557 no special characteristics and may assume any type. Sometimes even it is altogether absent. Dr. Malbot has never observed the peritoneal friction mentioned by certain writers and he also ignores their pulsation of the liver. Neither has he ever met with a case that was complicated by jaundice. After all, he says, the only absolutely certain indication of hepatic abscess is the presence of pus, These punctures as sh3wn by an exploratory puncture. at the first are quite harmless and if unsuccessful be several times in different should repeated attempt directions. With regard to the pathology of hepatic suppuration Dr. Malbot differs from Kelsch, Kiener, and the other authorities who seek to incriminate dysentery as the sole source of the disorder. In bis opinion abscess of the liver, as seen at all events in Algeria, may owe its origin to a multiplicity of causes. Any factor which tends to lower the tone of the system and impair its powers of resistance, such as heat, damp, improper food, malaria, and intestinal ulceration of any kind (even typhoid and tuberculous), may lead to hepatic suppuration. In treating abscess of the liver prompt surgical intervention is essential. As soon as possible the accumulation of pus should be removed by means of a free incision. Adhesions being rare Dr. Malbot directs an assistant to immobilise and at the same time compress the organ with both hands before he himself uses the knife. When the pus has been evacuated the cavity is washed out preparatory to the insertion of four, five, or six large red rubber drainage-tubes which are so arranged that the wound is completely plugged, thus rendering the escape of pus into the peritoneal sac an impossibility. This procedure Dr. Malbot calls " nailing the liver to the parietes." Its success at his hands has been considerable, the average duration before perfect cicatrisation of seven cases having been
it has
14 days. THE CEYLON
equipped with the latest appliances for bacteriological research and a number of specimens were on view at the time of opening. A marble slab on the main wall bears the following inscription: "The de Soysa Bacteriological Institute. Presented to the Government of Ceylon by J. W. Chas. de Soysa, Esq., J.P., in commemoration of the Diamond Jubilee of Her Most Gracious Majesty the Queen. Opened by H.E. Sir Joseph West Ridgeway, K.C.B, K C.S.I., Governor, January 31st, 1900." resolution was unanimously passed at a of and West Riding Medical Union the Bradford meeting held on Feb. 15th:-" The members of the Bradford and West Riding Medical Union beg to offer their hearty congratulations to Professor Victor Horsley, F.R.S., one of the Direct Representatives of the medical profession on the General Medical Council, on the success with which he has struggled to defend the interests of medical practitioners against the continual neglect shown by the representatives of corporations on the General Medical Council, and hope that the medical profession may long continue to have the advantage of being represented on the Council by a gentleman so distinguished alike by scientific attainments and by remarkable energy and skill in pushing the work of reform which is so much needed." THE
following
AT the monthly board meeting of St. John’s Hospital for Diseases of the Skin on Feb. 13th the Earl of Chesterfield was presented with a silver inkstand by the medical staff and governors of the institution as a mark of their esteem on the occasion of his marriage. Mr. G. A. Berkeley, the treasurer, thanked Lord Chesterfield for the time which he had devoted to the hospital and the tact with which he had steered it on several critical occasions into its present smooth and peaceable waters.
BACTERIOLOGICAL INSTITUTE.
IT is a well-known fact, and one upon which the British nation has received somewhat carping criticism from many foreigners, that scientific research in the British Empire receives scarcely any aid at the hands of the State. But the converse view shows a prospect of which we may well be proud, and that is the generosity and readiness of British subjects to forward with their best endeavours efforts for the advancement of science. In London we have the great hospitals, and the laboratories of the Royal Institution built In India the great feudatory and endowed by Mond. and munificent commoners among the Parsees princes have given freely of their wealth for the founding of research laboratories and other scientific work ; and now from the island of Ceylon comes the news that a bacteriological institute has been given by the generosity of a well-known family in the island-namely, the de Soysas. Some eight years ago Mr. J. W. Charles de Soysa offered the Government a sum of 10,000 rupees for the erection of a Pasteur institute, but the authorities did not see their way to accept the gift. In 1897, however, Mr. de Soysa renewed his offer for the purpose of building a bacteriological inostitute and, further, when it was found that the proposed building would cost far more than the sum originally offered he undertook to find funds for the erection of a building on a plan approved by the Government. In this work he was ably assisted by Dr. Marcus Fernando, who spared no time or trouble in arranging the details of the building and in personally superintending its construction after the best European models. On Jan. 31st the Institute was formally opened by the Governor, when Mr. A. Perry, principal colonial medical officer, read a statement concerning the founding of the institute. His Excellency then declared the buildings open, with a few words of warm thanks to llr. de Soysa for his munificence. The director of the institute will be Dr. Marcus Fernando. The buildin is
MR. A. H. SPURRIER, medical superintendent of the Government Leper Asylum at Zanzibar, reports that he has found in three places on the outskirts of Zanzibar city the breeding places of the true fever-bearing mosquito. From them he has succeeded in hatching the anopheles. We learn that he has also found a larva which preys upon the mosquito larva to a formidable extent-a discovery which may have considerable significance.
