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Dr. Chas. J. Shepard read a paper on "Falling of the Hair." Discussion by Drs. Probst and Emerick. Dr. Rutter read a paper on "Traumatic Neurosis." Discussion by Drs. W. J. Means, Kinsman, Baldwin and Carter. This interesting paper and discussion will appear in our next issue.

A communication from the executive committee in reference to requesting the street Railway company to provide lower steps on the open cars, was considered and referred back to the committee for further investigation.

The executive committee was authorized to provide for the entertainment of Dr. S. A. Knopf of New York City, who is to come here under the auspices of the educational committee of the District Nurses Association.

Dr. James M. Rector was elected to membership in the Academy.

Regular Meeting, March 20, 1905.

Members present, forty-eight.

Pathological specimens presented by Dr. Lawrence.

Dr. Howell read a paper on "Leucorrhea and Its Significance." Discussion by Drs. Wardlow and Warner. Dr. Baldwin read a paper on "Surgical Tuberculosis." Discussion by Drs. Probst, Kinsman, Hoover and Warner.

On motion Drs. Warner, Clemmer, and Dunham were appointed by the president to coöperate with a committee from the District Nurses Association in reference to devising plans for the care of tuberculous sick in the city.

On recommendation of the executive committee an invitation was extended to Dr. H. C. Wood, Jr., of Philadelphia, to deliver an address before the Academy; the executive committee being authorized to make necessary arrangements.

SENECA COUNTY MEDICAL SOCIETY.

This society will hold its next regular meeting, April 20, at which Dr. C. J. Anders will read a paper on "Ergot," and Dr. H. B. Gibbon will present a paper on "Puerperal Eclampsia," Dr. R. E. Chamberlain and Dr. W. S. Mumma to open the respective discussions.

Regular meeting of the Greene County Medical Society was held Thursday, January 5, 1905, at 10 a. m. The principal paper was by Dr. L. M. Jones, of Jamestown, on "Nuclein, Its Therapeltic Value." S. S. Wilson, President; A. C. Messenger, Secretary.

The first annual meeting of the First Councilor District of the Ohio State Medical Association was held at the Academy of Medicine rooms, Cincinnati, Ohio, December 8 and 9, 1904. Brooks F. Beebe, Councilor. The following program was carried out:

1. Chronic Catarrhal Cholecystitis-Dr. E. S. Stevens, Lebanon, Ohio. 2. Theories of Immunity-Represented diagramatically-Dr. Mark Millikin, Hamilton, Ohio. 3. Appendicitis― Dr. Joseph Eichberg. 4. Pathology of Appendicitis (with lantern demonstrations-Dr. S. P. Kramer. 5. Time for Operation for Appendicitis-Dr. Chas. A. L. Reed. 6. Modern SurgeryDr. P. S. Conner.

Clinics were given at Medical College of Ohio, Miami Medical College, Presbyterian Hospital.

Entertainment consisted of table d'hote dinner, 5:30 p. m., at the Business Men's Club, Chamber of Commerce Building. Visiting members were invited to attend the theatre and a smoker as the guests of members of the Academy.

The Cleveland Academy of Medicine held its regular meeting March 17, 1905. The following program was presented: The Sanatorium Treatment at Home for Tuberculous Patients, Dr. S. A. Knopf, New York; Nutrition in Tuberculosis, Dr. John P. Sawyer; The Anti-Tuberculosis Movement in Cleveland, Dr. John H. Lowman; discussion by Dr. C. O. Probst, Columbus, O.

The Ophthalmological and Oto-Laryngological Section held its twelfth regular meeting March 24, 1905. The program included the following: The Nose and Its Accessory Sinuses in the American Bear, with Specimens, Dr. J. M. Ingersoll; The Use of the X-Ray and Electro-Magnet in Removing Foreign Bodies from the Eye, with Exhibition of Specimens, Photographs and Lantern Slides, by Dr. George S. Iddings, Dr. Albert R. Baker.

MEETING OF THE N. W. O. M. ASSOCIATION.

The North Western Ohio Medical Association held a most successful meeting at Tiffin, December 15-16, 1904. Papers were read by Drs. E. L. Tupper, Ottawa; D. W. Steiner, Lima; G. W. Williard, Tiffin; T. M. Gehrett, Deshler; E. H. Porter, Tiffin; C. W. Moots, Delphos; J. H. Jacobson, Toledo; E. J. Greenfield, Toledo; R. C. Longfellow, Fostoria; C. E. Beardsley, Ottawa, and W. A. Dickey, Toledo.

