All good nurses thought more of trying to benefit the patient than trying to secure the almighty dollar.

Miss Woodard thought nurses should also be required to stand examinations, as well as to register diplomas.

Miss Benton had seen doctors (not in Memphis) where the patient would have done better without their services.

Dr. Buford said in conclusion, that he did not think Dr. Henning believed what he advocated, that nurses should not be required to register and stand examination.

Dr. Andrews, for Credential Committee, made favorable report upon the names of Drs. R. J. McFall, J. T. Spence, J. E. Johnson, who were unanimously elected.

Dr. Barton read the name of Dr. J. W. Price, an applicant for membership.

The President appointed the following committees :

Program and Scientific Work-Drs. J. L. Barton, E. C. Ellett, A. B. DeLoach.

Credentials-Drs. P. M. Farrington, J. H. Venn, Stephen

E. Rice.

Publication-Drs. Richmond McKinney, Frank D. Smythe, B. F. Turner.

Censors-Drs. W. B. Burns, E. K. Leake, H. S. Wolff. Public Health and Legislation-Drs. G. B. Thornton, Heber Jones, Marcus Haase.

BOOK REVIEWS.

Progressive Medicine. Fifth Annual Series. Vol. I, March, 1903. A Quarterly Digest of Advances, Discoveries and Improvements in the Medical and Surgical Sciences. Edited by Hobart Amory Hare, M.D., Professor of Therapeutics and Materia Medica in the Jefferson Medical College of Philadelphia. Octavo, handsomely bound in cloth, 450 pages, illustrated. Per volume, $2.50 by express prepaid. Per annum, in four cloth-bound volumes, $10. Lea Brothers & Co., publishers, Philadelphia and New York.

Progressive Medicine continues to maintain the same high standard set for it in the early volumes of the first series. It is a well prepared and entertaining exposition of recent progress in all departments of medicine, and is of great value to every practitioner and medical author.

In the present volume, surgery of the head, neck and chest, infectious diseases, diseases of children, pathology, laryngology, rhinology and otology are presented. The volume is profusely illustrated and has a complete index.

A Text-Book on Practical Medicine.

For the Use of Students and Practitioners. By William Gilman Thompson, M.D., Professor of Medicine in Cornell University Medical College, Physician to the Presbyterian Hospital, Bellevue Hospital, etc., New York. New (second) edition, thoroughly revised. In one octavo volume of 1104 pages, with 62 illustrations. Cloth, $5; leather, $6; half morocco, $6.50 net. Lea Bros. & Co., Philadelphia

and New York.

Coming into a field already occupied by works too numerous to mention, Prof. Thompson's book at once sprang into popular favor from force of sheer merit. The author has incorporated in his work the results of twenty years' experience in hospital work, private practice and as a teacher, with the natural consequence of the production of an exceedingly practical and thoroughly scientific work on medicine. Starting with a foundation of sound pathology, Dr. Thompson endeavors to maintain throughout the volume a cardinal principle of giving the general practitioner that which would be of greatest value to him, namely, the most successful line of therapy that clinical experience has demonstrated to be the best for each disease. To quote the publishers, "The cured patient is inestimably of more importance than the most interesting pathological specimen." In this second edition, the type having been recast, the author has availed himself of the opportunity to carefully revise and add much to the material contained in the first edition. The articles upon dysentery, yellow fever and malaria, as well as the sections on immunization, preventive inoculation and sero-therapy have been entirely rewritten. New matter has been added to the portions of the work devoted to diseases of the blood and heart and of the digestive system, and special attention has been given to the functional nervous disorders.

Practitioners will find this work eminently adapted to their every demand.

