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to enumerate, but which a few months spent in our wards will enable you to appreciate. Even at the moment at which I speak operative surgery is threatened with being completely revolutionised as to its results by the carbolic acid treatment of Professor Lister. Vesico-vaginal fistulæ no longer consign their wretched victims to a miserable life, to which in many instances death itself is preferable. Fissured palates no longer are dependent upon mechanical means for their relief. Deformities now more rarely offend our eyes, and surgery, as Alexander of old, bids fair soon to have to sigh for new worlds to conquer. I have considered, gentlemen, that a retrospect such as this of the events that have occurred in surgery within my own recollection, cursory and incomplete though of necessity it should be, cannot be unattended with some advantage to you. It must tend to prove that if such strides have been taken in the comparatively few years that have elapsed since I, like yourselves, was a student, what may not be looked for before the next period of twenty years has expired? You have physical aids to investigation absolutely unknown to the student twenty years ago, or inaceessible from their price. Then a sacant would feel proud of the possession of the instrument which at the present day, in consequence of its moderate price, is termed the Students' Microscope. Our only means of examining the throat and windpipe was the spoor, with which we depressed the tongue; you have the laryngoscope. Visual examination was the only means we had of ascertaining the nature of diseases of the nostrilsa method by which we were utterly at fault when the posterior aures were the seat of the disease; you have the rhinoscope. For diseases of the rectum and vagina it is true we had specula of various forms; but, in addition to those, you have now the endoscope, whilst the osteoscope and the ophthalmoscope give you great advantages in the study of diseases respectively of the ear and of the eyes. Of a verity, gentlemen, much is now intrusted to your charge; see to it, that hereafter you will be able to give a good account of your stewardship. My time here, gentlemen, is rapidly drawing to a close, and yet would I fain say a word more to you, not so much about your professional as your extra-professional studies. As yet, none of our licensing bodies demand of you proofs of having studied hygiene, and yet, perhaps, it is the one subject of all others most important to the public weal, that to the value of which the public generally are becoming more alive. Upon a thorough acquaintance with its principles the health not only of individuals, but of communities, depends. And here again, at the risk of being considered vainglorious, I will venture to assert that Irish surgery has taken the lead. Years since, in 1844, our College of Surgeons established a professorship of hygiene; the lectures are delivered during a comparatively unoccupied period of your year, in the summer session; no fee is exacted for attendance upon them; they are open to all comers, lay or medical, male or female; the reputation of the professor, Dr. Cameron, is sufficient guarantee for the manner in which the duties of the chair are discharged. Let me, then, most earnestly impress upon you the importance of taking advantage of this opportunity afforded you of becoming versed in a subject which hereafter will prove of such importance to you in your professional relations. "All work and no play makes Jack a dull boy," is an old, and, I believe, a true adage; and what is true of the boy doubtless is true of the student. You cannot-nay, more, you ought not employ all your hours in the study of medicine; you must have some relaxation. In spite of what has been frequently urged elsewhere, I believe that the preliminary education of medical students has been much improved of late years. I believe, also, that much of this improvement is due to the steady enforcement by our College of Surgeons of an amount of information on the part of those who pass our preliminary examination, equivalent to state it in the mildest manner--to what would enable the student to pass the entrance examina

