Imatges de pàgina
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on account of the extent of the mischief occasioned by her mis. conduct, and that this prosecution, followed by a lenient punishment, may prevent any further wilful exposure of inoculated persons, is its fervent wish. It at the same time prosecuted Mr. Burnet, who inoculated the child of Sophia Vantandillo, and who has long circulated the most mischievous and offensive hand-bills, offering to inoculate persons with small pox gratuitously, and stigmatising vaccination as productive of the most loathsome diseases.

This practitioner having suffered judgment to go by default, has been recently sentenced by the Court of King's Bench to six months' imprisonment.

The board has a duty of the highest nature to perform;— and that it is resolved to discharge faithfully and energetically.

The board has endeavoured to form a system, regular and consistent in all its parts, conducing uniformly to one main end, namely, the universal adoption of the practice introduced by the immortal Jenner. It entertains the confident expectation that so great a blessing will be no longer undervalued, and that the labours of the good and powerful will not be rendered impotent by the ignorant and the interested. It trusts, that the wisdom of parliament will not be set at nought by the niost unfeeling and worthless of the medical profession, and a disease, even more destructive than the plague, allowed to be fostered by them with impunity, and continually propagated among the unsuspecting multitude of the united kingdom.

The whole of the expenses incident to this establishment, for the year 1814, were defrayed by the vote of parliament which passed last year; but the board regrets, that in consequence of the recent prosecutions and convictions of the persons mentioned in this report, and the measures adopted for the more effectual extension of the practice of vaccination throughout the empire, an addition of 5001. to the Annual Grant will be necessary,

J. LATHAM, (President of the Royal College of

Physicians) President.

SCHOOL OF PHYSIC IN IRELAND.

[From the Philosophical Magazine, for September, 1814.) The Education of Medical Students is committed to six Professors. Three of these, viz. the Professors of Anatomy, Chemistry, and Botany, are on the foundation of Trinity College, and are called the University Professors. The other three, viz. the Professors of the Institutes of Medicine, of the Practice of Medicine, and of Materia Medica, are on Sir Patrick Dun's foundation, and are called the King's Professors.

The Lectures on the above subjects commence on the first Monday in November, and terminate on the last day of April in the succeeding year. Dissections and Anatomical Demonstrations begin with December, and end early in the following April. The Lectures on Botany commence on the first Monday in May, and continue to the end of July.

The terms of attendance on each Course of Lectures are four guineas.—The Terms for Dissections and Anatomical Demonstrations are six guineas; for which also, half of a subject for the Muscles, and half of another with the Bloodvessels injected, are furnished. The student is likewise at liberty to dissect any number of subjects he may procure at his own expense. For the use of the dissecting-room during the season, without subjects being furnished, and for the Demonstrations, five guineas are paid; or for the Demonstrations alone, four guineas.

The Students in Botany have the use of one extensive Botanic Garden, and access to another in the immediate vicinity of Dublin. The opportunities of acquiring a knowledge of other branches of Natural History are also very considerable, especially of Mineralogy, by means of the valuable collection of Leske, which is open to the public.

The Clinical Hospital, belonging to the School of Physic, is supported by a large endowment of the late Sir Patrick Dun. It is calculated to contain above one hundred patients; from which number, thirty are selected for the purpose of Clinical Instruction and Lectures. Each of the six Professors acts in succession for three months as Clinical Lecturer and Physician. A large Library of Medical Books bequeathed by Sir Patrick Dun is appropriated to the use of the students attending the Clinical Hospital. Fee for one year to Sir Patrick Dun's Hospital is at present three guineas, which includes the attendance on the practice of the Physician in ordinary. The terms for each Course of Clinical Lectures are three guineas.

Degrees in Trinity College.—There are two classes of Me. dical Students at Trinity College. Those of one class are matriculated in the University. Three years afterwards, on producing certificates of their matriculation, and of their having attended Lectures on Anatomy with Dissections, Lectures on Chemistry, Botany, Materia Medica, the Institutes and Practice of Medicine, the Clinical Lectures and Practice of Sir Patrick Dun's Hospital, they are examined by the six Professors, and obtain a Diploma from Trinity College to practise Medicine. This diploma confers all the advantages of the medical degrees taken in the Colleges of Edinburgh and Glasgow.

