and asked him what she should do. to which he replied: merely as one means of examination, is a great incroase in "Come up to my barn and milk my cows, and do my chores, diagnostic power. We have learned new signs, have come to and you will be all right." The plaintiff said to him that associate certain displacements, limitations of motion, points her wrists pained her so that she was almost insane, to which of localized tenderness, etc., with the lesions to which they he replied: "Cood, good enough." Counsel made a question are appropriate, and thus by means of the x-ray have greatly whether this interview between the parties was had while bettered our capacity to do without the as-ray. Cotton dis¬ the relation of physician and patient continued bet ween them. cusses its use in routine fractures, and stigmatizes as the sheer¬ The plaintiff's question, asking advice, and the defendant's est nonsense, much that has been written as to its being answer, giving it. indicated that they both understood that the criminal neglect to treat a fracture without the œ-ray. There relation still existed. The answer seems frivolous, yet the are a few classes of cases—fracture of metatarsals by direct defendant may have meant that the plaintiff should exercise crushing, fractures of scapula, some injuries about the shoul¬ her wrists, which was consistent with his theory that they der joint, crushing injuries of the hand and wrist, fractures were only sprained. All his conduct in relation to his treat¬ of the pelvis, a few hip fractures, some injuries to ankle and ment of the case was a proper subject of inquiry as bearing tarsus—that often do depend on the x-ray for diagnosis; but in on the question whether he diagnosed and treat«! it skilfully. all these cases, simple retentive apparatus until an x-ray can The admission of this evidence could not be held reversible be obtained is adequate treatment for the first few days. error. With obscure and complicated luxations the problem is differ¬ Again, the plaintiff's evidence tended to show that on the ent, but the cases in which an accurate diagnosis is essential defendant's first examination he was asked whether the lini¬ to reduction of gross displacements are fortunately limited to ment would be a good application, arid that he answered: a few luxations, with or without fracture, in the tarsus and "Yes; use horse liniment, or any old thing"; that the defend¬ foot. In regard to routine fractures, Cotton maintains that in ant set no bones, prescribed no medicine, bandages, nor appli¬ a great majority of cases a properly trained surgeon can make cation of any kind except said liniment. Another physician his diagnosis, so far as practical details go, about as well with¬ was called by the plaintiff as an expert witness, and duly out as with the x-ray. Tf he has not the skill so to make the qualified as such. He was asked whether he considered the diagnosis he is unlikely to Ire greatly helped by the ¡r-ray. prescribing of horse liniment good surgery in case of Colles' Cotton does not decry early taking of x-ray pictures if con¬ fracture, and he answered, subject to the defendant's excep¬ venient, but merely emphasizes his belief that they are not a tions, that it was not good surgery. One objection to the necessary routine. The importance of ai-rays after reduction question was that in answering it the witness must assume as a method of review, for the purpose of correcting error, is the province of the jury. It was true that the rule by which emphasized. The author contends that the time for the x-ray the defendant's treatment of the case was to be tested was is after, not before, reduction, for the following reasons: la) that of ordinary skill, such skill as physicians and surgeons Immediate x-ray pictures are hard to get. even in hospitals: in the same general neighborhood, in the same general line any considerable delay in reduction means poorer reductions of practice, ordinarily had and exercised in like cases. On this as a rule, (b) -Y-ray examination does not take the place of question physicians and surgeons of practice and experience the time-honored examination under anesthesia, and this ex¬ are experts, and their opinions are admissible in evidence on amination, properly done, with immediate replacement of the questions that are strictly and legitimately embraced in fragments, usually fulfills the immediate indications. (c) their profession and practice. Whether the defendant's treat¬ Considerations of difficulty in transportation, expense, and ment was good surgery or proper treatment, whatever the procrastination, make it unlikely that more than one x-ray nature of the injury, was a question on which the witness was picture will be taken in a given routine case. This one may competent to testify. best be taken when it will check both diagnosis and correrteli As the plaintiff's condition and complaints of pain tended position, and will help in prognosis. As to late x-ray pictures, to show the severity of her injury, the court holds that a wit¬ taken to inform ourselves as to the end result, he believes ness might testify to what occurred after the accident and that in the usual run of fractures we shoidd use the x-ray in before the defendant saw the plaintiff, and that she complained practically all cases, at least for record, repeating the exam¬ of pain in her wrists. Moreover, the defendant being charged ination if we may. but certainly using it at such periods as with malpractice and the plaintiff claiming that by reason of will enable us to establish or confirm the diagnosis and to unskilful treatment her wrists still caused her snffering, it check our treatment. It should not be used in place of skilled was competent for her to show their condition at any time manipulation, or as the arbiter of end results. He discusses before or during the trial. the operative surgery of fractures. 2. Tuberculin Diagnosis of Pulmonary Tuberculosis. Barnes discusses the tuberculin diagnosis of pulmonary tuberculosis as Current Medical Literature used at the Rhode Island State Sanatorium and records cases. He reports on the replies with reference to the use of tuberculin and its results as received from 225 hospitals in AMERICAN. answer to a circular letter. He concludes, among other things, Titles marked with an asterisk (*) are abstracted below. that the tuberculin test is at present necessary for prompt Boston Medical and Surgical Journal. diagnosis in many suspected cases of pulmonary tuberculosis, in the of which the subcutaneous September 10. great majority test will give a direct and if 1 *The -Ray and Fractures. F. L. Cotton, Boston. diagnosis, given judiciously in small initial - *Use of Tuberculin as a Diagnostic Agent in Pulmonary Tuber¬ doses is safe; but in Addison's disease it should be used with culosis. H. L. Barnes. Wallum R. I. Lake, extreme caution or not at all. The tuberculin test 3 Growth and Development of Surgery in Smaller Cities. C. H. should be Richardson, Pittsfleld. Mass. used only in patients who have symptoms or signs of tuber¬ C. 4 *Omentopexy to the Intestine Deprived of Its Mesentery. L. culosis, for a reaction no Seudder, Boston. positive has clinical value in others,· 5 Primary Carcinoma of the Appendix, with a Statement of the because of the uncertainty as to the location of the lesions Literature. C, O. Boston. Kepler, and a probability of healed lesions reacting. He analyzes the use of tuberculin in the 1. X-Ray and Fractures.—Cotton says that the addition to 225 hospitals and the demonstration of its in our fund of knowledge is probably the most important service use to students 81 medical colleges. The accuracy of of the .r-ray. We have learned what to expect and what to the ocular and cutaneous tuberculin test is yet to be proved, look for. and in so doing we have learned how to look. Many and cases reacting negatively should be tested by the subcuta¬ types of fracture formerly supposed to be rare have proved neous method unless contraindicatcd. All cases suitable for common, and other lesions once commonly diagnosed, are now subcutaneous testing should receive it in preference to the hardly heard of. There is, moreover, a whole series of joint ocular test, because of its greater safety. Finally, all medical fractures about which we formerly knew nothing. Another students should be thoroughly trained in the use of the three benefit conferred by the ¡r-ray, used as it should be used, methods of applying the tuberculin test.

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 4. Omentopexy.—Seudder has undertaken experiments on 12. Paradoxes in Modem Phthisiotherapy.—Knopf calls at¬ four dogs simply to note the behavior of the bowel after it has tention to the lamentable practice of the lay press in seizing been shorn of its mesentery and the omentum has been used to on apparently contradictory statements published by medical take the place of the mesenterio blood supply. These experi¬ men and converting them into sensational impeachments of ments demonstrate that, in the dog, if the vessels in the mes¬ the consistency of medical science. He next refers to arti¬ entery are tied far from the mesenterio attachment, the gut cles published in New York newspapers and attributed to remains viable, even when considerable mesentery is detached. Major Woodruff of the United States Army. Knopf meets The nearer to the gut the ligation is made of the mesenterio Woodruff's views in regard to the injuriousness of excessive vessels, the less detachment of mesentery can be made and sunlight, the particular susceptibility of blondes to tuberculo¬ viable gut yet remain. From 16 to 20 cm. of gut may be sis, etc., by publishing in tabular form the result of an appeal denuded with subsequent omentopexy safely; 10 cm. may be to a number of the leading phthisiotherapists for answers ac¬ denuded with omentopexy with gangrene. In the dog which cording to their experience to the following six questions: recovered, after two denudations and two omentopexies the 1. Do your statistics show that blonde patients do better in cold at the seat of was smaller in and a weather or cold climate regions than those having brown or black gut operation slightly size, hair'.' little thicker, from edema. 2. Have you noticed the reverse, that is to say, that brunette patients do better in warm weather or warmer climates than Medical New York. blondes? Record, 3. In your opinion is sunlight harmful in cool or cold weather to September 12. the average tuberculous patient, providing he is careful in protect¬ C Relation of the Medical Profession to the Housing Problem. ing his head? S. A. Knopf, New York. 4. Do you ascribe the improvement which the majority of tuber¬ winter in our when 7 Acute Intestinal Obstruction, with Special Reference to In¬ culous patients experience in temperate zones, tussusception. E. W. Peterson, New York. "taking the cure," to the cold, to the absence of sunlight, or to Valuable other reasons? 8 "Abnormal Motility of the Stomach a Factor in Diag¬ 5. in solar that is to sun nosis of Lesions. M. R. Have you any experience therapy, say. Gastric Barker, Chicago. baths, and do· think them or harmful in * J. P. Kansas Mo. you injurious carefully 9 Lupus Erythematosus. Kanoky, City, selected cases under proper supervision? 10 Preparation for a Genitourinary Diagnosis. J. J. Valentine, 6. Do you ascribe the relative wellheing of the tuberculous New York. patients in the morning as the natural sequel of sleep rest, quiet 11 Keratoplasty. H. R. Lesser, New York. of the night, which the average healthy man also experiences, ot¬ to the absence of sunlight? of the Stomach and con¬ 8. Motility Gastric Lesions.—Barker Summarizing the results a considerable majority have not siders that the loss of gastric motility, characterized by long- found that blonde patients do better than brunettes in cold continued of food in the stomach and the or stagnation partial regions, or that brunettes do better than blondes in warm mucus in the is character¬ complete absence of gastric contents, regions. All are agreed that sunlight is not harmful in cool istic of and when such conditions careful search cancer, prevail or cold weather to the average tuberculous patient, providing is for the Oppler-Boas bacillus should be made. If this bacillus the head is protected. Nearly all appear to hold that the cancer if it is not found the diagnosis of is positive; improvement experienced during winter, when taking the cure the should be allowed to into that found patient not pass in temperate zones, is due to the cold and not to the absence stage of the disease in which operative measures are futile, by of sunlight. Many consider sunbaths beneficial, none injuri¬ more in waiting for this positive element the diagnosis before ous. The relative wellbeing of tuberculous patients in the exploratory measures are taken. A large accumulation of morning also is attributed generally to rest and sleep, but in mucus stomach is one of the elements the in the important in no case to the absence of sunlight. Knopf quotes passages diagnosis of chronic gastritis. This is due, in a large degree, from the letters of many of his correspondents. He admits, to faulty contact between the ingested materials and the nerve however, that from physiologic experiments on men and ani¬ centers in the stomach walls causing gastric immotility, mals we have learned that "too much sunshine is as injurious as which, in turn, prevents the escape of accumulated mucus into its total absence is deleterious," and he considers Major Wood¬ vicious thus formed is the intestines. The circle being broken ruff right in some respects, for there is no doubt that in tropi¬ up in certain cases by long-continued lavage; hence one of the cal countries the newly arrived person wdto has been born beneficial effects of this treatment in chronic gastritis. A and raised in northern climes, be he blonde or brunette, unless of ulcer is the prominent factor in the diagnosis gastric exag¬ he leads an exceedingly sober and careful life, and protects gerated motility of the gastric walls. This is characterized by himself against the strong actinic rays of the sun and the the absence of any portion of the test meal in the stomach a intense heat of midday, is bound to suffer and become more comparatively short time after its ingestion. Mucus is also easily a victim of endemic and epidemic diseases not exclud¬ almost or entirely absent from the stomach in this condition, ing tuberculosis. Even in temperate zones, in hot weather being digested as quickly as deposited in the stomach by the when everyone feels better in the shade, it is absurd to expect ever-present overacid secretion, and being expelled from the the consumptive to be more comfortable in the sun. Knopf stomach as quickly because of the exaggerated motility of the describes his method of prescribing a sunbath ; he gives in¬ gastric walls. stances of the importance of individualization in the treatment of tuberculosis, and concludes that because we vary our treat¬ 9. Lupus Erythematosus.—Kanoky discusses this condition ment to the patient's individual conditions, sometimes even to in and reports six cases from which he comes to the general, his likes and dislikes, but always with the one point in view, conclusion that the iodin-quinin, or iodin-salicin, method of to do the best for him, what seem like paradoxes, whether they treatment excellent results in a considerable percentage gives refer to air, sunlight, water, climate, medicine or other remedial of of if cases lupus erythematosus, especially employed early agents, are really the result of careful and painstaking indi¬ in the disease. In cases in which the pathologic condition has vidualization. been present for many years, these agents will often have to 13. of Excessive in Tuberculosis.—Wood- be supplemented by more vigorous measures. Of these sali- Dangers Sunlight •ruff to article as above abstracted, and states cylic-pyrogallie-collodion preparations are cleanly, efficient, replies Knopf's that it was discovered the as early as 1900, that in cheap and easily obtained. The cr-ray, while not so valuable by Army, all cases of tuberculosis white people in the tropics promptly here as in true lupus, is undoubtedly of assistance at times. perish unless they are sent home. The factors in this loss of New York Medical Journal. resistance are heat, humidity, and in those with unpigmented September IS. skins, excessive light, and he quotes Sir Alfred Keogh, medical of as him with the 12 'Explanation of Seeming Paradoxes In Modern Phthisiotherapy. director the British army, supporting S. A. Knopf, New York. assertion that investigations prove that the depressing effects 13 'Dangers of Excessive Sunlight in Tuberculosis. C. E. Wood¬ India due to the actinic and not to the heat ruff, Fort Wadsworth, . Y. in are rays, rays, 14 Cancer of the Rectum. J. P. Tuttle, New York. of the sun. To support his views as to the evil effect of sun¬ 15 Jaundice Due to Disease of the Biliary and Pancreas Passages. light in tuberculosis, Woodruff states that the tuberculosis J. J. Gilbridge, Philadelphia. is least in the 16 *A Dermatitis Due to the Irritating Effect of Metol. . T. mortality rate per 1,000,000 living cloudiest Beers, Brooklyn. parts of Europe. Cloudy cities, like Amsterdam and London, 17 Neurasthenia Ventrlculi and Gastroptosls. H. Weinstein, New like St. Peters- York. have low rates, while sunny places Moscow,

