FEB. 28, 1925] MEMORANDA. rMEDICAL JOUSNAL 407

diaphragm; or, since the patient was up and about, thesighinig mnay simply have resulted from cerebral anaemiaconnected with the recenit vasoim1otor disturbance.

REFERENCES.X Stivelman Aler. Journt. Med. Sci., JElne, 1923, 8:6. 2 Capps:

Oxford Medicine, 19.0, vol. ii, 163. 3 Ilutclison Applied llhy8iOlogy,Arnold, 19108, ip. 221.

ARSENICAL POISONING TREATED BY SODIUMTHIOSULPHATE.

BY

HILDA M. HALLIDAY, M.R.C.S., L.R.C.P.,AND

CHARLES E. SUTHERLAND, M.B., B.S.MELB.,M.R.C.P.LoND.,

ASSISTANT MEDICAL OFFICERS, ST. PANCRAS HOSPITAL, LONDON.

THE following case is of importance as a sequel to the com-munication from Dr. H. C. Semon in the BRITISH MEDICALJOURNAL of April 12th1 1924.A woman, aged 30, became infected v:ith syphilis towards the

end of her fourth pregnancy. She had been treated by intravenousinjections for ten months, and had then been advised to take sixweeks' rest from treatment. Three weeks after the last injection,and five weeks before she came under our care, she became jaun-diced, and noticed loss of power in the arms and general weak-ness; she passed dark urine and pale stools. For seven days priorto admission she had vomiting, anorexia, constipation, insomnia,and failing vision.On admission there was deep generalized jaundice, the mouth was

dry and dirty, and answers to questions were correct but mono-syllabic and very slow. There were no physical signs of neuritis,but the hands could not be lifted, and the vision was bare per-ception of light. The liver dullness was diminished; the urinecontained albumin and bile.While awaiting a supply of chemically pure dehydrated sodium

tliosulplbate we gave the patient 30 grains of the stock salt in

solution by the mouth every four hours, and continued this methodof administration throughout the first week. There were noresultant toxic symptoms (colic or diarrhoea), but there was noarrest of the arsenical symptoms. By the tlhird day the patientwas apparently moribund; she vormtited frequentlv and in excessof intake; she was restless, apathetic, and doubly incontinient; thebowels acted only after enemata.At this stage the first intravenous injectioni was given, and for

ten days the patient had 0.45 gramidaily, followed by seveni similardoses on alternate days, making a total of 7.65 grams spread overa period of twenty-six days. ILn addition, during the first weekshe took about 80 grams by the mouth, but probably much of thiswas lost by vomiting. From the first intravenous inijection thedownward trend was arrested. After five doses the mental con-dition was perfectly clear, muscular power of the arms was goodfor all movements, and the patient could read small print. Shewas still jaundiced, incontinent, and vomiting. There was still bilein the urine, and leucine was seen in the deposit. At the end ofthe third week she was convalescent and able to be up for halfthe day, eating well, and not vomiting; the jaundice was almost'gone, and the urine normal.The levulose tolerance was tested and seemed to show a

definite derangement of liver function during the height of theillness, with rapid recovery under treatment. The deteriorationin her general condition during the first two days clearly demon-strated the progressi-e nature of the disease and emphasized theremarkable improvement following intravenous administration ofthe specific remedy.

Levulose Tolerance. April 25th. 3Alay 13tlh.

Fasting blood sugar ... ... ... ... 0.131 0.100

Half an hour after levulose ... ... 0.137 0.086

One hour after levulose .0.218 0.103

One and a half hours after leviu!ose ... ... 0.206 0.106

Two hours after levulose ... 0.206 0.100

We should like to express our thanks to Dr. Thackray, MedicalSuperintendent, for permission to publish this case.

4tjleranitta:MEDICAL, SURGICAL, OBSTETRICAL.MALIGNANT CERVICAL ADENITIS SIMULATING

ANEURYSM.Tim, case here recorded, thouglh disappointinig from a

diagnostic point of view, is ilnterestinig as illustratingh1ow very closely cervical adenitis may siml-ulate aneurysmn.Ani exploring needle would have settled the diagnosis, butas nothiing was to be gained by the procedure it was niotcarried out.A woman, aged 79, was admitted to the Tooting Bec Hospital

