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the competitive examination at Chelsea, on the 8th of February last.

The gentleman's intimate connection with an ultra Ritualistic Church periodical in Ireland prepared the

Thirty-eight candidates competed for twenty appoint-profession to a certain extent for the step which he has ments. Thirty-six were reported qualified. now taken.

Names.

Total No.

of Marks.

...2730 ..2455 ......2355

1. C. W. Calthrop 2. A. Wood.... 3. R. C. Sanders 4. E. Sanders 5. R. T. Wright 6. G. McB. Davis

7. K. P. Gupta

8. J. A. Howell

9. F. P. Edis

.2290 ......2260

...2220 ....2175 .2160 .2135

10. B. Franklin.........1985

Names.

Total No. of

Marks.

11. H. P. Roberts......1870 12. C. W. Mackury...1840 13. C. T. Peters..... ...1830 14. J. Backhouse ..... .1820 15. W. Price ........ .1800

16. S. M. Tyrrell ......1795 17. E. Calston .........1780 18. M. E. M. Murphy 1765 19. H. J. Linton ......1755

20. W. H. Boalth......1705

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THE profession in Dublin is at this moment interested in the retirement of one of its members from its ranks under peculiar circumstances. A physician practising principally in the treatment of skin diseases, and holding office in the King's and Queen's College of Physicians, has, we understand, decided on relinquishing the practice of the profession altogether and going into the Church. The gentleman in question is well-known to many of our contributors as having acted for some time as sub-Editor of the Irish Department of the MEDICAL PRESS AND CIRCULAR, and as having subsequently become connected with another medical periodical under circumstances on which, at the time, we thought ourselves called upon to animadvert. Shortly afterwards he became a candidate for the Registrarship of the College, in the competition for which he was defeated by the late Dr. Guinness. His name was next publicly mentioned as the probable successor of Dr. G. H. Kidd in the Editorship of the Dublin Quarterly Journal of Medical Science, but the arrangements were not completed, and the management of that journal devolved upon Dr. Little, under whose able and acceptable supervision the first number has just appeared. Within a few weeks, the lamented death of Dr. Guinness again created a vacancy in the Registrarship, for which, however, the physician to whom we allude did not think fit to compete; and we now learn that by his decisive and ultimate retirement from the profession his connection with our medical contemporary has passed into other

hands.

* Obtained the Herbert Prize.

Even with most earnest desire to forget the means and circumstances under which our former sub-Editor connected himself with an avowed competitor for the journalistic patronage hitherto accorded by the profession in Ireland to the MEDICAL PRESS AND CIRCULAR, we cannot refrain from giving utterance to some allowable self-jubilation on the utter collapse of a scheme for undermining our influence, built upon connection with our journal.

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TO THE EDITOR OF THE MEDICAL PRESS AND CIRCULAR.

THE report which was read at the annual meeting of DUBLIN SCHOOLS AND DUBLIN DEMONSTRATORS, the Governors of St. Luke's Lunatic Asylum, after giving statistics of accounts and of patients, stated that the Lunacy Commissioners had visited the hospital, and quoted the following extract from their report :-" With few exceptions, we found the patients in a favourable state. Not one was suffering from any degree of excitement in either side of the hospital, and their appearance both as regards dress and tidiness and generally as to bodily health and condition was throughout very satisfactory."

Correspondence.

UNIVERSITY COLLEGE HOSPITAL.

TO THE EDITOR OF THE MEDICAL PRESS AND CIRCULAR.

SIR,-In your paper of January 27th, I observe some remarks calculated to reflect injuriously on an Institution at which I had the privilege of being a student, and to the medical and surgical staff of which I feel I owe a daily increasing debt of gratitude.

It is said, at page 77, that the medical officers of University College Hospital "surrender their fees to prop up a small institution which is always in debt, and only gets a fair supply of surgical cases when a house tumbles down, or an unlooked. for railway accident occurs in the immediate neighbourhood." Now, as to the "Debt part of the question, I do not see that here University College Hospital is any worse off than a host of other unendowed hospitals which have annually to get from the public something in addition to the regular annual subscriptions in order to make up for the excess of expenditure over regular income.