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 burg and Vienna, bave high rates. He quotes the table from Brown follows these rules: A bowel is considered safe: 1, llanscomb's 1908 report of the percentage of deaths from con¬ when on liberation of the constriction it receives circulation; sumption to deaths from all causes in various occupations, to 2. when the peritoneum is smooth, shiny and not blistered, show that light or darkness may have opposite effects from whether dark in color or not; 3. when no thrombi are present what we now believe. He then discusses Knopf's points in in the mesenteric border. If. however, there is rupture, ulcer, detail and refers to the opposition of almost the entire pro¬ perforation, complete thrombosis of the mesenteric vessels, fession in 1840, to Dr. George Bodiiigton's opinion that tuber¬ permanent unyielding stricture, excoriated peritoneum anil culosis should be treated in the open air, an opinion to which blackened bowel, which has lost all contractility, it should be after all these years, the profession is now coming round. In condemned. As regards anastomosis: 1. In late moribund 1840 the profession was strong in the opinion that cold air cases, in which time of anesthesia and manipulation are im¬ was fatal and they drove Bodington's patients away ami portant elements, we should rapidly resect and turn the closed this first modern sanatorium. Dr. Knopf. Woodruff divided ends out through the incision; 2. in acute early eases. asserts, is repeating the error—instead of giving facts he is in which the small bowel is involved, we should remove liber¬ giving opinions of the leaders. His "authorities" have never ally beyond the condemned portion, turn in the divided ends noticed any harm from excessive sunlight, mit because it does with a purse-string suture, and make a lateral anastomosis; not exist, but because they have never looked for it. Bod¬ 3. when large and small bowel are gangrenous, end-to-side ington's opponents never noticed the harm done by indoor anastomosis should be made; 4, in resection of large bowel treatment, and their opinion likewise did not piove that there the end-to-end anastomosis is preferable. was no damage by it. 23. Abstracted in The Journal, Nov. 2, 1907, p. 1552. 16. Metol Dermatitis.—Beers points to the great increase of Surgery, Gynecology and Obstetrics, Chicago. dermatitis which, in these of ama¬ among photographers days August. a mass of from teur photography, embraces large people, the 24 »Excision of the Kectum for Cancer. W. C. Lusk. New York. irritant effect of metol (monomethyl-paramido-phenosulphate) 25 Case of Hermaphrodism. G. B. Johnston, Richmond. Va. 26 *Case of Torsion of the Omentum. . Grant. Colo. which forms an in most of the on the W. Denver. ingredient developers 27 *Case of Intra-abdominal Rotation of the Great Omentum, Un¬ market. He has found a saturateti solution of in accompanied with Hernia. \Y. Fuller, Chicago. paraffin 28 Reflexes. J. A. D. D. benzin. into which the are before the Pleural Capps and Lewis. Chicago. fingers dipped developing, 29 *Advantage of the Elastic Ligature in Certain Cases of Anal best The condition must be treated Fistula. C. M. Eehols. Milwaukee. Wis. preventive. symptomati- 30 rest and of the affected Case of Concealed Hemorrhage in Pregnancy. Contrasted with cally, with protection parts, cathartics One of Extrauterine Pregnancy. G. E. Shoemaker, Phila¬ in a severe attack, and before the skin is broken some cooling delphia. 31 *Are lotion such as lead and wash should be Gloves and Masks Advisable in Surgery? E. 8. Bishop, astringent opium pre¬ Manchester. England. scribed. After the skin is broken, care must be taken to pro¬ 32 Case of Tbxemic Pernicious Vomiting of Pregnancy, with Total tect the and to use the blandest of Nitrogen and Ammonia Estimations. W. II. Buhlig and parts thoroughly applica¬ H. M. Stowe. Chicago. a useful or tions. Zinc stéarate makes dusting powder: 1 2 ·"·" Case of Linitis Plastica of the Stomach (Brinton) Cured by per cent, of carbolic or salicylic acid may be added. When an Je.junostomy. A. F. von Eiselsberg, Vienna, Austria. ointment is indicated in this stage the following is mild and 24. Excision of the Rectum for Cancer.- In this monograph, soothing : for such it practically is. Lusk reports a case in a woman R. gm. orce. operated on with implantation of the into the anus. chlor, mit. 165 gr. sigmoid Hydrarg. He goes into detail in regard to the anatomy and Acidi carbolici . 65 to 1.30 or gr. xxx surgical technic of the the article illus¬ Ung. aquae rosae. 30 ¡ gi operation, being elaborately M. trated with half-tones accompanied by diagrammatic sketches In the chronie form of the disease, when cracks form and the of the pictures represented in half-tone. skin is indurated or scaly, an ointment containing one or more 20. Abstracted in The Joubnal, Feb. 1. 1908, p. 397. the the best results: of stimulating drugs gives 27. The Great Omentum.—Fuller describes a case of intra- R. gm. or ce. abdominal rotation of the great omentum. unaccompanied with Acidi salieylici . 1 95 gr. xxx hernia. He discusses the embryology, anatomy, and functions . 3 to 7.80 or Pulv. amyli 90 3i to 3ii of the omentum, summarizes what is known regarding torsion Zinci oxidi . 1 95 to 2.90 3ss to3i of the omentum, adopts the classification of Corner and . 30 3i Ung. petrolati Pinches into and hernia] anil M. abdominal, hernial, abdominal, and discusses the and mechanism, and R. gm. or e.c etiology diagnosis, treatment. He concludes as follows: 1. The great omentum Ichthyolis . 3 90 3i should be the as an of vast Acidi salieylici . 1 30 or gr. xx regarded by surgeon organ impor¬ and uses can with or Acidi borici . 1 95 gr. xxx tance, its not safety be curtailed com¬ Ung. zinci oxidi. 30 Ji promised. 2. In all surgical operations requiring resection of M. the great omentum, the latter should be done in a careful To any one of these prescriptions resorcin or oil of cade may manner, without leaving heavy or clumsy omental stumps be added if necessary. uncovered by peritoneum, and the omentum at the completion of all operations should be unfolded and spread over the St. Louis. Medical Fortnightly, abdominal organs in a normal manner. 3. If the condition in August 25. any operation within the peritoneal cavity presents the slight¬ IS Korea and Japan. R. H. Eccles, Brooklyn, N. Y. est doubt as to the causes and nature of the extent of the 19 Two Cases of Raynaud's Disease1-. T. D. Woodson, St. Louis. difficulty, search for a complete and satisfactory explanation The Lancet-Clinic, Cincinnati. of the question in hand should include examination of the August 29. greater or gastroeolic omentum. 20 Surgical Treatment of Acute Intestinal Obstruction. W. A. 29. The Elastic in Anal Fistula.—Echols considers Melick. Zanesville. Ohio. Ligature the elastic while not to all 21 »Internal Strangulated Hernia, or Internal Intestinal Strangu¬ operation by ligature, applicable lation. E. M. Brown. Chicago. cases, such as the horseshoe fistula encircling the bowel, the 22 Excesses in Surgical Cleanliness. M. A. Austin. Anderson, Ind. of choice for fistula for the fol¬ 23 'Treatment of Pus Tubes. J. E. Cannaday. Hansford, W. Va. operation ordinary complete lowing reasons: 1. It preserves the contour of the anus and 21. Internal Strangulated Hernia.—Brown maintains that all does not impair the function of the sphincter. 2. It is suit¬ able for who can not or will not take a anes¬ internal cases of strangulated hernia or all internal strangula¬ patients general thetic. 3. The of tions show sufficiently early symptoms for an early diagnosis period complete disability of the patient and operation before absolute occlusions have developed. after operation is less. When the diagnosis is obscure an exploratory operation should 31. Gloves and Masks.- Bishop discusses the relation of be done. In determining when a strangulated bowel is viable gloves and masks to efficiency, and gives reasons for eonelud-

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 iiig that masks and gloves, however theoretically correct, ham¬ abstracted in The Journal, July 4, 1908, page 75, and Sep¬ per materially the surgeon's movements, and, therefore, may tember 12, page 944. easily do far more damage to the prospects of a safe recovery 46. Examination of Feces for Amebas.—Hoyt analyzes the —which is, after all, the main end in view—than would result results of 300 examinations of feces, made as part of the regu¬ if they were omitted. lar laboratory routine at the Canacao Naval Hospital, P. 1. In 200 cases blood examinations also Journal of Nervous and Mental Disease, New York. were made, and in 100 an occult test was Of the 300 20 admit¬ August. made. patients only were ted on the of The author concludes 34 »Brain Tumor Localized and Completely Removed; with Symp¬ diagnosis dysentery. tomatology of Lesions Variously Distributed in the Parietal from these observations that, reasoning from a knowledge Lobe. C. K. Mills and C. H. Frazier. Philadelphia. of the of other forms of intestinal to 35 Herpes of the Membrana Tympani, Due to Zosteroid Affection power parasites produce of the Petrosal Ganglion. T. J. Orbison, Los Angeles, Cal. symptoms of a general nature, such as those mentioned, and taking into consideration the reported findings at autopsy in 34. Abstracted in The Journal, 68. July 4, 1908, p. many cases of amebic infection without apparent symptoms Atlanta Journal-Record of Medicine. of dysentery, it would be unwise to ignore this organism as an factor affections other than August. etiologic in dysentery. 36 »Sacroiliac Disease. C. R. Andrews and M. Hoke, Atlanta. American of Physiology, Boston. 37 Examination of the Feces as an Aid to Diagnosis. J. N. Journal Le Conte, Atlanta. August. 38 Use and Abuse of Drugs in Tuberculosis. W. M. Jones, High 49 Comparative Study of the Temperature Coefficient of the Point. N. C. Yelocities of Various Physiologic Actions. C. D. Snvder, 39 Chronic Gastric Ulcer : its Surgical Treatment. E. G. Jones, Berlin. Germany. Atlanta. 50 »Kidney Secretion of Indigo Carmin. Méthylène Blue and So¬ 40 Obstetrical Work from Standpoint of General Practitioner. dium Carminate. G. D. Shafer, Ithaca. . Y. A. B. Croom, Maxton. N. C. 51 Comparative Physiology of the Invertebrate Heart.—A Note 41 Variable Effects of Apomorphin. F. A. Roland, Atlanta. on the Physiology of the Pulsating Blood Vessels in the 42 »Improvement in Method of Determining if Gonorrheal Infec¬ Worms. A. J. Carlson. Chicago. tion is Present in an Inflamed Prostate or Seminal Vesicle. 52 *Resection and End-to-End Anastomosis of the Oviduct in the E. Ballenger, Atlanta. Hen. without Loss of Function. R. Pearl and F. M. Surface. 53 »Hydrolysis of Vignin of the Cow-Pea (Vigna Sinensis). T. B. 30. Sacroiliac Diseases.—Andrews and Hoke out that Osborne and F. W. Ileyl. point 54 Experiments Bearing on the Nature of the Glycogenolytic the pelvic girdle is the structural base for the skeleton, and Fibers in the Great Splanchnic Nerve. J. J. It. MacLeod, any instability of pelvic articulations must interfere with proper Cleveland, Ohio. 55 Influence of Stimulation of the Great Splanchnic Nerve on action of muscles attached thereto; conversely, any lack the Rate of Disappearance of Glycogen from the Liver. De¬ of or alteration in tone of the muscles and liga¬ prived of Its Portal anil Systemic Blood Supplies. J. J. F. development MacLeod O. Ohio. ments protecting and holding the pelvic joints in position, and H. Ruh. Cleveland, must render likewise impossible their normal and anatomic 50. Kidney Secretion.—Shafer reviews the literature con¬ relation and induce impaired function. Certain physiologic cerning the theories of secretion of urine and the experimental conditions bear a direct relation to relaxation of the sacro¬ work with various coloring matters that bears on these theo¬ iliac This is demonstrable in joints. pregnancy and often dur¬ ries, and finally describes his own experiments with indigo- ing menstruation, and explains many of the backaches occur¬ carmin, méthylène blue and sodium carminate. His results, in ring in the menstrual period. The authors discuss the move¬ the main, support the theory of Ileidenhain. that most organic, ment of sacrum from an obstetric and state the viewpoint, salts and free acids are secreted by the epithelium of the con¬ that with an existing excessive intestinal putrefaction, any voluted tubules. The experiments show that indigo-carmin, injury or undue strain to a joint may precipitate a toxic in¬ whether in its colored or colorless form, is excreted by the flammation. Such inflammations are common in the sacro¬ cells of the tubules, and there is no direct evidence that iliac joints. They discuss the effect of position, recumbent indigo-carmin is reduced in the living animal body, and it is, and sitting. Lumbago is often simply a manifestation of a at least, not completely reduced. Méthylène blue is reduced sacroiliac sprain. They discuss displacements and infectious and is excreted by the epithelium of the tubules in the color¬ call attention the processes, and particular to point that toxic less condition, but is oxidized to the blue compound to a large inflammation due to intestinal putrefaction may be superim¬ extent, at least, in the bladder. Sodium carminate is excreted posed on any other condition of the sacroiliac joint. In cases by the glomeruli, but there is reason to think that a slow of strain, long standing should be avoided and a correct atti¬ excretion also takes place by way of the convoluted tubules. tude maintained. When should be avoided; sitting, lounging 52. Anastomosis of Oviduct.—Pearl and Surface show that when a firm under the hollow of the back recumbent, pillow the oviduct in the hen can be resected and an end-to-end will the lumbar from Adhesive prevent spine sagging. phis anastomosis made without permanent loss of the across the lower back and or a function, fer straps buttocks, belt, will hen normal be of service. producing practically eggs. 53. Hydrolysis of Vignin.—The analysis of the product of 42. Gonorrheal Infections.- describes a mode of Ballenger hydrolysis of the vignin of the cow pea, according to Osborne ascertaining if gonococci are present in an inflamed prostate and Heyl, is able to account for only about 70'per cent, of or seminal vesical by creating a chemical urethral discharge, the material by the determination of known substances. It is when it is well the meatus with and established, sealing collo¬ not likely that any quantity of tryptophan is missed, and dion or adhesive and the secretion from plaster massaging there is no evidence that the missing substance is to be ac¬ or vesicles into the the prostate inflamed canal, where it is counted for by a carbohydrate residue in the proteid molecule, Gonococci will left until the patient urinates. proliferate if so that the almost inevitable conclusion is that there are still placed in this favorable environment and may be demonstrated unrecognized substances among the products of the decompo¬ in the subsequent discharge. sition of proteins. United States Naval Medical Bulletin, Washington, D. C. American Journal of Public Hygiene, Boston. July. A Uf/U8t. 43 »Treatment of Tuberculosis by Administration of Mercury. 56 Determination of Oxygen Consumed in Waters. E. M. Chamot, li. L. Wright, U. S. Navy. Ithaca, N. Y. 44 Pathologic Anatomy of Guha. A. J. Geiger, U. S. Navy. 57 Effect of Heating on the Determination of Leucocytes in Milk. 45 History of Epidemics in Guam. F. E. McCullough, U. S. Navy. H. L. Russell and C. Hoffman. 40 »Result of 300 Examinations of Feces with Reference to the 58 Diphtheria Diagnosis. B. E. Rickards, Boston. Presence of Amebas. R. E. Iloyt, U. S. Navy. 59 Mathematics of the Bacterial Count. II. W. Hill, Minneapolis. 47 Case of Bantl's Disease with Splenectoniy and an Arterio- 60 »The House Fly as an Agent in the Dissemination of Infectious venous Anastomosis. E. A. Vickery, U. S. Navy. Diseases. T. Smith, Boston. 48 Modification of the Crile Cannula. E. A. Vickery, U. S. Navy. 61 »Disinfection of Books. B. K. Rickards, Boston.