The other class of Medical Students in Trinity College go through the regular academical course of study. Three years after taking the degree of Bachelor of Arts, having likewise completed their medical education, they are admitted to an examination before the Regius Professor of Physic, and the Professors of Anatomy, Chemistry, and Botany, in the University; and after performing the usual academical exercises, they take the degree of Bachelor in Medicine. Upon sufficient standing, writing a thesis, and undergoing a second examination before the Medical Professors of the University, the degree of Doctor in Medicine is conferred. These degrees rank with those in the Universities of Oxford and Cambridge.

As qualifications previous to examination for the diploma, the certificates of the Professors in Edinburgh are admitted for any three of the courses required to have been attended, with the exception of the Clinical Lectures, which must have been in the School of Physic in Ireland.

Certificates of attendance on the Professors in the School of Physic in Ireland are received in the Universities of Edinburgh and of Glasgow, as giving standing in those places.

A new method of operating for the cure of Popliteal Aneurism, has been employed in Dublin with the most complete

success.

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The operation was performed by Mr. CRAMPTON, SurgeonGeneral at the King's Military Infirmary, near Dublin, on the 15th of October. “ The femoral artery was laid bare at the usual place, by an incision three inches in length and compressed, (but not tied circularly,) by a narrow tape, so as completely to obstruct the current of the blood with the least possible disturbance to the artery, or injury to its coats. The ligature was, by a peculiar contrivance, applied in such a manner as to enable the operator to tighten or to relax it at pleasure, without interfering with the wound. In two hours and a quarter the ligature was gently relaxed, but not completely loosened; no pulsation in the ham. In twenty-four hours the artery was relieved from all compression; but, as a measure of precaution, the ligature was left in the wound. In forty-eight hours the ligature was withdrawn, and the wound was united by adhesive plaster.”

The patient was examined on the fifth day by several fessional gentlemen; his health was not in the least degree deranged. The tumour, which had decreased by one half, was without pulsation, and nearly incompressible. The temperature of each foot was 84o.

On the 14th day the wound was nearly healed, and the man went about the ward on crutches.

On the 18th day the wound was healed, and the tumour, which could be seen only in the extended position of the limb, was incompressible, and altogether free from pain.

The advantage of Mr. Crampton's operation consists in its imitating in the most favourable way the process of nature, in the spontaneous cure of aneurism.

1st. By interrupting the course of the blood through the ruptured artery, the fluid contents of the aneurismal sac are allowed to coagulate, and the circulation is thrown upon the collateral branches.

2d. The subsequent obliteration of the artery is effected by a natural process, which protects the patient from the long train of sufferings, and of dangers necessarily attendant upon VOL. VI.

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No. 21.

the permanent contraction of a great artery, and its separation from the ligature by the process of sloughing on ulceration.

PHILADELPHIA DISPENSARY. From the annual report, as published by the managers of the institution on the 26th inst. we find that THREE THOU. SAND FOUR HUNDRED AND THIRTY THREE PATIENTS, have been attended by the physicians, from December 1st, 1814, to December 1st, 1815. Patients remaining from last year,

60 Admitted since that time,

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Of these the number cured is

3077 relieved,

57 dead,

100 irregular,

26 removed,

29 remaining under care, 144

34 33 The receipts of the Dispensary during the past year have been,

Dolls. 2433 33 Balance due the Treasurer last year, $ 21 74 The expenditures have been this year, 2354 93 Balance remaining in the Treasurer's hands, 56 66

2433 33 December, 1815.

Managers Elected, January 1, 1816. William White,

Robert Ralston, Lawrence Seckel,

Ebenezer Hazard, Robert Blackwell,

Isaac Snowden, Henry Helmuth,

Joseph Crukshank, Robert Smith,

Elliston Perot,
Godfrey Haga,

Samuel P. Griffitts.
Officers elected by the Managers, January 2d, 1816.

Attending Physicians and Surgeons.
Dr. Joseph Woollens, Dr. Samuel Emlen, Jun.
Aaron B. Tucker,

John W. Moore,
David Jones Davis,

William S. Coxe.

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