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the gradual development of state and local departments of health and similar enterprises, implies also the withdrawal of clientele, either directly or indirectly, by the reduction of sickness.

We have no intention of suggesting in detail the proper solution of the problem stated. What the profession, in and out of military service should grasp in advance, is the broad principle on which the solution must depend. To foresee the bald fact of competition is important in itself. Individually and as organized bodies, the profession must anticipate mutual competition in a broad' and friendly spirit, both as to private practice and that in hospitals. The narrow, selfish scheming that has marred our past history must give place to a spirit of co-operation, fairness and generosity.

BOOK REVIEWS

Books mentioned may be inspected at and ordered through this office. So far as possible, books received in any month will be reviewed in the issue of the second month following. Pamphlets, quarterly and similar periodicals, reports, transactions, etc., will, as a rule, merely be mentioned.

Diseases of the Male Urethra Including Impotence and

Sterility. By Irvin S. Koll, B. S., M. D., F. A. C. S. Professor of Genito-urinary Diseases, Post-Graduate Medical School and Hospital; Associate Genito-urinary Surgeon, Michael Reese Hospital, Chicago. Octavo of 151 pages, with 123 illustrations, several in colors. Philadelphia and London: W. B. Saunders Company, 1918. Cloth, $3.00 net.

Fully one-half of this monograph is devoted to the consideration of gonorrhea, one of the most discussed of genitourinary diseases, but which at the same time from a therapeutic standpoint has progressed the least. The author well expressed his attitude in the preface by saying,—“I realize full well my views are reacting and may not be shared by some of my colleagues." In spite of this the author has prepared a commendable work which will be of great value to the student and the practitioner because of clear, simple and concise treatment. The author carefully covers the anatomy, the symptomatology, the complications on impotence and on sterility with their causation and treatment.

The reviewer realizes that unfortunately the author has not added anything which might prove useful in the treatment of gonorrhea. His treatise is well done, enhanced by many carefully prepared illustrations descriptive of the condition that gives definite pictures to the man who is in a hurry and needs to know quickly what to do.

The Seriousness of Venereal Disease. By Sprague Carleton,

M. D., F. A. C. S. Illustrated, New York, Paul Hoeber, 1918. Pp. 67. Price, $.50.

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The attempt of the author at this time of social disturbance due to war conditions, is laudable. Very little is said ; the volume is simply an exhibit of pictures of syphilis, chancroid, bubo, etc., with a very short descriptive report of the case and the medical and moral lesson to be drawn therefrom ; just enough to hold the attention of the soldier and give him some idea of the disease. The photographs represent the diseases as they are without exaggeration; if anything they underestimate the seriousness of the disease as many of the pictures lack illuminating detail. The reviewer is of the opinion that in a book ostensibly written for the soldier it would have been better to have made the announcement of its specific purpose. The author's effort is worth the while and while not remarkable, it will serve a useful purpose in enlightening those ignorant of the havoc of venereal diseases.

Clinical Diagnosis. A Manual of Laboratory Methods. By

James Campbell Todd, M. D., Professor of Pathology, University of Colorado. Fourth edition, revised and reset. 12mo of 687 pages with 232 text-illustrations and 12 colored plates. Philadelphia and London: W. B. Saunders Company, 1918. Cloth, 14s. net.

That the fourth edition of Todd's popular book is received so soon after the publication of the third edition is the very strongest commendation of its usefulness to the profession. The book has been somewhat extended in scope and matter and the size in consequence has been increased. His position as a teacher, well fits the author to present his subject in a rational and practical way with enough detail to make the tests easily carried out by the student and general practitioner for whom the work primarily was prepared.

The laboratory methods especially considered are those that have a clinical value. As it is not designed for the trained laboratory worker, the methods offered are simple and practical, emphasis being placed as far as possible on those requiring little complicated apparatus. The quantity and quality of the new material added is of special interest and brings up to the minute laboratory diagnostic technique useful to and available for the general practitioner. The changes and additions are widely scattered throughout the book. They include the use of colorimeters; the spectroscope; methods of matching blood for transfusion; the new Bass and Johns concentration methods for malarial parasites; the fractional method of gastric analysis; vital blood staining; the Wilber and Addis method for urobilin in the diagnosis of pernicious anemia; and, the estimation of amylase in urine and feces in pancreatic diseases.

The illustrations have been materially increased; the black and white pictures have received special consideration with the elimination of the poor in former editions and the addition of at least 90 new ones. These changes and additions give accurate pictures of microscopic structures thus making interpretation easy and giving information that can easily be remembered.

The book is fully entitled to the flattering reception accorded previous editions.