in August, 1923. She showed evidence of specific disease, andher jhistory confirmed this. On October 14th, 1924, she suddenlydeveoped a tumour about the size of a hen's egg abovethe right clavicle. As far as can be ascertained this took onlyabout a week to become apparelnt. The tuimour was slightlyirregular in shape and was distinctly expansile. Two littleflags, one on either side of it, separated about a quarter of aninch with each beat of the heart. The heart rate was 66 and theblood pressure 130. There was no appreciable difference in the tworadial pulses, but the right radial pulse gave a tracing exactlysimilar to that of a subelavian aneurysm portrayed in Autchisonand Rainy's Cliniical Mcthods. There was a distinct systolic bruitover the aneurysm and over the aortic area. This is interesting asan illuistration of a contribution I sent to the JOURNAL some timeao entitled " An aortic murmur."A nmonth later the tumour was noted as mluch larger-the size

of E small orange-and the radial pulse as being much altered.The patient was treated with potassium iodide, being rapidlyadvanced to 40 grains every four hours, and showing no unpleasantsymptoms from the drug. The size of the tumour in a week's timewas distinctly less and there was a conistricting band at the backof the mass. The following week the mass increased in size and thepotassium iodide was discontinued. Tlle blood pressuire was 135,and the radial pulse tracings were similar, with no morbidcharacteristics. All this time there was little or no complaintof pain, and the patient died on December -th from a low formof terminal pneumonia.At the necropsy a large mass of cancerous glands was found

completely encircling the subclavian and carotid arteries withsecondary deposits in the mediastinal glands and deep in the liver.

The diagnosis made was a carotid aneurysm involving thesubelavian and possibly innomninatie arteries, and severalpersons of wide expelienice saw the patient and found nio

fault with the conclusion arrived at. WA lhen the clhange insize was brought about by administrationi of potassiuumiodide it was tlhought that that clinclhed the diagnosis. Thesystolic bruits were, of course, caused by com-pression of theartery, and Inot by the constriction at the enitranice oi exitof an aneurysmal sac.

I am indebted to Dr. E. H. Beresford for perm-dission to publishthe case.

THOMx[AS LINDSAY, MI.D.,Tooting, S.W. F.R.C.S.Ed.

IMMUNITY, SPECIFICITY, AND NON-SPECIFICFACTORS.

IN the issue of December 13th, 1924 (p. 1098), Dr. R. A.O'Brien says: " It may be that the administration of colivaccine does materially influence the course of typhoidfever and of arthritis, but we feel that we must have moreevidence before accepting the claim." In view of this thefollowing case of colitis and arthritis cut short by an attackof typhoid fever, and the recovery from the typhoid fever,is of interest.A girl, aged 18, suffered since the age of 13 from attacks of

subacute arthritic rheumatism. She had suffered for some year-sbefore this from five or six loose motions a day. An examinationof the stools showed enormous number of B. coh. The arthritiswas most probably caused by the colitis. At 18 years of ageshe contracted typhoid fever. The fever was complicated bysevere haemorrhage on the twenty-third day of the disease.Widal's test was positive. The temperature fell to normal oilthe forty-second day *of the illness, and health alnd strengthgradually returned. The arthritis and stiffness of joints dis-appeared and have not returned, though it is now more thanthree years since recovery from the typhoid fever. The motioiisare niow one or two a day.

One case proves nothing, as it may be entirely coincidence,though even coincidence has a cause; but the recovery fromthe typhoid fever and the cutting short of arthritis and ofcolitis appear to ne to be sufficiently interesting to record,especially to those who successfully treat typhoid fever bycoli vaccine, or those who successfully treat arthritis byintravenous injections of B. coli or typihoid bacilli.Quieen Camel, Somerset. J. E. BOLTON.

434FE.UNIVERSITIES AND COLLEGES. BRTE RI434 FEB. 28, '1925] 1JIvR-±±c I MEDICAL JOURNAL

pathiologist as a cliniciani. His conitributionis on theiiflammatory infections of tlho cenitral nervous sy,stemi arewell known throughout the world. He was MorisonianiLecturer at Edinburgh in 1920, clioosinig as hlis subject" Funic-tional mental illniesses." It was characteristic ofRtow-s's broadmindedness that lhe broke away from the stereo-typedl classification of menital disorder. He was r iglht inrefusing to pigeoln-hole his cases, aind lie treated eachinidividual case on its owin merits with a due regard toinidividual reactivity. His constant argumiiient wi-as thatenivir-oniment was of more importance thani the vaguetheories of heredity advanced up to the present, and lie hada sp)ecial facuilty of enitering inito the mental conflicts soCo0ilmonlv found in the n-euiroses. Apart from being astuident, Row-s's love of outdoor games, of mlusic, and ofgenieral literature made him a delightful coimpanion. Howais a wi-orker, but played with equal zest, a sportsman ineverv scense of the term, anid combined hiis capabilities witha )ecoming modesty. His death has left a gap in psychiatrywhiell will not be easily filled.

