be taken to lessen the wide-spread suffering and the great mortality among the people of Canada, caused by the various forms of tuberculosis.

It is further resolved that a special committee be appointed by the Executive Council of the association to forward this matter.

Mr. George Perley, M.P., for Argenteuil, seconded the motion, He said that the Executive Committee had come to the conclusion that the best way of getting at the matter was simply to ask the Dominion Government to appoint a commission to interview the authorities of the different provinces to see what they will do, and what form the co-operation between the provinces and the Dominion should take. His impression was that the Government would not take the initiative in doing anything whatever, but would have to be prompted and pushed to it. The sympathy which the movement had received from the members of the House of Commons was greater than its best friends had expected.

Sir James Grant had no doubt that the resolution would receive the closest possible attention from the Government. There were 8,000 deaths annually in Canada from tuberculosis, and the subject was eminently one in which the Government should take action. Sir James also referred to the great work done by the association during the past four years, and expressed strong hope for its future.

Prof. J. W. Robertson referred to the demand made by the Government in the House for a definite scheme as a condition of assistance. He thought that the commission which was asked for might succeed in drawing up such a scheme.

Dr. Sheard, Medical Health Officer of Toronto, remarked that dealing with consumption was an expensive matter, and for that reason municipal and other bodies had sometimes a tendency to shoulder it from one to another. The problem of dealing with a consumptive who is poor was serious. Thus far one result secured by dissemination of literature was to spread just about enough rough knowledge to frighten people, and to cause the consumptive to be more or less ostracized. To deal with consumption properly it was necessary to know what the Government of the Dominion would give, and what the provinces would give, and what would be done by the municipalities.

Some remarks on the subject were also made by Dr. Rutherford, Dr. Hodgetts, Ontario Provincial Health Inspector; Dr. Third, Professor of Medicine at Queen's University, and Drs. Noble and Barrick, of Toronto.

The resolution was adopted.

Senator Edwards was re-elected president, and Mr. J. M. Courtney was re-elected honorary treasurer. The following Executive Committee was selected: Bishop Hamilton, Ottawa; Dr. Charles A. Hodgetts, Toronto; Dr. Adams, Montreal; Dr.

Lachapelle, Montreal; Dr. Botsford, Moncton, N.B.; Mr. F. Lawrence, M.P., Truro; Dr. J. G. Toombs, Mt. Stewart, P.E.I.; Dr. Gordon Bell, Winnipeg, Man.; Dr. J. D. Lafferty, Calgary, N.-W.T.; Dr. C. J. Fagan, Victoria, B.C. Rev. Wm. Moore was re-appointed secretary. His Excellency the Governor-General, the honorary president, will appoint ten more members of the Executive Committee. The honorary vice-presidents are Sir Wilfrid Laurier, Lord Strathcona, and the Lieutenant-Governors of the provinces.

At night, in the Normal School, Prof. Adami, of McGill University, delivered a lecture on "Adaptation and Tuberculosis." It was a timely and instructive contribution upon an important subject. His Excellency Earl Grey presided and delivered a sympathetic address.

Fibroid Tumors.

Dr. Barton Cook Hirst stated before the Obstetrical Society of Philadelphia, that he had treated 189 cases of fibroid tumors by some form of surgical procedure. Of these, twenty-seven per cent. were myomectomies while sixty per cent. were hysterectomies. The remainder were made up of vaginal enucleation, oophorectomy, and ligation of the uterine arteries. Referring to electricity in the treatment of fibroids, he had found it a useful palliative treatment of the hemorrhage in this condition, but had never seen a tumor reduced in size or the slightest benefit except for the hemorrhage.

Adrenalin Chloride in
Ashmatic Attacks.

Dr. D. M. Kaplan comes to the following conclusions in a paper read before the New York Academy of Medicine with regard to the hypodermic use of adrenalin chloride in asthmatic attacks: That this remedy has a distinct place in the therapeusis of asthmatic seizures; that the effect produced by it apparently substantiated, in certain cases, the vasomotor origin of the seizures. In Dr. Kaplan's experience, the contraindications to the drug were generally overstated; even large doses, freely used, did not give rise to glycosuria, although relieving the paroxisms with greater promptness and certainty than most of the other drugs at our command; the hypodermic use of adrenalin was in no sense curative of the disease as such. In long-standing cases Dr. Kaplan has seen good results follow upon a dose of from 25 to 30 minims, the asthmatic attack being usually cut short in five minutes. He has also used the drug in pulmonary edema with very satisfactory results.

Appendicitis.;

Dr. S. West stated before the Royal Medical and Chirurgical Society the following conclusions with regard to appendicitis: The great majority of all cases of appendicitis (three quarters) recover without operation; some recur and these should be operated on in the quiescent stage, the risk being there very small; when suppuration was manifest or probable, operation should be performed at once; even perforation cases might be less fatal if operated on earlier; the risk of perforation was exaggerated; the opening of the abdomen was not a trifling procedure, but introduced risks of its own; each case must be considered on its own merits and dealt with accordingly; the success of operation largely depended on the skill of the operator, so that a personal factor entered into the results which could not be allowed for in general statistics.