The International Medical Annual. A Year Book of Treatment and Practitioner's Index. Contributors: Robert Abbe, M.D.; Bertram L. Abrahams, B.SC., M.R.C.P.; Herbert W. Allingham, F.R.C.S.; Richard Barwell, F.R.C.S.; Fletcher Beach, M.B., F.R.C.P.; A. St. Clair Buxton, F.R.C.S.; James Cantlie, M.A., M.B., F.R.C.S.; Prof. A. H Carter, M.D., F.R.C.P.; Prof. Hy. D. Chapin, M.A., M.D.; D. J. A. Chowry-Muthu, M.D.; E. Hurry Fenwick, F.R.C.S.; A. E. Giles, B.SC., M.D., F.R.C.S.; Howard B. Gladstone, M.D.; Edward W. Goodall, M.D.; Prof. G. M. Hammond, A.M., M.D.; Edwin Holthouse, M.A., F.R.C.S.; Robert Hutchison, M.A., M.R.C.P.; Theo. N. Kelynack, M.D., M.R.C.P.; Priestly Leech, M.D., F.R.C.S.; Prof. Henry P. Loomis, M.D,; James Kerr Love, M.D.; Prof. Joseph McFarland, M.D.; John McIntyre, M.B., C.M.; William Milligan, M.D.; Keith Monsarrat, F.R.C.S.; William Murrell, M.D., F.R.C.P.; Joseph Priestley, B.A., M.D., D.P.H.; Boardman Reed, M.D.; Prof. Robert Saundby, M.D., F.R.C.P., LL.D.; W. Scott Schley, A.B., M.D.; James Shaw, M.D.; Walter G. Spencer, M.S., F.R.C.S.; Joseph G. Turner, F.R.C.S., L.D.S.; J. W. Thompson Walker, F.R.C.S.; Norman Walker, M.D.; Chisholm Williams, F.R.C.S. 1902. Twentieth year. Price

$3. E. B. Treat & Co., 241-243 West Twenty-third St., New York; 199 Clark St., Chicago.

The International is one of the best known of all year books. It is very synoptical in character, yet is not too brief to prevent its being complete. It represents the combined efforts of quite a host of distinguished contributors, and there can be no doubt of its being a most thorough exposition of progress in medicine and surgery up to date.

Obstetrics. A Text-Book for the Use of Students and Practitioners. By J. Whitridge Williams, Professor of Obstetrics, Johns Hopkins University; Obstetrician-in-Chief to the Johns Hopkins Hospital; Gynecologist to the Union Protestant Infirmary, Baltimore, Maryland. With 8 colored plates and 630 illustrations in the text. Published by Messrs. D. Appleton & Co., New York and London. 1903. Cloth, price $6.

The publishers are very opportune in bringing out this work on obstetrics, for it is some time since a new complete work on this subject has been published in this country. Even though it would seem that this field were already thoroughly covered, and that the art of obstetrics is too well developed to demand further text-books than we have, everyone who examines this work will see wherein author and publishers were justified in its publication.

The author has devoted special attention to the normal and pathological anatomy of the generative tract, in the hope that the book may prove serviceable as a laboratory guide for students; but its greatest sphere undoubtedly will be found in the hands of the general practitioner. With him in mind, the author has endeavored to present the more practical aspects of obstetrics in such a manner as to be of direct service to the obstetrician at the bedside.

The text of this work displays great care in preparation, and it reads with a rhythm that makes it entertaining from a literary as well as a scientific aspect. Notable, too, is the illustrating of the work. Illustrations in black and color abound in the utmost profusion, and these are thoroughly lifelike, in that the representations of the various operative procedures have been redrawn from photographs taken from life.

A feature of almost inestimable value to every writer in obstetrics is the complete bibliography which is to be found at the end of each chapter. This contains references to the early history, as well as the more recent advances in each subject.

We would gladly devote more space to an extended review of this work, but the further we go the more interested we become, and so the space at our disposal would soon be overstepped.

Harrington's Hygiene. A Manual of Practical Hygiene for Students, Physicians and Health Officers. By Charles Harrington, M.D., Assistant Professor of Hygiene in the Medical School of Harvard University. New (second) edition, revised and enlarged. In one octavo volume of 755 pages, illustrated with 113 engravings and 12 full-page plates in colors and monochrome. Cloth, $4.25 net. Lea Bros. & Co., publishers, Philadelphia and New York. The progress of sanitary science has rendered more and more imperative the necessity for teaching hygiene in every medical college. That this is now universally recognized is evidenced by medical college announcements, for practically every one of them in the United States has now a chair or adjunct chair devoted to this subject.

