SELECTIVE SICKNESS INSURANCE
AN anonymous donor has given £20,000 for the endowment of the University Chair of Physiology at the Middlesex Hospital Medical School. The gift marks a growing appreciation of the importance of study and research in physiology as the very foundation of medical science and practice. The chair of physiology at the Middlesex Hospital is held by Professor Swale Vincent, well known for his writings on the ductless glands'and internal secretions. In his department he has associated with him one of
... with him one of the physicians of the hospital. This atrangement ensures that physiological principles will be taught in the clinical wards, and that any new discovery will soon find its place in the medical practice of the hospital. The gift, moreover, has a special significance. It indicates that another step forward has been taken in Lord Athlone's scheme for maintaining and extending the university standard of teaching and research in the Middlesex Hospital Medical School and for cementing its close relationship with the University of London. The struggle for survival among the metropolitan medical schools has stimulated in many of them attempts to improve teaching and buildings, and to acquire a reputation for research and for games, in fact, all the many factors contributing to the vitality of a medical school. The Middlesex Hospital Medical School has moved forward steadily in all these directions. It has not followed the fashion of a radical revision of clinical teaching, but has started at the other end and concentrated first on seeing that the foundations of a medical education in the early subjects are well and truly laid. Lord Athlone, chairman of the hospital, is anxious to secure the coordination of medical education, research, and treatment by drawing together a body of scientific workers who will collaborate closely with the physicians and surgeons in sustained attack against disease. In this he has wisely sought and obtained the cooperation of the University of London. There are now six professorial chairs in connexion with the hospital, and the chair of physiology is the second to receive permanent endowment, the chair of physics having already been endowed early in the present year. There is still need of a great effort to secure the establishment of the remainder on a firm financial basis, and Lord Athlone looks forward with confidence to obtaining the help of other wealthy men who appreciate the importance to the community of sound medical education. HAITI DROPSY. A NEW and puzzling oedema syndrome is reported from the island of Haiti. Clinically it resembles beriberi, but without the characteristic paralysis of the extremities and with a slower pulse-rate. It develops more rapidly than "war" oedema, has a higher mortality, and is little influenced by changes of diet. Unlike epidemic dropsy, there is no fever. Drs.