tion in Trinity College. Whilst, therefore, I cheerfully acknowledge this improvement in your preliminary studies, still I fear that, as a rule, there is a sad deficiency upon your parts, so far as an acquaintance with modern languages is concerned. Now, gentlemen, if you but knew the amount of absolute pleasure of which you thus deprive yourselves, I think you would make some exertion to remedy this state of things. When tired of professional work, if, instead of seeking questionable haunts of so-called pleasure, you would only attend some of the numerous evening classes carried on in our city for the study of modern languages, you would unbend the bow, and at the same time discover that for which the profligate and effeminate monarch of old sought in vain -a new pleasure. At the present period of your life it would be impossible for you to estimate at its just value the future importance to you of a moderate knowledge of even one of the continental languages. In conclusion, gentlemen, permit me to remind you that it is in the wards of your hospital that you are to study disease, that there it is you will see carried into practice all the theoretic precepts inculcated upon you elsewhere, that disease is Protean in its character, daily, nay, hourly, changing its features, and that hence will it demand of you the closer study; that to miss one day's observation of the case in which you take an interest is, as it were, to lose the thread of a discourse, and may render all your previous attention of but little avail. Let me advise you to be punctual in your attendance here each morning. In your intercourse with the sick entrusted to your charge, be kind, be forbearing, be gentle, be humane, remembering that they are your fellow-men, God's creatures, in but too many instances, sadly and sorely afflicted. your return to your homes each evening, reflect over the observations you have heard made upon their cases by the surgeons in attendance, contrast these observations with the phenomena of the disease which your own powers of observation have enabled you to collect, read concurrently the works of authors of standard reputation upon the subjects of your morning's study, preferring as much as may be monographs to manuals, and in your reading let the words of Bacon ever influence you— "Read not to contradict and confute, nor to believe and take for granted, nor to find talk and discourse, but to weigh and consider." If with all this you cultivate the habit of accurately recording the cases entrusted to your charge; if you seize every opportunity of practically familiarising yourself with such details of minor surgery as usually falls to the lot of students in an hospital, you will have done much to qualify yourselves hereafter to discharge with credit the duties which may devolve upon you. Gentlemen, I have done; but before we part I have a solemn message to give you-a message the more worthy of your attention, inasmuch as ages ago it emanated from the lips of the wisest human being who ever lived-it is contained in a few words, and is simply this "The fear of the Lord is the beginning of wisdom."

Upon

Original Communications.

ON A NEW SPHYGMOGRAPH.
Invented by M. LONGUET.

Translated by THOMAS W. GRIMSHAW, M.D.,
One of the Physicians to Cork Street Fever Hospital; Lecturer on
Materia Medica in Steevens' Hospital.

M. BEHIER exhibited at the Académie de Médécine, on the 10th of November, a new Sphygmograph, the invention of M. Longuet, of which he gave the following description :

The essential part of the instrument consists of a vertical stem A, (see fig.) terminating above in a crutch-shaped 62

extremity B, to which is attached a thread, which is wound round a moveable axle, and its lower end terminates in a plate and button, which presses upon the skin covering the artery to be examined.

A spring C presses against this stem which it depresses, after the stem has been raised from below by the shock of the artery. Upon the moveable axle is fixed a wheel H, which by each movement of the artery is made to describe an arc of a circle proportional to the force communicated to the vertical stem by the shock of the arterial pulsation,

The principal stem also transmits to a moveable needle I, a motion which indicates the amount of pressure exercised upon the artery, as also the power of the arterial pulse. An ordinary pen is held by an articulated stem G, attached by a clamp to the wheel, the motions of which

The instrument has the following advantages over that 1st. The arm does not experience any of M. Marey. pressure except at three points of little extent, namely, the two supports and the terminal plate. This pressure is not sufficient to obstruct the venous circulation.

2nd. The mode of support of the arm permits the application of the instrument to children, thus supplying the want pointed out by M. Siredey in the examination of young subjects.

3rd. The pressure upon the artery is made perpendicularly and is much more limited, the tracing is consequently more precise.

4th. The pen is much more manageable than that of M. Marey; it is not only capable of being removed without changing the position of the instrument, but also its holder can be lengthened or shortened, by which the described arc can be increased or diminished, the result being that the tracing from the same pulse can be rendered more or less ample according to the object of the experiment. The indications given by the instrument remain, however, comparable with one another.

5th. The dynamometer not only indicates the general presence (as the dynamometer adapted to Marey's sphyg mograph by M. Béhier), but also the force exercised by the pulsation.

6th. The movement of the clockwork lasts longer than in Mary's sphygmograph, allowing the employment of a longer band of paper, and permits the registration of peculiar (intermittent) varieties of pulse.

7th. Enamelled paper is not required; the endless bands used for telegraph purposes may be used.

8th. The apparatus can be arranged and applied without the stem making any pressure upon the artery, (an improvement already introduced into Marey's instrument by M. Béhier).

9th. The sliding rest, upon which the whole apparatus is supported, is moveable in such a way that the terminal plate and button can be moved outside the stand by giving the apparatus a turn, thus making the instrument available for examining the pulsation of the heart, the femoral, &c., by applying the stand upon the chest, thigh, &c.

Hospital Reports.

MERCERS' HOSPITAL.

