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MEDICAL AND SURGICAL JOURNAL.

Established 1828.-Published Weekly.

Ar the beginning of a new year the Publishers of the BOSTON MEDICAL AND SURGICAL JOURNAL wish to call the attention of physicians to certain special features of this Journal, which make it exceptionally valuable as a medical periodical, and which commend it to the favor of professional gentlemen in all sections of the country.

1. It is a weekly publication, thus possessing obvious advantages for the prompt presentation of medical intelligence, a great part of whose value lies in its freshness.

2. Its original papers are supplied by gentlemen of acknowledged ability and far-reaching reputation. 3. It presents from week to week a continued series of reports by experts in special departments of medical science, who give condensed and comprehensive summaries of the most recent advances in their respective branches, and who constitute undoubtedly the strongest corps of the kind in the country. This plan enables the reader to keep himself thoroughly and reliably informed concerning the latest and best medical thought of the world.

4. Its notices of recent medical literature are full, critical, and impartial.

5. Its editorial contributions are seasonable and independent comments upon all matters which affect the interests and honor of the profession.

6. Its reports of society proceedings are of peculiar excellence, and the hospital clinics present a great Amount of information possessing a peculiarly practical value.

7. Arrangements have been made with several additional correspondents so that it is hoped to give medical news from many parts of Europe and America.

8. It gives a weekly bulletin of the diseases prevalent in all parts of Massachusetts for the time being, and a weekly table showing the comparative mortality rates, for the week, of thirteen cities in the United States.

It is believed that in the quantity and the quality of the reading matter furnished in its pages from week to week, the JOURNAL stands with scarcely a rival among the medical publications of the country; And therefore its claims for substantial recognition by the profession are here confidently urged. In place of vague promises for the future, the Publishers point to the record of the JOURNAL during the past year, and are able to assure the public that the maintainance of the present high standard is certain and further advance most probable. Some new features may be expected. Specimen numbers of the JOURNAL will be furnished on application to the Publishers.

The typographical appearance of the JOURNAL speaks for itself, but the Publishers would call attention to the great number and quality of the illustrations that have appeared during the year. There have been eleven full-page illustrations and many wood-cuts in the text.

The following distinguished gentlemen have during the past year

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been among our contributors.

DR. C. E. BROWN-SEQUARD,
DR. MORRILL WYMAN,
DR. D. W. CHEEVER,
DR. BUCKMINSTER BROWN,
DR. G. E. FRANCIS,

DR. W. A. HAMMOND,

The Editors and Publishers will spare no pains to keep the JOURNAL in the high and honorable position which it has so long occupied among American medical periodicals.

EDITORS.-J. COLLINS WARREN, M. D., THOMAS DWIGHT, JR., M. D.

ASSISTANT EDITOR. FRANK W. DRAPER, M. D.

EDITORIAL REPORTERS. - FRANCIS W. GOSS, M. D., H. H. A. BEACH, M. D., GEO. W. GAY, M. D.
REPORTERS ON MEDICAL PROGRESS..

Anatomy.-THOMAS DWIGHT, JR., M. D., Professor of Anatomy of the Medical School of Maine.
Chemistry.-E. S. WOOD, M. D., Assistant Professor of Chemistry in Harvard University.
Dermatology.-JAMES C. WHITE, M. D., Professor of Dermatology in Harvard University.

Diseases of Children.-D. H. HAYDEN, M. D., Physician to Out-patients, Massachusetts General Hospital. Diseases of the Throat and Chest.- FREDERIC I. KNIGHT, M. D., Instructor in Auscultation, Percussion, and Laryngoscopy in Harvard University.

Electro-Therapeutics. -JAMES J. PUTNAM, M. D., Lecturer on Diseases of Nervous System in Harvard University.

Materia Medica. ROBERT AMORY, M. D., Late Professor of Physiology in the Medical School of Maine. Mental Diseases.-T. W. FISHER, M. D.

