Current Medical Literature. abscess, fistula, fissure of the anus, ulcer, pruritus, constipation and fecal impaction. Cancer and stricture can hardly be on in the office when in the lower rectum, AMERICAN. operated excepting but in most cases the local treatment and topical applications, Titles marked with an asterisk (*) are abstracted below. etc., can do much toAvard improving the condition. New Medical York Journal. 4. derived from in¬ April 18. The Diazo Reaction.—The conclusions this method in the of the New York •The Therapeutic Value of the Roentgen Ray in the Treatment vestigations by laboratory of Pseudo-Leukemia. N. Senn. Department of Health are Billings as folloAvs: *A Plea for the Office given by Non-Hospital or Treatment of Diseases 1. The of the urine in cases Rectum and Anus. G. examination of suspected typhoid of the Samuel Gant. fever is of value, provided that its limitations are recognized. The Practical Uses of Hypnotic Suggestion. William L. 2. While of Howard. not so absolutely pathognomonic typhoid fever, yet the diazo reaction Is even more constantly present in that disease than the AA'idal reaction. So that its absence at a period when it should be present, if the case is one of typhoid fever, is of consid¬ erable value in making a negative diagnosis. 3. In a majority of instances the diazo reaction is present in the urine at least forty-eight hours earlier than the Widal reaction in the blood. 4. It disappears much earlier than the Widal reaction, however, and negative results obtained later than the second week are of lit¬ tle or no value. 5. "Doubtful reactions" have slight significance. 5. Typhoid Fever Complications.—The complications of typhoid discussed here by Erdmann are liver abscess, perfora¬ tion of the gall bladder, cholecystitis and intestinal perforation. The operative treatment of each is discussed. For liver abscess, opening, either by rib excision or otherwise, is advised Avith sub¬ sequent drainage. He does not believe in delaying pus evacua-

Dr. George L. Richards, Fall River, Mass., Chairman of the Section on Laryngology and Otology. 4 *The Work Performed by the Diagnosis Laboratory of the Department of Health in Connection with Ehrlich's Diazo Reaction During 1902. J. S. Billings, Jr. 5 'The Treatment of Some of the Surgical Complications of Typhoid Fever. John F. Erdmann. 6 *Is the Cognomen, "Chemical Physiology," Scientific? A Study of Vital Processes. Joseph Clements. 7 The Management of Occipitoposterior Positions of the Pre¬ senting Head. (Concluded.) Walter J. Cavanagh. 1. X-Rays in Pseudoleukemia.—Senn reports two cases in which, in view of the hopeless condition, he suggested the use of the rays, in addition to giving arsenic and iron. The benefit was great, both patients noAV considering themselves in perfect health. He says in his remarks that there is no doubt that the constitutional disturbances which folloAV the prolonged use of the œ-ray, and Avhich set in simultaneously with the progressive diminution in the size of the glands, were due to toxemia caused by absorption of the degenerative products of Dr. J. F. Barnhill, Indianapolis, Secretary of the Section on pseudoleukemia. This Avas also undoubtedly the cause of the in¬ Laryngology and Otology. creased enlargement of the spleen, which was noted after the tions at the expense of the patient's vitality. In cases of second series of applications in the second case. The constitu¬ perforation of the gall bladder there is one treatment, he tional disturbances were decided and only annoying itching, burning, says, cholecystectomy, though the condition of the patient pigmentation, etc. He says the success attained in these tAvo must weigh with us somewhat in the consideration, and cases the use of the leaves no doubt as to the curative by ¡ -ray must be done in certain cases. effect of the in the treatment of cholecystotomy Repair by rays pseudoleukemia. suture is umvarranted. Operative interference in cholecystitis 2. Rectal and Anal Disease.—The forms of trouble Avhich depends largely on the symptoms presenting. If marked rigid¬ Cant Avould treat in the office or away from the hospital are ity of the upper rectus segment continues for thirty-six to external and internal hemorrhoids, in the latter of which he uses forty-eight hours without any diminution, and septic conditions Avell as injections as the ligature, polypi in the rectum, anorectal are indicated by the temperature and pulse, or rupture of the bladder threatens, then cholecystotomy should be performed 9. Eye-Strain in Youth.—Ranney discusses this disorder and if the condition is bad or is patient's cholangitis present; other¬ insists on its importance. His conclusions are: all eases wise cholecystectomy. In the abdomen may be closed 1. Eye-strain can not be recognized too early in youth. 2. Its without drainage unless Ave leave the cystic duct open for drain¬ scientific investigation by modern methods and its radical correction may favorably modify both physical and mental develop¬ age of the hepatic fluid. The statistics of the operation for ment. 3. intestinal perforation are noted and the principal question The neglect of an existing eye-strain may in time allow it to exhaust the reserve nerve capital of the sufferer and produce untold seems to be whether Ave should Avait six to tAvelye hours for ills both of body and mind. subsidence of shock. He is inclined to answer this in the 4. No child should ever be allowed to begin education until it is known that its eyes are properly fitted the work. from his of the statistics. The suture be for negative study to 5. Legislative enactment should, and surely will in time, compel employed is either the Lembert or the circular purse-string an eye examination of every child before it enters the public schools. 6. Teachers should also be instructed in the rudimentary steps of vision testing. 7. Tests for mal-adjustment of eye-muscles should be made on every child as thoroughly and intelligently as tests for errors of refraction are made prior to its education. 8. A knowledge of the possible effects of eye-strain on mental and physical development can not be too widely disseminated among parents and teachers. 9. The direct causal relationship between "eye-strain" and nerv¬ ous diseases is too well established to-day to require further proof, or even to justify further discussion. 10. The modern methods of testing for anomalies of adjustment of eye-muscles are the only ones that can furnish us with scientific and accurate information. The time has happily passed when any oculist can instruct a pa¬ tient to simply follow with the eyes some object held before the eyes, and then on that test alone give a final decision as to whether mal-adjustment of the eye-muscles exists or does not exist. 11. The cure of disease to-day is intelligently based on the search for its cemse rather than on an indiscriminate use of drugs ; and the prevention of diseases is rapidly becoming more important to the medical mind, and also to the laity, than its cure.

S. Solis Cohen, Philadelphia, Chairman of the Section on Materia Medica, Pharmacy and Therapeutics. Avhen inversion is possible. The question of drainage can be settled only by experience. He believes that Avith a fairly clean toilet, no drainage should be used. 6. Vital Processes.—Clements' article is an argument in favor of the vitalistic point of view in physiology. Medical Record, New York. April 18. 8 *A Report of Final Results in Two Cases of Polyarthritis in Children of the Type First Described by Still, together with Remarks on Rheumatoid Arthritis. Royal AA'hitman. 9 *"Eye-strain" in Youth and Its Modern Treatment. Ambrose L. Ranney. 10 Tuberculous (Basilar) Cerebrospinal Meningitis and Delu¬ sional Insanity Complicating Pulmonary and Laryngeal Tuberculosis. Henry Levien. 11 'Resection of Intestine, with Report of Three Interesting Cases. A. E. Isaacs. 8. Polyarthritis of the Still Type in Children.—The two cases reported by Whitman are, as he says, undoubtedly samples of the disease described Still in in by 1897, consisting general Dr. C. S. N. chronic of the with Hallberg, Chicago, Secretary of the Section on Materia progressive enlargement joints, general en¬ Medica, Pharmacy and Therapeutics. largement of the glands and spleen. The cases are elaborately 12. The of in is an Avith illustrations and One of detection "eye-strain" youth important step reported, radiograph. them re¬ in preventive medicine, and the arrest of a nervous leak may save covered, which is apparently decidedly different from the usual many a child from a permanent break-down when an adult. 13. The of and course of the disease. in this was study facial expression head posture is destined Recovery case apparently to become an important aid in diagnosis. completed by an attack of acute disease, scarlatina, after which 14. The governing boards of institutions for the feeble-minded, the his former health. The author remarks in the epileptic, and the insane will sooner or later be compelled to in¬ patient regained vestigate more carefully and earnestly than in the past the eye regard to the nature of rheumatoid arthritis, and seems to conditions of their inmates. the infectious nature of the disorder as doubt well as other 11. Intestinal Resection.—Three cases of interest are reported theories that have been advanced. by Isaacs. The first tAVO shoAV hoAv uncertain the diagnosis of acute appendicitis may be, even if the symptoms are apparently 17 Pernicious Anemia following Thyroid Enlargement. V. S. Merritt. clear. The first case is also of interest on account of the length 12. and of the gangrenous gut, tAventy-three inches, included in the Tabes Paresis.—Leredde holds to the syphilitic intestinal strangulation. The with the but¬ nature of these disorders and their curability under specific operation Murphy treatment. does ton was successful, the button passing the ninth day after He not believe in pseudo-general paralysis of distinct from the true operation, and the patient Avas discharged cured in four Aveeks. syphilitic origin definitely disease, but there is a certain clinical of cerebral In the second case the were those of an acute attack type syphilis identical symptoms and of appendicitis Avith local suppuration, but examination dis¬ Avith impossible to differentiate from true general paralysis. This is He believes that closed the appendix perfectly normal, though just above it Avas singularly frequent. general paralysis in a is in nature and a tumor consisting of inflamed omental and cecum adhesions syphilitic patient always syphilitic may be cured if treated correctly before degeneration occurs. He gives details as to treatment, insisting on the importance of a gradual increase of the mercurial dose to avoid any sudden action of the drug. 15.—See abstract in The Journal of January 17, p. 189. 16. Laryngeal Tuberculosis.—Loekard believes in the surgical treatment of these cases; hoAvever, carefully selecting them for operation. For the results to be good, the lesions must be localized and accessible, the pulmonary process incipient or quiescent, and there should be general good health without hyperpyrexia, cardiac weakness and inA'olvement of other organs, and a favorable moral and mental temperament. Lastly, and of great importance, a local, not constitutional susceptibility to cocain. The various operations, curetting, use of the knife, scissors, etc., are mentioned. He would also operate to alleviate or render stationary, disease in cases of gradually increasing stenosis, severe laryngeal tuberculosis Avith slight pulmonary involvement, and Avhen neAV infiltrations and ulcérations occur after or treatment when local treatment can not be given on

Dr. Victor C. Vaughan, Ann Arbor, Mich., Chairman of the Section on Pathology and Physiology. matted together with the parietal peritoneum, and a large abscess Avas found posterior to the cecum and the ascending colon. This arose from the lumbar spine, and instead of work¬ ing its way down the psoas muscle took the unusual course of working forward through the abdominal cavity, and pointing toward the site of the usual appendiceal abscess. The appendix was ligated and removed, but, as it turned out, this was in¬ effectual in closing the appendicular orifice, resulting in fecal fistula. The patient was a boy only eight years old, and he successfully Avithstood five severe laparotomies within five months, coming out none the worse excepting for the presence of scars and a possible future hernia. The third case was a strangulated femoral hernia so far advanced that strangulation of the constricted end and suppuration of the sac had already taken place The operation was performed Avith the Murphy button as in the other cases, and with good results notwith¬ standing the desperate condition of the patient, a widow 56 Dr. McFarland. of years of age. · Joseph Philadelphia, Secretary the Section on Pathology and Physiology. Philadelphia Medical Journal. account of of skill or too April 18. lack widespread involvement, but the of all other methods 12 »The Syphilitic Nature of Tabes and General Paralysis. Dr. inefficiency should first be demonstrated. Leredde. He thinks, in any case, we may anticipate some lessening of 13 Pulmonary Abscess Producing Dextrocardia : A Case Report. Thomas L. Coley. pain, increased facility in eating and some subsidence of swell¬ 14 Methods of Roentgen-Ray Treatment of Malignant Diseases of ing and inflammation. When the condition is not The Rectum pulmonary Uterus, and Bladder, with Descriptions of in we Tubes. Margaret A. Cleaves. itself fatal, may also anticipate some resolution in the 15 *The Surgical Treatment of Tubercular Peritonitis. D. S. diseased tissues, a favorable influence on the lungs, a considera¬ Fairchild. ble of life 16 'The Operative Treatment of Laryngeal Tuberculosis. Lorenzo prolongation and, rarely, a cure. He thinks that the B. a Lockard. treatment of tubercular larynx should usually be the same as a case of tuberculosis of other parts, that is, complete re¬ considerable extent. The uveal tract seemed less likely to be moval of diseased tissue at the earliest moment provided a con¬ affected than the cornea. Iritis was observed in a few cases. scientious trial of the more conservative methods has first been In no case Avas there circumscribed choroidal inflammation or made. posterior polar cataract. Chance can report no case of glau¬ American Medicine, Philadelphia. coma, retinitis or neuro-retinitis, though other observers have April 18. reported such. While kidney disease Avas common it did not 18 *A Plea for More Radical Operations in Malignant Disease of progress far to result in any case of albuminurie and A. enough the Testicle. Charles Greene Cumston William cases of into Rolfe. retinitis. He has not found any hemorrhage 19 »Bactériologie Studies of the Skin and Throat in Cases of the retinal sheet or optic nerve reported as actually observed. Scarlatina. George H. AVeaver. 20 »The Treatment of Insomnia. Hubert Richardson. 23. Test.—Skillman finds certain of Burton K. Chance. Dimethylamidoazobenzol 21 »The Ocular Complications Variola. limitations of this test for free HC1 in the which he 22 Angioneurotic Purpura. Raymond AVallace. stomach, 23 »Limitations of the Dimethylamidoazobenzol Test for Free HC1 summarizes as folloAvs: in the Stomach Contents. Wilbur F. Skillman. If for lactic is or Boas' re¬ 24 »Infection as a Factor in Tuberculosis. Woods Hutchinson. 1. the test acid positive, Gunzburg's agents, or some other method, should be used to determine whether 18. Malignant Disease of the Testicle.—Cumston and Rolfe our dimethyl reaction is due to lactic acid or to free HC1. 2. If the stomach is normal both as to size and and the for a more in these position plead thorough operation cases, perform¬ peristaltic function is unimpaired, then dimethyl will give fairly ing not merely a castration, but dissecting out the lymph accurate results. in the groin. The article is illustrated. 