43. Mercury in Tuberculosis.— Wright believes that mercury GO. The House Fly as & Disseminator of Infectious Diseases. is a specific in tuberculosis and that it has a destructive effect Smith points out that the war on Hies can not be success¬ on the tubercle bacillus. His other papers on this subject were fully— waged with fly-paper and fly-traps, but must be waged,

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 as was done with mosquitoes, in the country of the animal the dish is returned to the horizontal position and replaced in itself, that is. against its breeding-places. Flics may be the water. So long as. when observed from the side, the divided into biting and non-biting, the former including horse drops sag. are tear-shaped or pear-shaped, or, when looked at flics and stable Hies, and the latter the house fly and various full, are denser below and clearer above, coagulation has not flesh flies and blow flies. The development of flics is practically occurred. As soon as the drop is rounded on profile view, and the same as and resembles generally, that of mosquitoes. of the same density throughout when seen from the front, if we substitute putrefactive and fermenting animal and vege¬ coagulation is completed. To confirm this, the dish is removed table matter for water as a breeding place. The fly is essen¬ from the lid and the clot is picked off with a needle or straw. tially a scavenger and would be beneficent rather than injuri¬ The time at which coagulation was first observed is noted, and ous were it not for its habit of bringing disgusting material the period between this and the moment the drop appeared on from its normal feeding places and depositing it mi food. The the part is taken as the clotting time. With this method re¬ breeding places are probably neglected garbage and stables sults are surprisingly constant. with accumulating manure or a dump heap. At the seashore dead fish form good breeding grounds. Smith points out that Northwest Medicine, Seattle. all movements in the interest of the public health broaden out August. 07 and of Medicine and from their narrow and the »Organization Centralization Surgery of original intent, campaign against the Northwest. R. C. Coffey. Portland, Ore. flies would eventuate in a campaign for general cleanliness. 68 Standards of Medical Education. A. C. Panton. Portland. Ore. 69 »Practical Methods of Dealing with Quacks and Quackery. 61. Disinfection of Books.—Richards concludes that formal- A. W. Smith. Portland. Ore. is inefficient as a means of while 70 Value of Vision in Its Relation to Accident Insurance and dehyd disinfecting books, Legal Indemnity. II. V. Wiirdemann, Milwaukee, Wis. steam sterilization is rapid and efficient, and does not materi¬ ally harm the books except those with leather binding. The 07. Abstracted in The Journal, Aug. 29, 1908, p. 780. books should be to steam for at least subjected dry thirty 09. and says that there are two minutes at from fifteen to Quacks Quackery.—Smith twenty pounds' pressure. special reasons for the Pacific Coast being infested with of Pennsylvania Medical Bulletin, quacks: namely, failure on the part of the public to. appreci¬ University Philadelphia. of enforcement. August. ate the quack in his true light, and laxity law 02 »Brain Tumor Localized and Completely Removed, with Some The onack hitherto has not been prosecuted, because the public Discussion of the Symptomatology of Lesions Variously deemed him harmless, but now that the masses are edu¬ Distributed in the Parietal Lobe. C. K. Mills and C. H. being Frazier, Philadelphia. cated to the dangers of his business it is time to enforce the 63 Two Cases of Streptococcus Infection which Gave a Typical laws against fraud and misrepresentation. Unfortunately, the Widal Reaction. J. and R. Tyson Pemberton, Philadelphia. as a are in with the move¬ 64 Examination for Carbon Monoxid Hemoglobin of the Blood daily papers, rule, not sympathy of a Miner whose Death Occurred in a Recent Gas Explo¬ ment to make the live up to the letter of the law. sion in Bituminous Coal with quack a Mine, Quantitative Determi¬ The some nation of tiie Carbon Monoxid Contained in the Blood. J. campaign against quacks has brought to light start¬ Marshall. Philadelphia. ling cases. The author reports one in which a quack extorted 65 Medical Practice in Canton. China. A. H. Woods, Bryn from who had to all Mawr, Pa. $500 poor people, mortgage they pos¬ 00 »Simple and Accurate Method for Measuring the Clotting Time sessed to raise the money for the "cure" of a cancer patient of the Blood. SI. Solis-Cohen, Philadelphia. already at the point of death, and who died in twenty-four hours. Yet this quack .had the assurance to advertise this as 62. Abstracted in The Journal, July 4, 1908, p. 68. one of his successful cases, cured by his treatment. He was 66. The Clotting Time of the Blood.—Solis-Cohen discusses arrested, convicted, fined and sentenced to hard labor. The the various, methods that have been employed for measuring profession of Portland has secured sixteen convictions of the clotting time of the blood. He has devised an apparatus quacks for practicing medicine without a license. To rid our¬ based on Milian's method, but which eliminates the errors selves of these undesirable citizens all that is necessary is a due to evaporation and temperature change. It consists of a united profession. We must rally round the medical associa¬ German Stender dish. 80 mm. in diameter and 40 in height, a tions and make them stand for something, electing officials small pan with an outlet and with a bracket for holding a with the courage of their convictions. We must banish the in¬ thermometer (an ordinary tin baking pan, the outlet and difference that has hitherto characterized us as a profession. bracket being made by a tinsmith will do), a bath thermome¬ A hill making it unlawful for any newspaper in Oregon to ter, a wide elastic band, a piece of rubber tubing, a stop-cock publish any medical advertisement of an indecent nature and a millimeter scale. The rubber tubing is attached to the passed both the house and senate, but was lost (or stolen) outlet of the pan, and clamped with a stop-cock, and the and not located until too late for the governor's signature to thermometer slipped into the bracket or holder. The pan is make it a law. A new bill on the same lines will lie presented filled with water at 37 C. (98 F.) and maintained there by to the. next legislature. the addition of hot or cold water as required. The Stender dish is cleansed, the rim smeared with lanolin or petrolatum, Journal of the Oklahoma State Medical Association, Guthrie. the lid thoroughly cleansed and applied and held in place by Ammsi. the rubber band. The dish is then everted, in the 71 »Surgical Affections of the Gall Bladder. L. Long. So. McAI- placed, pan ester. of water. The ear or is next and finger thoroughly cleansed 72 Purposes and Attainments of Cystoscopy and Demonstration a free with a clean, instrument, so that of the Author's Universal Cystoscope. B. Lewis, St. given puncture sharp Mo. the blood flows without undue The Stender Louis. freely pressure. 73 Extrauterine Pregnancy. A. A. West, Guthrie. dish is removed from the water, quickly dried, and the elas¬ tic band removed. The first drop of blood is wiped off and 71. Affections of the Gall Bladder.—Long reports three cases, note is made of the time the second drop appears. This drop, one of which presents peculiar features. The patient was a while on the finger or ear, is lightly touched to the upper white woman, aged 46, with a history of illness and invalidism surface of the inverted lid of the Stender dish held horizon¬ covering eleven years. Extreme jaundice was present. A tally. The part is then wiped off and several other drops are diagnosis had been made of obstruction of the common duct, similarly deposited on the lid on either side of the median probably by stone, with possibility of cancer as a complica¬ line, the time of the appearance of each drop being also tion, the last being suggested by the patient's rapid decline noted. The dish is then placed on the lid and the rubber band during the preceding two months. At the operation not the applied. Placing the millimeter scale under the inverted dish, least remnant of the gall bladder could be found, nor could the size of the different drops is quickly measured and noted. the common or cystic ducts be made out. A mass of adhe¬ Only those drops are regarded whose diameter measures 5 mm. sions involved pylorus, duodénum, gall-bladder region and or ti nini. The dish is then placed back in the water bath with under surface of the liver. The pancreas was felt as a hard, the lid underneath. At intervals the dish is removed from resisting body. A diagnosis of cancer was made, the abdomen the water and held vertically, while the contour of the drops closed, and the family warned of the probable outcome. The is rapidly observed from the side or the density studied by patient did well and in two weeks was out of de¬ ' hospital, looking at the drops through the lid. As quickly as possible claring she had never felt better for years. Moreover, she

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 has steadily improved in the past six months and is still catgut, but that by slightly softening the same material before improving. Jaundice has disappeared, she eats heartily, walks using very little force is required to produce a closely fitting erect, goes anywhere she wishes to, and has gained twenty knot, which will not relax its hold on further softening by the pounds in weight. The author can only account for this re¬ tissues. markable result that in adhesions to by supposing breaking up 81. Abstracted in The JoDKNAX, Feb. 8. 1908. p. 477. outline the structures of the bile-tract area he released the 83. Traumatism and Appendicitis.—Warbasse discusses the common duct, so that its lumen would again the flow permit that traumatism can in and of bile fluid. part play producing appendicitis, concludes as follows: The decision must be reached on two Journal of the Michigan State Medical Society, Detroit. grounds: the association of the two conditions (appendicitis August. following traumatism), and the well known and accepted 74 »Problems in Preventive Medicine. H. Ostrander, Kalamazoo. principle of surgical pathology that traumatism in any tissue 75 Treatment of Joint Tuberculosis. E. II. Ochsner, Chicago. predisposes and conduces to inflammation.. The appendix, by 76 »Case of Obstetrics with Sequela?. W. P. Mantón. Detroit. virtue of its and structure and the of its in¬ 77 »Treatment of Chronic Diseases of the Heart by Carbonated position history Mineral Baths and Auxiliary Exercises. W. L. Wilson, St. flammation, falls under both these stipulations. It is sus¬ Joseph. to traumatism; it sometimes and its inflam¬ 78 »Diet and Digestion. F. J. Groner, Grand Rapids. ceptible ¡¿'injured, mation sometimes follows such injury. There is every reason, traumatism as an factor in 74. Abstracted in The Journal. Aug. 22, 1908, p. 698. therefore, to regard etiologic appen¬ dicitis. 76, 77, 78. Abstracted in The Journal, Aug. 29, 1908, pp. Medical 784, 786. Vermont Monthly, Burlington. August 15. New York State Journal of Medicine, New York. 80 »Partial Thyroidectomy in Treatment of Exophthalmic Goiter. August. A. P. Ileineck, Chicago, 111. 79 The Obstetric Forceps. J. K. Quigley, Rochester. 89. This article Heineck under another title in 80 »Slethod of Appendicectomy. T. L. Dea vor, Syracuse. by appeared 81 »Diffuse Peritonitis in Women, with Report of Fifty Cases. E. Surgery, Oynecology and Obstetrics. December, 1907, and was McDonald, New York. abstracted in The Journal, Feb. 1, 1908, 401. It was 82 Tuberculous Salpingitis. Results of Surgical Treatment in page Four Recent Cases. J. O. Stranahan, Rome. also published as an original article in the Chicago Medical 83 »Traumatism as an Etiologic Factor in Appendicitis. J. P. 1908, and in several other Warbasse, Recorder, January, journals. Ap¬ Brooklyn. the new in the article is 84 Peritoneal Adhesions. A. H. Travel', Albany. parently only thing present the title. 85 Treatment of General Peritonitis. H. C. Rooth. Buffalo. 86 Unhealthy Tonsils the Cause of Grip. T. B. Loughlen. Olean. Chicago Medical Recorder. 87 Porro Cesarean Section. F. H. Stuart. Brooklyn. August 15. 88 Lives of Officers of the Medical Society of the State of New York. J. J. Walsh. New York. 90 Treatment of the Commoner Penetrating Wounds of the Eye¬ ball. F. Allport, Chicago. 91 Psychic Treatment. J. Grinker, Chicago. 80. a Appendicectomy.—Deavor describes method which he 92 »Present Status of the Relation of Bovine to Human Tubercu¬ has used in a fairly large number of cases, some interval losis. C. J. Whalen, Chicago. being 93 of others or Conservative Drainage High Pelvic Abscess. R. C. Turck, cases, suppurative, and others gangrenous, with with¬ Jacksonville, Fla. out perforation. The following are the steps in the operation, 94 Carcinoma of the Rectum ; Comparative Results of Operative Procedures. J. R. some of which are common to all methods : Incision and de¬ Pennington. Chicago. 95 Desmoid Reaction. A. D. Kolin. Chicago. livery of the appendix; ligation and division of the mesentery: 96 Repair of Superficial rerineal Lacerations with Michel's dissection of cuff back to the and Clamps. O. Betz, Heilbronn, Germany. peritoneal cecum; ligation 97 excision of the appendix, and disinfection of the stump; liga¬ Cicutine. W. F. Waugh, Chicago. tion of peritoneal cuff over stump; union of mesenterio stump 92. Bovine and Human Tuberculosis.—Whalen discusses the that of the appendix; closure of incision. relation of bovine and human tuberculosis, and concludes that The appendix is delivered with as little of the cecum as pos¬ experimental work strongly favors the view that infection in sible, but this will with the individual case. Deavor's \with vary pulmonary tuberculosis takes place, in a majority of instances, custom is usually not purposely to displace the omentum and through the respiratory and not the alimentary tract, though intestines in searching for the apppendix. but while traction there is good evidence to show that intestinal infections do is being made with the left hand, the right index and middle sometimes lead to pulmonary tuberculosis. fingers are carried at once to the right side of the colon, then downward to the cecum, when, without seeing the longitud¬ Journal of Cutaneous Diseases, New York. inal band of muscle fibers, the appendix is found and lifted A uf/ust. out. The mesoappendix, when present, is ligated in section, or 98 »Occurrence of a Proliferating Cestode Larva (Hpargunnm proliferum) in Man in Florida. C. W. Stiles, Somerville, preferably in one mass, half an inch from the cecum, the curved Mass. needle being carried close to the body of the appendix. This 99 Cholitis Exfoliativa. M. L. Ravitch, Louisville, Ky. is left When the is absent or ligature long. mesoappendix very 98. Abstracted in Tue Oct.. the appendicular artery alone is tied. Division of the Journal, 12, 1907, p. 1305. relieves the Ismail,mesentery greatly appendix and gives immediate Denver Medical Times and Utah Medical Journal, Denver. and the ease with which a can room, peritoneal cuff be rolled August. back to the cecal junction is known to every one. This cuff 100 Typhoid Fever. E. Stuver. Ft. Collins, Colo. should be long enough to allow for retraction. The body of the 101 Postoperative Intestinal Obstruction. F. C. Buchtel. Denver. 102 Recent Interesting Surgical Cases. F. La appendix is then ligated close to the cecum and excised. Disin¬ Colo. Finney, Junta, fection of the stump is accomplished by means of the cautery, 103 Phlebitis Following Abdominal Operations. A. H. Harris, or better by carbolic acid. A blunt probe without cotton Denver. 104 New Dressing for Fractured Clavicle. J. Lindahl, Denver. reaches all parts of the stump and its lumen. It is a wise precaution to displace the residue from the part of the appen¬ Mississippi Medical Journal, Vicksburg. dix to be ligated, before placing the ligature, using a dress¬ August. ing forceps. The field having been cleansed and dried, all 105 Chloroform and Ether Anesthesia. O. N. haven. Arrington, Brook- sponges are now removed, and the peritoneal cuff is returned 106 What Remedies Shall We Use? H. C. Buck, Friars and like a sack over the end of Point. ligated the stump and the 107 Typhoid Fever. A. P. Alexander, Sledge. ligature tied with that of the mesentery previously left long. This brings the cut edges together and practically obliterates St. Louis Medical Review. all dead space and raw surfaces. The wound is then closed. August. Deavor discusses the forms of incision anil also the question 108 Review of Serum Anaphylaxis. R. L. Thompson, St. Louis. 109 Can the Aged Prostatic be Prevented? J. L. St. of ligature. So far, he has used only ehromicized catgut, and Louis. Boogher. he mentions an experiment to show that without very 110 Large Dermoid Cyst of Ovary with Carcinomatous Degenera¬ strong tion traction a durable knot can be formed with involving One-Third of the Bladder:. Extirpation : tight, hardly dry Recovery. J. F. Menestriiia. St. Louis.