ON Feb. 16th the Queen, who was accompanied by Princess of Battenberg and Princess Victoria of SchleswigHolstein, the Duchess of Roxburghe, Mrs. Mallet, Miss Minnie Cochrane, and Sir John MacNeill being in attendance, visited the Royal Isle of Wight Infirmary. She was received by the Rev. W. Welby and Dr. A. G. Davey and was wheeled in a chair to the Children’s Wing, which she had opened last year in commemoration of her Diamond Jubilee.
Henry
WE are forced to delay dealing with the report published this week by the London County Council on the bacterial treatment of crude sewage. The report, which is a supplementary one, is of considerable interest, for in it Dr. Clowes and Dr. Houston give some particulars of the physical, chemical, and bacteriological character of the deposit which accumulates on the coke beds at Barking and Crossness.
of the Medical Society of London on discussion on the Pathology and Monday Treatment of Appendicitis will be resumed. The following points are suggested for discussion : (1) non-operative treatment ; (2) indications for operative treatment ; (3) nature of operation and any special details ; and (4) after-treatment. AT the
meeting
next
the
DR. DUDLEY BrxTOX will open the adjourned discussion the After-effects of Ether Inhalation at the next meeting
on
558
(3) The Board to Promote the Teaching. The function of these
of the Society of Anaesthetists to be held at 8.30 P.M. on Friday, March 2nd, at 20. Hanover-square. Members of the profession will be admitted on presenting their visiting
External Students; and Extension of University committees is advisory.
cards.
(1) The Academic Council. The Academic Council will consist of the Chancellor, the Vice-Chancellor, the Chairman of Convocation, the 16 persons appointed to the Senate by the member of the respective faculties, and a member or members of the Senate elected by the Senate to make up the numbers to 20. The Senate will always confer with the Academic Council before coming upon any determination as to such matters as(i.) The assignment of funds for the erection or extension of buildings or for the provision of apparatus or equipment in the University or in the schools of the University ; (ii.) The admission in whole or part of duly qualified institutions as.
___
SiR THOMAS SMITH, Bart., F.R.C.S. Eng., Surgeon-Extraordinary to the Queen, has been appointed Honorary Consulting Surgeon to the Finsbury Dispensary, in succession to the late Sir James Paget, Bart., F.R.S. MR. F. J. STEWARD has been appointed assistant surgeon Guy’s Hospital, and also assistant surgeon to the Hospital for Sick Children, Great Ormond-street.
to
THE STATUTES OF THE RECONSTITUTED UNIVERSITY OF LONDON. THE statutes made for the University of London by the Commissioners appointed under the University of London Act, 1898, have now been approved and are very much what it was expected that they would be. The purposes of the University of London are defined as being :To hold forth to all classes and denominations both in the United distinction whatsoevf an liberal course of education ; to promote research and the advancement of science and learning ; and to organise, improve, and extend higher education within the appointed radius.
Kingdom and elsewhere without any encouragement for pursuing a regular and
Her Majesty in Council is the Visitor of the University, and the Chancellor, who will be selected on the coming into force of the statutes, will hold office for life.
schools of the University ; (iii.) The appointment of professors, assistant-professors, readers or lecturers of the University ; (iv.) The allocation of funds either for the endowment or remuneration of appointed teachers or in connexion with schools of the
University; (v.) The determination of the duties of appointed teachers of the University; (vi.) The recognition of members of the teaching staffs of public educational institutions within the appointed radius as teachers of the University ; (vii.) The regulation of the courses of study for internal students of the University and the provision of opportunities for and aids to research.
The Academic Council will also advise the Senate generally upon all matters relating to the internal students, with a special eye to the equalisation of the standards of knowledge and attainments prescribed for the degrees conferred upon internal and external students respectively, and will also report upon the extent to which work done under the Board to promote the Extension of University Teaching can count as part of the prescribed course of study of the University.
