CERTIFYING SURGEONS AND THE FACTORY ACTS.

637 done to the brief but brilliant career of this unassuming, relates three cases of Suppurating Dermoid Cyst, treated by industrious, and talented young physician. Most of the abdominal section; and Mr. Clutton gives notes of four cases papers in this volume are thoroughly practical in aim, and of Compound Fracture of the Skull, successfully treated by reflect largely the experience of the hospital. The firsti removal of bone. Mr. Lawford supplies notes of some outplace is given to a lengthy report (the sixth) of the Lying-in. patient cases in the Eye Department, whilst reports on the Charity for the ten years 1875-1885, drawn up by Dr. Departments for Diseases of the Skin and for Midwifery are Horrocks. Mr. Golding Bird sums up his experience of the furnished by Dr. Payne and Dr. Cory respectively. The Treatment of Scoliosis by Sayre’s Method, and also con- registrars (Dr. Hadden and Mr. Ballance) contribute their tributes an article upon the Rational After-treatment of: annual report for 1887. Surgical Cases. This article is admirable both for the hopefulness of its tone and the thoroughly scientific manner in Plumbing: a Text-book to the Practice of the Art or Craft which the subject is dealt with ; it deserves to be most of the Plumber, with Supplementary Chapters upon House and Ventilation, embodying the latest ImproveDrairzcrge and studied Of similar widely by surgeons. carefully ments. By W. P. BUCHAN, R.P., Fifth Edition, Revised but to the medical rather than the character, appealing and Enlarged, with 380 Illustrations, pp. 362. London: surgical fraternity, is the paper by Dr. Hale White Crosby Lockwood and Son. 1889. upon Massage-a method of treatment of great value THISwork was originally published to afford a handy textwhen used with discrimination, but one which has suffered book to the apprentice plumber, to which he could turn for an not a little from the over-zeal of its advocates. Dr. of the mysteries of his craft, and so understand Hale White succeeds in treating it in a rational spirit, explanation the object and uses of the various pipes used, their vaiious and the cases he gives are highly instructive. The same sizes and positions, &c. That it has answered the purpose writer contributes a paper on Simple Ulcerative Colitis and and supplied a felt want may be fairly deduced from the fact other rare Intestinal Ulcers, therein calling attention to of its having reached a fifth edition. Mr. Buchan has brought conditions which have been apt to be overlooked by authors to date the information on the subjects treated, and has. of text-books. Mr. Pennell’s abstracts of cases of Cancer up also added a sketch of the rise and progress of the moveof the Tongue, and Mr. Poland’s Statistics of Secondary ment for the of plumbers. We observe that he Hæmorrhage after Amputation, show to what good use well- calls attentionregistration to the necessity, from a health point of view, kept hospital records may be put, and make up to some extent of providing adequate outlet ventilation in rooms which are for the lack of any detailed statistical tables of the cases heated by means of gas stoves--an important point, which admitted into the wards of Guy’s Hospital. Dr. F. Taylor "When a we have reason to believe is often neglected. discusses in a thorough manner the subject of Multiple is much more stove is used in a there room, necessity Neuritis, giving several illustrative cases. He suggestively gas to provide outlet ventilation to carry off the vitiated air remarks that in past times such cases in women were than with the ordinary open fire, for the latter has generally recorded as examples of hysterical or functional paralysis. a large or wide opening into the vent, whereas the gas stove Dr. Goodhart writes on what he terms "Innominate has generally only a small outlet equal to about a threeFever," of which he gives examples, especially in anæmic inch or four-inch diam-eter A gas stove badly fitted subjects, and discusses therewith the value of antipyretic into a room may make thepipe. room warm, but at the same remedies. He declines to pass a final judgment on the time it may act as a slow poisoner; while a good gas stove latter, but urges, not without much reason, that they fitted into a room that is sufficiently ventilated will make should be employed with greater discrimination than is the it warm, comfortable, and healthy." The book has the rule. Mr. Davies-Colley relates a case of Aneurysmal of a copious index. Varix of the Thigh treated by Operation; and Mr. Lawford great advantage Knaggs communicates a paper on the Importance of Peritoneal Effusions in Peritonitis and after Abdominal CERTIFYING SURGEONS AND THE Operations, in which he seeks to impress the value of FACTORY ACTS. drainage of the peritoneum in cases of inflammatory (acute or tubercular) effusion. A DEPUTATION, representing some 800 or 900 certifying In St. Thomas’s Hospital Reports we are pleased to meet of Great Britain and Ireland waited upon Mr. with two papers by Mr. Le Gros Clark. The one is a con- surgeons Matthews at the Home Office last Monday with a view to tinuation of his Records of Surgical Experience, and the the protection of their interests created under the Factory other on the Cultivation of the Faculty of Observation in Acts. The deputation was introduced by Mr. Darling, Professional Work, a theme that cannot be too often or too Solicitor-General for Scotland, supported by several memof Parliament. Mr. F. H. Walmsley, president of deeply impressed on the student. It is needless to say that bers formed Association of Certifying Surgeons, the recently it is treated by Mr. Le Gros Clark in a manner that carries that they came to see the Home Secretary in explained conviction with it. Dr. Payne’s paper on Plagues, Ancient consequence of a deputation last February having urged and Modern, treats of a subject of more than antiquarian the abolition of the factory surgeon. He contended that interest, since an outbreak of the sweating sickness occurred the ordinary inspector could not properly do the duties of in France in 1887. Dr. Ord writes on the Diagnosis of a surgeon, and it required a medical training to ascertain Adhesions of the Pericardium, in which he points out that the real ages of the young people presenting themselves for certificates to enable them to work in factories. The many signs of adherent pericardium are common to effusion general health of the community was an important matter, (the diagnosis of the latter has often been made when the and, so far from certifying surgeons being abolished, the former condition alone was present), but the characters of powers under which they were appointed should be the impulse, systolic retraction, fixed position of the apex, increased and their duties extended. Dr. Clayton (Accrington) spoke of children being preand want of change in the cardiac area of dulness in sented before him for certificates who were suffering from inspiration and expiration are indicative of the former con- incipient dropsy and small-pox. He also mentioned that dition. The paper must, however, be read carefully, for each there was a great increase of diseases of the eyelids, in conof the steaming now prevailing. sign is taken up and discussed in turn, and its relative value medical members of the attached to it. Mr. Battle contributes a very interesting followed, and of the to the health the serious to spoke consequences paper on Obstruction of the Inferior Vena Cava; Dr. Hadden children which would ensue if factory surgeons were done one on Cerebral Abscess in Ernpyema, in which three away with. cases of this association are recorded; and Dr. Bristowe Mr. Matthews said he had listened with attention to one on four cases of Chronic Ear Disease, followed by all that had been said, and it should have his careful intra-cranial complications and death. Dr. Cullingworth consideration before any changes were made in the law.

sequence Several

deputation