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 Journal of Advanced Therapeutics, Rahway, N. J. by the various schools in aid of medical study, the regulations August. for the government medical services, the requirements for the 111 Case of Lupus, Showing the Effects of Treatment of Concen¬ various in state medicine and health, and the White F. Westbrook, Maine. diplomas public trated Light. Barrett, for in There is also a review 112 Removal of Superfluous Hair by the '-Ray. P. A. Bardwell, regulations diplomas dentistry. Boston. of the conditions under which British (and in some cases, no 113 Treatment of Various Conditions with Static Electricity and doubt, are to in vari¬ High Potential Currents. T. H. Cannon, Baltimore. other) practitioners permitted practice ous foreign countries. American of New York. Journal Urology, British Medical London. August. Journal, August 29. 114 and Obscure Cases. L. W. Bremerman. Chicago. Interesting 2 Significance of Some of the Symptoms of Appendicitis from 115 Case of Orchidopexia by Hahn's Method. Joseph Budde, of M. Moullin. Two Slinn. Point of View of Urgency Operation. C. Harbors, 3 Fibrolysin in Cicatricial Pyloric Obstruction. M. B. Steuart. 4 Case of Acute Intestinal Obstruction in a Hémophilie. IS. H. Western Medical Review, Omaha, Neb. Kingsford. »Points in the Anatomy and Pathology of the Uernial Sac. August. E. S. Carmichael. 110 Induction of Labor. C. W. Pollard. Omaha. 6 »Treatment of Chronic Empyema by Hyperemia and Hyper- 117 Slalignant Endocarditis. R. W. Bliss, Omaha. transudation. J. S. Dick. 118 Bier's Hyperemia. C. W. SI. Poynter, Lincoln. 7 »Smoke Abatement. H. A. Des Voeux. 119 a Grain of to Professional Ethics. 8 National Service and National J. E; . Adding Salt C. J. Alger, Military Physique. Leigh. Barker. 9 »Administrative Treatment of Phthisis. A. Walker. American Practitioner and News, Louisville. 10 Coordination in Pathology and Public Health. F. G. Basimeli. 11 Death Certification and Death Verification. J. B. James. August. 12 Infant Mortality. S. G. Moore and A. E. Naish. 120 Treatment of Pneumonia. A. E. Gardner, Louisville. 13 State Regulation of Proprietary Medicines and Foods. G. E. 121 Life Insurance Examiner. O. P. Nuckols, Louisville. Priehard. 122 Value of Urine in Diagnosis. E. S. Allen. Louisville. 14 »Hampton Interpretation of the Operation of Sewage Purifi¬ 123 Health Bureau Work. G. B. Jenkins, Louisville. cation. G. L. Travis. 15 Lodging Houses Under the Public Health Acts Amendment Act, 1907. J. C. McWalter. Journal of the South Carolina Medical Association, Greenville. 16 The Causes of Dyspnea. J. S. Haldane. 17 Pulmonary Ventilation in Disease. A. P. Beddard and M. S. August. Pembrey. 124 Case of Torsion of the Omentum. T. P. Whaley, Charleston. 18 Changes in the Pituitary Body After Removal of the Thy¬ 125 Proposed Work of the South Carolina Antituberculosis League. roid. P. T. Herring. A. B. Patterson, Barnwell. 19 Pancreatic Juice and Glycosuria. J. S. Goodall and II. G. 126 Nervous Manifestations of Gastrointestinal Indigestion. J. C. Earle. Sosnowski, Charleston. 20 Suggestion In Its Physiologic Bearings. R. J. Anderson. 127 Tuberculosis in State Prison. F. W. P. Butler, Columbia. 21 Appetite : an Attempted Analysis of the Physiologic Factor. J. S. Goodall. 22 Teaching and examination in Anatomy. C. Addison and Journal of the Kansas Medical Society, Kansas City. David Waterston. August. 23 Mechanism of Respiration in Health and Disease. A. Keith. 24 Meso-photography and Its Application to Delicate Unfixed 128 Pseudoleukemia. H. W. Slanning, Eureka. Embryos. C. J. Patten. 129 Gastrointestinal Neuroses. W. R. Heylmun, loia. 25 Significance of Fusion of the Atlas to the Occipital Bone, and 130 Gunshot Wound of Abdomen. W. S. Grisell, Ransom. Manifestation of Occipital Vertebra?. G. E. Smith. 131 Treatment of Fractures of the Leg G. P. Marner, Slarion. 26 The Hard Palate and Maxilla in Primates. R. S. Anderson. 132 Acute Glaucoma. J. G. Dorsey, Wichita. 27 Right-handedness G. E. Smith. Alabama Medical Journal, Birmingham. 5. Hernial Sac.—Carmichael describes a series of observa¬ August. tions from which he draws the following conclusions: 1. In 133 Sacroiliac Strain. E. L. Scott, Birmingham. early childhood, clinical evidence, gained by examining the 134 Lead Poisoning. Z. B. Chamblee, North Birmingham. spermatic cords of apparently normal children, shows that be¬ 135 Conservative Surgery of the Ovaries and Tubes. E. M. Rob¬ inson. Birmingham. tween 50 and 75 per cent, present thickening due to incom¬ 130 Autointoxication. W. D. Partlow, Tuscaloosa. plete closure of the funicular process. 2. The anatomic con¬ 137 or Horseshoe B. Fused Kidney. Robinson, Chicago. ditions in on the view of a 138 Tetany. G. L. Faucett, Gadsden. present patients operated support congenital origin, as shown by the relation of the sac to its Bulletin of the Johns Hopkins Hospital, Baltimore. coverings, and its presence in spite of a narrow canal and a August. small external abdominal ring. 3. The histologie and naked- 139 Organs of Respiration. W. G. SlacCallum. Baltimore. eye appearances of the sac in most cases do not afford reliable Hernia. W. G. SlacCallum and R. T. 140 Right Slesojejunal evidence of its or a Sillier, Baltimore. congenital origin otherwise, although 141 Abnormalities of the Pulmonary Blood Vessels. C. R. Sleloy, markedly thickened sac, if small, is suggestive of the embry¬ Baltimore. onic condition. 142 Tuberculosis of the Stomach ; Tubercuious Cavities of the Liver ; with Report of a Case. SI. C. Winternitz. Baltimore. 6. Suction Hyperemia in Chronic re¬ SI. C. Baltimore. Empyema.—Dick 143 Case of Sigmoid Kidney. Winternitz, a case in which, two from the onset of 144 Relation of Bronchial Stenosis to Bronchiectasis. W. L. ports years pneumonia Thornton and J. P. Pratt, Baltimore. and nine months from the final operation for a subsequent Formed Vessels in 145 Occurrence of Newly Lymphatic Slalig¬ empyema, there was still a a of over nant Growths, with Demonstration of Their Origin and In¬ cavity having capacity growth in the Métastases of a Round-Celled Sarcoma. II. SI. two drams, and secreting over one dram of pus daily. This Baltimore. Evans, had been in statu quo for three months, so that a cure by 146 Effects of Feeding Animals on an Iodine-Free Diet. A. R. Dochez, Baltimore. drainage was despaired of. An attempt was, therefore, made 147 Changes in the Pancreatic Duct and Their Relation to Chronic to increase the transudation of blood to the infected area, as Pancreatitis. SI. C. Winternitz, Baltimore. follows: A cupping glass with rubber exhaust was applied, so as to include the sinus and portion of the chest wall bounding FOREIGN. the cavity externally. The application at first was rather Titles marked with an asterisk (») are abstracted below. Clinical painful. While the cupping glass was used the patient in¬ lectures, single case reports and trials of new drugs and artificial flated a football. The cavity was filled with sodium unless of general interest. daily foods are omitted exceptional citrate chlorid solution recommended by Wright (Practi¬ Lancet, London. tioner, May, 1908; abstracted in The Journal, July 4, 1908, 29. August p. 80) in the article which suggested to the author the use of 1 »Student's Number. this plan. [The solution consists of four parts of common 1. This number of the Lancet contains no original articles, salt and one part of sodium citrate dissolved, when required, but is devoted entirely to information concerning medical edu¬ in 100 parts of boiling water.] An increase in the amount of British In addition to an cation and practice in the Empire. discharge ensued. Mercury biniodid solution ( 1 in 2.000 ) was address of counsel to students it contains a statement of the substituted after a week, and the discharge diminished. The powers and duties of the General Medical Council, the regula¬ alternation of the two solutions was continued with alter¬ tions and requirements of all the medical examining bodies nating increase and diminution of the discharge, until at the throughout the United Kingdom, a list of scholarships awarded end of six weeks the cavity held about ten minims and in two