3. If the size and position of the stomach are not normal (gas- glands trectasis or gastroptosis), or if the peristaltic function is delayed, 19. Scarlatina.—Eighteen cases of scarlatina have been then Gunzburg's or Boas' tests should be first performed to test the bacteria of the skin in positively whether free HC1 is causing reaction, or whether it is studied by Weaver to ascertain caused by organic acids, before proceeding to titration with di¬ this disease. He finds that the bacteria obtained from the methyl. of the and the surface of the cultures skin, epidermic scales, 24. Tuberculosis.—Hutchinson gives an interesting résumé tonsil in ease of scarlatina are the same as those found in the of the present conditions of the question of bovine and human same localities no one of these is during health, constantly tuberculosis, disagreeing Avith Koch as to the harmlessness of the in the throat. On account present except streptococcus bovine tuberculosis to man, though he admits his general state¬ numerous such cultures it is of the cocci growing in impos¬ ment as to the transmission of human tuberculosis to cattle. sible to identify them except by complete study. If made by As regards actual infection from individuals, he finds little to inexperienced persons or those Avho do not fully appreciate the support the extreme opinions Avhich have gained ground. The importance of avoiding the tongue, the cultures are especially general balance of evidence in regard to the rôle of infection contain or sarcinae. The apt to large diploeocei streptococcus in tuberculosis seems to him to point to the view that Avhile the tonsil of scarlatinal in enormous is present in patients the introduction of infectious material is necessary, the most numbers in almost every instance. potent factors in determining the questions of the develop¬ 20. Insomnia.—The causes and treatment of insomnia are ment of the disease are those of the soil, viz., resisting powei, discussed at length by Richardson, Avho revieAvs the effects of and environment. He believes there is considerable in the various hypnotics and practically condemns them all as being habitus phthisicalis, that is, special conformation and physi¬ toxic and producing sleep by intoxication. The methods which ognomy of those most subject to phthisis, and gives special im¬ he would consider better are sleeping in a well-oxygenated portance to a high chest index, namely, the relation between room, keeping the bed warm, reduction of mental activity for the anteroposterior and the transverse diameters of the chest. some hours before going to bed, and the evening meal at least This is high in consumptives, that is, the phthisical patient four hours before retiring; the use of the bath immediately has a more round than flat chest. It is a persistence of the before retiring and sometimes the addition of a nitroglycerin fetal condition. He believes in guarding against infection by or erythrol tetranitrate tablet after the patient has gone to eA'ery possible means; meat and milk inspection, tuberculin bed. Small doses of digitalis in neurasthenic cases will some¬ tests, destruction of sputum, notification of cases, prevention times be efficient in producing sleep. In acute mania Avith Ioav of expectoration in public, but twice as important, in his mean and maximum blood pressure, heart stimulants are in¬ opinion, are Avell-aired rooms, good food, short hours of indoor dicated, but in chronic mania, Avith high mean and maximum Avork and an open-air life. pressure, these are useless and are contra- opiates especially Boston Medical and indicated. There are cases where hypnotics are absolutely Surgical Journal. but he thinks it is better to the conditions April 16. necessary, produce 25 »A Case of Interscapulo-Thoracic Amputaton for Sarcoma of necessary to natural sleep than to give a poison Avhich produces the Brachial Plexus. F. B. Lund. unconsciousness and not and which must be detrimental 26 »The Diagnosis of Gonorrheal Urethritis. Alfred H. Gould. sleep, 27 »Cream for the Home Modification of Milk. Charles W. Town- to the patient. send. 28 »Variation in the Composition of Human Milk. Philip P. 21. Variola.—Chance has studied the ocular complications Sharpies and Eugene A. Darling. of variola in an analysis of over two thousand cases at the 29 »Trikresol in Para-urethral Abscess. M. L. Heidingsfeld. Municipal Hospital at Philadelphia. He finds ocular affections 25. Interscapulo-Thoracic Amputation for Sarcoma.—The common, occurring sometimes in the acute stages and again case reported by Lund was a patient 40 years of age, of good not until convalescence, or they may be seen for the first time muscular development, operated on for sarcoma of the brachial as sequela;. The skin of the lids is commonly a site of the plexus folloAving injury. Rupture of the axillary vein had pustulous eruption and the eye may not be opened for several occurred in attempted removal, and it was relieved by suture days. In such cases severe conjunctivitis is present and often and subsequent interscapulo-thoracic amputation was per¬ leads to corneal ulcération and abscesses may occur on the lids formed Avith good results, and no recurrence after three months. later. The lachrymal passages may become inflamed and The points of special interest are the close relations in time destroyed. Inflammation of the conjunctiva itself is usual, betAveen the development of the tumor and the injury of the but shortly passes away. The intensity is related directly to arm. The early paralysis of the median nerve, while the other ' that of pustular eruption in general. The cornea does not nerves were not affected except by pressure, pointed to the seem to be subject to the specific lesion of variola, though origin of the tumor in this nerve. Lund summarizes the indi¬ ulcération occur does independently of the general process as a cations for this operation: 1. In the majority of cases of consequence of conjunctival disease. Inflammation may be malignant disease of the humérus, and especially any that in¬ only a slight superficial haze or may involve the entire mem¬ volve the tissues about the shoulder joint. 2. In malignant brane. In severe eases rapid destruction of the cornea may disease in the axilla involving the axillary vein, which can not take place as early as the eighth day. Sometimes both the be ligated Avithout sacrificing the arm. 3. In extensive in¬ eyes are affected. Two cases of parenchymatous keratitis juries, where the scapula has been partially or completely torn Avere observed. Old vaccination, though not effective against away, or the skin over the deltoid has been destroyed, so that the smallpox seemed to relieve the corneal complications to a it is not available for the covering of an ordinary shoulder- are the joint amputation. Points in the technic noted, import¬ mucous membranes which are absent in the jejunum stools, ance of and of ligating the artery before the vein, cocainization and it is dependent on general enteritis. Tne dystrypsia due of the trunks of the brachial plexus before division, which to carbohydrate fermentation Avhich gives rise to jejunal diar¬ seems to have no effect on the pulse. rhea is important because it may entail an ultimate enteritis 26. Gonorrheal Urethritis.—Gould insists on the importance in either adult or infant. It is not an easy matter to decide of culture tests as well as microscopic tests to positively estab¬ betAveen a normal and abnormal, quantitative or qualitative, lish the identity of the disease. He advises the folloAving gen¬ presence of starch in the feces, but if they give a marked eral routine method: 1. Cleansing the meatus AA'ith Avater and primary fermentation according to Adolf Schmidt's test, he passing the urine into a sterile test tube. This is centrifugal excludes starch from the diet. Normally, Lugol's solution ized in tAvo sterile centrifugal tubes, and the overlying fluid- should shoAV no blue color in the stools. An abundance of un¬ poured off. The sediment is used for cultures. If a feAv gono- digested muscle fibers after a weighed test diet is always eocci are found in the first tube, the second tube is treated in significant of abnormal intestinal digestion, and if the nuclei the same manner. The Gram stain should ahvays be used. In in the muscle fibers are very evident it signifies abnormality making culture media he found hydrocele fluid most practic¬ of the pancreatic secretion. The presence of connective tissue able. is another significant point indicating gastric indigestion. Ac¬ 27. Cream for the Home Modification of Milk.—The con¬ cording to Hemmeter's experience it is impossible to succeed clusions of ToAvnsend's article are given in the folloAving: Avith a radical enforcing of strict diet of any kind, but he 1. Centrifugal cream is probably less desirable for infant feeding advises a "bland diet"; foods that pass the intestinal canal obtained from dealers it Is far from than gravity cream. As often should be avoided. He makes it a rule to accurate in percentage. undigested prohibit 2. Siphonage for obtaining gravity cream is an accurate method, alcohol, tea, coffee and tobacco, but Avith great exhaustion he but one requiring considerable skill to perform accurately and alloAvs small of under the strictest control. safely. quantities alcohol 3. Dipping off the top milk is an accurate and safe method If rea¬ The diet can not be regulated until a dietetic experiment is sonable care is used. made. The same holds true as We must 4. The method for obtaining gravity cream by pouring off the regards constipation. top is very accurate and extremely simple. There is no instrument ascertain Avhether this is due to atony or spasm. The majority be and method it is to ob¬ to bought kept clean. By this possible of these exercise after a feAV re¬ tain cream of any desired percentage up to 26 per cent. patients require meals; may 5. To ensure perfect accuracy, frequent examinations with the quire rest. Great care must be exercised as regards the last Babcock machine are but for this Is required ; practical purposes meal of the a will often a restless not necessary, provided the mixed milk from a well-regulated dairy day; heavy supper produce is obtained. night. Hypnotics should be avoided for insomnia, and any 28. Human Milk.—Sharpies and Darling have systematically neurasthenia properly combated. He has been able to get analyzed samples of human milk collected under uniform con¬ along without intestinal antiseptics, and has seen bad results ditions. The details of their methods are given. They find from irritating drugs of this kind. Creosote, even in small that the average composition of human milk as shoAvn by 117 doses, generally deranges the stomach. He gives a number of analyses is: formulas for special symptoms. Fat. 2.91 Ash . 0.13 31. The Etiologic Factors of Intestinal Dyspepsia.—The first Sugar. 7.01 Total solids.11.39 of the Proteids. 1.34 Solids not fat- 8.4S exciting causes noted by Smith is the pathologic and anatomic alteration of the intestinal walls, Very Avide variations from the average occur in some indi¬ nerves, lymphatics and blood vessels. 2. The or of the intes¬ viduals at different times and marked variations in the absence deficiency average tinal secretions, of bile and composition from different individuals. The average composi¬ digestive especially pancreatic 3. Intestinal due to or tion of human milk does not vary markedly at different periods juice. indigestion qualitative quantita¬ tive of diet. Intestinal due to of lactation, but during the first lactation it is Aveaker in fat irregularities 4. dyspepsia abnormal bacterial 5. That due to abnormal and proteids and stronger in sugar than in subsequent lacta¬ activity. gastric 0. That of nervous intestin tions. These differences may or may not be due to age. chemistry. origin—neurasthenia alis. 7. Intestinal dyspepsia caused by abnormal substances,- 29. Para-Urethral his Abscess.—Heidingsfeld gives experi¬ or irritation, reaching the intestines from the blood, as in ence Avith four cases of abscess para-urethral folloAving gonor¬ uremia, severe malaria, croupous all septicemia, pneumonia, rheal infection and treated by injections of trikresol. In erysipelas, cholera, etc. 8. Intestinal dyspepsia due to the a in seven fourteen four it effected complete cure from to days, activity of the intestinal parasites (exclusive of bacteria). 0. and shortened an obstinate and dis¬ materially exceedingly That due to hyperperistalsis or excessive of the boAvel. He rather in to motility tressing gonorrhea. speaks strongly regard motor, sensory, secretory neuroses, etc. All these are discussed the utility of this preparation in such cases, and thinks it in detail. warranted in every accessible case until its efficacy, unfailing 32. Tetanus.—Three cases are reported by Luckett, tAvo re¬ or otherAvise, is established. fully covering under intraspinal injections of tetanus antitoxin Avith Medical News, New York. withdrawal of a certain amount of cerebrospinal fluid. No at¬ April 18. tempt Avas made to maintain an equilibrium betAveen the 30 »Intestinal Indigestion (Dystrypsia). John C. Hemmeter. amount of spinal fluid Avithdrawn and the amount of 31 »A Brief Review of Some of the Etiologic Factors in Intestinal Dyspepsia. E. Franklin Smith. serum injected, the former ranging from 100 to 140 32 »The Rational Treatment of Tetanus : A Report of Successful drops and the latter 8 to 12 c.c. of antitoxin. He Treatment by Spinal Subarachnoid Injections of Antitetanic usually Serum. W. H. Luckett. holds that this fact indicates that the shock or collapse fol¬ 33 »Notes on Systemic Infections by the Staphylococcus Aureus. subarachnoid of cocain is not due to E. Libman. loAving spinal injection 34 »Itching: Its Occurrence Both as a Concomitant and as a any upsetting of equilibrium of pressure, but is due solely to Edward B. Cure of Disease. Bronson. the physiologic action of the cocain. In case of a tetanus in¬ 35 The Roentgen Ray : Its Mechanics, Physics, Physiology and Pathology. Eden V. Delphey. fected Avound he Í3 not by any means positive that the 36 The Congenital Criminal. Robert T. Irvine. anatomical seat of the Avound does not play an important rôle 30. Intestinal Indigestion.—The different forms of intestinal in the production of the constitutional symptoms of tetanus; indigestion are noted by Hemmeter, who commences Avith a if near a large nerve it will be more likely to be folloAved by discussion as to the gastric function, shoAving the importance constitutional effects. While recognizing the absurdity of try¬ of psychic incitation to gastric secretion. It is important first ing to draw conclusions from tAvo cases, in the two patients of all, in order to have a normal intestinal digestion to see who recovered the reaction after each injection was so prompt that the mouth and stomach are in good order. He points out and the improvement so positive that he believes spinal sub- the differences between the jejunal and the catarrhal types of arachnoid injection of tetanus antitoxin, preceded by the with¬ the stools; the former is very rich in bile pigments, with slight drawal of the active, concentrated, highly toxic spinal fluid, fecal odor and generally of an acid reaction, bearing evidence supplemented by forced nutrition and proper care of wound, of simply being hurried through the intestine, while the catar¬ is a very promising method of treatment, offering more hope· rhal shoAvs the presence of epithelium and round cells from the than any other in this dreaded disease. 33. has Staphylococcus Infection.—Libman examined 23 41. Fistula of the Cornea.