Obstetrics and Gynaecology.-W. L. RICHARDSON, M. D., Visiting Physician of the Boston Lying-in Hospital.

Ophthalmology.-O. F. WADSWORTH, M. D., Ophthalmic Surgeon, Boston City Hospital, and to Outpatients Massachusetts General Hospital.

Otology.-J. O. GREEN, JR., M. D., Aural Surgeon, Boston City Hospital.

Pathology.-R. H. FITZ, M. D., Assistant Professor of Pathological Anatomy in Harvard University.
Physiology-HENRY P. BOWDITCH, Assistant Professor of Physiology in Harvard University.
Public Hygiene.-FRANK W. DRAPER, M. D., Visiting Physician of the Boston City Hospital.

Surgery.-J. COLLINS WARREN, M. D., Surgeon to Out-patients in the Massachusetts General Hospital;
Instructor in Surgery at Harvard University.

Venereal Diseases.-T. B. CURTIS, M. D., Surgeon to Out-patients in the Massachusetts General Hospital. TERMS.-Fire dollars a year, payable in advance; single numbers, fifteen cents. Postage in all cases is paid by the Publishers. Communications for the JOURNAL should be addressed to the Editors, corner Beacon and Somerset streets, Boston; letters on business, to the Publishers, as below. Remittances may be made by draft, money-order, or registered letter to

H. O. HOUGHTON AND COMPANY,
The Riverside Press, Cambridge, Mass.

BOSTON OFFICE,
Corner Beacon and Somerset streets.

NEW YORK OFFICE,
Hurd and Houghton, 13 Astor Place.

MEDICAL DEPARTMENT, BOSTON, MASS.

NINETY-THIRD ANNUAL ANNOUNCEMENT. (1876-77.)

FACULTY OF MEDICINE.

CHARLES W. ELIOT, LL. D., President.
CALVIN ELLIS, M. D., Prof. of Clinical Medicine, Dean.
JOHN B. S. JACKSON, M. D., Prof. of Pathol. Anatomy.
OLIVER W. HOLMES, M. D., Professor of Anatomy.
HENRY J. BIGELOW, M. D., Professor of Surgery.
JOHN E. TYLER, M. D., Professor of Mental Diseases.
CHARLES E. BUCKINGHAM, M. D., Professor of Obstet.
rics and Medical Jurisprudence.

FRANCIS MINOT, M. D., Hersey Professor of the Theory
and Practice of Medicine.

JOHN P. REYNOLDS, M. D., Instructor in Obstetrics.
HENRY W. WILLIAMS, M. D., Prof. of Ophthalmology.
DAVID W. CHEEVER, M. D., Prof. of Clinical Surgery.
JAMES C. WHITE, M. D., Professor of Dermatology.
ROBERT T. EDES, M. D., Prof. of Materia Medica.

HENRY P. BOWDITCH, M. D., Ass't Prof. of Physiology.
CHARLES B. PORTER, M. D., Demonstrator of Anatomy,
and Instructor in Surgery.

FREDERICK I. KNIGHT, M. D., Instructor în Percussion,
Auscultation and Laryngoscopy.

J. COLLINS WARREN, M. D., Instructor in Surgery.
REGINALD H. FITZ, M. D., Assistant Professor of Path-
ological Anatomy.

WILLIAM L. RICHARDSON, M. D., Instructor in Clin-
ical Obstetrics.

THOMAS DWIGHT, JR., M. D., Instructor in Histology.
EDWARD S. WOOD, M. D., Ass't Professor of Chemistry
HENRY H. A. BEACH, M. D., Assistant Demonstrator of
Anatomy.

WILLIAM B. HILLS, M. D., Instructor in Chemistry.
OTHER INSTRUCTORS.

GEORGE H. F. MARKOE, Instructor in Materia Medica.
FRANK W. DRAPER, M. D., Lecturer on Hygiene.