With respect to the supply of cases to the hospital, I know that when I was a student there surgical injuries of all kinds were constantly coming in, not only from the immediate vicinity of the Hospital and from the immense railway termini which are so close at hand at Euston and King's Cross, and to which we may now add the new St. Pancras Terminus of the Midland Railway, but I have seen cases of recent injury brought from some distance on purpose to receive treatment at the Hospital. With surgical diseases of interesting and instructive character the wards were well supplied, and anyone who might be at the hospital at two o'clock on Wednesday might be almost sure to see one or more good operations, and hear the previous history of the case told briefly but concisely

to the assembled students.

For clinical teaching, both surgical and medical, in the wards, and in the out-patients' rooms, University College Hospital has always been celebrated; and I have heard students from other hospitals of London of highest repute remark on the excellent clinical teaching of the Hospital when they have been going round as visitors to the wards. I am, Sir, yours obediently,

JOHN C. THOROWGOOD, M.D. Lond. Welbeck street, W., February 9, 1869.

SIR,-Allow me space for some remarks on the line of tactics pursued by the heads of Dublin schools with regard to demonstrators of anatomy. I am induced to trouble you with in this respect, and because I believe, if it be persisted in, it these remarks, because I am personally affected by their policy will impair the efficiency and lower the status of Dublin as a school of medicine. The line of tactics to which I take exception is the habit of appointing a number of demonstraquirements of teaching. This habit, as I shall show, inflicts tors in the different schools out of all proportion to the regrave injury on the real working demonstrators, and is followed by results the reverse of advantageous to the students.

In London, where the closeness of the union between the school and hospital imposes a double duty on the staff, we find seven schools with not more than two demonstrators, three with three, and one only (Guy's) with four. Here, with a smaller average of pupils and lighter work, most of the schools have twice this number, and some of them nearly three times as many as Guy's Hospital. Why this large number in Dublin? It is not that our neighbours have less than they require to work their schools efficiently; for if we look to results we find that the students they turn out are at least as good practical anatomists as ours. This would not be the case if they were under-demonstrated; nor am I aware of any special obtuseness in Irish intellect that necessitates it. The ridiculous number of demonstrators here is due, not to the fact that they are wanted, but to the fact that the heads of schools think that their success depends on the length of the string of names which they bring before the public."

But what harm does this yearly relay of newly-fledged birds do to any one? Very great indeed to the working men of the school. The prestige of the office is seriously depreciated by it.

The

Now, bond fide demonstrators, by which I understand those who take more or less permanently to this department, have been, and are, paid more by the status which they derive from the office itself than by any emolument which they draw from it. Hence, if you strip the office of all dignity, which you do by unlimited and unnecessary appointments, you inflict on them a great injustice, and from the services rendered by them it becomes oftentimes a case of robbing the tiller of the fruit of that which he has sown. entire school staff is also injured. A conuection with a school is supposed to favour practice; but of what advantage can it be towards that end if the public find that the name on every second house through town is that of a gentleman connected with teaching? Owing to this superabundance of "lecturers," school connection has lost, and is losing every day in the eyes of the public, more and more of the value for merly attached to it. The wonder is, that they should still attach any value at all to a position which can be got for the asking.

No man becomes a surgeon by always looking at others operating. No student becomes a practical anatomist by always listening to demonstrations. The one must operate, and the

other must dissect, if either is to become the anatomist or the surgeon. The student is simply ruined by having everything done for him. Now this is what obtains under a system of over-demonstrating. Need we be astonished, therefore, if we find that two out of every three of our Dublin students could,

(** We refer our correspondent to our remarks on this if called on, dissect with about the same amount of neatness subject in another column.)

PAUPERISM, CHARITY, AND THE POOR LAWS.

TO THE EDITOR OF THE MEDICAL PRESS AND CIRCULAR.