—This condition, Avhich is rare in cases of in all osteomyelitis septic conditions and found in of occurrence, is treated Ball as íoHoavs : them the by Staphylococcus aureus in the blood during life. In The keratome is to be introduced into the anterior chamber as in 330 other blood cultures he has never seen a single colony of the first step in the operation for iridectomy. The tip of the instru¬ ment is to pass beyond the fistulous area, and the instrument is aureus. Five of these 23 cases recovered. It Staphylococcus then to be held in situ while a cautery is used to destroy the epi¬ does not necessarily folloAV that the greater the number of thelial lining, the tag of iris-tissue which is often present in the bacteria in less of The fistula, and the bulging bleb of Descemet's membrane. The kera¬ the blood, the the chance recovery. tome is to be withdrawn carefully to avoid injury to the lens. number of bacteria depends in some cases at least on the time Atropin and a compress bandage are to be used in the after-treat¬ ment. the the lids should be a when the examination is as the is for During operation separated by spec¬ made, great tendency ulum and the eyeball should be fixed with forceps. It is. necessary the body to rid itself of bacteria. that the forceps should be placed several mm. behind the point at which the keratome is to be introduced. If the forceps be placed 34. revieAVS the causes of the of on the globe at a point opposite the place -at which the keratome is Itching.—Bronson symptom to be the be sufficient and its treatment. is the natural passed, globe may subjected to pressure to itching Scratching remedy cause a rupture of the weakened area. The operation must be post¬ for itching, but may do more harm than good, but the principle poned until such time as the anterior chamber shall have reformed. of transference or substitution of sensation, used in scratching, Bulletin of the Johns Hopkins Hospital, Baltimore. is also applied in other remedies. One of the most valuable March-April. of them is menthol, which is not an anesthetic, but relieves 42 Plague in the Orient. William J. Calvert. as it relieves pain, by substitution for this sensation, 43 »Pemphigus Vegetans. L. P. Hamburger and Maurice Rubel. itching 44 »The Taste Fibers and Their Independence of the N. Trige- the disturbance of temperature sense. A 2 to 4 per cent, minus. Harvey Cushing. alcoholic solution is most effective. Other remedies act as 45 On the Use of Clay Modeling in the Study of Osteology. Robert O. Moody. cutaneous anesthetics, as hot water, camphor, etc., and of the 46 The Treatment of Aural Exostoses. H. O. Reik. local anesthetics, carbolic acid is the most valuable and has 43. Pemphigus and Rubel a the most effect. To obtain its best effect it should be Vegetans.—Hamburger report lasting case with details, autopsy and examina¬ used Its corrosive action on the skin is its chief findings bactériologie strong. objec¬ tion. The condition is a fatal one and Avas best relieved tion. It is Avell to bear in mind the of carbolic by possibility continuous immersion under Avater. Cultures revealed the if caution is observed there is not poisoning, though ordinary presence in the mouth of small bacteria in almost culture, much The of to the skin from the pure danger. danger injury allied apparently to the pseudo-diphtheria bacillus. After the caustic action is a more imminent one. We can use subse¬ death of the the Micrococcus lanceolatus was isolated of alcohol if he has patient, quent applications necessary. Generally from the lungs, and a pseudo-diphtheria bacillus from the found a linseed the best corri¬ drying oil, more particularly, blood. Blebs showed the staphylococcus. The article is elab¬ gent. The following is the prescription Avhich he recom¬ orately illustrated. mends : R. Liquor potassi.3i 44. The Taste Fibers.—Cushing has analyzed the literature a own Acid carbolici . 3ii and number of cases of his observation to determine Olei lini q. s. ad.5i 30 whether the taste fibers reach the tongue through the tri- Olei verbena? .m. ii 12 geminus or not. Judging from the uniform results of observa¬ M. tion, he says it may be said in conclusion: not to be said for internal but where There is much remedies, 1. That the perception of taste is unaffected on the posterior por¬ tion of an urticarial element is there would seem to be an the tongue and never permanently or completely lost on its prominent, anterior two-thirds after removal of the Gasserian 2. to the con¬ ganglion. indication for motor depression overcome spastic That a temporary abolition or lessening of the acuity of taste may tractions of the skin muscles. and pilocarpin are be found to exist over the anterior and anesthetic portion of the Atropin for some the 3. That this but does not recommend tongue days after operation. temporary sometimes prescribed, he strongly loss of function may possibly be occasioned by some interference them. In toxic urticaria there is an indication for antiseptic Avith chorda transmission brought about by a mechanical or toxic disturbance due to of the N. 4. That a of diet or degeneration lingualis. remedies and with the form due to errors dependent lesion of the trigeminal nerve may be associated with disturbance on of the individual, a brisk emetic or later a of taste over the chorda territory without the necessary inference idiosyncrasy that the nerve is a path for gustatory impulses. 5. That the N. saline purge may be effective. In senile pruritus he speaks trigeminus in all probability does not convey taste fibers to the particularly of general stimulation of the skin by elimination, brain either from the anterior or posterior portion of the tongue. faradization, etc., with internally cannabis indica and strychnia. Cleveland Medical Journal. For pruritus hyemalis it is important that digestion and gen¬ April. should be and-alcoholics Bath eral nutrition kept up avoided. 47 »The Occurrence of Cheyne-Stokes' Breathing in Acut'e Disease, is more difficult to control, and some times the addi¬ with Report of a Case. H. C. Mabley. pruritus the tion of salt to the Avater makes it less For 48 On Value of Obtaining the Urine from Each Kidney Sep¬ irritating. pruritus arately, with a Description of the Different Methods Em¬ of the anus or genitals the cause should be searched out, all ployed. William E. Lower. 49 A Case of Face Presentation—Mentoposterior Position. F. S. possible sources of reflex irritation looked for as well as any Clark. general condition like lithemia, neurasthenia, or diabetes. 50 Instructions Issued by the German Government for the Edu¬ lotions aluminum cation of the People on Tuberculosis. Translated by John Among the local remedies he mentions of H. Lowman. Lassar Avithout or with 2 or 3 acetate, paste, salicylic acid, 47. Cheyne-Stokes' Breathing.—Mabley notes this cent, carbolic acid. Orthoform may do well if inflammation special per and illustrative cases and exists and until it is Cocain is sometimes but symptom gives personally observed allayed. useful, others from the literature. He thinks the condition is not not for use. The for good prolonged sovereign remedy pruritus means associated with chronic vulvi ani is carbolic acid. A of the by any necessarily disease, or single application pre¬ the literature but little material in to its is sometimes efficient for the whole though gives regard scription above given occurrence in acute conditions. night, but it should not, however, be applied too lavishly or too often; more than one or tAvo applications in twenty-four Annals of Surgery, Philadelphia. hours Avould be likely to do injury. Hot water is often useful. April. Other remedies are also mentioned. 51 »Splenopexy for Wandering Spleen. J. Basil Hall. 52 »TJrethroplasty. Albert A. Berg. 53 »Carcinomatous Changes in an Area of Chronic Ulcération, or Cincinnati Lancet-Clinic. Marjolln's Ulcer. John C. DaCosta. April 18. 54 A Case of Dislocation of the Hip in Acute Rheumatism. J. N. 37 The Future of and of Obstetrics. Wm. D. Hall. Gynecology Porter. 55 »Instrument to the Brain 38 The of Julia W. Protect While Doing Craniotomy Care Obstetric Cases. Carpenter. with Gigli Saw. Frederick C. Schaefer. 39 Cephalalgia. Mark D. Stevenson. 56 »Primary Tuberculosis of the Breast. W. S. Sthley. 40 Surgery of the Prostate, Pancreas, Diaphragm and Spleen. 57 »The Diagnosis of Intestinal Injury Following Abdominal Con¬ (Continued.) B. Merrill Kicketts. tusion. Robert G. LeConte. 58 »Hepatic Duct Stones. Raymond C. Turck. St. Louis Medical Review. 59 »Primary Carcinoma of the Vermiform Appendix, with a Re¬ 11. port of Three Cases. Arthur W. Elting. April 60 »The Surgical Treatment of Anuria. Arthur D. Bevan. 41 »Fistula of the Cornea. James M. Ball. 61 »Results of Decapsulation of the Kidney. Harold A. Johnson. 51. Spienopexy.—Hall reports a case successfully operated Primary carcinoma of the appendix does not show a marked tend¬ ency either to extension on. The conditions were good for splenectomy, but noticing or to metastasis. 6. The symptoms of primary carcinoma of the appendix are usually the symptoms of that there was a peculiar structure of the spleen Avhich favored appendicitis of the chronic type. 7. The diagnosis of car¬ cinoma of the primary its attachment, the notch being specially situated so as to appendix is in the great majority of cases impossible. 8. The treatment of the condition should always be operative. make sure of an anchorage, he adopted the plan of splenopexy 60. Anuria.—Bevan a ease and discusses the condi¬ with good results. Of course, this Avould not be advisable in reports tions which be due to or every instance. may obstruction, traumatic otherAvise, from acute nephritis, from tuberculosis from con¬ 52. Urethroplasty.—Berg describes the various methods of degenerative ditions, from certain poisons, from a condition known performing urethroplasty and reports two cases shoAving the peculiar as urethral fever and He draAVS con¬ is insertion a hysteria. the folloAving usefulness of Guyon's operation—that of catheter from his clusion study as regards the operation : and allowing regeneration over it betAveen the tAvo diA-ided 1. The clinical importance of recognizing the three forms of ends—which he holds is the most universally applicable method, anuria—obstructive, reflex and non-obstructive—is to be empha¬ sized. 2. The of not so ideal as the union of the two ends. imperative necessity surgical interference in the ob¬ though structive and reflex forms, and its possible value in the non-obstruct¬ cases. 3. 53. Marjolin's Ulcer.—Tavo cases of this condition are re¬ ive That in the first two varieties, at least, a rapid neph- rotomy on the side of pain, tenderness, and muscular is the Avho discusses of the cancer from rigidity ported by DaCosta, the origin operation of choice. If necessary, do not hesitate to make a double chronic ulcer. He does not the vieAV, nephrotomy. 4. That nitrous-oxid anesthesia is probably to be pre¬ adopt parasitic though ferred. 5. That to certain seem to favor such as etc. He time-consuming operations relieve permanently things it, métastases, the obstruction are to be postponed to a later period, after the cautions in regard to diagnosis, especially in cases where there patient has recovered from the anuria. 6. Operate early, by the beginning of the third day. has been a induration, and the of a pre-existing possibility 61. syphilitic condition is mentioned. When a positive diagnosis Kidney Decapsulation.—Johnson has experimented on fifteen of which 5 and a is made of cancer of this sort on the extremities, the only dogs, died, gives summary of his find¬ The of the normal course is amputation Avell above and removal of the anatomic¬ ings. capsule kidney consists of two dis¬ tinct the outer much ally related glands. The x-ray may be tried before amputation layers, being the thicker, while the inner is the direct continuation of the con¬ if the glands are not obA'iously enlarged. very thin, intertubular nective tissue. In the operation of decapsulation the outer 55.—This article appeared in The Journal, Jan. 24, p. 246. layer only is removed, leaving the inner lacerated but adherent 56. Tuberculosis of the a to the Primary Breast.—Schley reports kidney's surface. At first a thin exúdate appears on case of this condition and discusses its The condi¬ free pathology. the surface of the kidney, Avhich gradually becomes a tion is evidently not a common one. It may be mistaken for fibrous investment, resembling the normal in that it and capsule simple cyst, fibro-adenoma, carcinoma, sarcoma, gumma strips readily and becomes more and more firm Avith time. actinomycosis. It may also be necessary to distinguish the Microscopic examination shoAvs this to be of varying from chronic interstitial mastitis. The treatment con¬ degrees process of thickness, and a homogeneous mass of fibrous tissue Avhich sists in removal. will form under adhesions and can be recognized as distinct 57. Intestinal Injury from Contusions.—Several cases of this from them both macroscopically and microscopically. There is an condition are reported by Le Conte and the symptoms and sometimes infiltration Avith round cells and a prolifera¬ diagnosis analyzed. He thinks that a moderately sure diag¬ tion of the intertubular connective tissue of the cortex, without, nosis of injury must be made before operation is undertaken however, affecting the glomeruli or the general health of the or Ave will frequently find no internal trauma, and that the dogs. Lastly and most important is that in no case was there teachings of modern Avriters Avho urge operation in all cases any considerable anastomosis betAveen the renal and pedreñal or local are presenting pain, rigidity tenderness too radical. blood channels. Applying these facts to operations on the human The presence of shock is not sufficient for diagnosis. We must subject, he does not find that Edebohl's claim is sus¬ wait for reaction. No one is but tained the symptom pathognomonic, that benefits sometimes derived from this opera¬ the most reliable ones are gradually increasing rigidity and tion are due to the establishment of a collateral circulation, but facial expression. Next he Avould place deep and perhaps rather that they are due to relief of tension from splitting radiating abdominal pain, respiration Avhich becomes more and the capsule of the kidney. after shock has more thoracic, vomiting ceased, distension, in¬ Interstate and fall in Medical Journal, St. Louis. creasing pulse-rate, secondary temperature. The April. order of these is individual symptoms unimportant. Any who 62 »The Diagnosis and Treatment of Hemorrhoids. James P. has received an abdominal contusion severe to call Tuttle. sufficiently 63 »The Heart in for service needs the most Neurasthenia. Frank P. Norbury. constant and careful Avatching for 64 What the von Langenbeck in uals Operation Accomplishes Individ¬ grave symptoms. We should not wait for them to become so with Cleft Palate. Willard Bartlett. 65 Treatment of Verruca Plana of that a Juvenalis, with Report Two pronounced positive diagnosis is assured, but there is a Cases. M. F. Engman and W. P. Loth. safest betAveen on and position midAvay operation every case 62. Hemorrhoids.—Tuttle's article is someAvhat de¬ for assured lengthy, waiting diagnosis. scribing the various types of hemorrhoids and their treatment. 58. Hepatic Duct Stones.—Turck emphasizes the importance He believes that in the varicose type of internal hemorrhoids of a thorough search for calculi in the hepatic duet and their there is a field for the injection methods. In purely internal removal if existing. He think3 it is safer to assume that hemorrhoids, which prolapse through a relaxed sphincter, not stones be formed in bile ducts may the independently of gall¬ ulcerated, this method will frequently give us excellent results. bladder and unless uncom¬ influences, the case is undoubtedly The method, hoAvevér, is tedious and may be painful. He does with a feAV a plicated, or one or single large stone in the duets, not use ligation, but has employed an operation of excision, with no sign of cholangitis and with the bile clear, simple adapted from the methods of various authorities. He does gall-bladder drainage, removal of the mucous membrane and not advise this, hoAvever, to the general practitioner, but eholecystectomy may all prove insufficient and drainage of the counsels him to hold to the old, simple efficient plan of clamp hepatic duct by tube through a direct incision or common duct and cautery in the operative treatment of piles. should be instituted. opening 63. The Heart in Neurasthenia.