Among those present and taking part in the discussion, besides the essayists, were Drs. W. S. Phillips, Belle Center; C. T. Benner, Tiffin; H. L. Wenner, Tiffin; F. L. Bates, Lima; C. Lukens, Toledo; J. A. Duncan, Toledo; W. H. Gillette, Toledo; M. Stamm, Fremont, and J. C. Martin, Findlay.

In the evening a banquet was served the members and visiting physicians. This was followed by an address on "The Curse of Genius," by Dr. Dan Millikin, of Hamilton.

Election of officers resulted as follows: President, T. M. Gehrett, Deshler; First Vicepresident, F. L. Bates, Lima; Second Vicepresident, A. F. Cook, Sandusky; Secretary, A. S. Rudy, Lima; Assistant Secretary and Treasurer, W. S. Philips, Belle Center. The next meeting will be held in Fremont.

F. D. WEST.

CRAWFORD COUNTY MEDICAL SOCIETY.

The Crawford County Medical Society held its regular meeting March 16, 1905. The evening was devoted to papers and discussion on the subject of Pulmonary Tuberculosis. Besides "members of the profession there were present several ministers and school-workers interested in the prevention of this disease.

Dr. Carl L. Spohr of Columbus read a most interesting paper on 'The Cause and Prevention of Pulmonary Tuberculosis,' and Dr. C. O. Probst spoke on The Modern Treatment of the Same.' Then followed discussion of these papers, especially along the line of the prevention of dissemination of tubercular germs in the public schools."

Dr. C. O. Probst explained the plans which are pending before the state commission for the erection of a state sanatorium for the treatment of tubercular patients. Great interest was manifested in the subject, and physicians in that part of the state hope to see the site between Crestline and Mansfield, now under consideration, selected as the location of the proposed state hospital.

The following officers were elected for the ensuing year: Dr. E. D. Helfrich, Galion, President; Dr. C. A. Marquart, Crestline, Vicepresident; Dr. W.L. Youmans, Bucyrus, Secretary; Dr. Katherine Rayl, Galion, Treasurer; Dr. J. F. Fitzsimmons, Bucyrus, Member of Board of Censors. The delegates from the local society to the state association meeting will be chosen at the next meeting, to be held in Bycyrus on April 25.

Periscope of Medical Progress.

MEDICINE AND SURGERY.

SYMPTOMATOLOGY OF GASTRIC ULCER.

Dr. Campbell Howard (Maryland Medical Journal), reviews the manifestations of round ulcer as illustrated by the cases seen at the Johns Hopkins Hospital. Vomiting, pain, and hematemesis had been the cardinal symptoms, and had occurred in about the relative frequency usually reported. Pain was usually referred to the epigastrium. Its site bore no relation to the site of the ulcer, and it varied from discomfort to acute colic. It was rarely continuous, was most marked after meals, and was usually increased by pressure. In some patients it occurred independently of meals, but most often it was greatest after the ingestion of food, and the series exemplified the truth of Gerhard's maxim-"Those who refuse to eat because of pain have gastric ulcer." Vomiting was present in about 85 per cent. of the cases. It occurred at the height of digestion or just after the ingestion of food, and varied noticeably with the severity of the pain. In some cases it was provoked for the sake of relief. The blood vomited was usually bright red, but the coffee-ground vomitus was noted in two-thirds of the cases. In some cases fatal hemorrhage occurred without physical signs (hemorrhage foudroyante of the French). Blood, Dr. Howard said, would be found in the stools more often if more looked for. Nausea was usually absent. Dyspepsia, due to hyperacidity, constipation and retention of appetite, was usual. Loss of weight occurred in 54 of 82 cases, nine showing a loss of 40 pounds. Epigastric tenderness was often felt, and sometimes tenderness on pressure over the back. A mass. (due to abscess, perforation, exudate or scars) was present in 20 cases of the series. Only 27 per cent. of the cases showed hyperacidity, and in nine hydrochloric acid was absent, seven of these showing the presence of lactic acid (due possibly to stagnation of food). The blood showed a chloranemia similar to that of carcinoma. Complications of Gastric Ulcer.Fatal hemorrhage occurred in 8.5 per cent. of the cases, perforation in 3.6 per cent. Obliteration of the liver dullness without

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