several qualifying bodies, medical schools, and hospitals; and shall produce or forward to the Branch Registrar a certificate of his having passed a preliminary examination, as required by the General Medical Council, and a statement of his place of medical study.

7. The Branch Registrar shall enter the applicant's name and other particulars in the Students' Register, and shall give him a certificate of such registration.

8. Each of the Branch Registrars shall supply to the several qualifying bodies, medical schools, and hospitals, in that part of the United Kingdom of which he is Registrar, a sufficient number of blank forms of application for the registration of medical students.

9. The several Branch Councils shall have power to admit special exceptions to the foregoing regulations as to registration, for reasons which shall appear to them satisfactory.

10. A copy of the Register of Medical Students, prepared by each of the Branch Registrars, shall be transmitted, on or before December 31 in each year, to the Registrar of the General Council, who shall, as soon as possible thereafter, prepare and print, under the direction of the Executive Committee, an alphabetical list of all students registered in the preceding year, and supply copies of such authorised list to each of the bodies enumerated in Schedule (A) to the Medical Acts, and through the Branch Registrars to the several medical schools and hospitals.

11. The several qualifying bodies are recommended not to admit, after October, 1870, to the final examination for a qualification under the Medical Acts, any candidate (not exempted from registration) whose name has not been entered in the Medical Students' Register at least four years previously.

In the case of candidates from other than schools of the United Kingdom the Branch Councils shall have power to admit exceptions to this recommendation.

PRELIMINARY EXAMINATIONS IN ARTS RECOGNISED BY THE GENERAL MEDICAL COUNCIL.

"That testimonials of proficiency granted by the national educational bodies, according to the subjoined list, may be VOL. II. 1874. No. 1263.

accepted, the Council reserving the right to add to or take from the list." (A degree in Arts of any university of the United Kingdom, or of the colonies, or of such other universities as may be specially recognised from time to time by the Medical Council, is considered a sufficient testimonial of proficiency.)

LIST OF EXAMINING BODIES WHOSE EXAMINATIONS FULFIL THE CONDITIONS OF THE MEDICAL COUNCIL AS REGARDS PRELIMINARY EDUCATION.

I. Universities of the United Kingdom.-Oxford: Examination for a Degree in Arts; Responsions; Moderations; Local Examinations (Senior), certificate to include Latin and Mathematics. Local Examinations (Junior), certificate to include Latin and Mathematics, and also one of the following optional subjects-viz., Greek, French, German, Natural Philosophy, including mechanics, hydrostatics, and pneumatics. Cambridge: Examination for a Degree in Arts: Previous Examination; Local Examination (Senior), certificate to include Latin and Mathematics. Local Examinations (Junior), certificate to include Latin and Mathematics, and also one of the following optional subjects-viz., Greek, French, German, Natural Philosophy, including mechanics, hydrostatics, and pneumatics. Durham: Examination for

a Degree in Arts; Examination for students in their second and first years; Registration Examination for Medical Students; Local Examinations (Senior), certificate to include Latin and Mathematics. Local Examinations (Junior), certificate to include Latin and Mathematics, and also one of the following optional subjects-viz., Greek, French, German, Natural Philosophy, including mechanics, hydrostatics, and pneumatics. Oxford and Cambridge Schools Examination Board: Certificate to include-1. English language, including grammar and composition. 2. Arithmetic, including vulgar and decimal fractions; Algebra, including simple equations. 3. Geometry-First two books of Euclid. 4. Latin, including translation and grammar, and one of the following optional subjects-Greek, French, German, Natural Philosophy, including mechanics, hydrostatics, and pneumatics. London: Examination for a Degree in Arts; Matriculation Examination. Aberdeen, Edinburgh, Glasgow, St. Andrews: Examination for a Degree in Arts; Preliminary Examination for Graduation in Medicine or Surgery. Edinburgh: Examination of (Senior) Candidates for Honorary Certificates under the Local Examinations of the University of Edinburgh. Dublin: Examination for a Degree in Arts; Entrance Examination. Queen's University (Ireland): Examination for a Degree in Arts; Entrance Examination; Examination for the Diploma of Licentiate in Arts; Previous Examination for B.A. Degree.

II. Other bodies named in Schedule (A) to the Medical Act. -Royal College of Surgeons of England: Examination conducted under the superintendence of the College of Surgeons, by the Board of Examiners of the Royal College of Preceptors. The Society of Apothecaries of London: Examination in Arts. Royal College of Physicians, Edinburgh, Royal College of Surgeons, Edinburgh: Preliminary Examination in General Education, conducted by a board appointed by these two Colleges combined. Faculty of Physicians and Surgeons of Glasgow Preliminary Examination in General Literature. Royal College of Surgeons in Ireland: Preliminary Examination, certificate to include Mathematics. Apothecaries' Hall of Ireland: Preliminary Examination in General Education. III. Examining Bodies in the United Kingdom, not included in Schedule (A) to the Medical Act.-Royal College of Preceptors: Examination for a first-class certificate.

IV. Colonial and Foreign Universities and Colleges.-Universities of Calcutta, Madras, and Bombay: Entrance Examination, certificate to include Latin. M'Gill College, Montreal: Matriculation Examination. University of Toronto; Trinity College, Toronto; Queen's College, Kingston; and Victoria College, Upper Canada: Matriculation Examination. King's College, Nova Scotia: Matriculation Examination; Responsions. Dalhousie College and University, Halifax, Nova Scotia : Matriculation Examination. University of Fredericton, New Brunswick: Matriculation Examination. University of Melbourne: Matriculation Examination, certificate to include all the subjects required by the General Medical Council. University of Sydney: Matriculation Examination. University of the Cape of Good Hope: Matriculation Examination Codrington College, Barbadoes: 1. English certificate for students of two years' standing, specifying the subjects of examination; 2. Latin certificate, or "Testamur." Tasmanian Council of

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