INDIAN MEDICAL SERVICES.PAY OF OFFICERS IN MILITARY EMPLOY.

THE Secretary of State for India announces that he has sanctionedthe extenision to Indian Medical Service officers in military employof the concessions regarding overseas pay recently introduced forofficers of the Indian Medical Service in civil employ and detailedin Statutory Rules and Orders No. 1,395 of 1924, copies of whichare obtainable from His Majesty's Stationery Office. The exten-sion has effect from April 1st, 1924. Officers niow in the UnitedKinigdom who have been in receipt of rupee rates of pay for anypeliod after this date, and who accordingly have claims for retro-spective adjustment under this concession, should address theConitroller of Military Accounts by whom they were last paid inInidia. Indian Medical Service officers in military employ are noteligible for the passage concessions recently initroduced for those incivil emplov, but will be included in conicessionis whvilich are beingannnounced separately for the Indian military services.

PASSAGE FOR OFFICERS OF THE INDIAN MILITARY SERVICES.The Secretary of State for India anniounces that passage con-

cessions as previously foreslhadowed lhave beeni sanctionied forofficers of the Indian military services. They w%ill apply to anypassage beginning on or after February 14th. Detailed rules haveyet to be drawn up, but the provisional arrangements, which havebeen approved, are being communicated by the Inidia Office to allofficers conicerned who are now under the orders of the India Office.

UNIVERSITY OF OXFORD.A>- examination for the Theodore Williams scholarslhip, value£100 a year, and tenable for four or five years, will begin onJuine 9th. Full particulars can be obtained on application, beforeMay 9th, to the Senior Tutor, Pembroke College, Oxford.

UJNIVERSITY OF LONDON.ELECTION TO SENATE.

THERE are two candidates for election to the Senate to representthe Faculty of Medicine: Sir Holburt Waring, M. t., B.S., F.R.C.S.,surgeon to St. Bartholomew's ospital, the sitting member, whowas until recently Vice-Chancellor; andl Sir G. Lenthal Cheatle,K.C.B., F.R.C.S., surgeon to King's College Hospital. Sir HolburtWaring is understood to be in favour of the Haldane report;Sir Lenthal Cheatle pledges himself to " oppose the Haldanerecommendations root and branch, and to support the authorityof the medical faculty on every occasion."

ST. THOMAS'S HOSPITAL MEDICAL SCHOOL.Piterperal Sepsis.-A course of four lectures on puerperal sepsis

will be given at St. Thomlas's Hospital Medical School by ProfessorB. P. Watson, M.D., F.R.C.S.Ed. (Professor of Midwifery andDiseases of Women in the University of Editnburgh), at 5 p.m.on March 2nd, 3rd, 4th, and 5th. At the first lecture the chairwill be taken by Dr. H. Russell Andrews, senior obstetricphysician to the London Hospital. -Admission to these lectureswill be free.

UNIVERSITY COLLEGE.Vit(l Statisties.-A course of two lectures on vital statistics will

be given at University College by Professor Harald Westergaard(late Professor of Political Economy in the University of ("open-hagen) at 5.30 p.m. on Matrch 9th and 11th. The lectures will bedelivered in English. Admission will be free.Primary Fellowship E.ramination.-A special course for the

Primary Fellowship of the Royal College of Surgeons of England,in preparation for the Juite examination, will begin at UniversityCollege on Monday, March 2nd.

UNIVERSITY OF BRISTOL.THE following candidates have been approved at the examinationiindicated:FINAL M.B., CH.B. (PART II).-*fDorothy E. Crellin, *T§Constance L

Ham, *%IA. H. Lowther, *+Rosaslie E. Lucas, A. F. Alford, K. F.Alford, A. S. Cox, S. J. H. Griffifhs, F. H. Hoijingshead, J. A. Hooker,K. F. Platt, D. C. Prowse. §L. G. Robertson, H. Rogers, Gertrude M.Terrell, Maria M. Tewater. In Aldicinie (compl, ting examnaiato):E. H. CluLterbuck. In Snryery (completing examinations: hlelen Al.Dixon. lin Public Heazth (ecanpieiing exam7ninutotons: A. H. Marshall.(lit Group I only (Surgery and Ob.stetrics): Elizabeth E. Benson,Margaret P. Posthuma, H. J. Satchwell, Kathleen M. Willmore.In GUoup II only (Pathology, Medicinie, and Public Healti):C. F. R. Kiliick.PART I (znclutdintg Forensic Iedicine and Toxicoloov): G. W. R.