Extra-Uterine
Pregnancy.

Dr. Wilmer Krusen, before the North-West Medical Society of Philadelphia, gives the following causes of "Extra- Uterine Pregnancy": Mechanical causes which interfere with the downward passage of the ovum; causes resulting from inflammatory conditions of the tubes, ovaries and pelvic peritoneum; physical and developmental abnormalities which favor decided formation in the tubes.

At the recent meeting of the Medical SoRail ay Spine: ciety of the State of New York, Dr. Edward B. Angell, of Rochester, N.Y., read a paper on Railway Spine. While Erichsen's classic remains the guiding star of experts, in law and medicine, the ideas of the true pathology yet remain very indefinite. As a rule these cases present exaggerated manifestations unproportionate to the injury received; and in most cases it is a mental rather than a bodily condition, which is quite plain from the shifting of the tender points, and no pathological condition present, there develops a true delusion as to the patient's physical condition. Railway spine is unfortunate, as it is really a brain injury.

Hay Fever.

Dr. Otto J. Stein, before the Chicago Medical Society, read a paper recently having for its title: "The Dunbar Antitoxin Method of Treating Hay Fever," in which paper he reported the cases treated by this method. He considers that the remedy must be applied before the onset of the attack, thus regarding the remedy more as a prophylactic one. It proved efficient in all but three of his cases.

Puerperal Pyrexia.

Dr. W. Hirst Bateman stated before the Rochedale and District Medical Society of England that from the point of view of immediate treatment, it was important to decide whether the rise of temperature was connected with the puerperal condition and then to distinguish between sapremia and septicemia. Treatment should be a calomel purge; if the temperature did not fall within a few hours the uterus should be douched with perchloride of mercury; a mixture of quinine and ergot should be given; if the temperature remained high after two or three douches the uterus should be curetted, douched, and packed with iodoform gauze, the packing to be removed in five or six hours; antistreptococcic serum may be used.

Gastric Ulcer.

Dr. E. G. Janeway gave before the New York Academy of Medicine the following. statistics of cases of ulcer of the stomach which had terminated fatally in that city since 1895, as follows: In 1895, 71 cases, 43 males and 28 females; in 1896, 81 cases, 33 males and 48 females; in 1897, 65 cases, 32 males and 33 females; in 1898, 62 cases, 31 males and 31 females; in 1899, 71 cases, 34 males and 37 females; in 1900, 73 cases, 41 males and 32 females; in 1904, 93 cases, 51 males and 42 females.

Physician's Library.

A BOOK that promises to be of professional value is announced to appear in April from the press of Morang & Co., Toronto. It is a new work on Obstetrics by Dr. Adam H. Wright, Professor of Obstetrics in Toronto University.

J. B. LIPPINCOTT COMPANY announce that they will publish during the present year a translation by Dr. Albion Walter Hewlett, of the Third German Edition of the "Principles of Clinical Pathology," by Dr. Ludolf Krehl, with an introduction by Dr. Wm. Osler, of John Hopkins University. The work is well known in this country and in Europe as an authority upon the subjects. treated, and has been copyrighted in the United States under the Interim Copyright Act.

The Medical Examination for Life Insurance and its Associated Clinical Methods, with Chapters on the Insurance of Sub-Standard Lives and Accident Insurance. By CHARLES LYMAN GREENE, M.D., St. Paul, Professor of the Theory and Practice of Medicine in the University of Minnesota, member of the Association of American Physicians, Ex-President of the National Association of Life Insurance Examining Surgeons, formerly Medical Director of the Minnesota Mutual Life Insurance Company, etc., etc.

With the great growth of life and fraternal insurance during the past few years practically every physician is engaged to some degree as examiner for some company or association. The physician who in many cases finds this a growing addition to his income very naturally looks for some work that will be of aid in this important field of medicine. Greene takes up this subject in a very attractive and practical manner and his very excellent work will prove of great assistance to the busy physician. The opening chapters are taken up with a history of the growth of life insurance and the various forms of contracts offered by different companies. This is followed by an excellent review of the questions asked of applicants by the examiner and their import. The question of occupation and heredity are carefully gone into and tables are given in illustration. A considerable portion of the work is devoted to physical diagnosis of the chest and abdomen, in which respect the work will be of particular use to the insurance examiner. An excellent chapter is also added on urinalysis, in which the chemical, microscopic and bacteriological examination of the urine is dealt with and the question of albuminuria in relation to life insurance is discussed. The insurance of substandard lives is discussed in a very well written chapter, and the question as to the amount of lien to be placed on the policies of those with slight physical defects is very carefully taken up.