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a certain amount of shock and very slight bleeding. Couldswallow Brand’s essence and milk easily, provided theywere placed well on the back of the tongue. He had no pain,and slept in short dozes.March 18th.—Going on well. Diet beef-tea and milk.

Temperature A.M., 99.6°; P.M., 100°.19th.-Slept well. Tongue ligature and two lowest pins

taken out. Temperature A.M., 99.20; P.M., 100°.20th.-Wound almost healed. Third and last pin taken

out. Temperature A.M., 99’; P.M., 1020..

21st.-Drainage-tube taken out. Temperature A.M., 990;P.M., 101°.23rd.-Going on well. Temperature normal. Much

leaking from drainage-tube holes.30th.-Has progressed quite satisfactorily. Temperature

has remained normal. Got up. Still a good deal of salivaryleaking.

April 7th.-Drainage-tube holes quite healed and leakingstopped. The growth has, however, reappeared, especially onthe left side. At both sides it projects mushroom-like fromthe divided ends of the bone. On the left side the periosteumhas peeled off the inner surface of the bone, which is quitebare. The patient’s health is good; he can eat mince andbread-and-milk; he cannot protrude his tongue, but can talkquite intelligibly. There are no enlarged glands.

It was decided to operate again. Accordingly, on the 14th,the patient being anaesthetised by means of the A. E. C.mixture, the old wound was completely reopened and thelower incision carried backwards to the angle of the jawon both sides. The ramus of the jaw on the left sidewas divided just below the sigmoid notch with bone forceps,and on the right side the body was sawn through behindthe third molar. There was a good deal of bleeding, but itwas easily arrested. Scarcely any blood escaped into themouth by reason of the barrier-as in the previous opera-tion-of sponges on sticks. The wound was brought toge-ther as before, during which portion of the operation thepatient twice became nearly asphyxiated. Pulling thetongue forwards by means of a silk ligature not beingsufficient, the finger was hooked well over its root, and ondragging this up respiration returned. No drainage-tubewas left in the wound this time on account of the

prolonged leaking, which continued from the tube tract onthe former occasion. The patient, being put to bed in asitting posture as before, began to develop shock in a

rather severe degree, his pulse becoming very feeble;accordingly he was put on beef-tea and brandy enemataevery four hours.

15th.-Slept fairly well; no pain; has drunk a pint ofmilk (put on the back of his tongue with a spoon); pulse92, good; enemata stopped. Temperature A.M., 99.8°;P.M., 100°. In the evening two hare-lip pins were re-moved.

16th.—Not quite so good a night; no pain, but has atroublesome short cough; no morbid breath sounds; redblush on his left cheek, quite away from the line of incision,which looks quite healthy; several sutures removed; allthose on left side except one. Temperature A.M., 100.2°;P.M., 101.1°.

17th.-Feels better; blush in the same situation; ratherbrawny; wound looks well and is healing fast, especiallythe portions incised for the first time; remaining two pinstaken out; notwithstanding the fact that the second incisionwas through the cicatricial tissue, it is now fairly firmlyunited. Temperature A.M., 101.2°; P.M., 100°.

18th.—Much better; blush nearly gone; temperaturenormal, never rose after this; wound nearly healed, exceptjust under the chin, whence a quantity of salivary leakinggoes on, running down his chest and saturating his clothesas on the former occasion.21st.-Got up.

’

22nd.—Periosteum on inner side of remains of rightramus is fungous and raised off the surface of the bone,which is bare.30th.-The salivary leaking, which day by day has been

getting less, has now ceased. Wound quite healed. Theperiosteum has now become glued on to the bone, and thefungous granulations have disappeared; there is a raw sur-face on the inside of the cheek, just opposite the secondmolar in the right upper jaw, but with no induration per-ceptible about it. He can feed himself and swallow every-thing soft, putting it on the back of his tongue; cannotprotrude his tongue in the least, but has considerable lateralmovement. The lower lip is much puckered and has a

tendency to drop away from the upper, dribbling of thesaliva over the lip then occurring; it can, however, easilybe kept up by means of a piece of strapping. No glandularenlargement.July 18th.-Was seen to-day. Is perfectly well in health;

no appearance of any return of the growth; solid cicatrix nposition of the removed jaw.

Analytical Records.CARNRICK’S BEEF PEPTONOIDS.

(MALTINE MANUFACTURING Co., HART-STREET, LONDON.)THE dry powder known as beef peptonoids is a partially

peptonised and highly nutritious mixture-said to be madefrom beef, milk, and wheat gluten. It is a most concen-trated form of nitrogenous food, easy of digestion, andwell adapted and convenient for medical use. This is highpraise, but it is well deserved.

