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Royal London Ophthalmic Hospital
Reports. Established 1857. Published occasionally,
under the Editorship of JOHN TWEEDY, F.R.C.S.
Vol. X., Part 3 (August, 1882). Price 5s.

INDEX TO MESSRS. CHURCHILL'S HALF-YEARLY LIST.

Birmingham Medical Review, VII.

Bristol Medico-Chirurgical Journal, VII.

British Dental Association Journal, VII.

Bryant's Practice of Surgery, VI.

Butlin's Malignant Disease of the Larynx, IV.

Chapman's Cholera, IV.

Charteris' Materia Medica and Therapeutics, VI.

Clouston's Clinical Lectures on Mental Diseases, IV.
Cooper's Syphilis and Pseudo-Syphilis, VI.
Cullingworth's Manual for Monthly Nurses, VI.
Duncan's Sterility in Woman, V.

Eade's Notes on Diphtheria, IV.

Foster's Political Powerlessness of the Profession, II.

Frankland and Japp's Inorganic Chemistry, VI.

Galabin's Diseases of Women, V.

Manual of Midwifery, VI.

JANUARY 5, 1884.

MEDICAL TIMES ADVERTISER,
SER,]

J. & A. CHURCHILL'S HALF-YEARLY LIST.

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B. Selection from J. & A. Churchill's General List, comprising all recent works published by them on the Art and Science of Medicine.

C. J. & A. Churchill's Catalogue of Text Books specially arranged for Students.

D. A Selected List of J. & A. Churchill's works on Chemistry, Materia Medica, Pharmacy, Botany, Photography, Zoology, The Microscope, and other branches of Science.

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is 25,038, divided as follows:-London List, 4,417; Provincial List, 11,775; List for Scotland, 2,206; List for Ireland, 2,430; Registered Practitioners Resident Abread, 1,717; Army, Navy, Indian Medical Service and Mercantile Marine, 2,493.

THE Navy Medical Blue-Book for 1882 has just been published-too late, however, to allow us to notice it at length. The sick-list returns, the invalidingrate, and the death-rate from disease, all show a slight increase on the figures for 1881. Some of this increase is accounted for by the sickness and casualties consequent on the Egyptian War. But in addition to this, there was on the Home Station more enteric fever than usual; on the Mediterranean Station there was a serious epidemic of remittent fever, caused by local conditions at Malta; at Port Royal, Jamaica, there was an outbreak of yellow fever; and in the from febrile affections. Still a death-rate from disease of only 6-87 per 1,000 cannot be regarded as very unsatisfactory.