—Norbury calls attention to 59. Primary Carcinoma of the Vermiform Appendix.—From the heart symptoms occurring with neurasthenia, disturb¬ a careful study of the subject including examination of three ance of the rhythm, usually increased, acceleration, the cases, Elting draAvs the folloAving conclusions : Rumpf symptom, palpitation after eating and the general 1. Primary carcinoma of the appendix is not of such rare occur¬ of heart weakness. The condition does not rence as has been 2. symptoms usually hitherto supposed. Every appendix removed until the at operation or autopsy, if it presents any evidence whatever of improve neurasthenia is well under way of conval¬ should be examined most and disease, carefully, sections should be escence. He believes in diversion as a of the rest cure in made from several of the organ for study. part portions microscopical these The are 3. The relationship of primary carcinoma of the appendix to cases. details largely in regulating sleep, chronic of the pro¬ appendicitis, especially obliterative type, seems to be moting digestion, the use of tonics, care as to the bowels and fairly definitely established. 4. Primary carcinoma of the appendix shows a tendency to develop at a comparatively early period of life. 5. a careful consideration of nutrition in general. Albany Medical Annals. overdone. Men's minds have been unduly strained in this- April. direction. The nervous and Aveaknesses so often ac¬ 66 »The Unusual Symptoms of the Weakened Foot. Arthur W. physical Elting. companying abdominal disease in women is not true neuras¬ 67 »Ocean Traveling as a Therapeutic Measure. John Hall. thenia or strictly pelvic reflexes. He mentions especially, as- 68 »Albany Hospital ; First Report of Pavilion F, Department for Mental Diseases, for the Year Ending Feb. 28, 1903. J. M. one of the most intractable symptoms in neurasthenic Avomen, Mosher. muconiembranous colitis, Avhieh is so common that he in¬ 60 Albany Hospital Report of the Pathologist on the Work Done from March 1, 1902. to March 1, 1903. George Blumer. variably assumes it to be present in some degree. His experi¬ 70 A Late Laparotomy for Gunshot Wounds of the Intestines ; ence with it has been but not He Eleven H. Mitchell. large, always satisfactory. Perforations ; Recovery. James protests against the preA7ailing indiscriminate operations in 60. The Weakened Foot.—Elting discusses the condition and abdominal conditions. its treatment and describes cases AA'here severe cramps of the 79. Asiatic Cholera.—McLaughlin considers the cholera germ calves, in the knee and Avere as pain hip joints experienced sensitive to heat, and believes that Nature also the of Avhich has also been especially attempts symptom meralgia parasthetica, to rid the of it and If she attributed to this condition by Pal. organism by vomiting purgation. can not accomplish this by these alone she raises the bodily 67. Ocean of for Traveling.—The advantages ocean traveling temperature to a point that interferes Avith or inhibits its invalids are discussed Avho also out the draAV- by Hall, points groAvth. These processes, liOAvever, are a severe tax on the backs and insists on in careful selection of good judgment the vitality, and the febrile process once started may refuse to be cases to be benefited in this Avay. The same problems arise as controlled, and the patient dies of hyperpyrexia. In McLaugh¬ land He thinks it is best not to be too regards traveling. ready lin's opinion, heat in cholera is an analogue of Behring's anti¬ to for a because he has the means. prescribe traveling patient toxin in diphtheria. Thus he reasons that by causing an early 68. Mental Wards in General Hospitals.—The first report of rise of temperature in cholera patients Ave also lower the Pavilion F. of the Albany Hospital is given by Mosher, who mortality. He reports the results of the use of normal salt shows a total of 174 cases treated, Avith 57 recoveries and 53 solution at 112, injecting above the sigmoid flexure in five improved. He finds many advantages in the plan of having a cases. The first case Avas moribund at the time and died, the mental Avard attached to a general hospital, though it is un- second died Avithin ten hours of hyperpyrexia. After this the suited for a certain proportion of eases. The principle, he temperature of the injection Avas reduced from 112 to 110 and says, may be stated that any patient Avhose case may be re¬ an ice bag applied to the patient's head during its administra¬ garded as curable by the means at hand should share the tion. The three remaining cases made good recoveries, enter¬ advantages of this style of ward. He speaks highly of the ing the stage of reaction in each case Avithin an hour of the benefit of putting the male wards in charge of female trained administration of the injection. Illness compelled him to leaA'e nurses. the Philippines at this time, and he has had no opportunity to Illinois Medical Journal, Springfield. give the method a further trial. April. 71 »Hemorrhoids : Their Pathology ; Indications for and Technic Medical Age, Detroit, Mich. of Operative Treatment. J. Rawson Pennington. April 10. 72 »Acute Gastro-enteric Infection of Infants. Margaret T. Shutt. Clinic. A. Fischkin. 80 Reflex Neuroses in Women. Edward B. Ward. 73 "¡Six Years in a Dermatologie E. 81 of the Bladder. Robert 74 A of Infection Resembling Fever. Tumors Grossmann. Case Grippe Puerperal 82 Antitoxin in the Treatment of Diphtheria. W. ïhorntor» Joseph Brayshaw. Parker. 75 An Unusual Case of Typhoid Fever. J. W. Kelly. 76 Consistency in Medical Practice. J. N. Nelms. Medical St. Louis. 77 The General Practitioner and His W. C. Bowers. Fortnightly, Surgery. April 10. 71. Hemorrhoids.—Pennington describes his operation. It 83 The Use of Mercury in Syphilis. David W. Reid. and consists in out a section of the mucous membrane 84 Psoriasis Its Treatment. Charles J. S. Digges. cutting 85 Diseases of the Lungs and Pleura (Pulmonary Emphysema). covering the pile and removing angiomatous tissue, treating Albert Abrams. each of the in order. A stream of hot quadrant anus regular Medical Richmond. sterilized salt solution to 125 F. flows the Virginia Semi-Monthly, (115 ) over parts April 10. the if continuously during operation. Spurting vessels, any, 86 Conception in Species, Pregnancy, Sexuality, Etc. Jesse are caught Avith forceps and thoroughly tAvisted and, if neces¬ Ewell. 87 Disease of the Antrum of Highmore, and Its Treatment. J. sary, ligated. All external tumors and tabs of skin are cut off, Stiff. care taken not to make any incision in the muco-cutan- 88 Chloroform as a Surgical Anesthetic and Its Administration. being Manfred Call. The field is dusted some eous junction. then with antiseptic 89 Gunshot Wounds of the Stomach, with Report of a Case. F. poAvder and dressed in an extended posture by means of a Lawford. rubber-covered tampon introduced through a bi-valve speculum, Medical Herald, St. Joseph, Mo. which protrudes about 1.5 inches beyond the anal orifice. April. Gauze is carefully Avrapped around the protruding portion and 00 Apoplexy: Remarks for the General Practitioner. T. Patrick. Hugh the Avhole confined with a The is T-bandage. patient placed 91 The Brain : Its Relation to Mind and Soul. T. E. Potter. in bed and given a hypodermic of morphin, if not contraindi- 92 The Diagnosis of Gallstones. A. L. Wright. for and at the end of hours is a cathartic 93 A Plea Prostitution. Albert S. Ashmead. cated, forty-eight given 94 Fracture of the Cranium. Thomas M. Paul. and the tampon removed. From this time on until convales¬ cence is Avell established, the parts should be AA'ashed or irri¬ Occidental Medical Times, San Francisco. gated daily Avith an antiseptic solution, dusted Avith some April. 95 San or sterilized vaselin The bowel Address, Joaquín Valley Medical Society. J. L. Carson. antiseptic poAvder, applied. 96 The Municipal Control of Milk Supply as an Important Sani¬ should be kept soft for tAvo or three Aveeks, and Avet cotton or tary Measure. G. H. Aiken. 97 The Subarachnoid Injection of Cocain. eottonoid used as a He finds this one of the best A. J. Pedlar. detergent. 98 Iritis : Its Symptoms and Treatment. D. H. Trowbridge. and most reliable operative methods. 99 End Result Four Years After a Pus Joint at the Knee. Harry M. Sherman. 72.—This article is practical^ the same as that published 100 Is Surgical Treatment to Be the Routine Treatment in Base- in Tue Journal, xxxix, 244. dow's Disease? W. Winterberg. p. 101 Pancreatic Calculus. L. W. Allen. 73.—This article appeared in The Journal, Aug. 23, 1902. 102 Report of a Case of Tuberculosis of the Cornea, Iris and Cili¬ ary Body. A. Barkan. Texas Medical Journal, Austin. April. Chicago Medical Recorder. 15. 78 »Neurasthenia in Relation to the Abdominal Diseases of April Women. Henry E. Leake. 103 »The Diagnosis of Pneumonia. Arthur R. Edwards. 79 »A Study of Nature's Method for the Cure of Asiatic Cholera. 104 »The Treatment of Pneumonia. James B. Herrick. W. B. 105 The Pulmonary Aspects and Complications of Influenza. McLaughlin. Frank S. Johnson. 78. Neurasthenia in Women.—Leake objects to the reflex 106 The Treatment of Influenza. Robert H. Babcock. theories of that have been 107 Abdominal and Vaginal Cesarean Section as Means of Accom¬ neurasthenia, holding they largely plishing Accouchement Forcé. J. Clarence Webster. 108 »I'neumococcus Septicemia. Joseph L. Miller. SYMPOSIUM ON ANESTHESIA. 100 of a of and Treatment. Report Case Stammering Methods of 153 The Choice of an Anesthetic. Gwilym G. Davis. James M. Brown. 154 The Preparation of Patients for Anesthesia. John G. Clark. 110 Uremia. A. Gaebler. 155 Treatment of Complications Arising During Anesthesia. G. 103.—See abstract in The Journal of 1017. W. Spencer. April 11, p. 156 The Methods of Administration of Anesthetics. Edward 104.—Ibid., p. 1018. Martin. 108—Ibid., p. 1017. Dominion Medical Monthly, Toronto. March. Denver Medical Times. 157 Case of Pyopneumothorax with Hemiplegia. R. J. Dwyer. April. 158 Report of a Case of Hemothorax—Probably Due to Secondary T. B. Richardson. of Fracture in the of the Femur. I. B. Carcinosis of the Lungs. 111 Report of Cases Shaft 159 A Case of Hydrothorax. Fred. Parker. Perkins. 160 A Case of Hemothorax. W. H. Lowry. 112 X-Ray Report of Above Cases. S. B. Childs. Fracture of the and Leon¬ 161 Cases in Practice (Appendicitis, Pelvis). 113 Address. Denver Arapahoe County Medical Society. Frank Hall. ard Freeman. 114 The Preparation of Surgeons, Nurses and Patients for Surg¬ ical Operations, and Remarks Regarding Trained Nurses. Harlan Trask. FOREIGN. 115 A Successful Treatment of Rheumatism. . H. Fletcher. Titles marked with an asterisk (*) are abstracted below. Clinical case and trials of new drugs and artificial and and Ann Mich. lectures, single reports Physician Surgeon, Detroit Arbor, foods are omitted unless of exceptional general interest. January. 110 The Study of Older Medical Writings. James B. Herrick. British Medical Journal, London. 117 Excision of the Knee for Chronic Rheumatism. Theodore A. April 11. McGraw. 1 »The Diagnosis of Pregnancy. W. S. A. Griffith. 118 The Surgical Treatment of Procidentia Uteri. Reuben Pet¬ 2 »On Recurrent Abortion, with Special Reference to that Form erson. and Associated with Some of LaFerte. Often History Tuberculosis. 119 Surgery in Hydrocephalus. Daniel Due to Deficient Vitality of the Mother, or Both Parents. John W. Taylor. Journal of Medicine and Science, Portland, Me. 3 »Eclampsia of Pregnancy, with Notes on the Use of Bossi's April. Dilator. T. Arthur Helme. 120 Puerperal Insanity. J. L. Pepper. 4 Case of Dystocia Due to Uterine Myoma : Cesareau Section. 121 Report of Cases Operated upon at the Maine Eye and Ear Gilbert Kempe. Infirmary, in January, 1903. . E. Brown. 5 Pregnancy Complicated by Suppurative Hydatid Cyst of the 122 Early Sign of Tuberculosis. T. F. Chmelicek-Luhan. Liver. Richard Jones. 6 Puerperal Hyperpyrexia of Malarial Origin. Percy B. Spurgin. Medical 7 The Radical Cure of Inguinal Hernia in Early Infancy. B. H. Washington Annals. Nicholson. March. 8 A Note on Some Radiographs Illustrating Congenital Disloca¬ 123 Intussusception—Report of a Case Reduced by Operation. tion of the Hip. David Morgan. George T. Vaughan. 9 Clinical Lecture on the Importance of Early Removal of 124 Case of Hysterectomy for Fibroids. D. Percy Hickling. Doubtful Tumors of the Breast. J. Crawford Renton. 125 Case of Cancer of the Male Breast ; Excision. Edward A. 10 Case of Infantile Scurvy. Hugh S. Beadles. Balloch. 11 The Physiological Laboratory of McGill University, Montreal. 126 Cases of Myomectomy and Hysteromyomectomy During Preg¬ W. S. Morrow. nancy. W. Sinclair Brown. 127 Case of Fibromata of the Scrotum ; Excision. Edward A. 1. Diagnosis of Pregnancy.—Griffith calls attention to Avhat Balloch. he considers the in the which are, first, 128 Case of Cancer of the Cecum ; Excision. Edward A. Balloch. leading points diagnosis, 129 Perforating Ulcer of Foot ; Amputation of Leg. R. F. Sillers. amenorrhea, which is sudden and not gradual in appearance, 130 A New Sphygmomanometer. J. B. Nichols. of the breasts and their marked 131 Pathological Conditions in the Temporal Bone and Sequelae. development activity, enlarge¬ C. R. Dufour. ment of the uterus reaching above the pubis, alloAving one-half 132 Splenic Infections with Reoorts of Cases Requiring (1) Splen- inch for each month of The fetal heart¬ otomy and (2) Splenectomy. A. L. Stavely. completed pregnancy. 133 Operation for Cataract Avith Report of 65 Cases. E. Oliver beat, of course, is conclusive, but it must be sought for accord¬ Belt. ing to the position of the fetus. Oklahoma Medical News-Journal, Oklahoma City. 2. Recurrent Abortion.—What Taylor calls recurrent abor¬ April. tion includes only those cases Avhere from the beginning or of Sarcoma Ten 134 Non-Recurrence Years After Amputation of some definite the has aborted Avith the Lower Trochanter. John A. AVyeth. epoch patient every suc¬ 135 The Treatment of Itching. Edward B. Bronson. ceeding pregnancy, and in his OAvn usage here, Avith one excep¬ Tonsillitis in J. A. Reck. 136 Children. tion, he has restricted it to cases of initial or primary recurrent Iowa Medical Journal, Des Moines. abortion, that is, the patients haA-e never had a living child. April 10. Syphilis is undoubtedly the principal cause, but there are other 137 Death Returns in Iowa's Cities and the Profession. F. I. rare ones, such as those due to adhesions, Herriott. intraperitoneal espe¬ 138 The Roentgen Ray in Diagnosis and Therapy. J. Rudis-Ji- cially associated with chronic appendicitis. Most intraperitoneal cinsky. adhesions the uterus either stretch or or 139 A Case of Septic Meningitis Treated with Intravenous Injec¬ involving give Avay tion of Formalin. AVm. H. Corrigan. are put up with by the groAving organ, but some Avili not allow 140 of a Case of Report Puerperal Sepsis Treated with Antistrep- of this, and those ones which fix the cecum tococcic Serum. W. T. Schwabland. especially graver 141 Radical Operation for the Cure of Varicose Veins. J. A. and appendix to the right appendages and uterus. There Bodine. comes a time Avhen the uterus can not enlarge further Avithout Indiana Medical Journal, Indianapolis. starting fresh and sometimes fatal mischief, and then the April. uterus either empties itself or peritonitis occurs, or both abor¬ 142 Concerning Medical Societies and Papers. Robert Hessler. tion and occur Another occa¬ 143 in peritonitis may simultaneously. Preventive Medicine Regard to Heredity. E. J. Kempf. sional of recurrent abortion is cervical 144 Herpes Gangrenosus ; Symmetrical Gangrene ; Report of a cause deep laceration, Case. W. F. Hughes. and, of course, the criminal cases must be remembered. He Kansas City Medical Index-Lancet. especially speaks here of a class of cases of nearly equal import¬ April. ance to those belonging to syphilis where the distinguishing 145 Myositis of the Sterno-cleido-mastoid Muscle. J. F. AVelch. features are the indications of a Ioav vitality on the part of 146 Acute Appendicitis and Its Treatment. (Concluded.) John B. Deaver. the mother or father, or both parents, a "strumous" family 147 Some Remarks on the Complications of Pertussis. Clay S. history, and what he may call the remarkable result of an Merriman. "anti-strumous" treatment Avhen 148 Tetanus—Report of Case. C. C. Conover. essentially carried on for a 149 Report of a Case of Tuberculosis. J. D. Griffith. long period of time or throughout the Avhole of the pregnancy. 