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 weeks admitted only a fine probe and was quite dry. While 30. Pulmonary Tuberculosis in School Children.—Coutts the case is not conclusive, the fact that the condition had quotes various authors to show that, notwithstanding a con¬ been stationary for three months makes it probable that the sensus of opinion that pulmonary tuberculosis is rarer in case is one of those referred to by Godlee, in which the cav¬ children than in adults, there is great variation in opinion as ity walls having been drawn in to the utmost possible extent, to its absolute frequency in the young. His own experience granulation must be relied on to fill the cavity, but owing to leads him to regard it as not only comparatively rare, but as tension preventing a continuation of the process, the pleura exceedingly rare. The rarity of phthisis in children he regards becomes lined with a perfectly smooth surface secreting pus, as the one safeguard against the spread of tuberculosis through but developing no further granulations. the agency of schools. 7. Smoke Abatement.—Des Voeux discusses the smoke evil Australasian Medical and attacks the kitchen He lauds the Gazette, Sydney. particularly chimney. July 20. use of gas for and out that its expense is due cooking points 32 School Hygiene. J. H. Evans. to wastefulness. In London this has been overcome by the 33 Tetanus. A. G. Salter. use of a slot gas for can be 34 Manifestations of Filariasis as It Appears in Queensland. system, whereby cooking bought E. Jackson. at a time. One the S. by pennyworths penny (two cents) in 35 Diphtheria Carriers. W. G. Armstrong. slot gives from 25 to 30 cubic feet of gas. Of the substitution 36 Diphtheria in West Australia H Cumpston. of gas fires for coal fires, he says that all the are 37 Curious Case of Urethra I Obstruction. H. C. Hinder. objections Intestinal Cases. E. II. due to A constructed 38 Three Interesting Binney. entirely inadequate gas fitting. properly 39 Sarcomatous Tumor of Ileum, Removed by Resection of gas fire, carefully fitted with a pipe large enough to take away Bowel and End-to-End Anastomosis by Suture—Recovery. the of is R. Worrall. products combustion, sanitarily perfect. 40 »Treatment of Inflammation by Passive Congestion. C. Slac- 9. Administrative Treatment of Tuberculosis.—Walker em¬ Lauren. 41 Calmette's Reaction. C. phasizes the importance of sanatoriums in the treatment of Ocular Reismann. cases of and the extension of this early phthisis urges treat¬ 40. Constriction Hyperemia.—MacLauren gives a practical ment to the poorer classes. He discusses the financial aspect account, for the practitioner, of the method of using constric¬ of the question. tion hyperemia. A rubber bandage 2% inches wide is ap¬ 14. Sewage Purification.—Travis essays to show that the plied lightly around the limb, well above the inflamed part, so purification of sewage by artificial processes has been misun¬ as to slow the venous current without interfering with the derstood from its inception, and that the phenomena attend¬ arterial inrush. The test of sufficiency is that the limb should ing it have been wrongly interpreted throughout. His paper show a slight reddening, slightly bluish in parts. At the end is devoted to defining and proving the Hampton interpretation of twelve hours the limb should be slightly swollen, and of sewage purification phenomena, which teaches that the there should be no definite blueness or pain. In acute inflam¬ purification of sewage is essentially the result of an act of mations the bandage is kept on at first for twenty-two desolution. It affirms that the impurities contained in the hours, then removed for two hours, the limb being elevated. sewage, whether in suspension or in a condition of solution, Treatment should be begun in the early morning. The patient are by this operation, as a preliminary effect, removed from should not go to sleep until it is seen how the limb is going to the liquid as by a process of precipitation. This initial sepa¬ behave. There should be no pain or inconvenience whatever; ration from the sewage of its solid constituents as particulate these indicate a too tight bandage. The duration of applica¬ matters can be shown to occur under all conditions; there¬ tion is decreased daily till the inflammation is entirely well. fore, it is held to constitute the most important, as it is also Its use should be continued for two or three days longer, lest the most manifest, effect in every treatment area. He affirms the symptoms break out again. Ten hours is the duration of that the correctness of any interpretation of sewage purifica¬ application at first in chronic inflammations, lengthened by tion phenomena is evidenced by, and is proportional to, the two hours daily until twenty-two hours' application is reached. fidelity of its adherence to the following propositions: 1. Except in tuberculous disease, gentle massage is given during That the complete operation of sewage purification is a the interval. A cupping glass is the easiest mode of applica¬ complex one, in which physical, chemical and biolytic—in its tion to the breast. A light bandage round the neck is used by widest sense—factors are severally engaged; 2, that the physi¬ Bier in mastoid disease. cal operation manifests itself in removing the suspended, and Indian the more highly complex so-called soluble organic, as well as Medical Gazette, Calcutta. some inorganic, matters from the sewage; 3, that the chemical August. the in 42 »Treatment of Leprosy with X-Rays and High-Frequencv. operation assists physical completing the desolution E. A. C. Slatthews. of the liquid, and takes its part in the subsequent changes in¬ 43 »Rat Destruction Operations in the Punjab. S. Browning- duced 4, that the is concerned Smith. by biolysis; biolytic operation 44 Flea-Killing Power of Certain Chemicals. R. D. Saigol. in a very minor degree with the purification of the sewage 45 Slode of Spread and Prevention of Plague. A. Buchanan. itself, inasmuch as its effects are almost entirely evidenced by 46 Enteric Fever in the Native Army G. S. Thomson. the changes occurring in those substances which have been 42. in seven cases of removed from the sewage, rather than by being associated X-Rays Leprosy.—Matthews reports with the and that resulta in with those which are contained therein; and 5, that the bio¬ leprosy treated «-rays, says the these cases to show that to forms a valu¬ logic operations on the deposited and absorbed solids, whether go exposure ¡»-rays able means of in all forms and cf the on those arising from the suspended, or on those resulting treating leprosy stages disease. from the so-called soluble solids, are always attended by huge, only partially reduced, and practically persistent accumula¬ 43. Rat Destruction.—Browning-Smith describes the meth¬ tions. The important principles involved in the above enumer¬ ods of rat destruction by poison, traps and infective disease, ated propositions are that the physical and chemical operations and discusses their effect on plague. The evidence shows that of desolution manifest themselves by depriving the sewage rat destruction is a procedure of great value for the preven¬ of its impurities during the transit of that liquid through the tion and mitigation of plague epidemics. It is also a pre¬ artificial treatment area; and that the biolytic operations ventive, and has the further advantage in India that it inter¬ never find expression in the complete conversion of the depos¬ feres little with the customs and comforts of the people. He ited organic matters, nor. indeed, could they do so were the prefers trapping, but when that can not be carried out poison¬ area increased a hundredfold. ing may be used. It is inadvisable to kill rats in a town by Medical Press and Circular, London. poison when an epidemic is at all widespread or when it is August 2G. well started in small villages, for the rat epizootic is usually 28 Treatment by Hyperemia of Bier. Professor Gebele. in advance of the epidemic. Trapping should be extended to 2'.) Public Health and Poor-Law Sledical Services. A. D. Edwards. town in uninfected districts that is to an 30 »Incidence of Pulmonary Tuberculosis in Children of School every likely become Age. J. A. Coutts. center for diffusing plague infection, should the dis¬ of in the Sinus. important 31 Methods Dealing with Suppuration Slaxillary ease be introduced. S. Thomson.

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 Annales de Gynécologie et d'Obstétrique, Paris. occlusion of the duodenum from this cause is intense thirst. August, XXXV, No. 5, pp. 1,1,9-512. The fluid excreted by the stomach in such large amounts can 47 Technic and Benefits of Gynecologic Massage in Treatment of not be passed along into the intestine to be reabsorbed, on and Pelvic Exudates. Bourcart. Plastic Infiltration account of the occlusion of the duodenum. For this rea¬ 48 Modifications in the Blood in Puerperal Infection. (Modifi¬ high cations globulaires du sang dans l'infection puerpérale.) son the thirst is more extreme than with ileus from other E. Exchaquet. causes. Then comes sometimes every five 40 Three Cases of Delay Before Recurrence and Generali¬ vomiting, recurring Long or zation After Incomplete Operations on Mixed Ovarian Cysts. minutes, at other times with intervals of four five hours or (Retard prolongé des récidives et de la généralisation dans more. A characteristic feature is that large amounts are vom¬ les cas de kystes mixtes des ovaires, malgré la limitation forcée des opérations d'exérèse.) E. Vincent. ited while the stomach keeps constantly full of fluid. The 50 Hypertrophy of the Clitoris. A. Broca. vomit is first yellow, then greenish, then dark green and finally almost black. This of itself occlusion below the Archives des Maladies du Cœur, Paris. suggests papilla. When the stomach keeps constantly filling up again August, , No. 8, pp. 1,57-504. with the fluid there must be either stenosis 51 Pseudoaneurismal Dilatation of Sinus of Valsalva with Va¬ bile-impregnated rious Malformations of Heart. E. Devic and P. Savy. of the duodenum below the papilla or some abnormal com¬ 52 Hemorrhagic Purpura Following Contusion of Kidney Region. munication between the stomach and the bile passages. The E. LenoBle. vomit smells sour, never feculent. Hydrochloric acid can not Presse Médicale, Paris. be detected, but pancreatic juice is always to be found in the August 19, XVI, 'No. 67, pp. 529-536. stomach when it contains bile unless the functioning 53 The Iscovesco. pancreas Lipoids. H. is or its outlet is occluded. The •"4 Present Status of Serum Treatment of Tetanus. L. Lagane. deranged temperature re¬ mains normal until the autointoxication increases. The 5S7-5H. pulse August 22, No. 68, pp. is accelerated and but this is from the vomit¬ 55 »Acute Tuberculosis Simulating Typhoid. (Typhobacillose de small, frequent Landouzy. Diagnostic bactériologique pendant la période ing—referable to irritation of the vagus. Clay-colored stools H. d'état.) Gougerot.. and flatus pass under the influence of enemas. The urine is reduced in amount and contains of '< '<. Acute Tuberculosis Simulating Typhoid.—The clinical exceptional proportions indican. The abdomen is distended in the of Landouzy's typhobacillosis' is that of some form of generally epigas¬ aspect trium, but elsewhere- is normal until the dilatation of the the absmee of rose spots being almost the only dis¬ typhoid, stomach increases. Sometimes the abdomen is it feature; and even the spots were present in ten of retracted; tinguishing is not tender in the and there Landouzy's first series of 200 cases. Certainty of diagnosis is anywhere except epigastrium, a extent. The condition obtained inoculation of animals with blood or with only to slight general grows rapidly only by The feels weak and from the the sediment from centrifugated urine. This typhobacillosis grave. patient depressed fre¬ and tormented the intense thirst which is terminates fatally during the acute period or it may end in quent vomiting by relieved saline infusion. The are recovery with localization of the tuberculous process; only transiently by eyes apparent sunken, the the skin and whole only exceptionally is the outcome a complete cure. Recur¬ tongue dry, gray flabby—the the effects of the lack of water. The immediate rence has sometimes been observed. Gougerot has been able to body showing the syndrome in its various types in rabbits by recovery when the patient is turned on his stomach has never reproduce failed when the condition was differentiated in time and inoculation in the vein of the ear with bird bacilli and liomo- proper treatment In some cases on record the geneized human bacilli. He has thus reproduced even the type applied. patients recov¬ which develops in two stages, and also the definitely curable ered after lavage of the stomach and raising the pelvis—the relief due to subsidence of traction on the type. In the clinic, the impending second phase imposes the probably being as the was raised. If necessity for extra careful supervision of the convalescence to mesentery pelvis lavage of the stomach localization of the tuberculosis. This type of typho¬ is undertaken it might be wise to pour some castor oil into prevent the stomach to If bacillosis is so frequent that it should be borne in mind in promote recovery by increasing peristalsis. the no relief, Rosenthal advises before every case of typhoid. prone position brings resorting to another laparotomy to place the patient across Archiv für Gynaekologie, Berlin. the bed, in the knee-chest position, and try to manipulate the LXXXVI, No. 1, pp. 1-253. Last indexed, August 15, p. 630. small intestine so as to release it from the small pelvis. If ."»6 Placenta Tumor. A. Ravano. this can not be done the abdomen must be opened and the -->7 Case of Thoracopagus Tetrabrachius. H. v. Oeynhausen. root of the mesentery loosened. The has been made 38 »Duodenal Occlusion. (Duodenalverschluss.) B. Rosenthal. suggestion that some of the of the small intestine be fastened -"9 »Importance of Hemolytic Streptococci in Puerperal Infection. loops might (Bedeutung der hämolytischen Streptokokken für die puer¬ to prevent the intestine's slipping down again into the small pérale Infection.) T. Heyemann. Albrecht's method of off the small from 00 Histology of Hydatidiform Mole. (Histologie der Blasenmole.) pelvis. shutting pelvis F. Daéls. the abdominal cavity might also prove useful, or tamponing. Production of Frontal Presentation. 01 Influence of Gravity on As a last resort, be but (Einfluss der Schwerkraft auf die Entstehung der Schädel gastroenterostomy may necessary, lagen.) L. Seitz. none of the patients thus treated recovered. 02 Pathology and Therapy of Chondrodystrophic Dwarf Pelvis. (Chondrodystrophischen Zwergbecken.) F. Engelmann. 59. Hemolytic Streptococci in Puerperal Infection.—Heyne- 03 »Mutual Relations of Diabetes and Pregnancy. (Zuckerkrank¬ mann endorses the value of of hemo¬ heit und Schwangerschaft in ihren Wechselbeziehungen.) great practical discovery H. Offergeid. lytic properties in the streptococci in puerperal infection as a 04 Ovarian Pregnancy Terminating in Formation of Lithopedion. of extra virulence on the of the The non- mit in sign part germs. (Ansgetragene Ovarialschwangerschaft Ausgang were found in the cases of / Lithokelyphopädionbildnng.) W. Weibel. hemolytic streptococci only milder 65 Spontaneous Childbirth with Narrow Pelvis. (Zur Spontange infection, in his experience. A single examination of the burt bei engem Becken, und zu Baisch, Reformen in der found in the and uterine secretions is thus Therapie des engen Beckens.) T. Leisewitz. streptococci vaginal liable to solve the question as to the seriousness of the infec¬ 58. Duodenal Occlusion Curable by Posture.—Rosenthal adds tion observed, and thus afford indications for treatment. two more to the few cases on record in which menacing post¬ 03. Diabetes and Pregnancy.—Offergeld reports two eases of ileus was arrested as if by the operative by magic turning pregnancy in diabetic women. One of the patients succumbed patient on his stomach. The occlusion is the result of traction during delivery; the other passed through the childbirth with¬ f on the of the small intestine, which down mesentery drags out much disturbance. He has been able to collect from the mesenteric as it crosses over the with it the superior artery literature 63 eases of pregnancy occurring in diabetics or of mechanism of the occlusion is dis¬ duodenum. The probable diabetes developing in the course of a pregnancy, which he cussed in detail and a number of cases from the literature are tabulates for comparison. Of the 57 women, 17 died in coma summarized in which a retrospective diagnosis of this trouble in connection with the pregnancy, and 14 of the others suc¬ can be made. The case reported throws unusual light on the cumbed in the following thirty months, while nothing is mechanism of the condition, confirming the secondary nature known of the later history of 29 women who survived the of the dilatation of the stomach as also the magical efficacy pregnancy. The total mortality is thus at least 50 per cent. of assuming the prone position. The first symptom with ;· thirty months; and the mortality of the children is still