REAL TURTLE SOUP; PURE ESSENCE OF BEEF; CONCEN-TRATED BEEF-TEA.

(LONDON MANUFACTURING Co., HATTON-GARDEN.)No one could doubt of the reality of the turtle-soup, for

the bottle is half full of the unmistakable green fat. Theessence of beef is a clear jelly of delicate flavour, and ofcourse great nutritive power. It is a preparation of muchvalue in cases of exhaustion, and should be used cold, or, ifthere is any tendency to vomiting, with ice. The concen-trated beef-tea is sold in skins, and appears to be satisfac-tory in quality.

SEMOLINA.

(JAMES MARSHALL, IBROX FLOUR MILLS, GLASGOW.)Semolina maybe shortly described as crushed, decorticated,

and sifted wheat. All the husk and a portion of the starchare removed when the manufacture is skilful, so that theresidue is somewhat richer in flesh-formers than ordinarywheat flour. The sample of semolina received from Mr.Marshall (the maker) is entirely satisfactory. It consists ofbrilliant pearl-like grains, very uniform in size, almostwhite singly, but pale-yellow in bulk. It is very well made,and ana’ysis shows that it is absolutely free from adultera-tion. We regard it as a highly valuable form of food.

New Inventions.THE COVENTRY CHAIR.

AT a time like the present, when "cycling" enjoys suchgreat popularity, Messrs. Starley and Sutton of Coventrymay be congratulated on a happy thought, which enablesthe invalid as well as the robust to derive advantage andpleasure therefrom. The " Coventry chair" is an adaptation ofthe tricycle to Bath chair purposes, and consists of a wickereasy chair (balanced on a tricycle frame) in front, in whichthe invalld sits, whilst the driver, mounted on a seat behind,works the pedals and controls the steering. This machineis of course capable of far greater variation of pace than thetime-honoured Bath chair. It is, we should imagine, likelyto become popular and useful in the country where the roadsare good, and especially at seaside resorts. To families

having an invalid amongst them it affords the chance ofactive, healthy exercise for those who are well, combinedwith fresh air for the invalid. Compared with the ordi-nary Bath chair, however, it seems to possess this disadvan-tage : the driver sitting behind the passenger and steeringthe machine, it is of course impossible to have any hood orother protection to the invalid from the sun or showers.The chair can be fitted, if required, with a handle, which canbe readily attached or detached for pulling and guiding

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from the front as an ordinary Bath chair. Would it not be

possible to supply a removable hood as well? The " Coventrychair" is manufactured by Messrs. Starley and Sutton, MeteorWorks, West Orchard, Coventry, and can be seen and triedat Mr. Alfred Carter’s, 47, Holborn Viaduct, E.C.

THE NIAGARA WATER FILTER.

THis is a very simple and ingenious filter, made byMr. P. Parker, of Keighley. In a stoneware vase, slightlyconical at the sides, two stoneware trays lie at differentheights. They are perforated with fine holes, and are keptin their places by rings of cork over them. The lower oneis covered with a disc of asbestos cloth, and on this is placedthe filtering agent, which in the apparatus sent to us is

granular animal charcoal. The water, slightly strained bythe upper disc, passes through the charcoal, and is therebyfiltered. The whole can be taken to pieces in a minute, andthe charcoal renewed, or washed and dried. We do not thinkanimal charcoal is the best agent to use, and commend toMr. Parker’s attention the recent researches of Dr. PercyFrankland, published in the Chemical News, July 17th, 1885.Dr. Frankland finds that, after spongy iron, coke is the bestfiltering agent. Animal charcoal is excellent at first, butafter a month or so becomes worse than useless.

ANNUAL MEETINGOF THE

BRITISH MEDICAL ASSOCIATION,HELD AT CARDIFF ON JULY 28, 29, 30, AND 31.

THE members of the Association began to assemble inthe forenoon of Tuesday, 28th inst. ; the Town Hall, with itscouncil chamber, courts, and offices, forming an admirablecentral place for the meetings. The hall, just within theentrance, is turned into a reception-room, where the memberson their arrival receive their cards of membership, whilstthe large Assembly Hall is devoted to the general meetings.The first general meeting took place on Tuesday afternoon,

the proceedings commencing at 3.30 P.M. Dr. Cuming,the retiring President, gave up the chair to his successor,Dr. W. T. Edwards, of Cardiff. A cordial vote of thanks toDr. Cuming was moved by Mr. Macnamara, and seconded byMr. Wheelhouse.