THE FOLLOWING GENTLEMEN WILL GIVE SPECIAL CLINICAL INSTRUCTION:
FRANCIS B. GREENOUGH, M. D., and EDWARD WIGGLESWORTH, JR., M. D., in Syphilis.
JOHN O. GREEN, M. D., and CLARENCE J. BLAKE, M. D., in Otology.

JAMES R. CHADWICK, M. D., and WILLIAM HI. BAKER, M. D., in Diseases of Women. CHARLES P. PUTNAM, M. D., and JOSEPHI P. OLIVER, M. D., in Diseases of Children. SAMUEL G. WEBBER, M. D., and JAMES J. PUTNAM, M. D., in Diseases of the Nervous System. The plan of study was radically changed in 1871.* Instruction is given by lectures, recitations, clinical teaching, and practical exercises, distributed throughout the academic year. This year begins Sept. 28, 1876, and ends on the last Wednesday in June, 1877. It is divided into two equal terins, either of which is more than equivalent to the former Winter Session," as regards the amount and character of the instru tion. The course of instruction has been greatly enlarged, so as to extend over three years, and has been so arranged as to carry the student progressively and systematically from one subject to another in a just and natural order. In the subjects of anatomy, histology, chemistry, and pathological anatomy, laboratory work is largely substituted for, or added to, the usual methods of instruction.

Instead of the customary oral examination for the degree of Doctor of Medicine, held at the end of the three years' period of study, a series of written examinations on all the main subjects of medical instruction has been distributed through the whole three years; and every candidate for the degree must pass a satisfac tory examination in every one of the principal departments of medical instruction during his period of study. DIVISION OF STUDIES.

For the First Year. - Anatomy, Physiology, and General Chemistry.

For the Second Year. - Medical Chemistry, Materia Medica, Pathological Anatomy, Clinical Medicine, Surgery, and Clinical Surgery.

For the Third Year. Therapeutics, Obstetrics, Theory and Practice of Medicine, Clinical Medicine. Surgery, and Clinical Surgery.

Students are divided into three classes, according to their time of study and proficiency. Students who began their professional studies elsewhere may be admitted to advanced standing; but all persons who apply for admission to the second or third year's class must pass an examination in the branches already pursued by the class to which they seek admission. Examinations are held in the following order :

At the end of the first year-Anatomy, Physiology, and General Chemistry.

End of second year - Medical Chemistry, Materia Medica, and Pathological Anatomy.

End of third year-Therapeutics, Obstetrics, Theory and Practice of Medicine, Clinical Medicine, Su”gery, and Clinical Surgery.

Examinations are also held before the opening of the School, beginning September 25th.

Students who do not intend to offer themselves for a degree will also be received at any part of the cours for one term or more. Any student may obtain, without an examination, a certificate of his period of om nection with the school.

REQUIREMENTS FOR A DEGREE. — Every candidate must be twenty-one years of age; must have studie medicine three full years, have spent at least one continuous year at this School, have passed the requin examinations, and have presented a thesis.

COURSE FOR GRADUATES. - For the purpose of affording to those already Graduates of Medicine add tional facilities for pursuing clinical, laboratory, and other studies, in such subjects as may specially inters them, the Faculty has established a course which comprises the following branches: Histology; Physiology Medical Chemistry; Pathological Anatomy; Surgery; Auscultation, Percussion, and Laryngoscopy: O thalmology; Dermatology; Syphilis; Pyschological Medicine; Otology: Electro-therapeutics; Gynecolog and Obstetrics. Single branches may be pursued, and on payment of the full fee also the privilege of tending any of the other exercises of the Medical School, the use of the laboratories and library, and other rights accorded by the University will be granted. Graduates of other Medical Schools who may sire to obtain the degree of M. D. at this University, will be admitted to examination for this degree after year's study in the Graduates' Course.

FEES. For Matriculation, $5; for the Year, $200; for one term alone, $120: for Graduation, $30. For Graduate Course, the fee for one year is $200; for one Term, $120; and for single courses such fees as are specified in the Ca logue. Payment in advance.