SIR-I am very glad to see you have devoted some of your waluable space to the consideration of Pauperism in its various forms, and that you have not excluded articles with which you do not altogether agree. It is of importance to the mation that such a subject should be fully ventilated. Of all classes none is more interested in it than our own profession, and I therefore hope you will continue with the impartiality you have evinced to lay before us the thoughts of the "good men and true" amongst us who take the pains to put them in shape for our benefit, and all of whom are as worthy of being heard as the hasty writers who turn out so many crude articles weekly for your contemporaries. Yours, &c.,

IMPARTIAL.

the coverings of a hernia or the structures that overlie an artery the day they bid adieu to the dissecting-room, as they could the first day they entered it? For aught of practical knowledge they possess two years after passing, they might as well never have shown themselves in a dissecting-room.

In Dublin, students are spoon-fed and made idlers of; in London they obtain just that amount of assistance needed to enable them to work for themselves. Need we be surprised if the results be different? Is there any gain to anybody to set off against the injury done to working demonstrators and student? Parents and first years' students are, as it seems to me, led to make choice of this school or that by other considerations altogether. The non-professional knows nothing about such personages as demonstrators. A school prospectus is to him three-fourths unintelligible. The senior student doos know; and, aware of the number really required to work a school properly, merely smiles, if he bestow a thought at all on the matter. If the parties will only look into the history of the different schools, they will find abundant reason for coming to the conclusion that there has been, and is, no connection whatever between

the prosperity of a school and an unnecessary number of de-
monstrators. If they continue, as at present, they will in a
few years so debase the position that no person of merit will be
got to accept it. When the age of part payment by position
will have passed away, the only inducement which will pro-
vide them with men of the poorest abilities will be large
salaries. This the resources of the schools will not admit of.
The charge of students must then be given to men incapable
of teaching them.
Now, Sir, as one of the bona fide demonstrators, I would
ask the heads of the different schools to come to an honour-
able understanding among themselves to abate this nuisance
and put some limit within the bounds of the actual require-
ments of teaching to the number of their junior staff. If they
fail to do so, the duty of using a little gentle pressure will
devolve on those who feel aggrieved by things as they are.

I am, Sir, yours, &c.,

T. LAFFOM, M. R. C.S.E., L.K.Q.C. P.,
Demonstrator of Anatomy Catholic University.

PAUPERISM.

TO THE EDITOR OF THE MEDICAL PRESS AND CIRCULAR.

SIR,-I am glad you have decided as you say in the Notes on Current Topics, to give us the benefit of diverse views on this all important subject.

This accounts satisfactorily for the apparent inconsistencies between some of the articles that have appeared in the MEDICAL PRESS. It is evident that three or four writers would not harmonize their views on a question on which no two peo. ple seem quite in unison. I confess to having read the article in your issue of the 10th inst., with much pleasure, although I am not prepared to accept its conclusions, nor as I understand, do you absolutely commit yourself to them.

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I think one or two articles that preceded that, and especially those that referred to emigration, may be nearer the solution, but I am not so full of "false shame as to refuse to consider the points set forth by your writer, who has evidently thought over the subject, and is thoroughly in earnest.

His views after all are infinitely preferable to the astounding notions that have been borrowed from continental socialists, and urged, I regret to say, by members of our profession; by some, too, who should know something of history, politics, and political economy.

Proceed, Sir, in the way you have marked out for yourself. Do not deny to able and thoughtful men the opportunity of addressing us in your columns; and a free expression of various opinions may add much to our knowledge, and promote the welfare of the community. Our profession is deeply interested in such subjects.

I am, &c.,

MEDICUS.

