it would not be better to retain our nineteen examining bodies, and try whether we cannot induce them to compete with one another as to which should have the highest character, do most to improve education, and so elevate our professional character. This it is that seems to me to be the all important object at which we should aim, to stimu'ate our examining bodies to compete as to which should have the highest character. IIitherto the competition has, it is said, been as to which could make its examinations most easy, and so attract candi(dates to its portals. This may be true of some; but when such a charge is brought against us, we can lift our heads with pride and refute it by pointing, not to one, but to the majority of our

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Following the lead set by Dr. George M. Stirrett, (Canadian Entomologist, July, 1952), the following records of Mallophaga from avian hosts taken in the province of Quebec have been assembled. It is hoped that others will record collections made in their respective provinces, so that eventually records and the distribution of species may be available for the Dominion.The following species were largely collected by the author, with some assistance from the late Dr. W. E, Swales. The specimens form part of the Macdonald College Collection.

May 20, 1891.] THE BRITISH MEDICAL JOURNAL. 961 in two cases the rapid recurrence was no doubt to some extent my fault, because I did not take pains to remove all the loose tuberculous material from the joint, being then under the influence of the view that the tuberculin caused caseation of the tuberculous tissue, and that, therefore, it would be readily removed by scraping and irrigationi. It is worthy of note that in the case in which the partial arthrectomy has given the most promising result the operation was ierformed after six injections lhad been given, that is to say, the Koch treatment followed rather than preceded the operative interference.In one case of acute spinal disease all symptoms disappeared in a few weeks, but here absolute rest was also employed.In the two cases of dactylitis I cannot say that any advantage was derived from the treatment as regards the fingers. In one case, lhowever, a sinius which had remained open for a year lhealed almost at once, and the enlarged glands in the neck diminished in size; and it is very interesting to note that soon after the treatment was stopped recurrence took place in these parts (this recurrence being, however, apparently only temporary), as if tlle use of the fluid lhad been keeping the disease in clleck.We had six cases where there were aseptic sinuses in connection withl disease of bones and joints. Of these, one lhas only been under treatmenit for a very short time. Of tlle remaining five, two lhave completely and, apparently, soundly lealed, and hlave, so far, derived the greatest advantage from the treatment; while one is almost absolutely healed, and I tlhink will be found quite hlealed when the dressing is next changed. In one case lhealing is not yet complete, but the condition is steadily iimproving, and the bare bone, which was presenit in the first instance, ean Ino longer be felt. In one case, so far aIs tlhe bonie is concerned, no marked beinefit lhas been derived, tlhough the bare bonie felt at first has inow disappeared. In this instanice the delay in hlealing is, I tlhink, due to the conditions of the sinius itself rather than to the presenlce of tuberculous disease. In this patienit a tubercu1oi1s sore on the lhanid lhealed und(er treatment, but has relapse(d to some extent since the treatmenit was discontinued. (Note on April 20th.-Of these six cases only two inow remaiii unhealed.)There were six cases of diseases of bones and joints with ptic sinuses. Of these four cannot be said to have derived any benefit; one undoubtedly has; one is healing after operationi, aInd possibly the separation of the sequestrum has been expedited by the treatment. In one case it is interesting to inote that the tuberculous deposit where the skin was unbroken improved unider treatment, but that those with septic sinuses did not: indeed, one, the elbow, became worse.