Bishop, J. F. 0. B.dman, Muriel E. Drew, F. 8. Dymond,G. L. Feneley, F. R. Gedye, A. P. Gorbami. Mildr-ed B. Harvey,T. P. Lalonde, Ml. E. J. Packer, C. B. Perry, L. B. Phillips,E. S. Rr-gers, A. A. 1B. Vincent.

D.P.H.-V. Ryan. in Part lI(conpletiig examlination): J. Ledingham.In Part Ionly: Nora A. MlcD. Rodger, W. W. S. Sharpe.

* With second-class honours. t Distinction in medicine.I Distinction in surgery. § DisLinction in obstetrics.

11 Distinction in pathology.

ROYAL COLLEGE OF SURGEONS OF ENGLAND.AN ordinary council meeting was held on February 12th, when thePresident, Sir John Bland-Sutton, was in the chair.

Diplomas.Diplomas of Membership were granted to 208 candidates.

Diplomas in Ophthalmic Medicine and Surgery were grantedjointly with the Royal College or PhysicianEs to nine can(li(lates.(The names were printed in the report of the comitia of the RoyalCollege of Physicians of London, published in our issue ofFebruary 7th, p. 289.)Diplomas of Fellowship were granted to two candidates

(Frederick H. Scotsoni anld Clement Sturton), who, having pre-viously pa3sed the examination, had now attained the age of25 years.

Coutrt of Examiners.Mr. A. P. Dodds-Parker, surgeon to Radcliffe Inflrmary, Oxford,

was elected a member of the Court of Examiners in Surgery inthe vacancy caused by the retirement of Mr. John Murray.

lee turers.Mr. James Sherren was appointed Bradshaw Lecturer and

Professor Wright was appointed Thomas Vicary Lecturer for theensuing year. The subject of the Thomas Vicary lecture will be"- The mediaeval concept:on of the anatomy and phvsiology of thecentral nervous system."

Y,ote of 1Thanks.The best thanks of the Couincil were given to Mr. H. R. Hope-

Pinker for his gift of a plaster model of his bust of the late SirGeorge M. Humphry.

Couencil Election.A meeting of the Fellows will be held at the College on

Thursday, July 2nd, at 2.30 p.m., for the election of three Fellowsinto tthe Council in the vacancies caused by the retirement inrotation of Mr. V. Warreni Low, ir. James Sherren, and Sir JohnLynn-Thomas. Notice of the meeting will be given to tthe Fellowsby advertisement and by circular on March 6th. March 16thi willbe the last day for the nomination of cancdii(ates, and a votinigpaper will be sent to every Fellow whose address is registered atthe College on March 31st.

SOCIETY OF APOTHECARIES OF LONDON.THE following candidates have passed in the subjects indicated:SURGERY.-J. H. Clapp, J. L. Hopkins, 0. W. Percival, C. C. Po, J. Shutt,

It. F. Stubbs, B. Temple-Raston.MEDICINE.-K. V. Idead, C. C. Po, P. B. Skeels, B. L. Steele, R. F.

Stt bbs.FORENSIC MEDICINE.-A. Henson, K. V. Mead, T. K. Natesan, R. F.

Stubos.MIDWIFERY.-N. E. Challenger, T. K. Natesan, 0. W. Percival, C. C. Po.

J. Shutt, B. Temple-lRaston, I. Waynik, G. H. W1eeber.

ILLEGAL PRACTICE BY A DRUGGIST.A CASE was recelntly leard in the Nuneaton County Coi1rt, beforeJudge Staveley Hill, in which the Society of Apothecaries ofLondon were plaintiffs and Mrs. Ashton of the Coton Drug Stores,Nuneaton, was the defendant.The action was brought under tlle Apothecaries Act, 1815, to

recover a penalty of £20 from the defendant for having acted asan apothecary without qualification. Fronm the evidence it appearedthat the defendant had treated a child for a cold who was'sufferingfrom small-pox, and that as the result of the failure of thedefendant to diagnlose the disease correctly other people had beeninfected. The Judge said that, having carefully considered theauthorities, he was of opinioni that the defendant had broughtherself within the statute, and gave judgement in favour of theplaintiffs for the penalty and costs. A stay of execution wasgranted for fourteenl days.