Thirty-six years ago I, intending to go to India, having received my education in Dublin between the Colleges of Physicians and Surgeons, was advised to take a London diploma. There I went, without any of the grinding or cramming, fresh from my anatomy room and Meath Hospital, under first-class men, never since equalled, viz., Crampton, Greaves, Stokes, McNamara, Collis, &c. I met the Court in Lincoln's-inn-fields, Guthrie, the celebrated army surgeon, being chairman and my first examiner. And on what subject was I taken? The ampu tation at the hip-joint, an operation never before heard of, much less seen by me. I was startled. My answering turned wholly on my knowledge of anatomy. The first step in the operation was the first question, and this I unflinchingly replied would be to take up the artery as it passes under Poupart's ligament. He brought me back several times to this, and I wound up by saying I would be firm in that first step because it would be hazardous to trust to compression by an assistant on the battle-field, where I calculated such an operation only could be required, but that I had most respectable authority against

me.

At this I observed the nod of one of the eldest of the Court, a fine, handsome, portly man, who followed me to the door, saying under his breath, "You'll do."

I wrote to Dublin describing the examination, but would
not be credited when I described it in the old hackneyed words
Veni, vidi, vici.
I am, &c.,

JAMES JOHN JOHNSTON, M.R.C.S.Eng.

Literature.

DISEASES OF THE LIVER.*

SINCE Dr. Budd's standard work on the Liver we have had nothing from an English pen with which we may compare Dr. Murchison's new volume; for the great work of Frerich's, translated for the New Sydenham Society, belongs to foreign literature, and, like some other books, is also of an essentially different nature. We make no doubt whatever that a clinical treatise by such a teacher as Murchison will exercise considerable influence over students and practitioners, and we are therefore gratified to be able to state the one before us is well worthy to do so. Gentlemen in full practice will do well to revise their notions of the part the liver plays in disease or indisposition by the light of this volume. It will enable them in many cases to substitute well-grounded reasoning for mere guess work; will dismiss for ever some notions that have long lingered obscurely in their minds, and enable them to think to some purpose on the problems that are now occupying some of the foremost minds of the profession.

Take, for instance, the question of the action of mercury on which Dr. Hughes Bennett has been engaged in experiments for the British Medical Association, and whose conclusions thereanent so surprised the great body of practitioners. Dr. Mur

[We have already stated that our columns are open to chison has evidently carefully weighed the evidence, and he has different views on this subject.-ED. MED. PRESS, &c.]

come to a conclusion which is likely at present to receive the assent of the majority. He thinks that " mercury and allied purgatives probably produce bilious stools by irritating the

RELATIVE CHARACTER OF THE LONDON AND upper part of the bowel, and sweeping on the bile before there

DUBLIN SCHOOLS IN SURGERY.

TO THE EDITOR OF THE MEDICAL PRESS AND CIRCULAR,

SIR,-I have lately had a warm discussion with my son, a newly fledged Licentiate of Dublin, on the relative superiority of the two Schools, he maintaining, with all his powers of argument and sophistry, that the Dublin School is preeminently superior and ranks higher than that of London. To this I demurred, and after several hits and counter-hits right and left, I left him hors de combat. The strongest argument used by me was the superiority of teaching, better hospitals, &c. I yielded to Dublin in anatomy and surgery, chemistry and materia medica, but the hardest hit was the system of cramming insisted on by the Dublin Court.

is time for its absorption." He recognizes the fact that articles of food frequently give rise to similar effects, and thinks that their action is precisely similar. From this we might suppose that other purgatives should be substituted more frequently than they are, and assuredly this view supports the American preference for podophyllin, or, as it is called sometimes in the States, "vegetable calomel." We could certainly say much in its favour. Dr. Murchison considers calomel of great use in congestion of the liver, but if it increased the secretion of bile, it would have an injurious effect. He thinks it likely that "irritation of the duodenum by purgatives, may be reflected to the gall-bladder, and cause it to contract, and that the eva cuation of the viscus may account in part for this increased quantity of bile in the stools." Dr. Murchison's is a handy liver, under the division of painful and painless enlargements. The latter includes gall-stones, jaundice, hepatic pain, contractions, and abdominal dropsy. The cases upon which the lectures are founded are well selected and carefully related. Their study is likely to lead to more careful diagnosis and treatment.

