1
1123 under five years, 62 between five rand thirty, 156 between thirty and sixty, and 188 above sixty years. Deaths from diseases of the chesb amounted to 295, or 52.38 per cent. ; 70 were due to debility and old age, and 19 were due to zymotic diseases. Infectious Disease in Edinburgh in iVovp,2i?.bci,. During the month of November there were 147 cases of infectious disease intimated, compared with 274 in the corresponding month of last year, and 956 in the same month in 1889. During the month 102 patients were admitted to the City Hospital, and 87 were discharged, and 7 died. At the end of the month there were 142 patients in the hospital, of whom 79 were adults and 63 children. The Universities Commission. In quarters where medical education is taken an interest in, and where the methods of the newer schools are known, there is an active sentiment of extreme dissatisfaction at the feeble-handed manner in which the Commission is treating the whole subject of University reform. Any reform at the initiative of the University itself appears to be hopeless, and unless public sentiment can be brought strongly to bear on the Commission, and they are thus induced to act more strongly, they might as well never have been appointed. Qeeen Victoria Jubilee Institute for Nzcrses, Edinburgh. In the third report of this institute it is stated that the Queen had appointed the Princess Louise to be President of the Council in succession to the Countess of Rosebery. There had been a great demand for nurses, and the staff had been increased. The Council have arranged for lec- tures on hygiene, nursing, cookery, &c. Twenty eight probationers had entered the home during the year. During the year twelve local associations had been formed in con- nexion with the institute, and had engaged Queen’s nurses. A large number of patients had been attended, and many visits had been paid. In fact, altogether the report is an excellent record of most useful and humane work. The Christmas Vacation. The medical classes in Edinburgh rise for the Christmas vacation on Friday, the 18th, and resume on Tuesday, Jan. 7th, 1892. The Influenza Epidemic. The impression amongst many of the medical practitioners in Edinburgh is that the epidemic is abating, owing pro- bably as much to the exhaustion of suitable soil as to any attenuation of its virulence. Assistant Medical Officer for Glasgow. The Health Committee have unanimously decided to reo commend that the appointment of assistant medical oflicer for Glasgow should be given to Dr. A. K. Chalmers, Mossend. Dr. Chalmers is a son of Glasgow, a graduate of our University, and a holder of the Cambridge University Diploma in Public Health. He served for some time in Belvidere and Knightswood Hospitals before settling down in Mossend. The salary attached to the post is X300 per annum. Dec. 15th. IRELAND. (FROM OUR OWN CORRESPONDENT.) Royal Academy of Medicine Transactions. AMONG the papers in the Medicine Section of the ninth volume of the Transactions of the Academy may be specially mentioned one by Mr. Kendal Franks on Pro- fessor Koch’s Treatment of Tuberculosis, and one by Mr. P. J. Hayes on Colectomy. Mr. Hayes used in his case the Lembert suture, which he found quite effective, and it also possesses the important merit of being applied with rapidity-an element of the highest value in abdominal operations. Mr. H. Gray Croly’s paper on Ligature of the Lingual Artery or Arteries preliminary to removal of a portion or the entire Tongue for Cancer is a contribution to practical surgery which will amply repay perusal. Turn- ing to the Section of Pathology, attention may be drawn to Typhoid Organisms, by Dr. McWeeney ; Congenital De- formity, by Dr. E. H. Bennett, who also contributes a paper on Cerebral Tumour, illustrating the difficulties of cerebral localisation ; Cystic Kidney, by Mr. Kendal. Franks, &c. Health of Dublin during November. The deaths from typhoid fever exceeded in November those registered in the corresponding month of 1889, when. this disease was epidemic in Dublin. It is difficult, Sir- Charles Cameron remarks in his monthly report, to account satisfactorily for the present epidemic of the disease, or why it is that typhoid fever is always prevalent in the latter- months of the year. The bad sanitary arrangements, which by some are held to be the cause, are just as bad at other- periods of the year. He is inclined to believe that typhoid fever, though spread by polluted water, milk, &c., and by defective drainage, is a miasmatic disease. In the autumn its germs are apparently developed in great numbers in soil, sewage, &c., and the risk of getting them into the system becomes proportionally increased. Dundrum Criminal Lunatic Asylums. Dr. Revington, assistant medical officer of an English lunatic asylum, has been appointed medical superintendent of the Dundrum Institution for the Criminal Insane, as successor to Dr. Ashe. Considerable dissatisfaction has been occasioned by his Excellency the Lord Lieutenant- going outside the ranks of medical officers of Irish asylums, more especially as Dundrum is considered one of the- best of the Irish appointment?, and the Council of the- Irish Medical Association have passed a resolution to that. effect. The emoluments of the late Dr. Ashe amounted to £650 per annum, his unfurnished apartments, fuel, light, bread, milk, ale, vegetables, butter, and washing being valued at £200. Dinner and Presentation to Mr. H. Chapman, F.R C.P.I. Mr. Chapman was entertained to dinner last week by members of the Irish Medical Association, in recognition of his services as honorary secretary for the past seventeen. years. The presentation plate consisted of a silver trayn silver tea and coffee set, with cake basket, and a bowl in the Queen Anne style. Cork Branch of the Irish Poor lccw Medical Officers’ Association. A meeting of the Cork branch of this Association was. held Jast week, when the reasons for establishing the Association were declared, and its claims on the Poor-law medical officers of the south of Ireland to join it were acknowledged by alt speakers. The meeting was am enthusiastic one, and resolutions were adopted to the effect that Poor law medical officers should receive proper remuneration for medical attendance on the poor; that they should be entitled to a pension after ten years’ service; and that, as their duties caused a severe strain on their health, they should receive a month’s annual holiday, with payment. of substitute. The salaries of the medical officers of the Rathdown Union have been increased :B30 each yearly. On the recommendation of his Grace the Duke of Abercorn, the Lord Chancellor bas appointed Mr. Jno. Cooto Ovens, F, R C. S. L, of Ramelton, to the Commission of the Peace for the County Donegal. PARIS. (FROM OUR OWN CORRESPONDENT.) Atropine in the Treatment of Paratysis Agitans. HYPODERMIC INJECTIONS of atropine have been attended with encouraging results in the hands of M. Moretti in the treatment of that intractable and pathologically inscrutable malady, Parkinson’s disease. The dose used was ; two 1.1 milligramme, or about epth to of a grain. These in- jections, repeated once every twenty-four hours, brought. about a notable diminution in the tremors and a certain re - establishment of the motor powers. Thus, after the fifth in.- jection, some patients were able to carry a glass full of fluid? to the mouth, to move the hand steadily behind the neck, to bend the body forwards, &c , all of which movements had for a long time previously been impossible. It was founds however, that in nearly every case the tremor returned when the injections were suspended. When continued, however,, the amelioration was maintained, and the remedy is welb borne for an apparently iadennite time. One patient re -