[graphic]

it follows, describing a horizontal tracing where the CALCULUS IN THE BLADDER WITH REFLEX PARALYSIS principal stem makes a vertical movement.

The paper upon which the tracing is described, is set in motion by two cylinders moved upon one another by clockwork. The length of the paper should be one metre and four centimetres. The motion of the rollers is quicker than that of the slide of Marey's instrument.

The apparatus is worked by clockwork M attached to a sliding support K, fixed in a wooden stand D; upon this stand are two moveable wooden supports which serve to maintain the arm in proper position. Without this last arrangement the arm should undergo pressure sufficient to derange the circulation.

The mode of application is as follows: The arm is placed between the two supports on the stand, in such a way that the artery shall be placed under the plate and button. The whole instrument is now brought down by means of the sliding arrangement until the terminal button presses upon the skin covering the artery; immediately the needle describes an arc of a circle indicating the pressure, and at the same time the wheel also makes a partial revolution.

By a few repeated trials we arrive at the maximum of oscillation, when the instrument is in proper position. The pen is now placed upon the wheel and maintained in position by the clamp; the point then marks the paper by a to-and-fro movement, which by the motion of the paper is converted into an undulating line.

LITHOTRITY.

SUCCESSFUL ISSUE.

BY MR. MORGAN, F.R.C.S.I., Surgeon to the Hospital.

M.B., æt. thirty-eight, a musician and ex-pensioner in the army, and father of four children, was admitted July 10, 1868, being sent from the country as an aggravated case of paraplegia. He gave the following history:About eight months previously he suffered from pains in the lower limbs, the legs were edematous, and he was troubled by incontinence of urine. The lower extremities became completely paralysed, alternating with spasmodic contractions at intervals. An extensive slough formed over the sacrum, and he suffered much from pain and great prostration. The urine was constantly flowing away, and there was excessive irritation about the bladder. This condition had existed for six or seven months without mitigation.

On admission he was in a most pitiable condition, suffering greatly from spasms and pains in the lower limbs. The urine constantly dribbling away, the penis being nearly always retained in the urinal. The prepuce is partially sloughed away, and the fæces are passed involuntarily. The lower extremities are wasted and the legs oedematous Sensibility is perfect. There is constant irritability of the glans penis, and pressure over the pubis causes con

siderable pain. The urine is alkaline, with a large quantity of pus and phosphates. A catheter was introduced, and on its passing into the bladder violent contractions of the limbs took place, and the rectum emptied itself at once. Very little urine was drawn off, and a calculus

could be detected close to the vesical orifice.

The bladder was washed out with warm water and emptied by Clover's apparatus, which was extremely serviceable and convenient. The prepuce being in a semi-sloughed condition it was divided freely, and the glans exposed. Nitro-muriatic acid and Pereira brava were administered, and the parts carefully dressed with

chloride solution.

Looking on the paralysis as reflex, and depending on the irritation caused by the calculus, I determined on breaking down the stone by lithotrity, as the case was otherwise favourable, when the general health and the condition of the urine was improved. On the 23rd July I passed in a Charriere's lithotrite, and after some manipulation I succeeded in seizing the stone, which I crushed successfully and without causing any pain to the patient. A warm poultice was put over the lower part of the belly, and a free anodyne administered. There was no irritation or pain caused by the operation, which occupied four minutes.

The bladder was not washed out, but left quiescent, and shortly small portions of detritus were passed.

3rd August. Since last report several portions of calculus have been passed, including one large fragment which had been partially impacted in the urethral orifice for a few hours.

ment was continued.

of

August 11th. Another sitting was held to-day, and the remaining fragment of stone seized and crushed. As these portions were small I washed out the bladder with

warm water.

From this date the symptoms steadily improved, the detritus gradually disappeared, till on the 20th August the patient suddenly found great difficulty in passing water. On introducing a small catheter a fragment could be felt at the orifice of the bladder. I then passed the Clover's catheter, and withdrawing the stylet the fragment fell into the large eye of the instrument, and so I removed it-measuring about the size of a large pea and irregular in outline. No further fragments were passed or could be detected after this date.