I compare the cramming system of teaching to the poul-sized volume. The former half treats of enlargements of the terer's coop-over-fed and wholly depending on their grinder, ever dissecting and seldom leading, while the London School is more appropriately compared to the poultry having a run of a good farm-yard, barn-door at hand, and the open gleanings of the stubble, all which conduce to the health of the bird and its fine plumage. You cannot attempt to go in to the Dublin College without having all the tips of the Court, the smallest and most insignificant, often totally devoid of prac-minal Dropsy. By Charles Murchison, M.D., F.R.S. London: Longmans * Clinical Lectures on Diseases of the Liver, Jaundice, and Abdotical value. and Co. 1868.

Gleanings in Medicine, Surgery, and the Allied Sciences.

MEDICINE.

BROMIDE OF POTASSIUM AND ANTIMONY IN PUERPERAL CON

VULSIONS.

DR. T. N. SIMMONDS reports to the Philadelphia Medical and Surgical Reporter the history of a case of puerperal convulsions, in which the efficacy of these remedies was evident. A primipara, while in labour, with the head of the child in the inferior strait, was seized with a violent convulsion, which was followed by four others, with an interval of about 15 minutes between each. Chloroform proving of no benefit, bromide of potassium was administered, beginning with a dose of 40 grains in combination with half a grain of antimony. In combination with the bromide one half grain of the antimony was given every hour and a half or two hours, until three grains of the antimony were taken. After the first dose there was a return of four paroxysms. The first occurred within an hour, the second in two hours, the third between three and four hours, and the fourth in eight hours. Their intensity and duration were also diminished in the order of their recurrence. Convalescence was rapid.

NITRATE OF SILVER IN THE TREATMENT OF UTERINE POLYPI. DR. M. M. EATON (Chicago Med. Examiner) gives his experience in the use of the nitrate of silver in a case of uterine polypi which he treated successfully. The patient was 46 years old, of a nervous temperature, anæmic and emaciated. A digital examination revealed two small polypi attached by a long pedicle to the margin of the os uteri. These were soon discharged spontaneously, and she was free from hæmorrhage, for some months. An examination about a year after, revealed the uterus enlarged, and a considerable flow of blood mixed with pus. A sound producing an alarming hemorrhage, a sponge tent was introduced and the os freely dilated. The finger being easily passed in the neck of the uterus, the whole surface was found thickly studded with polypi, from the size of a grain of wheat to a hickory-nut. To these the solid stick of nitrate of silver was applied, and the sponge tent reintroduced, to act as a tampon. On removing the tent next day, several small polypi came away, and the nitrate of silver was again freely used and the os left open. On the fourth day of the use of the caustic all hæmorrhage had ceased, and the tumours in the neck were all found to be detached and discharged. The uterus was then syringed with tepid water, and caustic applied to the suppurating spots where the pedicles had been removed, at the same time giving tonics and good food. This treatment was continued ten days, when she began to flow again very freely, and an examination revealed two large tumours in the cavity of the womb about the size of an orange. Ergot was given to cause contraction of the womb and descent of the tumours, and nitrate of silver was applied locally. By this means the hæmorrhage was controlled, but the caustic was applied for about ten days, when by forceps they were removed and the uterus left empty, though enlarged. By tonics and generous diet the patient entirely recovered, and has had no return of the polypi.

PHARMACY.

VARIABLE STRENGTH OF AQUA LAUROCERASI.