150 Symptoms and Treatment of Calculus Anuria. E. L. Jr. Keys, He tabulates tAvelve cases of this class, in the majority of Proceedings of the Philadelphia County Medical Society. which there is a fairly clear history of "strumous" disease on March 31. one or both sides. He treated these cases Avith compound 151 A Case of Defective Speech, Due to a Form of Spinal Cord syrup of phosphates, 1 dram, three times a day, and increasing Disease Resembling Disseminated Sclerosis. G. Hudson Makuen. doses of cod liver oil, 1 dram to one-half ounce, during the 152 The of the Use Electrothermic Angiotribe in Lieu of the Em¬ Avhole time, also the use of viburnum, and succeeded in seA'eral ployment of Ligatures in the Open Operation for the Relief of Varicocele. Orville Horwitz. of his cases in carrying a child to term. In conclusion he mentions syphilitic abortions and their difference from the Avithout causing deformity of the concha; 3, the epithelial type just mentioned. In the syphilitic class the tendency is an grafting of the inner and outer surfaces of the operation upward one, each succeeding abortion is at a later period of cavity: and 4, the complete suture of the mastoid wound—the pregnancy and finally the child is carried to term. A dead subsequent after-treatment being carried out by dry gauze child is usually born, but finally a living one may be expected. tamponing through the meatus. All this, however, is rather Secondly, the clinical history of the miscarriages themselves impracticable, and an attempt to do too much is to be depre¬ is different. There is almost always some difficulty connected cated. Each step should be done thoroughly before proceeding Avith them, retention of products, sepsis, etc. There is also a to another. The plan of treatment Avhich he practices is carried difference in the general character of the abortion, a thicker, out in three stages; in the first stage of the operation he uses larger and fleshier placenta, etc. In cases where he has the gouge and burr for the bone operation. In dealing Avith succeeded in carrying the child to term in the "strumous" type the membranous meatus the flap is fashioned out of the meatus the children have been healthy, and he is inclined to attach a alone. The cartilage is removed from the flap, the flap is different importance to defeetiA'e vitality of the mother in these sutured to the raAv surface of the mastoid flap with gossamer cases. Everj'thing that tends to improve her health and that silkAvorm gut, Avhich can be removed at the second operation. of the child, including the persistent administration of lime He finds when the burr is used the patients are less prone salts and easily digested fats, is of the utmost importance. to sickness than when the gouge and chisel alone are em¬ 3. Puerperal Eclampsia.—Helme discusses the theories of ployed. One week after the first operation the epithelial graft¬ eclampsia and its treatment. He has lately employed for ing operation is performed. A few days later, the earlier the removal of the dead of the is done and emptying the uterus Bossi's dilator, which, he thinks, is a better, portion graft the meatus until the poAverful instrument and, if used Avith care, is safe and effective. dry gauze tamponing through kept up He asks the advisability of ending pregnancy when convulsions gauze comes away unstained. He finds in from five to six weeks from the first in the of cases the occur and if the existence of pregnancy is not a vital factor operation majority healed. in the production of eclampsia and its cessation an important cavity is soundly feature of treatment. Another question is in regard to the 15. Hypnotics.—Tirard calls attention to the use of various wisdom of large doses of morphin hypodermically. The present h3'pnotics, even the mildest having their bad effects. His con¬ day practice seems to be to administer morphin in nephritis viction is that, in the employment and selection of hypnotics, Avhere there is not too much destruction of renal epithelium, sleeplessness is the least important factor to be considered. as in the acute forms, but to Avithhold it where degeneration The cause must be ascertained and the possibility of idiosyn¬ has adA'anced. Does not the same apply to eclampsia? crasy. The coexistence of other diseases must influence the selection of hypnotics. The risks of repeating moderate doses The Lancet, London. must be borne in mind. the dose has to be April 11. Generally gradually increased, but with some like trional and 12 »Infective Endocarditis Mainly in Its Clinical Aspects. T. R. drugs sulphonal, Glynn. tetronal, the danger appears to lie in the total quantity taken, 13 »A Fragmentary Contribution to the Operative Treatment of though each dose may have been small. The Chronic Suppuration within the Temporal Bone. Charles greatest danger, A. Ballance. however, is, when patients are given prescriptions for 14 Nerve Suture and Nerve Regeneration. (To be Continued.) in the risk of a habit. In this Paul B. Henriksen. hypnotics, setting up drug they 15 »Some Dangers of Hypnotics. Nestor Tirard. are analogous to alcohol. He is in favor of any step that 16 »The Surgical Treatment of Puerperal Pyemia. Ernst Michels. Avould tend to their administration under medical 17 An Example of Direct Infection in Typhoid Fever. P. Horton- prevent except Smith. advice or under the physician's immediate directions. He 18 A Case of Congenital Parosteal Sarcoma in an Infant Arising Avould alloAV them to be a dated in Connection with the Acromion Process of the Left dispensed only by specially pre¬ Scapula ; Removal ; Recovery. Henry J. Curtis. scription, Avhich Avould be retained by the druggist or returned 19 A Case of Goiter in an Abnormal Thyroid Gland. Harold S. to the or Avould their sale to the Barwell. prescriber, prohibit public altogether. 12. Infective divides infective endo¬ Endocarditis.—Glynn 16. a in which there carditis, to the facts thus far ascertained, into two Puerperal Pyemia.—Michels reports case according Avas a while the local condition of the classes: 1. Rheumatic, due to the postpartum fever, pelvic principal specific organisms Avas was a fulness of rheumatism, and 2, due to pyococci. In the former, organs improved. There indicating trouble septic, in the left first attributed to fecal accumula¬ to Litten, the be or low, the inguinal region, according temperature may high tion, but it remained unaltered in of spleen enlarged, the urine gives the diazo reaction and petechial spite thorough evacuation of the boAvels. It increased and became slightly tender and and retinal hemorrhages are common, but suppurative infarcts the of thrombosis of the ovarian veins was never occur. The lesions localize themselves and tend to de¬ possibility sug¬ Later the had and velop into fibrous tissue, the infective character being gradually gested. patient rigors high temperature. lost. The endocarditis, though infective in origin, is not in Operation was performed, revealing a considerably thickened and dilated ovarian vein, Avhich Avas ligated in tAvo and itself infective. In malignant endocarditis, on the other hand, places, the vein was then slit and a fetid mass of softened throm¬ the lesions their infective character and tend to diffuse open preserve bus was removed from its interior and small accumulations themselves and are not associated with the of development of evacuated. The effect Avas tissue, but, rather, Avith necrosis. He discusses the pus immediate. The patient plastic and had an propriety of the nomenclature, holding that "malignant" Avould rapidly improved uninterrupted recovery. He says Avhile one case is of it is and be better than "infective" for the latter class. The is very little value, suggestive worthy etiology of reporting in this instance. discussed, and in the majority he finds general debility a precur¬ sor and chlorosis and anemia often attend it. Sometimes it is The Practitioner, London. difficult to decide whether they are the cause or complications. April. It is found that Bright's disease may predispose to infectiA'e 20 The Light-Treatment in Lupus and Other Diseases of the Skin. Malcolm Morris and S. Ernest Dore. endocarditis, and Osier has collected numerous cases preceded 21 Undulant Fever. F. J. A. Dalton. by pneumonia. In his OAvn cases there Avas a rheumatic history 22 Adenoids : From the Practitioner's Point of View. P. L. in 53 cent, of males and cent, of females. There Daniel. per 71 per 23 The Differential Diagnosis Between Croupous and Catarrhal Avas postmortem evidence of chronic disease of the heart in 83 Pneumonia in Infants. S. Vere Pearson. 24 A Case of Acute Pancreatitis. Whewell Hogarth and B. G. A. per cent, of his patients, including 8.4 per cent, where the Moynihan. lesion Avas congenital. Orth goes so far as to say that infective 25 A Case of Severe Pneumococcic Infection (Acute Glossitis, Arthritis, Double Pneumonia and Double Empyema). endocarditis does not develop on sound valves. Nathan Raw. 13. discusses 26 A Case with Comments (Primary Sarcoma of the Appendix). Mastoid Suppuration.—Ballance the treatment Peter Paterson. and advocates radical measures. The ideal plan Avould involve 27 A Review of Recent Work in the Field of Gynecology. John in one operation all the folioAving details: 1. Complete removal Phillips. 28 Some Recent Surgery of the Nervous System. Donald J. of the disease; 2, fastening of flap from the membranous meatus Armotrr. 29 Public Health. The Infectivity of the Later Stages of Scarlet in others Fever and Hospital Isolation. Louis C. Parkes. both organs seemed to participate in equal degree in the morbid Australasian Medical Gazette, Sydney. process. March 20. 46. Articulomotor Nerves of the Limbs.—Grasset reviews the 30 Ptomaine Poisoning. B. Burnett Ham. three-fold action of these nerves on the muscles, contracting, 31 Notes on the Clinical Aspects and Modern Treatment of Pul¬ and monary Tuberculosis. A. Stewart. stretching holding them, and argues that they should be 32 The Blood in Pneumonia. Sydney Jamieson. designated differently from the titles now in vogue. Instead 33 Puerperal Sepsis in Country Practice. C. H. Souter. of them 34 Surgical Gleanings. C. H. W. Hardy. naming by their topographic arrangement at the should be into functional units with Revue de Paris. periphery they grouped Chirurgie, their cortical centers. We should not call them spinal and 36 (XXIII, 3.) »Amputations ostéoplastiques fémoro-rotuliennes. J. A. Bussière. cranial nerves as all are cranial. The brain, the cerebellum 37 Sur un cas d'onychogryphosis. M. Alexandre. and the spinal cord should not be studied separately, but, in¬ 38 »De l'action combinée des opérations autoplastiques et des appareils prothétiques. Pour les restaurations de la face. stead, we should speak of and study the ten great nervous Vallas and C. Martin. (Lyons). of the 1, the nerve of 2, Déformations 4 membres. Lésions apparatus body: apparatus thought; 39 congénitales des symét¬ the nerve riques des mains et des pieds (of hands and feet). . general sensory-motor apparatus; 3, the nerve ap¬ Magnanini. paratus of orientation and equilibrium; 4, of language; 5 to 40 Traitement chirurgical des salpingites. Etude historique et the of clinique. Acquaviva and Roux de Brignoles. (Commenced 8, of special senses; 9, circulation, secretion and nutri¬ in No. 1.) tion, and 10, of digestion and respiration. 36. Femoro-Patellar Ostéoplastie Amputation.—Bussière has 48. Juxtalaryngeal Abscesses.—The larynx, like the epigas¬ modified somewhat Gritti's technic to avoid retraction original tric region, the utero-ovarian and the perineoscrotal, is an of the muscles and fixation of the in a bad patella position. important reflex-generating zone. Exploration and attempts to He the tendons and the tendon and also preserves processes operate are liable to induce fatal syncope, especially in case the tendons of the inserted the tibia. He also sutures thigh on of a juxtalaryngeal abscess. It may run a latent course, with the tendons or muscles of the patellar ligament to the posterior no signs of tumefaction, redness or fluctuation. Dyspnea and of the Avith a TJ suture. The tendon and are region thigh processes stridor no positive evidence of pus, as they may be due to of the or tissues remaining portions fibrous aponeurosis are the underlying laryngitis. If syncope occurs when the abscess sutured to fill up the spaces left in cutting the stump. Silver is being explored or incised, no time should be lost, but trache¬ wire is also used to ensure the fixation of the to the patella otomy should be done at once and artificial respiration com¬ tAvo lateral sutures this method of femur, by By amputating menced, as otherwise the reflex inhibitory action on the heart the is and movable. One of his stump strong patients, operated and respiration centers may prove rapidly fatal. Seven cases on in 1899, can be hit a violent bloAv on the end of the stump are reported. without the The does not experiencing slightest pain. stump 49. Splitting of the Second Sound of the Heart.—Cuffer calls become emaciated, and there is no retraction of muscles or attention to the importance of the constant or transient break¬ tendons. He illustrates the various of the intervention steps up into two sounds of the second heart sound, and the of the ing corresponding aspect stump. to the hypertension of the systemic circulation. He regards 38. Combination of and Prothesis Autoplastic Operations it as an early sign of the stage of infectious diseases just pre¬ for the Face.—In the case described the conditions resulting ceding the establishment of lesions. from having part of the jaAvs and tongue shot away at close 50. "Antitoxin" Treatment of Tuberculosis.—Guerder reasons contact two years before Avere remedied, resection of the 1, by that beside the of bacterial which deformed stump of the lower jaAV and appropriate prothesis, products origin, successfully induce when are vaccinated with there and 2, correction of the functional troubles from immunity subjects them, by resulting must be other substances, likewise derived from the adhesion of the stump of the tongue to the roof of the organic living cells, possessed of the same or similar properties. mouth. This was finally accomplished by progressive stretch¬ They prob¬ ably Avili not so poAverful as those of direct bacterial ing of the cicatrix by heavy apparatus. 3. By correction of the prove origin, but still sufficiently so to ansAver the He of the upper purpose. prognathism jaAV, accomplished by retropulsion has been for such a substance, and believes that he of the median after liberal unilateral A seeking has fragment osteotomy. found it in cod liver oil. This is the of the of bone, 15 millimeters wide, the product living slanting strip comprising cells of the cod's liver, and he has established that when tAvo was resected. This liberated the median premolare, frag¬ injected into the heart of an external tuberculous lesion it ment and rendered a neAV in retropulsion possible, procedure annuls the inhibiting effect previously exerted the tubercle such cases. The results of the three-fold intervention by have bacilli on The beneficial of these been phagocytosis. general effect very satisfactory. local injections of the active principles elaborated by the cod Revue de Médecine, Paris. liver cells is most remarkable, he states. It is partially direct 41 (XXIII, 1.) Kystes multilociilaires congénitaux des reins (of but mostly indirect and consecutive to its local action. Sub¬ kidneys). E. Boinet and A. Raybaud. cutaneous of cod oil in and around a fresh 42 »Le pancreas dans les cirrhoses veineuses du foie (of liver). injection liver tuber¬ Klippel and Lefas. culous lesion may induce it to heal without leaving a trace. 