(2) The 001111 c’il for External Students. The Council for External Students will consist of the THE CHANCELLOR, THE VICE-CHANCELLOR, AND THE Chancellor, the Vice-Chancellor, the Chairman of ConvocaSENATE. tion, the sixteen members of the Senate appointed by The Senate will consist d the Chancellor, the Chairman Convocation, and members of the Senate elected by the for the time being of Convocation, and 54 persons (who may Senate sufficient to make up the number to 28. The Senate or may not be graduates of the University) to be appointedi will invite and receive reports from this Council upon alL matters dealing with the external students. as follows :Four by Her Majesty in Council; 16 by members of Convocation(3) The Board to Promote the Extension of University viz., six by the registered Graduates in Arts (including Divinity), one Teaching. by the registered Graduates in Laws, one by the registered Graduates in Music, two by the registered Graduates in MediThis Board will consist of the Chancellor and vicecine and in Surgery, and six by the registered Graduates in Science; 16 by the members of the respective Faculties-viz., one by the mem- Chancellor, the Chairman of Convocation, and such a number bers of the Faculty of Theology, four by the members of the Faculty of of members of the Senate elected by the Senate as may be Arts, one by the members of the Faculty of Laws, one by the members from time to time prescribed. The board will advise the of the Faculty of Music, three by the members of the Faculty of Senate upon the means best adapted to encourage and Medicine, four bv the members of the Faculty of Science, one by the of a university standa-d within the members of the Faculty of Engineering, and one by the members of the extend teaching Faculty of Economics and Political Science (including Commerce and appointed radius. Industry); two by the Royal College of Physicians of London ; two by CONVOCATION. the Royal College of Surgeons of England ; two by University College, The Convocation of the University will consist of the London ; two by King’s College, London ; one by the Honourable Society of Lincoln’s Inn; one by the Honourable Society of the Inner Temple ; Chancellor, Vice-Chancellor, the present members of Convoone by the Honourable Snciety of the Middle Temple; one by the Honourable Society of Gray’s Inn ; two by the Incorporated Law Society cation, and all other persons registered as members of ConThe persons entitled to be so registered shall beof the United Kingdom ; oue by the Corporation of the City of London ; vocation. two by the County Council of the Administrative County of London ; The (i.) graduates who on the day fixed for the coming into force of and one by the Council of the City and Guilds of London Institute for these statutes are qualified according to the existing regulations of the Advancement of Technical Education. the University to become members of Convocation, but have not yet If any of the aforesaid bodies decline or omit to exercise been registered. (ii.) All other graduates of three years’ standing from the date of their power of appointment the power lapses to the Privy their first degree or who shall have attained a degree higher than that Council. There are arrangements made by which 21 of the of Bachelor, provided always that if and whenever the Senate shall by 54 senators shall retire triennially. any statute create any new degree the holders thereof shall not unles& Convocation so determine be entitled to be registered. The Senate is defined as : (iii.) All members of the three Standing Committees. of the Senate The supreme governing and executive body of the University and who are not already members of Convocation during their tenure of, shall have the custody and use ot the common seal of the University office, and shall have the entire management of and superintendence over the Convocation will elect its own chairman and deputy affairs, concerns, and property of the University, and subject to the provisions of the statutes the Senate shall take such measures and act in chairman, and a quorum for despatch of business will be such manner as shall appear to it best calculated to secure the adequate The ordinary meeting will be held 50 members present. protection of the interests of all classes of students, whether internal or external, collegiate or non-collegiate, and generallyto promote the pur- every year and extraordinary meetings may be summoned by the chairman on the written requisition of 20 members of poses of the University. The Senate, therefore, may make new statutes or statutes Convocation. The election by Convocation of the .Chancellor and thefor altering, revoking, or adding to the statutes, it being by the graduates of persons to be appointed by provided, however, that they can impose no regulations election Convocation members of the Senate shall be by voting, law or to the of the for to statutes the University repugnant time being, can enforce no religious tests, and can impose no papers to be delivered by the voters personally or to be sent disabilities on the ground of sex. Each year the Senate will by post to the clerk of Convocation. After the election of the first Senate Convocation shall select one of its own members to be Vice-Chancellor. determine the persons by whom and the form and manner in THE STANDING COMMITTEES OF THE SENATE. which such elections by voting papers shall be conducted There will be three standing committees of the Senate, and the results thereof shall be ascertained and declared anc viz. :-(1) The Academic Council ; (2) The Council for generally all other matters relating to such elections. -