THE REGISTRAR-GENERAL AND UNQUALIFIED PRACTITIONERS
Asylum. MR. METCALFE, who has forwarded to us one of these buttonlocks, remarks,-" About three years since, admitting a patient who had been constantly kept fastened on account of a habit of undressing himself, I at once liberated him, and contrived a button-lock to secure his dress-a description and sketch of which may possibly be of use to some of your readers, should you deem them worthy of insertion in THE LANCET. Its advantages are-Ist. That from its shape it is not easily pulled from the
... ress. 2nd. That it may be used as an ordinary button, or as a lock. 3rd. Its appearance is less offensive to the eye than the usual means of fastening the dress in such cases. It consists of a head of the size and appearance of an ordinary button, having a hole in the centre, through which passes a small screw, in place of the ordinary button-shank; this is screwed into an under piece of metal fixed in the dress. The head of the screw is square, and level with the surface of the button, a small key being used to tighten it. The usual button-hole is sufficient." The invention really is ingenious and simple, and from the specimen in our possession, appears well adapted for the purpose intended. MANCHESTER MEDICO-ETHICAL ASSOCIATION. THE Third Annual Report of the Committee (1851) congratulates the members on the evidences which the past year affords, both of the value of the Association and of the soundness of the principles on which it is based. " The proofs of the former of these points are two-fold : the small number of professional misunderstandings which have I occurred indicates that the efforts made by the Association to diffuse a more extended knowledge of the principles of medical ethics have not been in vain ; and at the same time shows that, in former years, these were often violated through an ignorance which the introduction of a definite standard of professional etiquette has done much to dispel. The strong desire of conforming to that which is considered right, manifested by the profession generally in Manchester, and the actions of many of those medical men, who have not felt it their duty to unite themselves with the Society, afford a tacit but practical recognition of the equity of its principles. Questions, involving points of professional etiquette, have also been submitted to the committee for adjudication by medical men of distant towns. Another encouraging proof is derived from the establishment of similar associations in other towns, founded, avowedly, in consequence of the success that has attended their efforts in Manchester. Medico-ethical associations now exist in Liverpool, Macclesfield, Warrington, Halifax, Bacup, Rochdale, Belfast, &c., whilst others are in process of formation. During the past year certain occasions have arisen in which the committee felt it their duty to take active measures, in connexion with the administration of the medical department of the Poor-Law Act. An attempt was made by the guardians of one of the neighbouring unions to reduce the salaries of their medical officers to an unremunerative point, against which reduction the committee memorialized the poor-law board, who refused their sanction to the same. The committee then addressed a memorial to the board, thanking them for their vindication of the rights of the profession. The guardians of another union having resolved to appoint a medical officer to a district, under circumstances in which it appeared impossible that the paupers could be duly cared for, the Association again memorialized the poor-law board, praying them to withhold their sanction from the resolution, which they have hitherto done. In February last the committee instructed the secretaries to prepare a list of the qualified members of the medical profession practising in Manchester and within twenty miles of that town. Such a list was accordingly prepared and printed; copies of the same were transmitted to all the members of the profession resident within the above limits, as well as to such county and borough magistrates, the discharge of whose official duties brings them in contact with medical men.