43 Sur le diagnose et la pathogenêse des myélites aiguës. E. In affections Mouratoff (Moscow). tuberculous of the joints it renders immobiliza¬ 44 Maladies associées. Fièvre typhoïde et méningite tuber¬ tion and it has cured cases in culeuse. unnecessary, many desperate Chavigny. which the was in advanced cachexia. 60 45 Cas de cancer primitif "juxta-hêpatique" des canaux biliaires. patient He reports P. Planteau and A. Cochez. cases in which he has this "antitoxin" as 46 »Les nerfs applied treatment, (No. 2.) articulomoteurs des membres. J. Grasset. he calls it. One succumbed to the results 47 Sur des rêves (dreams) précurseurs de la migraine ophthal- patient of amputa¬ mique. Ch. Férê. tion, another to diabetic and one to a 48 faits d'abcès gangrene, albuminuria, »Quelques juxta-laryngés. Deguy. total of 4 deaths. As 18 still under can 49 (No. 3.) »Du dédoublement (splitting) du second bruit du are treatment, he make coeur (of heart) à précession aortique. P. Cuffer and R. a definite report of only 42 cases. the 2 deaths from Bonneau. Omitting his record is noAv 40 in 42 50 »Etude clinique sur une antitoxine tuberculeuse. Resultats complications, cured cases. The affec¬ thérapeutiques dans les tuberculoses externes. Guerder. tion was a non-suppurating osteitis in 8, coxalgia in 7, enlarged 51 Les exutoires (issues) tuberculeux du poumon (lung). C. in Sabaurin. ganglia 2, and anal or cutaneous tuberculosis in 2 each. 52 »Epilepsie cardiaque et phénomène de rappel (recalling). L. Of the suppurating lesions there were 10 of osteitis and osteo- Rueff. arthritis, 4 of coxalgia and 5 of ganglionary lesions. He in¬ 42. Pancreas in Cirrhosis of is convinced that Liver.—Klippel jected 1 or 2 gm. every fourth or fifth day in the immediate cirrhosis in the liver is one manifestation of an merely affec¬ vicinity of the lesion or into the fistula. The fistulas are tion which in fact at the same time as primarily involves, the hardest to cure, and he has found it necessary sometimes to liver, the the and gastrointestinal glands, spleen the pancreas. fill them with the oil every day, injecting it into the vicinity In some of the cases that came to eight autopsy he found the about once a Aveek. In a suppurating lesion it usually induces even pancreas more profoundly affected than the liver, while the formation of an abscess Avhich requires evacuation, after which the healing proceeds rapidly. The mode of action of the ures along the line of his immunization of cattle, and thinks injections is singularly like that of a natural, spontaneous that probably a long time will elapse before he can proceed healing process as observed in the healthy cells immediately to anything of the kind. He found that a hypersusceptibility surrounding the lesion. to intravenous injection of tubercle bacilli on the part of the •52. Phenomenon of Recall.—Rueff remarks that a lesion of cattle, always coincided Avith agglutinating properties in the the nerve centers hitherto compensated or latent, Avith or blood. He believes that the same parallelism Avould be observed Avithout preA'ious manifestations, may suddenly become mani¬ in case of tuberculin if it Avere injected into a vein, as described fest on the occasion of some disturbance in the local cellular in the last two issues of The Journal, pp. 1083 and 1178. nutrition. The manifestations that folloAV may be a minute He thinks that there must be some causal relation between' reproduction of some previous clinical syndrome, or they may these three phenomena, the agglutinating power of the blood. assume a form shoAving that they are merely the external the hypersensibility to intravenous injection of tubercle bacilli realization of some idea or psychic image evolved during the and the reaction to tuberculin. If this assumption be con¬ first manifestation of the lesion, retained in the brain during firmed, then it corroborates Koch's idea that the agglutinating the interim and, Avhen realized, usually becoming the starting property is an index of the resisting poAvers of the organism, point for a neAV series of morbid phenomena. The communica¬ and would apply also to the susceptibility to tuberculin. It is tion issues from Bernheim's clinic at Nancy. important, however, Behring remarks, not to confound the of the tuberculin test. Berliner Klinische Wochenschrift. diagnostic and prognostic significance The of human infants 53 (No. 9.) Die klin.-pathol. Bedeutung (importance) der prospect immunizing beings by feeding Autolyse. F. Umber. Avith milk from immunized cows is sustained by his experiences 04 Ueber die Scopolamin-Morphium-Narkose. L. Wild (König's immunized coavs. clinic). with young calves suckled by Recently, for in¬ 55 Welche Rolle spielt der Sternalwinkel bei der Athmung (role stance, a sucking calf, 14 days old, was vaccinated by his of sternal in ? D. angle respiration) Rothschild. method and no reaction folloAved. Other facts that 56 »Ueber einige Ursachen von -Husten und Schnupfen (certain appreciable causes of coughs and coryza). G. Rosenfeld. sustain his views are: 1, that several of the immunized cattle VT H. Gedanken (thoughts on) Neuron-Frage (question). Hamel. in infected herds for a and a half after had (Commenced in No. 8.) kept year they ÖS (No. 10.) Kniegelenktuberculose (of knee). Abwartende been A'accinated shoAved no signs of tuberculosis Avhen Behandlung oder (expectant treatment or) Operation? numbers of immunized cattle have been König. slaughtered; 2, large 59 »Immunitat und Narkose. J. J. Snel. slaughtered on stock farms and none has shown signs of 60 »Zur Behauptung von der Quecksilber-Etiologie der Tabes. Ein tuberculosis tests of 3 immunized cattle statistischer Beitrag. P. Cohn. ; 3, tuberculin one year <>f Zur Frage der traumatischen Albuminurie. F. Engel (Cairo). after vaccination resulted negatively when all the other cattle 62 Ueber einen auf Herz- (heart) Bigeminie beruhenden Fall von in the herd reacted and his haA'e been doppeltem Herzstoss (double apex beat). . Doll. positively, 4, experiences 63 (No. 11.) »Tuberculosebekiimpfung (campaign against tuber¬ brilliantly corroborated by the results of Thomassen's success¬ culosis). E. v. Behring. ful at Utrecht. in 134 Schwieriger Kropf- (goiter) Operation unter localer Anes- experiments Behring, conclusion, qualifies thesie. Riedel (Jena). all that has been hitherto accomplished in the campaign against 65 und I. Boas. »Ueber Carcinom Diabetes. the as minor 66 Results of Training Deaf Mutes in Hearing Exercises. F. tuberculosis, sanatoriums, etc., merely palliative, Treitel.—Ueber die Ergebnisse der Untersuchungen in der measures, no matter on how extensive a scale they may be Taubstummen zu etc. Anstalt Weissensee, even 57 sanatoriums in active 67 Ueber ein Scklerom-Herd (focus) in Ost-Preussen. Gerber. organized, Germany's operation. 6S Zur Frage der traumatischen Albuminurie. H. Senator. Avith 27 on the verge of completion, and 4 seaside convalescent 56. Certain Causes of Coughs and Coryza.—Instead of ascrib¬ homes. The sanatorium movement has accomplished much ing to "nervousness" certain coughs and colds of obscure good, but he proclaims that still more Avould be realized by isolation of the incurables. The world OAves the of origin, Rosenfeld thinks Ave could determine and remove the rarity at the to the of the cause by seeking for it. In some cases he describes the condi¬ leprosy present day policy isolating lepers tions always coincided Avith the blossoming of plane trees, and enforced during the Middle Ages. Model dwelling houses and the strictest will not tuberculosis in another AA'ith the care of a parrot. He gives a view of the hygiene prevent infection feather dust from the parrot, under the microscope, Avhich Avell so long as persons with "open" tuberculosis are housed under slioAvs its irritating character. the same roof—or, at least, this has been his experience Avith cattle. Adults are not so much to but neAv- 59. Immunity and Narcosis.—Snel undertook, at Talma's exposed infection, born infants are so and that suggestion, to discover whether narcosis reduced the resisting exposed unprotected he does not believe it is possible for an infant to avoid infection if power of guinea-pigs. He found that it does so, but only for kept in a room with a He is confident that the time being. Narcosis suspends immunity and annihilates coughing consumptive. the young are born free from but it from or temporarily suspends the saving normal bactericidal powers. tuberculosis, acquire tuberculous or others. He has found that These findings explain post-operative pneumonia. The nar¬ parents, grandparents three months a calf cosis annuls for the time being the bactericidal properties of may elapse after has been infected before it reacts to Avhile before clinical the normal lungs, and the bacteria in them are thus enabled tuberculin, years may pass manifestations become if ever do. He has noticed to exert their pathogenic poAver. During an operation, also, evident, they that circumstances the of the cattle Avere bacteria are more liable to be inhaled than under ordinary depressing vitality for the transformation of an circumstances. As the mucosa is not sensitive, coughing is not ahvays necessary animal, merely shown to be infected the tuberculin test, into a induced Avhich Avould expel the saliA-a, mucus, etc., flowing into by phthisical animal. fourteen years demonstrated that the the throat. The surgeon, therefore, should assume the respon¬ Cornet, ago, mucous membrane alloAV the of tubercle bacilli sibility of disinfecting the mouth and throat as might passage scrupulously Avithout a local lesion. In Avith this fact is as the field of operation before any inter¬ harmony Behring's undertaking surgical that in cattle tuberculosis infection is almost vention requiring narcosis. The air to be breathed the experience young during Avithout localized in the but not in the operation should also be as germ-free as possible, exception abdomen, especially intestines; it is rather a tuberculosis of the in case of a tracheotomy. A contrivance to filter the air as it primary glands. He announces that on enters the trachéal cánula might Avard off his laboratory research the immunization threatening complica¬ of cattle is an as tions from this source. now at end, he has accomplished Avhat he sought. The results have been so invariably successful Avith 60. Mercury Not a Factor in Tabes.—In 86 male patients animals that he asks: Ave not do as much for our Avith tabes at Mendel's "Shall polyclinic 61 had a history of venereal children ?" ulcers, but 23 had received mercurial treatment of only any 65. Carcinoma and Diabetes.—Boas states that there are 0 kind. In 31 female patients only 5 had ever been treated Avith eases on record in Avhich the patient died in diabetic coma soon The infection had been mild or even mercury. syphilitic latent after an for the removal of a for in all cases. operation cancer, although several months or years previously he had been free 63. entirely The Campaign Against Tuberculosis.—Behring asserts from sugar. Israel has published 5 cases of carcinoma of the that he has not on man yet attempted any therapeutic meas- breast in diabetics successfully operated on. In Boas' experi- enee he has encountered 7 diabetics in 55 patients Avith car¬ of treatment. He calls attention to the frequency of eczema cinoma of the rectum ; 2 diabetics Avith carcinoma of esophagus, in persons exposed to tuberculosis. and 2 with and 1 of the liver and omentum. gastric carcinoma, 78. Intravenous Therapy.—Patella's article reviews the his¬ men. a of cases of carcinoma in All were This is total 12 tory and experiences to date of this method of therapeutics, diabetics in his of 366 cases of intestinal carcinoma. In total Avhich the Italians have most favorable the a exploited. Remarkably one case an easily operable carcinoma of rectum in results have been obtained in anthrax was the threatening general diabetic, with some sugar and acetone, extirpated and infection from intrav-enous injections of sublimate. Corseri died in coma three later. A latent diabetes, he patient days saved a AA-oman of 50 stated to be already in extremis; 12 finds, may remain latent after an or it may flare up operation and 10 nig. of sublimate Avere injected in this case. Experi¬ into a fatal coma. mental intravenous injection of sublimate does not protect Klinisch-Therapeutische Wochenschrift, Vienna. against anthrax infection, and intravenous injection of carbolic acid in has been in the is like¬ 60 (IX, 45.) Ueber unschädliche Haarfärbemittel (harmless hair tetanus, which effective clinic, dyes). P. Richter. wise poAverless in the laboratory. This is possibly OAving to the 70 »Zur Pathologie und Therapie der Influenza. W. Stekel. (Com¬ menced in No. 44.) fact that experimental tetanus is always storniA" and rapid, 71 Nasendouche. A. Thost. never subacute and gradual, as in the clinical cases benefited 72 (Nos. 46-7.) Ueber Anaemien. H. Senator. Clinical lecture. 73 Combination von Krebs und Tuberkulose im Uterus. H. Szasz. by the injections. Colloid silver is most effective in intraven¬ 74 »Advantages of Open Treatment of Obstinate Leg Eczema. S. ous injection. Patella has tried Landerer's cinnamic acid treat¬ Behrmann.—Ueber Beinleiden überhaupt und über die Vor¬ teile der zeitweiligen offenen Behandlung hartnäckiger ment of tuberculosis by the intraA'enous route, but derived no TJnterschenkeleczeme. benefit from it although his experience confirmed its absolute 75 Ueber den Juckausschlag im Kindesalter (strophulus). J. Zappert. harmlessness. This Avas also established in regard to sodium 76 (No. 48.) Ueber Pyurie. E. Neusser. Clinical lecture. cacodylate and the iodo-iodid solution. Spolverini has obtained 77 Ueber die Ausräumung der Nase vom Munde (evacuation of Avonderful results from the latter in numerous cases of tuber¬ nose through the mouth) her und Freilegung der (exposure of) Basis cranii über der Nase. L. Löwe. culosis in children, severe rheumatism and tertiary lues, Avith¬ 78 »Die intravenöse Therapie. V. Patella. (Commenced In No. 46.) out any local draAvbacks. Patella has successfully injected 79 Indikationen zu chir. Eingriffen bei Hirnaffectionen (Inter¬ serum Avay of the veins and also Sclavo's serum vention in brain affections). H. Schlesinger. diphtheria by 80 (No. 49.) Ueber die Verwendung der Casuistik in der in a severe case of anthrax baeteriemia. Kramitzki has re¬ Urologie. G. Berg. that intravenous of a filtered and diluted 81 »Kann das Diphtherieserum auch auf andere Krankheiten ported injection günstig einwirken? D. Hirsch. Avarm emulsion of rabieä toxin is not only harmless but rapidly 82 Ueber die rectale Untersuchung (examination) in der Gynaek- renders the animals immune. Silvestri has recently proclaimed ologie. I. Neumann. Clinical lecture. 83 (No. 50.) Iron Splinter in Vitreous for Eight Years. A. that intraA-enous injection of calcium chlorid is among the Vossius.—Schicksal eines Eisensplitters welcher 8 Jahre im most poAverful hemostatic measures knoAvn. Patella's experi¬ Glaskörper eines 44 jährigen Patienten gesteckt hatte. Clinical lecture. ence Avith intravenous injection of iron has not been favorable. 84 Myxoedem und sporadischer Kretinismus. J. v. Wagner- In his tests of intravenous injections of sublimate on healthy Jauregg. persons he noted a considerable leucocytosis Avhich lasted for 70. Influenza.