In this case the condition of the lower limbs was very marked, and the spasms on passing an instrument or moving it in the bladder were so severe that the students present had to steady the limbs by pressure; and it was very interesting as proving the high degree of reflex irritation, that on passing along the urethra there were no spasms till entering the bladder, and when entered they were excited by the slightest touch to the interior, and this to a very violent degree. The progress of the case towards cure, once the stone was well crushed, was most steady and satisfactory, the patient walking home an apparently sound man, who had some time before been carried into hospital in extreme misery and prostration.

CASES FROM MELBOURNE.

By MR. HENRY LEE, of St. George's Hospital.
WE are indebted to Dr. Bird, of Melbourne, for the
following cases. The first is interesting from the obstinate
resistance which it offered to all remedies; and the second
from the perfect manner in which the cure was effected by
means of the colonial vapour baths.

CASE I.—Intractable case of Communicated Constitutional
Syphilis.

Mrs. æt. thirty-seven, atro-bilious temperament, came under my care in 1862, suffering from neuralgia of the face and head, not decidedly intermittent, nor appa The paralytic symptoms had visibly improved, the pain rently dependent on any of the usual local or constitutional in micturition abated, and considerably more power causes. She was treated with various remedies, both retaining urine had been gained. On careful examina- external and internal, for about four months, without any tion with the lithotrite, at a sitting this day, a rather marked benefit, when the pains changed their character, large fragment of stone was found and crushed. The treat- and became decidedly periosteal with tenderness of the scalp, the clavicles, and sternum, and sometimes of the ulna. rapidly produced its usual good effect. She continued it I at once gave her iodide of potassium, which for four months, got fat and well, and lost all her pains. Some two months afterwards, she began to get thin, the left supra-spinous fossa. I put in a little seton in spat a little blood, and had decided tubercular click in that locality, and gave her cod oil and iodide of iron. The symptoms gradually subsided, and have never recurred; but with the subsidence of the chest symptoms violence than ever, and now the system was absolutely the old periosteal pains began to return with greater unable to bear iodine in any form; even the one-tenth of a grain of iodide of potassium caused violent vomiting, and a herpetic eruption on the skin. She began to have at night as large as half a pigeon's egg, and apparently remarkable fugitive nodes on the head, which would appear filled with fluid, and intensely tender; these would disappear in 24 hours, to reappear on the other side of the head; similar swellings occurred on the sternum. The iodide and biniodide, or bichloride of mercury, or even grey powder in the minutest doses, caused violent mucous with calomel and cinnabar; this was borne well, but irritation and vomiting. I used Lee's vapour bath, both did no good after a lengthened trial. After a year of intense suffering she got into the habit of taking opium regularly, about 3ij of Battley in the day. Despairing of which were borne well enough, but did not affect the pains the anti-specific treatment, I gave her tonics of all kinds, in the least. Full diet and low diet were equally inefficacious. She tried hydropathy and homoeopathy; the first did rather harm, the latter no good, as it is hardly necessary to state. Her history is this: she has been had suffered very severely from constitutional syphilis, from married fifteen years to a gentleman, who allows that he which he was, however, decidedly cured before his marriage. He bears, however, several decided scars of rupia, and had undergone very severe treatment at the hands of many physicians and surgeons on the continent. She had one miscarriage a few months after marriage, and has never been pregnant since. The womb is perfectly healthy.

The patient gradually improved now from day to day, the power of retaining urine increased, and the pain in micturition almost disappeared by the first week in September, when he was able to sit up, but with difficulty, as unfortunately an extensive slough had formed over the sacrum, corresponding to the cicatrix of the original one. This retarded his recovery very materially. On the third week of September the patient was able to stand a little, and gradually improved in walking and power over the limbs, when he was discharged cured, being able to go home to Athlone by himself, and to walk steadily with the help only of a stick.

He passes urine but once or twice a night, there is no calculus of any kind to be felt on most careful examination, and the limbs are increased fully one-fifth in size. The instrument of Charriere's I first used was a combination of catheter and lithotrite. At the second sitting there was some difficulty in withdrawing, and on examination I found that the hollow rod had partially given way, and that this was at a welding point. I subsequently used the instrument with the solid rod, which I found serviceable and I am sure more reliable, unless for a very soft stone. This stone was soft, phosphatic, and nearly measured 14 by 1 inch, and was so broken up that I could obtain but three fragments of any size; the rest passed as copious detritus.

