372 with those which active employment in hospital work or which registration would imply, and this la a consideration which will rightly and powerfully weigh both with the medical profeesion and with the public at large. A prospectus lies before us in which 2L is difficulty is attempted to be met by the publication of a list of the names of the staff of the institutions represented by the prospectus, a brief description of their qualifcations, training, and experience in every case being appended. The idea strikes us as a good one, and well qualified to subserve the interest, both of the nurses on the one hand and of their employers on the other.
right arm and leg. A tumour involving the left motor diagnosed, and Mr. Grubbe trephined over it. He found the bone very thin, not more thanin. thick, and on opening the thickened dura mater a single simple hydatid cyst was seen, and easily extracted. The pia mater was intact. The cyst measured 4 in. in diameter, and held 19oz. of fluid. The patient recovered. After six weeks he was able to get up and walk, his memory returned, and in all respects he was well except for his blindness. Such a case as this was extremely favourable for surgical treatment, as its situation greatly facilitated exact diagnosis, and its removal was unattended with any injury the
area was
It is believed to be the first recorded of the kind. Dr. Davies Thomas records three cases of recovery from cerebral hydatids, in one of which the cysts were passed through the nose and mouth; in two others they were removed through incisions in the scalp after the tumours had perforated the cranium. to the brain itself.
EAR DRUMS. HAVING recently received several inquiries as to the afficacy of artificial ear drums as a remedy for deafness, it appears advisable to say a few words on the subject. Certain specimens have been much extolled and advertised, and have in this way been recommended to the suffering public - for many years. A moment’s consideration will show that a general rule they are not only useless but highly injurious, being applied by those interested without examination of the patients, who in most cases possess a membrana ry:mpa7Jl which is already too thick and dense to admit of vibration. Artificial ear drums are useful only to those who :ia-ve perforation or complete absence of membrane, and even then only a small proportion are benefited by artificial drums. Should a case really requiring some form of artificial drum some under the notice of an aural surgeon, all rigid conwhich are intensely irritating and injurious to the delicate mucous membrane of the tympanum, would be avoided, and a small roll of cotton or absorbent wool moistened with glycerine and water would most likely be used. It should, however, be remembered that cases suitable lor artificial drums of cotton wool are always in a condition bordering on recurrent inflammation of the tympanic cavity, with all its dangerous consequences. It will thus be seen how highly important it is that applications of this Mnd should be made only by those who really understand diseases. Certain much-vaunted drums are given, or nather sold, by quacks to patients suffering from all and every ind of deafness to such an extent that nearly 90 per per cent of patients have another rigid drum placed upon a natural drum which is already too dense. Practical experience very soon convinces the victims of the danger and olly oj thus tampering with Nature’s delicate organisms.
MAGISTRATE ON ILLEGAL DEATH CERTIFICATES. IT is unseemly when magistrates attenuate serious offences. Mr. Byrne lately, in the southern division of the police goart of Dublin, had to try a case in which the
A DUBLIN
assistant (unqualified) of Dr. Maguire put that gentleman’s name to the certificates of two deaths of children io one family, though he had never seen the cases. The -mti,gist7-ate, however, said there was only the smallest possible amount of criminality in the action of the defendand let him off with a fine of ls. in each case. We highly disapprove of the magistrate’s decision, and hope it will have the attention of authorities on law and morals.
case
THE
INTERNATIONAL MEDICAL CONGRESS AT ROME IN 1893.
DR. GUIDO BACCELLI, president of the Accademia Medica of Rome, and Professor of Clinical Medicine at the Sapienza, took the chair at a recent meeting of the Societa. per il Bene Economico di Roma, to consider the means of ensuring the success of the International Medical Congress to be held three years hence in the Eternal City. Among the adjuncts to that Congress it was decided to form an International Exposition of Hygiene in connexion with the Sanitary Department of the programme, and, with that object, to appeal to all the leading industrial and professional centres throughout the peninsula to contribute their best and latest additions to the "Armamentarium
Hygienicum," so as to place Italy at as great an advantage as possible in the inevitable contrast between her own sani. tary work and that of the other Powers represented on the occasion.
Florence, which has hitherto led the
van
in
her
ener. progress in Italy, has already promised and other cities, like Turin and Milan, are expected to do likewise. Concurrently with the an International Medical Congress, Exposition of the Industries of All Nations is also being organised, so that Rome will be the busy scene of quite a gatbeiing of the peoples, on a scale she has not yet known since she ceased to be mistress of the world. The early summer months, May or the beginning of June, or the early autumn months, the latter half of September or the beginning of October, are likely to be those selected for the Medical Congress-all risk of malaria at either time being improbable.
hygienic
getic cooperation ;
A MEDICAL MAN CENSURED BY A CORONER’S JURY.
painful inquiry before Mr. R. Preston, the Tunbridge Wells, has taken place touching the death of Annie Emily Carnfield from puerperal peritonitis. She was attended by a midwife on a Tuesday, and was not seen by her again till the Friday, and then only because of A
VERY
coroner, at
a message that she was ill. Three medical men were concerned in the case. The first, Mr. Thomas Connan; the second, Dr. E. A. Starling, Poor-law medical officer; SUCCESSFUL REMOVAL OF HYDATID TUMOUR the third, Mr. William Stamford. Mrs. Camfield’s husOF THE BRAIN. band was a member of the Tunbridge Wells Benefit IN the .al2cstralasian Medical Journal for July, 1890, Societies’ Medical Association. He had not been able to Dr. Graham and Mr. Grubbe record a case recently under work for two years, and his wife maintained the family their care in which a hydatid tumour was removed from (four children) by her exertions. All his subscriptions to between the dura mater and pia mater of the brain. The the Association were paid in advance. He naturally went patient was a lad sixteen years of age, who suffered from for Mr. Connan on the Saturday, the medical officer severe nausea, veitigo, double optic neuritis with to the club, who came and saw Mrs. Camfield, and found loss of memory, mental dulness, and paresis of her in what lie described as a "grave, serious, and
’