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 higher, over 66.6 per cent. In the 25 cases in which the fetus 0.0293 sulphuric acid; 3.3580 potassium chlorid plus sodium had died, the death of the mother followed in 17 cases. On chlorid. account of the occasional cases in which a diabetic woman 70. Functional Tests for Diagnosis of Gastric Ulcer.— seems to pass unscathed through the pregnancy, treatment Borgbjiirg announces the following as the conclusions of exten¬ must be strictly individualized. The indications are the same sive research: 1. Microscopic stagnation twelve hours after a as outside of diabetes in regard to management of the preg¬ test supper is decided evidence of the presence of an organic nancy. In 10 of the total 63 cases hydramnios was observed, stomach trouble; as a rule, it is an ulcer (or carcinoma), but requiring artificial termination of the pregnancy in 4 cases. it may be chronic gastritis. 2. If with this stagnation of It is notable, however, that vicious presentations and post- microscopic nature there is secretion of hydrochloric acid in partum hemorrhage were not often observed with the hy¬ the fasting stomach, the presence of an ulcer is still more dramnios under these conditions. The physician should be probable. 3. If with continuous hypersécrétion and micro¬ prepared to terminate the pregnancy at any moment if seri¬ scopic stagnation there is a macroscopic stagnation—even very ous symptoms develop. Efforts must be made to counteract slight or occurring only at intervals, or if there is insuf¬ the chronic deficient nourishment in pregnancy and the conse¬ ficiency of the first degree (atony), an ulcer is certainly pres¬ quent injury of the liver; this is best accomplished by inter¬ ent. 4. Continuous hypersécrétion is strong evidence of the ruption of the pregnanc}', but if coma has already developed, presence of a gastric ulcer. As this is almost invariably it is too late, as a rule. In 3 of the cases on record the accompanied with microscopic stagnation, it will seldom be coma did not prove fatal and improvement followed, although found necessary to base the diagnosis of gastric ulcer on the transient. If delivery occurs during coma, it should be has¬ hypersécrétion alone. The presence of a hydrochloric secre¬ tened in every way; the fetus succumbs inevitably if the mother tion in the fasting stomach—even in very small amounts— has coma. It generally develops during or soon after the should always direct attention to the stomach, and if other childbirth, and it is still an open question whether a carefully symptoms point to the stomach, the hypersécrétion indicates induced is more of a strain on the premature delivery that these gastric disturbances are due to gastric ulcer. He woman's organism than delivery at term when the organism believes that atony of the stomach is not an idiopathic trouble has been under the influence of the diabetes for the addi¬ of nervous origin, but that it is usually or possibly always— tional months. In any event, Offergeld concludes, the fear of like ectasia—a symptom of organic trouble, and most fre¬ eventual of coma should development not deter from inducing quently of an ulcer. The atony may lead to ectasia, but as a premature delivery if it is otherwise indicated. The entire 63 rule is found with an ulcer located outside the ' atony pylorus, cases are summarized and analyzed from various points of while ectasia is observed with ulcer at the pylorus. The ulcer view. in the pylorus is usually circular or semicircular, and, as it Archiv für Verdauungs-Krankheiten, Berlin. heals, the cicatricial retraction draws up the lumen of the August 12, XIV, No. !,, pp. 369-1,73. pylorus. Kot every ulcer is accompanied by ectasia or atony. 66 »Fistula Between Lung and Esophagus. (Lungen-Speiserohren- With the ulcer at the the musculature of the antrum I'achnio. pylorus, flstein.) F. be 67 Lack of Connection Between Proportion of Indican in the may vigorous enough to force the chyme through the par¬ Urine and Indol in the Stools. (Mangel von Relation tially obstructed pylorus. If the ulcer is in the antrum, the zwischen und W. v. Moraczewski. Harnindikan Kotindol.) musculature and as 68 Three Cases of Benign Stenosis of Pylorus Simulating Gall¬ suffers atony results, but, the pylorus is stone Affections. (Fülle von Isehochymie, Gallensteiner¬ intact, the stomach empties itself and dilatation does not fol¬ krankung vortäuschend.) M. Einhorn. low. When the ulcer involves both antrum and 69 »Standards for Proportions of Constituents of Normal Stools. pylorus, even (Zur Lehre von den Abführmitteln.) H. Ury. if the stenosis is but slight, there may be great insufficiency 70 »Functional Stomach Tests in Diagnosis of Ulcers of Stomach. as the force is enfeebled. If an ulcer in the antrum (Bedeutung der Magenfunktionsuntersuchung für die Diag¬ expelling nose des Ulcus ventriculi.) A. Borgbjitrg. Commenced in spreads to the pylorus, the atony may be followed by ectasia. No. 3. He adds that as continuous hypersécrétion is frequently ref¬ erable to an ulcer, so and 06. Fistula Between the Lung and Esophagus.—Pachnio re¬ alimentary digestive hypersécrétion may be an ulcer—the continuous a case in which an old tuberculous process in the lung produced by hypersécrétion ports be a had caused morbid changes in the surrounding tissues which may merely long-continued digestive hypersécrétion. He is convinced that is a of then healed; in healing the esophagus was involved in the cica- digestive hypersécrétion symptom ulcer. Whether or not it come from causes is tricial retraction and this resulted in the formation of a diver- may other a to be decided future researches. ticulum. The process in the lung continued, with ultimate question by perforation of the cavity into the diverticulum: The case was Beiträge zur klinischen Chirurgie, Tübingen. distinguished by its exceptionally chronic course. Juli!, L1X, No. 1, pp. 1-231,. 71 »Hydatid Disease in Long Bones. (Echinokokken der langen 69. Standards for Constituents of Normal Stools.—Ury's arti¬ Röhrenknochen.) . Reich. cle is the first of a series on the action of This 72 »Tuberculous Pyonephrosis without Outward Slanifestations. purgatives. (Geschlossene tuberkulöse Pyonephrose.) R. Krauss. one secretions and residue of food in normal treats of the 73 »Primary Tuberculosis of Slesenteric Glands. (Primäre Tu¬ stools. It issues from the chemical of the Patho¬ berkulose der mesenterialen Lymphdrüsen.) . Mächtle. laboratory 74 in Posterior Institute at in of Salkowski. The Schmidt »Spondylitic Abscesses Slediastiiium. E. Finckh. logic Berlin, charge 75 Apparatus to Colfect Urine After Operations on Bladder. test diet is the basis of the research, slightly simplified. The (Nachbehandlung der suprapubischen Cystotomie.) Id. 76 »True Fractures of Neck of Femur in the are restriction Young. (Echte main features of this test diet to from 0.5 up Schenkelalsfrakturen im kindlichen und Jugendlichen Alter.) to 1.5 liters of milk; 100 gm. white bread (rolls, zwieback or O. Haldenwang. 77 »Injuries of Ankle Region. of Bone. from 100 to 200 and a of Especially Scaphoid (Ver- \ crackers) ; gm. potato soup, quarter letzungen im Bereiche der Fusswurzelknnchen mit besonderer a pound of chopped beef, of which part, at least, is raw or Berücksichtigung des Os naviculare.) H. Finsterer. 78 »Traumatic Abscesses of Anterior Slediastinum. G. v. Saar. raw. It is the of nearly not necessary to measure amount 79 Cases and Treatment of Diverticula of Siale Urethra. (Di- butter, sugar, oatmeal, coffee or wine. The test diet thus vertikel der männlichen Harnröhre.) Ehrlich. \ modified is not difficult and it is uni¬ 80 Plastic Operations on Penis to Remedy Congenital Adherence to enforce, sufficiently of Prepuce. (Posthioplastik bei kongenitaler Verwachsung form for purposes of research on the stools. The results of von Vorhaut und Eichel.) E. Streissler. the research show that extraction of the 81 Isolated Fracture of Scaphoid Bone. (Isolierte Fraktur des reported aqueous Os naviculare tarsi.) A. Hoffmann. normal stools allows only secretions to pass into the filtrate. 82 Tetany with Chronic Dilatation of the Stomach. (Tétanie The articles of food which the digestive processes have dis¬ bei chronischer Dilatatio ventricoli.) F. Brucks. are the last with the solved absorbed to particle, consequence 71. Echinococcus Affections of the Long Bones.—Reich sum¬ that none of these dissolved substances passes into the filtrate. marizes 31 cases of operative treatment of hydatid disease of He tabulates the averages of the findings from repeated tests the long bones, including an unpublished one from von Bruns' on five normal subjects, and gives the average of the five as clinic The humérus was the seat of the lesion in 12 cases, standards which can be used for comparison with pathologic the tibia in 11, the femur in 5, and there was multiple localiza¬ The standards for the of conditions. aqueous extract 100 tion in 3 cases. Of the total 31 patients, 26 were cured, 7 grains of absolutely dried solids are: 14.784 dried solids; by mutilating operations. The outcome is not known in 2 1.0483 nitrogen; 4.552 ash; 0.3944 calcium; 0.10249 chlorin; other cases; 3 patients succumbed to septic complications.

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 72. Tuberculous Pyonephrosis Without External Manifesta¬ culai' dystrophy. The two groups are distinguished by the tions.—Krauss' patient was a woman of 50 who applied for non-progressive course of the purely congenital case«. The relief from a large tumor in one kidney. The urine was nor¬ stationary course is noticeable, even in cases'of congenital mal on repeated examination and there were no pains. On the paralyses in inherited syphilis. He remarks in conclusion that assumption of hydronephrosis, the kidney was exposed, and injury from a forceps delivery may possibly be the explanation the trouble was found to be a tuberculous process which had of the congenital predisposition in certain cases. The case transformed most of the kidney into a sac larger than a man's described shows the necessity for refraining from diagnosing head, with several chambers, with rigid walls, not adherent infantile disintegration of the nuclei in such cases; they should to its vicinity, and containing three or four quarts of fluid. be differentiated by the pathologic anatomic basis. The has been in health since the patient perfect nephrectomy 88. This article also in the Medical and has 27 the six months. appeared Record, Aug. gained pounds during 29. 1908. and was abstracted in The Jolr.xal, Sept. 12, 1908, 73. Primary Tuberculosis of the Mesenteric Glands.— p. 944. Miichtle's interest was attracted to this subject by a case i:i a Deutsche medizinische Wochenschrift, Berlin. woman von young in Bruns' service at Tübingen. He gives August 20, XXXIV, No. Si, pp. l.',S7-U,9e. the details of 14 other cases of the kind, in which all the 90 Successful Treatment of Experimental Nagana. (Tsetse- were cured by removal of the tuberculous krankheit.) F. Loeffler. K. Riihs and E. Walter. patients glandular 91 Determination of Atoxyl in Urine, and Course of Its Elimina¬ tumor. There was no involvement of the intestine in any of tion. (Nachweis und Gang der Ausscheidung des Atoxyls these cases. The first are attacks of the fur¬ im Harn.) G. Lockemann and SI. Paucke. symptoms pain, 92 Present Status of Pneumococcus Serum Treatment of Infect¬ ther development of the tumor causing compression and vari¬ ing Corneal Ulcer. (Gegenwärtige Stand der Pneumococ- ous digestive disturbances, and diar¬ censerumtherapie des Ulcus serpens.) P. Römer. constipation, vomiting 93 »Operative Treatment of Hydrocephalus. Heile. with emaciation. reveals a movable, rhea, Palpation knobby, 94 Relative Eupraxia with Right Hemiplegia. (Relative Eu- sensitive abdominal tumor, generally on the right side. This praxie bei Rechtsgelähmten.) Liepmann. tumor can be from the other abdominal organs, and 95 »Funnel-Shaped Hystereurynter. (Erweiterung des unteren separated Uterinabschnittes durch einen neuen, verbesserten Konkav- sometimes a stem leading downward into the depths can be Sletreurynter.) N. J. Slacry. recognized. Surgical intervention not only cures the trouble, 93. Treatment of has noticed that the but removes a dangerous focus from the organism. Hydrocephalus.—Heile iodids were better tolerated in the treatment of hydrocephalus 74. Spondylitic Abscess in the Posterior Mediastinum.— when their administration was preceded by puncture of the Finckh's case shows the importance for differentiation of ventricle. The effects of or spinal or ventricu¬ examination in such cases. single repeated Roentgen-ray lar puncture were much better when supplemented with as 76. True Fracture of the Neck of the Femur in the Young. large doses of potassium iodid internally as possible. The ben¬ —Haldenwang reviews 25 cases, including two personally efit from permanent drainage in many eases rebellious to punc¬ observed. This fracture is rare under the age of 10. He ture has led him to attempt to relieve the compression in the material in reviews this detail, pointing out that consolidation skull from the excess of fluid by diverting it elsewhere, espe¬ generally occurs, and that appropriate treatment of the still cially from the spinal canal into the abdominal cavity. This recent fracture gives good prospect of healing in normal posi¬ teMmic he has applied in one clinical case with promising re¬ tion; otherwise, coxa vara almost invariably results. sults. Of course it is applicable only when there is free com¬ 77. Injuries in the Region of the Ankle.—Finsterer dis¬ munication between the ventricle and the spinal canal. If the cusses this subject and gives examples of the various forms foramen of Magendie is obstructed by the results of inflam¬ of injury and the methods of treatment followed according as mation this technic is useless. His patient was a child about a a bifida been removed two the different bones in the region are more or less involved in year old from whom spina had the injury. days after birth. He cut a flap on one side of the old scar and a of the intestine. He then incised 78. Traumatic Abscesses of the Anterior Mediastinum.—Saar drew up loop large the durai sac and sutured the serosa of the bowel to the dura; this tabulates the particulars of nine cases, including one from his connected the peritoneum and dura, close to the intact own The prognosis of this traumatic abscess is directly experience. The was then raised and the sac com¬ the outcome on spine. pelvis spinal always grave; depends materiali}' energetic to too flow of the fluid intervention at the moment. The is pressed prevent rapid cerebrospinal surgical right diagnosis the An illustration shows the exact technic sometimes difficult; considerable edema of the anterior wall during operation. of the direct serosa communication between the of the chest and the disturbances in are the most peritoneum breathing and dura. The skin was and sutured and in the reliable Treatment should include resection of flap replaced symptoms. course of the the circumference of the head grew 3 cm. some of the costal or of the sternum, with day cartilages part smaller—similar to the effect after withdrawal of large copious drainage, if possible with the patient lying prone. amounts of fluid by puncture. The child was doing well, the Berliner klinische Wochenschrift. pulse good, but the attendant after 20 hours inadvertently August 21,, XLV, No. 31,, pp. 1557-1592. made the child sit up, and the sudden change from the previous S3 »Relations Between Congenital M-aaeulaV Defects. Infantile with the pelvis very high caused such a flow of fluid Disintegration of the Nuclei and Infantile Dys¬ position Progressive child succumbed once. Heile that in an¬ trophy of the Muscles. (Beziehungen zwischen angeborenen that the at says Muskeldefekten, infantilem Kernschwund und Dystrophia other case of the kind he would never withdraw moré than 40 muscularis progressive infantilis. ) Ziehen. 84 Two Cases of Multiple Encephalitis with Meningococcus Men¬ or 50 c.c. at a time by puncture, preferring to repeat the ingitis. Maschke. puncture more frequently. In this case he drew each time from 85 Multiple Peritoneal Pseudometastases of an Ovarian Dermoid. E. Melchior. 70 to 80 c.c. and he is convinced that this contributed to the 86 Ocular Tuberculin Reaction. (Weitere Ergebnisse der Con- debility of the child, from the excessive loss of albumin. His junetivalreaktion auf Tuberkulose.) R. Fabian and FI. Knopf. experience on the cadaver has shown that access to the spinal 87 Deviation of Complement in Scarlet Fever. (Komplement canal is best attained by resection of the coccyx and two lower ablenkung bei Scarlatina.) H. Boas and G. Hauge. The in the cul-de-sac of is then 88 »Simplification of Jakoby Solms Method for Determination of vertebrae. peritoneum Douglas Pepsin. (Vereinfachung der Jakoby-Solmschen Ricin and the serosa of the peritoneum sutured to the dura, méthode der M. Einhorn. opened, Pepsinbestiminung. ) thus a serous which the fluid can be 89 Corporal Punishment in the Schools from Neurologic Stand providing passage by point. (Körperliche Strafen in der Schule.) E. Forster. diverted into the abdominal cavity. This latter technic avoids of of nerves, vessels and organs, as Relations Between and Muscle De¬ danger injury important 83. Congenital Acquired there is of the kind near the coccyx, while the peri¬ discusses this in connection with r nothing fects.—Ziehen question toneum is most readily reached at this point, and is opened as of 18 with hypoglossa: patient congenital ophthalmoplegia, for an operation on the rectum. and facial paralysis, and absence of the pectoral muscle on the left side. He distinguishes between the group of congenital 95. Funnel Hystereurynter.—Maery uses a funnel-shaped atrophie paralyses or defects and the group of atrophie paraly¬ hystereurynter into which the child's head slides along the It can slide out on ses which develop on a congenital predisposed soil. This lines of least resistance. not again either illustrated. group includes infantile progressive bulbar paralysis and mus- side. The article is