Neither he nor she have had any primary symptoms since marriage, nor has he had any return of the tertiary symptoms from which he had formerly suffered so long. About a year ago she was persuaded to consult a quack, who has a really valuable cholagogue nostrum with which he treats rheumatism and liver disorders. This did her more good than anything since the first use of the iodide of potassium, but has now entirely lost its effect; the pains are as bad as ever, not limited to any time of day, not affected by weather or any external causes. She seldom has the nodes on the head now, and never on the clavicles or sternum. Four months ago the left eye began to bulge, and she began to lose the use of the left cheek. She is now (June, 1868) unable to close the left eyelid, and the mouth is drawn to the right side. There is a large periosteal tumour on the right brow and side of the head, but no other swelling of any kind perceptible about the head or face, nor any further symptoms of paralysis than the above. The sight is not affected. I have used at one time or the other every sedative I could think of, either in or out of the pharmacopoeia, both by the stomach and subcutaneously, without more than a very slight benefit. Sal ammoniac both in large and small doses, quinine, iron, zinc, aconite, arsenic, galvanism, acupuncture, sarsaparilla by the gallon; numerous medical men have met her latterly in consultation, but (with the exception of an eccentric Frenchman, who proposed to cover her with dry cups from head to foot), no treatment has ever been proposed which I had not tried previously without effect. I have no doubt of the case being one of communicated constitutional syphilis, which I believe is now attacking the brain. I may mention that the liver is rather contracted than otherwise, and that at the times when the pains are most severe, she is liable to have bile in the urine, but never jaundice. I have endeavoured to introduce iodine endermically by means of iodized soap made of iodide of potassium and white curd soap; this when rubbed into the skin is absorbed very readily, but causes the same bad symptoms as when the drug is given internally; of course, I have tried the rubbing in of mercurial ointment till the gums were gently affected, but with equal nullity of good result. She now takes no medicine beyond her daily allowance of opium. CASE II.--Syphilitic Stricture of Lower Bowel treated by Mercurial Vapour Bath.

A gentleman consulted me some months ago with the following symptoms. A hard base of an old chancre on the prepuce, and scattered coppery scaly eruption about the trunk. These symptoms dated for some months, and were avowedly syphilitic. Latterly he had found increasing difficulty in passing his fæces, which came away in thin pieces about the diameter of the little finger. When he had neglected the bowels for some days he was liable to a hard collection in the cæcum, which required repeated enemas and doses of oil to dislodge. The gut could be felt as a hard round cord externally, as the sigmoid flexure dipped into the rectum. The finger failed to reach the constriction, but with a little care a rectum bougie was introduced into it, and so tightly gripped that considerable force was required for its extraction. He had suffered a good deal from dyspepsia, was very low-spirited, and had the faded look common to these cases. He had a horror of taking mercury, because another medical man had given him gr. doses of the bichloride, which had produced violent mucous irritation and had aggravated the symptoms. I made him use a Lee's lamp with Ej of calomel every other night, and take 10 grs. of ox gall with gr. j of extract of aloes every night. This made the fæces so soft and homogeneous that they passed readily without the necessity for enemas. The treatment was persevered in for four months, at the end of which time he had no trace of syphilis visible, and passed large healthy stools without any trouble. He is now in better health than he has been for many years.

CORK STREET FEVER HOSPITAL.

Under the Care of DR. GRIMSHAW.

THE two following cases are of interest on account of the peculiar nervous lesions accompanying them. Unfortunately no post-mortem examination was obtainable in either case.

CASE I.-Kate K-., aged thirty years; eight days ill before her admission into Cork-street Hospital on August 2nd, 1868, when she presented all the symptoms of typhus except macula, which appeared on the following morning. Ordered nitro-hydrochloric acid, and four ounces of wine. August 3rd.-Maculated; doubtful ptosis of left eyelid; running all right; continue treatment.

4th.-Worse in every way; did not pass water from visit time yesterday until catheter was used in the evening. Ordered eight ounces of wine.

5th.-Worse; pulse very weak, little chance of recovery; ordered wine twelve ounces, and blister to back of neck.

6th.-Paralysis of left side of face; no paralysis elsewhere; continue treatment.