Dr. BALTHAZAR FOSTER, President of the Council, thenmoved the adoption of the Council’s report. The number ofmembers of the Association is now 11,249, an increase ofabout 600 over the number at the last annual meeting. In

that interval 123 have died and 162 have resigned. Thesuccess of the Association depends upon the activity of thebranches and their representatives on the Council; and Dr.Foster fittingly alluded to the services rendered by thesegentlemen in the conduct of affairs. He next touchedupon the expediency and economy derived by the Associa-tion undertaking the printing of its Journal, and pointedout that the Journal had become a great financial success.As a result of an inquiry through the branches, it was pro-posed that homoeopaths should not be admitted as members,but that no steps should be taken to expel members whopractise homœopathy. The Council also proposed an altera-tion in the bye-laws to the effect that a requisition signedby 100 members, instead of fifty as at present, should benecessary to convene a special general meeting; and that allcommittees of the Association should be appointed by theCouncil and responsible to that body, instead of being electedat the general meetings.Mr. H, POWER seconded the adoption of the report, and

expressed satisfaction at the scientific grants and scholar-ships. He suggested an extension of the buildings, thusforming a central meeting-place for members.Mr. G. BROw inquired why the attendances of members of

the Council had not been recorded as usual; and asked forfurther information as to the reasons why the Council

arrived at the conclusion that it was more economical forthe Association to publish the Journal itself.Mr. BRINDLEY JAMES reminded the meeting that an ex-

tension of buildings so as to form a rendezvous for membershad been advocated by Surgeon-Major Evatt and himself atprevious meetings, but had hitherto been ignored by theCouncil.Mr. Dix protested against a large outlay for the purpose

of business premises-although he heartily agreed that theAssociation should have a house for social purposes. It wassaid that this expenditure was necessary to carry on theJournal, but the fallacy was that the present premises werevery cheap. He moved an amendment to the effect that itwas not desirable to spend a large sum of money upon aprinting office.

Dr. BAMPTON seconded the amendment, and said that hisbranch had expressed a strong opinion against such an out-lay. He advocated a site in the suburbs as being moreeconomical, and sufficient for the purpose.Mr. HUSBAND supported the proposal of the Council, and

pointed out how remarkably the profits accruing from theJournal had increased since the Association took over thecontrol of it, and moved to its present premises. It was notto the credit of the Association to be so inadequately sup-plied with offices, and to be without a central meeting-place.

Dr. GRIFFITHS supported the amendment, and Dr. GRIGGopposed it, stating he had been converted from the view hehad formerly held by the success which had attended theremoval of the office to the Strand.

Dr. WATERS said that the financial management of theAssociation had been unsurpassed, and it had become

absolutely necessary that they should obtain the advantagesaccruing from this commercial success. He supported theaction of the Council.

Dr. JACOB protested against the risks undertaken by theAssociation in printing the Journal; but supported theestablishment of an Association house.

Mr. BROWN urged the Council to withdraw their proposi-tion, and advised that larger premises for printing shouldbe leased.Mr. CORNWALL said that if such a large sum as that pro-

posed were voted the Association would be left in debt,and thought the subject should be first discussed in thebranches before taking so grave a step. It should bedeferred to the next annual meeting.

Dr, B. FOSTER, in reply, said that they were not

voting any sum of money, but were asked to trust theirrepresentative body to provide suitable accommodation fortheir business requirements. On a division, the amendmentwas rejected by a large majority, and the report of theCouncil was adopted.

The second general meeting was held the same evening,when there was a very large attendance. The President,Dr. EDWARDS, delivered his inawgural address, in which hedescribed the geographical, commercial, and social featuresof Cardiff, and afterwards gave a sketch of the history of theAssociation, and its influence upon the progress of medicineand surgery and on the status of the profession.On the motion of Dr. STRANGE, seconded by Dr. W.

ROBERTS, a vote of thanks was awarded to Dr. Edwardsfor his address.

Dr. B. FOSTER then moved an addition to the bye-laws,empowering the branches to fill up casual vacancies onthe Council as they may arise. This was seconded byDr. Bridgwater, and carried nem. con.Mr. Dix moved an addition to the bye-laws to the effect

that the railway fares of the representatives of thebranches who attend the meetings of the Council shall bepaid from the funds of the Association. He had broughtforward the resolution on two previous occasions, and hadbeen defeated; but he contended that the question was afundamental one of the system of representation.Mr. JACKSON seconded the motion.Dr. WARD COUSINS moved that the consideration of the

question be deferred to " this day six months." He saidthat not a single branch had applied to the Council for pay-ment of such expenses; and if once this principle wasintroduced, where were they to stop ? The President of theJamaica Branch was present at this meeting, and Surgeon-Major Cornish had come from India, and in time represen-tatives might appear from all their distant colonial branches.Was it proposed to defray their expenses?

Dr. GRIGG said the opinion of the branches had been