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 Jahrbuch für Kinderheilkunde, Berlin. Medizinische Klinik, Berlin. No. 1257-1292. August, LXVIII, No. 2. pp. 131-260. August 16, IV, SS, pp. 96 »Daily Valuations in Body Temperature in Healthy and Sick 99 »Operative Slobilization of Chest Wall and Lung in Treatment Infants. (Tagesschwankungen der Körpertemperatur beim of Unilateral Pulmonary Phthisis. (Pneumolysis zwecks gesunden und beim kranken Säugling.) F. Gofferje. Behandlung einseitiger Lungenphthise.) P. L. Friedrich. 97 in Infant 100 Cerebrospinal Sleningitis. L. Cohn. Pepsin Stomach and Dependence' of Its Digesting 101 Occurrence of Goiter. erblichen Power on »Hereditary Exophthalmic (Zum Presence of Hydrochloric Acid. (Y'orhandensein Auftreten der Basedowschen .T. von und die Krankheit.) Grober. Pepsin im Magen des Säuglings Abhängigkeit 102 Puncture in F. Com¬ seiner verdauenden Kraft von der Anwesenheit von Salz¬ Lumbar Psychiatrie Diagnosis. Chotzen. menced in No. 32. säure.) W. Reeve-Ramsay. 103 Incarceration of Intestines. 98 of Heart in School Retrograde (Weiterer Beitrag Orthodiagraphic Study Children. (Ortho zur Kenntnis der retrograden Darminkarzeratlon.) E. diagraphische Herz'untersuehungen bei Kindern im schulp¬ Heller. flichtigen Alter.) A. Veith. 104 Relations Between Chronic Atrophie Rhinitis and Diphtheria. L. Wolff. 96. Daily Variations in Temperature in Infants.—Gofferjé 105 Pyocyanase in Ozena. Id. 106 and of has made a of the in and sick Composition Importance Horny Substances. (Zusam¬ study temperature healthy mensetzung und die Bedeutung der Ilornsubstanzen.) P. G. infants. It keeps on a high level plane from 6 a. m. to 6 p. m., Unna. August 23, No. 1293-1328. with a corresponding low level plane at night, from 10 p. m. SI,, pp. 107 Paradysentery and Similar Affections in Children. W. to 4 a. m. To be truly instructive, the temperature should be Knoepfel mâcher. recorded uniformly at 2 and 10 a. m. and at 6 m. The 108 Abdominal Contusions. (Offene und subkutane Verletzungen difference der Bauchorgane. ) R. Lampe. between the day and night plateaux was more 109 Lupus Erythematodes and Tubereulids in General. S. Ehr¬ marked in the older children, but no difference could be de¬ mann and S. Reines. 110 Color for Work. stereo¬ tected on artificial Photography Stereoscopic (Farbige, between breast children and others thriving skopische Photographic) Kudlek. The in the axilla is that of the muscles. 111 Effectual Balneologie Courses. (Wirksame Badekuren.) H. feeding. temperature Zikel. and is an index of the innervations of the muscles. From the 112 Action of Aggressins. (Aggressinwirkung.) P. Ikonnikoff. record of the temperature taken in the axilla it is easy to tell just when the infant awoke, when he lay quietly, and when 99. Operative Treatment of Unilateral Pulmonary Phthisis. shows he cried. As the child wakes and grows lively the tempera¬ —Friedrich how the operative measures previously in have been on ture rises, reaching its height about 10 a. m. The curve drops vogue based mistaken premises. Puncture, aspir¬ ation of contents of cavities and resection of tissue a little at each nap, and rises above the level at each crying the lung spell. Febrile conditions affect the daily variations in three and even general treatment all fail to realize the best effect because walls of the cavities are typical ways. The most frequent type is that in which the the rigid and distended. The mechanical conditions of the cavities resistance night reduction does not occur at all or occurs tardily, and interpose to the of there are occasional peaks rising above the normal diurnal healing process. Study spontaneous healing of cavities in children shows that the shrinks plane. This is the type in dyspeptic disturbances: in severe cavity and the lung alimentary intoxication this type is most pronounced. The shrivels, and with this the pleural cavity contracts and the chest sinks in. peaks become sharper and more frequent, but there is no dif¬ In children, thus, every change in shape and ference between the day and night levels, merely the irregu¬ size of the lungs brings a corresponding change in the shape lar zigzag of the temperature, amounting to actual delirium of of the pleural cavity and possibly of the chest. By cutting the temperature in the severest form of intestinal catarrh. away all the ribs over the lung, with the tough muscles, the chest wall becomes soft This type is also observed in serum diseases. Curves are given and yielding; Nature's method of heal¬ from various affections of this and the other types, all confirm¬ ing is imitated and promoted. The aim is to allow the affected ing the diagnostic importance of the daily variations in the lung to be compressed toward the hilus without the develop¬ ment of Friedrich the temperature of infants. In one case, for example, the project¬ pneumothorax. proposes term "pneumo¬ for this and relates ing peaks and the delay in the night decline were observed the lysis" technic, promising results from it in the hands of Brauer. second day after a prophylactic injection of diphtheria anti¬ Frey. Spengler. Turban and von Murait. The were all toxin. Nothing else indicated anything wrong; the child slept patients between the ages of 19 and 45. with pre¬ dominant unilateral quietly, but in a day or two an exanthem developed, the processes constantly progressing, under observation for to all peaks rose higher, and the temperature did not decline in the years, refractory medicinal and climatic all had been in a febrile least at night. The onset of the serum sickness in this case therapy. Nearly state for weeks or months. All from or was revealed early by the temperature curve long before it expectorated 120 to 200 more c.c. sputum could be otherwise detected. The second type of changes in containing bacilli. As the aim was to mobilize the wall to the utmost the the curve in febrile conditions is that in which the temperature possible extent, ribs were cut away from their to the the line runs night and day horizontal along the day level, or cartilage spine—removing second to tenth ribs the moves in waves with no connection with the normal daily inclusive, refraining from slightest injury of the costal variations. This type includes remittent and continuous pleura. About 200 cm. of ribs are thus resected in from 20 to 25 and with them the entire fevers, and this change from the normal type may occur with¬ minutes, intercostal musculature, out the temperature surpassing the physiologic limits. When nerves and vessels. The anesthesia must be induced with the the temperature curve runs in a horizontal line at the level smallest possible amount of the drug, and the position during of the day plane this indicates the onset of a febrile condition. the operation must counteract any tendency to aspiration from diseased In his experience this was always the premonitor of an infec¬ the into the still sound lung. The only trouble is tious affection. He calls it febris continua sine elevatione. In from the mechanical influence on the heart from the flooding of the with as the beginning of this research the attendants thought some¬ pulmonary artery blood the conditions of the in the such thing was wrong with the thermometer when the infant was circulation lungs undergo marked changes. The found sleeping quietly at night but with temperature still at fever subsides almost at once. In less than ten weeks the the day level, although other conditions seemed to be entirely sputum drops from 200 to 20 or 5 cc. the cough subsides, and the increases in normal. In a day or so symptoms developed in every such patient weight. Friedrich does not hesitate to maintain that be a case showing that the absence of the usual night drop was the pneumolysis should given trial in all result of the incipient morbid process. The absence of the cases of severe progressing unilateral pulmonary phthisis with tolerable condition. It nocturnal decline is one element of the febrile syndrome; it general may yield gratifying results. seems to be the first phase of continuous fever. In estimating Afterward, internal, dietetic and climatic therapy should be the tuberculin reaction, this lack of the nocturnal drop in the resumed with renewed energy. temperature must be regarded as the equivalent of fever. The 101. Hereditary Exophthalmic Goiter.—Grober reports three third type of disturbance in the daily variation of temperature cases in the same family, a brother and sisters in the 50's and is quite rare: The daihT variations persist, but they are very a niece of 25. The family history showed that the older much exaggerated both upward and downward. It must be patients had apparently healthy parents, but an uncle and borne in mind, he adds, that the glandular organs in infants his son had diabetes. They had further two healthy brothers, represent about 6.4 per cent, of the total weight, against 3.8 but the children of one brother included the niece with exoph¬ per cent, in adults, while the muscles represent only 25 pet- thalmic goiter and one epileptic, while four died young. Grober cent., against 4.3 per cent, in adults. comments that there seems to be. in such cases hereditary