IRELAND

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1123

under five years, 62 between five rand thirty, 156 betweenthirty and sixty, and 188 above sixty years. Deaths fromdiseases of the chesb amounted to 295, or 52.38 per cent. ;70 were due to debility and old age, and 19 were due tozymotic diseases.

Infectious Disease in Edinburgh in iVovp,2i?.bci,.During the month of November there were 147 cases of

infectious disease intimated, compared with 274 in thecorresponding month of last year, and 956 in the samemonth in 1889. During the month 102 patients wereadmitted to the City Hospital, and 87 were discharged,and 7 died. At the end of the month there were 142

patients in the hospital, of whom 79 were adults and 63children.

The Universities Commission.In quarters where medical education is taken an interest

in, and where the methods of the newer schools are known,there is an active sentiment of extreme dissatisfaction atthe feeble-handed manner in which the Commission istreating the whole subject of University reform. Anyreform at the initiative of the University itself appears tobe hopeless, and unless public sentiment can be broughtstrongly to bear on the Commission, and they are thusinduced to act more strongly, they might as well never havebeen appointed.Qeeen Victoria Jubilee Institute for Nzcrses, Edinburgh.In the third report of this institute it is stated that the

Queen had appointed the Princess Louise to be President ofthe Council in succession to the Countess of Rosebery.There had been a great demand for nurses, and the staffhad been increased. The Council have arranged for lec-tures on hygiene, nursing, cookery, &c. Twenty eightprobationers had entered the home during the year. Duringthe year twelve local associations had been formed in con-nexion with the institute, and had engaged Queen’s nurses.A large number of patients had been attended, and manyvisits had been paid. In fact, altogether the report is anexcellent record of most useful and humane work.

The Christmas Vacation.The medical classes in Edinburgh rise for the Christmas

vacation on Friday, the 18th, and resume on Tuesday,Jan. 7th, 1892.

The Influenza Epidemic.The impression amongst many of the medical practitioners

in Edinburgh is that the epidemic is abating, owing pro-bably as much to the exhaustion of suitable soil as to anyattenuation of its virulence.

Assistant Medical Officer for Glasgow.The Health Committee have unanimously decided to reo

commend that the appointment of assistant medical oflicerfor Glasgow should be given to Dr. A. K. Chalmers,Mossend. Dr. Chalmers is a son of Glasgow, a graduate ofour University, and a holder of the Cambridge UniversityDiploma in Public Health. He served for some time inBelvidere and Knightswood Hospitals before settling downin Mossend. The salary attached to the post is X300 perannum.