Preventive medicine plays a conspicuous rôle in the reduction of disease prevalence, and the rapid developments of this science are destined to gain for it even a more prominent position in the future. Thus has arisen the demand for text-books devoted to this subject, and among such none is better adapted to modern requirements than this work by Harrington. It is now in its second edition, and has been revised and brought up-to-date in every respect.

Syphilis. A Symposium. Special Contributions by: L. Duncan Bulkley, A.M., M.D.; Follen Cabot, Jr., M.D.; Louis A. Duhring, M.D.; Prof. Fournier, M.D.; Eugene Fuller, M.D.; E. B. Gleason, M.D.; Wm. S. Gottheil, M.D.; Robert H. Greene, A.M., M.D.; Norman B. Gwyn, M.D.; Orville Horwitz, M.D.; Edward L. Keyes, M.D.; G. Frank Lydston, M.D.; D. J. McCarthy, M.D.; Thomas G. Morton, M.D.; Boardman Reed, M.D.; A. Robin, M.D.; J. D. Thomas, M.D. Price, $1. E. B. Treat & Co., 241-243 West Twenty-third Street, New York. 1902.

In a comparatively short space we have here presented a very exhaustive review of the subject of syphilis in all of its phases. In the compilation of the book the services of a number of the most prominent specialists in the world have been invoked, with a result such as is to be expected where so much collated talent is employed.

Lea's Series of Medical Epitomes.

Manton's Obstetrics. A Manual of Obstetrics for Students and Practitioners. By W. P. Manton, M.D., Adjunct-Professor of Obstetrics and Professor of Clinical Gynecology, Detroit College of Medicine. In one 12mo. volume of 265 pages, with 82 illustrations. Cloth, $1. Lea Brothers & Co., publishers, Philadelphia and New York, 1903.

In this series of medical epitomes, none should prove a greater claimant to favor with students than this volume on obstetrics. Its subject is concisely but clearly presented, and in its 265 pages the student and practitioner will find everything necessary for a comprehension of every detail of obstetrical practice.

Saunders' American Year-Book.

The American Year-Book of Medicine and Surgery for 1903. A yearly Digest of Scientific Progress and Authoritative Opinions in all Branches of Medicine and Surgery, drawn from journals, monographs and text-books of the leading American and foreign authors and investigators. Arranged, with critical editorial comments, by eminent American specialists, under the editorial charge of George M. Gould, A.M., M D. In two volumes--Volume I, including General Medicine, octavo, 700 pages, fully illustrated; Volume II, General Surgery, octavo, 670 pages, fully illustrated. Philadelphia, New York, London: W. B. Saunders & Co., 1903. Per volume, cloth, $3 net; half morocco, $3.75 net.

Of the various year books, none has found greater favor with the medical profession than has Saunders'. It is a carefully prepared and thorough synopsis of medical and surgical progress during the year, and presents a comprehensive review of everything of value and of interest that has transpired in the fields of medicine and surgery for a twelvemonth. Under the editorial supervision of Dr. George M. Gould, this work has attained as nearly to perfection as any work of this class of which we have knowledge.

MALARIAL NEPHRITIS, WITH REPORT OF CASE.* BY WM. BRITT BURNS, M.D.

MEMPHIS, TENN.'

Ir is not my purpose to dwell upon the urinary changes in acute malaria, but rather to mention some observations in marial cachexia, wherein the absolute quantity for the twenty-four hours is diminished, high-colored, total solids increased, albumin, peptones, and diminished urea elimination.

In acute benign infections there is no perceptible departure from the normal in the daily output of urine; at times there is thamuria, immediately preceding or following a paroxysm. Thamuria in a malarial subject is often a sign and precursor of an approaching paroxysm; the urine here may be high-colored and irritant, but my observation has been that the urine is extremely clear and profuse. It is in those infections of several days standing, and more especially the estivo-autumnal type where the total quantity is diminished, that we suspect nephritis.

The color in any case is usually due to bile acids or bile pigment, or that intermediary product between bilirubin and hemoglobin-urobilin. The nitric acid test for albumin, in a bile-containing urine, settling free coloring matter, accounts for the reddish-brown ring we are accustomed to seeing at the

* Read by invitation before Mississippi County (Ark.) Medical Society.

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