FEB. 2%, I9251 MEDICAL NEWS. [THzBRITISK 435MEDICAL JOURNAL

J tebicat__4g n.

THE programme has now been issued for fifth Inter-

national Congress of the History of Medicine at

Geneva from July 20th to 25th, as announced

October 11th, 1924. On the flrst day, after addresses

president of the congress, the president of the

of Geneva, and others, M. Eugene Pittard, of

University, will open a discussion on prehistoric

with an illustrated lecture on operations in the

In the evening a reception will be held by

the congress, Dr. C. G. Cumston. Other subjects

consideredinclude Albert von Haller and the disputatione8

chirur.qicae selectae," by Sir D'Arcy Power; Robert

an eighteenth century neurologist," by Dr. J.

the history of typhoid fever in the child,

Gautier; a letter of Tronchin and the Suttoniau

inoculation, by Dr. J. G. de Lint; "Voltaire and medicine,"by Dr. J. D. Rolleston; Goitre and Geneva

Ages," by Dr. E. Wickersheinmer; Lavater suc-

cessors, by M. Fosseyeux; a note on the history

inmedicine, by Dr. F. G. Crookshank; a letter

Fracastoro on poetry, by Dr. J. W. S. Johnsson of

hagen; historical researches in the history of

Ateneo Romano, by Dr. P. Capparoni; medical

the seventeenth century, as exemplified in

by Dr. E. B. Krumbhaar; hygiene and public in

early civilizations, by Mr. C. J. S. Thompson;

veterinary art, by Sir Frederick Smith; the

in the cure of disease, by Professor Jeanselme;

Luther and his noises in the ear, by Professor Bilancioni;

medical congress at Rome in 1681-2, by Dr. C. Cumston;and Benjamin Waterhouse, an American pioneer, J.

Courtney. On July 23rd an excursion will

the lake, visiting the Chateau of Chillon

Evian. The subscription, including the cost

and a dinner on July 24th, is 45 Swiss francs.

information can be obtained from the general

Dr. A. de Peyer, Rue Gfntral Dufour, Geneva.

THE National Union of Scientflc Workers

the decision of the Treasury to provide in the

1925-6 an increase in the grant to the Royal Society

the cost of scientific publications from£1,000

due to its representations. Itis not intended

Society should spend the grant on its own publications,

that itshould administer it for the benefit of such

the Biochemical, the Chemical, and the Geological,

are hard put to it to find money for making the

reports the results of researches presented

union, which was started in 1918 to watch

interests of scientific men, has its offces at 25, Street,S.W.1. Its position with regard to the scientific

is described as corresponding with that of the British

Association towards the medical profession.

with Government departments its claim that scientific

should be placed on the same footing as members

other professions has been largely successful. A

paign is being conducted to convince the large

of the benefits to industry arising from the employment

scientific workers.THE Fellowship of Medicine announnes that

Lane will preside at a discussion on post-graduate

in London to be held at No. Wimpole Street,

at 6 p.m., and open to all members of the medical

in London. On March 2nd, at 5.30 p.m., Professor H. Maclean

will give a lecture on renal disease, its diagnosis andment, at the Royal Society of Medicine.

course in medicine, surgery, and gynaecology

the Royal Waterloo Hospital on March 2nd,

reference to gynaecological diagnosis, hernia,

the stomacb, intestines, etc. Fromi March Dr.Frederic Thomson will give a series of demonstrations

the diagnosis and treatmlent of the acute infectious

at, the North-Eastern Fever Hospital on Wednesdays

Saturdays at 11 a.m. The Central London Ophthalmic

Hospital has arranged an afternoon course in

from March 9th to April 4th; for those desiring

work a class can be arranged. From March

Chelsea Hospital for Women will hold a course in gynaecology,

and at the Brompton Hospital for Diseases of

will be a fortnight's course to include artificial

bronchitis, demzonstrations of cases, x-ray work, protein tests,a-nd the varying phases of chest affections. The RoyalNorthern Hospital, in conjunction with