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 transmission of a general constitutional weakness with a pre¬ 122. Anesthesia and Lecithin.—Nerking reviews research disposition to develop certain allied affections. He draws the which seems to show that anesthetics are taken up by the comforting conclusion that by casual or conscious avoidance lipoids, and especially by the lecithin, of the central nervous of certain factors it is possible for the members of such system and form a stable solution with them. According to tainted families to escape the effects of their inherited ten¬ this theory an anesthetic acts more vigorously the greater its dency and to develop into healthy adults. solubility in the lipoids. The stable combination of the anes¬ thetic with the of the central nervous is what Monatsschrift für Geburtshülfe und Berlin. lipoids system Gynäkologie, induces the anesthesia. He has found that if lecithin is sup¬ August, XXVIII, No. 2, pp. 131-256. from without, after anesthesia has been induced, 113 Histologie Peculiarities of Y'agina and Bladder During Preg¬ plied general nancy. (Histologisehe Besonderheiten von Vagina und Blase the anesthetic can be attracted out of its combination with während der Gravidität.) J. Hofbauer. the of the central nervous with 114 Does the Weight of the Trunk Influence Shape of Pelvis? lipoids system. Experiments ( Hat der Druck der Rumpflast Einfiuss auf die Formbildung animals have constantly demonstrated that the anesthesia des Beckens?) S. Bokofzer. can be shortened or if a of Ile Abdominal Pregnancy. (Bauchhöhlenschwangerschaft.) A. suspended altogether suspension Jarzeff. lecithin is injected intravenously soon after the animal has 116 Axial Torsion of Large Intestine in Relation to Pregnancy come under the influence of the anesthetic. and Childbirth. (Achsendrehung des Dickdarms in Beziehung zu Schwangerschaft und Geburt.) G. Becker. 127. Schultze's not of Ili Case of Typhoid Suppuration of Ovarian Tumor. (Typhus¬ Swinging.—Ziegenspeck does approve vereiterung des Ovarialtumors.) H. Gans. the Ogata or Schröder technic as he has witnessed a case of 118 »Missed Abortion. . Rosinski. rupture of the liver afterward. The main advantage of 118. Missed Abortion.—Rosinski is convinced that the reten¬ Schultze's swinging is that the gravitation of the liver causes artificial not of the but also of the tion of the dead fetus has a decidedly injurious effect on the respiration only costal, abdominal and He as a further general health of the woman, and cites two cases from his diaphragmatic type. suggests, to take the head between the two little, experience to sustain this view. Both of his cases seem to improvement, fingers demonstrate the necessity for prompt evacuation of the uterus and let the body hang down before seizing the shoulder and before injury to the maternal organism results. His patients chest of the child with the fingers according to Schultze's directions. This insures that the trachea and run presented extreme anemia with albuminuria and some edema. spine parallel before the is He also the The effect on the uterus is especially bad, interfering with in¬ swinging begun. stops upward swing volution and impairing its future functional capacity. below the level of the chest, not at head level, and completes this movement, very gently, with a forward movement at an Münchener medizinische Wochenschrift. angle of 45 degrees with the horizon, so that the abdomen is August 18, LY, No. 33, pp. 1721-176ÍÍ. bent over gently. Before proceeding from this gentle move¬ 119 »Sterilization of Rubber Gloves. (Gummihandschuhe.) A. ment to the forcible downward movement, he makes a brief Y. and Döderlein. Fiessler, Iwase A. a rest before the 120 Clinical and Bactériologie Study of Paratyphoid. (Para- pause, allowing slight starting vigorous typhus.) A. Bingel. downward movement. 121 »Full Directions for Technic of Serum Test for. Syphilis. (Technik der Wassermann-Neisser-Bruckschen Serodiagnos¬ Wiener tik der Syphilis.) . Taege. klinische Wochenschrift. 122 »General Anesthesia and Lecithin. J. Nerking. August 20, XXI, No. 31,, pp. 1203-1230. 12:1 Roentgen-Ray Tests of Stomach Motor Functioning. (Magen- mit Hilfe der 131 Proportion of Tubercle Bacilli in Commercial Slilk and Dairy motilitätsprüfungen Röntgenstrahlen.) C. Products Kaestle. at Leipsic. (Tuberkelbazillengehalt der in Leipzig 124 Modification of Kocher's Hernia Operation. (Modifikation . zum Verkauf kommenden Slilch und Slolkereiprodukte.)· À. der Verlagerungsmethode bei der Kocherschen Bruchopera¬ Eber. II. Takata. 132 Theories of Origin of Senile Cataract. (Entstehung dpi- tion.) R. Possek. 12.". Local Anesthesia for Operations on Inguinal and Femoral Alterskatarakt.) Hernias. (Operation von Leisten- und Schenkelhernien in 133 Pulsating Vessels in the Throat. (Befunde von pulsierenden lokaler Anästhesie.) A. Nast-Kolb. Gelassen im Rachen.) S. Tenzer. 126 Technic of Walking Casts. (Technik der Gehgipsverbändc.) 134 »Examination of the Blood in Various Peripheral Vascular J. Fränkel. Provinces, with Circulatory Disturbances. (Blutuntersuch- 127 »Minor Points to Improve Schultze's Swinging. (Kleine Ver¬ ung in verschiedenen peripheren Gefässprovinzen bei Zirkula¬ besserungen der Schtiitzeschen Schwingungen.) R. Ziegen¬ tionsstörung.) SI. Krämer. speck. 128 Boric-Acid Treatment of Otitis Media. (Borsäurebehandlung 134. of Blood at the bei Mittelohreiterungen.l R. Dolger. Examination Periphery.—Kramer gives 129 Eye Affection from Artificial Fertilizer. (Augenerkrankung the findings in the blood drawn from the ear, finger and toe of mit einem R. künstlichen Düngemittel.) Hessberg. a number of bedridden with dis¬ Ï30 Treatment of Cicatricial Contracture of Hand. (Therapie der patients various circulatory Narbenkontraktur der Hand.) K. Vogel. turbances. In case of defective circulation there is generally an accumulation of red corpuscles in the blood from the toe. 119. Practical Technic for Sterilization of Rubber Gloves.— The specific gravity of the toe blood is also increased. This The drawback to the use of rubber is that great gloves they difference between blood from the toe and from the ear is a do bear or sterilization without In not boiling steam injury. sign of insufficient heart action. this communication from Diiderlein's clinics at Tübingen and Munich it is asserted that the damage results merely from Zentralblatt für Gynäkologie, Leipsic. of the and that it can be remedied absorption moisture, by August 22, XXXII, No. 31,, pp. 1113-1136. expelling the moisture from the rubber. This is accomplished 135 L. Goth's Technic for Treatment of Fostpartum Hemorrhage by heating the gloves until they are thoroughly dry through¬ from Atony of Uterus. (Neuer Handgriff zur Behandlung lie der atonischen Nachblutungen.) G. Zickel. out. The gloves must not touch each other, but spread 136 »Simple Technic for Management of Delivery After Vaginoflxa out on one of a set of wire netting trays. A further improve¬ tion. E. Schroeder. Laceration of ment is that the the steam sterilization are 137 Circular Vagina. (Zirkulärer Abriss der Vagina gloves after dipped, am Introitus. ) A. Welscher. still in a 20 cent, of talcum in wet, per suspension powder No. alcohol. Each is then held to drain and laid flat in the August 29, 35. pp. 1131-1168. up of hot air C. is 138 Cure Insufficiency of Bladder Sphincter by Drawing For¬ drying box through which at 75 (107 F.) passed ward the Uterus. (Beseitigung einer Insuffizienz des Sphinc¬ for about. 45 minutes. When taken out they are found covered ter vesica? durch Verlagerung des Uterus.) E. Schroeder. 139 »The Curette and Treatment of Abortion. F. with a thin, even of the talcum inside and out. Engelmann. coating powder 140 Transplantation of Epithelium of the Vagina to Cure Erosions 121. Technic of Serum Diagnosis of Syphilis.—Taege has in the Portio Vaginalis. (Transplantation des Scheidenepi¬ thels als neues Verfahren zur Heilung der Erosionen der been studying the details of this technic at Neisser's clinic, Portio vaginali».) V. Frommer. and gives it here with all the minor points. The articles nec¬ 136. of Childbirth essary are enumerated as follows: meat-grinding machine to Management After Vaginofixation.— prepare the liver: ice chest; vacuum apparatus to concentrate Schroeder relates that he has carried four women through a the lluid by heat: a vibrating apparatus for washing out the confinement after a low vaginofixation of the uterus without blood corpuscles and for distributing the antigen through the isolated suture of the peritoneum. Another woman who had -alt solution; centrifuge; animal board: incubator, and the had three abortions before the fixation, aborted again after¬ reagent and graduated glasses, pipettes, water bath, boiling ward. In the other cases delivery proceeded naturally. In. pot, platinum needle and cage for the animals. one there was transverse presentation, requiring version and

Downloaded From: http://jama.jamanetwork.com/ by a Simon Fraser University User on 06/06/2015 extraction. In another case the external os had receded during 1 ' ."· do not suffer by its removal, while its retention might labor to a point behind and above the promontory. He intro¬ result in dangerous adhesion of the nerve to the heart. The duced half of his hand into the uterus past the internal os technic should be dominated by the necessity of avoiding and exerted gentle traction forward and downward. This injury of the auricles and large vessels and to refrain from brought the cervix and lower segment of the uterus and the touching the right wall of the pericardium, for fear of injur¬ child's head down into the pelvis with surprising ease. ing the phrenic nerve or the other pleura, which would be liable entail of the or bilateral 139. The Curette in Treatment of Abortion.—Engel mann has to paralysis diaphragm pneu¬ been trying to ascertain how extensively the curette is used by mothorax. In none of his dogs were the adhesions after peri- general practitioners in treatment of abortion in the first cardiectomy very calamitous. The fewest adhesions were found in with more extensive resection. Some of months of pregnancy. He sent a question blank to 80 physi¬ dogs the cians in and around his city, Dortmund, and received dogs are in apparent good health to date, five or six months replies since the all thin at first and the which showed that 54 colleagues had had 1,500 cases of abor¬ operation, although grew left ventricle became tion in their charge during the year, and that 37 used the hypertrophied. curette unconditionally and 9 under certain conditions. Only 7 145. Suppurative Pancreatitis.—Fasano's patient was a girl refuse to use it under any circumstances. These groups do not of 13. An operation was performed as the last resort, but the include specialists, and the physicians who reported the largest advanced autointoxication, stercoremia and complete paralysis number of eases of abortion are the ones who are unconditional of the intestine rendered the intervention futile. The syn¬ advocates of the curette. These findings show, he says, that drome presented is studied from the differentiating point of the curette evidently does not deserve the wholesale denuncia¬ view, with analysis of the corresponding literature. tion poured on it by certain writers. Sei-I-Kwai Medical Journal, Tokyo. Grèce Médicale, Svra. Julg 31, XXX, No. 7, pp. 305-31!,. July 15, X, Nos. 13-11,, pp. 25-28. 140 »The Extirpation of F.ugs. R. Oka. Commenced in No. 6. 141 Malaria In Greece During 1907. and Work of Antimalaria League. C. Savas. Commenced in No. 11. 146. Extermination of Vermin.—Oka's report deals mainly with vermin in and describes methods of Policlinico, Rome. barracks, numerous extermination practiced. None was found entirely satisfac¬ August 23, XV, Practical No. 3!,, pp. 1061-1092. Section, but the best results seemed to follow a 15 1-Í2 Morphology of Bacilli of Malta Fever. A. Amato. tory, pouring per cent. solution of caustic soda into the crevices from the August, Section, No. 8, pp. 329-376. spout Surgical of a to the Oka that when the 143 »Pseudotuberculous Peritonitis from Relics of Vegetables. R. teapot. Referring bites, says Alessandri. region swells or itches, sucking the region stung for 25 or 30 144 »Experimental Pericardiectom'· and Its Possible Therapeutic will relief and cure if or twice. Application. G. Parlavecchio. minutes, give repeated once 145 »Suppurative Pancreatitis. M. Fasano. 143. Pseudotuberculcsis of the Peritonsum.—Alessandri re¬ views ten cases from the literature in whi?h tubercles were Books Received found on the peritoneum, and tuberculous peritonitis was diag¬ nosed, but the microscope showed that the tubercles were Acknowledgment of all books received will be made in this column merely the local reaction to the eggs of parasites or to foreign and this will be deemed by us a full equivalent to those sending bodies. In four other cases the pseudotuberculosis was the them. A selection from these volumes will be made for review, as dictated by their merits, or in the interests of our readers. result of a local reaction to small fragments of vegetable resi¬ due escaping into the peritoneum. He reports a ease, from his Descriptive and Surgical. By Lec¬ own in a woman of 20 with Anatomy, Henry Gray. F.R.S., experience, digestive disturbances turer on Anatomy at St. George's Hospital SLedical College, Lon¬ for some years. Symptoms finally developed suggesting ab¬ don. 17th Edition. Revised and Re-edited with additions by John SI.D., Professor of of and and on the of adhesions the Chalmers DaCosta, Principles Surgery dominal mischief, assumption of Clinical Surgery in Jefferson Sledical College, Phlladefphia, abdomen was opened. The stomach, omentum and liver were and Edward Anthony Spitzka, SI.D., Professor of General Anat¬ found studded with with the number around omy in Jefferson Sledical College, Philadelphia. Cloth. Pp. 1614, tubercles, greater with illustrations. Price, $6.00. Philadelphia : Lea & Febiger, a point in the stomach wall where there were traces of a 1908. healed ulcer. The adhesions were detached and the abdomen Gynecology and Abdominal Surgery. Edited by Howard A. Kelly, SI.D., F.K.C.S. (Hon. Edin.), Professor of Gynecologic was sutured. Diagnosis was made of tuberculous peritonitis. Surgery at Johns Hopkins University, Baltimore, and Charles Microscopic examination of two or three scraps excised from P. Noble, SI.D., S.D.. Clinical Professor of Gynecology at the Woman's Sledical College. Cloth. 862. with a tubercle showed that it consisted of cells Philadelphia. Pp. giant with particles illustrations. Price, $8.00. Vol. II. Philadelphia ; W. B. of vegetable cells, giving the starch reaction, with no traces Saunders Co., 1908. of tuberculosis. The residue had General Surgery. By Ehrich Lexer. SI.D., Professor of Surgery. vegetable probably escapsd University of Berlin. Translated from Second German Edition from the stomach through the ulcer and had induced the local by Dean Lewis, SI.D., Instructor in Surgery. Rush Sledical Col¬ reaction. The patient has been in the best of health since. lege. Edited by Arthur Dean Bevan. SI.D., Professor of Surgery. Rush Sledical College. Cloth. Pp. 1041, with illustrations. 144. Experimental Pericardiectomy.—Parlavecchio has been Price, $6.00. New York : D. Appleton & Co., 1908. considerable research on the Disbases of the Skin and the Eruptive Fevers. By Jay Frank conducting experimental question A.B., SI.D., Professor of and Infectious whether or not could ever have a Schamberg. Dermatology pericardiectomy therapeutic Eruptive Diseases in Philadelphia Potyelinic and College for application. A number of cases are on record of congenital Graduates in Sledicine. Cloth. Pp. 534, with illustrations. Price, : W. B. Saunders absence of the pericardium, and in most of these, which he $3.00. Philadelphia Co., 1908. The Origin and Prevalence op Typhoid Fever in the District of summarizes, there were no disturbances calling attention to its Columbia. (1907).) Hygienic Laboratory Bulletin No. 44. Slay, absence, which was an autopsy surprise. There were circula¬ 1908. Report No. 2. By SI. J. Rosenau. L. L. Lumsden and Joseph H. Kästle Paper. Pp. 63. with illustrations. Washing¬ tory disturbances in a few, but the prognosis of this defect ton : Government Printing Office, 1908. seems to be good when the thoracic organs are normal. Ex¬ Fourth Annual Report or the Henry Phipps Institute for the on ten showed that is an oper¬ Study. Treatment and Prevention of Tuberculosis. Feb. 1, 190G, periments dogs pericardiectomy to Feb. 1, 1907. Edited by Josenh Walsh. A.SI.. M.D. ation on about the as or Paper. same plane splenectomy partial Pp. 429. with illustrations. Philadelphia : Published by the thyroidectomy. It should be regarded only as a last resort, Henry Phipps Institute, 1908. but under these conditions it has of success. Text-Book of Human Physiology. Bv George V. N. Dearborn, good prospects A.SI. SI.D. Professor of (Harv.) Ph.D.. (Col.). . Thysiology in the Broad resection of the pericardium may, therefore, be consid¬ Sledical and Dental Schools of Tufts College. Boston. Cloth, ered in cancer of the organs or in chronic Pp. 550. with illustrations. Price, $4.00. Philadelphia : Lea & adjoining pericardi¬ Febiger, 1908. tis conservative measures. The resisting pericardiectomy Transactions of the Southern Surgical Gynecological Asso¬ would leave a defect which might favor infection of the ciation. Vol. XX. Twentieth Session. Held at New Orleans, but is much easier to cure than December, 1907. Edited bv W. D. Haggard. SI.D. Cloth. Pp. pleura, pleurisy pericarditis, 570. with illustrations. Published by The Association, 1908. and it is the lesser of two evils. The technic Rydygier gives Further Studies on Anaphylaxis. Hygienic Laboratory Bul¬ ample access. He does not try to avoid sacrificing the left letin No. 45. June. 1008. Bv SI. J. Rosenau and John F. found that the functions Anderson. Paper. Pp. 61. ' Washington : Government Printing phrenic nerve, having of the dia· Office. 1008.

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