THE INTRODUCTION into the British pharmacopoeias of 1864 and 1867 of aq. laurocerasi has had a marked effect upon the consumption of this preparation, the demand being now at least two or three times greater than it was five or six years since. Those engaged, or who have had any experience, in the distillation of essential oil of almonds well know that the longer the almond, when thoroughly disintegrated, is in contact with water, the less is the product in the distillate of essential oil, as water is very favourable to the oxidation of the oil into benzoic acid. Many experiments which I have made at intervals during the last eighteen months show that immediate distillation of thoroughly bruised leaves, as soon as in contact with water, gave always a distillate superior in fragrance and equal in hydrocyanic acid, and, in some cases, slightly in excess of the latter, to those made after twenty-four hours' maceration. The main point, however, to which I would direct you is one

of more importance, -the percentage of hydrocyanic acid obtained from leaves distilled at different periods, and the varia ble state of the cherry-laurel waters as found in pharmacy at the present time. The three periods at which I have made the water have been March, July, and November; the highest strength of prussic acid being obtained in March, when it reached 1.26 grs. of real acid in 1000 grs. ; the lowest in November, when it was only half the strength, 64 grs. of real acid in 1000 grs.; the distillate of July being nearly a medium between these-1·08 grs., real acid, in 1000 grs. The various distillates were examined from time to time; it was found that they had depreciated as much as 10, and in some cases 20 per cent. of the original quantity of acid. This depreciation in value of acid by age, and variable strength of the water, as obtained from leaves at different periods of the year, lead me to suppose, that if I examined the cherry-laurel water in the phar macies in town, I should find such a difference as should not exist with such a powerful remedy, which is about one-twentieth of the strength of the dilute hydrocya is acid of the Pharmacopoeia. I found aq. laurocerasi varying as 53 does from 100, or some only about half the strength of others; in one case I found, upon obtaining a second specimen from the same source (within seven days) that water dispensed one week was but little more than half the strength of that of the previous week. Such discrepancies as these ought not to be found, and must not exist, if we wish to have uniformity in medicine, and the life of the public safe in our hands. Pharmaceutical Journal.

SURGERY.

FRACTURES OF THE LARYNX.

FROM a paper of some length on a case of triple fracture of the cricoid cartilage we extract the following observations :L., æt. 30, in a quarrel was seized by the throat by a strong antagonist, who knocked him down, and held him for some seconds. He was unable to rise, or to articulate, and his face was deeply flushed; he was at once carried home to bed. Next morning, when seen by Dr. Gagnon, L. was in a state of extreme dyspnoea, and quite livid. On the sides of the neck, corresponding with the lower border of the larynx, were slight marks of ecchymosis. The cellular tissue of the front of the neck was emphysematous. No crepitus, or any movement of fractured surfaces could be felt. Leeches were ordered, and after their application the swelling diminished, and breathing becames so much easier that tracheotomy was postponed; however, in the course of the night, during a change of posture the patient died suddenly. At the post-mortem examination the larynx was carefully removed, and on dissection a triple fracture of the cricoid was discovered, along with a partial dislocation of the left arytenoid cartilage. Considerable cedema of the glottis was present. The death seemed to have been caused by a sudden displacement of a fragment of the cricoid and the corresponding arytenoid; which, pressing on the already diminished glottis, caused asphyxia. Other cases of this very rare accident are detailed. One recorded by Dr. Cavasse, caused by a fall down stairs-fatal. Another caused by a carriage accident, saved by tracheotomy, by M. Maissonneuve. Another caused by a blow from a piece of coal-recovered. Another recorded by Marjolin, when the thyroid was split by a woman's hand in a quarrel. Two others by M. Martin-Damourette and Plonck, in which instant death was caused by the fracture of the thyroid. Another set collected by Gibb, are well known in this country. Dr. Fredet divides the cases he has collected, for practical purposes, into two sets. 1. Simple fractures, which are accidents so trivial that rest and silence are sufficient for a cure. 2. Complicated fractures. A. causing instant death. B. accompanied by suffocation, cyanosis, &c. these, death may occur at any moment from displacement of fragments or cedema; and tracheotomy ought to be performed as a precautionary measure.-Gazette des Hôpitaux, and Edin. Med. Journ.