Hospital, will hold an intensive course-in

anld the special departments from March

Copies of the syllabus of these courses may

the secretary to the Fellowship, No. 1, Wimpole Street,

SIR W. I. Di, COURCY WHEELER (Dublin) com-pleted onFebruary 19th a course of four advanced lectures in surgeryat St. Bartholomew's Hospital. The subject chosen was"Fractures of the pelvis and lower extremity treated byconservative methods." The lectures, delivered under theauspices of the University of London, were illustrated bynumerous lantern slides.AT the meeting of the Medical Offlcers of Schools Associa-

tion on Friday, March 6th, at 4.30 p.m., at 11, Chandos Street,Cavendish Square, a discussion will be opened by Dr. E. W.Goodall and Dr. G. E. Friend on the differential diagnosis ofscarlet fever, rubella, measles, and allied rashes.A MEETING of the Rontgen Society will be held at the

British Institute of Radiology, Welbeck Street, London, W.1,on Tuesday, March 3rd, at 8.15 p.m., when a paper on thephotometry of fluorescent screens will be read by Leonard A.Levy, D.Sc., and D. W. West, A.I.C.A MEETING of the Royal Sanitary Institute will be held at

the Town Hall, Halifax, on Friday, March 6th, at 4 p.m.,with Professor A. Bostock Hill, M.D., in the chair. Twodiscussions will take place,- one on the working of theMilk and Dairies (Amendment) Act, 1922, which will beopened by Mr. John Pollard, M.R.C.V.S., veterinary in-spector, and the other on some food dangers, by MIr. H. T.Lea, M.Sc., borough analyst. On the morning of Saturday,March 7th, visits will be paid to certain manufactories and inthe afternoon to the corporation salvage plant for domesticrefuse and the Bermerside Open-air School and Home.ON the recommendation of the Society of Medical Officers

of Health, the Ministry of Health has nominated Dr. JamnesFenton, M.O.H. Kensington, and Dr. Alfred Greenwood,M.O.H. Kent, for the interchange of health officers to Jugo-Slavia during May and June next under the auspices of theHealth Section of the League of Nations. For the inter-changein Belgium about the same time the Society recom-mended Dr. R. J. Maule Horne, M.O.H. Poole, who has beenduly nominated by the Ministry. On the recommendation ofthe Chief Medical Officer of the Ministry of Home Affairsof Northern Ireland, the Ministry of Health has nominatedDr. Norman C. Patrick also for the Belgian interchange.SIR AUCKLAND GEDDES, President of the Society for the

Prevention of Venereal Disease, will head a joint deputationof the National Council for Combating Venereal Diseases andthe Society for the Prevention of Venereal Disease which theMinister of Health has consented to receive on March 3rd.The object of the deputation is to urge the Minister of Healthto give effect tothe recommendation of Lord Trevethin'sCommittee"that the law should be altered so as to permitproperly qualified chemists to sell ad hoc disinfectants pro-vided such disinfectants are sold in a form approved andwith instructions for use approved by some competentauthority."A PORTRAIT of Dr. Isabella M. Macdonald, painted by

George Harcourt, A.R.A., has been presented by her friendsand patients to the Elizabeth Garrett Anderson Hospital as amemorial of her work there for several years as seniorphysician.DR. P. MAUCLAIRE, surgeon to the H6pital de la Pitie, Paris,

has been elected a memberof the Acad6mie de M6decineand Professor Barthe of Bordeaux a corresponding member.THE second Franco-Polish Medical Congress, due to the

Initiative of the Franco-Polish Medical Society of Warsawand the Franco-Polish Medical Committee of Paris, will beheldin Paris, under the presidency of Professor Roger, deanof the medical faculty, next April, and will be followed byvisits to Lyons, Vichy, Strasbourg, and Nancy. Furtherinformation can be obtained from the general secretary,Dr. Hufnagel, 10, Rue Freycinet, Paris XVIe.THE fifth international congress for the protection ofinfancy will be held at Madrid from April 12th to 20th, under

the presidency of Professor Martinez Vargas, rector of theUniversity of Barcelona, who is also president of the Inter-national Union for the Protection of Infancy. Furtherin-formation can be obtained from Dr. Bardelac do Pariente,10, Square Moncey, Paris.THE fifth Salon des M6decins will be held from March 8th to

20th, at 117,iBoulevard St. Germain, Paris, for the exhibitionof paintings, sculpture, engravings, and sketches by medicalmen, veterinary surgeons, pharmacists, and memiibers of theirfamilies. Further information can be obtained from theSecretary, Dr. Paul Rabier, 84, Rue Lecourbe, Paris XVe.THE fall in the number of medical students in Germany is

shown by the following figures given in the JJettchemedizini8che JVochenschrift. In the winter term 1922-3 therewas a total of 13,489 students, of whom 1,736 were womnen,and 2,204 foreigners, of whom 336 were women; while in thestimmer term of 1924 there was a total of only 9,316 students,of whom 1,373 were women, and 1,962 foreigners, of whom280 were women.