—Stekel is convinced that quinin has an almost thirty-six hours, thus mobilizing the elements most effective and has knoAvn doses a specific action in influenza, tAvo of for the struggle Avith an invading affection. The intravenous abort an established gram each of quinin sulphate completely sublimate injections were first used for syphilis, and recent attack in the first hours. He usually gives .5 gm. of quinin writers have reported excellent effects from them in syphilis of or in half an hour and hydrochlorate sulphate, repeated once the eyes. Renault has cured cases of lues of the central more the same three doses in all. For children after interval, nervous system Avith the cyanid, Avhich he has also found under 6 he as as the gives the quinin tan., many decigrams effective in tabic crises. Tommasoli's success in aborting child is years old, tAvo doses. If he does not see the patient syphilis by intravenous mercurial injections has been described until the second or third day, he refrains entirely from quinin in these columns. Patella has applied the sublimate injections as it is seldom effective at this When there medication, stage. in 9 cases of articular rheumatism. In one very severe case, is violent frontal sinus headache he a combination of .01 gives rebellious to sodium salicylate, 2 mg. were injected the first and .5 each of and gm. morphin hydrochlorate gm. antipyrin day and 2 mg. morning and eA'ening on the four following sodium Patients must in bed until heart salicylate. stay the days. All the seArere general and local symptoms entirely and are in case of influenza. In some instances pulse normal, A'anished after the third injection. The injected vein Avas in¬ the influenza assumes a latent or abortive but with form, durated after the second injection, but this soon passed away. marked neurasthenia. One of his depression, suggesting patients, In 4 other cases, one also rebellious to the salicylate, the re¬ after a attack of Avas tormented ideas five-day influenza, by sults Avere equally striking. Each injection Avas folloAved by a of suicide for Avith no eight Aveeks, cause except the preceding profuse sAveat. In another case a man of 32 had a very pain¬ influenza. In these cases the influenza toxins must be elimi¬ ful, recurring articular rheumatism. The leucocytes increased nated as completely as possible. The influenza bacillus aggra¬ from 9,000 to 12,200 after the first injection and general im¬ vates the action of measles and scarlet on the other fever, but, provement Avas apparent. The patient refused further injec¬ seems to be to certain other hand, antagonistic infections, pos¬ tions and returned to the salicylate with recurrence of the the bacillus. In one ease a Avith sibly diphtheria patient symptoms. He allowed later an intravenous injection of 3 found himself cured after gonorrheal cystitis an intercurrent nig. of sublimate and improved so rapidly that he could get attack of influenza. He that the lesser mor¬ suggests possibly up in three days. Patella believes that the success of intrav¬ from in late be due to the influence tality diphtheria years may enous injection of sublimate depends on the leucocytosis in¬ of la grippe. duced. If this is not produced by the first injection, little 74. Eczema of the Leg.—Behrmann advocates open treatment benefit may be anticipated from continuing in such eases. The of eczema of the leg Avith removal of the cause, Avhich may be intravenous route should not be chosen for general use, but in excessive or Avalking standing, genu valgum or pes varus, as urgent cases it may prove an invaluable resource, especially in indirect causes, and hyperidrosis, dilatation of the veins and those rebellious to medication by other methods. Intravenous trauma as direct. describes a case the He in detail to demon¬ injections are painless. If thrombi develop they are certainly strate the benefits to be derived from staying in bed and due to defective technic. from of a refraining dressings any kind, merely applying salve 81. Is Diphtheria Serum Effective in Other Diseases?—Hirsch from time to time, zinc at first and later tar. The eczema has derived great benefit from it in cases of eczema, enlarged healed under this treatment, and to re¬ rapidly open prevent glands and prurigo, as he describes in detail. currence the patient Avore a tricot stocking leg thereafter. The tricot supplied an imitation of the natural tonus of the parts Muenchener Med. Wochenschrift, Munich. and kept the pathologic tendency under control. It was left 85 (No. 12.) Beitrag zur traumatischen, nicht komplizierten off at Behrmann has been successful with this Luxation der Extensoren-Sehnen (tendons) der Finger. A. night. very mode Becker. W. 86 »Die Kolpeuryse bei Incarceratio uteri gravidi retroflexi. during convalescence from anemia, at a time Avhen the general Albert. health is This is true 87 Is the Addition of Sodium Sulphate to Meats an Adulteration? improving. not only of toxic but also of A. Kraus and H. Schmidt.—Kann in dem Zusatz von traumatic anemia, due to loss of blood. The results of eine experi¬ schwefligsaurem Natrium zu gehacktem Rindfleisch ments Avith rabbits also all the Fälschung erblickt werden? Reply most decidedly in the point to same thing, namely, affirmative. that the basophile granules are derived from nuclei and are 88 Fall von Nephritis parenchymatosa syphilitica. F. Mühlig. thus a sign of of the and that 89 Beitrag zur Cystennieren- (cystic kidney) Exstirpation. O. regeneration blood, polychromasia Seitz. of the red corpuscles results from the mixing of the dissolved 90 Kurzsichtigkeit (myopia) durch Diabetes mellitus. S. Neu- substance of the nuclei Avith the burger. (2 cases.) hemoglobin, whether this 91 Zur Behandlung der Perforationen und Zerreissungen der dissolving occurs directly in the nuclei or a stage of basophilous Gallenblase (lacerations of gall bladder). Enderlen. Auto- granulation intervenes. Both the and prothesis with Omentum. basophile granulated 92 Geschichtliche Bemerkungen zur Methode des überlebenden the polychromatic reds are young forms of blood heart of warm-blooded ani¬ corpuscles Warmblüterherzens (surviving and are thus a of of the blood. In a mals). O. Langendorff. Claim for priority. sign regeneration case 93 »Ueber die Influenza. W. Ebstein (Gottlngen). (Commenced he had occasion recently to examine, the blood was normal on in No. 11.) the of a severe accident to 94 »Die operative Behandlung des Gebärmutterkrebses (carcinoma day entailing profuse loss of blood uteri). G. Klein. absolute pulselessness. On the sixth day aftenvard 95 in York. polychro¬ Postgraduatehochschule New C. Beck. matic and red were 96 (No. 13.) »Zur operativen Behandlung akuter Larynx-Ste- basophile granulated corpuscles numerous nosen. Trumpp. and remained so for three Aveeks. An increase in the hemo¬ Kramer. 97 Ueber die diuretische Wirkung des Theocins. H. globin of 50 to 75 cent, these of 98 »Ein Beitrag zur Frage der Blutregeneration. Schmidt. per paralleled signs regenera¬ 99 »Blutuntersuchung (examination of blood) bei Hydatiden- tion. Cysten ; lokale und allgemeine Eosinophilie. J. Sabrazes. 100 »Die direkte Perkussion des Epigastrium, ein diagnostisches 99. Eosinophilia with Hydatid Cysts.—Sabrazès investigated Hilfsmittel bei Ulcus ventriculi. F. Mendel. the blood of 7 Avith and found that the 101 der patients hydatid cysts Ueber die Bedeutung (importance) Roentgen-Untersuchung echinococci have a für die praktische Chirurgie. F. Fraenkel. remarkable positive chemotactic attraction 102 »Bedeutung der nasalen Athmung (breathing) in ihrer Schutz- for the eosinophiles. In one case the eosinophiles had pene¬ und Heilwirkung (protection and eure) auf Krankheiten (in trated into disease). G. Trautmann. the cyst, and also surrounded it with a concentric 103 Ueber isolierten klonischen Krampf des weichen Gaumens layer nearly 1 cm. thick. The almost exclusive presence of (soft palate). L. Roemheld. in the fluid the 1Ö4 Fall von Gonokokkenpneumonie. Bressel. eosinophiles cyst suggested diagnosis, confirmed 105 Die Gefahr (danger) der Infektion mit Ankylostoma duodenale by the The was 11,160 and 15,500 in im operation. leucocytosis Grubenbetrieb. Tenholt. eases of in Avas 106 Hans Buchner's Antheil (share) in der EntWickelung (evolu¬ the large cysts the liver, and 17,360 Avith multi¬ tion) der Bactériologie. Gruber. ple cysts in the abdomen. The eosinophiles Avere prominent 80. Colpeurysis for Incarcerated Gravid Uterus.—Albert ex¬ in every case, and usually nine or ten times the physiologic case a If the membrane of the is patiates on the great value of the colpeurynter in of average. cyst partially degenerated the into the retroflexed gravid uterus. He uses it exclusively and has eosinophiles penetrate cyst and, associated with always cured the condition without the slightest trouble. The Charaot-Leyden crystals, serve to differentiate the lesion. 100. uterus is gently lifted, as on a cushion, without injury to it or Differentiation of Gastric Ulcer by Percussion.—Mendel to its contents. In one of his 5 cases the uterus had been in¬ states that lightly tapping the epigastrium with the percussion hammer carcerated for three weeks, but was replaced in normal position is not painful to anyone under normal conditions, but in tAvo hours by the colpeurynter. If the pregnancy has not in case of an ulcer, a certain region, usually circular in outline, passed the fourth month he usually inserts a pessary. After is found to be extremely painful AAlien tapped. It is surprising this stage it is not necessary. Lying on the side or abdomen hoAV rapidly this circular sensitive area diminishes in size when and frequently emptying the bladder Avili prevent recurrence. proper treatment is instituted. As this can not be due to the of the ulcer in so a He urges the importance of catheterization of the bladder as a healing brief time, it is probably to be ex¬ routine diagnostic measure in all cases suggesting this condi¬ plained by the subsidence of the surrounding zone of inflamma¬ tion. tion as the stomach is rested. It is possible by this percussion not to differentiate a ulcer 93. Influenza Prophylaxis.—Ebstein insists on the necessity only gastric wherever located, but also to its and be able of cleanliness to prevent infection of others in case supervise healing to tell Avith precision scrupulous when the last trace of it has of influenza. The "walking" cases are much more dangerous disappeared. The same measure and deductions in the same to ulcer in this respect than the severe ones in which the subjects stay apply way in the duodenum. In case of duodenal ulcer a in bed under proper care. The same prophylactic measures every sharply circumscribed painful area will be found this on the to the as for tuberculosis should be applied to the sputa. He prefers by percussion right, close tonics in treatment, with quinin, although he does not think linca alba, somewhat below the center of a line from the costal arch to the It about a there is any specific for it. Persons should not visit friends umbilicus. is generally the size of half and like the similar area with influenza. The article is a comprehensive historical and dollar, in case of gastric ulcer, grad¬ bactériologie study. ually shrinks in size and finally disappears under appropriate treatment. Other lesions in the abdomen and will 94. Treatment of Uterine Carcinoma.—Klein re¬ epigastrium Operative be an area of on views the statistics that have been published to date and de¬ accompanied by pain percussion, but none of the others shows such a sharply circumscribed sensitive area plores that even the best show that only 13.4 per cent, of the as ulcers in the stomach and duodenum. The never patients are permanently cured. The remedy lies in earlier percussion caused the slightest harm, but in case of a recent diagnosis. He proclaims that it were better to curette 100 hemorrhage caution would be advisable. The area of does not neces¬ women unnecessarily than allow one woman to succumb to pain sarily locate the ulcer, but it always occurs at the same cancer from neglect of curetting. He hails the woman physi¬ place. 102. of cian as the solution of part of the problem, as he thinks women Importance Nose Breathing.—Trautmann reports a case in Avhich the will alloAV examination by another woman more promptly than operative restoration of nose breathing was followed the by a man, and· not postpone it until too late. He urges by spontaneous cure of severe and previously throat lesions. stricter regulations against charlatans so that time will not intractable He warns against curetting and other destructive measures on the nasal be wasted on them. If Avomen consult the physician earlier, passages, as they de¬ the nose of its natural and if they are carefully examined, if necessary with ex¬ prive protective properties and render it as as the ploratory incision and curette, there is no doubt that the pro¬ defenseless passages belOAv. will be much portion of permanent cures increased. Lo Sperimentale, Archivio di Biologia norm, e patol., Florence. 96. Treatment of Laryngeal Stenosis.—Trumpp illustrates 107 (LVII, 1.) Sulla tossicità del sangue (toxicity of blood) nell' ipertermia sperimentale. E. Ravenna and P. Minassian. the elastic he uses for intubation. are made if tubes They as 108 Sul contenuti lecitinico del fegato, dei reni e del cuore Avith a deep spiral screw thread, Avhich imparts (lecithin in liver, kidneys and heart) nella degenerazione great elasticity. adiposa sperimentale. G. Lusena. 98. Regeneration of the Blood.—Schmidt proclaims that 109 Contributo alle lesioni prodotte dal fungo raggiato (actinomy- and cosis). V. Remedi. basophile granulations polychromatophilia usually appear 110 »Ricerche sperimentali sulla peristaltica intestinale. I. Simon. 110. Intestinal Peristalsis.—From a series of experimental 122. Deformed Pelves in Mexico.—Duque de Estrada is chief investigations, the methods of which are described, and from of the maternity at Mexico, and reviews his extensive experi¬ a general discussion of the literature, Simon reaches the folloAv¬ ence in this monograph, Avhich is continued as an illustrated ing conclusions: 1. In the small intestine the direction of supplement throughout the year. He does not find the general the movement is always peristaltic. There is no antiperistalsis. type of pelvis different from that of Europe. When a pelvis 2. The movement of peristalsis in the small intestine is more is deformed it is usually the result of imperfect development, rapid in the upper portion than in the inferior, both in physi¬ and this condition is frequent. He has never seen elsewhere, ologic and pathologic conditions, and is slowest in the large however, a contracted pelvis, such as some of the specimens intestine. 3. The velocity of movement varies according he illustrates, in Avhich the transverse diameters were un¬ to the nature of the food. 4. The introduction of food into usually short but only in the loAver part of the excavation. the stomach and stimulation of the rectum and small intestine He suggests the term "infundibuliform" for this variety. He are conditions that cause the phenomena of inhibition of in¬ also notes that he has never found traces of rachitis in the testinal peristalsis. pelA'es he has examined, and, in fact, he remarks, there are no clinical records of the existence of this affection in Mexico. Cronica Med. Mexicana, Mexico. He ascribes the deformities observed to defective development 111 (V, 6.) Etiología de la escoliosis. C. Tejeda.—Accepts static, life of trophic and nervous factors in etiology. from the lack of hygiene, the sedentary and confined 112 Algunas consideraciones sobre la enfermedad de Addison, some, hard Avork of others, early marriages before the skeleton la casos de de sugeridas por observación de 6 tuberculosis certain such as las capsulas supra-renales. F. Ocaranza. is formed, and occupations, making tortillas, 113 (No. 7.) El tifo del ganado bovino (study of cattle diseases etc., folloAved from girlhood. The pelvis was con¬ G. Avashing, in Mexico). M. Aragon. tracted at the inlet in .58 cent., but a contracted outlet 114 (Nos. 8-9.) Algunos apuntes sobre (notes on) quinimetria. per E. G. Puente. Avas much more frequent. 