In

GUYON'S " CEPHALOTRIPSIE INTRACRANIENNE." M. GUYON claims (Wiener Med. Presse, No. 20, 1868) that by making an additional perforation with the sella turcica, we secure greater compressibility of the head. He uses the following instruments: 1. A guiding-staff thirty centimetres long, seven millimetres in diameter, the lower end shaped like a screw-driver, the upper provided with a moveable handle. 2. Two trephines, which differ only in the size of their crown. One crown is three, the other four centimetres in diameter. Each trephine consists of a crown with simple saw-teeth, a hollow axis, which permits it to be pushed over the guiding.

Advertisements.

THE SIAMESE TWINS.-These Wonderful
Lady, Living

ing at the EGYPTIAN HALL, PICCADILLY. Receptions during
the day as follows:-From Twelve until One, admission Two Shillings;
from Half-past Two until Half-past Four, and from Six until Nine
o'clock, admission One Shilling.

staff and a transverse handle. To guard against going too deep, the crown is provided with a short sheath. 3. A slender steel cephalotribe, which is only to be compressed with the hand; the handle of the right blade is provided with a moveable serrated plate (cremellaire), which fastens to a tooth on the handle of the left blade, and holds the handles together when they are compressed. The operation is as follows:Pass the guiding-staff up under guidance of the fingers of left hand. and bore into the presenting cranium; then remove the handle, and push the larger trephine over the staff through the opening in the skull. This is easily accomplished; and we then withdraw both instruments. The operator now introduces his left hand, and with its index finger enters the open- THE REV. A. J. D. D'ORSEY, B.D., Lecturer at King's ing in the foetal cranium, and seeks the sella turcica: when found, the guiding-staff is led to it, and bored in as before. The smaller trephine is now pushed over the staff, and bored

DEFECTIVE ARTICULATION, STAMMERING, WEAKNESS OF VOICE, &c.

College, receives Pupil-Patients daily at One and Five, at 13 PRINCES SQUARE, LONDON, W.

as deep as the protecting sheath will permit. The cephalotribe MENATA DERANGEMENT.-Orchardstown House,

Of course, this opera-
It has the

is then used in the customary manner.
tion can only be performed in head presentations.
recommendation of Professor Späth, of Vienna.

THERAPEUTICS.

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NOTICES TO CORRESPONDENTS. COMMUNICATIONS, enclosures, &c., received from Dr. Johnstone, Hawkshead; Dr. Here, Shoreham; Dr. Barr Meadows, Mr. Smith, Bishop Lydeard; Mr. Allot, Hoyland; Dr. Hoblyn, Bath; Dr. Buckley, Sutton; Mr. Barker: Dr. Chevers, Jamaica; Messrs. Nelson and Sons, Leeds; Mr. Ford, Gray's; Messrs. Black, Einburgh; Mr. Hooper, Basingstoke; Mr. Stott, Disley; the Registrar of the Glasgow Royal Infirmary, Mr. Maxwell, Di. Dobell, Mr Beckett, Dr. Scott, Alison; Dr. J. S., Manchester; Dr. Pierson, Scarbro'; Mr. Acton, London; Dr. Waters, Liverpool; Rev. Alex D. D'Orsey, Mr. F. J. Ashton, London; Dr. Julius Althaus, Mr. Clarke, Bury St. Edmunds; Dr. Downing, Bath; Dr. Donovan, Hongkong; Dr. Burnett, Tullow; Dr. Quinlan, Banisaleigh; Dr. Byrne, Blackrock; Dr. Scott, Achill; Dr, Johnston, Riversdale; Dr. MacMunn, Ballymate: Dr. Alcock, New Ross; Dr. Douglass, Glasslough Dr. Green, Baltinglass; Dr. Furlong. Streamville; Dr. Betty, Lisbellan; Dr. Reynett. Portlaw; Dr. Diamond, Racharkin; Dr. Kearney, Carndonagh; Dr. Quin, Nenagh; Dr. McDermott, Ballyfeared, &c., &c.

DR. EDWARD CRISP has favoured us with a copy of a communication, which he says he has forwarded to members of Council of the Royal College of Physicians, in Ireland. It refers to the recent adjudication of the Carmichael prizes to which Dr. Crisp, one of the candidates, takes exception.