I

436 FEB. 28, I925] LETTERS, NOTES, AND ANSrVERS. TBE RItTiSm436.riED.28,19251 -J I MEDICIL JOU.NAL

THE West African Medical Staff List, revised up to the endof January, 1925, may be obtaiued from the Crown Agents forthe Colonies, 4, Millbank, S.W.1. Three lists are provided,officers being classed in grades, according to colonies, andaccording to their qualificatiotis and setvices.

MESSitS. W. HEFFER AND SONS, publishers and booksellersof Cambridge, have issued a catalogue of new and recentscientific books published by them, or of which they havecopies for sale. It is arranged under suitable headings,ranging from mathematics and physics to physiology,anatomy, and medicine. It also contains a list of portraitsof men of science the firm has for disposal, and a list ofcomplete sets of journals which can be obtained from them.Copies of the catalogue can, we presume, be obtained fromthem at 4, Petty Cury, Cambridge.ON his retiremenL from the post of mnedical officer of health

for Hornsey to take up a siwuilar appointment at Plymouth,Dr. A. T. Nankivell has been presented with an inscribedsilver cigarette box by the Mothers' and Fathers' Committeeof the Hornsey Mateinity and Child Welfare Centre.IN consequence of the outbreak of plague in the Sitapur

district, the Government of Indtia has instructed the railwayauthorities to cancel special trains in connexion with thereligious fairs at Nimsar and Mistikh.

5fttrs,, 4 atte, antt nVnd rs.ORIGINAL ARTICLES and LETTERS forwarded for publicationare understood to be offered to the BRITISH MEDICAL JOURNALalone unless the contrary be stated. Authors desiring reprints oftheir articles published in- the BRITISH MEDICAL JOURNAL arerequested to communicate with the Financial Secretary andBusiness Manager, 429, Strand, W.C.2, on receipt of proof.

CORRESPONDENTS who wish notice to be taken of their communica-tions should authenticate them with their names-not necessarilyfor publication.

ALL communications with reference to advertisements as well asorders for copies of the JOURNAL should be addressed to theFinancial Secretary and Business Manager, 429, Strand, London,W.C.2. Attention to this request will avoid delay. Communicationswith reference to editorial business should be addressed to theEditor, BRITISH MEDICAL JOURNAL, 429, Strand, W.C.2.

Communications intended for the currcnt issue -should be posted 8oas to arrive by the first post on Monzday or at latesa be received7not later than Tuesday morning.

TEIE telephone number of the BRITISH MEDICAL ASSOCIATION andBRITISH MEDICAL JOURNAL is Gerrard 2630 (Internal Exchange).The telegraphic addresses are:

EDITOR of the BRITISH MEDICAL JOURNAL, A itiology Westrand,London.FINANCIAL SECRETARY AND BUSINESS MANAGER

(Advertisements, etc.), Articulate Wcstrand, London.MEDICAL SECRETARY, Mediscera Westr(nd, London.The address of the IriSh Office of the British Medical Asso-

ciation is 16, South Freder1ick Street, Dublin (telegrams:Bacillus, Dublin; telephone: 4737 D)ublin), and of the ScottishOffice, 6, Rutland Squiare, Edinbu1rgh (telegrams: Associate,Edinburgh; telephone: 4361 Central).

QUERIES AND ANSWERS,SNORING.

DR. C. W. M. CAMERON (Grantham) writes in reply to " Wiltshire ":In late adult life the muscles which keep the mouth closed tendto relax in sleep more than they do in earlier life and allow thejaw to drop, with the result that the person breathes mainlythrough the mouth. This causes the soft palate to flag, whichproduces the snoring nioise. I think if " Wiltshire " were to usean elastic chin-strap at night for his patient he would get asatisfactory result.

INcomuE TAX.'G. R. H." inquires as to the calculationi of the amount of profitsmnade on letting a house furnished.

*** The following expenses are deductible: rent, rates, repairs,agents' fees, and a reasonable amount for use of furniture, say5 per cent. per annum on the insured value. If the house isowned by the person letting, then in lieu of rent tie amountassessed to income tax, Schedule A, is deductible. In additionto the above, any wages paid for gardener and so on would bedeductible. With regard to any articles for daily use speciallypurchased for the use of the tenanits and likely to wear out duringthe period of letting, we think that the inspector of taxes mayobject that any such allowance would be covered by the generalwear and tear allowance based on the insured value of thecontents of the house. It may be worth while to claim thededuction, but whether the claim can be stuccessfully presseddepcnds oni thc whole of the facts.