7th.-Got a little better yesterday, but is now worse, quite insensible; paralysis of face continues; doubtful paralysis of right leg; bowels coufined; ordered turpentine enema. Got somewhat better after the enema, but died in the afternoon.

Paralysis in connection with typhus fever is rare, but less so as a sequela than as a complication, as occurred in this case.

CASE II.-Thomas C., aged twenty (?) years; married; a shoemaker; eight days ill before his admission into hospital on July 28th, 1868. Has Pot's curvature of the spine, for which he has been treated in Mercer's Hospital. Has paralysis of the lower limbs; cannot or will not speak except in occasional monosyllables; great hyperesthesia of legs; cuspes on the right side of the penis and scrotum; tongue dry, and lower extremities cold; pulse pretty good. Ordered heat to extremities; chloric ether; and two ounces of whiskey made into punch.

July 29th.-Maculated; passed urine and fæces involuntarily; pain and stiffness of arms; cut part of his shirt. Ordered blister to nape of neck; calomel three grains, wine six ounces.

30th.-Maculæ numerous and distinct; delirious and stiff and painful; respiration, 32; temperature, 102-8; dangerous during night; pulse 102, very weak; arms very some bronchitis. Ordered blister to chest, leeches to temples; repeat calomel.

31st. Decidedly worse; pulse 108, very weak; respiration, 36; temperature, 132°; retention of urine, a small quantity of urine was removed by the catheter; blister did not rise on chest. Ordered wine sixteen ounces, whiskey two ounces; continue cantharides to head and chest; continue calomel.

black; respiration, 42; temperature, 1024; continue August 1st.-Worse; pulse, 120; very weak; tongue

treatment.

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scrofulous patches of erythema nodosum above condyles of hameria, and over front of legs; frontal headache, tongue furred, pulse 120, respiration 50; no fresh patches after three days later.

Grey powder, rhubarb, and magnesia; dilute muriatic acid and chloric ether; cod liver oil; fomentations to legs.

Ellen L., æt. three, admitted June 26, removed by father June 27; in hospital one day.

Quinine, iron, dilute sulphuric acid, and chloric ether.

CHRONIC ECZEMA.

Georgina P., æt. twenty-two, servant; admitted July 6; discharged November 4; in hospital 121 days; recovery. (Dr. Beale, vol. 7, p. 209.) Eczema three or four times yearly for last six years. Never quite free from it during that time. Previous illness seven weeks, Commenced on face, then on neck, front of chest, axillæ, abdomen, buttocks, lower part of back, and inside of thighs. Skin of these parts red, moist, and covered in places by incrustations. Much smarting and itching.

Bicarbonate of potass and sulphate and carbonate of magnesia; afterwards bicarbonate of potass, aromatic spirits of ammonia, and liquor cinchone, cod-liver oil. Locally, glycerine lotion, benzoate of zinc ointment, tar ointment, alkaline lotion, ointments of oxide of zinc, and of nitric oxide of mercury. Wet packing.

T. B., æt. fifty-two, dockyard labourer; admitted June 24; discharged August 20; in hospital 57 days; very much relieved. During last four months has had edema of both legs, and an eczematous eruption on left leg. On admission lower half of left leg and upper part of right calf red and shining, and partly covered with crusts. Has had gout.

White mixture o.m.; spirit lotion; lead lotion.

SCOTLAND.

relief has been given to more than 12,000 poor people. Free passages back to Scotland have been provided for upwards of 200, chiefly mechanics, and 140 Scottish children have been educated at its expense.

SCOTTISH REGISTRARS.

In the returns for the last quarter we find the following notes which have been collected, and which may perhaps interest some of our Scottish readers :

Huntley, Aberdeen.-"The deaths here have been regularly diminishing for two years; can the introduction of a copious supply of excellent water have anything to do with this?" Eyemouth, Berwick.-"This parish has enjoyed a longer immunity from epidemics than usual, which is attributed to the extra supply of water lately obtained and to other sanitary arrangements," Jedburgh, Roxburgh.-"Of the 52 deaths 34 resulted from Scarlatina, which, for two months, has been epidemic. Whole families of children have been prostrated at once. Had it not been for the excellent sanitary state of the town and the abundant supply of good water, the registrar has no hesitation in stating that the disease would have become a pestilence. About 1842 or 1843, when the town was not so well supplied with water, scarlatina broke out, and in the course of six weeks 60 young children died from it." St. Andrew's, Dundee." After a good deal of inquiry the registrar is quite convinced that the greater proportion of cases of diarrhoea and British cholera recorded in August were of a preventible type, and were caused by carelessly kept dungstances in rather close proximity to houses in ill-aired courts and closes, and bad drainage in connection with the oppressive sultriness that prevailed." Auchtergaven, Perth.-"The ages of the 12 persons whose deaths were recorded this quarter, to have been fatal to the old." Lochlee, Forfar.-"Of the 4 ranged from 54 to 89 years; the extreme heat of July appears deaths in the return three were of people whose united ages