CORRESPONDENCE

This department is intended for the presentation of news and views not coming within the scope of other departments, and particularly to afford opportunity for discussion and criticism of views elsewhere expressed.

117 West 76th Street, New York, Aug. 12, 1918. Editor Buffalo Medical Journal :

The new New York State Law to which you call attention in your August issue by which only licensed physicians may treat or prescribe for venereal diseases is in this respect a work of supererogation. It is another proof of the truth of which Ex. Chief Justice Cullen said of the statutes of this state, that “they are the greatest mass of legislative nonsense in existence.” This law confers nothing on the physician which he did not already possess. To understand its true import the clause relating to the penalties inflicted upon druggists under its provisions for giving a copy of or renewing a prescription containing a remedy for venereal disease must be considered. In time this clause will be proved to be as unconstitutional as certain clauses of the Harrison law have just been proved to be. Meanwhile it advances the propaganda for the socialization of medicine as far as it relates to the monopoly by the state at the expense of the taxpayers of the treatment of venereal diseases. It is about time that the doctors woke up to the political activities of the state medical authorities at the expense of the profession.

JOHN P. DAVIN, M. D.

TOPICS OF PUBLIC INTEREST

British Suicides. The male rate has declined from 157 per million population for the decade ending in 1910, to 151 in 1914, 105 in 1915, rising to 111 in 1916. The female rates were: 47, 45, 45, and 38 respectively. Increased employment and better wages are credited with the improvement.

Incomes. For 1916, 206 persons reported incomes of a million or more; 376 between half and one million; 6,051 between 100,000 and half a million; 115,061 between 10,000 and 100,000; 150,553, 5-10,000; 72,027, 4-5,000; 85,123, 3-4,000. According to average families, it thus appears that rather less than 2% (437,936) have incomes of $3,000 and over. Substantial increases in the numbers for each grade are reported, though this is probably due partly to greater realization of the necessity of being honest.

Automobiles. In spite of the war, the registration of automobiles continues to increase. 422,853 have been licensed up to July 1, in the state, against 349,040 last year. Passenger autos increased from 291,115 to 335,245. The estimated receipts from the license tax are 5 million dollars, enough to build about 200 miles of cement road. Motorcycles show a slight decrease.

Guarantee for Buffalo General Hospital. Owing to increased expenses, the directors have circulated guarantee blanks each covering a proportionate share of whatever deficit may occur, the liability of each share being limited to $25. Any subscriber may subscribe for as many shares as he pleases.

Commissions for Nurses. The Canadian Army Medical Corps will commission nurses as lieutenants. They will wear the rank insignia and give and receive salutes accordingly. It may be said that, while American nurses do not hold military rank, many officers and soldiers accord them the courtesy of a military salute.

Donors and Receptors in Blood Groups. An abstract previously published, omitted the diagram mentioned. A still simpler way to remember the dangers of agglutination is this: Any group may be its own donor and receptor. Donation should otherwise be from a higher to a lower number and in any possible combination of numbered groups except that there is a mutual agglutination between 2 and 3. Thus Group 1 is the universal receptor, Group 4 the universal donor.

Child Welfare Work in Buffalo. The common council has appropriated $15,000 for equipment of nutrition clinics, care of mothers and babies, education of parents and children and prevention of still births.

Trudeau Memorial. A statue donated by former patients was unveiled at the Trudeau (formerly Adirondack Cottage) Sanatorium, Aug. 10.

The American Dental Assn. met in Chicago early in August. 6000 members were in attendance. The meeting was devoted largely to the consideration of military dentistry and dental hygiene.

Rejections of Drafted Men. 1896 of 14,870 accepted by local boards of New England, were rejected after reaching camps-12.7%.

Aviation Mortality. From Sept. 1 to July 20, 155 deaths occurred in training fields. It is calculated that there are a trifle over three deaths for every 10,000 hours of flight.

The Preparedness League of American Dentists, an organization of 15,000 dentists which was formed by Dr. J. W. Beach of Buffalo, has already given free aid to one half million men, to fit them for military service. According to the present law, only one dentist is allotted to every 1,000 men. Statistics from the front show that 20% of the men in the sick wards are there because of diseases arising from infection from diseased teeth.

Col. Herbert A. Bruce of Toronto says that the physicians have stamped out typhus and typhoid fever in the Allied Armies. That only 27 cases of typhoid fever in an army of two million men were left. He asks why women are not eligible to the Medical Reserve Corps. He said that he had been instrumental in having them admitted to the Medical Service in Great Britain.

Military Casualties. At Gettysburg, the two armies numbered together about 150,000, the Union losses being 23,190 and the Confederate 36,000, a total of nearly 60,000, 40% for three days' open fighting. Casualties of 25-30% (killed, wounded, and missing) were frequent for individual units

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