LETTERS, NOTES. ETC.

CENTRAL MIDWIVES BOARD.THE Secretary of the Central Midwives Board for England andWales writes with referenlce to the paragraph in our issue ofFebruary 14th (p. 329) to sav that out of nine bodies which sendup representatives to the Board, representatives fromn only threehave been reappointed up to the present.

PLEASANTRIES AT BATH.IN view of the Aniiual Meeting of the Association being held thisyear in Bath, the followinlg verses, from Eccetric antd Hu7nourousLetters, an olla podrida concocted in 1824, may in'terest andperhaps amuse.At the time that Dr. Cheyne and Dr. Winter were the two

principal physicians at Bath, they adopted very opposite modesof practice; but the former gained some credence for hisprescription of milk diet by making it the principal article of hisown su3tenance. On this occasion Winter wrote him thefollowing stanzas:

To Dr. Cheynte.Tell me by wliom, fat-hea red Scot,Thou didst thy system learn;

From Hippocrate thou hadst it not,Nor Celsus, nor Pitcairn.

Suppose we own that milk is good,And say the same of grass;

The one for babes and calves as food,The ot er for an ass.

Doctor, one new prescription try;A friend's advice fo give:-

Eat gra-s, reduce thyself, and die,Thy jnitie , ts thent m(1y lzve.

To this effusion Dr. Cheyne replied as follows:My systeml, Doctor, is my own.No tutor I pretend;

My blunders hurt myself alone,But yours your dearest friend.

Were you to milk and straw confined,Thrice happy migh you be;

Perhaps % ou might regain i our mind,And from your wit get free.

I ca 't your kind prescription try.But heartily forgive;

'Tis n tral -ou should bid me die.Ynit yoei yourself may live.

Dr. George Cheyiie, the target of Dr. Winter's shafts of wit,was a native of Aberdeenshire, and was born in 1671. He was atfirst intended for the ministry; his leaning, however, wastowards medicine, and he was persuaded to adopt that professionby Dr. Piteairn, under whom he studied. Having obtained thethe degree of M.D., he commenced practice in London, thoughwithout beloniging to the College of Physicians. On coming toLondon lie suddenly changed his former temperate, sedentaryhabits, aiid frequented the society of " the you0nger gentry andfree livers," with whom he became extremely popular, for hehad a genial temper and a ready wit. This life was greatly tohis liking-it was not only pleasant btut was of use in bringitnghim professional business; it, however, aggravated a naturaltendency to corpulence, which, witlh other troubles, caused himmuch distress. He therefore abandoned his free habits of livingand adopted a rigorous moderation, which brought some allevia-tion but cost him the loss of his pleasant companions anid a gooddeal of his professional work. His health was eveitually fullyrestored after a couirse of the Bath waters. Some time later herelinquished his abstempious for a " moderate " diet, and his oldenemy, corpulence, so gained upon him that he eventuallyattained the enormous weigbt of 32 st. and was hardly able towalk. To reduce his weight he adopted for the remainder of hislife a milk anid vegetable (liet; it is to be gathered, too, that herecommenided this regimen to his patienits, which seems so tohave rotused Dr. Winlter's ire that he penned the gibe printedabove.Dr. Cheyne was a voluminous writer, though few of his

works were puLrely medical. It was one of his earliest works,Fluxiomnen illethodus 11iversa, one authority asserts, that procuredhis admission to the Royal Society.

VACANCIES.NOTIFICATIONS of offices vacant in universities, medical colleges,and of vacant resident and other appointments at hospitals,will be found at pages 44, 45, 48, and 49 of our advertisementcolumns, and advertisements as to partnerships, assistantships,and locumtenencies at pages 46 and 47.A short summary of vacant posts notified in the advertisement

columinis appears in the Sypplement at page 83.

CORRECTION.DR. R. H. COLE asks us to correct two errors which al peared inthe summary of his address. delivered before the KensingtonDivision, on ' The present legal disabilities in the early treat-ment of muental disorders," published last week at page 357. Incolumn 1, line 15 from foot, for " 1884-5" read " 1844-5." Incolumn 1 of page 358, line 22 from top, for " and rate-supportedhospitals " read " but not over rate-supported hospitals." TheBoard of Control has no power over rate-supported mentalhospitals.