amounted to 236 years." Insch, Aberdeen.-"The deaths in most cases were of persons considerably advanced in years." Kintore, Aberdeen." Half the deaths were those of aged persons." Kirknewton, Edinburgh.-" Of the 7 deaths registered 5 were of persons above 60." Milton, Glasgow."266 deaths; 25 were of persons above 60, one being 97." Gairloch (North), Ross.-"Three deaths registered; 2 were of persons aged 86 and 105." Barras (insular)." Of the 17 deaths recorded six were of persons whose ages averaged 91; one was 78, one 88, two 94, one 95, one 98."

SCOTTISH HOSPITAL IN LONDON. On the evening of St. Andrew's day the 204th Anniversary Dinner of this Hospital was held at the Freemasons' Tavern. The Marquis of Bute was in the chair. There were several ladies in the gallery, and in the body of the DR. RICHARD, of Dumbarton, presided at a dinner given hall about 350 gentlemen. "The Queen and the Royal Family" was the first toast that was drank; next, the in honour of Dr. R. Buchanan, of Knoxland, who for fifty Army, Navy, Militia, and Volunteers, which was responded years had been a practitioner in the county. A large to by Sir J. Hay, M.P., Captain W. M'Gregor, and Cap-company of medical men were assembled, and after dinner an address, enclosed in a handsome silver casket, was pretain Lumsden; after which came the toast of the evening, sented to him by the chairman, commemorative of his high "The Scottish Hospital." The Chairman, in proposing it, said that in England it was not unusual to attribute to professional merits, and the esteem in which he was held by all who knew him. the Scotchman a certain degree of coldness, calculation, and hard-headedness; but the history of the Charity whose cause he had the honour to advocate, would, he felt satisfied, clearly prove that Scotchmen were no less alive than others to every kindly feeling. The toast was received with loud cheers, and the Duke of Roxburgh, the President of the Hospital, returned thanks. During the dinner the band of the Scotch Volunteers played, and the strains of the bagpipes were heard at intervals. The health of the Chairman was drank with all the honours, followed by the custom of placing one leg on the table and breaking several glasses. The health to the ladies was rapturously acknowledged.

This is an institution of which we cannot speak too highly. It was founded in the reign of Charles II., and ever since that period has been the means of relieving suffering and restoring health in no ordinary degree. It was founded to assist the infirm, the aged, and the indigent natives of Scotland resident in London who were not receiving parochial relief. It has worked efficiently in carrying out these objects for years; and the last year has been as productive of good as its predecessors. Pensions have been granted to 200 persons varying from 67. to 257. per annum; more than 210 per month have received gifts in money, sometimes as much as 57. at a time. Casual

THE UNIVERSITIES OF EDINBURGH AND
ST. ANDREW'S.

THE election of Member of Parliament for these Universities closed on Friday, and on Saturday, at the declaration of the poll, which was held in the Library Hall, Edinburgh, the Vice-Chancellor announced that Professor Playfair was duly elected. He said, that in his opinion, both candidates were equally qualified to represent the Universities, and it would have given him great satisfaction to have seen them both elected. He shook hands with Professor Playfair, and congratulated him on his election. Professor Play fair said he should bear in mind that he was the representative, not only of the majority which supported him, but of the whole constituency, and should pay unvarying attention to the interests of the Universities. He closed by expressing his gratitude to the Vice-Chancellor for the impartial and able manner in which he had superintended the election.

GLASGOW AND ABERDEEN UNIVERSITIES. Ar the close of the fourth day's poll the numbers were a majority of thirty-six for Mr. Moncrieff. We shall not get the result before going to press.

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