115 (No. 10.) Notes on Yellow Fever at Orizaba. M. P. Col¬ attributes the menares.—Apuntes para el estudio del vomito en Orizaba. 125. Pilocarpin in Traumatic Tetanus.—Garcia 116 »Consideraciones diagnosticas y operatorias acerca de la hernia recovery of a in a case of severe strychnin intoxication F. patient diafragmatica. Hurtado. to his administration of The symptoms Avere alle¬ 117 La reacción febril y su tratamiento. E. P. Lamicq. pilocarpin. once after the and induced it. 118 Fiebres palustres. Tratamiento dosimetrico y pambotano viated at sweating salivation by (calliandra grandiflora). E. L. Abogado. (See 121 below.) He has applied the same treatment recently in a case of intense 119 Vomiting in Pregnancy. Ibid.—Los vómitos del embarazo y 2 of and administer¬ su tratamiento. traumatic tetanus, injecting eg. pilocarpin 120 (No. 11.) Dispnea y dolor costal. E. L. Abogado. ing the same amount by the mouth, supplemented by 1 gm. of 121 El tlacoxiloxochitl (calliandra grandiflora). E. L. Abogado. at This was continued the (See 118 above.) sulphonal night. intermittently, 122 »Study of Deformed Pelves in Mexico. J. Duque de Estrada.— symptoms diminishing gradually and always showing a slight Estrechamientos pélvicos. marked after each dose of the Avhich 123 (No. 12.) Una forma frustanea de enfermedad de Basedow. improvement pilocarpin, F. Ocaranza. Avas generally given morning and evening at first. By the 124 La antisepsia de las vías urinarias por la medicación interna. the movements were normal. E. L. Abogado. thirty-third day quite 125 (VI, 1.) »Caso de tétanos traumatico curado por la pilo¬ carpina. D. Garcia. Gazeta Medica Da Bahia, Brazil. 126 (No. 2.) La aplicación de los rayos X al estudio de la 130 (XXXIV, 2-3.) Os novos processos de cura radical das angelologia. S. Garcia. hernias inguinaes. J. Martins. 127 La gota y su tratamiento dosimetrico. E. L. Abogado. 131 Evolution of Medical Education. D. Ramos.—Desenvolvimento 128 La inflamación considerada desde el punto de vista de la do ensino medico. resistencia organica. L. S. Viramontes. (Commenced in 132 Ibid. A. Britto. No. 1.) 133 (No. 4.) Servico Medi co-legal de Autopsias. A. Peixoto. 129 Afecciones meníngeas agudas, 2 curaciones. E. L. Abogado. 134 (No. 5.) Das vegetaciones adenoides, seu valor clinico e da necessidade de urna intervençao radical. R. de Azevedo. 116. Hernia of the Diaphragm.—Hurtado's patient Avas a woman of 50, five months pregnant, who exhibited symptoms Revista de Med. y Cirugía, Havana. of acute intestinal occlusion, internal hernia. There 135 (Vili, 1.) Caso de sarcoma del tejido (tissue) celular suggesting ocupando el del fondo de was no fecal and the conditions were masked pelviano espacio retro-peritoneal vomiting by saco de Douglas. L. Ortega. preceding administration of vigorous purgatives which had 136 »Intoxicación, alimenticia. G. M. de la Torre. 137 (No. 2.) Diplococcus flogogenus pleuro-pulmonaris. L. na¬ failed to purge. An artificial anus Avas made in the cecum, cencia. which relieved the conditions, but was found to 138 (No. 3.) »Fiebre paratifoidea. A. Agramente. nothing explain R. P. Vento. the occlusion. Abortion folloAved the next The 139 (No. 4.) Ataxia cerebelosa experimental. day. opening 140 (No. 5.) La tecnica de la nefropexia, con referencia especial into the abdomen had been small, as the surgeon feared the de un metodo para fijar el riñon en su posición normal. R. Guiteras (New York). (See p. 1166.) effects of a laparotomy. The patient was free from symptoms after the abortion, except that an attempt to give an anesthetic, 136. Food Intoxication.—Torre has been investigating the cause a in after in order to explore conditions further, caused dyspnea and Avas of febrile indigestion noticed children eating abandoned. Intense pain suddenly developed in the epigastrium certain kinds of SAveets, and thinks that it is due to the toxic and left hypochondriac region, and the patient died in a few- action of stale eggs. hours. The autopsy reA-ealed traces of old pleurisy of the 138. Paratyphoid Fever.—Agramonte reports that para¬ diaphragm, Avith adhesions and a perforation resulting from typhoid fever occurs in Cuba and that the clinical picture is an old ulcération. Through this hole nearly 60 cm. of the identical Avith that of typhoid fever except for the absence of intestine, including the transverse colon, had irrupted into the sero-reaction and the results of cultures. Typhoid fever, there¬ thorax. Four years before she had complained of occasional fore, he remarks, is not a specific entity, as other bacilli be¬ attacks of dyspnea, Avhich had gradually become less intense sides Eberth's are able to produce it. In the case he describes and less numerous, but still recurred every one to three weeks. in detail he is inclined to admit a double infection, true typhoid She was unable to sleep on the left side, as this position caused Avith the paratyphoid. The first tAvo Aveeks the symptoms were dyspnea and she had also complained since this time of a those of ordinary typhoid, but from the seventeenth to the constant pain in the left side at the seventh and eighth ribs, tAventy-fourth day there Avas marked intermittency in the on the axillary line. Pain from this point radiated through temperature, Avith a difference of several degrees betAveen the the left lung. This pain was ahvays most marked in the morning and evening. Repeated examination of the blood for afternoon, after eating heartily or after an emotion. The malaria was ahvays negatiA7e and there Avere no signs of endo¬ present illness commenced with an exacerbation of this pain carditis. The sero-reaction was very faint, but agglutination and constipation, with occasional vomiting, not fecal. No pain Avith Gaertner's bacillus Avas pronounced, and one of the two in abdomen. A blister Avas applied to the spot and vigorous paratyphoid bacilli isolated from the feces resembled this purgatives given, but Avithout benefit. Tavo other eases of bacillus. He revieAvs the history of paratyphoid, and notes hernia of the diaphragm are described, both traumatic, and, in that the intermittent character of the temperature after the· conclusion, E. Fletcher Ingals' article on the subject in The tAvelfth .or fifteenth day Avas noted in nearly all the 46 cases Journal, xxxvi, p. 1770, is reproduced in full in Spanish. on record. New Patents. Asst.-Surgeon A. D. Foster, to proceed to Southport, N. C, and assume temporary command of the station at that port during ab¬ Patents of interest to physicians, March 31 and April 7 : sence on leave of Asst.-Surgeon B. S. Warren. 724382. Tubular metal crutch. Joshua Conn, Dunkirk, N. Y. A. A. Surgeon John Devereux, granted leave of absence for 723847. Lifter and conveyer for invalids. Priscilla W. Dohoney, twenty-three days from April 2. Columbia, Ky. A. A. Surgeon A. P. McConnell, granted leave of absence for 724289. Hot water bag. John H. Holt, Washington, D. C. three days from April 20. 724186. Electric apparatus for therapeutic work. Howard Jack¬ A. A. Surgeon E. F. McConnell, granted leave of absence, on ac¬ son, Newton. Mass. count of sickness, for 30 days. 724014. Truss. Manuel E. Jasper, Wlarton, Ont, Can. A. A. Surgeon A. W. Slaughter, granted leave of absence for six 724034. Hemostatic forceps. Wm. L. Nuttall, Newcastle, Ky. days from May 5. 724125. Combined cabinet and examining or operating table. A. A. Surgeon R. T. Walker, granted leave of absence for thirty Gilbert H. Prindle, Washington, D. C. days from April 8. 724046. Instrument for intubation of the larynx. Frank E. board convened. Sampson, Crestón, Iowa. Board convened at Washington, D. C, April 15, 1903, for the 723929. Aural instrument. Richard M. Sahffer, Baltimore. physical examination of an officer of the Revenue Cutter Service. 724215. Photochemical and electrotherapeutic apparatus. Albert Detail for the Board : Assistant Surgeon-General W. J. Pettus, E. Sterne, Indianapolis. chairman ; Assistant Surgeon-General K. D. Geddings. recorder. 724808. Surgical truss. Blanchard Chamberlain, Bellefontaine, Ohio. 724812. Device for correcting facial defects. Anna C. Cloud. Health Reports. 724680. Inhaler. Alonzo Dow, Wooster, Ohio. The following cases of smallpox, yellow fever, cholera and plague 724889. Hernial forceps. John H. Kochenderfer, Galion, Ohio. have been reported to the Public Health and 724913. T. Charleston, 111. Surgeon-General, Syringe nozzle. John Montgomery, the week ended 1903 : 724500. Truss. Alfred A. Raymond, Chicago. Harine-Hospital Service, during April 18, 724522. Vaccinating needle. Onesime Thomas, Paris. SMALLPOX-UNITED STATES. 724643. Hypodermic syringe case. Benjamin T. Winchester, Alabama : Mobile. April 4-11, 2 cases. Baltimore. California: San Francisco, March 29-April 5, 10 cases. Colorado : Denver, March 28-April 4, 27 cases. Florida : April 4-11, DeSoto County, 28 cases ; Duval County, Books Received. Jacksonville included. 6 cases. Georgia : Atlanta, March 4-April 15, 30 cases ; Lumpkin. April 7, 6 cases. of all books received will be made in this col¬ Illinois : Belleville, April 4-11, 1 case ; Chicago, March 28-Aprik Acknowledgment 37 umn, and this will be deemed by us a full equivalent to those send¬ 11, cases, 3 deaths ; Galesburg, April 4-11, 2 cases. : 2 cases cases. them. A selection from these volumes will be made for review, Indiana April 4-11, Evansville, ; Indianapolis, 4 ing Kansas : AA'ichita : 3 cases. as or the of our readers. April 4-11, dictated by their merits, in interests Louisiana: New Orleans, April 4-11, 5 cases (2 imported), 2 Uterine and Tubal Gestation. A Study of the Embedding and deaths. Development of the Human Ovum, the Early Growth of the Embryo, Maine : Biddeford, April 4-11, 1 case. and the Development of the Syncytium and Placental Gland. By Maryland : Baltimore, April 4-11, 1 death. Samuel Wyllis Bandler, M.D., Instructor in Gynecology, New York Hassachusetts : April 4-11, Fall River, 1 case ; Lowell, 3 cases ; Post-Graduate Medical School. Illustrated 93 Drawings. Cloth. Northampton, 1 case. by : Ann 1 case 7 cases . 159. Price, $1.50 net. New York : Wm. Wood & Co. 1903. Hichigan April 4-11, Arbor, ; Detroit, ; Grand Rapids, 4 cases ; Port Huron, 1 case. IT. S. Department or Agriculture, Bureau of Animal Industry : case. Which Have Mississippi Natches, April 4-11, 1 —Bulletin No. 44. Infectiveness of Milk of Cows Hissouri : April 5-12, Kansas City, 2 cases ; St. Louis, 5 cases, Reacted to the Tuberculin Test. By John R. Hohler. A.M., V.M.D., Nebraska : Omaha, 4-11, 2 cases. Bureau of Animal April Chief of Pathological Division, Industry. Paper. New Hampshire : April 4-11, Manchester, 7 cases ; Nashua, 5 Pp. 93. Washington : Government Printing Office. 1903. cases. Muco-Membranous Entero-Colitis. Symptoms, Complications, New Jersey : Newark, April 4-11, 1 case. Etiology and Treatment. By Maurice De Langenhagen, M.D., Con¬ New York : Binghamton, March 28-April 4, 1 case, imported : sulting Physician at Polombieres. Vosges, France. Cloth. Pp. 115. Buffalo, April 4-11, 2 cases ; Rochester, March 31-April 14, 16 cases, Price, $1.25. London : J. & A. Churchill. Philadelphia : P. Blak¬ 1 death. iston's Son & Co. 1903. Ohio : Dayton, April 4-11, 3 cases. Report of the Government Laboratories of the Philippine Pennsylvania: Altoona, March 28-April 11. 5 cases; Butler, April Islands for the Year Ended 1002. the of 4-11, 1 case ; Carbondale, March 31-April 7, 1 case ; Johnstown. Aug. 31, (From Report 1 case the Philippine Commission.) Bureau of Insular Affairs, War De¬ April 4-11, ; Philadelphia, March 28-April 11. 43 cases, 7 partment. Paper. Pp. 582. deaths: Pittsburg. April 4-11, 29 cases (2 imported). 3 deaths: Williamsport, April 4-11, 1 ease. How be as Successful a Physician. Heart-to-Heart Talks Tennessee : March 13 cases : of a Successful and Memphis, 28-April 11, Nashville. Physician His Brother Practitioners. Cloth. March 28-April 4, 2 cases. Pp. 123. Price, $0.50. Meriden, Conn. : The Church Publishing Utah : Salt Lake March 17 Co. 1002. City, 28-April 11, cases. Wisconsin : Milwaukee, March 28-April 11, 3 cases. Twelfth Report of the State Board of Health of the State SMALLPOX-FOREIGN. of Maine for the Two Years Dec. Ending 31, 1901. Cloth. Pp. 300. Austria : March 14-28, 13 eases. Augusta : Kennebec Journal Print. 1902. Prague. Belgium : Antwerp, March 14-21, 2 cases, 1 death : Brussels. Proceedings of the Nebraska State Medical Society. Thirty- March 14-28. 6 deaths. fourth Annual Session. 1902. Cloth. Pp. 361. Lincoln : Western Brazil : Rio de Janeiro, March 6-13, 5 deaths. Medical Review Publishing Co. Canary Islands : Las Palmas, March 7-21, 44 cases. Colombia : Barranquilla. March 15-22, 2 deaths. France : Roubaix. March 1-31, 1 death. The Public Service. Great Britain : Dublin, March 14-28, 33 cases, 1 death ; Hebburn- on-Tyne, March 14-21. 1 case ; Leeds, March 14-28, 26 cases ; Liver¬ pool, to March 28, 68 cases, 7 deaths ; London, March 21-28, 5 Navy cases ; Manchester, March 21-28, 18 eases, 1 death ; Newcastle-on- Changes. Tyne, March 2 cases 11 in of 14-21, ; Nottingham, March 7-28, cases ; Changes the Medical Corps the Navy, week ending April 18 : Sheffield, March 7-21, 4 cases ; AA7alker-on-Tyne, March 14-21, 2 Surgeon H. N. T. Harris, detached from the Monocacy and or¬ cases ; Wallsend-on-Tyne, March 14-21, 2 cases. dered to the Glacier, at Manila. P. I. India : Bombay, March 317. 157 deaths ; Calcutta. Feb. 28- Surgeon N. H. Drake, detached from the Solace and ordered to March 14. 1 death: Madras. Feb. 28-March 6, 1 death. the ' York, as fleet surgeon of the Pacific Station. Mexico : City of Mexico, March 22-29, 7 cases, 4 deaths. Surgeon A. C. II. Russell, detached from the Naval Museum of Netherlands : Flushing. March 21-28, 1 case. Hygiene and Medical School, and ordered to the Newark, as fleet Russia : Moscow. March 14-21, 4 cases, 1 death : Odessa, March surgeon. South Atlantic Station.. 14-21, 6 cases, 1 death ; St. Petersburg, March 14-28, 169 cases, 9- Surgeon F. J. B. Cordeiro, detached from the Naval Training deaths ; Warsaw, March 14-21, 3 deaths. Station. Newport, R. I., and ordered to the Solace. Turkey : Alexandrette. March 14-21, 3 cases. 1 death ; Constanti¬ 1 Surgeon G. H. Barber, detached from the Monongahela and or¬ nople, March 15-22, death ; Smyrna, March 1-8, 1 death. dered to the Training Station. Newport, I!. I. YELLOW FEVER. P. A. C. D. Surgeon Langhorne, detached from the Naval Hos¬ Brazil : Rio de Janeiro, March 38 deaths. pital, Port S. C, and ordered to the 6-13, Rtfyal, Monongahela. Colombia: Panama. March 26-April 2, 4 cases, 1 death. Ecuador : Guayaquil, March 14-21. 4 deaths. Marine-Hospital Changes. Mexico: Vera Cruz, March 28-April 11, 12 cases,· 2 deaths. CHOLERA-INSULAR. Official list of the of station and Duties of changes commissioned Islands: 172 and non-commissioned of Philippine Provinces, Feb. 14-21, cases, 117 deaths. oflicers the Public Health and Marine- Not previously reported, 953 cases, 756 deaths. Service for Hospital the seven days ended April 16, 1903 : CHOLERA-FOREIGN. Assistant Surgeon-General L. L. Williams, granted leave of ab¬ India : Calcutta, Feb. 28-March 14, 159 deaths. sence for eight days from April 11. Surgeon Irwin to to PLAGUE-INSULAR. cial Fairfax, proceed AVashington, D. C., for spe¬ temporary duty. , Philippine Islands : Manila, Feb. 14-21, 2 deaths. Asst.-Surgeon H. C. Russell, relieved from temporary duty at the PLAGUE-FOREIGN. Immigration Depot, and directed to rejoin his at . Y. station Stapleton.r · Brazil : Rio de Janeiro, March 6-13, 1 death. W. China : Hongkong. Feb. 14-28, 15 cases, 15 deaths. Asst.-Surgeon C. Billings, to proceed to Quebec, for India: March in the office of the U. S. of Can., duty Bombay, 3-17, 2,300 deaths; Calcutta, Feb. 28- Commissioner Immigration. March 14, 1,574 deaths ; Karachi, March 199 169 Asst.-Surgeon B. S. Warren, granted leave of 8-15, cases, deaths. days from April 16. absence for five Mexico : March 8-22, Siqueros, 3 cases, 2 deaths ; Villa Union, 3 cases, 1 death.