Members of any one department of Ilarvard University have a right to attend lectures and recitations in any other department without paying additional fees.

For further information, or Catalogue, address DR. R. H. FITZ, Sec'y, 108 Boylston St., Boston, Ma * In and after September, 1877. an examination op entrance n be required. For parti ulars ceo Cuttingss

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H. O. HOUGHTON AND COMPANY
CORNER BEACON AND SOMERSET STREETS

NEW YORK: HURD AND HOUGHTON

13 ASTOR PLACE

The Riverside Press, Cambridge

TERMS SINGLE NUMBERS, 15 CENTS

YEARLY SUBSCRIPTION, $5.00

Couailhac et Mahler, Advertising Agents, 166 Rue de la Grange Batelière, Paris, are the only persons authorized to solicit advertisements for THE BOSTON MEDICAL AND SURGICAL JOURNAL in France.

CLUB RATES WITH OTHER PERIODICALS.

The Prospectus of the JOURNAL for 1876 will be found on third cover page. The Publishers offer the following club rates with their other publications.

MEDICAL JOURNAL ($5.00), ATLANTIC MONTHLY and life-size portrait of Longfellow ($5.00), $9.00.

MEDICAL JOURNAL ($5.00) and the ATLANTIC MONTHLY ($4.00), $8.00. MEDICAL JOURNAL ($5.00) and AMERICAN NATURALIST ($4.00), 8.00. MEDICAL JOURNAL ($5.00), ATLANTIC MONTHLY ($4.00), and AMERICAN NATURALIST ($4.00), $11.50.

Subscribers will oblige the Publishers by renewing their subscriptions promptly and remitting past dues.

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E. J. SEIBERT, Proprietor, 819 BROADWAY, New York.

SEND FOR PAMPHLET.

THE METRIC SYSTEM IN PRESCRIPTIONS.

The Metric System having been adopted by some physicians in indicating quantities in prescriptions, we desire to state that we are prepared, as heretofore, to dispense prescriptions so written.

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THE BOSTON

MEDICAL AND SURGICAL JOURNAL.

VOL. XCIV. - THURSDAY, APRIL 13, 1876. — NO. 15.

THE BELFRY MURDER CASE.1

BY B. E. COTTING, M. D.

ABOUT five o'clock in the afternoon of May 23d, last, I was called to Mabel H. Young, a little girl five years and two months old. She had just been found in a church-tower, and had received great injuries. These injuries were then supposed to be the results of a fall.

The child had been taken home; her clothing had been removed, and she was put into bed. Her face and head were severely bruised, but no injury whatever could be found on any other part of her person. She was lying on her back, uttering every few moments distressing screeches, such as are sometimes heard in affections of the brain with effusion. During these paroxysms there were convulsive movements in the fingers, and, in less degree, in the toes also. At other times the fingers were contracted firmly upon the palms. She was unconscious, and apparently insensible to outward impressions. Her pulse was about 125 or 130, by estimation; the breathing was not unnatural; and the skin was moist and otherwise normal.

On further examination, there was found a swelling of the upper lip, with a very small and indistinct ecchymosis towards its right side. The soft parts of the nose were crushed down to a level with the cheeks, the right of which was somewhat swollen; and a clot projected slightly from each nostril. The skin over the nasal bones was bruised, not broken; but there was a deep ecchymosed depression at their juncture with the cartilages. These seemed almost completely separated from their natural attachments, but here also the skin was unbroken. The eyes were open, apparently without vision; there was not any squinting or fixedness of the eyeballs; the pupils were rather large, but responsive to light; each eye was somewhat bloodshot at the lower and inner angle

near the nose.

The top of the head was greatly swollen; beginning on the forehead about a finger's breadth above the eyebrows, and extending over the whole vertex and down the right side to a level with the ear. The scalp was puffy, and seemed almost fluctuating. The skull could be readily felt to be fractured in various directions, with crepitus marked and abundant.

Reported to the Roxbury Society for Medical Improvement, February 17, 1876.

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