East there was also an unusual amount of sickness

7. The

THE announcement of the prizes in the Bulletin of December 18 is preceded by an interesting report by the Secretary to the Academy, Dr. Proust, recapitulating the views which have guided the adjudicators in their reports upon the essays submitted to their notice; but for this we have not space. The prize-questions for the year 1884 are as follows:--The Academy Prize of 1,000 frs., "The presence of Bacilli in the Sputa, and their Semeiological Value." 2. The Portal Prize of 1,000 frs., "The Pathological Anatomy of Cancers." 3. The Civrieux Prize of 1,500 frs., "Sclerosis in DisPseminated Patches." 4. The Capuron Prize of 1,500 frs., "Traumatism and Pregnancy—their Reciprocal Influences." 5. The Barbier Prize, of many thousand francs, is offered for the discovery of a complete cure of diseases usually regarded as incurable, as hydrobut awaiting this, "encouragements" are to be given phobia, cancer, epilepsy, scrofula, typhus, cholera, &c. ; from the interest of the money (3,000 frs. in 1884) to those who, without attaining this aim, have approached it most nearly. 6. The Godard Prize of 1,500 frs., for the best work on Internal Pathology. Desportes Prize of 1,500 frs., for the best work on Practical Medical Therapeutics. 8. The Buignet Ar its recent annual meeting, the Paris Academy of Prize of 1,500 frs. to the author of the best work, Medicine announced the names of the successful com- printed or in MS., on the application of Physics or petitors for its prizes in 1882-1. The Academy Prize Chemistry to the Medical Sciences. 9. The Daudet for the question "Generalised Arterial Atheroma, and Prize of 2,000 frs., "Lymphadenoma." 10. The Verits Influence on the Nutrition of Organs" was ad- nois Prize of 800 frs. is offered for the best work judged to Dr. Hippolyte Martin, Chief of the Clinical on Hygiene. 11. The Lefevre prize of 2,500 frs. will Laboratory of the Diseases of Children. 2. The be given to the author of the best work on MelanPortal Prize, "The Lymphatic System from a Patho-cholia. 12. The Falret prize of 1,000 frs. "Diathetic logical Point of View," to Dr. A. Poulet, Agrégé Professor at the Val-de-Grâce. 3. The Civrieux Prize, "The Causes of Locomotor Ataxy," to Dr. Landouzy, Agrégé Professor of the Faculty of Medicine, and Dr. Ballet, Chef de Clinique of the Faculty. 4. The Capuron Prize, "The Lochia in their Normal and Pathological Conditions," to Dr. Eustache, of Lille. 5. The Barbier Prize was not awarded, but an "encouragement" was given to Dr. Willems, of Hasselt (Belgium), for his works on the "Inoculation of Pleuropneumonia." 6. The Godard Prize was divided between Dr. Leloir, for his "Clinical and Anatomo-pathological Researches on Cutaneous Affections of Nervous Origin," and Profs. Feltz and Ritter, of Nancy, for their work on "Experimental Uræmia." Honourable Mention was also awarded to Dr. Borius for his work on the "Diseases of Senegal," and to Dr. Ballet for his "Clinical and Anatomical Researches." 7. The Itard Prize, for the best work on Practical Medicine or Applied Therapeutics, which had been published at least two years previously, was divided between Dr. A. Poulet, for his "Treatise on Foreign Bodies in Surgery," Dr. Sanné for his "Traité de la Diphthérie,” and Dr. Latteux for his "Manual of Microscopical Technics." 8. The Falret Prize," Vertigo with Delirium," to Dr. Garnier, Inspector of Lunatic Asylums. 9. The St. Paul Prize, for a sovereign and efficacious Remedy for Diphtheria, was not adjudged, but an encouragement" was awarded to Dr. Leloir for his "Contribution to the Study of the Structure and Development of Pseudomembranous Productions on the Membranes and Skin." For several other prizes there were no candidates.

Insanity." 13. The Orfila Prize of 6,000 frs., " Veratrine,
Sabadilline, Black Hellebore, and White Veratrum."
14. The Prize of the Committee on Infantile Hygiene,
of 1,500 frs., for "The Etiology and Prophylaxis of
Scrofula in Early Infancy." 15. The St. Lager Prize
of 1,500 frs. is to be awarded for the experimental
production of a tumour of the thyroid by the adminis-
tration of substances extracted from the waters or
soils where goitre is endemic. 16. The St. Paul Prize
of 25,000 frs. for the discovery of a certain cure for
diphtheria-the interest of the prize-money being
employed in remunerating those whose researches on
the subject are meanwhile approved of.
The essays
and works competing for these prizes, written in
French or Latin, must be delivered at the Academy
before the 1st July, 1884. None of these will be
returned; but copies may be made at the expense of
their authors at the Academy.

M. ALPHONSE GUÉRIN has been elected President of the Academy for 1884, and Dr. Fauvel Vice-President.

YET another advance in abdominal surgery. In the second number of the Bristol Medico-Chirurgical Journal, Mr. Nelson Dobson suggests the propriety of opening the abdomen in cases of perforating ulcer of the stomach. The case which brought to his mind the desirability of seriously considering the propriety of this step, was that of a young woman (aged 27), who after a rather laborious day, had been seized with faintness and pain in the abdomen. When seen after the lapse of three hours there was collapse, with pain at

the epigastrium and general abdominal tenderness. Death with symptoms of peritonitis took place in less than twenty-four hours. At the necropsy a hole was found in the anterior wall of the stomach, a situation, as Mr. Dodson points out, readily accessible to an operator. We have so recently, in one of our clinical papers, insisted upon the importance of recognising the diagnostic symptoms of gastric ulcer, that we need not reiterate them. A careful attention to the history of the case would, in most instances, enable a correct diagnosis to be made. Having decided to operate, Mr. Dobson points out that three courses are open to the surgeon he may content himself with sponging out the peritoneal cavity, and trust to time to heal the ulcer whilst he feeds the patient by means of enemata; or he may bring the edges of the ulcer together with sutures, with or without paring them; or he may stitch the stomach to the abdominal wall and establish a gastric fistula. The last proposal does not commend itself to us, unless perhaps for exceptional cases; nor do we think that to pare the edges of the ulcer would be a prudent proceeding, when we recollect that it might be followed by bleeding into the stomach, which, even if recognised in time, might be difficult to control. On the whole we would prefer to trust to time, and to keeping the patient's strength up by nutrient enemata. We consider Mr. Dobson's idea quite within the bounds of practical surgery, and hope some day to be able by its means to record that a life or lives have been saved.