The matter is a plain contest of opinion between Dr. Crisp and the Adjudicators, and as we have no reason to discredit the well advised verdict of these gentlemen, we must really decline to give currency to Dr. Crisp's causes for differing from their decision.

DR. STEVENSON, (Clontarf).-Thanks for your enclosure. We cannot republish extracts from another medical journal, coming to us vid the columns of a daily paper.

MR. T. EDWARDS.-You will be able to obtain them of Messrs. Weiss and Son, Strand.

DR. J. S. (Manchester).-We cannot explain the matter ourselves, nor have we yet received a reply from the President of the Royal College of Surgeons, to whom a letter has been sent on the subject.

Previous applications had hitherto been made to the Secretary, and

Mr. Stone, the Clerk, and failed.

MR. MACLEAN (Dublin).-Dr. Peirson, Scarborough.

reply.

See previous

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Rathfarnham. PRIVATE ASYLUM. The Patients receive every attention and kindness under the care of Mrs. STANLEY, ProDr. HENRY CROLY, F.R.C.S.I., Visiting prietress, and her family. Physician. Terms moderate.

PRIVATE RETREAT

FOR

THE UPPER AND MIDDLE CLASSES
OF BOTH SEXES,

MENTALLY AFFLICTED,

TUE BROOK VILLA,

NEAR LIVERPOOL.

Further information may be obtained on application to Dr. H. OWEN
Vide page 1075, "Medical Directory," 1869.

TE

GAME LICENCES.

HE COMMISSIONERS OF INLAND REVENUE hereby give Notice, that SUPPLEMENTARY LISTS, containing the Names of all Persons who have taken out LICENCES to KILL and DEAL in GAME in the current Year, from 30th September last inclusive, have been printed for each Excise Collection.

A Copy of the List, applicable to any District, may be obtained GRATIS on application at the Offices of the RESPECTIVE COLLECTORS OR SUPERVISORS OF INLAND REVENUE, DISTRIBUTORS OR SUB-DISTRIBUTORS OF STAMPS, by whom Licences are issued.

The Commissioners further give Notice, that instructions have been issued to their Officers to take the necessary steps to prefer informations for penalties against all persons found in pursuit of or dealing in Game without Licence. WM. CORBETT, SECRETARY. Inland Revenue, Somerset House, London, 15th February, 1869.

ME

LURGAN UNION.

EDICAL OFFICER WANTED FOR THE MOYNTAGH SUB-DISTRICT OF THE LURGAN POOR-LAW UNION.-The Committee of Management of the LURGAN DISPENSARY DISTRICT will, at a Meeting to be held in the Dispensary, Lurgan, at Three o'Clock, on Thursday, the Ninth day of April, elect a properly-qualified Candidate to the above appointment. Salary (exclusive of Vaccination and Registration Fees), £100 per annum. Residence in the Sub-district indispensable.

Papers and Testimonials to be lodged with me before Ten o'clock on the morning of the Election, and Candidates must be in attendance. By order, JOHN HANCOCK, HON. SEC. The Manor House, Lurgan, Co. Armagh, 12th March, 1869.

ROYAL COLLEGE OF SURGEONS IN IRELAND.

NOT

OTICE is hereby given, that the next PRELIMINARY EXAMINATION will be held on WEDNESDAY, the 21st DAY of APRIL next, at 2 o'CLOCK p.m.

The following are the subjects upon which the Candidates will be examined, viz. :-The English Language, including Grammar and Com. position; Arithmetic, including Vulgar and Decimal Fractions; Algebra, including Simple Equations; Geometry, First two books of Euclid; Latin and Greek, including Translation and Grammar.

By order,

JOHN BRENNAN, Registrar.

CITY OF DUBLIN HOSPITAL.

DR. ARCHIBALD H. JACOB will deliver, during the ensuing Session, A FULL COURSE OF LECTURES

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OPERATIONS NECESSARY FÖR THEIR TREATMENT.

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