243 in the present war, and he lays great stress on the need of using antitetanic serum early in cases of lacerated wounds. The importance of ambulance ships is acknowledged, and therefore we are glad to see two papers on this subject. One is by Mr. SEYMOUR BARLING, who points out that in the cases carried in ambulance ships there is an undue proportion of wounds of the upper and lower limbs, because the more serious wounds of the head, thorax, and abdomen remain in the hospitals of France. Mr. CHARLES A. PANNETT, serving in the hospital ship Liberty, discusses in a practical way the fitting up of hospital ships, their personnel, and Some very striking the transport of wounded. taken HERSHEL HARRIS, of ,skiagrams by Captain Sydney, accompany an account of radiography at the Australian Voluntary Hospital, Boulogne. Mr. WILLIAM THORBURN has described the work - of the 2nd Western General Hospital and Mr. ,GILBERT BARLING that of the lst Southern General Hospital. Mr. D’ARCY POWER has contributed a rnote of a case in which gold coins were carried into the back by a shell fragment ; and Mr. W. BALY PEACOCK has illustrated a case in which a pile of five-franc pieces were deeply scored and bent by a bullet. Lastly, we may mention an account of a visit to some of the military hospitals of Paris and Boulogne, an especially full account being given of ’the Hotel Majestic in Paris. It will be seen from these admirable professional journals that the medical profession, both naval, military, and civil, are doing their best for those who have suffered wounds and injuries in this The energy with which the writers have war. managed to find time to put on paper some of the lessons which the war has already taught us is to be highly commended, while it is rapidly becoming clear that the whole subject of military surgery will require overhauling in our text-books.
SCOTTISH POOR-LAW MEDICAL OFFICERS’ ASSOCIA. TION.—The council in its report for the year 1914 states that the number of vacant appointments was not so large at usual, and the correspondence in connexion therewith war therefore considerably less. The new Order issued by the Local Government Board came into force rendering al forms of tuberculosis notifiable. A fee of ls. is payable b; the local sanitary authorities in respect of each case occur Ting in parish practice, and 2s. 6d. for cases occurring in private practice. The Highlands and Islands (Medica ’Service) Grant Act came into force, and, from all the counci has been able to learn, will do much to render the position ,of medical officers in the Highlands and Islands much mor satisfactory, both in regard to remuneration and status. I ,is especially noted that medical officers in the croftin .counties now have an appeal to the Local Governmen Board in cases of dispute with their parish councils. Frot :all the information the council has gathered the National Insurance Act appears to be working to the benefit of bot Poor-law medical officers and the public in sparsely populate districts. The annual meeting of the association will be hel in the St. Enoch Station Hotel, Glasgow, to-day, Frida: Jan. 29th, at 4.30 P.M.
Annotations. "
THE
BELGIAN
Ne quid nimis."
STUDENT AND THE OF CAMBRIDGE.
UNIVERSITY
THE Master of Christ’s College, Cambridge, Professor Shipley, writes :-" We are gradually building up a little Belgian University here for students who, for one reason or another, cannot go to the front and for professors who are past the age of serving. Altogether we have between 100 and 200 students and some 15 to 20 professors. Last term we were able to establish effective teaching in four faculties and this term we have increased the number to In the Faculty of Medicine we are in six. need of copies of some standard text-book on human anatomy, preferably Gray’s." The University of Cambridge has already found several thousand pounds to support her guests, and will have to find several thousands more to fulfil the obligations which she has undertaken, even if such a term is put to them as next June. It will be necessary to husband resources very carefully, and it is not possible to purchase expensive text-books. It may be that some of our readers have copies of.. "Gray’s Anatomy" lying unused on their shelves. If this is so, the Master of Christ’s College would be grateful if they would send them to him at Christ’s College Lodge. At present ten or a dozen copies would suffice, we are told. INSANITY IN EGYPT.1 AGAIN we have to review a piece of most excellent work carried on in very trying conditions. The report may be said to be a year old, but delay in publication was due to the stress of work which has fallen on Dr. J. Warnock in consequence of the tragic death of his able assistant during the year 1914 and the present apparent difficulty in replacing him. The report is one of the most complete records of the work done and of the various lines of development which can be imagined. It is a puzzle to understand how Dr. Warnock can manage the big asylum and yet find time to. enter into minute details. His report is a mine of information which ought to be a field for all workers on developing institutions for the treatment of insanity. We can only shortly refer to a few special points. 1329 cases were treated during the year 1913. Pellagra showed an increase and is said to be the most frequent cause of insanity in Egypt. As in former years, there was excess of admissions over the space for their reception, this excess being most on the men’s side. It is sad to notice that for want of accommodation over 200 cases were discharged while still insane, thus leading to returns , of insane on the one hand and to criminal acts on the other. The further development of Khanka under Dr. H. W. Dudgeon did a good deal to relieve the acute pressure, and as a result of less crowding the recovery rate was increased. In every part of the report there is evidence of strenuous and earnest work. It is satisfactory to know that L the Lunacy Department in Egypt is no longer part 1 of the Public Health Department, but is under the ’
1 Reports of Government Hospitals Khanka, Egypt, for 1913.
for the Insane at Abbassia and
.