Dec. 15th.

IRELAND.(FROM OUR OWN CORRESPONDENT.)

Royal Academy of Medicine Transactions.

AMONG the papers in the Medicine Section of theninth volume of the Transactions of the Academy may bespecially mentioned one by Mr. Kendal Franks on Pro-fessor Koch’s Treatment of Tuberculosis, and one by Mr.P. J. Hayes on Colectomy. Mr. Hayes used in his casethe Lembert suture, which he found quite effective, and italso possesses the important merit of being applied withrapidity-an element of the highest value in abdominaloperations. Mr. H. Gray Croly’s paper on Ligature of theLingual Artery or Arteries preliminary to removal of aportion or the entire Tongue for Cancer is a contributionto practical surgery which will amply repay perusal. Turn-ing to the Section of Pathology, attention may be drawnto Typhoid Organisms, by Dr. McWeeney ; Congenital De-formity, by Dr. E. H. Bennett, who also contributes apaper on Cerebral Tumour, illustrating the difficulties of

cerebral localisation ; Cystic Kidney, by Mr. Kendal.Franks, &c.

Health of Dublin during November.The deaths from typhoid fever exceeded in November

those registered in the corresponding month of 1889, when.this disease was epidemic in Dublin. It is difficult, Sir-Charles Cameron remarks in his monthly report, to accountsatisfactorily for the present epidemic of the disease, or whyit is that typhoid fever is always prevalent in the latter-months of the year. The bad sanitary arrangements, whichby some are held to be the cause, are just as bad at other-periods of the year. He is inclined to believe that typhoidfever, though spread by polluted water, milk, &c., and bydefective drainage, is a miasmatic disease. In the autumnits germs are apparently developed in great numbers in soil,sewage, &c., and the risk of getting them into the systembecomes proportionally increased.

Dundrum Criminal Lunatic Asylums.Dr. Revington, assistant medical officer of an English

lunatic asylum, has been appointed medical superintendentof the Dundrum Institution for the Criminal Insane, assuccessor to Dr. Ashe. Considerable dissatisfaction hasbeen occasioned by his Excellency the Lord Lieutenant-going outside the ranks of medical officers of Irish asylums,more especially as Dundrum is considered one of the-best of the Irish appointment?, and the Council of the-Irish Medical Association have passed a resolution to that.effect. The emoluments of the late Dr. Ashe amountedto £650 per annum, his unfurnished apartments, fuel, light,bread, milk, ale, vegetables, butter, and washing beingvalued at £200.

Dinner and Presentation to Mr. H. Chapman, F.R C.P.I.Mr. Chapman was entertained to dinner last week by

members of the Irish Medical Association, in recognitionof his services as honorary secretary for the past seventeen.years. The presentation plate consisted of a silver traynsilver tea and coffee set, with cake basket, and a bowl inthe Queen Anne style.

Cork Branch of the Irish Poor lccw Medical Officers’Association.

A meeting of the Cork branch of this Association was.held Jast week, when the reasons for establishing theAssociation were declared, and its claims on the Poor-lawmedical officers of the south of Ireland to join it wereacknowledged by alt speakers. The meeting was am

enthusiastic one, and resolutions were adopted to theeffect that Poor law medical officers should receive properremuneration for medical attendance on the poor; that theyshould be entitled to a pension after ten years’ service; andthat, as their duties caused a severe strain on their health,they should receive a month’s annual holiday, with payment.of substitute.

The salaries of the medical officers of the Rathdown Unionhave been increased :B30 each yearly.On the recommendation of his Grace the Duke of

Abercorn, the Lord Chancellor bas appointed Mr. Jno. CootoOvens, F, R C. S. L, of Ramelton, to the Commission of thePeace for the County Donegal.

PARIS.(FROM OUR OWN CORRESPONDENT.)

Atropine in the Treatment of Paratysis Agitans.HYPODERMIC INJECTIONS of atropine have been attended

with encouraging results in the hands of M. Moretti in thetreatment of that intractable and pathologically inscrutablemalady, Parkinson’s disease. The dose used was ; two 1.1milligramme, or about epth to of a grain. These in-jections, repeated once every twenty-four hours, brought.about a notable diminution in the tremors and a certain re -establishment of the motor powers. Thus, after the fifth in.-jection, some patients were able to carry a glass full of fluid?to the mouth, to move the hand steadily behind the neck,to bend the body forwards, &c , all of which movements hadfor a long time previously been impossible. It was foundshowever, that in nearly every case the tremor returned whenthe injections were suspended. When continued, however,,the amelioration was maintained, and the remedy is welbborne for an apparently iadennite time. One patient re -