ON Saturday last Earl Stanhope presided at the tenth annual meeting, at Sevenoaks, of the Holmesdale Cottage Hospital. During the past year the hospital has been enlarged, and the committee were able to present a very satisfactory report. To the vote of thanks proposed to the consulting and ordinary staff, Mr. LeGros Clark, the honorary consulting surgeon, replied.

DR. MCCAUSLAND, in a communication to the Phila delphia Medical Reporter (Oct. 27), furnishes an account of some observations which he and another medical man have made upon a man, aged 28, from one hour before his execution by hanging up to the moment of death. He met his fate in a calm and collected manner, although he seemed to be in a kind of dazed condition, caused no doubt by his mental suffering. The muscular system was tremulous and somewhat relaxed; pupils slightly dilated; efforts at swallowing repeated twice a minute; respiration 28, inspiration being quick and spasmodic and expiration longer, and pulse 112, apparently full and bounding. A tracing was taken with the sphygmograph, which, while it showed the effects of the hot whisky punch which he was taking, in other respects was identical with the tracing of a man suffering from shock. After the trap was sprung his pulse was taken every quarter of a minute. The third quarter of the first minute it was twelve beats per fifteen seconds. It increased rapidly until the last quarter of the fifth minute, when it was thirty-eight per fifteen seconds. It now rapidly declined, or rather became indistinct until the end of the seventh minute, when it could no longer be discerned. By means of a stethoscope the heart's action was noted at the eleventh minute 120 strokes-weak and irregular-and rapidly merging into an indistinct fluttering sound, which was maintained until the end of the fourteenth minute. At the end of the fifteenth, life was pronounced extinct. There was complete dislocation of the cervical vertebræ.

THE Registrar-General is an adept in the expression of sarcasm by means of italics. In his last weekly report he tells us, that in the outer ring of London there were registered during the week six cases of "fever." In the Staines sub-districts again two cases of "fever" were registered. "Pray, good general practitioners, do be more accurate," is what those dashed-in italics are meant to convey. Now accuracy in diagnosis is a good lesson to teach, and for preventive purposes, the registration of a death as due to fever," is practically useless. But there is something to be said on the other side, and from a scientific point of view it is better for a practitioner to admit that he is unable to diagnose a case, than to assume a virtue that he does not possess for the sake of the RegistrarGeneral. Indefiniteness in statement is sometimes a duty, and medical men are as a rule, we believe, much more likely to err in certifying to more than they know, than in candidly recording less than they know.

66

THE good Catholics of Paris are advised by their Archbishop to "boycott" the hospitals. The priests are no longer allowed to reside in them, or to visit them at all, unless sent for, and though the Archbishop has provided a special staff of priests for hospital work, the Government will not pay them. He therefore beseeches the faithful not to send the sick in their charge to the hospitals, but to organize a system whereby they can be treated at home. The feeling on this subject must, of course, be very different in a Catholic country from that which prevails in a Protestant one, where less weight is attached to death-bed ministrations; but, making every allowance, the action of the Archbishop cannot be considered any thing but childish and ill-advised. A system of efficient out-door treatment is not organized in a day, even with the willing help of the medical profession, and meanwhile many hundreds of sick poor are to be robbed of the advantage of skilled medical aid, because the small percent-198-but a little of this decline is probably to be age of them who die may find some difficulty in securing the last consolations of religion. That is, indeed, making the many suffer for the welfare of the few.

EXCEPT for an epidemic of falls-falls from ladders, from stairs, from chairs, from boys' backs, from scaffolds, and from other undefined elevations, most of them due probably as much to the attraction of the bottle as to that of the earth-the Christmas week of last year was a comparatively healthy one. The deathrate sank below 20-from 21-2 in the previous week to

accounted for by the reluctance to register deaths in a week of festivity, unless absolutely necessary. As, however, the number of deaths was nearly 500 below the average of the corresponding week in the past ten years, and as

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